Jakman

Article Details

Vol. 7 No. 3 (2026): Juni

Articles

The Role of Transformational Leadership in Improving Service Quality at Ophthalmology Clinics

A Aisyah Khairunnisa N Nuri Herachwati Z Zuyyinna Choirunnisa
05 June 2026 Vol. 7 No. 3 (2026): Juni https://doi.org/10.35912/jakman.v7i3.4818
Abstract

Purpose: This systematic review examines the influence of transformational leadership on service quality in ophthalmology clinics, focusing on key metrics such as clinical accuracy, efficiency, and technological adoption.

Research Methodology: A comprehensive search was conducted across PubMed, Scopus, and Web of Science for peer-reviewed studies (2010–2024) linking TL to service quality in ophthalmology or analogous specialty clinics. Data were synthesized thematically, and findings were assessed for consistency and applicability using the PRISMA guidelines.

Results: Preliminary analysis indicates that TL positively impacts service quality through (1) staff motivation to adhere to clinical protocols, (2) fostering innovation in diagnostic technologies, and (3) optimizing operational workflows to reduce delays. However, evidence specific to ophthalmology remains limited, highlighting the research gap.

Conclusions: These findings on how transformational leaders foster a work environment centered on learning, innovation, and collaboration align with the demands of modern value-based healthcare, which requires the integration of technical excellence and patient experience

Limitations: The limitations of this systematic review include potential inconsistencies due to varying definitions and measurements of transformational leadership and service quality, possible publication bias from relying solely on available published literature, restricted generalizability beyond ophthalmology clinics, and the challenge of drawing universal conclusions due to differing cultural and organizational contexts across studies.

Contributions: This study specifically focuses on ophthalmology, providing insights relevant to eye care administrators. This study bridges the gap between general leadership theory and its practical application in high-demand clinics.

