<![CDATA[The rapid changes in the healthcare sector require hospitals to adapt and maintain the work motivation of healthcare professionals. This study aims to examine the effect of Transformational Leadership (TL) on Worker Motivation (WM), with Commitment to Change (CR) as a mediating variable. A quantitative approach was used with an explanatory research design, involving 259 healthcare workers from three hospitals in Central Java, Indonesia. Data were collected through a 5-point Likert scale questionnaire and analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM). The results show that TL significantly affects CR (β = 0.586; p < 0.05), CR significantly affects WM (β = 0.657; p < 0.05), and TL significantly affects WM both directly (β = 0.176; p < 0.05) and indirectly through CR (β = 0.385; p < 0.05). The structural model explains 34.1% of the variance in CR and 59.5% of the variance in WM. These findings confirm that transformational leadership plays an important role in building emotional commitment to change, which ultimately enhances work motivation. The practical implication of this study is the need for leadership strategies that emphasize inspiration, intellectual stimulation, individualized consideration, and strengthening commitment to change, in order to maintain the performance of healthcare professionals amid the dynamics of the healthcare industry.]]>
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