Vol. 12 No. 3 (2024): Business & Management Studies: An International Journal
Articles

The impact of altruistic leadership on turnover intention amongst healthcare professionals the mediating role of job stress

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  • Zeynep Merve Dinler,
  • Mahmut Akbolat
Zeynep Merve Dinler
PhD. Student, Sakarya University, Graduate School of Business Sakarya, Turkey
Mahmut Akbolat
Prof., Dr. Sakarya University, Health Management, Faculty of Business, Sakarya, Turkey

Published 2024-09-25

Keywords

  • Altruistic Leadership, Turnover Intention, Job Stress
  • Alturistik Liderlik, İşten Ayrılma Niyeti, İş Stresi

How to Cite

The impact of altruistic leadership on turnover intention amongst healthcare professionals the mediating role of job stress. (2024). Business & Management Studies: An International Journal, 12(3), 455-467. https://doi.org/10.15295/bmij.v12i3.2393

Copyright (c) 2024 Zeynep Merve Dinler- Mahmut Akbolat

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

How to Cite

The impact of altruistic leadership on turnover intention amongst healthcare professionals the mediating role of job stress. (2024). Business & Management Studies: An International Journal, 12(3), 455-467. https://doi.org/10.15295/bmij.v12i3.2393

Abstract

This study aims to investigate the relationship between altruistic leadership, turnover intention, and work stress in healthcare professionals and to show the mediating role of work stress in the effect of altruistic leadership on turnover intention. Altruistic leadership, turnover intention, and work stress were studied to determine whether healthcare workers differ by occupational group. This study was conducted on healthcare professionals working in a private hospital. The findings indicated that while job stress and intent to leave were high among healthcare workers, altruistic leadership levels were moderate. Additionally, nurses' job stress and intent to leave were significantly higher than those of doctors and other healthcare professionals. The study finds that job stress significantly mediated the relationship between altruistic leadership and intent to leave. The result: Managers who demonstrate altruistic leadership reduce turnover intention to quit their job but have a negative mediation of the model with increased work stress among healthcare workers in situations such as pandemics. As a recommendation, strengthening organisational policies and management practices that support employees and enhancing subordinate-supervisor relationships to support workloads mutually may prove beneficial.

