BACKGROUND: The leadership style that is considered effective in responding to the challenges of the times as a result of the decline in human values due to the ethical crisis is a spiritual leadership style. The essence of transformational leadership and spiritual leadership is still not being applied by every leader in the organization. AIM: This study aimed to examine the spiritual-based transformational leadership style at Anutapura Regional General Hospital, Palu. METHODS: There were 12 informants in this qualitative research, namely, key informants from top management elements (two people), main informants (four people), supporting informants from Islamic/Christian/Hindu religious figures (three people), community leaders (1 person), and PPNI professional organization (two people). Sources of data were obtained directly through focus group discussions and in-depth interviews. Data analysis was done using NVIVO which was interpreted into a thematic analysis. RESULTS: There were three themes related to the spiritual-based transformational leadership style in this study, those are (1) emotional skills, (2) spiritual skills, and (3) social skills. First, emotional skills consist of emotional skills and emotional intelligence. Second, spiritual skills consist of spiritual attitude and spiritual intelligence. Third, social skills consist of being able to be social. CONCLUSION: This study provides a perception based on an ideal spiritual-based transformational leadership style consisting of three things that affect the patients’ safety culture. It is hoped that the development of this leadership model indicator can be used as a policy approach in implementing a patient safety culture.

No abstract

BACKGROUND: Neonatal integrative developmental care model (NIDCM) is a holistic model of premature baby care referring to seven basic neuroprotective developmental cares (DCs) by involving the family. AIM: This study aimed to assess the effect of the application of NIDCM on the stress response of premature babies. METHODS: The research design used was quasi-experimental with a non-equivalent control group pre- and post-test. The study was conducted in the neonatal care room of Dr. Wahidin Sudirohusodo Makassar Hospital from January 2020 to April 2021. The sample was 76 subjects consisting of 38 premature babies (19 controls and 19 interventions) and 38 mothers (19 controls and 19 interventions). The collected samples were taken to the Medical Research Laboratory of Universitas Hasanuddin (HUMRC) for testing. Furthermore, baby stress was assessed from salivary cortisol levels by enzyme linked immunosorbent assay. In addition, the effect of initial cortisol, final cortisol, and birth weight on changes in salivary cortisol in premature babies was determined using the Chi-square test. RESULTS: Neither NIDCM intervention nor routine DC has been shown to descriptive statistically decrease the stress response of premature babies in the neonatal care room, some of which are even increased. However, specifically in premature babies with a birth weight of <1800 g, NIDCM showed a better effect in lowering cortisol after treatment than regular DC. CONCLUSIONS: The application of NIDCM intervention reduces the stressor felt by the babies in the neonatal care room, besides the condition of babies with a birth weight of fewer than 1800 g needs special attention with the NIDCM intervention.

No abstract