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ISSN : 2233-4165(Print)
ISSN : 2233-5382(Online)
Journal of Industrial Distribution & Business Vol.10 No.3 pp.73-83

A Study on the Effect of Authentic Leadership of Hospital Organization on Organizational Commitment and Organizational Citizenship Behavior: Focusing on Mediating Effect of LMX

Yeonsook Lee*
* Professor of Department of Health care Management, Catholic Kwandong University, Korea. E-mail:
March 05, 2019. March 21, 2019. March 21, 2019.


Purpose - This study is to clarify the structural relationship between the direct supervisor and organizational commitment and organizational citizenship behavior through mediation of the Leader-member exchange (LMX) in the hospital organization, and to confirm the mediating effect of the LMX. Through this study, we will provide basic data on the aspects of HR to enhance organizational immersion and organizational civic behavior in hospital organizations, and present suggestions on academic contribution and effective organizational operation measures.
Research design, data, and methodology - This study is to investigate the relationship between authentic leadership and OC and OCB of the organization member, which is proposed to secure more active and high competitiveness in the recent changing medical environment, with multi-regression and B&K(1986) method. For this purpose, 653 employees of senior hospitals in Seoul and Kyeong-In area were surveyed using structured questionnaires. Each questionnaire was composed of 7-point scale, and each hypothesis was testified by multiple leaner regression and by BK method for testifying mediator effect.
Result - As a result of the analysis, it was found that the male and non-medical staff had higher recognition level than the medical staff in the LMX, organizational commitment and organizational citizenship behavior. In the senior management or more than 5 years’ experience group, organizational commitment and organizational citizenship behavior were recognized higher than the group of subordinate managers. Second, authentic leadership has a positive influence on LMX, organizational commitment and organizational citizenship behavior, and LMX has a significant positive impact on organizational commitment and organizational citizenship behavior. In addition, as a result of analyzing LMX mediating effect in the relationship of authentic leadership and organizational effectiveness by BK method, LMX had partial mediating effects between authentic leadership and organizational citizenship behavior, and between authentic leadership and organizational commitment.
Conclusion - Results of the study confirmed that all the members of the hospital organization that were lacking served as positive factors for the relationships of authentic leadership and LMX, and authentic leadership and organizational effectiveness. It is expected that the hospital organization will be able to suggest such as the organizational approach to expect high organizational effectiveness centering on authentic leadership ability as psychological capital.

