Original Research

Authentic leadership and organisational citizenship behaviour in the public health care sector: The role of workplace trust

Lynelle Coxen, Leoni van der Vaart, Marius W. Stander
SA Journal of Industrial Psychology | Vol 42, No 1 | a1364 | DOI: https://doi.org/10.4102/sajip.v42i1.1364 | © 2016 Lynelle Coxen, Leoni van der Vaart, Marius W. Stander | This work is licensed under CC Attribution 4.0
Submitted: 12 April 2016 | Published: 24 October 2016

About the author(s)

Lynelle Coxen, Optentia Research Focus Area, Department of Industrial Psychology, North-West University, Vaal Triangle Campus, South Africa
Leoni van der Vaart, Optentia Research Focus Area, Department of Industrial Psychology, North-West University, Vaal Triangle Campus, South Africa
Marius W. Stander, Optentia Research Focus Area, Department of Industrial Psychology, North-West University, Vaal Triangle Campus, South Africa

Abstract

Orientation: The orientation of this study was towards authentic leadership and its influence on workplace trust and organisational citizenship behaviour in the public health care sector.

Research purpose: The aim of this study was to investigate the influence of authentic leadership on organisational citizenship behaviour, through workplace trust among public health care employees in South Africa. The objective was to determine whether authentic leadership affects organisational citizenship behaviour through workplace trust (conceptualised as trust in the organisation, immediate supervisor and co-workers).

Motivation for the study: Employees in the public health care industry are currently being faced with a demanding work environment which includes a lack of trust in leadership. This necessitated the need to determine whether authentic leadership ultimately leads to extra-role behaviours via workplace trust in its three referents.

Research design, approach and method: A quantitative cross-sectional survey design was used with employees the public health care sector in South Africa (N = 633). The Authentic Leadership Inventory, Workplace Trust Survey and Organisational Citizenship Behaviour Scale were administered to these participants.

Main findings: The results indicated that authentic leadership has a significant influence on trust in all three referents, namely the organisation, the supervisor and co-workers. Both trust in the organisation and trust in co-workers positively influenced organisational citizenship behaviour. Conversely, authentic leadership did not have a significant influence on organisational citizenship behaviour. Finally, authentic leadership had a significant indirect effect on organisational citizenship behaviour through trust in the organisation and trust in co-workers. Trust in the organisation was found to have the strongest indirect effect on the relationship between authentic leadership and organisational citizenship behaviour.

Practical/managerial implications: The main findings suggest that public health care institutions would benefit if leaders are encouraged to be more authentic as this might result in increases in both trust among co-workers and in the organisation. Consequently, employees might be more likely to exert additional effort in their work.

Contribution/value-add: Limited empirical evidence exists with regard to the relationship between authentic leadership, workplace trust in its three referents and organisational citizenship behaviour. This study aimed to contribute to the limited number of studies conducted.


Keywords

indirect effects; public health care sector; public health care employees

Metrics

Total abstract views: 12221
Total article views: 12011

 

Crossref Citations

1. The Relationship Between Authentic Leadership, Psychological Empowerment, Role Clarity, and Work Engagement: Evidence From South Africa
Tasmin Towsen, Marius Wilhelm Stander, Leoni van der Vaart
Frontiers in Psychology  vol: 11  year: 2020  
doi: 10.3389/fpsyg.2020.01973

2. The association between workplace social capital and authentic leadership, structural empowerment and forms of communication as antecedent factors in hospital nurses: A cross‐sectional multilevel approach
Ryohei Kida, Taisuke Togari, Yoshie Yumoto, Yasuko Ogata
Journal of Nursing Management  vol: 29  issue: 3  first page: 508  year: 2021  
doi: 10.1111/jonm.13174

3. Trust in the Leader and Trust in the Organization in Healthcare: A Concept Analysis Based on a Systematic Review
Venla Karikumpu, Arja Häggman-Laitila, Johanna Romppanen, Mari Kangasniemi, Anja Terkamo-Moisio, Daniel Joseph Berdida
Journal of Nursing Management  vol: 2024  first page: 1  year: 2024  
doi: 10.1155/2024/8776286

