The Mediating Role of Transformational Leadership of Nurse Managers on the Condition for Work Effectiveness and Engagement of Nurses

Nursing work environments and leadership practices play an essential role in sustaining nurses motivation, productivity, and professional engagement within healthcare institutions. However, despite the importance of supportive workplace conditions and effective leadership, limited studies have examined how transformational leadership influences the relationship between conditions for work effectiveness and work engagement among nurses in private hospital settings in Cebu City. This study aimed to determine the levels of conditions for work effectiveness, transformational leadership, and work engagement among nurses, as well as examine the relationship among variables and the mediating role of transformational leadership. The study utilized a quantitative descriptive–correlational design with mediation analysis among 100 nurses employed in a Level II private hospital in Cebu City using complete enumeration sampling. Standardized instruments namely the CWEQ-II, MLQ-5X, and UWES-9 were used in data collection. Mean score, standard deviation, Pearson r, and regression-based mediation analysis were employed. Findings revealed that nurses experienced high conditions for work effectiveness, high transformational leadership, and very high work engagement. Conditions for work effectiveness significantly correlated with work engagement. Transformational leadership significantly mediated the relationship, indicating partial mediation. The study concluded that supportive workplace conditions and transformational leadership contribute significantly in strengthening nurses work engagement.