Enhancing Work Motivation Through Transformational Leadership and Change Readiness in Health Workers During Digital Era Transitions

Ellynia Ellynia, Andrianto Widjaja, yarwin yari, Khalida Ziah Sibualamu, Rizqa Wahdini, Sarah Geltri Harahap

Abstract


Digital transformation in healthcare requires adaptive leadership and a workforce equipped to navigate ongoing organizational change. This study investigates the relationship between transformational leadership, readiness for change, and work motivation among healthcare professionals in Indonesia. A cross-sectional quantitative design was employed, involving 216 participants from five private hospitals selected through purposive sampling. Data were collected using a validated questionnaire assessing transformational leadership, readiness for change, and work motivation, and analyzed using Spearman’s rank correlation. Findings revealed that most respondents perceived transformational leadership at a moderate level, exhibited high readiness for change, and reported moderate to high levels of work motivation. Significant positive correlations were identified between transformational leadership and work motivation (r = 0.501; p < 0.001), transformational leadership and readiness for change (r = 0.528; p < 0.001), and between work motivation and readiness for change (r = 0.647; p < 0.001)These results underscore the pivotal role of transformational leadership in enhancing employee motivation and fostering change readiness within healthcare settings. Strengthening leadership competencies, particularly in inspirational motivation, individualized consideration, and intellectual stimulation, is vital for the successful implementation of digital transformation initiatives. The study highlights the importance of structured leadership development and institutional support in cultivating a motivated, adaptable, and innovation-oriented healthcare workforce.

 

Keyword: Digital Transformation, Healthcare Workforce, Readiness To Change, Transformational Leadership, Work Motivation


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AlNuaimi, B. K., Kumar Singh, S., Ren, S., Budhwar, P., & Vorobyev, D. (2022). Mastering digital transformation: The nexus between leadership, agility, and digital strategy. Journal of Business Research, 145(September 2021), 636–648. https://doi.org/10.1016/j.jbusres.2022.03.038

Alqudah, I. H. A., Carballo-Penela, A., & Ruzo-Sanmartín, E. (2022). High-performance human resource management practices and readiness for change: An integrative model including affective commitment, employees’ performance, and the moderating role of hierarchy culture. European Research on Management and Business Economics, 28(1). https://doi.org/10.1016/j.iedeen.2021.100177

Alsadaan, N., Salameh, B., Reshia, F. A. A. E., Alruwaili, R. F., Alruwaili, M., Awad Ali, S. A., Alruwaili, A. N., Hefnawy, G. R., Alshammari, M. S. S., Alrumayh, A. G. R., Alruwaili, A. O., & Jones, L. K. (2023). Impact of Nurse Leaders Behaviors on Nursing Staff Performance: A Systematic Review of Literature. Inquiry (United States), 60. https://doi.org/10.1177/00469580231178528

Ángeles López-Cabarcos, M., Vázquez-Rodríguez, P., & Quiñoá-Piñeiro, L. M. (2022). An approach to employees’ job performance through work environmental variables and leadership behaviours. Journal of Business Research, 140, 361–369. https://doi.org/10.1016/j.jbusres.2021.11.006

Arruum, D., Setyowati, Handiyani, H., & Artono Koestoer, R. (2024). Nurses’ Job Satisfaction Regarding the Use of Health Technology: A Survey Study. Jurnal Keperawatan Indonesia, 27(1), 47–58. https://doi.org/10.7454/jki.v27i1.1076

Atanassova, I., Bednar, P., Khan, H., & Khan, Z. (2025). Managing the VUCA environment: The dynamic role of organizational learning and strategic agility in B2B versus B2C firms. Industrial Marketing Management, 125(December 2024), 12–28. https://doi.org/10.1016/j.indmarman.2024.12.008

Aviat. (2024). Tingkat implementasi rekam medis elektronik di Indonesia masih rendah. Aviat. https://aviat.id/tingkat-implementasi-rekam-medis-elektronik-di-indonesia-masih-rendah/

Bakker, A. B., Hetland, J., Kjellevold Olsen, O., & Espevik, R. (2023). Daily transformational leadership: A source of inspiration for follower performance? European Management Journal, 41(5), 700–708. https://doi.org/10.1016/j.emj.2022.04.004