4. Authentic leadership and its relationships with work engagement and organizational citizenship behaviors in military units: The role of identification as a mediating variable
Alberto Pastor Álvarez, Fernando Molero Alonso, Maria del Pilar Bardera Mora, Juan Antonio Moriano León
Military Psychology  vol: 31  issue: 5  first page: 412  year: 2019  
doi: 10.1080/08995605.2019.1646078

5. Vertical Trust Within Organizations and Performance: A Systematic Review
Jacob Guinot, Ricardo Chiva
Human Resource Development Review  vol: 18  issue: 2  first page: 196  year: 2019  
doi: 10.1177/1534484319842992

6. Authentic leadership, knowledge sharing, and employees’ creativity
Ali Zeb, Nor Hazana Abdullah, Altaf Hussain, Adnan Safi
Management Research Review  vol: 43  issue: 6  first page: 669  year: 2019  
doi: 10.1108/MRR-04-2019-0164

7. Authentic leadership and organizational citizenship behaviour: the role of psychological capital
Subramaniam Sri Ramalu, Nadira Janadari
International Journal of Productivity and Performance Management  vol: 71  issue: 2  first page: 365  year: 2022  
doi: 10.1108/IJPPM-03-2020-0110

8. Authentic leadership and flourishing: Do trust in the organization and organizational support matter during times of uncertainty?
Deon J. Kleynhans, Marita M. Heyns, Marius W. Stander
Frontiers in Psychology  vol: 13  year: 2022  
doi: 10.3389/fpsyg.2022.955300

9. Trust, job security and subordinate–supervisorguanxi: Chinese employees in joint ventures and state-owned enterprises
Yui-Tim Wong
Asia Pacific Business Review  vol: 24  issue: 5  first page: 638  year: 2018  
doi: 10.1080/13602381.2017.1384207

10. Authentic leaders, energized employees? Indirect beneficial and adverse effects of authentic leadership on intrinsic motivation and exhaustion
Lucas A. Maunz, Sascha Thal, Jürgen Glaser
Applied Psychology  vol: 73  issue: 4  first page: 2224  year: 2024  
doi: 10.1111/apps.12546

11. Authentic leadership, organisational citizenship behaviours, and intention to quit: the indirect effect of psychological ownership
Chantal Olckers, Marieta du Plessis, Riandi Casaleggio
South African Journal of Psychology  vol: 50  issue: 3  first page: 371  year: 2020  
doi: 10.1177/0081246319891658

12. Measured nursing perception of the working environment through authentic leadership with technology support and OCB among Chinese public hospitals
Abid Hussain, Wang Ruowei, Xu Xia, Shahida Kanwel, Shen Chunhong, Arif Jameel
BMC Nursing  vol: 24  issue: 1  year: 2025  
doi: 10.1186/s12912-025-03173-y

13. The Impact of Authentic Leadership on Organizational Citizenship Behaviors: The Mediating Role of Affective‐ and Cognitive-Based Trust
Tahir Farid, Sadaf Iqbal, Asif Khan, Jianhong Ma, Amira Khattak, Muhammad Naseer Ud Din
Frontiers in Psychology  vol: 11  year: 2020  
doi: 10.3389/fpsyg.2020.01975

14. Reflections on a decade of authentic leadership research in health care
Carol A. Wong, Edmund J. Walsh
Journal of Nursing Management  vol: 28  issue: 1  first page: 1  year: 2020  
doi: 10.1111/jonm.12861

15. Authentic Leadership, Trust, and Social Exchange Relationships under the Influence of Leader Behavior
James K. C. Chen, Thitima Sriphon
Sustainability  vol: 14  issue: 10  first page: 5883  year: 2022  
doi: 10.3390/su14105883

16. The role of life skills in developing an authentic leadership attitude in public health students: a multicenter cross-sectional study in Poland
Mariusz Jaworski, Mariusz Panczyk, Ilona Cieślak, Agata Baranowska, Katarzyna Brukało, Jolanta Grzebieluch, Magdalena Kwaśniewska, Monika Urbaniak, Marzena Zarzeczna-Baran, Aleksandra Zyska, Joanna Gotlib
BMC Public Health  vol: 22  issue: 1  year: 2022  
doi: 10.1186/s12889-022-13907-1

17. Perspective on COVID-19 Pandemic Factors Impacting Organizational Leadership
James K. C. Chen, Thitima Sriphon
Sustainability  vol: 13  issue: 6  first page: 3230  year: 2021  
doi: 10.3390/su13063230