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References

  1. Ağırbaş, İ. (2016). Hastane yönetimi ve organizasyon. Siyasal Kitabevi.
  2. Abdillah, M. R., Wu, W., & Anita, R. (2020). Can altruistic leadership prevent knowledge-hiding behaviour? Testing dual mediation mechanisms. Knowledge Management Research and Practice, 00(00), 1–15. https://doi.org/10.1080/14778238.2020.1776171
  3. Alves, I., Limão, M., & Lourenço, S. M. (2024). Work overload, work–life balance and auditors' turnover intention: the moderating role of motivation. Australian Accounting Review, 34(1), 4-28.
  4. Amundsen, S., & Martinsen, Ø. L. (2014). Self–other agreement in empowering leadership: relationships with leader effectiveness and subordinates' job satisfaction and turnover intention. The Leadership Quarterly, 25(4),784-800
  5. Bar-Yam, Y. (2006). Improving the effectiveness of health care and public health: A multiscale complex systems analysis. American Journal of Public Health, 96(3), 459–466. https://doi.org/10.2105/AJPH.2005.064444
  6. Brimhall, K. C., Lizano, E. L., & Barak, M. E. M. (2014). The mediating role of inclusion: a longitudinal study of the effects of leader–member exchange and diversity climate on job satisfaction and intention to leave among child welfare workers. Children and Youth Services Review, 40, 79-88.
  7. Bonenberger, M., Aikins, M., Akweongo, P., & Wyss, K. (2014). The effects of health worker motivation and job satisfaction on turnover intention in Ghana: a cross-sectional study. Human resources for health, 12(1), 1-12.
  8. Campbell, J. W., Lee, H., & Im, T. (2016). At the expense of others: altruistic helping behaviour, performance management, and transformational leadership. Public Management Review, 18(6), 795–818. https://doi.org/10.1080/14719037.2015.1045018
  9. Chin., C. (2011). Altruistic Leadershıp, Employee Engagement, and Fınancıal Performance. California State University, Sacramento.
  10. Chiu, R. K., & Francesco, A. M. (2003). Dispositional traits and turnover intention. International Journal of Manpower, 24(3), 284–298. https://doi.org/10.1108/01437720310479741
  11. Cocchiara, R., Peruzzo, M., Mannocci, A., Ottolenghi, L., Villari, P., Polimeni, A., Guerra, F., & La Torre, G. (2019). The use of yoga to manage stress and burnout in healthcare workers: a systematic review. Journal of Clinical Medicine, 8(3), 284. https://doi.org/10.3390/jcm8030284
  12. Conway, P. M., Campanini, P., Sartori, S., Dotti, R., & Costa, G. (2008). Main and interactive effects of shiftwork, age, and work stress on health in an Italian sample of healthcare workers. Applied Ergonomics, 39(5), 630-639.
  13. Çakmak, C., Uğurluoğlu, Ö., & Biçer, İ. (2019). Alturistik liderlik ölçeğinin türkçe uyarlaması : geçerlilik ve güvenilirlik çalışması. Ankara Hacı Bayram Veli Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi 21(3), 785–802.
  14. Çalışkan, A., & Bekmezci, M. (2019). Aşırı iş yükünün işten ayrılma niyetine etkisinde iş tatmininin ve yaşam tatmininin rolü, sağlık kurumu çalışanları örneği. Adıyaman Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 11(31), 382–431.
  15. De Cremer, D., Mayer, D. M., van Dijke, M., Schouten, B. C., & Bardes, M. (2009): When does self-sacrificial leadership motivate prosocial behaviour? It depends on followers' prevention focus. Journal of Applied Psychology, 94(4), 887-899. DOI: 10.1037/a0014782
  16. De Simone, S., Planta, A., & Cicotto, G. (2018). The role of job satisfaction, work engagement, self-efficacy and agentic capacities on nurses' turnover intention and patient satisfaction. Applied Nursing Research, 39(October 2017), 130–140. https://doi.org/10.1016/j.apnr.2017.11.004
  17. Elçi, M., Şener, İ., Aksoy, S., & Alpkan, L. (2012). The impact of ethical leadership and leadership effectiveness on employees' turnover intention: the mediating role of work-related stress. Procedia-Social and Behavioural Sciences, 58, 289-297.
  18. Elshaer, N. S. M., Moustafa, M. S. A., Aiad, M. W., & Ramadan, M. I. E. (2018). Job stress and burnout syndrome among critical care healthcare workers. Alexandria Journal of Medicine, 54(3), 273–277. https://doi.org/10.1016/j.ajme.2017.06.004
  19. Etim, J. J., Bassey, P. E., Ndep, A. O., Iyam, M. A., & Nwikekii, C. N. (2015). Work-related stress among healthcare workers in Ugep, Yakurr Local Government Area, Cross River State, Nigeria: a study of sources, effects, and coping strategies. International Journal of Public Health, Pharmacy, and Pharmacology, 1(1), 23-34.
  20. Greenhaus, J. H., & Parasuraman, S. (1987). A work-nonwork interactive perspective of stress and its consequences. Journal of Organizational Behaviour Management, 8(2), 37–60. https://doi.org/10.1300/J075v08n02_04
