Vol. 12 No. 4 (2026): In Progress
Open Access
Peer Reviewed

The The Moderating Role of Work Engagement in the Relationship between Workplace Spirituality and Innovative Work Behavior Among General Practitioners: A Meta-Analysis

Authors

Umi Kulsum , Djazuly Chalidyanto

DOI:

10.29303/jppipa.v12i4.14871

Published:

2026-05-13

Downloads

Abstract

This study aims to examine the moderating role of work engagement in the relationship between workplace spirituality (WS) and innovative work behavior (IWB) among general practitioners (GPs). A systematic review and meta-analysis were conducted following PRISMA (2021) guidelines. A comprehensive search across Scopus, Web of Science, PubMed, ProQuest, ScienceDirect, and Google Scholar identified 16,800 records. After removing duplicates (n = 3,215) and screening, seven quantitative studies (N = 3,025 GPs) were included. A random-effects model was applied due to substantial heterogeneity (I² = 91.35%). The results showed a moderate and significant positive relationship between WS and IWB (r = 0.52, 95% CI [0.42–0.60]). A narrative comparison based on study characteristics suggested that work engagement may strengthen this relationship, with stronger associations observed in studies reporting higher employee engagement (r = 0.61) compared to those with lower engagement (r = 0.38). However, formal moderator analysis was limited due to the small number of included studies (k = 7).  Subgroup analysis indicated no significant effect of GP workforce characteristics (p > 0.05). These findings suggest that workplace spirituality enhances innovative behavior through meaning and value alignment, but its effectiveness depends on work engagement. Strengthening both factors may improve physician innovation and support sustainable general practitioners (GPs) aligned with SDG 3.

Keywords:

General practitioners Healthcare professionals Innovative work behavior Meta-analysis Workplace spirituality

References

Aboobaker, N., & Adji, A. (2024). Analysis of Ministry of Health Regulation No. 30 of 2022 on Hospital Service Quality in Indonesia. ARRUS Journal of Social Sciences and Humanities, 4(3), 310. https://doi.org/10.35877/soshum2582 DOI: https://doi.org/10.35877/soshum2582

Adji, A. (2024). Systematic Review and Meta-Analysis Methods in Health Research. Journal of Health Research Methodology, 5(2), 101–115.

Adji, A., Nugroho, T., & Prasetyo, B. (2022). Application of Meta-Analysis in Healthcare Research: A Practical Approach. Indonesian Journal of Health Administration, 10(1), 1–10.

Adji, A., Rahman, F., & Sari, D. (2025). Advances in Systematic Review and Meta-Analysis in Public Health Studies. Journal of Public Health Research, 14(1), 45–60.

Afsar, B., & Badir, Y. (2017) Workplace Spirituality, Perceived Organizational Support and Innovative Work Behavior: The Mediating Effects of Person-Organization Fit. Journal of Workplace Learning, 29, 95-109. https://doi.org/10.1108/JWL-11-2015-0086 DOI: https://doi.org/10.1108/JWL-11-2015-0086

Afsar, B., & Rehman, M. (2015). The Relationship between Workplace Spirituality and Innovative Work Behavior: The Mediating Role of Perceived Person–Organization Fit. Journal of Management Spirituality & Religion, 12(4), 1-25. https://doi.org/10.1080/14766086.2015.1060515 DOI: https://doi.org/10.1080/14766086.2015.1060515

Alshahrani, I. A.-J. (2024). Towards Understanding the Influence of Innovative Work Behavior on Healthcare Organizations’ Performance: The Mediating Role of Transformational Leaders. Arab Gulf Journal of Scientific Research, 42(1), 198–216. https://doi.org/10.1108/agjsr-09-2022-0167 DOI: https://doi.org/10.1108/AGJSR-09-2022-0167

Baber, P., Baber, R., & Virgilio, F. D. (2023). Exploring the Relationship between Workplace Spirituality, Spiritual Survival, and Innovative Work Behavior Among Healthcare Professionals. International Journal of Healthcare Management. https://doi.org/10.1080/20479700.2023.2197053. DOI: https://doi.org/10.1080/20479700.2023.2199555

Bakker, A. B., & Demerouti, E. (2017). Job Demands-Resources Theory: Taking Stock and Looking Forward. Journal of Occupational Health Psychology, 22(3), 273–285. https://doi.org/10.1037/ocp0000056 DOI: https://doi.org/10.1037/ocp0000056

