Meningkatkan Budaya Keselamatan Pasien di Rumah Sakit Gigi melalui Disiplin, Lingkungan, Kepemimpinan, dan Komitmen Organisasi
DOI:
https://doi.org/10.14414/jbb.v15i02.5691Keywords:
Leadership, Organizational Commitment, Patient Safety Culture, Work Discipline, Work EnvironmentAbstract
Patient safety culture is not solely determined by the availability of procedures, but also by work practices consistently embedded in organizational routines. This study aims to analyze the effects of work discipline, work environment, and leadership on patient safety culture and to examine the moderating role of organizational commitment at IIK Bhakti Wiyata Dental and Oral Hospital in Kediri. A quantitative approach with a survey design was employed. Data were collected through questionnaires distributed to 68 respondents who met the inclusion criteria and were analyzed using multiple linear regression and Moderated Regression Analysis (MRA) with SPSS. The findings show that work discipline, work environment, and leadership have positive and significant effects on patient safety culture. Among these variables, leadership emerges as the most influential factor, indicating the importance of consistent direction, exemplary conduct, and open communication in healthcare services. However, organizational commitment does not moderate the effects of work discipline, work environment, or leadership on patient safety culture. These findings suggest that strengthening patient safety culture requires more than employee attachment to the organization. It should be supported by effective leadership, a safe and supportive work environment, and disciplined practices consistently applied in service delivery.
References
Adhyatma, A. (2019). Kepemimpinan efektif kepala ruangan dengan budaya keselamatan pasien di RSUD Haji Makassar. J-KESMAS: Jurnal Kesehatan Masyarakat, 5(2), 98–111. https://doi.org/10.35329/jkesmas.v5i2.516
Armutlu, M., Davis, D., Doucet, A., Down, A., Schierbeck, D., & Stevens, P. (2020). Patient safety culture bundle for CEOs and senior leaders. Healthcare Quarterly, 22(Special Issue), 82–95. https://doi.org/10.12927/hcq.2020.26044
Bass, B. M., & Avolio, B. J. (1995). MLQ multifactor leadership questionnaire. Mind Garden.
Boamah, S. A., Laschinger, H. K. S., Wong, C., & Clarke, S. (2018). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing Outlook, 66(2), 180–189. https://doi.org/10.1016/j.outlook.2017.10.004
Fiorini, J., Moraca, E., Batino, M., Accettone, R., Zaghini, F., Vanzi, V., Della Bella, V., Tomasin, R. P., Sili, A., & Caggianelli, G. (2026). The mediating role of the work environment between error culture management and clinical errors: A cross-sectional multicentre study. Applied Nursing Research, 88, 152063. https://doi.org/10.1016/j.apnr.2026.152063
Fuseini, A.-K. J., Teixeira da Costa, E. I. M., Matos, F. A. S. d., Merino-Godoy, M.-d.-l.-A., & Nave, F. (2023). Patient-safety culture among emergency and critical care nurses in a maternal and child department. Healthcare, 11(20), 2770. https://doi.org/10.3390/healthcare11202770
Ghozali, I. (2021). Aplikasi analisis multivariate dengan program IBM SPSS 26 (Edisi ke-10). Badan Penerbit Universitas Diponegoro.
Hayashi, R., Fujita, S., Iida, S., Nagai, Y., Shimamori, Y., & Hasegawa, T. (2020). Relationship of patient safety culture with factors influencing working environment such as working hours, the number of night shifts, and the number of days off among healthcare workers in Japan: A cross-sectional study. BMC Health Services Research, 20, 310. https://doi.org/10.1186/s12913-020-05114-8
Horwitz, S. K., & Horwitz, I. B. (2017). The effects of organizational commitment and structural empowerment on patient safety culture: An analysis of a physician cohort. Journal of Health Organization and Management, 31(1), 10–27. https://doi.org/10.1108/JHOM-07-2016-0150
Huang, C.-H., Wu, H.-H., Lee, Y.-C., & Li, X. (2024). The critical role of leadership in patient safety culture: A mediation analysis of management influence on safety factors. Risk Management and Healthcare Policy, 17, 513–523. https://doi.org/10.2147/RMHP.S446651
Karina, A., Suwasono, E., & Sumarji. (2023). Analisis motivasi, kompetensi, lingkungan kerja dan kepuasan kerja terhadap kinerja dokter gigi pada Rumah Sakit Gigi dan Mulut Institut Ilmu Kesehatan Bhakti Wiyata (RSGM IIK Bhakta) Kediri. Revitalisasi: Jurnal Ilmu Manajemen, 12(2), 481–486.
Kementerian Kesehatan Republik Indonesia. (2004). Peraturan Menteri Kesehatan Republik Indonesia Nomor 1173/MENKES/PER/X/2004 tentang Rumah Sakit Gigi dan Mulut.
Kementerian Kesehatan Republik Indonesia. (2017). Peraturan Menteri Kesehatan Republik Indonesia Nomor 11 Tahun 2017 tentang Keselamatan Pasien.
