A Critical Analysis of Transformational Leadership and How It Can Improve Culture and Service Outcomes Within the Health Care System - Mohajer-Bastami, A.; Moin, S.; Ahmed, A. R.; Patel, B.; Pouwels, S.; Ahmed, S.; Prager, G.; Head, M.; Lala, A.; Shikora, S.; Yang, W.; Khalil, M.; et al. (Journal of patient safety, 2025)
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. © © 2025 Wolters Kluwer Health, Inc. All rights reserved.
Keywords: journalArticle; COVID-19; Delivery of Health Care; Health Personnel; Humans; SARS-CoV-2; Severe acute respiratory syndrome coronavirus 2; blame culture; coronavirus disease 2019; health care culture; health care delivery; health care personnel; human; interdisciplinary collaboration; leadership; leadership development; organization and management; organizational change; organizational culture; transformational leadership