Keywords: Ophthalmology Systematic Review Service Quality Transformational Leadership
How to Cite
“
Khairunnisa, A., Herachwati, N., & Choirunnisa, Z. (2026). The Role of Transformational Leadership in Improving Service Quality at Ophthalmology Clinics. Jurnal Akuntansi, Keuangan, Dan Manajemen, 7(3), 33–46. https://doi.org/10.35912/jakman.v7i3.4818
Endnote/Zotero/Mendeley (RIS) BibTeX
References
  1. Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Sklar, M. (2014). Aligning leadership across systems and organizations to develop a strategic climate for evidence-based practice implementation. Annual Review of Public Health, 35(1), 255-274. doi:https://doi.org/10.1146/annurev-publhealth-032013-182447
  2. Abdulhussein, D., & Abdul Hussein, M. (2023). WHO Vision 2020: Have we done it? Ophthalmic epidemiology, 30(4), 331-339. doi:https://doi.org/10.1080/09286586.2022.2127784
  3. Abid, M., Fazal e Hasan, S. M., Ahmadi, H., Amrollahi, A., & Mortimer, G. (2024). Examining consumers' perceptions of relationship value with retailers: a multi-method approach. International Journal of Retail & Distribution Management, 52(12), 1172-1189. doi:https://doi.org/10.1108/IJRDM-03-2023-0195
  4. Aburayya, A., Alshurideh, M., Albqaeen, A., Alawadhi, D., & Ayadeh, I. (2020). An investigation of factors affecting patients waiting time in primary health care centers: An assessment study in Dubai. Management Science Letters, 10(6), 1265-1276. doi:https://doi.org/10.5267/j.msl.2019.11.031
  5. Achilleos, M., Merkouris, A., Charalambous, A., & Papastavrou, E. (2021). Medication adherence, self-efficacy and health literacy among patients with glaucoma: a mixed-methods study protocol. BMJ open, 11(1), e039788. doi:https://doi.org/10.1136/bmjopen-2020-039788
  6. Albaalharith, T., & A’aqoulah, A. (2023). Level of patient safety culture awareness among healthcare workers. Journal of Multidisciplinary Healthcare, 321-332. doi:https://doi.org/10.2147/JMDH.S376623
  7. Alsadaan, N. (2024). Nursing leadership in the eastern province of Saudi Arabia. RMIT University.
  8. Antariksa, S. K. S. (2025). Emotional intelligence, leadership effectiveness, and team performance: synergies in human resource development. Jurnal Akuntansi, Keuangan, dan Manajemen, 6(3), 659-668. doi:https://doi.org/10.35912/jakman.v6i3.3617
  9. Bass, B. M. (1985). Leadership: Good, better, best. Organizational dynamics, 13(3), 26-40.
  10. Bass, B. M., & Avolio, B. J. (1990). Developing transformational leadership: 1992 and beyond. Journal of European industrial training, 14(5).
  11. Berkovich, I., & Eyal, O. (2021). Transformational leadership, transactional leadership, and moral reasoning. Leadership and Policy in Schools, 20(2), 131-148. doi:https://doi.org/10.1080/15700763.2019.1585551
  12. Bourne, R., Steinmetz, J. D., Flaxman, S., Briant, P. S., Taylor, H. R., Resnikoff, S., Afshin, A. (2021). Trends in prevalence of blindness and distance and near vision impairment over 30 years: an analysis for the Global Burden of Disease Study. The Lancet global health, 9(2), e130-e143. doi:https://doi.org/10.1016/S2214-109X(20)30425-3
  13. Bourne, R. R. A., Jonas, J. B., Friedman, D., Nangia, V., Bron, A., Tapply, I., Fernandes, A. G., Cicinelli, M. V., Arrigo, A., Leveziel, N., Resnikoff, S., Taylor, H. R., Sedighi, T., Bikbov, M. M., Braithwaite, T., Cheng, C. Y., Congdon, N., Del Monte, M. A., Ehrlich, J. R., Steinmetz, J. D. (2024). Global estimates on the number of people blind or visually impaired by glaucoma: A meta-analysis from 2000 to 2020. Eye, 38(11), 2036. doi:https://doi.org/10.21203/rs.3.rs-3086665/v1
  14. Burns, J. M. (1978). Leadership: New York: Harper & Row.
  15. Curran, K., Congdon, N., Hoang, T. T., Lohfeld, L., Nguyen, V. T., Nguyen, H. T., Piyasena, P. (2022). Impact of targeted diabetic retinopathy training for graders in Vietnam and the implications for future diabetic retinopathy screening programmes: a diagnostic test accuracy study. BMJ open, 12(9), e059205. doi:https://doi.org/10.1136/bmjopen-2021-059205
  16. Deng, C., Gulseren, D., Isola, C., Grocutt, K., & Turner, N. (2023). Transformational leadership effectiveness: an evidence-based primer. Human Resource Development International, 26(5), 627-641. doi:https://doi.org/10.1080/13678868.2022.2135938
