Masintuvu Kita Maroso, Morambanga Kita Marisi Sebagai Kearifan Lokal Kaili Dalam Penguatan Budaya Mutu Dan Keberlanjutan Akreditasi Rumah Sakit: Perspektif Integrated Accreditation Sustainability Model (IASM)
Masintuvu Kita Maroso, Morambanga Kita Marisi As Kaili Local Wisdom For Strenfthening Quality Culture And Sustaining Hospital Accreditation: A Conceptual Perspective Of The Integrated Accreditation Sustainability Model (IASM)
DOI:
https://doi.org/10.59585/bajik.v5i1.1869Keywords:
Masintuvu Kita Maroso, Budaya Sintuvu, Kearifan Lokal Kaili, Budaya Mutu, IASMAbstract
Akreditasi rumah sakit merupakan salah satu mekanisme eksternal untuk mendorong peningkatan mutu dan keselamatan pasien, tetapi keberlanjutan dampaknya bergantung pada kemampuan organisasi menginternalisasikan praktik mutu ke dalam rutinitas dan budaya kerja. Artikel ini bertujuan mengembangkan sintesis konseptual mengenai bagaimana kearifan lokal Kaili, khususnya “Masintuvu Kita Maroso, Morambanga Kita Marisi”, dapat ditempatkan sebagai fondasi nilai dalam penguatan budaya mutu dan keberlanjutan akreditasi melalui Integrated Accreditation Sustainability Model (IASM). Artikel menggunakan integrative literature review (ILR) dan conceptual synthesis. Proses review mengikuti tahapan Whittemore dan Knafl serta melaporkan proses pencarian dan seleksi secara transparan dengan prinsip PRISMA 2020 tanpa mengubah desain menjadi systematic review. Evidence set substantif terdiri atas 42 sumber: 35 sumber awal yang direkonsiliasi dan 7 sumber tambahan dari fresh scholarly search. Seluruh 42 sumber dipertahankan dalam sintesis karena memiliki kontribusi langsung atau pendukung terhadap domain kearifan lokal, budaya Sintuvu, budaya organisasi, budaya mutu, akreditasi, keselamatan pasien, kepemimpinan, keterlibatan staf, dan sustainability. Sintesis menunjukkan rantai konseptual: konteks budaya Kail, internalisasi nilai lokal, organizational values and behaviour, quality culture, accreditation sustainability. Accreditation governance, transformational leadership, serta staff engagement and collaboration ditempatkan sebagai enabling mechanisms, sedangkan regulasi, sumber daya, teknologi, karakteristik rumah sakit, konteks komunitas, dan lingkungan eksternal diposisikan sebagai contextual factors. IASM dengan demikian ditawarkan sebagai model integratif yang menghubungkan cultural contextualization dengan internalisasi standar dan continuous improvement. Hubungan kausal antar konstruk belum dapat disimpulkan dan memerlukan validasi empiris melalui penelitian lanjutan.
References
Septiwiharti, D., Maharani, S. D., & Mustansyir, R. (2020). Concept and development of Sintuvu Culture in Kaili Central Sulawesi Community. Research, Society and Development, 9(2), e99922495. https://doi.org/10.33448/rsd-v9i2.2495
Septiwiharti, D. (2020). Budaya Sintuvu masyarakat Kaili di Sulawesi Tengah. Naditira Widya, 14(1), 47–64. https://doi.org/10.24832/nw.v14i1.419
Suparta, I. K. (2022). Nilai-nilai dalam mitos suku Kaili di Kota Palu. Widya Genitri, 13(2), 95–109. https://doi.org/10.36417/widyagenitri.v13i2.475
Andriansyah. (2026). Budaya Sintuvu masyarakat Kaili di Sulawesi Tengah. Arus Jurnal Sosial dan Humaniora, 6(1), 1701–1707. https://doi.org/10.57250/ajsh.v6i1.3153
Septiwiharti, D., Maharani, S. D., & Mustansyir, R. (2019). The Concepts of Nosarara Nosabatutu in the Kaili Community: Inspiration for Religious Harmony in Indonesia. Wawasan: Jurnal Ilmiah Agama dan Sosial Budaya, 4(2), 222–231. https://doi.org/10.15575/jw.v4i2.6622
Kurniawati, V. N. F., Suda, I. K., & Damriyasa, I. M. (2026). Local Wisdom of Rukun Agawe Santosa Crah Agawe Bubrah in Patient Safety Culture at The Academic Hospital of Gadjah Mada University, Yogyakarta. International Journal of Interreligious and Intercultural Studies, 9(1), 47–63. https://doi.org/10.32795/ijiis.vol9.iss1.2026.9155
Rustina, R., Nurdin, N., Suharnis, Samsinas, Murniati, Kasmiati, & Elya. (2026). The role of families in narrating Kaili ethnic oral traditions to strengthen religious education at elementary schools: an ethnography from two villages in Indonesia. Cogent Arts & Humanities, 13(1), 2610053. https://doi.org/10.1080/23311983.2025.2610053
Hussein, M., Pavlova, M., Ghalwash, M., & Groot, W. (2021). The impact of hospital accreditation on the quality of healthcare: a systematic literature review. BMC Health Services Research, 21, 1057. https://doi.org/10.1186/s12913-021-07097-6
