An Integrative Leadership and Psychological Determinants of Organizational Citizenship and Green Work Engagement in Healthcare
Keywords:
emotional intelligence, psychological empowerment, trust in leader, job satisfaction, organizational citizenship behavior, continuation commitment, green work engagement, hospital-based healthcareAbstract
The healthcare sector in Indonesia is undergoing profound transformation toward sustainability, demanding integrative leadership and psychologically resilient employees capable of supporting green operational practices. This study investigates the influence of emotional intelligence (EI), trust in leader (TL), psychological empowerment (PE), perceived job satisfaction (PJS), continuation commitment (CC), and organizational citizenship behavior (OCB) on green work engagement (GWE) among healthcare professionals. Data were obtained from 400 respondents across multiple hospitals in Indonesia and analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). All six variables demonstrated significant positive effects on GWE (R² = 0.72, p < 0.001), indicating that integrative leadership and psychological factors collectively explain a substantial portion of green engagement variance. Psychological empowerment (β = 0.41) and trust in leader (β = 0.38) emerged as the strongest predictors. The findings highlight that sustainable hospitals require not only technological adaptation but also emotionally intelligent leadership and empowered personnel who voluntarily exhibit organizational citizenship behaviors. Comparative insights with ASEAN healthcare systems confirm similar trends, reinforcing the universality of integrative leadership and green psychological models in achieving sustainability.
References
Afsar, B., Maqsoom, A., & Shahjehan, A. (2022). Green transformational leadership and employees’ green behavior: The role of emotional intelligence and trust in leader. Journal of Cleaner Production, 351, 131549.
Bass, B. M., & Riggio, R. E. (2006). Transformational Leadership (2nd ed.). Psychology Press.
Boiral, O., & Paillé, P. (2012). Organizational citizenship behavior for the environment: Measurement and validation. Journal of Business Ethics, 109(4), 431–445.
Deci, E. L., & Ryan, R. M. (2000). The “what” and “why” of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227–268.
Dirks, K. T., & Ferrin, D. L. (2002). Trust in leadership: Meta-analytic findings and implications. Journal of Applied Psychology, 87(4), 611–628.
Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39–50.
Goleman, D. (1998). Working with Emotional Intelligence. Bantam Books.
Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2023). A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM) (3rd ed.). Sage.
Han, Y., Lee, S., & Park, J. (2024). Leadership trust and sustainable organizational behavior in hospitals. International Journal of Environmental Research and Public Health, 21(3), 1482.
Judge, T. A., Bono, J. E., & Locke, E. A. (2001). Personality and job satisfaction: The mediating role of job characteristics. Journal of Applied Psychology, 86(1), 80–92.
Kim, S., Choi, Y., & Park, H. (2023). Emotional intelligence and green engagement among nurses: Mediating role of empowerment. Sustainability, 15(7), 5842.
Liu, T., Chanthaboon, P., & Supakit, N. (2024). Green engagement and hospital innovation in Thailand. Asia Pacific Journal of Health Management, 19(2), 102–118.
Locke, E. A. (1976). The nature and causes of job satisfaction. In M. D. Dunnette (Ed.), Handbook of Industrial and Organizational Psychology (pp. 1297–1343). Rand McNally.
Luthans, F. (2002). The need for and meaning of positive organizational behavior. Journal of Organizational Behavior, 23(6), 695–706.
McKinsey & Company. (2024). The Future of Sustainable Healthcare Systems in Emerging Economies.
Meyer, J. P., & Allen, N. J. (1991). A three-component conceptualization of organizational commitment. Human Resource Management Review, 1(1), 61–89.
Podsakoff, P. M., MacKenzie, S. B., Paine, J. B., & Bachrach, D. G. (2000). Organizational citizenship behaviors: A critical review. Journal of Management, 26(3), 513–563.
Rahman, M. M., Lee, Y., & Karim, S. (2024). Green HRM practices and work engagement in hospitals: The moderating role of empowerment. Sustainability, 16(5), 3129.
Sonnentag, S. (2011). Research on work engagement: Insights for future directions. European Journal of Work and Organizational Psychology, 20(1), 25–32.
Spreitzer, G. M. (1995). Psychological empowerment in the workplace: Dimensions, measurement, and validation. Academy of Management Journal, 38(5), 1442–1465.
Tan, L., & Low, H. K. (2023). Leadership integrity and green engagement in Singaporean hospitals. International Journal of Healthcare Management, 16(4), 297–312.
Wang, Z., Ho, T., & Chen, Q. (2024). Continuance commitment and sustainable work behaviors in healthcare organizations. Journal of Organizational Change Management, 37(2), 289–308.
WHO. (2024). Global Health and Environmental Sustainability Report 2024.
