A Critical Analysis of Transformational Leadership and How It Can Improve Culture and Service Outcomes Within the Health Care System

Transformational leadership plays a major role in enhancing organizational culture and service outcomes within the health care sector. Recent reports from various health care systems worldwide have highlighted systemic issues such as blame culture and inadequate leadership training in health services. Although this paper references UK-specific reports, the discussion is applicable to health care leadership challenges on a global scale, as similar issues have been documented in other countries, including the United States, Canada, Australia, and Germany. There should be a shift from a hierarchical (vertical) to a more collaborative (horizontal) structure of leadership. This will result in intellectual stimulation, idealized influence, inspirational motivation, and individualized consideration. Health care staff should be empowered through transformative leadership to improve interdisciplinary collaboration, service provision, and foster a more supportive culture internationally, especially in the post-COVID era, where global health care systems face workforce burnout and leadership crises. While acknowledging limitations, including potential over-reliance on leaders' personalities and ethical risks, the paper advocates for leadership development as a vital tool in addressing the current challenges facing health care systems globally. Transformational leadership is positioned as a powerful catalyst for cultural change and improved health care outcomes.

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Publication Details

Journal
Journal of Patient Safety
Published
2025-09-19
DOI
https://doi.org/10.1097/pts.0000000000001414
Primary Topic
Healthcare Quality and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

A Critical Analysis of Transformational Leadership and How It Can Improve Culture and Service Outcomes Within the Health Care System

Marion Head, Scott A. Shikora, Gerhard Prager, Suhaib J. S. Ahmad et al.
Journal of Patient Safety
Healthcare Quality and Management
article

A Critical Analysis of Transformational Leadership and How It Can Improve Culture and Service Outcomes Within the Health Care System

Marion Head, Scott A. Shikora, Gerhard Prager, Suhaib J. S. Ahmad, Wah Yang, Sarah Moin, Bijendra Patel, David Laith Rawaf, Christopher Bowman, Shafi Ahmed, Aristomenis K. Exadaktylos, Ata Mohajer-Bastami, Sjaak Pouwels, Ahmed R. Ahmed, Asif Khalid, Anil K. Lala, Miriam Khalil, Ameer Khamise
article en

Abstract

Transformational leadership plays a major role in enhancing organizational culture and service outcomes within the health care sector. Recent reports from various health care systems worldwide have highlighted systemic issues such as blame culture and inadequate leadership training in health services. Although this paper references UK-specific reports, the discussion is applicable to health care leadership challenges on a global scale, as similar issues have been documented in other countries, including the United States, Canada, Australia, and Germany. There should be a shift from a hierarchical (vertical) to a more collaborative (horizontal) structure of leadership. This will result in intellectual stimulation, idealized influence, inspirational motivation, and individualized consideration. Health care staff should be empowered through transformative leadership to improve interdisciplinary collaboration, service provision, and foster a more supportive culture internationally, especially in the post-COVID era, where global health care systems face workforce burnout and leadership crises. While acknowledging limitations, including potential over-reliance on leaders' personalities and ethical risks, the paper advocates for leadership development as a vital tool in addressing the current challenges facing health care systems globally. Transformational leadership is positioned as a powerful catalyst for cultural change and improved health care outcomes.

Journal of Patient SafetyVol. 22(1)
University of Bern (CH), Brigham and Women's Hospital (US), Harvard University (US), Barts Health NHS Trust (GB), Ealing Hospital (GB), University Hospital of Bern (CH), St James's University Hospital (GB), East Surrey Hospital (GB), Public Health Wales (GB), Health Education England (GB), NIHR Imperial Biomedical Research Centre (GB), Klinikum Lippe (DE), Elisabeth-TweeSteden Ziekenhuis (NL), First Affiliated Hospital of Jinan University (CN), Imperial College London (GB), Medical University of Vienna (AT), University of Buckingham (GB)
Openalex Percentile: Top 71%
Healthcare Quality and Management
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