  21. Hadadian, Z., & Sayadpour, Z. (2018). Relationship between toxic leadership and job-related affective well-being: The mediating role of job stress. European Online Journal of Natural and Social Sciences: Proceedings, 7(1), 137.
  22. Hair, F., Black, C., Babin, J., & E. Anderson. (2013). Multivariate Data Analysis A Global Perspective. Pearson.
  23. Havermans, B. M., Boot, C. R. L., Houtman, I. L. D., Brouwers, E. P. M., Anema, J. R., & Van Der Beek, A. J. (2017). The role of autonomy and social support in the relation between psychosocial safety climate and stress in health care workers. BMC Public Health, 17(1), 1–7. https://doi.org/10.1186/s12889-017-4484-4.
  24. Hajkova, D., Sandora, J., Žídková, R., Malinakova, K., & Novak, L. (2023). Effects of the COVID-19 pandemic on Czech citizens: how do depression and anxiety symptoms influence cognitive, behavioural, and emotional changes?. Frontiers in Psychology, 14, 1204824.
  25. He, Y., Sheng, Z., Griffin, M., & Yao, X. (2024). A multilevel model linking altruistic motivation to workplace safety: The role of servant leadership. Journal of Organizational Behaviour, 45(4), 497-517.
  26. Health professionals in Manisa. (n.d.). Retrieved February 28, 2021, from https://data.tuik.gov.tr/Kategori/GetKategori?p=saglik-ve-sosyal-koruma-101&dil=1
  27. Jiang, W., Wang, L., Chu, Z., & Zheng, C. (2019). Does leader turnover intention hinder team innovation performance? The roles of leader self-sacrificial behaviour and empathic concern. Journal of Business Research, 104, 261-270.
  28. Karabay Erdilek, M. (2014). Karabay, M. E. (2014). İş stresi ile örgütsel bağlılığın örgütsel vatandaşlık davranışı üzerindeki etkisinin incelenmesi: Bankacılık sektörü üzerine bir araştırma. İşletme Araştırmaları Dergisi, 6(1), 282–302.
  29. Kavuncubaşı, Ş., & Yıldırım, S. (2018). Hastane ve sağlık kurumları yönetimi. Siyasal Kitapevi.
  30. Kim, A., & Barak, M. E. (2015). The mediating roles of leader-member exchange and perceived organisational support in the role stress–turnover intention relationship among child welfare workers: a longitudinal analysis. Children and Youth Services Review, 52, 135-143.
  31. Kim, S., Tam, L., Kim, J. N., & Rhee, Y. (2017). Determinants of employee turnover intention: Understanding the roles of organisational justice, supervisory justice, authoritarian organisational culture, and organisation-employee relationship quality. Corporate Communications, 22(3), 308–328. https://doi.org/10.1108/CCIJ-11-2016-0074
  32. Kimakwa, S., Gonzalez, J. A., & Kaynak, H. (2023). Social entrepreneur servant leadership and social venture performance: how are they related?. Journal of Business Ethics, 182(1), 95-118.
  33. Khan, A., Amanat, A., Aqeel, M., Sulehri, N. A., Sana, E., Amin, H., & Amanat, A. (2017). The mediating role of job stress between social support and development of stress, anxiety, and depression in educators and health professional. Foundation University Journal of Psychology, 1(1), 48-61.
  34. Khorshid, S., & Qolizadeh, N. (2016). Impact of spiritual leadership on employees' spiritual well-being and lmx quality in treatment and health system. Management in Islamic University, 5(11), 83-106.
  35. Lee, K. H., & Kim, J. Y. (2011). Effect of shiftwork nurses' fatigue on job stress and turnover intention-mediating role of job stress. Korean journal of occupational health nursing, 20(1), 74-82.
  36. Leonardelli, G. (2020). The calculation for the Sobel test: An interactive calculation tool for mediation tests. http://www.quantpsy.org/sobel/sobel.htm
  37. Liu, J., Zhu, B., Wu, J., & Mao, Y. (2019). Job satisfaction, work stress, and turnover intentions among rural health workers: a cross-sectional study in 11 western provinces of China. BMC Family Practice, 20(1), 1–11. https://doi.org/10.1186/s12875-019-0904-0
  38. Lu, Y., Hu, X. M., Huang, X. L., Zhuang, X. D., Guo, P., Feng, L. F., Hu, W., Chen, L., Zou, H., & Hao, Y. T. (2017). The relationship between job satisfaction, work stress, work-family conflict, and turnover intention among physicians in Guangdong, China: A cross-sectional study. BMJ Open, 7(5), 1–12. https://doi.org/10.1136/bmjopen-2016-014894
  39. Mahayani, A. I. S., & Suwandana, I. G. M. (2015). The relationship between work stress and work motivation toward turnover intention: the role of job satisfaction. American Journal of Humanities And Social Sciences Research, 5(5), 370-379.
  40. Mallén, F., Domínguez-Escrig, E., Lapiedra, R., & Chiva, R. (2019). Does leader humility matter? Effects on altruism and innovation. Management Decision, 58(5), 967–981. https://doi.org/10.1108/MD-11-2018-1180
  41. Magnavita, N. (2014). Workplace violence and occupational stress in healthcare workers: A chicken‐and‐egg situation—results of a 6‐year follow‐up study. Journal of nursing scholarship, 46(5), 366-376.
