THE ROLE OF ORGANIZATIONAL CITIZENSHIP BEHAVIOR IN MEDIATING THE INFLUENCE OF TRANSFORMATIONAL LEADERSHIP ON HOSPITAL EMPLOYEE PERFORMANCE
Published:
2026-02-14Downloads
Abstract
This study aimed to analyze and empirically prove the influence of transformational leadership on employee performance through the mediating role of Organizational Citizenship Behavior (OCB) at Bhayangkara Hospital. This research was motivated by the phenomenon of fluctuating employee performance and research gaps regarding the effectiveness of transformational leadership in various organizational contexts. This study employed a quantitative approach with a survey method. The population consisted of 300 hospital employees, with a sample of 171 respondents determined using the Slovin formula. Data analysis was conducted using Structural Equation Modeling (SEM) based on Partial Least Squares (PLS) with SmartPLS software. The results showed that transformational leadership did not have a significant effect on either employee performance or the formation of OCB. Conversely, OCB was proven to have a very significant and dominant positive effect on employee performance. Due to the insignificant influence of leadership on OCB, the OCB variable was not proven to act as a mediator in the relationship between transformational leadership and performance. These findings concluded that current high employee performance was driven more by voluntary initiatives and internal employee dedication rather than by the intervention of the supervisor's leadership style
Keywords:
, Employee Performance Hospital Organizational Citizenship BehaviorReferences
Abbas, M., & Ali, R. (2021). Transformational versus transactional leadership styles and project success: A meta-analytic review. European Management Journal, 41(1), 125. https://doi.org/10.1016/j.emj.2021.10.011
Abrell, C., Rowold, J., Weibler, J., & Moenninghoff, M. (2011). Evaluation of a Long-Term Transformational Leadership Development Program. German Journal of Human Resource Management: Zeitschrift Für Personalforschung, 25(3), 205. https://doi.org/10.1177/239700221102500307
Abun, D., Mansueto, J., Sallong, M. M., Eliot, A., & Magallanes, T. (2024). Can Organizational Citizenship Behavior Affect the Work Performance and Work Ethics of Employees? SSRN Electronic Journal. https://doi.org/10.2139/ssrn.4965809
Adawiyah, I., & Sopiah, S. (2023). Transformational Leadership And Employee Performance: Systematic Literature Review. Transformasi Journal of Economics and Business Management, 2(4), 202. https://doi.org/10.56444/transformasi.v2i4.1163
Agag, G., Abdelmoety, Z. H., Aboul-Dahab, S., Daher, M. M., Sharkasi, N., Taha, E. H., Yousaf, A., & Abdelwahab, M. (2025). A cross-cultural meta-analysis of transformational leadership-performance outcomes relationship. International Studies of Management and Organization, 1. https://doi.org/10.1080/00208825.2025.2566556
Aliyu, M., & Gebremeskel, M. (2024). Organizational citizenship behavior and its influencing factors among nurses in public hospitals of Harari region, Eastern Ethiopia. BMC Nursing, 24(1), 195. https://doi.org/10.1186/s12912-024-01824-0
Apostol, E., & Torcino, R. (2023). Organizational Citizenship Behavior of Employees in a Manufacturing Company. International Journal of Multidisciplinary: Applied Business and Education Research, 4(12), 4386. https://doi.org/10.11594/ijmaber.04.12.21
Arifin, A. L., & Narmaditya, B. S. (2024). Transformational Leadership, Organizational Citizenship Behavior, and Employee Performance: A Mediation Analysis. Jurnal Dinamika Manajemen, 15(1), 15. https://doi.org/10.15294/jdm.v15i1.44234
Aristana, M. D. W., Wibawa, I. M. A., & Sintaasih, D. K. (2024). Organizational Citizenship Behavior (OCB) as a Mediation of Transformational Leadership on Employee Performance. International Journal of Social Science and Human Research, 07(06). https://doi.org/10.47191/ijsshr/v7-i06-69
Bramantya, Y. B., & Muafi, M. (2022). The Effect of Transformational Leadership and Organizational Culture on Employee Performance Mediated by OCB. International Journal of Research in Business and Social Science (2147- 4478), 11(4), 136. https://doi.org/10.20525/ijrbs.v11i4.1772
Credé, M., Jong, J., & Harms, P. (2019). The Generalizability of Transformational Leadership across Cultures: A Meta-Analysis. Journal of Managerial Psychology, 34(3), 139. https://doi.org/10.1108/JMP-11-2018-0506
Dwomoh, G., Gyamfi, L. A., & Luguterah, A. W. (2019). Effect of Organizational Citizenship Behaviour on Performance of Employees in the Banking Sector of Ghana. International Journal of Managerial Studies and Research, 7(2). https://doi.org/10.20431/2349-0349.0702008
Ekowati, V. M., Troena, E. A., & Noermijati, N. (2013). Organizational Citizenship Behavior Role in Mediating the Effect of Transformational Leadership, Job Satisfaction on Employee Performance: Studies in PT Bank Syariah Mandiri Malang East Java. International Journal of Management and Administrative Sciences, 2(1), 08.
