The Relationship between the Transformational Leadership Style of the Head of the Room and the Psychological Safety of Nurses at PKU Muhammadiyah Hospital, Sukoharjo
DOI:
https://doi.org/10.61536/escalate.v4i02.662Keywords:
transformational leadership, psychological safety, nurses, head nurse, hospital.Abstract
: Transformational leadership of the head nurse plays an important role in creating a psychologically safe work environment. However, still have a 27–44% of healthcare workers do not feel safe in communication and error reporting, while 58.5% do not feel psychologically safe. To determine the relationship between the head nurse's transformational leadership style and nurses' psychological safety at PKU Muhammadiyah Sukoharjo Hospital. This study used a quantitative design with a cross-sectional approach. The sample consisted of 73 nurses selected using proportionate stratified random sampling. Data collection was conducted using questionnaires on transformational leadership and psychological safety. Data analysis employed Spearman Rank correlation tests. The study showed that the majority of respondents rated the head nurse's transformational leadership style as good (61.6%), while most nurses' psychological safety was in the moderate category (52.1%). The Spearman Rank test indicated positive relationship with a moderate strength between transformational leadership style and psychological safety (p = 0.000; r = 0.587). There is a relationship between the head nurse's transformational leadership style and the psychological safety experienced by nurses.
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Cho, H. and Steege, L.M. (2025) ‘Authentic Leadership , Psychological Safety , Missed Nursing Care , and Intention to Leave Among Hospital Nurses’. Available at: https://doi.org/10.1111/inr.70065.
Edmondson, A. (1999) ‘Psychological Safety and Learning Behavior in Work Teams’, 44(2), pp. 350–383.
El-sayed, B.K.M. et al. (2025) ‘Insights from critical care nurses : role of leadership coaching in enhancing incident reporting culture : a cross-sectional study’.
Kemenkes (2023) ‘Profil Kesehatan Indonesia’. Available at: https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-2023.pdf.
Lee, S.E. and Dahinten, V.S. (2021) ‘Psychological Safety as a Mediator of the Relationship Between Inclusive Leadership and Nurse Voice Behaviors and Error Reporting’, pp. 1–9. Available at: https://doi.org/10.1111/jnu.12689.
Lisser, R. De et al. (2024) ‘Psychological safety is associated with better work environment and lower levels of clinician burnout Lay summary’, Health Affairs Scholar, 2(7), pp. 1–8. Available at: https://doi.org/10.1093/haschl/qxae091.
Mekonnen, M. and Bayissa, Z. (2023) ‘The Effect of Transformational and Transactional Leadership Styles on Organizational Readiness for Change Among Health Professionals’. Available at: https://doi.org/10.1177/23779608231185923.
O’Donovan, R. and McAuliffe, E. (2020) ‘Exploring psychological safety in healthcare teams to inform the development of interventions : combining observational , survey and interview data’, pp. 1–16.
WHO (2011) ‘Medical equipment maintenance programme overview WHO Medical device technical series Who Medical Device Technical Series : To Ensure Improved Access , Quality And Use Of Medical Devices Development Of Medical Device Policies Who Medical Device Technical S’.
WHO (2020) STATE OF THE WORLD’S NURSING.
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