  42. Mistretta, E. G., Davis, M. C., Temkit, M., Lorenz, C., Darby, B., & Stonnington, C. M. (2018). Resilience training for work-related stress among health care workers. Journal of Occupational and Environmental Medicine, 60(6), 559–568. https://doi.org/10.1097/JOM.0000000000001285
  43. Mobley, W. H., Horner, S. O., & Hollingsworth, A. T. (1978). An evaluation of precursors of hospital employee turnover. Journal of Applied Psychology, 63(4), 408–414. https://doi.org/10.1037/0021-9010.63.4.408
  44. Orrù, G., Marzetti, F., Conversano, C., Vagheggini, G., Miccoli, M., Ciacchini, R., & Gemignani, A. (2021). Secondary traumatic stress and burnout in healthcare workers during COVID-19 outbreak. International journal of environmental research and public health, 18(1), 337.
  45. Örücü, P. E., & Özafşaroğlu, S. (2013). Örgütsel adaletin çalışanların işten ayrılma niyetine etkisi: güney afrika cumhuriyetinde bir uygulama. Mustafa Kemal Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 10(23), 335–358.
  46. Öztürk, F. (2020, October 19). Türk Tabipleri Birliği. BBC. https://www.bbc.com/turkce/haberler-dunya-54603919
  47. Park, T., & Pierce, B. (2020). Impacts of transformational leadership on turnover intention of child welfare workers. Children and Youth Services Review, 108(104624), 1–10. https://doi.org/10.1016/j.childyouth.2019.104624
  48. Portoghese, I., Galletta, M., Coppola, R. C., Finco, G., & Campagna, M. (2014). Burnout and workload among health care workers: the moderating role of job control. Safety and health at work, 5(3), 152-157.
  49. Prasad, K., McLoughlin, C., Stillman, M., Poplau, S., Goelz, E., Taylor, S., & Sinsky, C. A. (2021). Prevalence and correlates of stress and burnout among US healthcare workers during the COVID-19 pandemic: A national cross-sectional survey study. EClinicalMedicine, 35, 100879.
  50. Ruotsalainen, J. H., Verbeek, J. H., Mariné, A., & Serra, C. (2014). Preventing occupational stress in healthcare workers. Cochrane Database of Systematic Reviews, (11).
  51. Salas-Vallina, A., & Alegre, J. (2018). Unselfish leaders? Understanding the role of altruistic leadership and organisational learning on happiness at work (HAW). Leadership and Organization Development Journal, 39(5), 633–649. https://doi.org/10.1108/LODJ-11-2017-0345
  52. Shareef, R. A., & Atan, T. (2019). The influence of ethical leadership on academic employees' organisational citizenship behaviour and turnover intention: Mediating role of intrinsic motivation. Management Decision, 57(3), 583–605. https://doi.org/10.1108/MD-08-2017-0721
  53. Song, H., Gu, Q., & Zhang, Z. (2020). An exploratory study of teachers' subjective well-being: understanding the links between teachers' income satisfaction, altruism, self-efficacy and work satisfaction. Teachers and Teaching: Theory and Practice, 26(1), 3–31. https://doi.org/10.1080/13540602.2020.1719059
  54. Suarthana, J. H. P., & Riana, I. G. (2016). The effect of psychological contract breach and workload on intention to leave: the mediating role of job stress. Procedia-Social and behavioural sciences, 219, 717-723.
  55. Stephenson, A. L., & Bell, N. (2019). Social identity and the prison health worker: implications for practitioner satisfaction and turnover intentions. Health care management review, 44(4), 286-295.
  56. Tabachnick, B. G., & Fidell, L. S. (2019). Using multivariate statistics. Pearson.
  57. Tengilimoğlu, D., Işık, O., & Akbolat, M. (2015). Sağlık işletmeleri yönetimi. Nobel Kitapevi.
  58. Walumbwa, F. O., Mayer, D. M., Wang, P., Wang, H., Workman, K., & Christensen, A. L. (2011): Linking ethical leadership to employee performance: The roles of leader-member exchange, self-efficacy, and organisational identification. Organisational Behaviour and Human Decision Processes, 115(2), 204-213. DOI: 10.1016/j.obhdp.2010.11.002
  59. Walsh, S. R., Thomas, C., Manohar, S., & Coveney, E. C. (2006). Early management of atrial fibrillation in general surgical in-patients. International Journal of Surgery, 4(2), 115-117.
  60. Ye, B. H., Tung, V. W. S., Li, J. J., & Zhu, H.(2020). Leader humility, team humility and employee creative performance: the moderating roles of task dependence and competitive climate. Tourism Management, 81; 104170.
  61. Yeşil, A. (2016). Liderlik ve motivasyon teorilerine yönelik kavramsal bir inceleme. Uluslararası Akademik Yönetim Bilimleri Dergisi, 2(3), 158-180.
  62. Zheltoukhova, K. (2016). Developing and validating a scale of altruistic leadership (Doctoral dissertation, Lancaster University). https://eprints.lancs.ac.uk/id/eprint/79965/
  63. Ziebarth, D. (2016). Altruistic and economic measurements used for prevention health services: Faith community nursing program. Evaluation and program planning, 57(C), 72-79.