Quality of Nursing Care Based on Analysis of Nursing Performance and Nurse and Patient Satisfaction

Introduction: Nurses who frequently often contact to patients and most of their time serve patients in 24 hours, have an important role in caring for the patient. Patient satisfaction as quality indicator is the key success for competitiveness of service in hospital. The aim of this research was to develop nursing service quality model based on the nursing performance, nurse and patient satisfaction. Method: The research method used cross sectional study, at 14 wards of Gresik Hospital. Research factors were namely: oganization characteristic (organization culture and leadership), work factors (feedback and variety of nurses work), nurse characteristics (motivation, attitude, commitment and mental model), nursing practice, interpersonal communication, nurse and patient satisfaction. Statistical analysis of study data was analyzed by Partial Least Square (PLS). Results: The results of nursing performance revealed that nurse characteristic were not affected by organization culture and leadership style, nurse characteristics were affected by work factors, nurse characteristics affected nursing quality service (nursing practice, nursing professional, nurse and patient satisfaction), nurse satisfaction did not affect nursing professionals. Discussion: Based on the overall results of the development of nursing care model that was originally only emphasizes the process of nursing care only, should be consider the input factor of organizational characteristics, job characteristics, and characteristics of individual nurses and consider the process factors of nursing care standards and professional performance of nurses and to consider the outcome factors nurse and patient satisfaction. So in general the development model of quality of existing nursing care refers to a comprehensive system of quality

Family\u27s Economic Level and Culture Correlate with Nutritional Status of Children Under Five Years

Introduction: Nutrition is an important thing for human life. Variety in family\u27s economic level and culture have effect on family\u27s eating habit. Family with higher economic status have big opportunity to met under fi ve year\u27s nutrition. Cultural diversity on each family has an impact on the difference of raw food selection, processing methods, and presentation of food. The purpose of this study was to determine the correlation between family\u27s economic level and culture with nutritional status of children under fi ve year. Method: Research design was observational analytic with cross sectional approach. The population were mother and their children under fi ve years at Desa Jatigono Kunir, Kabupaten Lumajang. Sampel were 184 respondents, taken by using cluster sampling. Independent variables were family\u27s economic level and culture. Dependent variable was nutritional status of children under fi ve years. Data were collected by using questionnaire and observational sheet. Then, data were analyzed by using Spearman Rho Test with α<0.05. Result: The results showed that 140 (76.1%) respondents have low economic level, 105 (57.1%) respondents have negative culture in children\u27s nutrition, and 89 (48%) respondents have good nutritional status. The result of Spearman-rho test showed that family\u27s economic level (p=0.000) and culture (0.019) have correlated with nutritional status of children under five years. Discussion: It can be concluded that family\u27s economic level and culture have correlated with nutritional status of children under fi ve years. Nurses should develop health education and counseling to improve family\u27s knowledge about nutrition, so children will have good nutritional status

Marketing Mix by Bed Occupancy Ratio (Bor)

Introduction: Bed Occupancy Ratio (BOR) in RSI Arafah Mojosari during the last three years are at under ideal rate and the lowest of the three existing hospitals in the area of Mojosari. The purpose of this study was to determine the relationship marketing mix with Bed Occupancy Ratio in RSI Arafah Mojosari. Methods: This research uses analytic methods with crossectional approach. Variables in the study is marketing mix and Bed Occupancy Ratio (BOR). The population in this study were all patients hospitalized in the RSI Arafah Mojosari. Samples amounted 44 respondents taken by the Stratified random sampling technique. Data were collected using the questionnaire and analyzed using Fisher\u27s Exact test. Result: The results obtained more than 50% of respondents (59.1%) rate well against the marketing mix is developed by the hospital management and the majority of respondents (79.5%) are in the treatment room that has a number BOR is not ideal. Fisher Exact test test results obtained probabililty value=0.02<0.05 so that H0 is rejected, which means there is a relationship marketing mix with the Bed Occupancy Ratio in RSI Arafah Mojosari. Discussion: Hospitals which able to develop the marketing mix very well, can attract consumers to use inpatient services at the hospital, with that BOR value will increase as the increased use of inpatient services. Hospital management must be able to formulate a good marketing mix strategy that hospital marketing objectives can be achieved. Conformity between service quality and service rates must be addressed, otherwise it extent of media promotions can attract patients to inpatient services

