The Influence of Knowledge and Leadership on Clinical Risk Management with Patient Safety Culture as an Intervening Variable at PMI Hospital

Authors

  • Wulandari Dyah Ayu Universitas Esa Unggul
  • Natsir Nugroho Universitas Esa Unggul
  • Idrus Just’at Universitas Esa Unggul

DOI:

https://doi.org/10.59841/jumkes.v2i4.1859

Keywords:

Risk management, Patient safety, Leadership, Knowledge

Abstract

The lack of the leadership function in monitoring and evaluation, the limited training on patient safety is suspected to have resulted in a low safety culture and clinical risk management. This study aims to determine the influence of transformational leadership, patient safety knowledge and culture on clinical risk management at PMI Hospital. Design of a cross-sectional study, 138 nurses in August 2024. Simple random sampling technique, the independent variable is knowledge about patient safety goals and transformational leadership; the dependent variable of clinical risk management, and the intervening variable of patient safety culture. Descriptive analysis shows that PMI Hospital has nurses who have high knowledge of patient safety targets, with a charismatic leadership style, and a communicative patient safety culture. The results show that knowledge of patient safety goals, transformational leadership, and patient safety culture simultaneously and partially have a significanteffect on clinical risk management so that high knowledge, charismatic leadership, and communicative patient safety culture are proven to encourage improvements in clinical risk management at PMI Hospital.

References

Aarons, G. (2006). Transformational and transactional leadership: Associations with attitudes toward evidence-based practice. Psychiatric Services, 57(8), 1162–1169. https://doi.org/10.1176/appi.ps.57.8.1162

ACHS. (2013). Risk management & quality improvement: Risk management & quality improvement handbook. Retrieved September 3, 2023.

Adibi, H., Khalesi, N., Ravaghi, H., & Jafari, M. (2012). Development of an effective risk management system in teaching hospitals. Diabetes Journal & Metabolic Disorders, 11(1), 15. https://doi.org/10.1186/2251-6581-11-15

Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Congregation, 288(16), 1987–1993. https://doi.org/10.1001/jama.288.16.1987

All Moza. (2008). Nursing perceptions of patient safety at Hamad Medical Company in the State of Qatar. Doctor of Philosophy Dissertation, School of Nursing, Indiana University. Retrieved September 10, 2023.

Anderson, L. W., & Krathwohl, D. R. (2010). Foundational framework for learning, teaching, and assessment: Bloom's taxonomy of education revision. Yogyakarta: Pustaka Pelajar.

Bahrami, M., Chalak, M., Montazeralfaraj, R., & Tafti, A. (2014). Iranian nurses' perception of patient safety culture. Journal of Patient Safety & Quality Improvement, 2, 48-52.

Baker, G. R., Norton, P. G., Flintoft, V., Blais, R., Brown, A., Cox, J., ... & Majumdar, S. R. (2004). Canadian adverse events study: Incidence of adverse events among hospital patients in Canada. Canadian Medical Association Journal, 170(11), 1678–1686.

Bass, B. M. (1990). From transactional to transformational leadership: Learning to share a vision. Retrieved August 27, 2023, from https://www.academia.edu/65192616/From_transactional_to_transformational_leadership_Learning_to_share_the_vision

Bates, M. J. (2006). Basic forms of information. Journal of the American Society for Information Science and Technology, 57(8), 1033–1045. https://doi.org/10.1002/asi.20499

Bienassis, K., Kristensen, S., Burtscher, M., Brownwood, I., & Klazinga, N. (2020). Culture as medicine: Assessment of patient safety culture in organizations of OECD countries. Retrieved August 27, 2023, from https://dx.doi.org/10.1787/6ee1aeae-en

Boamah, S. A., Laschinger, H. K. S., Wong, C., & Clarke, S. (2018). The effects of transformational leadership on job satisfaction and safety outcomes. Nursing Outlook, 66(2), 180–189. https://doi.org/10.1016/j.outlook.2017.10.004

Briner, M., Kessler, O., Pfeiffer, Y., Wehner, T., & Manser, T. (2010). Assessing hospital clinical risk management: Development of a monitoring instrument. BMC Health Services Research, 10, 337. https://doi.org/10.1186/1472-6963-10-337

