Date of Conferral

5-22-2025

Date of Award

May 2025

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Public Health

Advisor

Laurie Latvis

Abstract

The successful application of core transformational leadership (CTL) in healthcare may enhance the quality of patient care and foster a positive and optimistic workforce. As such, CTL may be linked with job satisfaction (JS) and organizational citizenship behavior (OCB). There was a knowledge gap in understanding CTL’s relation to JS and OCB. In this quantitative study, the influence of the predictor variable CTL on the dependent variables JS and OCB was examined. Maslow’s hierarchy of needs provided a theoretical lens for the investigation. The secondary data set included data from 221 participants: 37 physicians, 111 nurses, and 73 other workforce members whose jobs did not involve direct patient contact within a rural healthcare facility. Participants assessed leadership members' performance using the Multifactor Leadership Questionnaire (MLQ) with items measured on a 7-point Likert scale. The two dependent variables were analyzed separately. The predictor variable CTL was significant in its relationship with JS (p < .001); thus, rejecting the null hypothesis that there was a significant relationship between CTL and JS. The predictor variable CTL was not significantly associated with OCB (p=0.914); thus, accepting the null hypothesis that there was no relationship between CTL and OCB. Maslow’s theory highlights the critical importance for healthcare managers to recognize and address the psychological and economic needs of their workforce. By prioritizing these vital aspects, they can significantly boost healthcare performance and foster a more effective and motivated team. Leaders should be aware of their behavior when promoting CTL, providing benefits for the group. This is crucial for ensuring all employees are aligned with the organization’s vision and strategic goals.

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