Felani, H., & Nugroho, S. H. (2023). Pengaruh Kepemimpinan Transformasional Terhadap OCB Dengan Kepuasan Kerja Sebagai Variabel Intervening. Jurnal Ilmiah Manajemen, Ekonomi, Dan Akuntansi (JIMEA), 7(3), 850. https://doi.org/10.31955/mea.v7i3.3444
Felix, O. O., & EBOKA, E. A. (2024). Organizational Citizenship Behaviour and Employee Performance in the Manufacturing Firms in Edo State, Nigeria. International Journal of Business and Management Review, 12(4), 1. https://doi.org/10.37745/ijbmr.2013/vol12n4122
Freire, C., & Azevedo, A. (2023). Internal Marketing and Transformational Leadership as Antecedents of Employees’ Brand Consistent Behavior. RAUSP Management Journal, 59(1), 22. https://doi.org/10.1108/RAUSP-09-2022-0210
Fuller, C. M. (2024). Organizational Citizenship Behavior. Oxford Research Encyclopedia of Psychology. https://doi.org/10.1093/acrefore/9780190236557.013.34
Gupta, D. V. (2022). Organizational Citizenship Behavior: A Review of Antecedents and Consequences. Journal of Positive School Psychology, 6(8), 9845.
Haass, O., Ho, J. Y., & Yang, P. (2023). Project citizenship behaviour: a comprehensive review of definition, theoretical basis, antecedents, and outcomes. International Journal of Managing Projects in Business, 17(1), 166. https://doi.org/10.1108/IJMPB-07-2023-0163
Hadian, D., Arafah, W., & Febrian, A. F. (2024). Exploring the Impact of Management Information Systems on Hospital Service Quality and Patient Satisfaction. Jurnal Informasi Dan Teknologi, 6, 88. https://doi.org/10.60083/jidt.v6i1.481
Haghighi, P. P., & Maleki, A. (2016). The Effect of Transformational Leadership on Organizational Citizenship Behavior (Case Study: Customs Employees of Guilan Province). International Journal of Humanities and Cultural Studies, 3(2), 1629.
Harnani, N. (2017). The Role of Organizational Citizenship Behavior (OCB) to Mediate the Effect of Transformational Leadership on Performance of Employee. Jurnal Dinamika Manajemen, 8(2), 198. https://doi.org/10.15294/jdm.v8i2.12760
Hassan, M. M. H., Bashir, I. A. A., & Abbas, S. M. (2022). The Impact of Transformational Leadership on Employee Performance: The Case of Public Hospitals in Sudan. International Journal of Business and Management, 17(5), 119. https://doi.org/10.5539/ijbm.v17n5p119
Huang, Q., Wang, L. P., Huang, H., Tang, H., Liu, J., & Chen, C. (2025). Transformational leadership, psychological empowerment, work engagement and intensive care nurses’ job performance: a cross-sectional study using structural equation modeling. BMC Nursing, 24(1), 1025. https://doi.org/10.1186/s12912-025-03685-7
Istiqomah, S., & Riani, A. L. (2021). The Effect of Transformational Leadership on Employee Performance with the Mediation of Organizational Citizenship Behavior (OCB) and Work Motivation. International Journal of Multicultural and Multireligious Understanding, 8(8), 580. https://doi.org/10.18415/ijmmu.v8i8.2934
Jyoti, J., & Bhau, S. (2015). Impact of Transformational Leadership on Job Performance: Mediating Role of Leader–Member Exchange and Relational Identification. SAGE Open, 5(4). https://doi.org/10.1177/2158244015612518
Kaul, R., & Singh, S. (2023). A Study on Organizational Citizenship Behavior: Dimensions and Scale Validation. International Journal of Scientific Research in Engineering and Management, 07(10). https://doi.org/10.55041/IJSREM26362
Khan, M. A., Ismail, F. B., Hussain, A., & Alghazali, B. (2020). The Mediating Role of Psychological Empowerment between Transformational Leadership and Employee Work Attitudes. Talent Development & Excellence, 12(3s), 40.
