




































BANGLADESH JOURNAL OF MULTIDISCIPLINARY SCIENTIFIC RESEARCH 10(3) (2025), 16-25 

16 

        MULTIDISCIPLINARY SCIENTIFIC RESEARCH 
          BJMSR VOL 10 NO 3 (2025) P-ISSN 2687-850X E-ISSN 2687-8518 

         Available online at https://www.cribfb.com 

     Journal homepage: https://www.cribfb.com/journal/index.php/BJMSR 

                                                                                                                                                                                                    Published by CRIBFB, USA 
                                                                                                                                     

PSYCHOLOGICAL CAPITAL AS A MODERATOR IN 

TRANSFORMATIONAL LEADERSHIP AND ORGANIZATIONAL 

CULTURE IN HEALTHCARE                                                           
 

 Bambang Haryanto (a)1    Suryanto (b)   Yetty Dwi Lestari (c)   Kazi Musa (d)   
 

(a) Postgraduate of Human Resources Development, Airlangga University, Surabaya, Indonesia; E-mail: bambang.haryanto-

2021@pasca.unair.ac.id 
(b) Professor, Faculty of Psychology, Airlangga University, Surabaya, Indonesia; E-mail: suryanto@psikologi.unair.ac.id 
(c) Associate Professor, Faculty of Economics & Business, Airlangga University, Surabaya, Indonesia; E-mail: yettydl76@feb.unair.ac.id 
(d) PhD, Accounting Research Institute, University of Technology MARA, Shah Alam, Malaysia; E-mail: kazimusa@uitm.edu.my 
                 

 
A R T I C L E I N F O 

 
 

Article History: 

 

Received: 17th February 2025 

Reviewed & Revised: 17th February 

to 30th May 2025 

Accepted: 10th June 2025 

Published: 15th June 2025 

 
Keywords: 

 

Transformational Leadership,  

Organizational Culture, Psychological  
Capital, Employee Productivity 

 
JEL Classification Codes: 

 
      I19, M12, M54 

       

      Peer-Review Model:  

 

      External peer review was done through  

      double-blind method.        

 
A B S T R A C T      

 

The background of this study is based on the challenges faced by the hospital industry in improving 

employee productivity, primarily through effective leadership and a conducive organizational culture. 

However, the moderating role of psychological Capital in this relationship remains unclear, especially 

in healthcare. This study investigates the interplay between transformational leadership, organizational 

culture, psychological Capital, and employee productivity in the hospital industry. This study employs 

quantitative methods, specifically the Structural Equation Modeling (SEM) approach, using SmartPLS 

software. The research data were collected through a survey of employees in several large hospitals, 
with a sufficient number of respondents who were statistically representative. The study results indicate 

that organizational culture significantly mediates the relationship between transformational leadership 

and employee productivity. At the same time, psychological Capital does not play an essential role as a 

moderator in this relationship. These findings highlight the significant role of organizational culture as 

a crucial link between transformational leadership style and enhanced employee productivity. In 

practice, the results of this study provide recommendations for hospital management to strengthen 

transformational leadership development programs that foster a collaborative, innovative, and 

employee-involved organizational culture. The limitations of this study lie in the cross-sectional design 
used and the limited geographic and organizational context. We recommend conducting further research 

using a longitudinal approach and expanding the research context to enhance the generalizability of the 

findings. 

 
 

© 2025 by the authors. Licensee CRIBFB, USA. This open-access article is distributed under the 
terms and conditions of the Creative Commons Attribution (CC BY) license 
(http://creativecommons.org/licenses/by/4.0).  

            

 

INTRODUCTION 

Modern healthcare organizations, especially hospitals, now face increasingly complex challenges due to demographic 

changes, societal expectations, and economic pressures. These shifts necessitate hospitals to adopt adaptive and visionary 

leadership to ensure organizational sustainability while maintaining the quality of healthcare services (Ibrahim et al., 2024). 
In this context, transformational leadership has proven to be a practical strategic approach to creating a positive work 

environment, increasing the morale of healthcare workers, and encouraging service innovation that directly impacts the 

quality of patient care (Ystaas et al., 2023). With the increasing number of older adults and the complexity of patient needs, 

hospitals in various countries must be more responsive and flexible. Such goals can be achieved through leadership that 

drives change and fosters ongoing cross-functional collaboration (Jones & Dolsten, 2024). 