Alhawajreh, M. J., Paterson, A. S., & Jackson, W. J. (2023). Impact of hospital accreditation on quality improvement in healthcare: A systematic review. PLOS ONE, 18(12), e0294180. https://doi.org/10.1371/journal.pone.0294180
Bhoomadevi, A., Revathy, M., Koul, A., et al. (2026). Sustaining quality accreditation in hospitals: a systematic review with narrative synthesis. BMC Health Services Research, 26, 982. https://doi.org/10.1186/s12913-026-14752-3
Mannion, R., & Davies, H. T. O. (2018). Understanding organisational culture for healthcare quality improvement. BMJ, 363, k4907. https://doi.org/10.1136/bmj.k4907
Kaplan, H. C., et al. (2010). The influence of context on quality improvement success in health care: a systematic review of the literature. The Milbank Quarterly, 88(4), 500–559. https://doi.org/10.1111/j.1468-0009.2010.00611.x
Parmelli, E., et al. (2011). The effectiveness of strategies to change organisational culture to improve healthcare performance: a systematic review. Implementation Science, 6, 33. https://doi.org/10.1186/1748-5908-6-33
Scott, T., Mannion, R., Davies, H., & Marshall, M. (2003). The quantitative measurement of organizational culture in health care: a review of the available instruments. Health Services Research, 38(3), 923–945. https://doi.org/10.1111/1475-6773.00154
Churruca, K., Ellis, L. A., Pomare, C., et al. (2021). Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. BMJ Open, 11, e043982. https://doi.org/10.1136/bmjopen-2020-043982
Friman, S., Maijala, R., Eloranta, S., Suominen, S., & Ikonen, T. (2025). The characteristics of leadership and their effectiveness in quality management in healthcare - A systematic literature review and a content analysis. Health Services Management Research, 38(1), 37–49. https://doi.org/10.1177/09514848241254921
Andres, E. B., Song, W., Schooling, C. M., & Johnston, J. M. (2019). The influence of hospital accreditation: a longitudinal assessment of organisational culture. BMC Health Services Research, 19, 467. https://doi.org/10.1186/s12913-019-4279-7
Avia, I., & Hariyati, R. T. S. (2019). Impact of hospital accreditation on quality of care: A literature review. Enfermeria Clinica, 29, 315–320. https://doi.org/10.1016/j.enfcli.2019.06.003
Ng, G. K. B., Leung, G. K. K., Johnston, J. M., & Cowling, B. J. (2013). Factors affecting implementation of accreditation programmes and the impact of the accreditation process on quality improvement in hospitals: a SWOT analysis. Hong Kong Medical Journal, 19(5), 434–446. https://doi.org/10.12809/hkmj134063
Pomey, M.-P., Lemieux-Charles, L., Champagne, F., et al. (2010). Does accreditation stimulate change? A study of the impact of the accreditation process on Canadian healthcare organizations. Implementation Science, 5, 31. https://doi.org/10.1186/1748-5908-5-31
Desveaux, L., Mitchell, J. I., Shaw, J., & Ivers, N. M. (2017). Understanding the impact of accreditation on quality in healthcare: A grounded theory approach. International Journal for Quality in Health Care, 29(7), 941–947. https://doi.org/10.1093/intqhc/mzx136
Shaw, C. D., Groene, O., Mora, N., & Sunol, R. (2010). Accreditation and ISO certification: do they explain differences in quality management in European hospitals? International Journal for Quality in Health Care, 22(6), 445–451. https://doi.org/10.1093/intqhc/mzq054
Braithwaite, J., Greenfield, D., Westbrook, J. I., et al. (2010). Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study. Quality and Safety in Health Care, 19(1), 14–21. https://doi.org/10.1136/qshc.2009.033928
Brubakk, K., Vist, G. E., Bukholm, G., Barach, P., & Tjomsland, O. (2015). A systematic review of hospital accreditation: the challenges of measuring complex intervention effects. BMC Health Services Research, 15, 280. https://doi.org/10.1186/s12913-015-0933-x
Mumford, V., Forde, K., Greenfield, D., Hinchcliff, R., & Braithwaite, J. (2013). Health services accreditation: what is the evidence that the benefits justify the costs? International Journal for Quality in Health Care, 25(5), 606–620. https://doi.org/10.1093/intqhc/mzt059
Mitchell, J. I., Graham, I. D., & Nicklin, W. (2020). The unrecognized power of health services accreditation: more than external evaluation. International Journal for Quality in Health Care, 32(7), 445–455. https://doi.org/10.1093/intqhc/mzaa063
Ghazanfari, F., Mosadeghrad, A. M., Jaafari Pooyan, E., & Mobaraki, H. (2021). Iran hospital accreditation standards: challenges and solutions. International Journal of Health Planning and Management, 36(3), 958–975. https://doi.org/10.1002/hpm.3144
