Curbing nurses' burnout during COVID-19: The roles of servant leadership and psychological safety

J Nurs Manag. 2021 Nov;29(8):2383-2391. doi: 10.1111/jonm.13414. Epub 2021 Aug 31.

Abstract

Aims: This study examines the role of servant leadership through the mechanism of psychological safety in curbing nurses' burnout during the COVID-19 pandemic.

Background: During the COVID-19 pandemic, studies have shown an increased level of stress and burnout among health care workers, especially nurses. This study responds to the call for research to explore the mechanisms of servant leadership in predicting nurses' burnout by employing the perspective of conservation of resources theory.

Methods: Through a cross-sectional quantitative research design, data were collected in three waves from 443 nurses working in Pakistan's five public sector hospitals. Data were analysed by employing the partial least squares path modelling (PLS-PM) technique.

Results: Servant leadership (β = -0.318; 95% CI = 0.225, 0.416) and psychological safety (β = -0.342; CI = 0.143, 0.350) have an inverse relationship with nurses' burnout and explain 63.1% variance.

Conclusions: Servant leadership significantly reduces nurses' burnout, and psychological safety mediates this relationship.

Implications for nursing management: Human resource management policies in health care must emphasize training nursing leaders in servant leadership behaviour.

Keywords: COVID-19; conservation of resources theory; nurses' burnout; psychological safety; servant leadership.

MeSH terms

  • Burnout, Professional* / epidemiology
  • Burnout, Professional* / etiology
  • Burnout, Professional* / prevention & control
  • Burnout, Psychological
  • COVID-19*
  • Cross-Sectional Studies
  • Humans
  • Leadership
  • Nurses*
  • Pandemics
  • SARS-CoV-2