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Estelee Elora Akbar; Ana Santika

Jurnal Ekonomi dan Keuangan 2025 Asosiasi Riset Ekonomi dan Akuntansi Indonesia

This study was conducted to examine the effectiveness of the use of influencer services by business actors seruit tampah mengan geh in increasing sales of their products. The results of the study found that the use of influencer services can be categorized as effective and efficient, this is evidenced by the increase in product brand awareness, increased consumer trust through honest influencer reviews, targeted audiences and more creative content results that attract the interest of viewers of the content produced.

Witanti Putri Anggreani; Osly Usman; Rizki Firdausi Rachmadania

Perspektif Administrasi Publik dan hukum 2025 Asosiasi Peneliti Dan Pengajar Ilmu Sosial Indonesia

Along with the development of technology and the increasing need for speed and ease of access to information, electronic archives have developed into Dynamic Archiving Information Systems (SIKD). Not only functioning as a storage medium, SIKD is also used as an archive management tool that allows organizations to organize, access, and monitor documents more efficiently and in real-time, to support the creation of a more modern work process. This study was conducted at the Head Office of Perum BULOG with the aim of analyzing the effectiveness of SIKD in archive management, identifying obstacles to its implementation, and formulating efforts to increase personnel awareness of the use of SIKD. This study uses a qualitative method using a research method that focuses on direct observation of phenomena or events that occur in real life, and uses a data analysis model with the help of NVivo 12 Plus software. The units of analysis in this study are sub-division heads, managers, and employees who are active users of the Dynamic Archiving Information System (SIKD). Data were obtained directly from the original source using interview, observation, and documentation techniques, and supplemented with literature studies as additional sources of information. Based on the research results, it shows that the implementation of SIKD increases work efficiency, accelerates the flow of correspondence, and digitizes archives. However, the implementation of this system still faces challenges such as low employee awareness in using this system, technical constraints, and operational constraints.

Salsabila Dwi Karna; Adrias Adrias; Aissy Putri Zulkarnaini

Jurnal Bintang Pendidikan Indonesia 2025 Pusat Riset dan Inovasi Nasional

Technological advances have encouraged innovation in education, including the use of interactive learning media in primary schools aims to enhance student engagement and improve learning outcomes. This study analyzes the impact, challenges, and effectiveness of interactive media through a literature review of relevant scientific journals. The findings reveal that tools such as PowerPoint, educational videos, and Kahoot significantly boost student motivation, facilitate better understanding of concepts, and promote active participation. However, challenges like limited access to technology, teacher preparedness, and varying student competencies must be addressed to maximize the potential of these media in education, among other things, increase interest in learning, facilitate understanding of the material, and encourage active participation of students. They also support independent learning, help students and teachers develop technology skills, and improve information retention, thus creating a more effective, efficient and enjoyable learning experience. However, challenges such as limited access to technology and teachers' lack of skills in operating interactive media are still an obstacle. With good planning and training for educators, interactive learning media can be an innovative solution in creating a more effective, fun and meaningful learning process for students in the digital era

Sulaiman T.H; Abalaka, J.N; Ajiteru,S.A.R

International Journal of Law, Crime and Justice 2025 Asosiasi Penelitian dan Pengajar Ilmu Hukum Indonesia

In recent years, the judiciary has faced harsh criticism for its tardiness in resolving electoral cases in a free and equitable way. Here, a Marxist theoretical approach is used to identify the issue contemplated. Every society's government should ideally endeavor to create a peaceful and habitable environment by enacting laws that safeguard the interests of its residents and those who live nearby. Since the judiciary, an arm of a democratic government, like the one in Nigeria, is tasked with upholding the law, it becomes quite concerning when this branch of the government is beset by charges and convictions of corruption.  It was suggested that corrupt judges who commit crimes should face a variety of penalties and sanctions, including the death penalty, termination from their position, and public humiliation by being imprisoned for a period of time. Supporting politicians who buy off judges to see through, they ought to be tried and found guilty of bribing public officials. Additionally, they ought to be disqualified from any political office they are running for, since this will lessen judicial corruption, which impedes the development of Nigerian democracy. This report examines Nigeria's problems with corruption. It uses case studies of two nations with comparable issues and histories to provide a comparative perspective. Some of the suggested methods for an efficient performance of oversight functions include evolving reforms, guiding media and civil society engagement, and involving citizens.  