JEL Classifications: D23, E24, O15

병원 조직의 진성리더십 유형이 조직몰입과 조직시민행동에 미치는 영향에 관한 연구 : LMX의 매개효과를 중심으로






    1. Allen, N. J., & Meyer, J. P. (1990). The measurement and antecedents of affective, continuance and normative commitment to the organization. Journal of occupational psychology, 63(1), 1-18.
    2. Angle, H. L., & Perry, J. L. (1981). An empirical assessment of organizational commitment and organizational effectiveness. Administrative science quarterly, 26(1), 1-13.
    3. Avolio, B. J., Gardner, W. L., Walumbwa, F. O., Luthans, F., & May, D. R. (2004). Unlocking the mask: A look at the process by which authentic leaders impact follower attitudes and behaviors. The leadership quarterly, 15(6), 801-823.
    4. Avolio, B. J., Luthans, F., & Walumbwa, F. O. (2004). Authentic leadership: Theory building for veritable sustained performance. Gallup Leadership Institute. University of Nebraska-Lincoln Ltd.
    5. Baron, R. M., & Kenny, D, A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.
    6. Bateman, T. S., & Organ, D. W. (1983). Job satisfaction and the good soldier: The relationship between affect and employee “citizenship”. Academy of management Journal, 26(4), 587-595.
    7. Brief, A. P., & Motowidlo, S. J. (1986). Prosocial organizational behaviors. Academy of management Review, 11(4), 710-725.
    8. Cho, C. H., & Jung, K. W. (2011). An Effect of LMX on Job Attitude: Focusing on Nurse Working at Silver Hospital in Daegu·Gyeongbuk Area. The Korean Academic Association of Business Administration Conference, 2011, 209-228.
    9. Cho, Y. C., Cho, S. Y., & Hong, G. H. (2017). Effects of Authentic Leadership and Team Empowerment on Team Commitment and Team-Level Organizational Citizenship Behavior: Coaching as a Moderator. Korean Journal of Business Administration, 30(4), 657-688
    10. Choi, H. G., & Ahn, S. H. (2016). Influence of nurse managers' authentic leadership on nurses' organizational commitment and job satisfaction: focused on the mediating effects of empowerment. Journal of Korean Academy of Nursing, 46(1), 100-108.
    11. Choi, S., & Yoon, Y. (2012). The impacts of emotional intelligence, job satisfaction and self-efficacy on the organizational citizenship behavior: The case of nurse in university hospital. Korean Academy of Human Resource Management, 19(5), 73-93.
    12. Dansereau Jr, F., Graen, G., & Haga, W. J. (1975). A vertical dyad linkage approach to leadership within formal organizations: A longitudinal investigation of the role making process. Organizational behavior and human performance, 13(1), 46-78.
    13. Dienesch, R. M., & Liden, R. C. (1986). Leader-member exchange model of leadership: A critique and further development. Academy of management review, 11(3), 618-634.
    14. Etzioni, A. (1961). A comparative Analysis of Complex Organizations. New York: The Free Press.
    15. Gardner, W. L., Avolio, B. J., Luthans, F., May, D. R., & Walumbwa, F. (2005). “Can you see the real me?” A self-based model of authentic leader and follower development. The leadership quarterly, 16(3), 343-372.
    16. George, G. B., Sims, P., McLean, A. N., & Mayer, D. (2007). Discovering your authentic leadership. Harvard Business Review, 85(2), 129-138.
    17. George, J. M., & Brief, A. P. (1992). Feeling good-doing good: A conceptual analysis of the mood at work-organizational spontaneity relationship. Psychological bulletin, 112(2), 310-329.
    18. Graen, G. B., & Scandura, T. A. (1987). Toward a psychology of dyadic organizing. Research in organizational behavior, 9, 175-208.
    19. Graen, G. B., & Uhl-Bien, M. (1991). The transformation of professionals into self-managing and partially self-designing contributors: Toward a theory of leadership-making. Journal of Management Systems, 3(3), 33-48.
    20. Heo, S. G. (2017). Leadership Type, Public Service Motivation, Organizational Citizenship Behavior: Moderating effect of Role Conflict. The Korean Journal of Local Government Studies, 21(3), 495-515.
    21. Jin, Y. H., & Kim, S. J. (2016). Effects of Authentic Leadership and Perceived Organizational Support on Organizational Citizenship Behavior. The Journal of the Korea Contents Association, 16(4), 23-35.
    22. Jones, G. R., & George, J. M. (1998). The experience and evolution of trust: Implications for cooperation and teamwork. Academy of management review, 23(3), 531-546.
    23. Joo, Y. S., & Han, S. S. (2013). The effect of nurses' emotional intelligence on organizational commitment and organizational citizenship. J Korean Acad Soc Nurs Educ, 19(2), 194-202.
    24. Kang, C. W. (2008). A Study for how a CEO’s moral management influences on his employees’ absorbing into their business in a Stock company. The Journal of Distribution Science, 6(1), 63-77.
    25. Kanter, R. M. (1968). Commitment and organization: A study of commitment mechanisms in utopian communities. American Sociological Review, 33(4), 499-517.
    26. Katz, D. & Kahn, R. L. (1966). The social psychology of organizations (2nd ed.). New York: John Wiley.
    27. Kim, J. O., & Kim, S. Y. (2017). Person-organization value congruence between authentic leadership of head nurses & organizational citizenship behavior in clinical nurses. Journal of Korean Academy of Nursing Administration, 23(5), 515-523.