Khirfan, T., & Aziz, H. A. (2022). The Effect of Transformational Leadership on Employee Performance: The Mediating Role of Organizational Citizenship Behavior. International Journal of Social Sciences and Humanities Invention, 9(01), 6758. https://doi.org/10.18535/ijsshi/v9i01.03
Krijgsheld, M., Tummers, L. G., & Scheepers, F. E. (2022). Job performance in healthcare: a systematic review. BMC Health Services Research, 22(1), 149. https://doi.org/10.1186/s12913-021-07357-5
Lai, F.-Y., Tang, H.-C., Lu, S.-C., Lee, Y.-C., & Lin, C.-C. (2020). Transformational Leadership and Job Performance: The Mediating Role of Work Engagement. SAGE Open, 10(1), 215824401989908. https://doi.org/10.1177/2158244019899085
Lee, S.-E., MacPhee, M., & Dahinten, V. S. (2023). The influence of transformational leadership on nurse-reported patient safety outcomes in acute care hospitals. Journal of Nursing Management, 2023, 1–11. https://doi.org/10.1155/2023/8856980
Lowe, K. B., Kroeck, K. G., & Sivasubramaniam, N. (1996). Effectiveness Correlates of Transformational and Transactional Leadership: A Meta-Analytic Review of the MLQ Literature. The Leadership Quarterly, 7(3), 385. https://doi.org/10.1016/S1048-9843(96)90027-2
Mallick, E., Pradhan, R. K., Tewari, H. R., & Jena, L. K. (2014). Organizational Citizenship Behavior, Job Performance and HR Practices: A Structural Equation Modelling. International Journal of Management and Development Studies, 3(11), 04.
Meiryani, M., Arief, M. Y., Lindawati, A. S. L., & Falah, A. N. (2022). The Effect of Transformational Leadership, and Job Satisfaction on Employee Performance. E3S Web of Conferences, 359, 01004. https://doi.org/10.1051/e3sconf/202235901004
Miran, K. J., & Sumampouw, H. (2023). Analysis of Nurse Performance and Factors Affecting It: Literature Review. Jurnal Ilmiah Kesehatan Sandi Husada, 12(2), 291. https://doi.org/10.35816/jiskh.v12i2.1064
Morin, A. J. S., & Talbot, D. (2024). Organizational Citizenship Behavior. Oxford Research Encyclopedia of Psychology. https://doi.org/10.1093/acrefore/9780190236557.013.34
Mostafa, A. M. S., Gould-Williams, J. S., & Bottomley, P. (2018). High-Performance Human Resource Practices and Employee Outcomes: The Mediating Role of Public Service Motivation. Public Administration Review, 75(3), 747. https://doi.org/10.1111/puar.12354
Mulki, J. P., Jaramillo, F., & Locander, W. B. (2005). Effects of Ethical Climate and Supervisory Trust on Salesperson’s Job Attitudes and Intentions to Quit. Journal of Personal Selling & Sales Management, 26(1), 19. https://doi.org/10.2753/PSS0885-3134260102
Muterera, J., Hemsworth, D., Baregheh, A., & Garcia-Rivera, B. R. (2024). The Leader–Follower Dyad: The Link Between Transformational Leadership and Public Sector Performance. Public Organization Review, 18(1). https://doi.org/10.1007/s11115-016-0365-8
Naidoo, P., & Mafora, P. (2023). Transformation leadership: The school principal’s role in leading professional learning communities. South African Journal of Education, 43(1), 1. https://doi.org/10.15700/saje.v43n1a2164
Ng, T. W. H. (2016). Transformational leadership and performance outcomes: Analyses of multiple mediation pathways. The Leadership Quarterly, 28(3), 385. https://doi.org/10.1016/j.leaqua.2016.11.008
