ArticleBMC health services research2026
Assessment of the relationships between leader behavior, organizational silence, work engagement, and extra role behaviors in hospitals.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Hospitals are institutions that provide highly specialized services in the face of various challenges, often in environments where there are insufficient human resources. Such an environment makes it necessary and important for employees to voluntarily go beyond their defined roles and exert extra effort. In this context, the research was conducted to examine the effect of leader behavior on extra-role behaviors, as well as the serial and parallel mediating effects of organizational silence and work engagement in this relationship. First, the R.I.G.H.T. (initials letters of dimensions) leadership model, a leader behavior model that addresses psychologically healthy workplaces from a transformational leadership perspective, was adapted into Turkish. Data were collected from 176 physicians and nurses working in a university hospital for the adaptation study. The data for the main research were collected from 307 physicians and nurses working in a public training and research hospital and a private hospital in Trabzon. The hypotheses in the research model were tested using the SPSS program with the PROCESS Macro add-on. As a result of the study, it was found that R.I.G.H.T. leader behaviors had positive effects on extra-role behavior. However, when work engagement and organizational silence variables were included in the model, the explained variance increased (R
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