Ethical leadership and organizational excellence: the mediating role of citizenship behavior in healthcare

Fahad Saeed Almanbahi, Abdelrehim Awad (), Adel Ghonim, Nabil Mohammed Alabsy and Mohamed Shemais
Additional contact information
Fahad Saeed Almanbahi: Deputy chief of Pharmacy in King Abdullah hospital
Abdelrehim Awad: University of Bisha
Adel Ghonim: University of Bisha
Nabil Mohammed Alabsy: University of Bisha
Mohamed Shemais: Sadat Academy for Management Sciences

Palgrave Communications, 2025, vol. 12, issue 1, 1-14

Abstract: Abstract This study examines the effect of ethical leadership on organizational healthcare excellence, and organizational citizenship behavior is used as an intervening variable. The study explores how ethical leadership components, such as integrity, employee orientation, and ethical direction, are associated with hospital performance excellence, addressing a gap in research on leadership in Middle Eastern healthcare organizations. Data were collected using a standardized questionnaire from 300 King Abdullah Hospital regular employees in Bisha, Saudi Arabia, using simple random sampling. Structural equation modeling aided by Stata was employed to analyze the data. The findings are that ethical leadership affects organizational citizenship behavior and organizational excellence positively with statistically significant effects. organizational citizenship behavior was a poor mediator between excellence and ethical leadership and provided evidence that, besides voluntary employee behavior, ethical leadership also has various other psychological or structural mediators. Amongst the organizational citizenship behavior dimensions, sportsmanship and civic virtue were highly correlated with their underlying construct, and the model fit indices showed that model measurement and structure were good. The strategic benefit of ethical leadership to organizational performance and climate is transferable to healthcare. In terms of managerial suggestion, findings merit the application of reward schemes and leadership development programs that reward ethical behavior and discretionary effort. Such programs are most likely to induce long-lasting excellence in healthcare organizations, particularly in reform-focused environments such as Saudi Arabia. Future research is invited to examine other situation variables and mediator factors influencing the ethical leadership–performance relationship.

Date: 2025
References: Add references at CitEc
Citations:

Downloads: (external link)
http://link.springer.com/10.1057/s41599-025-05743-6 Abstract (text/html)
Access to full text is restricted to subscribers.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:pal:palcom:v:12:y:2025:i:1:d:10.1057_s41599-025-05743-6

Ordering information: This journal article can be ordered from
https://www.nature.com/palcomms/about

DOI: 10.1057/s41599-025-05743-6

Access Statistics for this article

More articles in Palgrave Communications from Palgrave Macmillan
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().