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All Journal AKADEMIK: Jurnal Mahasiswa Ekonomi & Bisnis Journal of Public Health Sciences
Dameria, Kurniati
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Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health

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Konteks Transformasi Digital di Sektor Usaha Kesehatan Dameria, Kurniati; Jane, Orpha
AKADEMIK: Jurnal Mahasiswa Ekonomi & Bisnis Vol. 5 No. 1 (2025): AKADEMIK: Jurnal Mahasiswa Ekonomi & Bisnis
Publisher : Perhimpunan Sarjana Ekonomi dan Bisnis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37481/jmeb.v5i1.1097

Abstract

Digital transformation in the health business sector, especially in hospitals, is becoming increasingly important in improving efficiency and quality of service. This paper aims to understand the role of digital transformation drivers that have changed the fundamentals of company operations and interactions with customers, especially in the health business sector and whether these driving factors are in line with those conveyed by previous research. In order to approach this problem, the author conducted a literature review of various review articles. The databases used include Emerald Insight, Google Scholar, Proquest, and Sciencedirect with a period of 5 (five) years, 17 journals were selected with the keywords "digital transformation", "hospital", and "digital hospital". This study concludes that there are internal and external factors in digital transformation, especially in the health sector, and emphasizes the role of management in implementing change. The internal and external driving factors of digital transformation are in line with a study by Ismail, Khater, and Zaki (2017) which explored the concept, nature and process of digital transformation, with a focus on strategic aspects.
Patient Safety Culture as A Mediator Between Leadership and Incident Reporting Dameria, Kurniati; Talim, Margaretha Banowati; Sugiarto, Paulus Susilo
Journal of Public Health Sciences Vol. 5 No. 01 (2026): Article in Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001325

Abstract

This study investigates the influence of transformational leadership on patient safety incident reporting among nurses in the inpatient units of Charitas Group hospitals, with a focus on the mediating role of patient safety culture. Using a sequential explanatory mixed-methods design, the research integrates quantitative survey data from 232 nurses and qualitative insights from 16 key informants, including unit heads and safety committee leaders. Structural Equation Modeling and Sobel test results reveal that transformational leadership has a positive effect on patient safety culture but a paradoxically negative direct effect on incident reporting. Patient safety culture significantly mediates this relationship, underscoring the role of organizational climate in translating leadership into safety behaviors. Qualitative findings illuminate this paradox, revealing stark unit-level differences such as in the Pharmacy unit, where psychological safety and open dialogue are strongly fostered, while in other units, fear, silence, and inadequate follow-up persist. The study finds that institutional values are not consistently reflected in daily practices, limiting cultural transformation. This study contributes to the limited literature in Indonesia by highlighting how leadership must be embedded in safe and responsive environments to encourage safety behavior. Recommendations include strengthening leadership presence and follow-through, enhancing safety committee roles, and conducting routine audits to promote a just and learning culture. The findings provide actionable insights for hospital policy, leadership training, and efforts to improve organizational safety in healthcare settings.
Co-Authors Orpha Jane Sugiarto, Paulus Susilo Talim, Margaretha Banowati