Borges do Nascimento, I. J., Abdulazeem, H., Vasanthan, L. T., Martinez, E. Z., Zucoloto, M. L., Østengaard, L., Azzopardi-Muscat, N., Zapata, T., & Novillo-Ortiz, D. (2023). Barriers and facilitators to utilizing digital health technologies by healthcare professionals. Npj Digital Medicine, 6(1), 1–28. https://doi.org/10.1038/s41746-023-00899-4

Bunjak, A., Bruch, H., & Černe, M. (2022). Context is key: The joint roles of transformational and shared leadership and management innovation in predicting employee IT innovation adoption. International Journal of Information Management, 66(February 2021). https://doi.org/10.1016/j.ijinfomgt.2022.102516

Cheng, E. C. K., & Wang, T. (2023). Leading digital transformation and eliminating barriers for teachers to incorporate artificial intelligence in basic education in Hong Kong. Computers and Education: Artificial Intelligence, 5(October). https://doi.org/10.1016/j.caeai.2023.100171

Chuang, Y. T., Chiang, H. L., & Lin, A. P. (2025). Insights from the Job Demands–Resources Model: AI’s dual impact on employees’ work and life well-being. International Journal of Information Management, 83(February). https://doi.org/10.1016/j.ijinfomgt.2025.102887

Edo, O. C., Ang, D., Etu, E. E., Tenebe, I., Edo, S., & Diekola, O. A. (2023). Why do healthcare workers adopt digital health technologies - A cross-sectional study integrating the TAM and UTAUT model in a developing economy. International Journal of Information Management Data Insights, 3(2). https://doi.org/10.1016/j.jjimei.2023.100186

Ekawarna, Anra, Y., Yuliandra, & Lela. (2022). Analysis Of The Influence Of Organizational Culture, Transformational Leadership Behavior, And Psychological Capital On Readiness For Change In Elementary School Teachers. American Journal of Humanities and Social Sciences Research, 6(10), 60–74.

ERFANI, G., McCREADY, J., GIBSON, B., NICHOL, B., UNSWORTH, J., JARVA, E., MIKKONEN, K., & TOMIETTO, M. (2025). Factors influencing digital health competence among healthcare professionals: A cross-sectional study. Applied Nursing Research, 82(November 2024). https://doi.org/10.1016/j.apnr.2025.151922

Fahmiyah, I., Utami, I. Q., Ningrum, R. A., Fakhruzzaman, M. N., Pratama, A. I., & Triangga, Y. M. (2023). Examining the Effect of Teacher’s Age Difference on Learning Technology Adoption Using Technology Acceptance Model. AIP Conference Proceedings, 2536(May). https://doi.org/10.1063/5.0123943

Ferreira, J. C., Elvas, L. B., Correia, R., & Mascarenhas, M. (2025). Empowering Health Professionals with Digital Skills to Improve Patient Care and Daily Workflows. Healthcare (Switzerland), 13(3), 1–20. https://doi.org/10.3390/healthcare13030329

Fredberg, T., & Pregmark, J. E. (2022). Organizational transformation: Handling the double-edged sword of urgency. Long Range Planning, 55(2). https://doi.org/10.1016/j.lrp.2021.102091

Gedikci Ondogan, A., Sargin, M., & Canoz, K. (2023). Use of electronic medical records in the digital healthcare system and its role in communication and medical information sharing among healthcare professionals. Informatics in Medicine Unlocked, 42(October). https://doi.org/10.1016/j.imu.2023.101373

Gil-gomez, H. (2023). Sustainable Technology and Entrepreneurship. Sustainable Technology and Entrepreneurship, 2(1), 100030.