Briner, M., Manser, T., & Kessler, O. (2013). Clinical risk management in hospitals: Strategy, central coordination and dialogue as key enablers. Journal of Clinical Practice Evaluation, 19(2), 363–369. https://doi.org/10.1111/j.1365-2753.2012.01836.x

Burton, I. (2021). Transformational leadership philosophy may be the optimal approach to improving outcomes in health care and physiotherapy settings: A narrative review. https://doi.org/10.31236/osf.io/vcjdz

Cahyawening, P., Intiasari, A., & Budi Aji, B. (2018). Implementation of risk management clinical at IGDRSUD Banyumas. Indonesian Public Health Journal, 10(2), 134–143. Retrieved from http://jos.unsoed.ac.id/index.php/kesmasindo/article/view/1234/966

CIHI. (2016). Measuring patient harm in Canadian hospitals. Retrieved January 1, 2024.

Code, C. S. (2012). Managing and leading change through transformational leadership: Insights into success. Retrieved September 10, 2023, from https://www.researchgate.net/publication/320516417_Managing_and_Leading_Change_through_Transformational_Leadership_Insights_into_Success

Davenport, T. H., & Prusak, L. (1998). Working knowledge: How organizations manage what they know. Retrieved from http://www.acm.org/ubiquity/book/t_davenport_1.html

Dehnavieh, R., Ebrahimipour, H., Jafari Zadeh, M., Dianat, M., Noori Hekmat, S., & Mehrolhassani, M. H. (2013). Clinical governance: Challenges of implementation in Iran. International Journal of Hospital Research, 2(1), 1–10. Retrieved from www.ijhr.iums.ac.ir

Djasri, H. (2023). Measuring and evaluating patient safety culture. Indonesian Health Service Quality Network. Retrieved from www.mutupejasakesehatan.net

El Leithy, N. S., & Ashour, H. M. A. (2021). Clinical risk management of healthcare organizations as perceived by nursing staff. Egyptian Journal of Health Care, 12. https://doi.org/10.21608/ejhc.2021.163263

Farokhzadian, J., Nayeri, N. D., & Borhani, F. (2015). Clinical risk assessment management systems in hospitals: A quality improvement approach. Global Journal of Health Sciences, 7(5). https://doi.org/10.5539/gjhs.v7n5p294

Habibi, M., Fesharaki, M. G., Samadinia, H., Mohamadian, M., & Anvari, S. (2013). Patient safety culture and factors affecting it in Tehran hospitals in 2013. Iranian Red Crescent Medical Journal, 17(2), 103–110. https://doi.org/10.5812/ircmj.30874

Hardani, A., Andriani, H., Ustiawati, J., Utami, E., Istiqomah, R., Fardani, R., Sukmana, D., & Aulia, N. (2020). Qualitative and quantitative research methods. Yogyakarta: CV Pustaka.

Hurriyati, R. (2005). Marketing mix and consumer loyalty. Bandung: Alphabet.

Idris, H. (2017). Dimensions of patient safety culture. Journal of Public Health Sciences, 8(1). Available from www.jikm.unsri.ac.id

Ilyas, Y. (2011). Performance, theory, assessment and training. Jakarta: BP FKUMUI.

Jafree, S. R., Zakar, R., Zakar, M. Z., & Fischer, F. (2016). Nurses' perceptions of organizational culture and its relation with error reporting culture: Case of public sector hospitals in Pakistan. BMC Health Services Research, 15(1), 3. https://doi.org/10.1186/s12913-015-1252-y

Jus'at, I. (2019). Data processing: Health and nutrition research. Jakarta: Salemba Medical.

Khan, A., & Tidman, D. M. M. (2021). Transformational impact and laissez-faire leadership in health. International Journal of Medical Sciences and Clinical Discovery, 8(09), 5605–5609. https://doi.org/10.18535/ijmsci/v8i09.04

Kianto, A., Hussinki, H., Ritala, P., & Vanhala, M. (2017). Intellectual capital, knowledge management practices and corporate performance. Journal of Intellectual Capital, 18(1), 00–00. https://doi.org/10.1108/JIC-11-2016-0116

Kondakar, V. G. (2007). Organizational behavior. New Age International Publisher.