Transformational leadership was first articulated by Bass and Avolio (1994) and is characterized as a leadership 

style in which leaders influence their followers' fundamental values, beliefs, and attitudes, motivating them to achieve 

performance levels that surpass their anticipated outcomes (Hidayat & Masdupi, 2023). Transformational leaders create a 

shared vision and encourage innovation, motivating employees to prioritize organizational goals over personal interests, 

thereby driving positive change. This leadership style also plays a significant role in shaping organizational culture. Through 

effective role models, motivation, and communication, transformational leaders instill values and norms that can shift the 

organizational culture in a more adaptive and innovative direction (Lasrado & Kassem, 2020). Thus, transformational 

leadership impacts individuals and collectively influences organizational culture, which is a system of shared values and 

                                                      
1Corresponding author: ORCID ID: 0009-0004-3854-1125 
© 2025 by the authors. Hosting by CRIBFB. Peer review is the responsibility of CRIBFB, USA.  

https://doi.org/10.46281/bjmsr.v10i3.2433 

 
To cite this article: Haryanto, B., Suryanto, Lestari, Y. D., & Musa, K. (2025). PSYCHOLOGICAL CAPITAL AS A MODERATOR IN 

TRANSFORMATIONAL LEADERSHIP AND ORGANIZATIONAL CULTURE IN HEALTHCARE. Bangladesh Journal of Multidisciplinary 

Scientific Research, 10(3), 16-25. https://doi.org/10.46281/bjmsr.v10i3.2433 

http://creativecommons.org/licenses/by/4.0/)
http://creativecommons.org/licenses/by/4.0/)
https://www.openaccess.nl/en
https://doi.org/10.46281/bjmsr.v10i3.2433
https://orcid.org/0009-0004-3854-1125
https://orcid.org/0000-0002-2448-7429
https://orcid.org/0000-0002-8920-0089
https://orcid.org/0000-0002-6686-0199


Haryanto et al., Bangladesh Journal of Multidisciplinary Scientific Research 10(3) (2025), 16-25

 

17 

practices that guide behavior in the workplace to achieve common goals. In addition to organizational culture, employee 

psychological capital factors also influence the effectiveness of health organizations' performance. Psychological Capital 

refers to an individual's positive psychological state, characterized by four main components: hope (optimism about a better 

future), self-efficacy (the belief in one's abilities), resilience (the ability to withstand adversity), and optimism. Employees 

with high psychological Capital tend to be more resilient, proactive, and creative when facing work challenges. Previous 

research has shown that this positive psychological state is associated with increased employee innovation and performance. 

Transformational leadership acts as a contextual resource that can strengthen subordinates' psychological Capital through 

the vision, support, and inspiration it provides. An effective transformational leader is expected to foster employee self-

confidence, hope, and mental resilience, motivating employees to exceed expectations and contribute innovatively to the 

organization (Karimi et al., 2023). 

Despite the abundant evidence supporting the benefits of transformational leadership, studies that simultaneously 

integrate the relationship between transformational leadership, organizational culture, and psychological Capital in the 

hospital context are still limited. Cross-country research in the healthcare sector shows that psychological Capital plays a 

significant mediator in strengthening the influence of transformational leadership on positive work attitudes such as job 

satisfaction and organizational commitment, especially when leaders can build hope, self-efficacy, resilience, and optimism 

in employees, which underscores the importance of psychological Capital in leadership effectiveness (Ali et al., 2020). 

Nevertheless, it remains unclear if analogous results are relevant to hospitals in Indonesia. Consequently, this research was 

conducted quantitatively across multiple large hospitals in Jakarta and Yogyakarta to examine the relationship between 

transformational leadership, organizational culture, and psychological Capital within the Indonesian healthcare setting. This 

study aimed to understand the extent to which transformational leadership influences organizational culture and employee 

psychological capital, as well as how these three elements interact to enhance the performance and effectiveness of hospitals. 