Handayani, P. W., Indriani, R., & Pinem, A. A. (2021). Mobile health readiness factors: From the perspectives of mobile health users in Indonesia. Informatics in Medicine Unlocked, 24(February). https://doi.org/10.1016/j.imu.2021.100590

Herminingsih, A. (2020). Transformational leadership positive influence toward employee engagement through job satisfaction and its effect on improving organizational commitment. Jurnal Manajemen Dan Pemasaran Jasa, 13(2), 281–296. https://doi.org/10.25105/jmpj.v13i2.6290

Islam, M. N., Furuoka, F., & Idris, A. (2021). Mapping the relationship between transformational leadership, trust in leadership and employee championing behavior during organizational change. Asia Pacific Management Review, 26(2), 95–102. https://doi.org/10.1016/j.apmrv.2020.09.002

Iyanna, S., Kaur, P., Ractham, P., Talwar, S., & Najmul Islam, A. K. M. (2022). Digital transformation of healthcare sector. What is impeding adoption and continued usage of technology-driven innovations by end-users? Journal of Business Research, 153(February), 150–161. https://doi.org/10.1016/j.jbusres.2022.08.007

Javaid, M., Haleem, A., & Singh, R. P. (2024). Health informatics to enhance the healthcare industry’s culture: An extensive analysis of its features, contributions, applications and limitations. Informatics and Health, 1(2), 123–148. https://doi.org/10.1016/j.infoh.2024.05.001

Jeilani, A., & Hussein, A. (2025). Impact of digital health technologies adoption on healthcare workers’ performance and workload: perspective with DOI and TOE models. BMC Health Services Research, 25(1), 271. https://doi.org/10.1186/s12913-025-12414-4

Jemimut, M., Amaral, A. M., & Piedade, R. (2024). Transformational Leadership and Organizational Commitment : Exploring Work Motivation as the Mediator in private universities ,. 6(2), 52–63.

Jun, K., & Lee, J. (2023). Transformational Leadership and Followers’ Innovative Behavior: Roles of Commitment to Change and Organizational Support for Creativity. Behavioral Sciences, 13(4), 1–19. https://doi.org/10.3390/bs13040320

Karimi, S., Ahmadi Malek, F., Yaghoubi Farani, A., & Liobikienė, G. (2023). The Role of Transformational Leadership in Developing Innovative Work Behaviors: The Mediating Role of Employees’ Psychological Capital. Sustainability (Switzerland), 15(2), 1–21. https://doi.org/10.3390/su15021267

Kaur Bagga, S., Gera, S., & Haque, S. N. (2023). The mediating role of organizational culture: Transformational leadership and change management in virtual teams. Asia Pacific Management Review, 28(2), 120–131. https://doi.org/10.1016/j.apmrv.2022.07.003

Klein, G. (2023). Transformational and transactional leadership, organizational support and environmental competition intensity as antecedents of intrapreneurial behaviors. European Research on Management and Business Economics, 29(2). https://doi.org/10.1016/j.iedeen.2023.100215

Kludacz-Alessandri, M., Hawrysz, L., Żak, K., & Zhang, W. (2025). The impact of digital transformational leadership on digital intensity among primary healthcare entities: a moderated mediation model. BMC Health Services Research, 25(1), 117. https://doi.org/10.1186/s12913-025-12283-x

Laakkonen, N., Jarva, E., Hammarén, M., Kanste, O., Kääriäinen, M., Oikarinen, A., & Mikkonen, K. (2024). Digital Competence among Healthcare Leaders: A Mixed-Methods Systematic Review. Journal of Nursing Management, 2024. https://doi.org/10.1155/2024/8435248

Laukka, E., Pölkki, T., & Kanste, O. (2022). Leadership in the context of digital health services: A concept analysis. Journal of Nursing Management, 30(7), 2763–2780. https://doi.org/10.1111/jonm.13763

Mansour, A., Rowlands, hefin, Al-Gasawneh, J. A., Nusairat, N. M., Al-Qudah, S., Shrouf, H., & Akhorshaideh, A. H. (2022). Perceived benefits of training, individual readiness for change, and affective organizational commitment among employees of national jordanian banks. Cogent Business and Management, 9(1), 1–27. https://doi.org/10.1080/23311975.2021.1966866

Mansour, S., & Nogues, S. (2022). Advantages of and Barriers to Crafting New Technology in Healthcare Organizations: A Qualitative Study in the COVID-19 Context. International Journal of Environmental Research and Public Health, 19(16). https://doi.org/10.3390/ijerph19169951