Tashayoei, N., Raeissi, P., & Nasiripour, A. A. (2020). Challenges of implementation of hospital accreditation in Iran: an exploratory factor analysis. Journal of the Egyptian Public Health Association, 95, 5. https://doi.org/10.1186/s42506-019-0033-6
Ebrahimipour, H., Hooshmand, E., Varmaghani, M., Javan-Noughabi, J., & Mojtabaeian, S. M. (2021). The challenges of physicians’ participation in hospital accreditation programs: a qualitative study in Iran. BMC Health Services Research, 21, 1171. https://doi.org/10.1186/s12913-021-07182-w
Alshamsi, A. I., Thomson, L., & Santos, A. (2020). What Impact Does Accreditation Have on Workplaces? A qualitative study to explore the perceptions of healthcare professionals about the process of accreditation. Frontiers in Psychology, 11, 1614. https://doi.org/10.3389/fpsyg.2020.01614
El-Jardali, F., Hemadeh, R., Jaafar, M., et al. (2014). The impact of accreditation of primary healthcare centers: successes, challenges and policy implications as perceived by healthcare providers and directors in Lebanon. BMC Health Services Research, 14, 86. https://doi.org/10.1186/1472-6963-14-86
Babakkor, M. A., & Kattan, W. M. (2023). Accreditation impact on quality of healthcare organization services and culture in a tertiary hospital in Saudi Arabia. Saudi Journal of Health Systems Research, 3(1–4), 154–161. https://doi.org/10.1159/000529643
Milania, V. P., Fauzi, A. A., & Rihtianti, L. A. (2025). Pengaruh Akreditasi Rumah Sakit Terhadap Patient Safety Culture: Literature Review. Media Kesehatan Masyarakat Indonesia, 24(1), 41–49. https://doi.org/10.14710/mkmi.24.1.41-49
Alkhenizan, A., & Shaw, C. (2010). Assessment of the accreditation standards of the Central Board for Accreditation of Healthcare Institutions in Saudi Arabia against the principles of ISQua. Annals of Saudi Medicine, 30(5), 386–389. https://doi.org/10.4103/0256-4947.67082
Hussein, M., Pavlova, M., & Groot, W. (2025). The sustainability of hospital accreditation models: a cross-sectional study. International Journal for Quality in Health Care, 37(1), mzaf017. https://doi.org/10.1093/intqhc/mzaf017
Oweidat, I. A., Atiyeh, H., Alosta, M., et al. (2024). The influence of hospital accreditation on nurses’ perceptions of patient safety culture. Human Resources for Health, 22, 36. https://doi.org/10.1186/s12960-024-00920-1
Scanlan, M., Flenady, T., & Judd, B. (2024). Impact of short-notice accreditation assessments on hospitals’ patient safety and quality culture—A scoping review. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16169
de Oliveira Lima, H., da Silva, L. M., et al. (2025). Association between hospital accreditation and healthcare providers’ perceptions of patient safety culture: a longitudinal study in a healthcare network in Brazil. Israel Journal of Health Policy Research, 14, 27. https://doi.org/10.1186/s13584-025-00690-8
Kakemam, E., Majidi, S., Karimi, N., et al. (2026). The relationship between employee’s perceptions of the accreditation impact with quality of care and organizational culture in Iranian teaching hospitals: a cross-sectional study. Journal of Education and Health Promotion, 15, 52. https://doi.org/10.4103/jehp.jehp_1912_24
Abdurabuh, et al. (2024). Evaluating the Impact of Hospital Accreditation on Patient Safety Culture in Saudi Arabia Healthcare Facilities. Journal of Multidisciplinary Healthcare. https://doi.org/10.2147/JMDH.S480496
Bogh, S. B., et al. (2018). Hospital accreditation: staff experiences and perceptions. International Journal of Health Care Quality Assurance. https://doi.org/10.1108/IJHCQA-06-2017-0115
Widyastuti, I. A. P. (2018). Implementasi Patient Safety Berbasis Kearifan Lokal. Jurnal Manajemen Bisnis, 15(2), 1–17. https://doi.org/10.38043/jmb.v15i2.586
Whittemore, R., & Knafl, K. (2005). The integrative review: updated methodology. Journal of Advanced Nursing, 52(5), 546–553. https://doi.org/10.1111/j.1365-2648.2005.03621.x
Page, M. J., McKenzie, J. E., Bossuyt, P. M., et al. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71
Hong, Q. N., Pluye, P., Fàbregues, S., et al. (2019). Improving the content validity of the mixed methods appraisal tool: a modified e-Delphi study. Journal of Clinical Epidemiology, 111, 49–59. https://doi.org/10.1016/j.jclinepi.2019.03.008
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Andyka Kawa, Arlin Adam, Muhammad Azwar, Yunita Yunita, Hamdana Hamdana
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
