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Nandara Priyanti Elna
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Journal : Jurnal EduHealth

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The Influence of Clinical Leadership on Nurses’ Cultural Competence in Reducing Patient Anxiety in the Inpatient Ward of Nurul Hasanah Hospital Yusnaini, Yusnaini; Arif Irpan Tanjung; Nandara Priyanti Elna
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

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Healthcare services in Indonesia, as a multicultural country, face challenges in providing culturally sensitive nursing care. Clinical leadership plays a crucial role in developing nurses’ cultural competence to reduce patient anxiety, which can influence the healing process. This study aimed to examine the influence of clinical leadership on nurses’ cultural competence and its role in reducing patient anxiety in the inpatient ward of Nurul Hasanah Hospital. This study employed a quantitative cross-sectional design, involving 120 nurses and 150 patients selected through purposive sampling. Data were collected using the Clinical Leadership Survey, Intercultural Competence Scale in Nursing, and State-Trait Anxiety Inventory (STAI). Data were analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results showed that clinical leadership was rated high (mean = 3.82), cultural competence moderate (mean = 3.45), and patient anxiety moderate (mean = 42.8). Clinical leadership had a positive effect on cultural competence (β = 0.687, p < 0.001) and a negative effect on patient anxiety (β = -0.214, p = 0.004). Cultural competence negatively affected patient anxiety (β = -0.478, p < 0.001) and partially mediated the relationship between clinical leadership and patient anxiety (β = -0.328, p < 0.001). Clinical leadership effectively reduces patient anxiety both directly and indirectly by enhancing nurses’ cultural competence. Strengthening clinical leadership and cultural competence may contribute to more culturally responsive and psychologically safe inpatient care.
The Relationship Between Head Nurse Leadership Style and the Implementation of Cultural Safety by Nurses in Pediatric Care at H. Sahudin Kutacane Regional General Hospital Yusnaini, Yusnaini; Ade Kartika; Nandara Priyanti Elna
Jurnal EduHealth Vol. 14 No. 03 (2023): Jurnal EduHealt, Edition September 2023
Publisher : Sean Institute

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Head nurses play a key role in creating a work environment that supports cultural safety. Transformational leadership enhances motivation, strengthens cross-cultural empathy, and fosters innovation in patient-centered care. This study aimed to analyze the relationship between the head nurse’s leadership style and the implementation of cultural safety by nurses in pediatric care. An analytical cross-sectional study was conducted using total sampling involving 45 pediatric ward nurses. Data were collected using the Multifactor Leadership Questionnaire (MLQ) Form 5X and a cultural safety assessment tool. Analysis was performed using the Chi-square test (α = 0.05). The results showed that most respondents were aged 26–35 years (53.3%), female (84.4%), held a Diploma in Nursing (62.2%), and had 1–5 years of work experience (40%). The predominant leadership style was transformational (46.7%). Cultural safety implementation was high (42.2%) and moderate (40.0%). A significant relationship was found between leadership style and cultural safety (p-value = 0.018). Transformational leadership was the most effective in enhancing cultural safety, with 66.7% of nurses under this leadership reporting a high level of cultural safety, compared to 56.3% moderate under transactional leadership and 62.5% low under laissez-faire. This study contributes to the development of nursing leadership models aimed at improving the implementation of cultural safety in Indonesia’s multicultural healthcare context.
Co-Authors Ade Kartika Arif Irpan Tanjung Dina Andriani Br Karo Jaka Syahputra Yessy Syahradesi Yusnaini Yusnaini