Binsaeed, R. H., Yousaf, Z., Grigorescu, A., Chitescu, R. I., Nassani, A. A., & Samoila, A. (2023). Customer Engagement and Customer Relationship Management Capabilities’ Effects on Innovation Performance and Customer Distrust’s Moderating Role. Sustainability (Switzerland), 15(12), https://doi.org/10.3390/su15129475 DOI: https://doi.org/10.3390/su15129475

Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009). Introduction to Meta-Analysis. John Wiley & Sons. https://doi.org/10.1002/9780470743386 DOI: https://doi.org/10.1002/9780470743386

Deci, E. L., & Ryan, R. M. (2000). The “What” and “Why” of Goal Pursuits: Human Needs and the Self-Determination of Behavior. Psychological Inquiry, 11(4), 227–268. https://doi.org/10.1207/S15327965PLI1104_01 DOI: https://doi.org/10.1207/S15327965PLI1104_01

DerSimonian, R., & Laird, N. (1986). Meta-Analysis in Clinical Trials. Controlled Clinical Trials, 7(3), 177–188. https://doi.org/10.1016/0197-2456(86)90046-2. DOI: https://doi.org/10.1016/0197-2456(86)90046-2

Dewinta, D. (2023). The Effect of Workplace Spirituality on Innovative Work Behavior Mediated by Intrinsic Motivation. SEIKO: Journal of Management & Business, 6(2), 123–134.

Duval, S., & Tweedie, R. (2000). Trim and Fill: A Simple Funnel-Plot–Based Method of Testing and Adjusting for Publication Bias in Meta-Analysis. Biometrics, 56(2), 455–463. https://doi.org/10.1111/j.0006-341X.2000.00455 DOI: https://doi.org/10.1111/j.0006-341X.2000.00455.x

Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997). Bias in Meta-Analysis Detected by a Simple, Graphical Test. BMJ, 315(7109), 629–634. https://doi.org/10.1136/bmj.315.7109.629 DOI: https://doi.org/10.1136/bmj.315.7109.629

Gultom, T., Panggabean, M., & Silalahi, R. R. (2022). Psychological Empowerment as a Mediator between Workplace Spirituality and Innovative Work Behavior Among Generation Y Employees in Indonesia. Indonesian Journal of Business and Entrepreneurship, 8(1), 55–67. DOI: https://doi.org/10.36418/jws.v1i8.78

Haj-Salem, I. (2023). Workplace Spirituality and Employee Innovative Performance: A Cross-Cultural Investigation. Journal of Organizational Effectiveness: People and Performance, 10(2), 145–163. https://doi.org/10.1108/JOEPP-09-2022-0247.

Hardianto, N., Soemarko, D. S., Sugiharto, A., & Fitriani, D. Y (2025). Effort–Reward Imbalance, Emotional Exhaustion, and Depersonalisation Among Public Primary Health Care Physicians: A Cross-Sectional Study in Indonesia. Family Medicine & Primary Care Review, 25(1), 40–49. https://doi.org/10.5114/fmpcr.2023.125491 DOI: https://doi.org/10.5114/fmpcr.2023.125491

Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring Inconsistency in Meta-Analyses. BMJ, 327(7414), 557–560. https://doi.org/10.1136/bmj.327.7414.557 DOI: https://doi.org/10.1136/bmj.327.7414.557

Hunsaker, W. D., & Ding, W. (2022). Workplace Spirituality and Innovative Work Behaviour: The Role of Flourishing and Job Satisfaction. Journal of Management, Spirituality & Religion, 19(3), 276–290. https://doi.org/10.1080/14766086.2022.2048203.