 This article begins with an introduction to the importance of transformational leadership in enhancing the 

effectiveness of healthcare organizations, particularly through its role in shaping organizational culture and individual 

psychological Capital. The literature review section outlines current theories and empirical findings that support the 

relationships between leadership, organizational culture, psychological Capital (PsyCap), and employee productivity. Next, 

the results section presents the results of the SmartPLS analysis, which shows a significant mediation effect of organizational 

culture but no moderating effect of PsyCap. The discussion section interprets the findings, evaluates the support or rejection 

of the initial hypotheses, outlines practical implications, and provides post hoc explanations for any insignificant results. 

Finally, the conclusion section presents the main conclusions and suggestions for further research in the context of human 

resource development in the healthcare sector. 

 

LITERATURE REVIEW 

In the complex dynamics of healthcare organizations, transformational leadership has been widely recognized as an effective 

leadership style in creating positive change and inspiring employees to achieve performance beyond expectations. This 

leadership is characterized by delivering a strong vision, individual empowerment, and encouraging innovation (Thompson 

& McKenna, 2022). In hospitals, transformational leadership is crucial for enhancing service quality, fostering collaboration 

among medical teams, and cultivating a culture of patient safety (Tsapnidou et al., 2024). Transformational leaders can 

internalize organizational values through role models and strategic communication, thereby forming an adaptive and 

performance-driven organizational culture. 

Organizational culture is a system of values and norms that develops within an organization and becomes the basis 

for the collective behavior of its members. A strong culture aligned with the organization's vision will foster individual 

synergy and enhance productivity through shared perceptions and a commitment to common goals (Almutairi et al., 2022). 

A culture emphasizing safety, professionalism, and collaboration in healthcare organizations has increased service efficiency 

and patient satisfaction (Momo Kadia et al., 2019). However, the influence of culture does stand alone and acts as a mediator 

in the relationship between leadership and organizational performance outcomes. A study by Peña and Caruajulca (2024) 

showed that organizational culture significantly mediates the influence of transformational leadership on organizational 

performance, emphasizing the importance of culture development as a strategic step in effective leadership (Peña & 

Caruajulca, 2024); another study, also in a private hospital, found that credible leadership (as a form of transformational 

leadership) was able to increase employee work engagement indirectly through organizational culture. The study's results 

indicated that organizational culture acted as a full mediator of the influence of leadership on nurses' work engagement 

(Srimulyani & Hermanto, 2022). 

On the other hand, psychological Capital (PsyCap) emerges as a crucial psychological resource for enhancing 

individual and organizational performance. Psychological Capital (PsyCap) has four main components: self-efficacy, hope, 

resilience, and optimism. Individuals with high Psychological Capital tend to be more resilient to work pressure and exhibit 

greater initiative and engagement (Nafei, 2015). Furthermore, alongside its direct influence on positive workplace behaviors, 

PsyCap also serves as a moderating factor in the relationship between leadership and organizational outcomes. Additional 

research has shown that PsyCap amplifies the link between leadership style and organizational culture, indicating that the 

positive impact of transformational leadership is more substantial in individuals who possess high levels of PsyCap 

(Muhammad, 2022); another study indicated that PsyCap functions as a moderator that improves the positive relationship 

between transformational leadership and innovative work behavior. Elevated PsyCap levels among employees significantly 

bolster the effects of transformational leadership on innovation and task performance. This research suggests that employee 

psychological capital is a valuable asset that enhances the influence of transformational leadership on job outcomes (Saif et 

al., 2024). 



Haryanto et al., Bangladesh Journal of Multidisciplinary Scientific Research 10(3) (2025), 16-25

 

18 

H1 H1 

H2 

As a key measure of organizational success, employee productivity is influenced by several factors, including 

leadership, culture, and individual psychological factors. In the hospital sector, productivity means the quantity of services, 

efficiency, accuracy, and patient satisfaction. A study by Boamah et al. (2018) demonstrated that transformational leadership 

significantly enhanced the productivity of health workers by fostering a favorable work climate and increased engagement 

(Boamah et al., 2018). Furthermore, a strong organizational culture supports employees in maintaining consistent work 

quality and strengthens their sense of belonging (Liang et al., 2022). 