Abalaka J.N; Ajiteru S.A.R; Sulaiman T.H

International Journal of Economics and Management Sciences 2025 Asosiasi Riset Ekonomi dan Akuntansi Indonesia

The study examines Nigeria's resource allocation and usage as the gap in the country's pursuit of sustainable progress. The primary goal of the study is to investigate how Nigeria has struggled to achieve the Sustainable Development Goals (SDGs) due to inefficient use and distribution of financial, human, and material resources. Human and material resources are essential in every aspect of a company. An organization's ability to advance in all directions might be hindered by poorly managed human and material resources. Resources management offers a systematic assessment, requisitioning, and approval process for the evaluation and acquisition of products, equipment, and resources. The goal of resources management is to continuously seek opportunities to reduce costs and improve performance through the cost-effective selection and standardization of products, equipment, and related processes. A successful and efficient local government system will be preceded by well-managed human resources and material resources. while preserving or raising the standard of the services and care that are offered to the public. Subjectivism serves as the ontological orientation in this study, which employs a qualitative approach grounded in interpretivist philosophy. According to the study's findings, corruption, ethnic prejudices, poor governance, a lack of accountability, a lack of transparency, and unnecessary expenditure on pointless activities have all contributed to Nigeria's egregious inefficiency in resource allocation and use. According to the study's conclusion, Nigeria would be headed toward sustainable development if appropriate project planning, implementation, monitoring, and evaluation were done transparently and resources were used and distributed effectively. Therefore, the report suggests that Nigeria adopt economic and technical efficiencies in the distribution and use of its resources in order to achieve the aims of sustainable development.

Avelin Gatri Seran; Ananias Riyoan Philip Jacob; Yeftha Yerianto Sabaat

Jurnal Ilmu Pertahanan, Politik dan Hukum Indonesia 2025 Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

This study examines the role of Local Strongmen (Fukun) in resolving land conflicts within the salt pond industry in Weoe Village, Wewiku District, Malaka Regency. The research aims to identify, describe, and analyze the role of local strongmen in mediating land disputes in salt pond operations, as well as to identify challenges encountered during the resolution process. The primary focus is on the function of local strongmen or traditional leaders in addressing land conflicts in this industry. The study employs a qualitative descriptive approach through field research. Data collection techniques include observation, interviews, and literature review. Data analysis follows a structured process involving data collection, reduction, presentation, and verification leading to conclusion drawing. Findings reveal that local strongmen (Fukun) serve as effective mediators in conflict resolution. Their approach facilitates a settlement process that is simple, efficient, and participatory. However, the study identifies a significant challenge: differing perceptions among stakeholders often hinder the achievement of mutually satisfactory agreements.  

Fariha Fariha; Fresley Hutapea; Nofi Erni

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

In Law Number 44 of 2009 concerning Hospitals it is stated that hospitals must meet the requirements for location, buildings, infrastructure, human resources, pharmacy and equipment. Pharmaceutical requirements must ensure the availability of quality, useful, safe and affordable Pharmaceutical Preparations, Medical Devices and Consumable Medical Materials. The Workers' General Hospital has drug procurement data that exceeds the 2022 RKAP target, namely in the last 5 months between August and December 2022. The aim of this research is to reveal empirically the selection of providers by combining three procurement methods, namely e-catalog, direct procurement with the standardization of the Pertamedika IHC Drug Formulary and direct procurement with negotiations carried out by the hospital's own negotiation committee and a priority scale is formed to achieve efficiency targets. This priority scale meets the eligibility test for the Benefit - Cost Ratio criteria. This research was conducted at the Workers' General Hospital in Jakarta. The research time is February 2023 - June 2023. The research approach used is a qualitative approach. Meanwhile, the research method used was a case study in which researchers conducted an in-depth exploration of the process of selecting generic drug providers on a priority scale and tested their feasibility using the Benefit - Cost Ratio (BCR) method. Based on calculations, a BCR value of 1.9 was obtained, which can be interpreted as a priority scale that is feasible for the Workers' General Hospital. The results of this research have implications for hospitals because implementing effective and efficient drug procurement will ensure continuity of service with affordable drug costs.