Nohe, C., & Hertel, G. (2017). Transformational Leadership and Organizational Citizenship Behavior: A Meta-Analytic Test of Underlying Mechanisms. Frontiers in Psychology, 8, 1364. https://doi.org/10.3389/fpsyg.2017.01364
Norizan, N. S., Nawi, F. A. M., & Al Mamun, A. (2024). Leadership styles and organizational performance: A review of literature. International Journal of Applied Business and International Management, 9(1), 1. https://doi.org/10.32535/ijabim.v9i1.2678
Nugraha, A. (2021). The Effect of Transformational Leadership and Job Satisfaction on Employee Performance Mediated by Organizational Citizenship Behavior (OCB) (Study at the Department of Education and Culture of Sintang Regency). International Journal of Economics, Business and Accounting Research (IJEBAR), 5(3), 722. https://doi.org/10.29040/ijebar.v5i3.2845
Organ, D. W. (2017). Organizational Citizenship Behavior: It’s Construct Clean-Up Time. Human Performance, 10(2), 85. https://doi.org/10.1207/s15327043hup1002_2
Piedade, A. (2021). The Effect of Transformational Leadership on Employee Performance: The Mediation Role of Job Satisfaction (Study at the Banco National De Comercio De Timor Leste (Bnctl)). International Journal of Multicultural and Multireligious Understanding, 8(7), 404. https://doi.org/10.18415/ijmmu.v8i7.2840
Pohl, S., Dal Santo, L., Battistelli, A., & Cordery, J. (2023). Affective Commitment to Change and Organizational Citizenship Behaviors: The Role of Change-Related Self-Efficacy. International Journal of Public Administration, 47(11), 785. https://doi.org/10.1080/01900692.2023.2185566
Prahesti, D. S., Riana, I. G., & Wibawa, I. M. A. (2017). Peran Organizational Citizenship Behavior (OCB) Dalam Memediasi Pengaruh Kepemimpinan Transformasional Terhadap Kinerja Karyawan Warung Nasi Tekor Bali. E-Jurnal Ekonomi Dan Bisnis Universitas Udayana, 6(7), 2735.
Pramudianti, M., & Wijono, S. (2020). The Influence of Transformational Leadership on Organizational Citizenship Behavior (OCB) with Job Satisfaction as a Mediator at the Salatiga City Trade Office. Jurnal Mitra Manajemen, 4(1), 13. https://doi.org/10.52160/ejmm.v4i1.320
Putra, R. A. (2020). The Impact of Transformational Leadership on Organizational Citizenship Behavior. Jurnal Manajemen Bisnis, 11(1), 94. https://doi.org/10.18196/mb.11190
Qalati, S. A., Zafar, Z., Fan, M., Limón, M. L. S., & Khaskheli, M. B. (2022). Employee Performance under Transformational Leadership and Organizational Citizenship Behavior: A Mediated Model. Heliyon, 8(11), e11374. https://doi.org/10.1016/j.heliyon.2022.e11374
Rahardjo, K., Nurhayati, N., & Suhardi, S. (2021). The Effect of Transformational Leadership on Managerial Performance with Organizational Citizenship Behavior (OCB) as a Mediating Variable. International Journal of Economics, Business and Accounting Research (IJEBAR), 5(3). https://doi.org/10.29040/ijebar.v5i3.2755
Saeed, I., Khan, J., Zada, M., Ullah, R., Vega-Muñoz, A., & Contreras-Barraza, N. (2022). Towards Exampling the Nuances of Transformational Leadership and Job Performance: The Mediating Role of Psychological Safety and the Moderating Role of Knowledge Sharing. Frontiers in Psychology, 13, 861616. https://doi.org/10.3389/fpsyg.2022.861616
Sarwar, A., Mumtaz, M., Batool, Z., & Ikram, S. (2015). Impact of Transformational Leadership on Organizational Citizenship Behavior. International Journal of Contemporary Applied Sciences, 2(7), 40.
