Transformational leadership style to improve the performance of health workers at penfui health center and bakunase health center

Authors

  • Gracieth Tomas Correia Dias Ximenes Public Health Science Study Program, Postgraduate Program, Universitas Nusa Cendana, Kupang, 8501, East Nusa Tenggara, Indonesia
  • Apris Adu Public Health Science Study Program, Postgraduate Program, Universitas Nusa Cendana, Kupang, 8501, East Nusa Tenggara, Indonesia
  • Serlie K. A. Littik Public Health Science Study Program, Postgraduate Program, Universitas Nusa Cendana, Kupang, 8501, East Nusa Tenggara, Indonesia

DOI:

https://doi.org/10.61511/phraj.v2i2.2025.1517

Keywords:

transformational, work performance

Abstract

Background: Transformational leadership style is a way used by a leader in influencing, directing, encouraging and controlling subordinates in order to achieve organizational goals efficiently and effectively which has the ability to inspire and motivate followers for mutual success. Based on an initial survey conducted at the Bakunase Health Center and Penfui Health Center, it appears that the style used by leaders is the interaction of leaders with their subordinates, but the transformation style has not been applied optimally so that it can be seen from 10 health workers, 2 of them have low performance. The purpose of this study was to analyze the relationship between transformational leadership style and the performance of health workers at Bakunase Health Center and Penfui Health Center. Methods: This study employs a quantitative research design with a cross-sectional approach, utilizing purposive sampling to select 100 healthcare workers. Data were analyzed using the Chi-Square test. Findings: The findings reveal a significant relationship between transformational leadership and healthcare worker performance, with a p-value of 0.000 (p<0.05). These results indicate that transformational leadership is an essential factor in improving healthcare service quality and workforce efficiency. Conclusion: The study concludes that implementing transformational leadership practices can enhance nurse performance and healthcare service delivery. Novelty/Originality of this article: The novelty of this research lies in its empirical demonstration of the direct impact of transformational leadership on healthcare worker performance in a community health center setting, reinforcing the importance of leadership development in public health institutions.

References

Adeyemi, B. A., Ebegbetale, C. I., & Showemimo, I. O. (2024). Leadership style, change management and job performance of health information management practitioners in tertiary hospitals in South-East, Nigeria. Leadership in Health Services (Bradford, England), 37(4), 461–476. https://doi.org/10.1108/LHS-03-2024-0026

Al-Dossary, R. N. (2022). Leadership style, work engagement and organizational commitment among nurses in Saudi Arabian hospitals. Journal of Healthcare Leadership, 14, 71. https://doi.org/10.2147/JHL.S365526

Al-Thawabiya, A., Singh, K., Al-Lenjawi, B. A., & Alomari. (2023). Leadership styles and transformational leadership skills among nurse leaders in Qatar: A cross-sectional study. Nursing Open, 10(6), 3440–3446. https://doi.org/10.1002/nop2.1636

Alanazi, N. H., Alshamlani, Y., & Baker, O. G. (2023). The association between nurse managers' transformational leadership and quality of patient care: A systematic review. International Nursing Review, 70(2), 175–184. https://doi.org/10.1111/inr.12819

Aminah, S., & Mahmudiono, T. (2023). Application of the leadership model in health services: A systematic review. Journal of Public Health in Africa, 14(s2). https://doi.org/10.4081/jphia.2023.2571

Busro, M. (2018). Theories of human resource management. Prenadamedia Group.

Cashmere. (2018). Financial statement analysis. Rajagrafindo Persada.

Dataindonesia.id. (2024, March 14). Data on the number of health centers in Indonesia (2017–2023). Dataindonesia.id. https://dataindonesia.id/kesehatan/detail/data-jumlah-puskesmas-di-indonesia-20172023

Edison, E., Anwar, Y., & Komariyah, I. (2016). Human resource management: Strategy and change in order to improve employee and organizational performance. Alfabeta.

Farida, U., & Harnoto, S. (2017). Human resource management textbook. University Muhammadiyah Ponorogo Press.

Farihah, R., Sri, D., & Jufa, N. O. (2023). The influence of leadership style on work discipline at Patrol Health Center. Afiasi: Journal of Public Health, 8(2), 467–471. https://doi.org/10.31943/afiasi.v8i2.295

Gebreheat, G., Teame, H., & Costa, E. I. (2023). The impact of transformational leadership style on nurses' job satisfaction: An integrative review. SAGE Open Nursing, 9, 1–10. https://doi.org/10.1177/23779608231197428

Ghofar, M. (2023). Analysis of leadership styles in the era of technological transformation in hospitals: A literature review of the Master of Public Health Program. COMSERVA: Journal of Research and Community Service, 3(4), 1222–1240. https://doi.org/10.59141/comserva.v3i4.896

