This study aims to explore and deeply understand the implementation of transformational leadership, the condition of employee work motivation, and the influence of transformational leadership on employee work motivation at UPTD Kwandang Health Center, North Gorontalo Regency. This research employs a qualitative approach with a phenomenological paradigm. Data were collected through in-depth interviews with 11 informants, passive participatory observation, and document analysis. Data analysis utilized Miles and Huberman's thematic approach, encompassing data reduction, data display, and conclusion drawing. Results indicate that transformational leadership at Kwandang Health Center is implemented through all four dimensions of Bass and Avolio: idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration. Employee work motivation was found to be in a high category, with intrinsic motivation as the primary driver. Among the four dimensions, individualized consideration proved to have the most dominant influence on work motivation through mechanisms of personal recognition, competency development support, and strengthening of emotional bonds between employees and the organization. These findings are further confirmed through the integrative lens of Robert House's Path-Goal Theory. The implications of this research provide theoretical and practical contributions to evidence-based leadership development in primary healthcare facilities in Indonesia.
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