The Influence of Transformational Leadership and Organizational Culture as Mediation on Employee Performance at Ciawi Regional Hospital
Abstract
This study aims to analyze the influence of transformational leadership on employee performance with organizational culture as a mediating variable at Ciawi Regional General Hospital (RSUD Ciawi). A quantitative approach was employed using the Structural Equation Modeling-Partial Least Squares (SEM-PLS) method. The sample was determined using Slovin's formula, resulting in 120 respondents consisting of RSUD Ciawi employees. Data were collected through structured questionnaires and analyzed using SEM-PLS software. The results revealed that transformational leadership positively and significantly affects employee performance (Hypothesis 1). Organizational culture also positively and significantly influences employee performance (Hypothesis 2). Furthermore, organizational culture effectively mediates the relationship between transformational leadership and employee performance, with a positive and significant effect (Hypothesis 3). These findings indicate that a strong organizational culture can enhance the impact of transformational leadership in improving employee performance. The practical implications of this study emphasize the importance of adopting transformational leadership styles and strengthening organizational culture to enhance employee performance. RSUD Ciawi management is encouraged to develop leadership programs that promote communication, motivation, and innovation while consistently implementing organizational cultural values. This study contributes theoretically to the literature on transformational leadership, organizational culture, and employee performance, particularly in the context of regional hospitals. Future research is recommended to explore other variables that may mediate or moderate these relationships, such as work motivation or job satisfaction.
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References
Aboobaker, N., & Ka, Z. (2021). Digital learning orientation and innovative behavior in the higher education sector: Effects of organizational learning culture and readiness for change. International Journal of Educational Management, 35(5), 1030–1047. https://doi.org/10.1108/IJEM-09-2019-0345
Acosta-Prado, J. C., López-Montoya, O. H., Sanchís-Pedregosa, C., & Zárate-Torres, R. A. (2020). Human Resource Management and Innovative Performance in Non-profit Hospitals: The Mediating Effect of Organizational Culture. Frontiers in Psychology, 11, 1422. https://doi.org/10.3389/fpsyg.2020.01422
Aftab, J., Abid, N., Sarwar, H., & Veneziani, M. (2022). Environmental ethics, green innovation, and sustainable performance: Exploring the role of environmental leadership and environmental strategy. Journal of Cleaner Production, 378, 134639. https://doi.org/10.1016/j.jclepro.2022.134639
Aggarwal, P., & Agarwala, T. (2023). Relationship of green human resource management with environmental performance: Mediating effect of green organizational culture. Benchmarking: An International Journal, 30(7), 2351–2376. https://doi.org/10.1108/BIJ-08-2021-0474
Akbari, M., Bagheri, A., Imani, S., & Asadnezhad, M. (2020). Does entrepreneurial leadership encourage innovation work behavior? The mediating role of creative self-efficacy and support for innovation. European Journal of Innovation Management, 24(1), 1–22. https://doi.org/10.1108/EJIM-10-2019-0283
Ali, A., Wang, H., & Johnson, R. E. (2020). Empirical analysis of shared leadership promotion and team creativity: An adaptive leadership perspective. Journal of Organizational Behavior, 41(5), 405–423. https://doi.org/10.1002/job.2437
Alqaraleh, M. H., Almari, M. O. S., Ali, B. J. A., & Oudat, M. S. (2022). The mediating role of organizational culture on the relationship between information technology and internal audit effectiveness. Corporate Governance and Organizational Behavior Review, 6(1), 8–18. https://doi.org/10.22495/cgobrv6i1p1
Ángeles López-Cabarcos, M., Vázquez-Rodríguez, P., & Quiñoá-Piñeiro, L. M. (2022). An approach to employees’ job performance through work environmental variables and leadership behaviours. Journal of Business Research, 140, 361–369. https://doi.org/10.1016/j.jbusres.2021.11.006
Asatiani, A., Hämäläinen, J., Penttinen, E., & Rossi, M. (2021). Constructing continuity across the organisational culture boundary in a highly virtual work environment. Information Systems Journal, 31(1), 62–93. https://doi.org/10.1111/isj.12293
Begum, S., Xia, E., Ali, F., Awan, U., & Ashfaq, M. (2022). Achieving green product and process innovation through green leadership and creative engagement in manufacturing. Journal of Manufacturing Technology Management, 33(4), 656–674. https://doi.org/10.1108/JMTM-01-2021-0003
