• Junaidah Kamarruddin Ministry of Women, Family and Community Development, Malaysia
  • Syed Mohamed Aljunid Department of Health Policy and Management, Faculty of Public Health, Kuwait University, Kuwait
  • Adlina Suleiman Department of Community Medicine, International Medical University, Malaysia
  • Mohd Nor Yahaya Faculty of Defence Studies and Management, National Defence University of Malaysia
Keywords: Leadership styles, Military Hospitals, Transformational, Malaysia


A good quality leader is vital in ensuring effective and efficient services rendered to patients. However, as to date, little is known on the leadership styles of managers in Military Hospitals in Malaysia and the region. The aim of this cross-sectional study was to determine the leadership styles and identify the influencing factors, among Military and Non-Military managers in five Military Hospitals in Malaysia. A pre-tested 20-item questionnaire was distributed to eligible managers in the hospitals. Based on the total score, the leadership style of managers was classified into Transformational (TS) and Non-Transformational style (N-TS). Among the 501 respondents, 375 (74.9%) of them were Non-military managers and 126 (25.1%) of them were Military managers. 46.8% (n=59) of the managers with military background practiced TS while only 27.7% (n=104) of Non-military managers have TS (X2 =15.662; p <0.001). Managers aged 40 years and above, male, with higher educational level, served longer in the service, attended in-service training and participated in other capacity building activities were more likely to practice TS. Analysis using stepwise multiple logistic regressions proved that predictors of TS style are educational level (AOR=2.319; 95% CI=1.300,4.134), working experience (AOR=1.075; 95% CI=1.049,1.102), Military managers (AOR=1.759; 95% CI=1.104,2.802) and attended in-service training (AOR=2.070; 95% CI=1.369,3.129). In conclusion, the Military Hospitals have the benefit of being managed by Military managers that practice TS. Educational level and  in-service training are two most important elements  that influence the practice TS  among the managers in these Military Hospitals.


1. Raza A. 12 Different Types of Leadership Styles. WiseToast. 2017. https://wisetoast.com/types-of-leadership-styles (Access on 1st Jan 2018).

2. Sabir A, Sohail A, and Khan M. Impact of leadership style on organization commitment in a mediating role of employee value. Journal of Economics and Behavioral Studies. 2011; 3 (2): 145 - 152.

3. Ameriyon A, Aghighi A and Tofoghi S. Assessment of Managers’ Leadership Style in Selected Military Hospital on a Likert Leadership Styles. Journal of Police Medicine. 2014; 2(4): 249 -254.

4. Zakaria N. Kompetensi Mengurus Kerjaya Dalam Kalangan Pesara Tentera Berpangkat Rendah. Ph.D dissertation. Postgraduate School Universiti Putra Malaysia. 2013.

5. Jalal B. Military and Community Relations: People’s view on the role of the Armed Forces). Journal of Advance Research and Social Behavior Science. 2016; 4(1):19-30.

6. Hewitt KK, Davis AW, Lashley C. Transformational and Transformative Leadership in a Research-Informed Leadership Preparation Program. Research on Leadership Education. 2014; 9(3): 225-253.

7. McCleskey JA. Situational, Transformational, and Transactional Leadership and Leadership Development. Journal of Business Study Quarterly. 2014; 5(4): 117-130.

8. Money VO. Effectiveness of Transformational Leadership Style in Secondary Schools in Nigeria. Journal of Education and Practice. 2017; 8(9):135–140.

9. Malhotra D and Seth S. The Rise of Blue Ocean Strategy and Leadership. International Journal of Business Management. 2014; 2(9): 248–253.

10. World Health Organization. Key components of a well-functioning health system. 2010. https://www.who.int/healthsystems/publications/hss_key/en/ (Access on 15 May 2019)

11. Kumar RDC and Khiljee N. Leadership in healthcare. Anaesthesia Intensive Care Medicine. 2013; 14(1): 39 - 41.

12. Soesanto R and Effendy H. Leadership Management of Military Hospital in Efforts to Improve the Patient Service (Case Study of RSAL Dr . Mintoarjo). International Journal of Human Resource Studies. 2018; 8(1):60–71.

13. Jadoo SAA, Aljunid S.M, Dastan I, et al. Job satisfaction and turnover intention among Iraqi doctors - a descriptive cross-sectional multicentre study. Human Resources for Health. 2015; 13(21):1-11

14. Hassan H, Mohd Saleh N, Kamaluddin A, et al. The role of leadership on intellectual capital as strategy towards hospitals’ performance. Proceeding of the 12th International Conference on Intellectual Capital Knowledge Management and Organisational Learning; 2015 Nov 5-6; Bangkok, Thailand. Academic Conference and Publishing International Limited; 2015.

15. Mohamed R and Nor C. The relationship between McGregor’s XY Theory management style and fulfilment of psychological contract: A literature review. International Journal of Academic Research in Business and Social Sciences. 2013; 3(5):715- 720.

16. Krejcie RV and Morgan DW. Determining Sample Size for Research Activity. Educational and Psychological Measurement. 1970; 30: 607 – 610.

17. Melchar DE and Bosco SM. Achieving High Organization Performance through Servant Leadership. The Journal of Business Inquiry. 2010; 9(1): 74–88.

18. Mohd Faizal MI, Arifin Z, Shakizah WD, et al. Peranan iklim organisasi sebagai pembolehubah penyederhanaan ke atas hubungan budaya organisasi dan amalan kerja berprestasi tinggi. Proceeding of Persidangan Kebangsaan Ekonomi Malaysia ke VII (PERKEM VII), Transformasi Ekonomi Dan Sosial Ke Arah Negara Maju; 2012 June 4-6; Ipoh, Perak, Malaysia.

19. Anderson RO. Assessing Nurse Managers in a Military Hospital. Doctor of Nursing Practice Thesis. Walden University. 2016

20. Ke W and Wei KK. Organizational Culture and Leadership in ERP Implementation. Proceeding of the Pacific Asia Conference on Information Systems; 2005: 428– 440.

21. Keliwon K, Aman A and Harun A. Hubungan Antara Faktor Organisasi dan Kecemerlangan dengan Prestasi Sistem Makluman Perakaunan. Jurnal Pengurusan. 2002; 21: 125-151

22. Jabatan Perkhidmatan Awam. Pekeliling Perkhidmatan Bil 6 Tahun 2005. Dasar Latihan Sumber Manusia Sektor Awam. 2005; 1(1): 57–63.23. McCormick MJ, Tanguma J and Lopez-Forment AS. Extending self- theory to leadership: A review and empirical test. J. Leadersh. Educ. 2008; 21(2): 34–49.

23. Rijal S. Leadership Style And Organizational Culture In Learning Organization: A Comparative Study. Int. J. Management and Information System. 2016; 20(2): 17-25
How to Cite
Junaidah Kamarruddin, Syed Mohamed Aljunid, Adlina Suleiman, & Mohd Nor Yahaya. (2020). LEADERSHIP STYLES OF MILITARY HOSPITAL MANAGERS IN MALAYSIA AND ITS INFLUENCING FACTORS . Malaysian Journal of Public Health Medicine, 20(2), 171-177. https://doi.org/10.37268/mjphm/vol.20/no.2/art.802