Evidence map›Paper›PMID 36190480›Full record

ArticleJournal of nursing management2022

Impact of empowering leadership on emotional exhaustion: A controlled interventional study in a large French university hospital complex.

Baptiste Cougot, Nicolas Gillet, Jules Gauvin, Pascal Caillet, Ghozlane Fleury-Bahi, Florian Ollierou, Anne Armant, Arthur Peltier, Isaac Getz, Kalyane Bach-Ngohou and 2 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of nursing management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04010773 (Project for the Liberation of Organizations in an University Hospital in France), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04010773 completednot on this map

Project for the Liberation of Organizations in an University Hospital in France: A Randomized Controlled Study of the Impact at Two Years of an Intervention Program on the Empowerment of the Medical and Nursing Teams

Typeobservational_patient_registrySponsorNantes University HospitalRan2018 to 2021Enrolled1,191ConditionsEmpowermentArmscollective and psycho-social intervention
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 1 country.

Baptiste CougotNantes University Hospital, Department of Occupational Medicine and Environmental Health, Nantes University, Nantes, France.ORCID https://orcid.org/0000-0002-9596-9900
Nicolas GilletEE1901 QualiPsy, Department of Psychology, Tours University, Tours, France.ORCID https://orcid.org/0000-0003-2187-2097
Jules GauvinNantes University Hospital, Department of Occupational Medicine and Environmental Health, Nantes University, Nantes, France.
Pascal CailletNantes University Hospital, Department of Public Health, Nantes University, Nantes, France.
Ghozlane Fleury-BahiNantes Université, Univ Angers, Laboratoire de psychologie des Pays de la Loire, LPPL, UR 4638, Nantes, France.
Florian OllierouNantes University Hospital, Department of Occupational Medicine and Environmental Health, Nantes University, Nantes, France.
Anne ArmantNantes University Hospital, Department of Occupational Medicine and Environmental Health, Nantes University, Nantes, France.
Arthur PeltierIgeiα, Audit Intervention Formation Recherche en Santé, Nantes, France.
Isaac GetzESCP Business School, Paris, France.
Kalyane Bach-NgohouNantes University Hospital, Department of Biochemistry, Nantes University, Nantes, France.
Dominique TripodiNantes University Hospital, Department of Occupational Medicine and Environmental Health, Nantes University, Nantes, France.
Leïla MoretNantes University Hospital, Department of Public Health, Nantes University, Nantes, France.
Nantes Université · FRUniversité de Tours · FRLaboratoire de Psychologie des Pays de la Loire · FRCentre Hospitalier Universitaire de Nantes · FRESCP Business School · FRInserm · FR

Funding

Direction Générale de l'Offre de Soin PREPS-16-681
6 · The paper itself

Abstract

aimThe aim of this study is to assess the effect of a systemic intervention on the evolution of empowering leadership and emotional exhaustion in a university hospital sub-centre compared to a control sub-centre, both being part of a large French university hospital complex.

backgroundEmpowering leadership is a promising strategy for developing hospital team engagement and performance. However, the bureaucratic functioning of large hospitals, characterized by a managerial culture of control and a stratified organization, can be a barrier to empowering leadership.

methodsThe intervention included empowering leadership training, direct field experimentation of empowering leadership and coaching, involving all the sub-centre hierarchical levels for 12 months. Data were collected before and after the intervention. A total of 441 and 310 participants were, respectively, included in the intervention and control sub-centres.

resultsEmpowering leadership was decreased, and emotional exhaustion was increased in the control sub-centre, while the scores remained stable in the intervention sub-centre. The increased emotional exhaustion in the control sub-centre could partially be explained by the change in empowering leadership.

conclusionIn a context of decreased empowering leadership and increased emotional exhaustion, the intervention had a protective effect. Implications for the design of future interventions were discussed. IMPLICATIONS FOR NURSING MANAGEMENT: This study unequivocally showed the benefit of transforming hospital management towards empowering leadership, to prevent increased emotional exhaustion. REGISTRATION NUMBER: This study is registered on ClinicalTrials.gov on 4 July 2019 (NCT04010773).

Indexed as

Burnout, ProfessionalEmotionsHospitals, UniversityHumansLeadershipPower, Psychologicalcontrolled interventional studyemotional exhaustionempowering leadershiphospital managementsystemic intervention

Identifiers

PMID36190480
PMCPMC10092518
OpenAlexW4300690662

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.