18. Does Servant Leadership Stimulate Work Engagement? The Moderating Role of Trust in the Leader
Guangya Zhou, Rani Gul, Muhammad Tufail
Frontiers in Psychology  vol: 13  year: 2022  
doi: 10.3389/fpsyg.2022.925732

19. Determinants of Employees’ Openness to Change: Insights from Service and Manufacturing Sectors of Pakistan
Umaima Mahmood Qamar Saddiqui, Kanwal Shaheen, Qamar Ali
Sustainable Business and Society in Emerging Economies  vol: 3  issue: 4  first page: 497  year: 2021  
doi: 10.26710/sbsee.v3i4.2023

20. Health care worker trust in the health care system, pre- and post-COVID-19 pandemic: a scoping review protocol
Nickolas J. Cherwinski, Lorelei Newton, Lenora Marcellus, Bernadette Zakher, Jessica Mussell
JBI Evidence Synthesis  vol: 23  issue: 9  first page: 1863  year: 2025  
doi: 10.11124/JBIES-24-00371

21. Antecedents and outcomes of authentic leadership across culture: A meta-analytic review
Yucheng Zhang, Yongxing Guo, Meng Zhang, Shan Xu, Xin Liu, Alexander Newman
Asia Pacific Journal of Management  vol: 39  issue: 4  first page: 1399  year: 2022  
doi: 10.1007/s10490-021-09762-0

22. The pivotal role of social identification in explaining authentic leadership’s effect on team organizational citizenship behavior
Brendan Boyle, Jun Gu, Candy Ying Lu, Zhiming Cheng, Miles Yang, Rebecca J. Mitchell, Fawad Ahmed
PLOS One  vol: 21  issue: 6  first page: e0347874  year: 2026  
doi: 10.1371/journal.pone.0347874

23. The Impact of Leadership Soft Skills on Deans’ Trustworthiness in Cambodian Higher Education: A Structural Equation Modeling Approach
Vuthea Da, Rany Sam, Thou Nguon
European Journal of Arts, Humanities and Social Sciences  vol: 2  issue: 5  first page: 12  year: 2025  
doi: 10.59324/ejahss.2025.2(5).02

24. Dynamic organisational capabilities: The role of authentic leadership and trust
Deon J. Kleynhans, Marita M. Heyns, Marius W. Stander
SA Journal of Industrial Psychology  vol: 47  year: 2021  
doi: 10.4102/sajip.v47i0.1877

25. Antecedents, mediators, and outcomes of authentic leadership in healthcare: A systematic review
Bayan Alilyyani, Carol A. Wong, Greta Cummings
International Journal of Nursing Studies  vol: 83  first page: 34  year: 2018  
doi: 10.1016/j.ijnurstu.2018.04.001

26. Resisting governance and the production of trust in early psychosis intervention
Elaine Stasiulis, Barbara E. Gibson, Fiona Webster, Katherine M. Boydell
Social Science & Medicine  vol: 253  first page: 112948  year: 2020  
doi: 10.1016/j.socscimed.2020.112948

27. Promoting teacher knowledge sharing in China: The fostering roles of authentic leadership, reciprocity norms, and organizational trust
Wanying Zhang, Alex J Bowers, Shilong Pang
Educational Management Administration & Leadership  vol: 53  issue: 4  first page: 789  year: 2025  
doi: 10.1177/17411432231199573

28. The effects of authentic leadership on trust in leaders, organizational citizenship behavior, and service quality in the Chinese hospitality industry
Shaoping Qiu, Amin Alizadeh, Larry M. Dooley, Ruijuan Zhang
Journal of Hospitality and Tourism Management  vol: 40  first page: 77  year: 2019  
doi: 10.1016/j.jhtm.2019.06.004

29. Authentic Leadership, Employee Work Engagement, Trust in the Leader, and Workplace Well-Being: A Moderated Mediation Model
Asier Baquero
Psychology Research and Behavior Management  vol: Volume 16  first page: 1403  year: 2023  
doi: 10.2147/PRBM.S407672

30. Trustworthy management in hospital settings: a systematic review
Andreea Isabela Varga, Ivan Spehar, Helge Skirbekk
BMC Health Services Research  vol: 23  issue: 1  year: 2023  
doi: 10.1186/s12913-023-09610-5