Digital leadership and safety management: Maximizing safety performance through employee competence
DOI:
https://doi.org/10.12928/jombi.v4i1.2288Abstract
Purpose-This study examines the mediating role of employee competence in the relationship between digital leadership, safety management, and safety performance in hospitals in Surabaya, Indonesia. In the era of digital transformation, hospitals must enhance patient and staff safety through digitally competent leadership and structured safety management systems.
Methodology-A quantitative, multi-site cross-sectional design was applied in several hospitals in Surabaya, involving 161 healthcare workers who had worked for at least one year and were involved in safety-related decision making. Data were collected via an online questionnaire using a 1–5 Likert scale and analyzed with SmartPLS 4.0.
Findings-The results show that safety management, digital leadership, and employee competence have positive and significant effects on safety performance, with employee competence mediating the impacts of digital leadership and safety management. These findings highlight safety management as a foundational capability, while digital leadership and employee competence act as complementary drivers of safety performance.
Research Limitations-This study is limited to healthcare workers from several hospitals in Surabaya using a cross-sectional design, so generalizations to other regions and causal inferences should be made with caution. The reliance on perceptual data also has the potential to introduce subjective bias.
Novelty-The study introduces and empirically tests the Digital–Safety–Competence Triad by integrating the Natural Resource-Based View and the Ability–Motivation–Opportunity framework in Indonesian hospitals, and offers practical guidance for hospital management to institutionalize digital safety monitoring, competence-based training, and systematic evaluation of safety performance.
References
Abeje, M., & Luo, F. (2023). The influence of safety culture and climate on safety performance: Mediating role of employee engagement in manufacturing enterprises in Ethiopia. Sustainability, 15(14), 11274. https://doi.org/10.3390/su151411274
Abikenova, S. K., Oshakbayeva, Z. O., Bekmagambetov, A. B., & Sarybayeva, I. E. (2023). The role of professional competencies in developing a culture of safety in the workplace. European Journal of Sustainable Development, 12(4), 237-237. https://doi.org/10.14207/ejsd.2023.v12n4p237
Aderamo, A. T., Olisakwe, H. C., Adebayo, Y. A., & Esiri, A. E. (2024). Behavioral safety programs in high-risk industries: A conceptual approach to incident reduction. Comprehensive Research and Reviews in Engineering and Technology, 2(1), 64-82. https://doi.org/10.57219/crret.2024.2.1.0062
Afzan, N. A. F. M., Ismail, M. Z., & Maaz, Z. N. (2025). Case studies on safety management practices at offshore platforms in Malaysia. Journal of Project Management Practice, 5(2), 14-24. https://doi.org/10.22452/jpmp.vol5no2.2
Ajmal, M., Isha, A. S. N., Nordin, S. M., & Al-Mekhlafi, A. B. A. (2022). Safety-management practices and the occurrence of occupational accidents: Assessing the mediating role of safety compliance. Sustainability, 14(8), 4569. https://doi.org/10.3390/su14084569
Al-Dmour, R., Al-Dmour, H., Al-Dmour, A., & Basheer Amin, E. (2026). Digital safety management systems (DSMS) and predictive risk governance: Transforming aviation safety and sustainability. International Journal of Quality & Reliability Management, 1-22. https://doi.org/10.1108/IJQRM-02-2025-0075
Alhosani, F. H., & Ahmad, S. Z. (2024). Role of human resource practices, leadership and intellectual capital in enhancing organizational performance: The mediating effect of organizational agility. Journal of Intellectual Capital, 25(4), 664-685. https://doi.org/10.1108/JIC-08-2023-0183
Ali, M., Shujahat, M., Fatima, N., Lopes de Sousa Jabbour, A. B., Vo-Thanh, T., Salam, M. A., & Latan, H. (2024). Green HRM practices and corporate sustainability performance. Management Decision, 62(11), 3681-3703. https://doi.org/10.1108/MD-05-2023-0787
Alsabri, M., Boudi, Z., Lauque, D., Dias, R. D., Whelan, J. S., Östlundh, L., & Bellou, A. (2022). Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: A systematic review. Journal of Patient Safety, 18(1), e351-e361. https://doi.org/10.1097/PTS.0000000000000782
Alshammari, T. M., Rabi, M., Al-Kheetan, M. J., & Alkherret, A. J. (2025). The influence of managers’ safety perceptions and practices on construction workers’ safety behaviors in Saudi Arabian projects: The mediating roles of workers’ safety awareness, competency, and safety actions. Safety, 11(3), 77. https://doi.org/10.3390/safety11030077
Alwazrah, A., Rouissi, C., Alshammari, M. D., Al-Qahtani, K., Wahsheh, H., Sulieman, A., Alodan, H., & Alazzam, M. (2025). Digital leadership as a catalyst for enhancing organizational information security. EDPACS, 1-24. https://doi.org/10.1080/07366981.2025.2597635
Appelbaum, E., Bailey, T., Berg, P., & Kalleberg, A. L. (2000). Manufacturing advantage: Why high-performance work systems pay off. Cornell University Press.