The results suggest a significant connection among transformational leadership, organizational culture, 

psychological Capital (PsyCap), and employee productivity. Nonetheless, the simultaneous exploration of these four 

variables within Indonesian hospitals has not been extensively researched. Consequently, this research aims to investigate 

the impact of transformational leadership on organizational culture and employee productivity, utilizing organizational 

culture as a mediating variable and Psychological Capital (PsyCap) as a moderating factor. Thus, based on these findings, 

the following null and alternative hypotheses were formulated: 

H₀₁: Transformational leadership has no significant influence on employee productivity with organizational culture as a 

mediating variable. 

Hₐ₁: Transformational leadership has a significant influence on employee productivity with organizational culture as a 

mediating variable. 

H₀₂: Transformational leadership has no significant influence on employee productivity with psychological Capital as a 

moderating variable. 

Hₐ₂: Transformational leadership positively affects productivity with employee psychological capital as a moderating 

variable. 

These hypotheses will be tested through empirical investigation to determine the direct, mediating, and moderating effects 

of the variables within the context of a healthcare organization. 

 

 

 

 

 

 

 

 

 

 

 

 

 
 

Figure 1. Conceptual Framework 

 

MATERIALS AND METHODS 
Study Design 

This research uses a multi-source, observational design and adopts a quantitative methodology (Cook & Cook, 2008). 

Employing quantitative research offers a methodical approach to gathering and examining data. Additionally, the 

quantitative research method enables the use of statistical methods to reach dependable conclusions (Faisal-E-Alam, 2024). 

 

Sample Size 

The study population refers to a distinct group of individuals or entities that share common characteristics (Miller & Lengler, 

2025). A random sampling method was used to choose the study population's sampling frame. This sampling frame included 

employees working in healthcare and medical roles at the largest hospitals in two cities, Jakarta and Yogyakarta, Indonesia. 

A formula designed for finite populations was used to calculate the sample size, yielding a sample size of 109 (Permatasari 

et al., 2025). 

 

Measures 

Evaluation of constructs involves a multi-step process using survey data collected through a five-point Likert scale (1 = 

Strongly Disagree to 5 = Strongly Agree). The variables in this study include Transformational Leadership (TL), 

Organizational Culture (OC), Psychological Capital (PsyCap), and Employee Productivity (EP) (Kraiger et al., 1993). 

 

Table 1. Measure the Design of the Questionnaire 

 
Variable Dimension Item Code Design Of Item Sources 

Employee Productivity - EP1 I demonstrate exceptional work 

performance. 

(Van Der Vegt et al., 

2000) 

EP2 I accomplish tasks swiftly and 

effectively. 

EP3 I maintain elevated standards when 

executing tasks. 

Transformational 

Leadership 

Organizational 

Culture 

Psychological 

Capital 

Employee 

Productivity 



Haryanto et al., Bangladesh Journal of Multidisciplinary Scientific Research 10(3) (2025), 16-25

 

19 

EP4 I have reached outstanding levels of 

task performance. 

EP5 I consistently surpass our team's 

goals. 

Transformational 

Leadership 

Vision TLVission My manager articulates a distinct and 
optimistic outlook for the future. 

(Carless et al., 2000) 

Staff Development TLDevelopment My manager recognizes each staff 

member as an individual and provides 

support and encouragement for their 
growth. 

Supportive Leadership TLSupportif My supervisor provides support and 

acknowledges the team's efforts. 

Empowerment TLEmpowerment My manager cultivates an 
environment of trust, involvement, 

and teamwork among colleagues. 

Innovative Thinking TLInnovative My manager motivates us to approach 
problems from different perspectives 

and to challenge long-held beliefs. 

Lead by Example TLExample My supervisor is straightforward 

about his principles and exemplifies 
them in action. 

Charisma TLCharisma My manager fosters a sense of pride 

and respect in others and motivates 
me with their exceptional 

competence. 

Organizational Culture Consistency OCCony1 I possess a collection of 
characteristics that establish a sense 

of belonging to the organization. 

(Denison & Neale, 
2018) 

OCCony2 The responsibilities given to me align 

with my skills and passions. 

OCCony3 The principles upheld by the 

institution align with the 

organization's objectives. 

Involvement OCInt1 This organization inspires and 
involves me. 