Janssen, O. (2000). Job Demands, Perceptions of Effort–Reward Fairness and Innovative Work Behaviour. Journal of Occupational and Organizational Psychology, 73(3), 287–302. https://doi.org/10.1348/096317900167038 DOI: https://doi.org/10.1348/096317900167038

Jena, J. (2022). Workplace Spirituality and Organizational Performance: The Mediating Role of Organizational Citizenship Behavior and Emotional Intelligence. Journal of Organizational Effectiveness: People and Performance, 9(1), 45–61. https://doi.org/10.1108/joepp-05-2021-0111

Karatepe, O. M., Avci, T., & Tekin, O. A. (2021). The Effects of Organizational Resources on Employee Engagement and Creativity. International Journal of Hospitality Management, 94, 102834. https://doi.org/10.1016/j.ijhm.2020.102834 DOI: https://doi.org/10.1016/j.ijhm.2020.102834

Kim, H. S., & Song, J. H. (2024). Impacts of Workplace Spirituality on Innovative Work Behaviour: Moderated-Mediating Effect of Organizational Silence and Intra-Organizational Networks. Human Resource Development International, 27(2), 257-280. https://doi.org/10.1080/13678868.2023.2238246 DOI: https://doi.org/10.1080/13678868.2023.2238246

Lamuri, A., Roesli, R. M. A., & Wahyuningsih, A. S. (2023). Burnout Dimension Profiles Among Healthcare Workers in Indonesia. Heliyon, 9(7), e18238. https://doi.org/10.1016/j.heliyon.2023.e18238 DOI: https://doi.org/10.1016/j.heliyon.2023.e14519

Malik, A. (2024). Mental Health at Work: WHO Guidelines (Brief and Practice Guidelines). BMJ Global Health, 9(6), e014318. Retrieved from https://gh.bmj.com/content/9/6/e014318

Ministry of Health Republic of Indonesia. (2023). Meta-Analysis: Effects of Workload and Work Environment on Health Services. Journal of Health Policy and Management, 8(3), 145–156. Retrieved from https://thejhpm.com/index.php/thejhpm/article/view/523

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group. (2009). Preferred Reporting Items For Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097. DOI: https://doi.org/10.1371/journal.pmed.1000097

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., … Moher, D. (2021). The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71 DOI: https://doi.org/10.1136/bmj.n71

Rafique, M., Hameed, S., & Agha, M. H. (2022). Impact of Employee Engagement on Innovative Work Behavior: Evidence from Service Sector. Sustainability, 14(5), 2798. https://doi.org/10.3390/su14052798 DOI: https://doi.org/10.3390/su14052798

Rosyid, A. N. (2021). Knowledge, Psychological Disorders, and Burnout of General Practitioners in the COVID-19 Era. Jurnal Pengabdian Masyarakat, 2(3), 45–52. Retrieved from https://ppm.ejournal.id/index.php/abdimas/article/view/196

Saks, A. M. (2022). Caring Human Resources Management and Employee Engagement. Human Resource Management Review, 32(3), 100835. https://doi.org/10.1016/j.hrmr.2021.100835 DOI: https://doi.org/10.1016/j.hrmr.2021.100835

Sari, D., Rahman, F., & Adji, A. (2025). Workplace Spirituality and Innovative Behavior in Indonesian Healthcare Context. Journal of Health Administration Research, 14(1), 45–60.

Saxena, S., & Prasad, A. (2022). Revisiting Workplace Spirituality Dimensions: Implications for Innovation and Employee Outcomes. European Journal of Innovation Management, 25(6), 1558–1576. https://doi.org/10.1108/EJIM-10-2020-0441.

Wang, Z., Xu, H., & Liu, Y. (2022). Employee Engagement and Innovation Performance: A Multilevel Perspective. Journal of Business Research, 139, 1–10. https://doi.org/10.1016/j.jbusres.2021.09.045 DOI: https://doi.org/10.1016/j.jbusres.2021.09.045

Wijaya, L. A. (2025). Pengaruh Workload, Burnout, dan Job Satisfaction Terhadap Turnover Intention pada Dokter Umum di Indonesia. Comserva, 4(9). https://doi.org/10.59141/comserva.v4i9.2800 DOI: https://doi.org/10.59141/comserva.v4i9.2800

Author Biographies

Umi Kulsum, Master Program in Health Administration and Policy

Author Origin : Indonesia

Djazuly Chalidyanto, Master Program in Health Administration and Policy

Author Origin : Indonesia

Downloads

Download data is not yet available.

How to Cite

Kulsum, U., & Chalidyanto, D. (2026). The The Moderating Role of Work Engagement in the Relationship between Workplace Spirituality and Innovative Work Behavior Among General Practitioners: A Meta-Analysis. Jurnal Penelitian Pendidikan IPA, 12(4), 103–112. https://doi.org/10.29303/jppipa.v12i4.14871