  17. Dzreke, S. S. (2025). Developing holistic customer experience frameworks: Integrating journey management for enhanced service quality, satisfaction, and loyalty. Frontiers in Research, 2(1), 90-115. doi:https://doi.org/10.71350/30624533110
  18. Fabre, V., Secaira, C., Herzig, C., Bancroft, E., Bernachea, M. P., Galarza, L. A., Bernan, M. L. (2024). Contextual barriers to infection prevention and control program implementation in hospitals in Latin America: a mixed methods evaluation. Antimicrobial Resistance & Infection Control, 13(1), 132. doi:https://doi.org/10.1186/s13756-024-01484-4
  19. Fadhil, M., & Hati, S. R. H. (2025). Multigroup analysis of e-service quality, satisfaction, and loyalty in e-grocery services. Jurnal Akuntansi, Keuangan, dan Manajemen, 6(3), 797-814. doi:https://doi.org/10.35912/jakman.v6i3.4456
  20. Hidayat, Y. (2024). Corporate culture, transformational charismatic leadership and cooperative performance: Lessons from Indonesia.
  21. Hung-Xin, L. (2024). Technology alone is not enough: The role of operational efficiency in bridging ai and patient outcomes’–insights from taiwanese healthcare facilities. doi:https://doi.org/10.21203/rs.3.rs-4968903/v1
  22. Inayat, H., Torti, J., Hemmett, J., Lingard, L., Chau, B., Inayat, A., Sultan, N. (2023). An approach to leadership development and patient safety and quality improvement education in the context of professional identity formation in pre-clinical medical students. Journal of Medical Education and Curricular Development, 10, 23821205231170522. doi:https://doi.org/10.1177/23821205231170522
  23. Kamaluddin, K., & Citaningati, P. R. (2023). Islamic leadership: Prophet Muhammad as a role model for being charismatic, transformational and servant leader. International Journal of Applied Business and International Management (IJABIM), 8(2), 53-66. doi:https://doi.org/10.32535/ijabim.v8i2.2460
  24. Lai, X., Yuan, Y., Wang, H., Zhang, R., Qiao, Q., Feng, X., . . . Si, L. (2024). Cost-effectiveness of salt substitute and salt supply restriction in eldercare facilities: the DECIDE-salt cluster randomized clinical trial. JAMA Network Open, 7(2), e2355564-e2355564. doi:https://doi.org/10.1001/jamanetworkopen.2023.55564
  25. Le, V. C., To, K. G., Le, V. D., Nguyen, L., MacKenzie, G., Sigwadhi, L. N., . . . Khanna, R. C. (2024). STABLE trial of spectacle provision and driving safety among myopic motorcycle users in Vietnam: study protocol for a stepped-wedge, cluster randomised trial. Trials, 25(1), 825. doi:https://doi.org/10.1186/s13063-024-08644-2
  26. Lee, S. E., Lee, H. J., Dahinten, V. S., Seo, W. J., Lim, H., & Kim, H. (2025). Patient safety in the ‘Room of Horrors’ simulation: a multi-method study of student, novice, and experienced nurses. BMC nursing, 24(1), 1044. doi:https://doi.org/10.1186/s12912-025-03700-x
  27. Legood, A., van der Werff, L., Lee, A., & Den Hartog, D. (2021). A meta-analysis of the role of trust in the leadership-performance relationship. European Journal of Work and Organizational Psychology, 30(1), 1-22. doi:https://doi.org/10.1080/1359432X.2020.1819241
  28. Maisyura, M., Aisyah, T., & Ilham, R. N. (2022). Transformational leadership in organizational transformation. Jurnal Ekonomi, 11(03), 478-488.
  29. Marisya, F., Mayasari, V., Astuti, S. D., & Purwanto, M. B. (2023). Implementation of leadership ethics and transformational leadership in employee performance. Asian Journal of Applied Business and Management, 2(4), 545-556. doi:https://doi.org/10.55927/ajabm.v2i4.6714
  30. Nguyen, H. X., Nguyen, N. D., Nguyen, H. T., Fan, K. R.-P., Vo, H. T., Nguyen, C. V., Do, T. (2023). Comparing combined laser iridoplasty and surgical iridectomy with trabeculectomy in treatment of refractory acute primary angle closure without significant cataract: a randomized controlled trial. Eye, 37(10), 2139-2144. doi:https://doi.org/10.1038/s41433-022-02311-z
  31. Nguyen, V. Q., Turner, N., Barling, J., Axtell, C. M., & Davies, S. (2023). Reconciling general transformational leadership and safety-specific transformational leadership: A paradox perspective. Journal of safety research, 84, 435-447. doi:https://doi.org/10.1016/j.jsr.2022.12.006
  32. Olawoye, O. O., Ha, T. H., Pham, N., Nguyen, L., Cherwek, D. H., Fowobaje, K. R., Kahook, M. (2023). Impact of a short online course on the accuracy of non-ophthalmic diabetic retinopathy graders in recognising glaucomatous optic nerves in Vietnam. BMJ open, 13(11), e076623. doi:https://doi.org/10.1136/bmjopen-2023-076623