OCInt2 The organization guarantees that I 

will contribute to the decision-making 
process. 

OCInt3 We work collaboratively as a team 

within this organization. 

Adaptability OCAdap1 I am able to stay employed at this 
institution for an extended duration. 

OCAdap2 I can gain knowledge from my errors. 

OCAdap3 I can make adjustments in my 

position to accomplish job 
responsibilities. 

Mission OCMion1 I understand the mission of the 

Company. 

OCMion2 I understand the strategic policy 

direction of the Company. 

OCMion3 I understand the objectives of the 

organization. 

Psychological Capital - Psycap1 I assertively represent the branch 
when interacting with others. 

(Supriharyanti et al., 
2024) 

Psycap2 I consider various methods to reach 

my work objectives. 

Psycap3 I envision them achieving success in 
their job. 

Psycap4 I typically handle challenges at work 

in different ways. 

Psycap5 I have a positive outlook on their 
future prospects concerning 

employment. 

Psycap6 I consistently focus on the bright 
aspects of matters concerning their 

job. 

 

Data Collection 

Sampling Technique: The study employed a stratified random sampling technique to collect primary data. Stratification 

was based on hospital departments and professional roles to ensure a diverse representation of respondents. The selected 

hospitals are among the largest in Jakarta and Yogyakarta, Indonesia, providing a comprehensive perspective from diverse 

geographical and organizational contexts. 

 

Data Analysis 

This study utilized the Partial Least Squares (PLS) method for data analysis (Henseler et al., 2016). The choice of PLS was 

motivated by several factors, including its ability to handle small sample sizes and analyze complex models with numerous 



Haryanto et al., Bangladesh Journal of Multidisciplinary Scientific Research 10(3) (2025), 16-25

 

20 

latent variables and indicators (Henseler et al., 2009). Additionally, this method is well-suited for exploratory research and 

does not require specific data distribution assumptions (Huyler & McGill, 2019); PLS is particularly effective for examining 

interaction effects and relationships between variables (Vikrant et al., 2021); it does not necessitate multivariate normal data 

and employs bootstrapping techniques to estimate the significance of path coefficients (Bollen & Stine, 1992). The 

quantitative research employed a questionnaire as the primary instrument for data collection, using a scoring format 

(Mallinckrodt & Wang, 2004). Data processing was conducted using the SmartPLS software, version 4. 

 
Ethical Considerations 

Before giving consent, participants were provided with detailed information about the study, including the title, objectives, 

and methodology. The identities and roles of the participants were kept confidential. The researchers emphasized the 

participants' autonomy, allowing them to withdraw their responses at any stage of the study. After data collection, thorough 

verification was done to correct any omissions or inaccuracies, ensuring optimal precision. The results were presented with 

maximum objectivity, ensuring that the study adhered to strict ethical norms (Faisal-E-Alam, 2024). 

 

RESULTS 

Model testing using the PLS-SEM approach shows that all constructs meet excellent reliability and convergent validity 

criteria. Cronbach's alpha and Composite Reliability (CR) for each latent variable are above 0.7, while the Average Variance 

Extracted (AVE) exceeds 0.5. Specifically, transformational leadership has a Cronbach's alpha of 0.958, a composite 

reliability (CR) of 0.963, and an average variance extracted (AVE) of 0.799. Organizational culture has an alpha of 0.941, 

CR 0.945, and AVE 0.683. Psychological Capital shows an alpha of 0.946, CR 0.949, and AVE 0.789. Employee 

productivity has an alpha of 0.892, CR 0.894, and AVE 0.755. These numbers show that the items are highly consistent 

with each other and that enough variance is considered in each construct. This means that the instrument meets the 

requirements for reliability and convergent validity. 

 

Table 2. Construct Reliability and Validity 

 
 Cronbach’s alpha rho_a Rho_c AVE 

Employee Productivity 0.892 0.894 0.925 0.755 

Organizational Culture 0.941 0.945 0.951 0.683 

Psychological Capital 0.946 0.949 0.957 0.789 

Transformational Leadership 0.958 0.963 0.965 0.799 

Source: SMARTPLS 4 

 

Figure 1 illustrates the outcomes of estimating the structural model using the PLS-SEM method with bootstrapping. 

