Transforming Workforce Dynamics
The Power of Leader–Member Exchange (LMXQ) Quality in Health Care
Bibliographic Data
| ID | 22006558 |
|---|---|
| Authors | Binesh Sarwar (0000-0002-5340-846X, Liaoning University, corresponding author), Motasim Billah (0009-0006-2708-172X, COMSATS University Islamabad), Muhammad Arslan Sarwar (University of Gujrat), Chunhui Huo (0000-0003-4087-4389, Liaoning University) |
| Year | 2026 |
| Volume | 16 |
| Issue | 3 |
| Publication date | 2026-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | SAGE Open (JOURNAL) |
| Journal identifiers | ISSN: 2158-2440 • E-ISSN: 2158-2440 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/21582440261459802 |
| OpenAlex | W7167837840 |
| Language | EN |
| References cited | 48 |
This study examines the impact of leader–member exchange (LMXQ) quality on key employee outcomes in the service sector, focusing on job involvement, employee empowerment, and employee retention. This work also explores the moderating role of service climate in the relationships between employee empowerment and retention and between job involvement and retention, particularly within the service context. Grounded in leader–member exchange theory, which emphasizes the quality of leader–subordinate relationships as a critical determinant of organizational effectiveness, this research adopts a quantitative approach. Data were collected from employees in Pakistan’s health care sector and analyzed using structural equation modeling (SEM). The results reveal that high-quality LMX significantly enhances employee empowerment and job involvement, which in turn positively influence employee retention. However, the moderating effect of service climate on these relationships was found to be nonsignificant. The findings offer valuable insights for human resource and organizational leaders in developing economies, highlighting the importance of fostering supportive leadership relationships to enhance employee engagement and retention. This study contributes to the literature by providing empirical evidence from a developing country perspective and clarifying the limited moderating role of service climate in the LMX–employee outcomes framework
Employee engagement · Employee research · Empowerment · Health care · Human resource management · Organisation climate · Service quality · Social exchange theory · Workforce · Human Resource and Talent Management · Job Satisfaction and Organizational Behavior · Workplace Spirituality and Leadership
Linking Organizational Resources and Work Engagement to Employee Performance and Customer Loyalty
Covid-19
Measurement of job and work involvement.
Linking service climate and customer perceptions of service quality
Leader–Member Exchange (LMX) and Performance
Common method biases in behavioral research
Common Method Bias in PLS-SEM
The Use of Cronbach’s Alpha When Developing and Reporting Research Instruments in Science Education
Give me my flowers before I die! Linking employee recognition, job satisfaction and employee retention in logistics companies
Workplace spirituality and service-oriented performance via work engagement in public organizations
The role of employee empowerment in promoting perceived behavioural control over whistleblowing
Incidence of Leader–Member Exchange Quality, Communication Satisfaction, and Employee Work Engagement on Self-Evaluated Work Performance
LMX Differentiation and Voice Behavior
The Spiritual Role of a Leader in Sustaining Work Engagement
| Citation velocity | historical |
|---|---|
| Highly cited | No |