Bendak, S., Shikhli, A. M., & Abdel-Razek, R. H. (2020). How changing organizational culture can enhance innovation: Development of the innovative culture enhancement framework. Cogent Business & Management, 7(1), 1712125. https://doi.org/10.1080/23311975.2020.1712125
Bhatti, A., Rehman, S. U., & Rumman, J. B. A. (2020). Organizational capabilities mediates between organizational culture, entrepreneurial orientation, and organizational performance of SMEs in Pakistan. Entrepreneurial Business and Economics Review, 8(4), 85–103. https://doi.org/10.15678/EBER.2020.080405
Bilan, S., Šule?, P., Skrynnyk, O., Kraj?áková, E., & Vasilyeva, T. (2022). SYSTEMATIC BIBLIOMETRIC REVIEW OF ARTIFICIAL INTELLIGENCE TECHNOLOGY IN ORGANIZATIONAL MANAGEMENT, DEVELOPMENT, CHANGE AND CULTURE. Business: Theory and Practice, 23(1), 1–13. https://doi.org/10.3846/btp.2022.13204
Boukis, A., Koritos, C., Daunt, K. L., & Papastathopoulos, A. (2020). Effects of customer incivility on frontline employees and the moderating role of supervisor leadership style. Tourism Management, 77, 103997. https://doi.org/10.1016/j.tourman.2019.103997
Cegarra-Navarro, J.-G., Jimenez-Jimenez, D., & Garcia-Perez, A. (2021). An Integrative View of Knowledge Processes and a Learning Culture for Ambidexterity: Toward Improved Organizational Performance in the Banking Sector. IEEE Transactions on Engineering Management, 68(2), 408–417. https://doi.org/10.1109/TEM.2019.2917430
Chatterjee, S., Chaudhuri, R., Shah, M., & Maheshwari, P. (2022). Big data driven innovation for sustaining SME supply chain operation in post COVID-19 scenario: Moderating role of SME technology leadership. Computers & Industrial Engineering, 168, 108058. https://doi.org/10.1016/j.cie.2022.108058
Chen, Y., Lin, S., Lin, C., Hung, S., Chang, C., & Huang, C. (2020). Improving green product development performance from green vision and organizational culture perspectives. Corporate Social Responsibility and Environmental Management, 27(1), 222–231. https://doi.org/10.1002/csr.1794
Chión, S. J., Charles, V., & Morales, J. (2019). The impact of organisational culture, organisational structure and technological infrastructure on process improvement through knowledge sharing. Business Process Management Journal, 26(6), 1443–1472. https://doi.org/10.1108/BPMJ-10-2018-0279
Da Veiga, A., Astakhova, L. V., Botha, A., & Herselman, M. (2020). Defining organisational information security culture—Perspectives from academia and industry. Computers & Security, 92, 101713. https://doi.org/10.1016/j.cose.2020.101713
Espasandín-Bustelo, F., Ganaza-Vargas, J., & Diaz-Carrion, R. (2021). Employee happiness and corporate social responsibility: The role of organizational culture. Employee Relations: The International Journal, 43(3), 609–629. https://doi.org/10.1108/ER-07-2020-0343
Grover, V., Tseng, S.-L., & Pu, W. (2022). A theoretical perspective on organizational culture and digitalization. Information & Management, 59(4), 103639. https://doi.org/10.1016/j.im.2022.103639
Hamzah, M. I., Othman, A. K., & Hassan, F. (2020). Elucidating salespeople’s market orientation, proactive service behavior and organizational culture in the B2B banking sector: A Malaysian perspective. International Journal of Bank Marketing, 38(5), 1033–1057. https://doi.org/10.1108/IJBM-10-2019-0388
Harel, R., Schwartz, D., & Kaufmann, D. (2021). Organizational culture processes for promoting innovation in small businesses. EuroMed Journal of Business, 16(2), 218–240. https://doi.org/10.1108/EMJB-03-2020-0027
Heras, M. L., Rofcanin, Y., Escribano, P. I., Kim, S., & Mayer, M. C. J. (2021). Family?supportive organisational culture, work–family balance satisfaction and government effectiveness: Evidence from four countries. Human Resource Management Journal, 31(2), 454–475. https://doi.org/10.1111/1748-8583.12317
Holgersson, C., & Romani, L. (2020). Tokenism Revisited: When Organizational Culture Challenges Masculine Norms, the Experience of Token Is Transformed. European Management Review, 17(3), 649–661. https://doi.org/10.1111/emre.12385
Jirek, S. L. (2020). Ineffective Organizational Responses to Workers’ Secondary Traumatic Stress: A Case Study of the Effects of an Unhealthy Organizational Culture. Human Service Organizations: Management, Leadership & Governance, 44(3), 210–228. https://doi.org/10.1080/23303131.2020.1722302
Kao, C.-Y., Tsaur, S.-H., & Huang, C.-C. (2020). The scale development of organizational culture on customer delight. International Journal of Contemporary Hospitality Management, 32(10), 3067–3090. https://doi.org/10.1108/IJCHM-02-2019-0128