The analysis results indicate a strong connection between transformational leadership and organizational culture, with a path 

coefficient of 0.796, a t-statistic of 5.786, and a p-value of 0.000 (indicating significance). Additionally, organizational 

culture demonstrates a substantial positive impact on employee productivity, showcasing a path coefficient of 0.725, a t-

statistic of 5.786, and a p-value of 0.000 (indicating significance). When examining the direct relationship between 

transformational leadership and employee productivity, after factoring in organizational culture as a mediator, the resulting 

path coefficient is minimal (0.000) with a t-statistic of 0.000, signaling that this direct relationship lacks significance. 

Furthermore, analyzing the effect of psychological Capital on the relationship between transformational leadership and 

employee productivity yields a path coefficient of 0.034, a t-statistic of 1.166, and a p-value of 0.244.  

 

Table 3. Hypothesis test  

 
 Original Sample (0) Sample Mean 

(M) 

STDEV T Statistics (|0/STDEV|) P Values 

Transformational Leadership -> 

Organizational Culture -> Employee 

Productivity 

0.577 0.579 0.100 5.786 0.000 

Psychological Capital x Transformational 

Leadership -> Employee Productivity 

0.066 0.059 0.056 1.166 0.244 

Source: SMARTPLS 4 

 

These results indicate that the moderating effect of psychological Capital in this relationship is not statistically 

significant. The coefficient of determination (R²) values obtained from the model are as follows: The R² value for the 

organizational culture variable is 0.633, indicating that 63.3% of the variation in organizational culture is explained by 

transformational leadership. At the same time, the R² value for the employee productivity variable is 0.596, meaning that 

59.6% of the variation in employee productivity is explained by organizational culture and the moderating effect of 

psychological Capital. These results present empirical data from the structural model without providing a theoretical 

interpretation; the next section will discuss this interpretation in more detail. 

 

 

 

 

 



Haryanto et al., Bangladesh Journal of Multidisciplinary Scientific Research 10(3) (2025), 16-25

 

21 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 

 

 
 

 

 
 

 

 

 

Figure 2. Second Stage Bootstrapping Test 
Source: SMARTPLS 4 

 

Interpret the above study's results within the context of the healthcare organization under study. In general, the 

findings support the critical role of organizational culture as a mediator, showing that psychological Capital has no 

significant moderating effect. First, it can be concluded that H₀₁ is rejected and Hₐ₁ is accepted, indicating that organizational 

culture mediates the relationship between transformational leadership and employee productivity. Effective transformational 

leadership fosters a strong organizational culture, which in turn encourages increased employee productivity. This mediation 

significantly reduces the direct influence of leadership on productivity. The evidence suggests that transformational 

leadership may not optimally impact productivity without fostering a conducive organizational culture. In the context of a 

healthcare organization, a transformational leader who can instill positive values, a shared vision, a teamwork ethic, and 

high service standards will create an organizational culture that supports performance. A culture focused on superior service 

and collaboration motivates employees to work more productively, thereby enhancing the quality and efficiency of health 

services. This approach aligns with the organizational logic that improving internal culture will enhance operational 

performance; higher employee productivity leads to greater service output and more efficient use of resources, ultimately 

benefiting the organization economically. 

Additionally, the results show that H₀₂ is not supported, indicating that psychological Capital does not influence 

how transformational leadership affects employee productivity. In other words, differences in the level of psychological 

Capital among employees do not significantly alter the magnitude of the effect of transformational leadership on 

productivity. For both employees with high and low psychological Capital, the transformational leadership style of leaders 

has a relatively similar impact on their productivity. These results in healthcare organizations imply that leadership efforts 

to improve employee productivity will be equally effective across groups of employees, regardless of differences in their 

psychological Capital. One possible explanation is that transformational leadership in healthcare environments has such a 

strong and pervasive influence (e.g., through inspiring vision and role models) that each employee is motivated to increase 

productivity at a relatively homogeneous level. Individual psychological capital factors, such as optimism, self-confidence, 

and resilience, may still play a direct role in employee daily performance but do not specifically strengthen or weaken the 

impact of transformational leadership. Thus, leaders' primary focus should be on building a culture and system that 

encourages all employees to be productive while also developing employee psychological capital as a general supporting 

factor. 