  33. Omar, G. A., Othman, Z. K., & Kakarash, Z. A. (2024). The transformative impact of artificial intelligence (AI) on enhancing healthcare systems in the Middle East. Academic Journal of International University of Erbil, 1(02), 1-16. doi:https://doi.org/10.63841/iue12471
  34. Özyurt, E., Avc?, K., & ?enel, F. Ç. (2021). The impact of clinical leadership on quality and accreditation studies in health services. Journal of Basic and Clinical Health Sciences, 5(3), 221-232. doi:https://doi.org/10.30621/jbachs.955272
  35. Paudel, P., Kovai, V., Burnett, A., Naduvilath, T., Ho, S. M., Fricke, T., & Giap, N. V. (2022). Effects of a community-based health education intervention on eye health literacy of adults in Vietnam. International Journal of Health Promotion and Education, 60(3), 149-163. doi:https://doi.org/10.1080/14635240.2021.1905028
  36. Piyasena, P., Olvera-Herrera, V. O., Chan, V. F., Clarke, M., Wright, D. M., MacKenzie, G., Congdon, N. (2021). Vision impairment and traffic safety outcomes in low-income and middle-income countries: a systematic review and meta-analysis. The Lancet global health, 9(10), e1411-e1422. doi:https://doi.org/10.1016/s2214-109x(21)00303-x
  37. Saad Alessa, G. (2021). The dimensions of transformational leadership and its organizational effects in public universities in Saudi Arabia: A systematic review. Frontiers in Psychology, 12, 682092. doi:https://doi.org/10.3389/fpsyg.2021.682092
  38. Sasan, J., Escultor, G. R., & Larsari, V. N. (2023). The impact of transformational leadership on school culture. International Journal of Social Service and Research, 3(8), 1899-1907. doi:https://doi.org/10.46799/ijssr.v3i8.334
  39. Sudiyanto, T. (2015). Pengaruh disiplin, budaya kerja, dan motivasi terhadap kepuasan kerja pegawai pada Fakultas Ekonomi Universitas PGRI Palembang. Jurnal Media Wahana Ekonomika, 12(1). doi:https://doi.org/10.31851/jmwe.v12i1.3302
  40. Sunaengsih, C., Komariah, A., Kurniady, D. A., Suharto, N., Tamam, B., & Julia, J. (2021). Transformational Leadership Survey. Paper presented at the Elementary School Forum (Mimbar Sekolah Dasar).
  41. Teisberg, E., Wallace, S., & O’Hara, S. (2020). Defining and implementing value-based health care: a strategic framework. Academic Medicine, 95(5), 682-685. doi:https://doi.org/10.1097/ACM.0000000000003122
  42. Tiffany, M., & Singagerda, F. S. (2025). Faktor customer review dan e-service quality terhadap keputusan pembelian Shopee. Jurnal Akuntansi, Keuangan, dan Manajemen, 6(2), 497-508. doi:https://doi.org/10.35912/jakman.v6i2.3981
  43. Tirtana, D., & Rahmadhani, S. (2025). The role of employee recovery performance on service recovery performance and quality of service. Jurnal Akuntansi, Keuangan, dan Manajemen, 6(3), 555-567. doi:https://doi.org/10.35912/jakman.v6i3.4121
  44. Veestraeten, M., Johnson, S. K., Leroy, H., Sy, T., & Sels, L. (2021). Exploring the bounds of Pygmalion effects: Congruence of implicit followership theories drives and binds leader performance expectations and follower work engagement. Journal of leadership & organizational studies, 28(2), 137-153. doi:https://doi.org/10.1177/1548051820980428
  45. Wang, E. Y., Kong, X., Wolle, M., Gasquet, N., Ssekasanvu, J., Mariotti, S. P., West, S. (2023). Global trends in blindness and vision impairment resulting from corneal opacity 1984–2020: A meta-analysis. Ophthalmology, 130(8), 863-871. doi:https://doi.org/10.1016/j.ophtha.2023.03.012
  46. Yulihapsari, I. U., Indrawan, R., Simarmata, J., & Zainal, M. (2025). The role of E-Service quality and price perception: Key to increasing loyalty through consumer satisfaction. Jurnal Akuntansi, Keuangan, dan Manajemen, 6(2), 543-554. doi:https://doi.org/10.35912/jakman.v6i2.3941
  47. Zaheer, S., Ginsburg, L., Wong, H. J., Thomson, K., Bain, L., & Wulffhart, Z. (2021). Acute care nurses’ perceptions of leadership, teamwork, turnover intention and patient safety a mixed methods study. BMC Nursing, 20(1), 134. doi:https://doi.org/10.1186/s12912-021-00652-w
  48. Zou, M., Chen, A., Liu, Z., Jin, L., Zheng, D., Congdon, N., & Jin, G. (2024). The burden, causes, and determinants of blindness and vision impairment in Asia: An analysis of the Global Burden of Disease Study. Journal of Global Health, 14, 04100. doi:https://doi.org/10.7189/jogh.14.04100
License & Copyright
Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.