Kusuma, C. (n.d.). COSO Enterprise Risk Management (ERM) – Integrated framework. Retrieved from https://crmsindonesia.org/publications/comparison-coso-erm-integrated-framework-with-iso-31000-2009

Liang, H., & Xue, Y. (2009). The roles of organizational culture and commitment in the relationship between leadership and knowledge sharing. Journal of Knowledge Management, 13(3), 9. https://doi.org/10.1108/13673270910964830

Lyons, K., & Schneider, M. (2019). Transformational leadership and job satisfaction among nurses. Nursing Management, 50(10), 14-18. https://doi.org/10.1097/01.NUMA.0000562239.55705.9e

Markova, G., & Ford, J. K. (2019). Leadership, learning, and organizational change: The role of psychological safety. Journal of Leadership Studies, 13(1), 54-66. https://doi.org/10.1002/jls.21738

Mayo, A., & Woolley, A. (2020). Effective team management in health care: How to create a positive workplace culture. Routledge.

McGowan, J., & D’Arcy, D. (2012). The role of nurse managers in implementing patient safety initiatives: An integrative review. International Nursing Review, 59(4), 424–431. https://doi.org/10.1111/j.1466-7657.2012.01012.x

MINISTRY OF HEALTH. (2014). Regulation of the Minister of Health of the Republic of Indonesia Number 56. In KKR (Ed.), Hospital classification and licensing.

Nolan, M., & Jefferson, A. (2011). Patient safety: A review of the evidence. Journal of Nursing Management, 19(3), 360–367. https://doi.org/10.1111/j.1365-2834.2011.01273.x

O’Leary, K. J., & Wayne, D. B. (2011). Teamwork and patient safety: Key findings from the literature. Journal of Nursing Management, 19(3), 444–454. https://doi.org/10.1111/j.1365-2834.2011.01280.x

Parker, D., & Lawrie, G. (2006). The role of management in promoting a safety culture in health care. International Journal of Quality in Health Care, 18(4), 205–208. https://doi.org/10.1093/intqhc/mzl023

Rosen, M. A., & Ralston, P. A. (2017). Adaptive teamwork in the face of uncertainty: Developing strategies to support team effectiveness. Health Services Research, 52(1), 151–172. https://doi.org/10.1111/1475-6773.12409

Sadeghi, N., Keshavarz, H., Jabbari, S., & Sadeghi, R. (2016). The role of transformational leadership in promoting patient safety culture. Iranian Journal of Public Health, 45(5), 569-576.

Saha, A. (2021). Patient safety culture in hospitals: A review of the literature. International Journal of Health Planning and Management, 36(1), 184–197. https://doi.org/10.1002/hpm.2964

Schmidt, K. W., & Ageron, B. (2017). Transformational leadership and employee engagement: An empirical study. International Journal of Productivity and Performance Management, 66(3), 412–426. https://doi.org/10.1108/IJPPM-03-2016-0056

Scott, J. T., & Wren, D. A. (2015). Leadership: A new perspective on leading the organization. New York: Wiley.

Seyyed, A. M., Ali, M., Mohamad, B. S., & Sadeghi, N. (2015). The role of organizational justice in developing patient safety culture in hospitals. Journal of Health and Safety Research, 12(2), 156–163. https://doi.org/10.1007/s10900-015-0024-5

Smith, J. M., & Roberts, K. D. (2018). Safety culture in hospitals: A qualitative study of how leadership influences patient safety. International Journal for Quality in Health Care, 30(8), 625–632. https://doi.org/10.1093/intqhc/mzy086

Sweeney, A. J., & Puzniak, L. A. (2018). Understanding the relationship between transformational leadership and patient safety culture. Nursing Management, 45(6), 20–26. https://doi.org/10.1097/01.NUMA.0000545547.07881.e7

Weaver, S. J., et al. (2013). Promoting a culture of safety: A review of the literature. Journal of Nursing Management, 21(3), 454–465. https://doi.org/10.1111/jonm.12036

Published

2024-10-02

How to Cite

Wulandari Dyah Ayu, Natsir Nugroho, & Idrus Just’at. (2024). The Influence of Knowledge and Leadership on Clinical Risk Management with Patient Safety Culture as an Intervening Variable at PMI Hospital. Jurnal Mahasiswa Ilmu Kesehatan, 2(4), 216–235. https://doi.org/10.59841/jumkes.v2i4.1859

Similar Articles

1 2 3 4 5 6 > >> 

You may also start an advanced similarity search for this article.