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

Authors

Yusnaini Yusnaini Department of Nursing, Universitas Nurul Hasanah Kutacane. Aceh, Indonesia
Ade Kartika Department of Nursing, Universitas Nurul Hasanah Kutacane. Aceh, Indonesia
Nandara Priyanti Elna Department of Public Health, Universitas Nurul Hasanah Kutacane. Aceh, Indonesia

Keywords:

Leadership style, Nurse, Cultural safety, Pediatric care.

Abstract

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.

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