The Influence of Adaptive Leadership, Psychological Safety, and Knowledge Sharing on the Innovative Performance of Health Workers in Hospitals
DOI:
https://doi.org/10.59141/jiss.v7i6.2366Keywords:
Adaptive Leadership, Psychological Safety, Knowledge Sharing, Innovative Performance, HospitalsAbstract
This study aims to analyze the influence of adaptive leadership, psychological safety, and knowledge sharing on the innovative performance of health workers in hospitals. The approach used is quantitative with a cross-sectional design. Data was collected through a questionnaire distributed to 280 selected respondents using purposive sampling techniques. Data analysis was carried out using the Partial Least Squares Structural Equation Modeling (PLS-SEM) method to examine the relationships between variables in the research model. The results show that adaptive leadership, psychological safety, and knowledge sharing have a positive and significant effect on innovative performance. Among the three variables, knowledge sharing had the strongest influence, followed by psychological security and adaptive leadership. In addition, the high R-squared value indicates that the model has strong predictive ability in explaining innovative performance variations. The IPMA analysis also shows that knowledge sharing is the most important factor to improve efforts to encourage innovative performance of health workers. The conclusion of this study is that the innovative performance improvement of health workers can be achieved through strengthening knowledge sharing practices, supported by a work environment that fosters high psychological safety and adaptive leadership. The implications of this study emphasize the important role of hospital management in creating a culture of knowledge sharing and a psychologically safe work environment to encourage sustainable innovation.
References
Abukalusa, K., & Oosthuizen, R. (2025). An adaptive organisational leadership framework through systems thinking. International Journal of Organizational Analysis, 33(8), 2673–2703.
Ahmed, S. S., Khan, M. M., Ali, M., Ali, S. R., & Mujahid, S. (2025). What drives team innovative performance? Examining the role of servant leadership, psychological safety and employee resilience. International Journal of Organizational Analysis.
Alshehri, A. A., Alhawiti, A. S. M., Bakheet, A. H. M., Ghazwani, B. H. A., Mukui, A. M., Bantan, E. A., et al. (2024). In healthcare teams on hospital management, psychological safety, information exchange, and innovative performance. Journal of International Crisis and Risk Communication Research, 7(S6), 1676.
Aouad, M., Hastie, M. J., & Karam, V. Y. (2024). Adaptive leadership in crisis: A healthcare system’s resilience journey. BMJ Leader.
Blouch, R., Yasmeen, A., Khan, M. M., & Shakeel, W. (2021). Unleashing knowledge sharing in a developing country: A case of healthcare industry. Global Knowledge, Memory and Communication, 70(1–2), 60–78.
Brunetto, Y., Saheli, N., Dick, T., & Nelson, S. (2022). Psychosocial safety climate, psychological capital, healthcare SLBs’ wellbeing and innovative behaviour during the COVID-19 pandemic. Public Performance & Management Review, 45(4), 751–772.
Chughtai, M. S., Syed, F., Naseer, S., & Chinchilla, N. (2024). Role of adaptive leadership in learning organizations to boost organizational innovations with change self-efficacy. Current Psychology, 43(33), 27262–27281.
Elsayed, E. A., Gaber, M. A., & Mohamed, W. M. (2022). Innovative work behavior and its relation to knowledge sharing among nurses at Zagazig University Hospitals. Zagazig Nursing Journal, 18(2), 273–290.
Frazier, M. L., Fainshmidt, S., Klinger, R. L., Pezeshkan, A., & Vracheva, V. (2017). Psychological safety: A meta-analytic review and extension. Personnel Psychology, 70(1), 113–165.
Gharajeh-Alamdari, N., Mirzaei, A., Mehri, S., & Soola, A. H. (2025). Assessing the relationship between supervisor knowledge sharing and innovative behaviors among clinical nurses: The mediating role of organizational learning. BMC Nursing, 24(1), 508.
Lucero Baldevenites, E. V., Bracho-Fuenmayor, P. L., Manosalvas-Vaca, C., Santos Quintero, M. I., & Castellanos Muñoz, A. M. (2025). Adaptive leadership in health crises: Lessons from the COVID-19 pandemic for public health systems. Health Leadership and Quality of Life.
Mei, J., Chen, K., & Sun, W. (2024). Adaptive leadership in crisis: Strategies for managing uncertainty and enhancing organizational resilience. EPRA International Journal of Economics, Business and Management Studies, 9(9), 45–58.
Menon, R. (2024). Strategic innovation management: Building resilient organizations through adaptive leadership and collaborative frameworks.
Rachmad, Y. E. (2022). Psychological safety theory. Aachener Dom Buch Internationaler Verlag.
Singh, A., & Jha, S. (2024). Navigating strategic leadership: Unraveling the dynamics of technological innovation in organizations.
Sott, M. K., & Bender, M. S. (2025). The role of adaptive leadership in times of crisis: A systematic review and conceptual framework. Merits, 5(1), 2.
Wang, H. F., Chen, Y. C., Yang, F. H., & Juan, C. W. (2021). Relationship between transformational leadership and nurses' job performance: The mediating effect of psychological safety. Social Behavior and Personality: An International Journal, 49(5), 1–12.
Yang, B., Ye, S., & Bandarchi, M. (2020). A new model for investigating the factors influencing innovation in medical services: The mediating role of attitude toward knowledge sharing. VINE Journal of Information and Knowledge Management Systems, 50(4), 669–690.
Zahrawi, A. A., & Hussien, M. J. (2023). The impact of knowledge sharing on organizational performance in the Jordanian healthcare sector: The mediating role of innovation in an empirical study. Operations Research Perspectives, 4842303.
Zhao, F., Hu, W., Ahmed, F., & Huang, H. (2023). Impact of ambidextrous human resource practices on employee innovation performance: The roles of inclusive leadership and psychological safety. European Journal of Innovation Management, 26(5), 1444–1470.
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Copyright (c) 2026 Izzra Fahmi Agoes, Mohamad Farhan Indrajianto, Nasyidatul Ulya, Sella Clarista, Innocentius Bernarto

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