Identification of Factors Influencing Organizational Citizenship Behavior (OCB) among Healthcare Workers: A Systematic Literature Review

Organizational Citizenship Behavior (OCB) refers to voluntary behaviors that play an important role in enhancing the effectiveness of healthcare services. However, various work-related pressures in healthcare facilities often lead to a decline in OCB. This study aims to identify factors influencing OCB among health workers using a Systematic Literature Review (SLR) approach following the PRISMA guidelines. Literature searches were conducted through Google Scholar, ScienceDirect, and Garuda databases, covering publications from 2015 to 2025. A total of 16 articles met the inclusion criteria and were analyzed thematically. The findings indicate that OCB is influenced by two main groups of factors: internal individual factors (job satisfaction, organizational commitment, emotional intelligence, optimism, work motivation, and quality of work life) and external organizational factors (transformational leadership, organizational culture and climate, perceived organizational support, leader–member exchange, workload, work stress, and emotional supervisor support). External factors were found to be more dominant than internal factors. These findings underscore the importance of organizational strategies in fostering supportive leadership and a positive work climate to enhance Organizational Citizenship Behavior among health workers.