How transformational leadership affects job performance among hospital employees: Does power distance matter?
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DOIhttp://dx.doi.org/10.21511/ppm.23(2).2025.35
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Article InfoVolume 23 2025, Issue #2, pp. 482-497
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Creative Commons Attribution 4.0 International License
This study aims to examine the impact of transformational leadership on job performance, emphasizing the mediating roles of work engagement, work motivation, and organizational culture, as well as the moderating effect of power distance. A total of 500 survey questionnaires were distributed in the Mekong Delta, Vietnam, with 341 valid responses analyzed using structural equation modeling (Smart-PLS). The findings indicate that transformational leadership has a small direct effect on job performance and work engagement but demonstrates a moderate impact on work motivation and a significant influence on organizational culture. Work engagement, work motivation, and organizational culture mediate the relationship between transformational leadership and job performance. Additionally, the results reveal that power distance moderates the effect of transformational leadership on work motivation but not on job performance, work engagement, and organizational culture. Employees with a high power distance tend to weaken the positive relationship between transformational leadership and work motivation, thereby reducing job performance. The study provides insights into leadership strategies in hierarchical healthcare environments of Vietnam.
Acknowledgment
This study was carried out within the framework of the doctoral thesis subject to Decision No. 2/QD-DHTD dated January 12, 2020, at Tay Do University, Vietnam.
- Keywords
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JEL Classification (Paper profile tab)M12, M14, M54
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References47
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Tables9
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Figures3
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- Figure 1. Conceptual framework
- Figure 2. Measurement model
- Figure 3. Structural model
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- Table 1. Results of the pilot test
- Table 2. Demographic characteristics
- Table 3. Summary results of coefficients in the PLS-SEM model
- Table 4. Discriminant validity (HTMT and Fornell–Larcker criterion)
- Table 5. Direct path analysis
- Table 6. Mediating path analysis
- Table 7. Moderating path analysis
- Table 8. Global fit measure (GoF) and Q² predict
- Table A1. Constructs, indicators, and questionnaire Items
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- Akram, U., Fülöp, M. T., Tiron-Tudor, A., Topor, D. I., & Căpușneanu, S. (2021). Impact of digitalization on customers’ well-being in the pandemic period: Challenges and opportunities for the retail industry. International Journal of Environmental Research and Public Health, 18(14), Article 7533.
- Al Banin, Q., Eliyana, A., & Latifiyah, E. R. (2020). Enhancing employee performance with work motivation as a mediation variable. Systematic Reviews in Pharmacy, 11(9), 333-346.
- Almutairi, R. l., Aditya, R. S., Kodriyah, L., Yusuf, A., Solikhah, F. K., Al Razeeni, D. M., & Kotijah, S. (2022). Analysis of organizational culture factors that influence the performance of health care professionals: A literature review. Journal of Public Health in Africa, 13(Suppl 2), Article a327.
- Bandura, A., & National Institute of Mental Health. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall, Inc.
- Bass, B. M., & Riggio, R. E. (2006). Transformational leadership. Psychology Press.
- Bass, B. M., Waldman, D. A., Avolio, B. J., & Bebb, M. (1987). Transformational leadership and the falling dominoes effect. Group & Organization Studies, 12(1), 73-87.
- Blau, P. (2017). Exchange and power in social life. Routledge.
- Blau, P. M. (1964). Justice in social exchange. Sociological Inquiry, 34(2), 193-206.
- Cameron, K. S., & Quinn, R. E. (2011). Diagnosing and changing organizational culture: Based on the competing values framework. Jossey-Bass.
- Cenfetelli, R. T., & Bassellier, G. (2009). Interpretation of formative measurement in information systems research. MIS Quarterly, 33(4), 689-707.
- Chua, J., & Ayoko, O. B. (2021). Employees’ self-determined motivation, transformational leadership and work engagement. Journal of Management & Organization, 27(3), 523-543.
- Cohen, J. (1994). The earth is round (p<. 05). American Psychologist, 49(12), 997-1003.
- Dizgah, M. R., Chegini, M. G., & Bisokhan, R. (2012). Relationship between job satisfaction and employee job performance in Guilan public sector. Journal of Basic and Applied Scientific Research, 2(2), 1735-1741.
- Geisser, S. (1974). A predictive approach to the random effect model. Biometrika, 61(1), 101-107.
- General Statistics Office. (n.d.). Polulation. Area, population and population density by province.
- Giao, H. N. K., Vuong, B. N., Tushar, H., & Wright, L.T. (rev. ed.). (2020). The impact of social support on job-related behaviors through the mediating role of job stress and the moderating role of locus of control: Empirical evidence from the Vietnamese banking industry. Cogent Business & Management, 7(1), Article 1841359.
- Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2019). Multivariate data analysis (9th ed.). Pearson Education Limited.
- Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2022). A primer on partial least squares structural equation modeling (PLS-SEM). Sage.
- Hair, J. F., Hult, G. T. M., Ringle, C. M., Sarstedt, M., Danks, N. P., & Ray, S. (2021). Partial least squares structural equation modeling (PLS-SEM) using R: A workbook. Springer Nature.
- Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2-24.
- Harter, J. K., Schmidt, F. L., Agrawal, S., Plowman, S. K., & Blue, A. (2013). The relationship between engagement at work and organizational outcomes. Washington Gallup Poll Consulting University Press.
