Sustainable Leadership Models for Resilient and Adaptive Health Administration Systems

Nhis Puanarak; Chudo Ngamvich

doi:10.69725/appha.v1i1.261

Authors

Nhis Puanarak College of Medicine and Public Health at Ubon Ratchathani University, Thailand
Chudo Ngamvich Department of Pathology, Faculty of Medicine Ramathibodi Hospital, at Mahidol University in Bangkok, Thailand

DOI:

https://doi.org/10.69725/appha.v1i1.261

Keywords:

Sustainable Leadership, Operational Resilience, Pro-sustainability Organizational Culture, Healthcare Administration; Green Resources

Abstract

Objective: This study examines transformational leadership, commitment to sustainability, governance structures, and green resources on healthcare operational resilience, with a focus on pro-sustainability organizational culture as a mediator).
Methods: Cross-sectional quantitative research design using structured questionnaires was adopted among health administrators, managers, and staff, and data analyzed through structural equation modeling to assess direct and mediating effects.
Results: It was found that transformational leadership, sustainability commitment, governance structure, and green resources will positively impact the operational resilience. The study also finds that pro-sustainability organizational culture partially mediates these relationships, particularly to strengthen the association of leadership and resources on adaptive organizational performance. The findings suggest that leadership, structural governance and cultural factors interact to positively strengthen resiliency in a dynamic health care context and that there is also synergy between these dimensions in the operation of dynamic healthcare systems, pointing to the need for a systems‒based approach in supporting sustainable and adaptive functioning.
Novelty: This study add to the literature by empirically validating pro-sustainability organizational culture as a mediating factor of healthcare resilience. The value of the study is that it consolidates various constructs of leadership and sustainability into one framework which has not previously been comprehensively investigated and offers a distinguishing insight into healthcare administration and organisational flexibility.
Implications: The findings provide practical insights to healthcare leaders and policy makers and highlight the importance of attention to transformational leaders' development, governance job enrichment, resource alignment and development of a pro-sustainability culture. Such findings have global applicability, as this is a real-world approach that can be applied in a range of healthcare systems to underpin resilience, sustainability, and adaptive organizational practice in an uncertain and changing environment.

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Author Biographies

Nhis Puanarak, College of Medicine and Public Health at Ubon Ratchathani University, Thailand

Nhis Puanarak is a researcher from the College of Medicine and Public Health at Ubon Ratchathani University, Thailand. Their research is centered on the critical fields of health administration and public health systems. With a focus on the structural and managerial aspects of healthcare, Nhis investigates innovative approaches to strengthen the operational capacity of health organizations, particularly in response to modern-day challenges.
Chudo Ngamvich, Department of Pathology, Faculty of Medicine Ramathibodi Hospital, at Mahidol University in Bangkok, Thailand

Chudo Ngamvich is a distinguished researcher affiliated with the Department of Pathology, Faculty of Medicine Ramathibodi Hospital, at Mahidol University in Bangkok, Thailand. While grounded in the clinical specialty of pathology, their research interests extend to the macro-level challenges of health system management and institutional leadership. This unique perspective allows them to bridge the gap between clinical practice and administrative strategy.

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