Science Midwifery
Vol 14 No 4 (2026): Health Sciences and related fields

The role of strategic leadership in occupational health and safety with total quality management as a mediator in higher education institutions for law

Auliya Syifa (Universitas Muhammadiyah Jakarta, Indonesia)
Suherman Jaksa (Universitas Muhammadiyah Jakarta, Indonesia)
Tria Astika Endah Permatasari (Universitas Muhammadiyah Jakarta, Indonesia)
Januar Ariyanto (Universitas Muhammadiyah Jakarta, Indonesia)



Article Info

Publish Date
30 Oct 2026

Abstract

Occupational Health and Safety is an important component of higher education governance, as workplace risks include physical, administrative, psychosocial, ergonomic, and environmental risks. This study aimed to examine the relationship between Strategic Leadership and OHS, directly and through TQM as a mediating variable at STIH Adhyaksa. A quantitative cross-sectional study was conducted among 79 lecturers, administrative staff, and institutional leaders using total sampling. Data were collected through a structured questionnaire and analyzed using PLS-SEM with SmartPLS 4. Path coefficients, p-values, R², and indirect effects were assessed. Strategic Leadership was positively and significantly associated with OHS (β = 0.797; p < 0.001) and TQM (β = 0.933; p < 0.001). TQM was positively but not significantly associated with OHS (β = 0.072; p = 0.773). The model explained 87.0% of TQM variance (R² = 0.870) and 74.8% of OHS variance (R² = 0.748). The indirect relationship between Strategic Leadership and OHS through TQM was not significant (β = 0.067; p = 0.775). Strategic Leadership was positively associated with OHS, while TQM was not significantly associated with OHS and did not mediate the relationship. Research findings indicate that strengthening OHS at STIH Adhyaksa requires prioritization through strategic leadership, specifically regarding policy formulation, resource allocation, oversight, and the reinforcement of a safety culture. TQM needs to be more specifically integrated with the OHS system through risk identification and control, training, incident reporting, and continuous safety evaluation and improvement. The study contributes empirical evidence on the integration of leadership, quality management, and OHS in a legal higher education institution

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Journal Info

Abbrev

midwifery

Publisher

Subject

Dentistry Health Professions Nursing Public Health Veterinary

Description

Jurnal Kebidanan dan ilmu kesehatan ini adalah di terbitkan 2 kali dalam setahun, dalam bidang kebidanan dan ...