Lestari, D. S. (2022). Analysis of the combination of transactional and transformational leadership styles on employee performance during the COVID-19 pandemic at the Intan Medika Clinic in Pangkalpinang. Electronic Business Scientific Journal, 2(1), 47–55. https://doi.org/10.61533/jinbe.v2i1.264

Lindert, L., Zeike, S., Choi, K. E., & Pfaff, H. (2023). Transformational leadership and employees' psychological well-being: A longitudinal study. International Journal of Environmental Research and Public Health, 20(1). https://doi.org/10.3390/ijerph20010676

Manafe, O. A., Ratu, J. M., Muntasir, M., Roga, A. U., & Littik, S. K. A. (2023). Implementation of continuous quality improvement after Kupang City Health Center accreditation on the level of community satisfaction. Journal of Telenursing (JOTING), 5(2), 3908–3916. https://doi.org/10.31539/joting.v5i2.5373

Marta, M. (2022). Employee performance in health services at UPT Puskesmas Oesapa, Kelapa Lima District, Kupang City. Widya Mandira Catholic University.

Merbawani, R., Yani, L. Y., & Munfadlila, A. W. (2021). Relationship between hospital leadership style and employee performance at general hospital in the COVID-19 pandemic period. International Journal of Nursing and Midwifery Science, 5(1), 76–82. https://doi.org/10.29082/IJNMS/2021/VOL5/ISS1/335

Ministry of Health of the Republic of Indonesia. (2024). Ministry of Health performance report 2023.

Mondiani, T. (2012). The effect of transformational leadership and compensation on employee performance of PT PLN (Persero) UPJ Semarang. Journal of Business Administration, 1(1), 46–54. https://doi.org/10.14710/JAB.V1I1.4317

Resfita, D., & Hartono, B. (2024). The effect of leadership and communication on health workers UPTD Puskesmas Sipayung. Komunika: Scientific Journal of Communication, 1–11. https://publikasi.abidan.org/index.php/komunika/article/download/522/374

Regulation of the Minister of Health of the Republic of Indonesia Number 75 Year 2014, Pub. L. No. 75 (2014).

Sao, A., Saxena, R., Ganguly, C., Bapat, G., & Sharma, P. (2022). Effect of leadership style on employee performance in health care industry in India. Asia Pacific Journal of Health Management, 17(2), 1817. https://doi.org/10.24083/APJHM.V17I2.1817

Sfantou, D. F., Laliotis, A., Patelarou, A. E., Sifaki-Pistolla, D., Matalliotakis, M., & Patelarou, E. (2017). Importance of leadership style towards quality of care measures in healthcare settings: A systematic review. Healthcare, 5(4), 73. https://doi.org/10.3390/HEALTHCARE5040073

Specchia, M. L., Cozzolino, M. R., Carini, E., Di Pilla, A., Galletti, C., Ricciardi, W., & Damiani, G. (2021). Leadership styles and nurses' job satisfaction: Results of a systematic review. International Journal of Environmental Research and Public Health, 18(4), 1–15. https://doi.org/10.3390/IJERPH18041552

Rahmadani, S. (2023). Leadership, hospital organizational climate, and nurses' job satisfaction. NEM Publisher.

Susilowati, I. H., Retnowulan, J., & Widiyanti, W. (2018). Assessment of the financial performance of the Bogor City regional government for the period 2012–2016. Widya Cipta: Journal of Secretarial and Management, 2(2), 193–200. https://doi.org/10.31294/WIDYACIPTA.V2I2.4297

Sutrisno, E. (2017). Human resource management (p. 244). Kencana Prenada Media Group.

Taryman, E. (2016). Human resource management: A collection of HRM theories equipped with research results on government agencies. Deepublish.

Van Diggele, C., Burgess, A., Roberts, C., & Mellis, C. (2020). Leadership in healthcare education. BMC Medical Education, 20(Suppl 2), 22–88. https://doi.org/10.1186/S12909-020-02288-X

Victory News. (2023, September 11). 12 health centers in Kupang City get attention from the Madani Humanitarian Foundation of Indonesia. Victory News. https://www.victorynews.id/ntt/33110123770/12-puskesmas-di-kota-kupang-dapat-attention-from-yayasan-kemanusiaan-madani-Indonesia#:~:text=WhilePuskesmas%20in%20Kota,%2C%20Pasir%20Panjang%2C%20and%20Oesapa

Wibowo. (2018). Performance management. Rajagrafindo Persada.

World Health Organization. (2000). The world health report: 2000: Health systems: Improving performance. World Health Organization. https://iris.who.int/handle/10665/42281

Yuki, G. (2017). Leadership in organizations (8th ed.). Pearson.

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Published

2025-01-31

How to Cite

Ximenes, G. T. C. D., Adu, A., & Littik, S. K. A. (2025). Transformational leadership style to improve the performance of health workers at penfui health center and bakunase health center . Public Health Risk Assesment Journal, 2(2), 165–182. https://doi.org/10.61511/phraj.v2i2.2025.1517

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