M. Hasan Basri; Achmad Widodo

Mutiara Pendidikan dan Olahraga 2025 Asosiasi Riset Ilmu Pendidikan Indonesia

Sport is a physical activity that is needed by everyone in order to meet health and physical needs that are carried out systematically. Football is a sport that has the highest number of enthusiasts in the world from various circles. Achievements can be achieved through internal factors including athletes, coaches, administrators and external factors, including parental support. This research was motivated because there has been no research on Persepam Achievement Development based on SWOT analysis. The research was conducted to present the results of the analysis related to Persepam Pamekasan achievement development in order to improve the quality of the club, maximize existing support and minimize deficiencies and sources of threats that can hinder the Persepam Pamekasan achievement development program. This research is a qualitative descriptive study with a research target of 3 informants, namely administrators, coaches, and athletes. Data was obtained through interviews and documentation. This research produced several findings, including: (1) The most prominent strengths include: having quality coaches and potential athletes, and having effective and efficient governance. (2) The most influential weaknesses include minimal financial needs and inadequate facilities and infrastructure. (3) The most important opportunities include having many sources of support, such as athlete families, community enthusiasm and support from supporters, and developments that can be maximized. (4) The most feared threats include: not having a sponsor yet and the rapid development of other clubs. Alternative strategies that can be applied include: (1) immediately submitting a proposal to the company, (2) managing expenses and utilizing developments as best as possible, (3) optimizing available facilities, (4) increasing player potential, and (5) maintaining communication.

Adam Andika Wisesa; Edi Kurniawan; Akhmad Kasan Gupron

Mars: Jurnal Teknik Mesin, Industri, Elektro Dan Ilmu Komputer 2025 Asosiasi Riset Teknik Elektro dan Informatika Indonesia

This research focuses on designing the shortest path to a docking station for the charging system of a robotic coffee delivery system on a cruise ship. With the growing demand for more efficient and innovative services in the maritime industry, autonomous robots are increasingly being used for tasks such as delivering coffee to passengers. However, these robots face unique challenges in the confined and dynamic environment of a ship, particularly in terms of power management and recharging. The goal of this research is to create an efficient charging system using a power bank and Internet of Things (IoT) technology to minimize downtime and ensure continuous robot operation with minimal human intervention. By utilizing sensors such as the MPU 6050 for motion detection and the TCS 3200 for color recognition, the robot can autonomously navigate the shortest path to the docking station for charging, while IoT enables real-time battery capacity monitoring. This helps reduce the time spent on non-operational tasks and improves the overall efficiency of the system. This research not only enhances the robot’s ability to operate autonomously in complex environments but also provides a flexible and scalable solution for the maritime industry to integrate advanced robotics into their service operations. The results of this study contribute to the increased adoption of autonomous systems in the maritime sector, particularly in improving service efficiency on board, reducing the need for human intervention, and ensuring smoother service delivery to passengers.

Haris Asysyauqi; Moh. Ferdi Andriansyah; Lya Nurul Ulla; Adi Sucipto

Modem : Jurnal Informatika dan Sains Teknologi 2025 Asosiasi Profesi Telekomunikasi Dan Informatika Indonesia

In the digital era, home security has become a crucial aspect with the increasing risk of theft due to the weaknesses of traditional lock systems. This study develops an automatic door security system based on the Internet of Things (IoT) by integrating Radio Frequency Identification (RFID) technology and mobile applications. This system allows users to lock and unlock the door and monitor the door condition and battery power in real-time from a distance. To increase flexibility and security, this system also utilizes the Mamdani Fuzzy logic method in decision making, based on parameters such as battery power, user distance from the door, and environmental security level. With this approach, the system can dynamically adjust access according to the situation. The test results show that the developed system is able to provide a more efficient, secure, and adaptive security solution compared to conventional locks, as well as providing better convenience and control for users in managing home security intelligently and integratedly.  

