Sys Rev Pharm 2020;11(11):706-711 A multifaceted review journal in the field of pharmacy 706 Systematic Reviews in Pharmacy Vol 11, Issue 11, Nov-Dec 2020 TRANSFORMATIONAL LEADERSHIP AND ORGANIZATIONAL COMMITMENT AS AN EFFORT TO AVOID BURNOUT OF NURSES Rifdah Abadiyah 1 , Anis Eliyana 2 , Ahmad Rizki Sridadi 3 1 Universitas Airlangga Surabaya, Indonesia 1 Universitas Muhammadiyah Sidoarjo, Indonesia rifdah.abadiyah-2016@feb.unair.ac.id 2 Universitas Airlangga Surabaya, Indonesia anis.eliyana.feb@unair.com 3 Universitas Airlangga Surabaya, Indonesia ahmad-r-s@feb.unair.ac.id Corresponding author: anis.eliyana.feb@unair.com Abstract This study aims to determine the effect of transformational leadership on the burnout of nurses through organizational commitment as a mediating variable for nurses at Hospital X in East Java. This research is a quantitative research with a sample size of 66 employees. By using Smart PLS as an analytical tool to test the relationship between variables and mediating variable of organizational commitment. The relationship between transformational leadership and burnout variable shows that transformational leadership has a significant positive effect on organizational commitment, transformational leadership has a significant positive effect on burnout through organizational commitment as a mediating variable, Keywords: transformational leadership, organizational commitment and burnout Corresponding author: anis.eliyana.feb@unair.com INTRODUCTION The current organizational management paradigm increasingly develops in which organizational orientation is prioritized on humans. Organizations need staff to provide their creativity, ideas and opinions on various issues to improve the overall quality of production in various sectors. Competition and technological changes have also required the health sector seriously to adapt in order to survive and improve the survival of the organization. Organizational commitment is a problem that businesses may face sooner or later. Organizations need workers with high commitment and low level of fatigue more than ever. Individuals with high level of organizational commitment and with low level of burnout facilitate the achievement of organizational goals and targets. Low rates of resignation and absence, high quality of service and customer satisfaction are among the most important factors in problem organizational behavior. To ensure individual commitment to organization, a number of theoretical and empirical studies have proven that it seems necessary to take into account the factor of leadership. The right leadership style will be able to help the attitude of employees to act in their activities. According to Umiarso (2018), transformational leadership is the process of leading by creating attitudes, behaviors and actions to increase followers’ awareness of something that is considered right, and to encourage their good character to actualize themselves beyond personal interests with the aim of achieving common prosperity. Transformational leadership will create space for followers and leaders to work together to achieve predetermined goals. These three problems are the main objectives of the present study. How to improve organizational commitment to reduce burnout rates among health sector staff is the main research question in this study. A hospital that was founded by a social organization (NGO) and has a strong concern for public health has become one of the hospitals with the title of good being and one of the referral hospitals for the middle class and the small community. The results of the observation show that the nurses are professional in providing services to patients, both outpatients and inpatients. This can be created because the nurses' abilities are in accordance with the fields they are currently doing. However, there are particular indications that the high workload of Hospital X nurses will trigger prolonged work stress and has an impact on the emergence of burnout. The implementation of a work system that is divided into three shifts, including morning shift, day shift and night shift, makes the health workers required to be ready to work in any condition. THEORETICAL STUDY Transformational Leadership In 1985, Barnard M. Bass formally presented the theory of transformational leadership which in addition to other things also includes behavioral models and factors (Bass, 1985). He described specific behaviors that characterize transformational leaders such as the existence of models of integrity and fairness, setting clear goals, having high expectations, encouraging people and providing support and recognition, stirring people’s emotions and desires, and making people look beyond their ability to have personal interests and reach higher goals. According to Bass and Avolio (1994), transformational leaders must demonstrate four factors commonly known as the “four Do’s” to bring about major change: - Idealized influence: a style used by subordinates to trust and stimulate the behavior of their leaders, and they embrace their values and are committed to