Ni Gusti Ayu Eka
Adjunct Research Fellow, La Trobe University, Australia

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

Transformational leadership and patient safety in hospital nursing practice: A scoping review Adil Setia Gulo; Yakobus Siswadi; Ni Gusti Ayu Eka
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2580

Abstract

Background: Patient safety is a key component of healthcare quality and remains a global priority. Nurses play a central role in maintaining patient safety, and leadership is recognized as an important organizational factor influencing safety outcomes. Transformational leadership has been widely applied in nursing; however, evidence linking it directly to patient safety outcomes remains fragmented. Purpose: To map and synthesize evidence on the role of transformational leadership in influencing patient safety outcomes in hospital nursing practice. Method: This scoping review followed the Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines. Literature searches were conducted in PubMed, MEDLINE with Full Text (EBSCO), and ScienceDirect for studies published between 2020 and 2025. The PCC framework was used as the basis for formulating the research questions and selecting articles. Studies examining transformational leadership and patient safety outcomes among hospital nurses were included. Data were extracted and analyzed using narrative thematic synthesis. Results: Four studies met the inclusion criteria. Four main themes were identified: transformational leadership as a foundation for patient safety culture, indirect influence through psychosocial and work environment factors, impact on nurses’ safety practices and reporting behaviors, and contextual and organizational influences. All studies reported positive associations between transformational leadership and patient safety outcomes. Conclusion: Transformational leadership supports patient safety by promoting a positive safety culture, improving safety practices, and enhancing workforce well-being. Further longitudinal and intervention studies are needed to strengthen causal evidence and guide leadership development.
Pengaruh pelatihan keterampilan dasar terhadap kompetensi kader: A scoping review Natassia Florence Carolina Lekatompessy; Ni Gusti Ayu Eka
Hik Vol. 20 No. 7 (2026): Volume 20 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i7.3621

Abstract

Background: The transformation of Indonesia's health system through Primary Service Integration positions Integrated Health Posts as the spearhead of community-based health services. The shift in Integrated Health Posts functions from solely maternal and child health services to a life-cycle-based service model requires Integrated Health Posts volunteers to possess adequate competence. Basic skills training is one strategy employed to enhance volunteer competence; however, scientific evidence regarding the effectiveness of such training has not yet been comprehensively mapped. Purpose: To identify, map, and synthesize scientific evidence regarding the impact of basic skills training on the competence of integrated health posts volunteers. Method: This study employs a scoping review methodology based on Joanna Briggs Institute (JBI) guidelines and is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). A literature search was conducted using PubMed, MEDLINE (EBSCO), ScienceDirect, and other sources for articles published between 2017 and 2026. Inclusion criteria encompassed full-text articles in English or Indonesian examining training for health volunteers, Integrated Health Posts volunteers, or community health workers, with competence outcomes covering knowledge, attitudes, skills, self-efficacy, or volunteer performance. The selection process was conducted using Covidence. Data were extracted and analyzed using a descriptive-thematic approach. Results: Ten articles met the inclusion criteria. The synthesis results indicate that basic skills training consistently enhances the competence of integrated service post cadres across knowledge, attitudes, skills, and self-efficacy. Five key themes were identified: improvements in cadre knowledge, attitudes, skills, and self-efficacy, as well as the importance of continuous coaching and supervision. Factors supporting training success include active learning methods, hands-on practice, simulations, mentoring, and support from health workers. Conversely, limitations regarding education, facilities, and a lack of continuous training act as barriers. Conclusion: Basic skills training for cadres is an effective intervention for enhancing cadre competence. A training model integrating theory, practice, coaching, and continuous supervision is recommended to support the implementation of primary service integration and indonesia's health transformation. Suggestion: Future research should employ longitudinal or experimental designs with control groups to evaluate the sustainability of the training's impact on cadre competence. Additionally, further research is needed to identify the most effective models of coaching, supervision, and technology-based learning for maintaining integrated service post cadre competence across various public health service contexts.   Keywords: Cadre Competence; Health Transformation; Integrated Service Post Cadres; Primary Service Integration.