Atikasari, C. D., Sudiarno, A., & Priyanto, E. (2022). The effect of safety leadership, safety culture, and safety behavior on safety performance after a company merger: A case study. Jurnal Sistem dan Manajemen Industri, 6(2), 187-199. http://dx.doi.org/10.30656/jsmi.v6i2.5051
Ausat, A. M. A., Shafiq, M. A., Judijanto, L., & Azzaakiyyah, H. K. (2024). Transformational leadership, psychological safety, and ICT competencies: Effects on employee performance. Jurnal Pekommas, 9(2), 323-336. https://doi.org/10.56873/jpkm.v9i2.5831
Bai, M., Qi, M., Shu, C. M., Reniers, G., Khan, F., Chen, C., & Liu, Y. (2023). Why do major chemical accidents still happen in China: Analysis from a process safety management perspective. Process Safety and Environmental Protection, 176, 411-420. https://doi.org/10.1016/j.psep.2023.06.040
Bautista-Bernal, I., Quintana-García, C., & Marchante-Lara, M. (2024). Safety culture, safety performance and financial performance: A longitudinal study. Safety Science, 172, 106409. https://doi.org/10.1016/j.ssci.2023.106409
Bayram, M. (2022). Factors affecting employee safety productivity: An empirical study in an OHSAS 18001-certified organization. International Journal of Occupational Safety and Ergonomics, 28(1), 139-152. https://doi.org/10.1080/10803548.2020.1739892
Blanco-Juárez, J., & Buele, J. (2025). Industrial safety strategies supporting the zero-accident vision in high-risk organizations: A scoping review. Safety, 11(4), 101. https://doi.org/10.3390/safety11040101
Chen, L., & Zhao, X. (2024). The impact of digital leadership on safety performance–a moderated mediation model. International Journal of Occupational Safety and Ergonomics, 30(4), 1179-1187. https://doi.org/10.1080/10803548.2024.2397873
Chowdhury, R. H. (2025). Digital leadership and organizational learning: Technologies for business transformation and operational excellence. Deep Science Publishing.