Kaur Bagga, S., Gera, S., & Haque, S. N. (2023). The mediating role of organizational culture: Transformational leadership and change management in virtual teams. Asia Pacific Management Review, 28(2), 120–131. https://doi.org/10.1016/j.apmrv.2022.07.003
Khedhaouria, A., Nakara, W. A., Gharbi, S., & Bahri, C. (2020). The Relationship between Organizational Culture and Small?firm Performance: Entrepreneurial Orientation as Mediator. European Management Review, 17(2), 515–528. https://doi.org/10.1111/emre.12383
Kittel, A. F. D., Kunz, R. A. C., & Seufert, T. (2021). Self-Regulation in Informal Workplace Learning: Influence of Organizational Learning Culture and Job Characteristics. Frontiers in Psychology, 12, 643748. https://doi.org/10.3389/fpsyg.2021.643748
Le, H. M., Nguyen, T. T., & Hoang, T. C. (2020). Organizational culture, management accounting information, innovation capability and firm performance. Cogent Business & Management, 7(1), 1857594. https://doi.org/10.1080/23311975.2020.1857594
Liu, X., & Lin, K.-L. (2020). Green Organizational Culture, Corporate Social Responsibility Implementation, and Food Safety. Frontiers in Psychology, 11, 585435. https://doi.org/10.3389/fpsyg.2020.585435
Long, Y., Feng, T., Fan, Y., & Liu, L. (2023). Adopting blockchain technology to enhance green supply chain integration: The moderating role of organizational culture. Business Strategy and the Environment, 32(6), 3326–3343. https://doi.org/10.1002/bse.3302
Low, W. W., Abdul-Rahman, H., & Zakaria, N. (2020). Organisational culture of Malaysian international construction organisations. International Journal of Construction Management, 20(2), 105–121. https://doi.org/10.1080/15623599.2018.1484552
Memon, S. B., Qureshi, J. A., & Jokhio, I. A. (2020). The role of organizational culture in knowledge sharing and transfer in Pakistani banks: A qualitative study. Global Business and Organizational Excellence, 39(3), 45–54. https://doi.org/10.1002/joe.21997
Nurjanah, S., Pebianti, V., & Handaru, A. W. (2020). The influence of transformational leadership, job satisfaction, and organizational commitments on Organizational Citizenship Behavior (OCB) in the inspectorate general of the Ministry of Education and Culture. Cogent Business & Management, 7(1), 1793521. https://doi.org/10.1080/23311975.2020.1793521
Pradana, M., Silvianita, A., Syarifuddin, S., & Renaldi, R. (2022). The Implication of Digital Organisational Culture on Firm Performance. Frontiers in Psychology, 13, 840699. https://doi.org/10.3389/fpsyg.2022.840699
Saruchera, F., & Asante?Darko, D. (2021). Reverse logistics, organizational culture and firm operational performance: Some empirical evidence. Business Strategy & Development, 4(3), 326–342. https://doi.org/10.1002/bsd2.161
Srisathan, W. A., Ketkaew, C., & Naruetharadhol, P. (2020). The intervention of organizational sustainability in the effect of organizational culture on open innovation performance: A case of thai and chinese SMEs. Cogent Business & Management, 7(1), 1717408. https://doi.org/10.1080/23311975.2020.1717408
Villena-Manzanares, F., García-Segura, T., & Pellicer, E. (2020). Organizational Factors That Drive to BIM Effectiveness: Technological Learning, Collaborative Culture, and Senior Management Support. Applied Sciences, 11(1), 199. https://doi.org/10.3390/app11010199
Virgiawan, A. R., Riyanto, S., & Endri, E. (2021). Organizational Culture as a Mediator Motivation and Transformational Leadership on Employee Performance. Academic Journal of Interdisciplinary Studies, 10(3), 67. https://doi.org/10.36941/ajis-2021-0065
Walton, S., Zhang, A., & O’Kane, C. (2020). Energy eco?innovations for sustainable development: Exploring organizational strategic capabilities through an energy cultures framework. Business Strategy and the Environment, 29(3), 812–826. https://doi.org/10.1002/bse.2399
Yue, C. A., Men, L. R., & Ferguson, M. A. (2021). Examining the Effects of Internal Communication and Emotional Culture on Employees’ Organizational Identification. International Journal of Business Communication, 58(2), 169–195. https://doi.org/10.1177/2329488420914066
Zeb, A., Akbar, F., Hussain, K., Safi, A., Rabnawaz, M., & Zeb, F. (2021). The competing value framework model of organizational culture, innovation and performance. Business Process Management Journal, 27(2), 658–683. https://doi.org/10.1108/BPMJ-11-2019-0464
Ziaei Nafchi, M., & Mohelská, H. (2020). Organizational Culture as an Indication of Readiness to Implement Industry 4.0. Information, 11(3), 174. https://doi.org/10.3390/info11030174
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