From a managerial and organizational perspective, the results of this study provide clear strategic directions for 

future action. First, investing in the development of transformational leadership and organizational culture is crucial for 

enhancing performance and productivity in healthcare organizations. Leaders must act as change agents who instill positive 

organizational values, as their impact on employee productivity is mediated through cultural improvements. This step has 

economic justification: a strong work culture will foster service consistency, reduce employee turnover, and enhance 

operational efficiency, all of which contribute to the organization's long-term financial performance. Despite a lack of 

evidence linking employee psychological capital to leadership effects, it remains a valuable intangible asset for 

organizations. Employees with high psychological Capital are generally more innovative, stress-resistant, and proactive. 

Therefore, organizations need to continue supporting and developing psychological Capital (for example, through self-

development training or employee wellness programs), not solely as a lever for leadership effectiveness, but as an effort to 

directly improve employee productivity and work quality. The combination of strong transformational leadership, a 

conducive organizational culture, and human resources with high psychological power is believed to produce optimal 

healthcare performance. In other words, the findings of this study emphasize the importance of a holistic approach: Leaders 



Haryanto et al., Bangladesh Journal of Multidisciplinary Scientific Research 10(3) (2025), 16-25

 

22 

must build a positive culture as a medium for change while ensuring that each employee has a high psychological capacity 

and motivation to contribute productively. This strategy is believed to sustainably increase employee productivity and 

provide a positive economic impact for the healthcare organization. 

 

DISCUSSIONS 

Based on the findings from SmartPLS, there is a significant mediating effect between organizational culture and the 

influence of transformational leadership on employee productivity, demonstrated by a T-statistic of 5.786 and a p-value of 

0.000 (p < 0.05). Conversely, a p-value of 0.244 (p > 0.05) and a T-statistic of 1.166 indicate that the secondary hypothesis, 

suggesting that psychological Capital impacts the link between transformational leadership and employee productivity, is 

not validated. With a T-statistic of 1.166 and a p-value of 0.244 (p > 0.05), it is evident that the secondary hypothesis that 

psychological Capital affects the relationship between transformational leadership and employee productivity is not 

supported. Further analysis shows that psychological Capital may lack sufficient strength to influence the connection 

between transformational leadership and productivity. This could be attributed to similar PsyCap levels among respondents 

or the possibility that the impact of leadership is so substantial that it does not rely on differences in PsyCap. 

The findings of this research offer a deep insight into how organizational culture and psychological Capital 

influence the connection between transformational leadership and employee productivity within the healthcare sector. In 

particular, the analysis reveals that organizational culture significantly mediates this relationship. This conclusion is 

supported by a high path coefficient of 0.577, a t-statistic of 5.786, and a p-value below 0.05. This result aligns with earlier 

research by Bass and Avolio (1994), which highlighted that transformational leaders affect employee performance indirectly 

by fostering a supportive, motivating, and efficient work environment. Consequently, the transformational leadership 

approach has effectively promoted values and behaviors that cultivate a positive organizational culture, ultimately enhancing 

employee productivity (Bass & Avolio, 1994). 

In contrast, this research revealed that psychological Capital did not significantly moderate the link between 

transformational leadership and employee productivity. The low interaction path coefficient of 0.066, a t-statistic of 1.166, 

and a p-value exceeding 0.05 support this conclusion. This result differs from earlier studies, such as those by Alessandri et 

al. (2018), which suggested that psychological Capital plays a critical moderating role in the relationship between leadership 

and performance (Alessandri et al., 2018). This difference in results is likely due to the specific context of the hospital 

organization studied, where organizational culture factors appear more dominant in influencing productivity than individual 

psychological characteristics. Additionally, the transformational leadership style in this context may not have had a 

significant influence on employee psychological capital, thereby creating a minimal moderating effect. 

According to Anderson and Gerbing (1988) and Hair et al. (2019 

), the strong two-stage PLS-SEM analysis used in this study helps explain the complicated relationships between 

the variables. This conclusion is evident from the high R² values for organizational culture (0.633) and employee 

productivity (0.596), which indicate the good predictive power of the theoretical model in this study. However, the fact that 

psychological Capital did not have a significant moderating effect raises new questions about how psychological traits and 

factors in the work environment affect each other (Anderson & Gerbing, 1988; Hair et al., 2019). 

