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Enhancing employee engagement through transformational leadership and AI use: evidence from the healthcare sector in Saudi Arabia

Author

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  • Hosam Mahmoud Mohamed Ramy

    (Majmaah University, Saudi Arabia)

Abstract

The research examines how transformational leadership and AI usage affects healthcare employee engagement in Saudi Arabia. Additionally, it investigates how employee voice moderates the relationship between transformative leadership and employee engagement. The data was collected from 408 healthcare employees who worked at hospitals and healthcare facilities throughout the Kingdom of Saudi Arabia. The researcher utilized Partial Least Squares Structural Equation Modelling (PLS-SEM) to analyze the collected data. The findings showed that the four dimensions of transformational leadership—inspirational motivation, idealized influence, intellectual stimulation, and individualized consideration—significantly influence employee engagement. The findings further show that the usage of AI technologies can lead to more employee engagement. Furthermore, the findings confirm the moderating role of employee voice in enhancing the relationship between transformational leadership and employee engagement. It concludes that employee voice enables transformational leaders to achieve higher employee engagement through settings which support open dialogue and staff involvement. This article contributes to knowledge by combining leadership theory with employee voice concepts and digital transformation elements into a single model which provides healthcare leaders and policymakers with practical methods to boost employee engagement through leadership development and AI-powered workplace technology. Specifically, it underscores the importance of transformational leadership and AI technologies in enhancing employee engagement.

Suggested Citation

  • Hosam Mahmoud Mohamed Ramy, 2026. "Enhancing employee engagement through transformational leadership and AI use: evidence from the healthcare sector in Saudi Arabia," Entrepreneurship and Sustainability Issues, VsI Entrepreneurship and Sustainability Center, vol. 13(4), pages 445-460, June.
    • Handle: RePEc:ssi:jouesi:v:13:y:2026:i:4:p:445-460
    DOI: 10.9770/p6895552966
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    References listed on IDEAS

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    1. Bakker, Arnold B. & Hetland, Jørn & Kjellevold Olsen, Olav & Espevik, Roar, 2023. "Daily transformational leadership: A source of inspiration for follower performance?," European Management Journal, Elsevier, vol. 41(5), pages 700-708.
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    JEL classification:

    • M54 - Business Administration and Business Economics; Marketing; Accounting; Personnel Economics - - Personnel Economics - - - Labor Management

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