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Background: Effective leadership in hospital administration plays a critical role in shaping organizational culture, fostering employee engagement, and impacting patient care quality. Leadership styles vary widely, influencing organizational dynamics and employee behavior differently. Understanding these styles is crucial for achieving goals within healthcare settings. Methods: This cross-sectional quantitative study investigated leadership style, flexibility, and effectiveness among hospital directors in Central Java, East Java, and the Special Region of Yogyakarta, Indonesia. Data were collected from six hospital directors using questionnaires and in-depth unstructured interviews. Descriptive statistics and thematic analysis were used to analyze the data. Results: The most frequently utilized leadership style was supportive, favored by 37.9% of directors, emphasizing collaborative decision-making. Coaching, delegating, and directing styles were also noted. Directors' leadership styles were generally perceived as highly adaptable, with a positive correlation between adaptable leadership styles and effective leadership functions. However, there was no significant evidence linking leadership style effectiveness to overall leadership function. Conclusion: Supportive leadership styles are prevalent among hospital directors, characterized by collaboration and adaptability. Leadership styles significantly influence hospital management practices and employee engagement. Further research is needed to optimize leadership strategies in healthcare settings.
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