Daniali, S. M., Barykin, S. E., Khortabi, F. M., Kalinina, O. V., Tcukanova, O. A., Torosyan, E. K., & Senjyu, T. (2022). An employee competency framework in a Welfare organization. Sustainability, 14(4), 2397. https://doi.org/10.3390/su14042397
Demeke, G. W., van Engen, M. L., & Markos, S. (2025). Servant leadership and patient safety culture in Ethiopian public hospitals: A qualitative study. BMC Health Services Research, 25(1), 984. https://doi.org/10.1186/s12913-025-13118-5
Dewi, N. P., Nurhatisyah, N., Elkarima, N., & Pawar, A. (2025). Transformational leadership, digital competence, and employee performance: Examining the mediating role of self-efficacy and the moderating influence of perceived organizational support. Jurnal Manajemen Bisnis, 16(1), 47-72. https://doi.org/10.18196/mb.v16i1.25429
Enahoro, A., Osunlaja, O., Maha, C. C., Kolawole, T. O., & Abdul, S. (2024). Reviewing healthcare quality improvement initiatives: Best practices in management and leadership. International Journal of Management & Entrepreneurship Research, 6(6), 1869-1884. https://doi.org/10.51594/ijmer.v6i6.1171
Falade, I. M., Gyampoh, G. K. S., Akpamgbo, E. O., Chika, O. C., Obodo, O. R., Okobi, O. E., & Chukwu, V. U. (2024). A comprehensive review of effective patient safety and quality improvement programs in healthcare facilities. Medical Research Archives, 12(7). https://doi.org/10.18103/mra.v12i7.5649
Fernández-Muñiz, B., Montes-Peon, J. M., & Vazquez-Ordas, C. J. (2007). Safety management system: Development and validation of a multidimensional scale. Journal of Loss Prevention in the process Industries, 20(1), 52-68. https://doi.org/10.1016/j.jlp.2006.10.002
Gao, M., Wu, X., & Fang, Y. (2023). How employees’ lean construction competence affects construction safety performance. International Journal of Occupational Safety and Ergonomics, 29(3), 1147-1159. https://doi.org/10.1080/10803548.2022.2112848
Gayathri, R. K., Vettriselvan, R., Rajesh, D., Balakrishnan, R., Kumar, R., & Kavitha, J. (2025). Strategic role of human resource management in enhancing occupational health and safety practices in business schools in India. Texila International Journal of Public Health, 13(2). https://doi.org/10.21522/TIJPH.2013.13.02.Art083
Ghozali, I. (2021). Partial least squares: Konsep, teknik dan aplikasi menggunakan program SmartPLS 3.2.9 untuk penelitian empiris. Badan Penerbit Universitas Diponegoro.
Griffin, M. A., & Neal, A. (2000). Perceptions of safety at work: A framework for linking safety climate to safety performance, knowledge, and motivation. Journal of Occupational Health Psychology, 5(3), 347–358. https://doi.org/10.1037/1076-8998.5.3.347
Haas, E. J., & Cauda, E. (2022). Using core elements of health and safety management systems to support worker well-being during technology integration. International Journal of Environmental Research and Public Health, 19(21), 13849. https://doi.org/10.3390/ijerph192113849
Hair, J. F., Jr., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2021). A primer on partial least squares structural equation modeling (PLS-SEM) (3rd ed.). SAGE Publications.
Hart, S. L. (1995). A natural-resource-based view of the firm. Academy of Management Review, 20(4), 986-1014. https://doi.org/10.5465/amr.1995.9512280033
He, Y., Sheng, Z., Griffin, M., & Yao, X. (2024). A multilevel model linking altruistic motivation to workplace safety: The role of servant leadership. Journal of Organizational Behavior, 45(4), 497-517. https://doi.org/10.1002/job.2761
Hosken, M. J., & O'Sullivan, S. L. (2024). Defining performance and competency requirements for army responders to domestic flood response operations. Journal of Humanitarian Logistics and Supply Chain Management, 15(3), 256–275, doi: https://doi.org/10.1108/JHLSCM-03-2023-0024
Igwe-Nmaju, C., & Anadozie, C. (2022). Commanding digital trust in high-stakes sectors: communication strategies for sustaining stakeholder confidence amid technological risk. World Journal of Advanced Research and Reviews, 15(3), 609-630. https://doi.org/10.30574/wjarr.2022.15.3.0920
Jiang, L., Wang, S., & Li, Y. (2026). Forestry 5.0 and the human factor: A critical review of digital technologies in occupational safety and health management. Frontiers in Forests and Global Change, 9, 1758933. https://doi.org/10.3389/ffgc.2026.1758933