Compared to previous studies, this study's results reinforce the significant role of organizational culture, as noted 

by Hartnell et al. (2016). However, they also raise doubts about the effectiveness of psychological Capital as a moderator 

in this specific context. These findings contribute to the broader discussion on transformational leadership by highlighting 

the need for a comprehensive approach that considers individual and organizational dimensions to improve productivity 

(Hartnell et al., 2016). 

Practically, this study's implications suggest that hospital management should place greater emphasis on 

strengthening organizational culture through transformational leadership as a primary strategy for improving productivity. 

However, developing psychological Capital remains important, although its moderating effect was not proven significant in 

this study. More research should be conducted to gain a deeper understanding of the factors that influence this relationship, 

such as the specific situations or conditions that may enhance the effectiveness of psychological Capital as a moderator. 

. 

CONCLUSIONS  

This research explores the relationship among transformational leadership, organizational culture, psychological Capital, 

and employee productivity within a hospital setting. The findings reveal that organizational culture significantly mediates 

and enhances the connection between transformational leadership and employee productivity. Conversely, psychological 

Capital was not found to have a notable moderating effect on this relationship, suggesting that its impact in this scenario is 

comparatively minimal. 

Overall, this research revealed that organizational culture plays a vital role in mediating the beneficial effects of 

transformational leadership on employee productivity. This result highlights the crucial role of transformational leaders in 

creating a supportive work environment that promotes collaboration, innovation, and employee engagement, ultimately 

enhancing the organization's overall performance. 

This study's distinctive contribution is the explicit recognition of how organizational culture acts as a crucial 

mediator between leadership style and productivity, particularly within the hospital setting. Theoretically, this finding 

enhances our understanding of the mechanisms by which leadership style can effectively influence productivity by fostering 

a strong organizational culture. Managerially, this study offers practical recommendations for hospital management to 

develop leadership programs more intensively, thereby supporting the formation of a conducive and productive 

organizational culture. 



Haryanto et al., Bangladesh Journal of Multidisciplinary Scientific Research 10(3) (2025), 16-25

 

23 

Nonetheless, this research has multiple limitations, including the adoption of a cross-sectional design that restricts 

the capacity to infer causal relationships definitively. Additionally, the study's specific context within a particular region's 

hospital industry may impact the generalizability of the study's results. 

We suggest employing a longitudinal methodology in future studies to enhance our comprehension of how the 

relationship between variables evolves. Future research could investigate different organizational settings or industry sectors 

to determine whether these results are consistent across various contexts. Furthermore, examining supplementary variables 

such as job satisfaction or organizational commitment may yield a deeper understanding of the processes that influence the 

connection between leadership style and employee productivity. 

In closing, this study confirms that organizational culture is a central element in leadership dynamics, offers 

practical guidance for hospital management, and opens up opportunities for further research on various psychological and 

organizational factors that drive improved employee performance. 

 
 
Author Contributions: Conceptualization, B.H.; Methodology, S. and Y.D.L; Software, B.H.; Validation, Y.D.L.; Formal Analysis, B.H., S., Y.D.L. and 

K.M.; Investigation, S. and Y.D.L.; Resources, B.H.; Data Curation, K.M.; Writing –Original Draft Preparation, B.H., S., Y.D.L. and K.M.; Writing –

Review & Editing, S., Y.D.L. and K.M.; Visualization, B.H.; Supervision, S., Y.D.L. and K.M; Project Administration, B.H.; Funding Acquisition, B.H. 
Authors have read and agreed to the published version of the manuscript.  

Institutional Review Board Statement: Ethical review and approval were not required for this study as it does not involve vulnerable groups or sensitive 

issues. 
Funding: Authors received no funding for this research.  

Acknowledgments: Not applicable 

Informed Consent Statement: Informed consent was obtained from all subjects involved in the study. 
Data Availability Statement: The data presented in this study are available on request from the corresponding author. The data are not publicly available 

due to restrictions.  
Conflicts of Interest: The authors declare no conflict of interest.      

 

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