Putu Jenny Natasia; Putu Yudi Setiawan

International Journal of Economics, Management and Accounting 2025 Asosiasi Riset Ekonomi dan Akuntansi Indonesia

Umah Lokal Coffee Roastery is a business engaged in the production and marketing of coffee beans. This study aims to optimize the production combination to maximize profits using the Linear Programming method. This method enables the company to determine the optimal production quantity for each type of product, namely Telek Beans, Barong Beans, Jauk Beans, Gerbera, and Daisy. The analysis results indicate that the optimal production combination includes producing 128 units of Telek Beans, 155 units of Jauk Beans, 85 units of Gerbera, and 189 units of Daisy, while the production of Barong Beans is discontinued. Implementing this strategy has the potential to increase profits by Rp1,124,417 or 6.4%. This research contributes to the development of more efficient production strategies in dealing with resource constraints.  

Khofi, Mohammad Bilutfikal; Wafi, Inngamul

Increasingly advanced developments have raised society's demands for quality education, forcing schools to manage their finances more effectively, efficiently, and transparently. Applying appropriate financial management principles is very important to ensure that funds are used optimally, to support the quality of education, and to build trust among all stakeholders. This research examines the principles of financial management in schools, focusing on transparency, accountability, effectiveness, and efficiency in managing educational funds. This research uses a literature review method with data collected from various academic sources such as Google Scholar, JSTOR, and ProQuest. The collected data was analyzed using the Miles and Huberman model, which includes data reduction, data presentation, and concluding. Source triangulation was used to test the validity of the data. The results of this research underscore the importance of implementing the principles of transparency, accountability, effectiveness, and efficiency in school finance management. 1) Transparency ensures the disclosure of financial information to all stakeholders. 2) Accountability requires clear responsibility in the management of funds. 3) Effectiveness is determined by the extent to which funds support the achievement of educational goals, and 4) Efficiency emphasizes the optimal use of resources at minimal cost. By applying these financial management principles, schools can build trust, maximize returns on expenditures, and ensure that educational services are of high quality and sustainable. Proper application of these principles is an essential step for the success and sustainability of schools.

Panji Bintang Pratama; Intan Sianturi

Venus: Jurnal Publikasi Rumpun Ilmu Teknik 2025 Asosiasi Riset Ilmu Teknik Indonesia

Overhead cranes are an important device in the manufacturing and construction industry that functions to move heavy loads efficiently and safely. However, human error often occurs which can cause work accidents, equipment damage, and decreased productivity. Therefore, this research aims to design and build an Arduino-based automatic overhead crane system that can increase work efficiency and safety. This system is designed using an Arduino microcontroller as a control center, equipped with an ultrasonic sensor to detect the position and distance of the load, as well as a servo motor to regulate crane movement automatically. The system also features a wireless communication module to monitor and control the crane remotely. The research method used is Research and Development (R&D), which includes the stages of needs analysis, system design, hardware and software implementation, and performance testing. Test results show that this automatic overhead crane is capable of moving loads with high accuracy and a speed that can be adjusted according to needs. The system also succeeded in reducing manual intervention, thereby increasing work safety and reducing the risk of accidents by up to 30% compared to manual systems. The Arduino-based automatic overhead crane design succeeded in meeting the research objectives, increasing work efficiency and safety. Routine maintenance and periodic checks on mechanical and electronic components need to be carried out to ensure the system continues to function optimally and reduces the risk of damage.

Jesika Vinatalia Dachi; Jiyan Suhada

Router : Jurnal Teknik Informatika dan Terapan 2025 Asosiasi Profesi Telekomunikasi dan Informatika Indonesia

Databases play an essential role in modern information systems because they enable the efficient storage, management, and retrieval of structured data. This study focuses on the implementation of a simple database using two relational database management systems (RDBMS), namely MySQL and PostgreSQL. The research stages are carried out through requirements analysis, designing entity-relationship diagrams, implementing tables and their relationships, and testing the system to assess functionality. The case study used is student data recording, where both RDBMSs are tested through a series of basic CRUD (Create, Read, Update, Delete) operations. The results show that both MySQL and PostgreSQL are capable of carrying out these operations effectively while maintaining data integrity and consistency. However, PostgreSQL offers additional advantages due to its support for more complex data types, a better level of compliance with SQL standards, and advanced features that support the needs of large-scale application development. Conversely, MySQL remains superior in terms of ease of use and application to simpler needs, making it more practical for small projects or applications with standard workloads. Based on these findings, it can be concluded that both RDBMSs are equally suitable for use, but the ideal choice depends heavily on the context of the needs; PostgreSQL is more suitable for applications that demand high scalability and size, while MySQL remains relevant for lightweight and efficient implementations.