- Hartnell, C. A., Ou, A. Y., & Kinicki, A. (2011). Organizational culture and organizational effectiveness: A meta-analytic investigation of the competing values framework’s theoretical suppositions. Journal of Applied Psychology, 96(4), 677-694.
- Henseler, J., Hubona, G., & Ray, P. A. (2016). Using PLS path modeling in new technology research: updated guidelines. Industrial management & data systems, 116(1), 2-20.
- Henseler, J., Ringle, C. M., & Sarstedt, M. (2015). A new criterion for assessing discriminant validity in variance-based structural equation modeling. Journal of the Academy of Marketing Science, 43, 115-135.
- Hofstede, G. (2001). Culture’s consequences: Comparing values, behaviors, institutions and organizations across nations. Thousand Oaks: Sage.
- Jung, D. I., & Sosik, J. J. (2002). Transformational leadership in work groups: The role of empowerment, cohesiveness, and collective-efficacy on perceived group performance. Small Group Research, 33(3), 313-336.
- Kahn, W. A. (1990). Psychological conditions of personal engagement and disengagement at work. Academy of Management Journal, 33(4), 692-724.
- Kahn, W. A. (1992). To be fully there: Psychological presence at work. Human Relations, 45(4), 321-349.
- Kirkman, B. L., Chen, G., Farh, J.-L., Chen, Z. X., & Lowe, K. B. (2009). Individual power distance orientation and follower reactions to transformational leaders: A cross-level, cross-cultural examination. Academy of Management Journal, 52(4), 744-764.
- Lian, H., Ferris, D. L., & Brown, D. J. (2012). Does power distance exacerbate or mitigate the effects of abusive supervision? It depends on the outcome. Journal of Applied Psychology, 97(1), 107-123.
- Liaw, Y.-J., Chi, N.-W., & Chuang, A. (2010). Examining the mechanisms linking transformational leadership, employee customer orientation, and service performance: The mediating roles of perceived supervisor and coworker support. Journal of Business and Psychology, 25, 477-492.
- Luthans, F. (2002). Positive organizational behavior: Developing and managing psychological strengths. Academy of Management Perspectives, 16(1), 57-72.
- Mahalinga Shiva, M., & Suar, D. (2012). Transformational leadership, organizational culture, organizational effectiveness, and programme outcomes in non-governmental organizations. Voluntas: International Journal of Voluntary and Nonprofit Organizations, 23, 684-710.
- Montgomery, A., Spânu, F., Băban, A., & Panagopoulou, E. (2015). Job demands, burnout, and engagement among nurses: A multi-level analysis of ORCAB data investigating the moderating effect of teamwork. Burnout Research, 2(2-3), 71-79.
- Ojo, S. O., Bailey, D. P., Chater, A. M., & Hewson, D. J. (2018). The impact of active workstations on workplace productivity and performance: A systematic review. International Journal of Environmental Research and Public Health, 15(3), Article 417.
- Rigdon, E. E. (2012). Rethinking partial least squares path modeling: In praise of simple methods. Long Range Planning, 45(5-6), 341-358.
- Sarstedt, M., Ringle, C. M., Henseler, J., & Hair, J. F. (2014). On the emancipation of PLS-SEM: A commentary on Rigdon (2012). Long Range Planning, 47(3), 154-160.
- Schaufeli, W. B., Bakker, A. B., & Salanova, M. (2006). The measurement of work engagement with a short questionnaire: A cross-national study. Educational and Psychological Measurement, 66(4), 701-716.
- Schaufeli, W. B., Salanova, M., González-Romá, V., & Bakker, A. B. (2002). The measurement of engagement and burnout: A two sample confirmatory factor analytic approach. Journal of Happiness Studies, 3, 71-92.
- Stone, M. (1974). Cross-validatory choice and assessment of statistical predictions. Journal of the Royal Statistical Society: Series B (Methodological), 36(2), 111-133.
- Sürücü, L., Maslakçi, A., & Sesen, H. (2022). Transformational leadership, job performance, self-efficacy, and leader support: Testing a moderated mediation model. Baltic Journal of Management, 17(4), 467-483.
- Tenenhaus, M., Vinzi, V. E., Chatelin, Y.-M., & Lauro, C. (2005). PLS path modeling. Computational Statistics & Data Analysis, 48(1), 159-205.
- Vuong, B. N. (2022). The impact of human resource management practices on service-oriented organizational citizenship behaviors: Does positive psychological capital matter? Cogent Psychology, 9(1), Article 2080324.
- Vuong, B. N., & Hieu, V. T. (2023). The effect of empowering leadership on job performance among frontline employees: Does power distance orientation matter? Journal of Organizational Effectiveness: People and Performance, 10(3), 394-412.
- Wood, M. (2005). Bootstrapped confidence intervals as an approach to statistical inference. Organizational Research Methods, 8(4), 454-470.
- Wright, B. E., Moynihan, D. P., & Pandey, S. K. (2012). Pulling the levers: Transformational leadership, public service motivation, and mission valence. Public Administration Review, 72(2), 206-215.
- Xenikou, A., & Simosi, M. (2006). Organizational culture and transformational leadership as predictors of business unit performance. Journal of Managerial Psychology, 21(6), 566-579.