Emotional exhaustion in healthcare workers: The importance of organizational leadership and safety
In this study conducted in a mixed population of non-clinical and clinical healthcare staff, we examined the association of emotional exhaustion-a dimension of burnout-with understudied work environment exposures including organizational-level policies and practices as well as job-level hazardous work conditions, using a novel mediation analysis approach proposed by Valerie and VanderWeele. We found that job safety, emotional labor, psychological demands, physical demands, job strain, assault and negative acts (bullying) were positively associated with emotional exhaustion while organizational support for safety was negatively associated. Job hazards served as both mediator and moderator in the association between organizational support for safety and emotional exhaustion. These findings suggest that policies for organizational commitment to employee safety should be efficiently applied to ensure reduction of job hazards in order to improve burnout. Future longitudinal studies are needed to further examine this association.