Transformational Leadership as a Key Factor in Improving the Performance of Healthcare Organizations
Abstract
The performance of healthcare organizations is significantly influenced by the quality of leadership applied. This study aims to comprehensively examine the role of transformational leadership in improving healthcare organizational performance through a systematic literature review approach. The literature search was conducted through Google Scholar, PubMed, ScienceDirect, and ResearchGate using the keywords "transformational leadership" and "healthcare organizational performance." Of the 358 articles found, only 10 articles published between 2019 and 2024 met the inclusion criteria and were subjected to further analysis. The results of the study indicate that transformational leadership contributes significantly to increased productivity, loyalty, innovative work behavior, and employee commitment in various healthcare institutions, including hospitals, community health centers, and health offices. This leadership style has been shown to encourage the formation of a collaborative work culture and is oriented towards quality service, although its influence is not always direct because it is mediated by factors such as organizational culture, job satisfaction, and self-efficacy. These findings confirm that the implementation of transformational leadership, supported by a solid organizational system, is an effective strategy for improving performance and quality of service in the healthcare sector.
References
Amir, A., Lesmana, O., Noerjoedianto, D., & Subandi, A. (2021). Peran Kepemimpinan di Puskesmas terhadap Kinerja Organisasi dan Kualitas Pelayanan Kesehatan. Journal of Telenursing (JOTING), 3(2), 526–537. https://doi.org/10.31539/joting.v3i2.2208
Amrullah. (2022a). Pengaruh Kepemimpinan Transformasional Dan Keterlibatan Kerja
Terhadap Kinerja Perawat Di RSUD Harapan Dan Doa Kota Bengkulu Pengaruh Kepemimpinan Transformasional Dan Keterlibatan Kerja Terhadap Kinerja Perawat Di RSUD Harapan Dan Doa Kota Bengkulu. JURNAL ADMINISTRASI BISNIS NUSANTARA, 1(2), 73–80.
Amrullah. (2022b). Pengaruh Kepemimpinan Transformasional Dan Keterlibatan Kerja Terhadap Kinerja Perawat Di RSUD Harapan Dan Doa Kota Bengkulu. JURNAL ADMINISTRASI BISNIS NUSANTARA, 1(2), 73–80.
Anggraeni, A., & Purbasari, D. (2025). Pengaruh Kepemimpinan Transformasional dan Budaya Organisasi terhadap Kinerja Perawat di Rumah Sakit dalam Meningkatkan Kualitas Layanan Kesehatan. 228–241. https://doi.org/10.62383/quwell.v2i1.2254
Aristinawati, I., Nurmaya, E., Adhilla, F., & Ahmad Dahlan Yogyakarta, U. (2024). Pengaruh Gaya Kepemimpinan Transformasional, Motivasi Kerja, dan Kepuasan Kerja Terhadap Kinerja Karyawan RSKIA PKU Muhammadiyah Yogyakarta. Jurnal Cendekia Ilmiah, 4(1).
Basirun, B., & Turimah, T. (2022). Konsep Kepemimpinan Transformasional. Mindset: Jurnal Manajemen Pendidikan Islam, 34–41. https://doi.org/10.58561/mindset.v1i1.28
Bass, B. M., & Riggio, R. E. (n.d.). TRANSFORMATIONAL LEADERSHIP, Second Edition.
Diana, A., Putri, E., Windari, A. J., Hanifah, N., Kartika, H. A., & Kencana, N. (2025). PENGARUH GAYA KEPEMIMPINAN TRANSFORMASIONAL TERHADAP KINERJA KARYAWAN BPJS KESEHATAN. JPP: Jurnal Administrasi Publik Dan Pembangunan, 7(1), 55–63. https://ppjp.ulm.ac.id/journals/index.php/jpp
Febriyanti, M., Rahardjo, T. H., & Widayati, C. (2017). PENGARUH GAYA KEPEMIMPINAN TRANSFORMASIONAL, MOTIVASI DAN KOMPENSASI TERHADAP KINERJA KARYAWAN. Jurnal Ekonomi, 12(3), 466–485.
Gst Ayu Ngr Pradnya Kurniawati, I., & Ketut Sariyathi, N. (2015). PENGARUH GAYA KEPEMIMPINAN TRANSFORMASIONAL, BUDAYA ORGANISASI, PROGRAM K3 TERHADAP KEPUASAN KERJA KARYAWAN (Vol. 4, Issue 9).
Hamdan, M., Jaaffar, A. H., Khraisat, O., Issa, M. R., & Jarrar, M. (2024). The Association of Transformational Leadership on Safety Practices Among Nurses: The Mediating Role of Patient Safety Culture. Risk Management and Healthcare Policy, 17, 1687–1700. https://doi.org/10.2147/RMHP.S458505
Romlah, L., & Widyastuti, T. (2024). PENGARUH GAYA KEPEMIMPINAN TRANSFORMASIONAL, BUDAYA ORGANISASI, DAN MOTIVASI TERHADAP KINERJA KARYAWAN MELALUI KEPUASAN KERJA SEBAGAI VARIABEL INTERVENING DI RSUPN DR CIPTO MANGUNKUSUMO JAKARTA. JMBT (Jurnal Manajemen Dan Bisnis Terapan) , 7(2).
Kusumah, A., Setianingsih, R., & Mahmudi, R. (2022). Pengaruh KepemimpinanTransformasionalDanMotivasi Berprestasi Terhadap KinerjaPegawaiDinasKesehatanKota Pekanbaru. ECOUNTBS, 2(1).
Madya Marampa, A., & Ramba, D. (2024). The Influence Of Transformational Leadership And Organizational Culture On The Performance Of Health Employees Of Elim Hospital Rantepao North Toraja District. In Management Studies and Entrepreneurship Journal (Vol. 5, Issue 2). http://journal.yrpipku.com/index.php/msej
Manurung, W., Bastian, A., & Wardi, J. (2022). Pengaruh Kepemimpinan Transformasional dan Komitmen Afektif Terhadap Kinerja Pegawai Dengan Efikasi Diri Sebagai Variabel Mediasi Pada Dinas Kesehatan Kabupaten Siak. JMBT (Jurnal Manajemen Dan Bisnis Terapan) , 4(2), 141–148.
Rizky Aulia, F., & Dwiantoro, L. (n.d.). Literature Review: Peran Kepemimpinan Transformasional dalam Meningkatkan Persepsi Perawat terhadap Handover.
Siswatiningsih, I., Raharjo, K., & Prasetya, A. (n.d.). PENGARUH KEPEMIMPINAN TRANSFORMASIONAL DAN TRANSAKSIONAL TERHADAP BUDAYA ORGANISASI, MOTIVASI KERJA, KOMITMEN OGANISASIONAL DAN KINERJA KARYAWAN.
Yusufa, J., Ferrosnita, K., Kornarius, Y. P., Caroline, A., & Gunawan, A. (n.d.). PENGARUH GAYA KEPEMIMPINAN TRANSFORMASIONAL TERHADAP INNOVATIVE WORK BEHAVIOUR KARYAWAN DI SALAH SATU RUMAH SAKIT DI KOTA CILEGON. 12(6).
Copyright (c) 2025 Dewi Agustina, Restu Rahayani Padang, Tia Wahyuni Dolok Saribu, Karin, Ririn Hasrat Kartika Zalukhu, Nabilla Suci Ramadhani, Silvya Rahma, Muhammad Ramadhan Ginting, Sofia Nabila, Siti Nurhamidah Harahap, Zahra Dwi Andini, Aprilyautami, Susan Limbong

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