Paris Alvito; Bintang Hutagalung; Sultan Azka El Husein Lubis; Ananda Sarbaini Firin

Switch : Jurnal Sains dan Teknologi Informasi 2025 Asosiasi Profesi Telekomunikasi Dan Informatika Indonesia

The need for an efficient system to manage academic works in digital format is growing in universities, including at Universitas Islam Negeri Sumatera Utara (UINSU). Despite previous developments in digital repository systems, many academic institutions, including UINSU, still face challenges related to data management, security, and accessibility. This study aims to develop a web-based repository system for UINSU using the Waterfall method, to improve the storage, management, and accessibility of academic resources. A structured quantitative approach was adopted, focusing on the development and implementation of the repository system. The Waterfall methodology was chosen due to its step-by-step approach, ensuring a thorough and organized development process. The implementation of the system resulted in an organized, user-friendly platform where students, faculty, and staff can upload, manage, and access academic documents efficiently. The system features a clear interface for searching, uploading, and managing documents, with administrative controls for approving and maintaining submissions. The repository system significantly improves data management at UINSU, providing a long-term solution for archiving academic work. Continuous evaluation and system upgrades are essential to ensure it adapts to future needs and technological advancements.

Ayu Anggraeni Dyah Purbasari

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Health service management has an important role in managing resources effectively and efficiently, dealing with the dynamics of community needs, and ensuring quality health services through a systematic and humanistic approach. However, there are still shortcomings in the availability of adequate resources and managerial skills of implementing officers in service units that do not meet the standards. This study aims to analyze the direct impact of health management on accessibility, quality, effectiveness, and policy-making in health services.This study uses a literature review method with data sources obtained from Google Scholar, National Library e-Resources, and Garuda Portal. The research data was taken from 2015-2025. Based on the literature review, effective health management includes strategic planning, strengthening internal management, managing human resources, community involvement, and utilizing technology. The implementation of health management is proven to improve the competence of health workers, accelerate service processes, and increase patient satisfaction. In addition, good health management also encourages the expansion of health facility distribution, maintains the availability of drugs and medical devices, and improves the quality of infrastructure. However, there are challenges that need to be overcome, such as limited human resources and challenges in implementing Electronic Medical Records (EMR) in various healthcare facilities. The review shows that health management positively impacts accessibility, service quality, effectiveness, and evidence-based policymaking. Effective strategies include strategic planning, internal managemen human resource management, technology use, and community involvement, although challenges like limited human resources and Electronic Medical Record implementation remain

Muslihatun Amaliah; Ilah Holilah

Nian Tana Sikka : Jurnal ilmiah Mahasiswa 2025 Fakultas Ekonomi & Bisnis, Universitas Nusa Nipa

This study aims to examine the communication strategies implemented in the Qur’an memorization (tahfidz) program at Al-Qur’an Ath-Thabraniyah Islamic Boarding School (Pesantren). The tahfidz program is a complex process that not only emphasizes the cognitive aspect of memorization but also involves deep emotional and spiritual approaches. Communication strategies serve as the main instrument in building understanding, creating acceptance, and motivating students (santri) to achieve their memorization targets. This research uses a qualitative approach with methods including observation, interviews, and documentation to obtain in-depth data. The findings reveal that tahfidz instructors apply communication strategies based on Pace and Faules’ theory, which consists of three main objectives: To Secure Understanding, To Establish Acceptance, and To Motivate Action. These strategies are applied through providing insight into the virtues of Qur’an memorizers, setting appropriate schedules for memorization activities, and delivering motivation through inspirational stories and the benefits of memorizing the Qur’an. The tasmi’ sessions, held regularly, also serve as a medium for evaluation and for strengthening the students’ spiritual and mental development. With effective communication strategies, the tahfidz guidance process becomes more efficient, thus enhancing students’ enthusiasm and discipline in memorizing the Qur’an optimally.

