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Transformational Leadership as a Job Resource in Healthcare Service Systems: Evidence from Hospitals in Yemen

Journal of Logistics, Informatics and Service Science | 2026

Paper Details

Authors: Al-Hajj A.M.K.N.; Al-Sufyani A.M.A.

DOI: 10.33168/JLISS.2026.0107

Journal: Journal of Logistics, Informatics and Service Science

Year: 2026

Publisher: Success Culture Press

Document Type: Article

Open Access: All Open Access; Gold Open Access

Cited by: 1

Abstract

The resilience of healthcare service systems in conflict-affected contexts depends critically on employee performance to sustain service continuity under extreme operational pressure. Drawing on the Job Demands–Resources (JD-R) model and service science, this study conceptualizes hospitals as complex service systems and examines transformational leadership as a bundle of job resources that buffer excessive job demands and support service delivery. Survey data were collected from 228 employees across private hospitals in Yemen and analyzed using covariance-based structural equation modeling (CB-SEM). The results show that inspirational motivation (β = 0.287, p = 0.032) and individualized consideration (β = 0.298, p = 0.029) have significant positive effects on employee performance, jointly explaining 38% of its variance. In contrast, idealized influence and intellectual stimulation do not exhibit significant direct effects. These findings indicate that, in crisis-affected healthcare service systems, leadership behaviors that provide a shared sense of purpose and individualized support function as critical coordinative and motivational resources, whereas charismatic role modeling and cognitive stimulation are less salient under conditions of extreme demand. By integrating leadership theory with the JD-R model and a service-system perspective, this study contributes to service science by identifying which leadership resources most effectively sustain human performance and operational resilience in fragile healthcare systems. The results offer evidence-based guidance for healthcare service management, highlighting targeted leadership development as a strategic intervention to stabilize workforce performance and maintain service continuity in conflict settings. © 2026, Success Culture Press. All rights reserved.

Keywords

Crisis-Affected Service Systems; Employee Performance; Healthcare Service Systems; Job Demands– Resources (JD-R) Model; Service Operations and Resilience; Transformational Leadership