Kang, L. (2024). Exploring a data-driven framework for safety performance management: A theoretical investigation at the enterprise level. Journal of Loss Prevention in the Process Industries, 91, 105384. https://doi.org/10.1016/j.jlp.2024.105384
Khan, F. U., Wang, Y., Zhang, L., Anjum, M. A., & Ramzan, D. S. (2026). Exploring the impact of the adoption of Green Lean Six Sigma practices on healthcare performance. International Journal of Lean Six Sigma, 17(3), 894-920. https://doi.org/10.1108/IJLSS-10-2024-0227
Kineber, A. F., Antwi-Afari, M. F., Elghaish, F., Zamil, A. M., Alhusban, M., & Qaralleh, T. J. O. (2023). Benefits of implementing occupational health and safety management systems for the sustainable construction industry: A systematic literature review. Sustainability, 15(17), 12697. https://doi.org/10.3390/su151712697
Kiridjievska, L. V., Popovska, M. B., Latkovikj, M. T., & Drakulevski, L. (2024). The role of leadership and organizational culture in medical error management: A comprehensive literature review. JMS, 7(1), 25-32. https://doi.org/10.3390/admsci15060194
Kumar, S., Fong, B. Y. F., & Liang, Z. (2026). The influence of competent managers on employee retention, job satisfaction and well-being in the healthcare industry-A scoping review. Journal of Healthcare Leadership, 1-15. https://doi.org/10.2147/JHL.S557143
Liu, X., Bian, Z., & Xue, Z. (2025). Enhancing safety behavior in construction: A novel model integrating ability, motivation and opportunity theory. International Journal of Occupational Safety and Ergonomics, 1-12. https://doi.org/10.1080/10803548.2025.2579399
Lukman, F., & Yune, E. K. (2025). Digital leadership and teacher digital competence as keys to successful integration of digital culture in education. Development: Studies in Educational Management and Leadership, 4(1), 21-36. https://doi.org/10.47766/development.v4i1.3381
Luo, H., Gu, Y., & Yao, Z. (2025). Unleashing innovative potential through digital leadership: A moderated mediation model of work engagement and psychological safety. International Journal of Organizational Leadership, 14(4). https://doi.org/10.33844/ijol.2025.60534
Makki, A. A., & Alidrisi, H. M. (2022). Critical systems-thinking-based leadership competencies as enablers to better construction safety performance. Buildings, 12(11), 1819. https://doi.org/10.3390/buildings12111819
Malik, M., Raziq, M. M., Sarwar, N., & Tariq, A. (2025). Digital leadership, business model innovation and organizational change: Role of leader in steering digital transformation. Benchmarking: An International Journal, 32(5), 1632-1662. https://doi.org/10.1108/BIJ-04-2023-0283
Mamdouh, A., Adel, R., Khourshed, N., & Ragheb, M. A. (2025). Impact of digital leadership on employee performance with mediation roles of digital self-efficacy and employee motivation. Business Ethics and Leadership, 9(3), 109-129. https://doi.org/10.61093/bel.9(3).109-129.2025
Mashi, M. S., Subramaniam, C., Johari, J., & Suleiman Abubakar, S. (2023). Understanding safety management practices and safety performance amid coronavirus (Covid-19) pandemic among nurses in public hospitals. International Journal of Public Administration, 46(10), 716–727. https://doi.org/10.1080/01900692.2021.2012803
Mollah, M. A., Amin, M. B., Mia, M. J., Shakil, R. M., & Rahaman, M. A. (2025). Digital leadership and organizational performance in the post COVID-19: Mediating roles of human capital development and technological innovation. Journal of Risk Analysis and Crisis Response, 15(1), 185-205. https://doi.org/10.54560/jracr.v15i1.569
Mungai, E. G., & Mang’ana, R. (2025). Strategic integration management and safety performance of aviation industry in Kenya. International Journal of Innovation, Enterprise, and Social Sciences, 5(1), 202-219.
Neal, A., & Griffin, M. A. (2006). A study of the lagged relationships among safety climate, safety motivation, safety behavior, and accidents at the individual and group levels. Journal of Applied Psychology, 91(4), 946–953. https://doi.org/10.1037/0021-9010.91.4.946
Negi, P., Pathani, A., Bhatt, B. C., Swami, S., Singh, R., Gehlot, A., Thakur, A. K., Gupta, L. R., Priyadarshi, N., Twala, B., & Sikarwar, V. S. (2024). Integration of industry 4.0 technologies in fire and safety management. Fire, 7(10), 335. https://doi.org/10.3390/fire7100335
Nnabuife, C. (2024). Improving hospital performance using technological performance strategies to reduce misdiagnoses. Walden University.