I Putu Gede Junaedy Ekayasa

Jurnal Media Administrasi 2025 Universitas 17 Agustus 1945 Semarang, Indonesia

Integrated public services in a one-stop service system, such as the one implemented at the Mal Pelayanan Publik (MPP) Badung, serve as an answer to the public's demand for efficient, fast, and transparent bureaucracy. However, in its implementation, MPP still faces various strategic challenges, such as fragmentation between agencies, limited human resources, and suboptimal digital system integration that supports cross-sector services. This study aims to analyze adaptive and collaborative managerial strategies to address these challenges and explore digital innovation opportunities to improve service quality. By using a literature review method from various journals, policy reports, and supporting documents, this study shows that the success of the one-stop service system greatly depends on visionary leadership, synergy between agencies, and adequate technological support. The discussion concludes that flexible, responsive managerial strategies that emphasize cross-agency collaboration can enhance efficiency and user satisfaction. Therefore, updating digital systems, involving the community, and improving human resource capacity are crucial steps in realizing modern and sustainable public services. Another key factor for success is the adoption of innovative digital technologies. By investing in digital infrastructure, MPP can automate many of its processes, reducing paperwork, speeding up response times, and ensuring better coordination between departments. The development of user-friendly platforms and mobile applications will also allow citizens to access services more easily, improving their satisfaction. Additionally, involving the community in the decision-making process through feedback and engagement mechanisms can help identify areas for improvement and tailor services to better meet the public's needs. To ensure long-term success, continuous capacity building for human resources is essential. Well-trained staff, equipped with the skills and knowledge to operate advanced systems, will be able to provide higher-quality services.

Ade Ponirah; Yogi Prastiandi; Fifit Hadiaty

Jurnal Penelitian Manajemen dan Inovasi Riset 2025 Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

This study aims to analyze the review of the goods data management system in the storekeeper section at Harris Hotel & Convention Ciumbuleuit Bandung. This study uses a descriptive quantitative method with the aim of describing the goods data management system in the storekeeper. Primary data was obtained through the distribution of a questionnaire with a Likert scale to 30 respondents. The results of the study show that the goods data management system at Harris Hotel & Convention Ciumbuleit Bandung, it can be concluded that the implementation of the goods data management system, this system has been implemented well, as evidenced by the average value of 4,345 which shows that the system is running well in facilitating various processes, such as stock monitoring, goods data management, and procurement of goods. The use of this system simplifies the process of managing goods efficiently, reduces recording errors, and speeds up the procurement process. The obstacles faced are that even though this system has run well, there are several obstacles in its implementation, such as data input errors, limited human resources, limited technological infrastructure, difficulties in adapting to system changes, and data security problems. In an effort to overcome the obstacles faced, strategic steps are needed such as providing regular training to system users in order to minimize data input errors, increase and improve the competence of the human resources involved, and strengthen the technology infrastructure with more adequate devices and networks.

Ayu Anggraeni Dyah Purbasari

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

This study aims to systematically examine the influence of transformational leadership and organizational culture on nurses' performance in hospitals. The method used is a Systematic Literature Review (SLR) with a qualitative approach. The findings indicate that transformational leadership has a significant impact on improving nurses’ performance, particularly through enhanced work motivation, job satisfaction, loyalty, and team effectiveness. Transformational leaders inspire nurses by providing a vision, encouraging innovation, and fostering a supportive environment that aligns with their values and goals. As a result, nurses exhibit increased commitment to their work, higher engagement levels, and a proactive attitude toward their tasks, leading to better overall performance. Organizational culture also plays a crucial role, especially values such as collaboration, human orientation, and integrity, which have been shown to support a positive work environment and nurse productivity. A culture that prioritizes teamwork, shared responsibility, and mutual respect enables nurses to work more cohesively and efficiently. Hospitals with a supportive and inclusive culture experience reduced turnover rates and higher job satisfaction, as nurses feel valued and respected within the organization. Additionally, when the culture encourages continuous learning and professional development, nurses are more likely to stay updated on best practices and provide high-quality care to patients. However, differences in findings across studies suggest the need for contextual understanding and consistent internalization of cultural values. Factors such as geographical location, hospital size, and leadership styles may influence the degree of impact that transformational leadership and organizational culture have on nurse performance. Therefore, it is essential to adapt leadership strategies and cultural initiatives to the unique needs and challenges of each healthcare setting.