Kim, S., Kitzmiller, R., Baernholdt, M., Lynn, M. R., & Jones, C. B. (2023). Patient safety culture: The impact on workplace violence and health worker burnout. Workplace Health & Safety, 71(2), 78–88. https://doi.org/10.1177/21650799221126364
Lee, S. E., Dahinten, V. S., & Lee, J. H. (2023). Testing the association between the enabling and enacting factors of patient safety culture and patient safety: Structural equation modelling. BMC Nursing, 22, 32. https://doi.org/10.1186/s12912-023-01196-x
Lee, W., & Jang, I. (2023). Effect of nurses’ professionalism, work environment, and communication with health professionals on patient safety culture (AHRQ 2.0): A cross-sectional multicenter study. Journal of Nursing Management, 2023, Article 1591128. https://doi.org/10.1155/2023/1591128
Lee, Y. J., & Hwang, W. J. (2024). The impact of nurse’s sense of calling, organizational commitment, job stress, and nursing work environment on patient safety management activities in comprehensive nursing care service units during the COVID-19 pandemic. BMC Nursing, 23, 311. https://doi.org/10.1186/s12912-024-01929-6
Levine, K. J., Carmody, M., & Silk, K. J. (2020). The influence of organizational culture, climate and commitment on speaking up about medical errors. Journal of nursing management, 28(1), 130-138.
Li, L., Wu, H.-H., Huang, C.-H., Zou, Y., & Li, X.-Y. (2023). Key drivers of promoting patient safety culture from the perspective of medical staff at a tertiary hospital in China. The TQM Journal, 35(6), 1556–1567. https://doi.org/10.1108/TQM-02-2022-0061
Lotfi, Z., Atashzadeh-Shoorideh, F., Mohtashami, J., & Nasiri, M. (2018). Relationship between ethical leadership and organisational commitment of nurses with perception of patient safety culture. Journal of Nursing Management, 26(6), 726–734. https://doi.org/10.1111/jonm.12607
Meyer, J. P., & Allen, N. J. (1997). Commitment in the workplace: Theory, research, and application. Sage Publications.
Moss, S., Mitchell, M., & Casey, V. (2017). Creating a culture of success: Using the Magnet Recognition Program® as a framework to engage nurses in an Australian healthcare facility. JONA: The Journal of Nursing Administration, 47(2), 116–122. https://doi.org/10.1097/NNA.0000000000000450
Permanajati, A., & Hastuti, D. (2023). Peran kepemimpinan dalam membentuk budaya keselamatan pasien dan kerja di Rumah Sakit Astrini. MAHESA: Malahayati Health Student Journal, 3(5), 1171–1179. https://doi.org/10.33024/mahesa.v3i5.10262
Ree, E., & Wiig, S. (2020). Linking transformational leadership, patient safety culture and work engagement in home care services. Nursing Open, 7(1), 256–264. https://doi.org/10.1002/nop2.386
Robbins, S. P., & Judge, T. A. (2019). Organizational behavior (18th ed.). Pearson.
Saputra, F., & Mahaputra, M. R. (2022). Building occupational safety and health (K3): Analysis of the work environment and work discipline. Journal of Law, Politic and Humanities, 2(3), 105–114. https://doi.org/10.38035/jlph.v2i3.91
Setiono, B. A., & Andjarwati, T. (2019). Budaya keselamatan, kepemimpinan keselamatan, pelatihan keselamatan, iklim keselamatan dan kinerja. Zifatama Jawara.
Shodiki, L., Asmony, T., & Suryatni, M. (2024). Pengaruh gaya kepemimpinan demokratis dan lingkungan kerja terhadap disiplin kerja pada perawat RSUD Kabupaten Lombok Utara. Jurnal Penelitian MSDM, 3(2), 111–119.
Sugiyono. (2022). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
Suparjo, D., Paramarta, V., & Rulia, R. (2025). Pengaruh gaya kepemimpinan, kerja tim dan budaya keselamatan pasien terhadap pencapaian sasaran keselamatan pasien (patient safety) di Rumah Sakit Umum Daerah Majalengka. AKADEMIK: Jurnal Mahasiswa Ekonomi & Bisnis, 5(2), 660–674. https://doi.org/10.37481/jmeb.v5i2.1321
Vaismoradi, M., Tella, S., Logan, P. A., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028
Wijaya, M. I. (2024). Exploring the relationship between patient safety culture and the full-range leadership theory in primary care settings: A conceptual analysis. Leadership in Health Services, 37(4), 499–510. https://doi.org/10.1108/LHS-04-2024-0037
World Health Organization. (2023, September 11). Patient safety.
Ystaas, L. M. K., Nikitara, M., Ghobrial, S., Latzourakis, E., Polychronis, G., & Constantinou, C. S. (2023). The impact of transformational leadership in the nursing work environment and patients’ outcomes: A systematic review. Nursing Reports, 13(3), 1271–1290. https://doi.org/10.3390/nursrep13030108
Yukl, G., & Gardner, W. L. (2020). Leadership in organizations (9th ed.). Pearson.
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