Nugraha, J. H., Mas’ud, M., & Tjan, J. S. (2025). Occupational safety and health (K3), work environment and competence on employee performance. Golden Ratio of Mapping Idea and Literature Format, 5(2), 258-272. https://doi.org/10.52970/grmilf.v5i2.1886
Qiao, G., Li, Y., & Hong, A. (2024). The strategic role of digital transformation: Leveraging digital leadership to enhance employee performance and organizational commitment in the digital era. Systems, 12(11), 457. https://doi.org/10.3390/systems12110457
Qiao, W., Huang, E., Guo, H., Liu, Y., & Ma, X. (2022). Barriers involved in the safety management systems: A systematic review of literature. International Journal of Environmental Research and Public Health, 19(15), 9512. https://doi.org/10.3390/ijerph19159512
Rahim, N. A., Husin, N., Juhari, J., Daud, S. R., Ahmad, K. S., & Masdek, N. R. N. M. (2023). Improving safety performance by influence safety management practices and safety culture: A conceptual framework. International Journal of Academic Research in Business and Social Sciences, 13, 1868-1879. http://dx.doi.org/10.6007/IJARBSS/v13-i10/19064
Rahman, F. A., Arifin, K., Abas, A., Mahfudz, M., Basir Cyio, M., Khairil, M., Ali, M. N., Lampe, I., & Samad, M. A. (2022). Sustainable safety management: A safety competencies systematic literature review. Sustainability, 14(11), 6885. https://doi.org/10.3390/su14116885
Rodríguez-Feria, P., Flórez, L. J. H., & Czabanowska, K. (2022). Leadership competencies for knowledge translation in public health: a consensus study. Journal of Public Health, 44(4), 926-935. https://doi.org/10.1093/pubmed/fdab286
Sacavém, A., de Bem Machado, A., dos Santos, J. R., Palma-Moreira, A., Belchior-Rocha, H., & Au-Yong-Oliveira, M. (2025). Leading in the digital age: The role of leadership in organizational digital transformation. Administrative Sciences, 15(2), 43. https://doi.org/10.3390/admsci15020043
Sağbaş, M., & Erdoğan, F. A. (2022). Digital leadership: A systematic conceptual literature review. İstanbul Kent Üniversitesi İnsan ve Toplum Bilimleri Dergisi, 3(1), 17-35. https://izlik.org/JA54NR56FK
Saleem, F., & Malik, M. I. (2022). Safety management and safety performance nexus: Role of safety consciousness, safety climate, and responsible leadership. International Journal of Environmental Research and Public Health, 19(20), 13686. https://doi.org/10.3390/ijerph192013686
Salim, N. A. A., Salleh, N. M., Jaafar, M., Sulieman, M. Z., Ulang, N. M., & Ebekozien, A. (2023). Fire safety management in public health-care buildings: Issues and possible solutions. Journal of Facilities Management, 21(1), 69-83. https://doi.org/10.1108/JFM-01-2021-0008
Senadjki, A., Au Yong, H. N., Ganapathy, T., & Ogbeibu, S. (2024). Unlocking the potential: The impact of digital leadership on firms' performance through digital transformation. Journal of Business and Socio-Economic Development, 4(2), 161-177. https://doi.org/10.1108/JBSED-06-2023-0050
Septiadi, M. A., & Ramdani, Z. (2024). Competency-based human resources (HR) development in the digital era. Journal of Current Social and Political Issues, 2(2), 113-124. https://doi.org/10.15575/jcspi.v2i2.827
Shahzad, M. U. (2024). Core competencies for digital leadership development: A perspective from the lens of paradox theory. The Bottom Line, 37(4), 454-472. https://doi.org/10.1108/BL-10-2023-0278
Shekh, J., & Sadiq, H. (2024). A meta-analysis of OSHA safety training programs and their impact on injury reduction and safety compliance in US workplaces. International Journal of Scientific Interdisciplinary Research, 5(2), 559-592. https://doi.org/10.63125/8zxw0h59
Stoumpos, A. I., Kitsios, F., & Talias, M. A. (2023). Digital transformation in healthcare: Technology acceptance and its applications. International Journal of Environmental Research and Public Health, 20(4), 3407. https://doi.org/10.3390/ijerph20043407