    28. Kim, M. H. (2016). A study of how a manager’s authentic leadership of a food service enterprise affects the actions and effectiveness within an employee organization. Korea Journal of Tourism and Hospitality Research, 30(12), 239-254.
    29. Kim, S. J., & Choi, S. B. (2015). The Effects of Emotional Leadership, Leader Trust and Leader- Member Exchange on Organizational Commitment: Evidence from University Hospital Nurses. Management education review, 30(2), 1-33.
    30. Kwon, J. E., & Kwon, S. J. (2015). A Study on the Effect of Authentic Leadership on Organizational Citizenship Behavior: Mediation Effect of Affective Commitment. Journal of Corporate Education and Talent Research, 17(2), 107-127.
    31. Laschinger, H. K. S., Wong, C. A., & Grau, A. L. (2012). The influence of authentic leadership on newly graduated nurses’ experiences of workplace bullying, burnout and retention outcomes: A cross-sectional study. International journal of nursing studies, 49(10), 1266-1276.
    32. Lee, E. J, & Kim. S. D. (2011). A Study on Antecedents and the Consequences of Leadership Styles for Korean the Franchise System. The Journal of Distribution Science, 9(4), 63-73.
    33. Lee, S. M. (2017). The Effects of Nursing Managers Authentic Leadership on Organizational Effectiveness. Journal of Creativity and Innovation, 10(3), 1-39.
    34. Lim, J. K., & Kon, Y. S. (2015). A Study on the Impact of Police Officer's Authentic Leadership on Organizational Citizenship Behavior and Organizational Silence - The Mediating Effect of Perceived Organizational Support -. Korean Journal of Public Safety and Criminal Justice, 24(2), 215-242.
    35. Luthans, F., Baack, D., & Taylor, L. (1987). Organizational commitment: Analysis of antecedents. Human relations, 40(4), 219-235.
    36. Luthans, F., Luthans K. W., & Luthans B. C. (2004). Positive psychological capital: Beyond human and social capital. Business Horizons, 47(1), 45-50.
    37. Moon, H. G., Suh, I. D., Bae, S. H., & Ahn, S. I. (2015). The Influence of Authentic Leadership on Subordinates' Attitudes and Behaviors and the Mediation Effect of Trust in Leader. Management education review, 30(1), 435-461.
    38. Morrison, E. W. (1996). Organizational citizenship behavior as a critical link between HRM practices and service quality. Human resource management, 35(4), 493-512.
    39. Oh, Y. S., Choi, B. N., & Kim, A. S. (2016). Effects of LMX and Perceived Ethics with Leader on Job Burnout. The Journal of Distribution Science, 14(8), 59-66.
    40. Organ, D. W. (1988). Organizational citizenship behavior: The good soldier syndrome. Lexington, MA, Lexington Books.
    41. Park, S. K., Ryu, E. Y., & Ryu, B. G. (2016). A Study on the Effects of Servant Leadership of Middle-level Manager in Hospital Organization on Organizational Citizenship Behavior: Focusing on the Mediating Effects of Organizational Commitment. Korean review of organizational studies, 13(2), 39-61.
    42. Park, S. O. (2018). The Effects of director's coaching leadership of Multicultural Family Support Center on job autonomy and organizational effectiveness. Multicultural Education Studies, 11(3), 259-286.
    43. Porter, L. W., Steers, R. M., Mowday, R. T., & Boulian, P. V. (1974). Organizational commitment, job satisfaction, and turnover among psychiatric technicians. Journal of applied psychology, 59(5), 603-609.
    44. Puffer, S. M. (1987). Prosocial behavior, noncompliant behavior, and work performance among commission salespeople. Journal of applied psychology, 72(4), 615-621.
    45. Salancik, G. R. (1977). Commitment and the control of organizational behavior and belief, New directions in organizational behavior. Chicago: St. Clair.
    46. Seong, N. C., Moon, J. S., & Park. K. H. (2016). The Effect of Distribution Enterprise Leader's Coaching Behavior on Organizational Citizenship Behavior and Turnover Intention: Mediating Role of Authentic Leadership and Moderating Role of Emotional Intelligence. The Journal of Distribution Science, 14(1), 75-84.
    47. Song, B. R., & Seomun, G. A. (2014). The influential factors related to organizational citizenship behavior of nurses: With focus on authentic leadership and organizational justice. Journal of Korean Academy of Nursing Administration, 20(2), 237-246.
    48. Staw, B. M. (1977). Two Sides of Commitment. Paper presented at the National Meeting of the Academy of Management. Orlando, Florida.
    49. Tak, J. G., & Roh, T. W. (2019). Effects of Supervisor’s Authentic Leadership on OCB and Job Performance for Employees. Journal of digital convergence, 15(1), 171-179.
    50. Walumbwa, F. O., Avolio, B. J., Gardner, W. L., Wernsing, T. S., & Peterson, S. J. (2008). Authentic leadership: Development and validation of a theory- based measure. Journal of management, 34(1), 89-126.
    51. Williams, L. J., & Anderson, S. E. (1991). Job satisfaction and organizational citizenship behaviors relationships. Journal of Applied Social Psychology, 21, 1490-1501.
    52. Yang, H. C., & Cho, H. Y. (2015). Effects of Individuals, Leader Relationships, and Groups on Innovative Work Behaviors. The International Journal of Industrial Distribution and Business, 6(3), 19-25.
    53. Yang, H. C., & Kwon, J. H. (2015). Effects of Authentic Leadership and Leader-Member Exchange on Employee Psychological Ownership and Organizational Commitment. The Journal of Distribution Science, 13(11), 23-30.