International Journal of Behavioral Sciences Review Article

Leadership Influence on Work Performance in Health Care Professionals: A Narrative Review

  1. Shamiksha Department of Clinical Psychology, Yenepoya School of Allied Health Sciences
  2. Ankitha Department of Clinical Psychology, Yenepoya School of Allied Health Sciences
  3. Mufeeda Sulthana Department of Clinical Psychology, Yenepoya School of Allied Health Sciences

Abstract

Leadership significantly influences the work performance of healthcare professionals by shaping job satisfaction, engagement, and organizational efficiency. This narrative review examines 21 peer-reviewed articles from PubMed and Semantic Scholar on various leadership styles—transformational, servant, democratic, digital, collective, authoritarian, laissez-faire, and caring leadership—and their impact on healthcare performance. The results indicate that transformational, servant, and democratic leadership enhance engagement, teamwork, and job satisfaction, ultimately improving performance. Digital leadership fosters employee empowerment, while caring leadership strengthens work engagement. In contrast, authoritarian and laissez-faire leadership styles are associated with higher stress and lower performance. Additionally, leadership training programs play a crucial role in developing effective healthcare leaders. The evidence highlights that positive leadership styles contribute to a committed and high-performing healthcare workforce, whereas ineffective leadership negatively impacts workplace morale. Strengthening leadership development programs can enhance healthcare outcomes.

Keywords

References (21)

  1. Abuljood MA, Almatrafi M, Alsolami A, Aloufi Y, Abualkhair A. Evaluating Leadership Dynamics: A Comprehensive Cross-Sectional Study of Madinah's Primary Healthcare Centers. Cureus. 2024. doi:10.7759/cureus.67199
  2. Alwazzan L. Leadership Development in Medicine: A Review. Cureus. 2024. doi:10.7759/cureus.65028
  3. Curado C, Santos R. Transformational leadership and work performance in health care: the mediating role of job satisfaction. Leadership in Health Services. 2021;35(2):160-173. doi:10.1108/lhs-06-2021-0051
  4. De Brun A, Rogers L, O'Shea M, McAuliffe E. Understanding the impact of a collective leadership intervention on team working and safety culture in healthcare teams: a realist evaluation protocol. HRB Open Research. 2019;2:5. doi:10.12688/hrbopenres.12860.1
  5. Demeke G, van Engen M, Markos S. Servant Leadership in the Healthcare Literature: A Systematic Review. Journal of Healthcare Leadership. 2024;Volume16:1-14. doi:10.2147/jhl.s440160
  6. Khan AN, Wang Y, Khan NA, Ahmad A. Digital Leadership Enhances Employee Empowerment, Techno-work Engagement, and Sustainability: SEM Analysis in Public Healthcare. INQUIRY: The Journal of Health Care Organization, Provision, and Financing. 2025;62. doi:10.1177/00469580251317653
  7. Layek D, Koodamara NK. Impact of contingent rewards and punishments on employee performance: the interplay of employee engagement. F1000Research. 2024;13:102. doi:10.12688/f1000research.144019.2
  8. Mathole T, Lembani M, Jackson D, Zarowsky C, Bijlmakers L, Sanders D. Leadership and the functioning of maternal health services in two rural district hospitals in South Africa. Health Policy and Planning. 2018;33(suppl_2):ii5-ii15. doi:10.1093/heapol/czx174
  9. Milojević S, Aleksić VS, Slavković M. “Direct Me or Leave Me”: The Effect of Leadership Style on Stress and Self-Efficacy of Healthcare Professionals. Behavioral Sciences. 2024;15(1):25. doi:10.3390/bs15010025
  10. Mulenga RM, Nzala S, Mutale W. Establishing common leadership practices and their influence on providers and service delivery in selected hospitals in Lusaka province, Zambia. Journal of Public Health in Africa. 2018;9(3). doi:10.4081/jphia.2018.823
  11. Wan Mustapa WN, Azizan FL, Wei CA, Wae-esor E. Enhancing team effectiveness through collective leadership among nurses in Malaysian healthcare sector. International Journal of Public Leadership. 2024;20(3/4):270-292. doi:10.1108/ijpl-02-2024-0016
  12. Mutale W, Vardoy-Mutale AT, Kachemba A, Mukendi R, Clarke K, Mulenga D. Leadership and management training as a catalyst to health system strengthening in low-income settings: Evidence from implementation of the Zambia Management and Leadership course for district health managers in Zambia. PLOS ONE. 2017;12(7):e0174536. doi:10.1371/journal.pone.0174536
  13. Nightingale A. Implementing collective leadership in healthcare organisations. Nursing Standard. 2020;35(5):53-57. doi:10.7748/ns.2020.e11448
  14. Notarnicola I, Duka B, Lommi M, Grosha E, De Maria M, Iacorossi L, et al. Transformational Leadership and Its Impact on Job Satisfaction and Personal Mastery for Nursing Leaders in Healthcare Organizations. Nursing Reports. 2024;14(4):3561-3574. doi:10.3390/nursrep14040260
  15. Palmer S, Rodrigues Amorim Adegboye A, Hooper G, Khan A, Leech C, Moore A, et al. Leadership training in emergency medicine: A national survey. AEM Education and Training. 2024;8(6). doi:10.1002/aet2.11047
  16. Santhosh, C., & Mishra, P. C. (1990). Spectroscopic evidence for structural oscillations in DNA caused by oxygen. Indian Journal of Biochemistry and Biophysics, 27(4), 209–212.https://www.sciencedirect.com/science/article/abs/pii/S0020748909001096
  17. Silva, J. a. M., Mininel, V. A., Agreli, H. F., Peduzzi, M., Harrison, R., & Xyrichis, A. (2022). Collective
  18. Silva JAM, Mininel VA, Fernandes Agreli H, Peduzzi M, Harrison R, Xyrichis A. Collective leadership to improve professional practice, healthcare outcomes and staff well-being. Cochrane Database of Systematic Reviews. 2022;2022(10). doi:10.1002/14651858.cd013850.pub2
  19. Teame, K., Debie, A., & Tullu, M. (2022). Healthcare leadership effectiveness among managers in Public Health institutions of Addis Ababa, Central Ethiopia: a mixed methods study. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-07879-
  20. Westbrook KW, Nicol D, Nicol JK, Orr DT. Effects of Servant Leadership Style on Hindrance Stressors, Burnout, Job Satisfaction, Turnover Intentions, and Individual Performance in a Nursing Unit. Journal of Health Management. 2022;24(4):670-684. doi:10.1177/09720634221128100
  21. Zhang F, Huang L, Fei Y, Peng X, Liu Y, Zhang N, et al. Impact of caring leadership on nurses’ work engagement: examining the chain mediating effect of calling and affective organization commitment. BMC Nursing. 2024;23(1). doi:10.1186/s12912-024-02388-9