Stroeve, S., Smeltink, J., & Kirwan, B. (2022). Assessing and advancing safety management in aviation. Safety, 8(2), 20. https://doi.org/10.3390/safety8020020
Ta, M. T. D., Kim, T. eun, & Gausdal, A. H. (2022). Leadership styles and safety performance in high-risk industries: A systematic review. Safety and Reliability, 41(1), 10–44. https://doi.org/10.1080/09617353.2022.2035627
Tang, Z. (2025). Safety culture in the construction industry: A proposed enhanced safety management program. Journal of Business and Management Studies, 7(1), 98-125. https://doi.org/10.32996/jbms.2025.7.1.7
Tsekouropoulos, G., Vasileiou, A., Hoxha, G., Theocharis, D., Theodoridou, E., & Grigoriadis, T. (2025). Leadership 4.0: Navigating the challenges of the digital transformation in healthcare and beyond. Administrative Sciences, 15(6), 194. https://doi.org/10.3390/admsci15060194
Ulum, B., & Wulansari, P. (2025). The influence of digital leadership and digital competence on employee performance mediated by job satisfaction in health services in Tarakan City. The Eastasouth Journal of Social Science and Humanities, 2(03), 498-517. https://doi.org/10.58812/esssh.v2i03.592
Wang, G., Mansor, Z. D., & Leong, Y. C. (2024). Linking digital leadership and employee digital performance in SMEs in China: The chain-mediating role of high-involvement human resource management practice and employee dynamic capability. Heliyon, 10(16). https://doi.org/10.1016/j.heliyon.2024.e36026
Wang, J. M., Liao, P. C., & Yu, G. B. (2021). The mediating role of job competence between safety participation and behavioral compliance. International Journal of Environmental Research and Public Health, 18(11), 5783. https://doi.org/10.3390/ijerph18115783
Xu, X., Li, D., Huang, G., Wang, Z., Zhu, L., & Ni, X. (2024). Constructing safety management systems in modern industry and trade enterprises: A STAMP-Based approach. Sustainability, 16(24), 11238. https://doi.org/10.3390/su162411238
Yang, Y. F., & Fan, C. C. (2025). Evaluating the effectiveness of Virtual Reality (VR) technology in safety management and educational training: An empirical study on the application and feasibility of digital training systems. Interactive Learning Environments, 33(6), 3804-3832. https://doi.org/10.1080/10494820.2025.2454434
Yap, J. B. H., Skitmore, M., Lam, C. G. Y., Lee, W. P., & Lew, Y. L. (2024). Advanced technologies for enhanced construction safety management: Investigating Malaysian perspectives. International Journal of Construction Management, 24(6), 633-642. https://doi.org/10.1080/15623599.2022.2135951
Zeike, S., Bradbury, K., Lindert, L., & Pfaff, H. (2019). Digital leadership skills and associations with psychological well-being. International Journal of Environmental Research and Public Health, 16(14), 2628. https://doi.org/10.3390/ijerph16142628
Zhang, S., Hua, X., Huang, G., & Shi, X. (2022). How does leadership in safety management affect employees’ safety performance? A case study from mining enterprises in China. International Journal of Environmental Research and Public Health, 19(10), 6187. https://doi.org/10.3390/ijerph19106187
Zhang, Z., Li, H., Guo, H., Wu, Y., & Luo, Z. (2024). Causal inference of construction safety management measures towards workers’ safety behaviors: A multidimensional perspective. Safety Science, 172, 106432. https://doi.org/10.1016/j.ssci.2024.106432
Zhu, Y., Quansah, P. E., Obeng, A. F., & Minyu, G. (2023). High-performance work systems and safety performance in the mining sector: Exploring the mediating influence of workforce agility and moderating effect of safety locus of control. Current Psychology, 42(29), 25100-25126. https://doi.org/10.1007/s12144-022-03606-w
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