Mauro, M., Noto, G., Prenestini, A., & Sarto, F. (2024). Digital transformation in healthcare: Assessing the role of digital technologies for managerial support processes. Technological Forecasting and Social Change, 209(July 2023). https://doi.org/10.1016/j.techfore.2024.123781

Mazzetti, G., & Schaufeli, W. B. (2022). The impact of engaging leadership on employee engagement and team effectiveness: A longitudinal, multi-level study on the mediating role of personal- and team resources. PLoS ONE, 17(6 June), 1–25. https://doi.org/10.1371/journal.pone.0269433

Mutmainah, M., Vanchapo, A. R., & Wawo, B. A. M. (2023). Work Motivation Affects the Performance of Health Workers. Journal of World Future Medicine, Health and Nursing, 1(1), 23–33. https://doi.org/10.55849/health.v1i1.131

Nair Subramanian, S., & Banihashemi, S. (2024). Towards modern leadership styles in the context of the engineering sector. Project Leadership and Society, 5(May). https://doi.org/10.1016/j.plas.2024.100133

Nguyen, N. P., Hang, N. T. T., Hiep, N., & Flynn, O. (2023). Does transformational leadership influence organisational culture and organisational performance: Empirical evidence from an emerging country. IIMB Management Review, 35(4), 382–392. https://doi.org/10.1016/j.iimb.2023.10.001

Nugroho Akimas, H., & Claudia, M. (2024). Leadership Dynamics of Generations Y and Z from a Behavioral Theory Perspective. International Journal of Asian Business and Management, 3(3), 237–248.

Paul, M., Maglaras, L., Ferrag, M. A., & Almomani, I. (2023). Digitization of healthcare sector: A study on privacy and security concerns. ICT Express, 9(4), 571–588. https://doi.org/10.1016/j.icte.2023.02.007

Poudel, S., Kaphle, H. P., Parajuli, S., & Poudel, A. (2025). Work motivation and job satisfaction among local government health workers in Chitwan , Nepal : a cross- ­ sectional study. 1–11. https://doi.org/10.1136/bmjph-2024-001736

Qiao, G., Li, Y., & Hong, A. (2024). The Strategic Role of Digital Transformation: Leveraging Digital Leadership to Enhance Employee Performance and Organizational Commitment in the Digital Era. Systems, 12(11). https://doi.org/10.3390/systems12110457

Ramachandran, S., Balasubramanian, S., James, W. F., & Al Masaeid, T. (2024). Whither compassionate leadership? A systematic review. In Management Review Quarterly (Vol. 74, Issue 3). https://doi.org/10.1007/s11301-023-00340-w

Ramadan, M., Bou Zakhem, N., Baydoun, H., Daouk, A., Youssef, S., El Fawal, A., Elia, J., & Ashaal, A. (2023). Toward Digital Transformation and Business Model Innovation: The Nexus between Leadership, Organizational Agility, and Knowledge Transfer. Administrative Sciences, 13(8). https://doi.org/10.3390/admsci13080185

Ranasinghe, T., Grosse, E. H., Glock, C. H., & Jaber, M. Y. (2024). Never too late to learn: Unlocking the potential of aging workforce in manufacturing and service industries. International Journal of Production Economics, 270(December 2023). https://doi.org/10.1016/j.ijpe.2024.109193

Raoush, A. (2023). Transformational leadership impact on innovative behaviour as perceived by healthcare workers in private hospitals in Jordan. Cogent Business and Management, 10(3). https://doi.org/10.1080/23311975.2023.2265606

Rehmani, M., Farheen, N., Khokhar, M. N., Khalid, A., Dalain, A. F., & Irshad, H. (2023). How Does Transformational Leadership Stimulate Employee Innovative Behavior? A Moderated Mediation Analysis. SAGE Open, 13(3), 1–14. https://doi.org/10.1177/21582440231198401

Renukappa, S., Mudiyi, P., Suresh, S., Abdalla, W., & Subbarao, C. (2022). Evaluation of challenges for adoption of smart healthcare strategies. Smart Health, 26(September). https://doi.org/10.1016/j.smhl.2022.100330

Rousseau, D. M. (2022). Evidence - based change management ☆. 51.

