Background: Transformational leadership plays a critical role and one of the most important factors in improving healthcare quality. This study aims to explore the perspectives of health workers on transformational leadership and the quality of health services. Method: A cross-sectional study was conducted from March to May 2024 in hospitals affiliated with the Second Health Cluster in Riyadh. Data was collected using a validated, self-administered questionnaire distributed electronically via Google Forms. Data were analyzed using IBM SPSS Statistics, version 28. Result: A total of 306 were included in this study.The results indicated a high level of transformational leadershipwith a mean score of (3.69 ± 1.04), and a high level of service qualitywith a mean score of (3.92±0.76). The study highlights that healthcare workers believe their line managers exhibit core characteristics of transformational leadership, such as idealized influence, inspirational motivation, individualized consideration, intellectual stimulation, and empowerment. This strong leadership correlates with positive perceptions of service quality, with an overall mean score of (3.92 ± 0.76), including its key dimensions: tangibility (3.88 ± 0.97), reliability (3.97 ± 0.91), responsiveness (3.86 ± 0.93), empathy (3.95 ± 0.93), and safety (3.92 ± 0.85). Conclusion: The findings suggest that the hospitals' dedication to transformational leadership practices may enhance the quality of healthcare services, benefiting both employees and patients. Keywords: transformational leadership; quality of health services; healthcare workers; vision 2030; Saudi Arabia
Alqithami et al. (Tue,) studied this question.