Evaluating Anxiety, Self-Efficacy and Positive Attitude Correlation Towards Mathematics Through Fuzzy Correlation Utilization

Three factors that have been considered to influence mathematics learning outcomes are anxiety, self-efficacy and positive attitudes. Those have correlation each other. The analysis between the three factors is usually carried out using the pearson correlation concept where the data used is the crisp data. The fuzzy correlation is an attempt to provide an alternative in analyzing the correlation between two variables and the data used is fuzzy data. The data was collected from 1063 respondents through fuzzy instruments. The advantage of this instrument is that crisp and fuzzy data can be obtained immediately. Data analysis is done using pearson and fuzzy correlation. The results reveal several facts, those are: fuzzy data provides a more flexible and real conception, anxiety with self-efficacy has a negative correlation at a low level, anxiety with a positive attitude of students have a negative correlation at a low level, self-efficacy with a positive attitude has a moderate positive correlation, fuzzy correlation coefficients in the form of fuzzy interval numbers provide an advantage in decision making

Working Climate with Fatigue Levels of Timber Industry Workers in Probolinggo

The high-temperature work environment is an additional burden of heat pressure that results in the occurrence of subjective deficiencies in the worker and may cause disruption to the workforce. The purpose of this study is to analyze the relationship between work climate with the level of fatigue in workers in PT. Kutai Timber Indonesia Probolinggo. This research use analytic survey method with the cross-sectional approach and sampling technique using Cluster Random Sampling of 134 samples in Production I section that is hot press, shikumi, and putty. The study was conducted in January 2018. Data were analyzed by Chi-Square statistical test. The result of the research shows that most of the working climate that exceeds threshold value with high fatigue category is 70 respondents (52,5%), almost half of them are 40 respondents (29,9%) with the moderate level of errors. While in the working climate that does not exceed the threshold value with the category of fatigue rate is a small number of 20 respondents (14.9%) and high fatigue rate of 4 respondents (3.0%). Calculation of Chi-Square statistic test with significance level α = 0,05 obtained result ρ = 0,000 (0,000 <0,05) then H0 is rejected, so there is the significant relation between work climate with fatigue level at the worker in PT.KTI (Kutai Timber Indonesia) Probolinggo City. To minimize heat stress from a work climate that exceeds threshold value, it is better for the company to use an exhaust fan where the heat from the working environment sourced from the zinc roof and the production machinery is pulled out of the environment with lower temperatures, periodic health checks on labor, before work stretching for 3-5 minutes and suggest workers consume water every 20 minutes in the work

The Influence of Diabetic Foot Gymnastic to Body Balance in Elderly Diabetes Mellitus Patients in Gatoel Mojokerto Hospital Diabetic Club

Diabetes mellitus suffers from insulin deficiency which inhibited the transfer of glucose to cells in body tissues that cause starvation cells an in the increase in glucose in the blood that leads to muscle weakness thus disrupt the body’s balance and increase the risk of falling. Diabetic foot exercises aim to improved blood circulation in the feet of people with diabetes mellitus, so that nutrient smoothly to the network. The purpose of this study to determine the effect of diabetic foot gymnastics on body balance elderly people with diabetes mellitus in Diabetic Club Gatoel Hospital Mojokerto in the 27 February – 25 March 2017. This research used a Quasy Experimental method with Pretest-Posttest with Control Group Design. The sampling technique used Simple Random Sampling with the sample of 17 respondents for the control group and 17 respondents for the intervention group. Wilcoxon Signed Rank Test obtained p-value 0,000 &lt; 0,05 concluded that there is an influence of diabetic foot exercises on body balance in elderly people with diabetes mellitus in Diabetic Club Gatoel Hospital Mojokerto. The study recommended that elderly people with diabetes mellitus is expected to take advantage of diabetic foot exercises as an effort to improve the balance of the body to reduce the incidence of fall

Hubungan Motivasi dan Gaya Kepemimpinan Kepala Ruangan dengan Prestasi Kerja Perawat di RS Semen Gresik

HUBUNGAN MOTIVASI DAN GAYA KEPEMIMPINAN KEPALA RUANGAN DENGAN PRESTASI KERJA PERAWAT DI RS SEMEN GRESI