Sacavém, A., de Bem Machado, A., dos Santos, J. R., Palma-Moreira, A., Belchior-Rocha, H., & Au-Yong-Oliveira, M. (2025). Leading in the Digital Age: The Role of Leadership in Organizational Digital Transformation. Administrative Sciences, 15(2). https://doi.org/10.3390/admsci15020043

Saharudin, S., Sulistiyo, U., Meditamar, M. O., & Kristiyono, S. (2024). Internal communication as a mediator in the relationship between transformational leadership and academic staff ’ s readiness for change in higher education. 10(4), 71–82.

Saif, N., Amelia, Goh, G. G. G., Rubin, A., Shaheen, I., & Murtaza, M. (2024). Influence of transformational leadership on innovative work behavior and task performance of individuals: The mediating role of knowledge sharing. Heliyon, 10(11). https://doi.org/10.1016/j.heliyon.2024.e32280

Schiuma, G., Santarsiero, F., Carlucci, D., & Jarrar, Y. (2024). Transformative leadership competencies for organizational digital transformation. Business Horizons, 67(4), 425–437. https://doi.org/10.1016/j.bushor.2024.04.004

Sistare, S. C., & Doan, R. J. (2022). Overcoming Resistance Through Organizational Change Models and Leadership Strategies. 1–194.

Steenkamp, I., Peltonen, L. M., & Chipps, J. (2025). Digital health readiness - insights from healthcare leaders in operational management: a cross-sectional survey. BMC Health Services Research, 25(1), 240. https://doi.org/10.1186/s12913-024-12129-y

Stoumpos, A. I., Kitsios, F., & Talias, M. A. (2023). Digital Transformation in Healthcare: Technology Acceptance and Its Applications. International Journal of Environmental Research and Public Health, 20(4). https://doi.org/10.3390/ijerph20043407

Syarif, B. S., Raharjo, K., Ruhana, I., & Nurtjahjono, G. E. (2024). Navigating readiness for change: exploring the influence of authentic leadership, culture, learning and internal locus of control. Cogent Business and Management, 11(1). https://doi.org/10.1080/23311975.2024.2433170

Sypniewska, B., Baran, M., & Kłos, M. (2023). Work engagement and employee satisfaction in the practice of sustainable human resource management – based on the study of Polish employees. In International Entrepreneurship and Management Journal (Vol. 19, Issue 3). https://doi.org/10.1007/s11365-023-00834-9

van Houwelingen, T., Meeuse, A. C. M., & Kort, H. S. M. (2024). Enabling nurses’ engagement in the design of healthcare technology – Core competencies and requirements: A qualitative study. International Journal of Nursing Studies Advances, 6(November 2023). https://doi.org/10.1016/j.ijnsa.2023.100170

Veli Korkmaz, A., van Engen, M. L., Knappert, L., & Schalk, R. (2022). About and beyond leading uniqueness and belongingness: A systematic review of inclusive leadership research. Human Resource Management Review, 32(4). https://doi.org/10.1016/j.hrmr.2022.100894

Vo, T. T. D., Tuliao, K. V., & Chen, C. W. (2022). Work Motivation: The Roles of Individual Needs and Social Conditions. Behavioral Sciences, 12(2). https://doi.org/10.3390/bs12020049

Vuchkovski, D., Zalaznik, M., Mitręga, M., & Pfajfar, G. (2023). A look at the future of work: The digital transformation of teams from conventional to virtual. Journal of Business Research, 163(January 2022). https://doi.org/10.1016/j.jbusres.2023.113912

World Health Organization. (2020a). Digital education for building health workforce capacity. https://www.who.int/publications/i/item/9789240000476

World Health Organization. (2020b). Value gender and equity in the global health workforce. https://www.who.int/activities/value-gender-and-equity-in-the-global-health-workforce

Ystaas, L. M. K., Nikitara, M., Ghobrial, S., Latzourakis, E., Polychronis, G., & Constantinou, C. S. (2023). The Impact of Transformational Leadership in the Nursing Work Environment and Patients’ Outcomes: A Systematic Review. Nursing Reports, 13(3), 1271–1290. https://doi.org/10.3390/nursrep13030108




DOI: http://dx.doi.org/10.30829/contagion.v7i2.24394

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