Setiawan, R. A., & Surya, E. D. (2021). The Influence of Transformational Leadership on Employee Performance Mediated by Organizational Citizenship Behavior (OCB) and Work Motivation. International Journal of Economics, Business and Accounting Research (IJEBAR), 5(3), 1361. https://doi.org/10.29040/ijebar.v5i3.2987
Shang, Y. (2023). The Impact of Transformational Leadership on Employee Performance in the Construction Industry. Academic Journal of Management and Social Sciences, 2(3), 19. https://doi.org/10.54097/ajmss.v2i3.8824
Simakhajornboon, P. (2024). The Mediating Role of Organizational Citizenship Behavior in the Relationship between Organizational Culture and In-role Performance in Thai State-owned Enterprises. Journal of Management Information and Decision Sciences, 27(2), 1.
Soelton, M. (2023). The Role of Organizational Citizenship Behavior (OCB), Workload, and Transformational Leadership on Employee Performance. Jurnal Ilmiah Manajemen, 13(1), 1. https://doi.org/10.32670/fairvalue.v5i3.2657
Somu, H. K., & Ali, R. (2025). The Impact of Organizational Culture on Employee Performance with the Mediating Role of Organizational Citizenship Behavior. Journal of Management and Research, 12(1).
Suwarno, S. (2023). Transformational Leadership and Organizational Citizenship Behavior (OCB) on Employee Performance. Journal of Economics, Management, and Trade, 29(10), 45. https://doi.org/10.9734/jemt/2023/v29i101150
Tai, S.-H., Chang, J.-C., & Hong, J.-F. (2012). Transformational Leadership, Organizational Citizenship Behavior, and Performance in Non-Profit Organizations. Journal of American Academy of Business, Cambridge, 18(1), 107.
Taufiqurrahman, T., Hidayat, R., & Wulandari, S. (2021). The Effect of Organizational Culture on Employee Performance Mediated by Organizational Citizenship Behavior. Jurnal Manajemen Bisnis, 12(2), 164. https://doi.org/10.18196/mb.v12i2.11325
Teoh, K. B., Permarupan, P. Y., & Saufi, R. A. (2022). The Influence of Transformational Leadership on Employee Performance among Employees in the Hotel Industry. International Journal of Academic Research in Business and Social Sciences, 12(1), 841. https://doi.org/10.6007/IJARBSS/v12-i1/12061
Udin, U. (2023). Transformational Leadership and Employee Performance: The Mediating Role of Organizational Citizenship Behavior. Quality - Access to Success, 24(192), 127. https://doi.org/10.47750/QAS/24.192.15
Wahid, N. A., Mustamil, N., & Udin, U. (2017). Transformational leadership and employee performance: The mediating effect of organizational citizenship behavior. International Journal of Applied Business and Economic Research, 15(24), 221.
Wang, G., Oh, I., Courtright, S. H., & Colbert, A. E. (2011). Transformational Leadership and Performance Across Criteria and Levels: A Meta-Analytic Review of 25 Years of Research. Group & Organization Management, 36(2), 223. https://doi.org/10.1177/1059601111401017
Wang, Y. (2011). Organizational Citizenship Behavior Measure [Data set]. PsycTESTS Dataset. https://doi.org/10.1037/t35621-000
Wei, Y. (2014). The Benefits of Organizational Citizenship Behavior for Job Performance and the Moderating Role of Human Capital. International Journal of Business and Management, 9(7). https://doi.org/10.5539/ijbm.v9n7p87
Yusrawati, Y., Respati, T., Sekarwana, N., Serudji, J., & Dasman, H. (2023). A PLS-SEM Analysis of Factors Determining Medical Personnel Performance in a Tertiary Referral Hospital. The Open Public Health Journal, 16(1). https://doi.org/10.2174/18749445-v16-e230725-2023-38
Yuwono, T., Wiyono, N., & Asbari, M. (2023). The Role of Transformational Leadership and Organizational Citizenship Behavior on Employee Performance. International Journal of Social and Management Studies (IJOSMAS), 4(1), 1. https://doi.org/10.5555/ijosmas.v4i1.123
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