Analisis Faktor Faktor Yang Mempengaruhi Kepuasan Kerja Perawat (Studi Empiris di RSP TNI AU Dr. S. Hardjolukito Yogyakarta)

Job satisfaction is a perception of a person or employee on the job if the job can be satisfy or unsatisfy. The role of nurses in a hospital is very important as the executor of medical treatment so it is important for a hospital to give attention to the level of job satisfaction as a result of the work he was doing. This study aims to determine the effect of salary, promotion, supervision, co-workers, work itself, and the work environment on job satisfaction of nurses in RSP TNI AU Dr. S. Hardjolukito Yogyakarta. The population in this study was nurses in RSP TNI AU Dr. S. Hardjolukito Yogyakarta as many as 96 people. While the sample is taken from a nurse who served in inpatient unit including Camar room, Merak room, Kasuari room and Parkit room as many as 71 people. The analysis method used in this research is multiple linear regression with the sampling technique using proposive sampling. The results showed that there is a significant relationship between the work itself and the work environment on job satisfaction. While salary, promotion, supervision, and co-workers have not effect on job satisfaction. Of the work itself and the work environment to job in RSP TNI AU Dr. S. Hardjolukito Yogyakarta has to give more attention to working conditions that make nurses feel attracted and respect for his job as well as the condition of the working room comfortable, quiet and give attention to equipment that allows nurses to carry out the task

Safety of selective nonoperative management for blunt splenic trauma: the impact of concomitant injuries

Background Nonoperative management for blunt splenic injury is the preferred treatment. To improve the outcome of selective nonoperative therapy, the current challenge is to identify factors that predict failure. Little is known about the impact of concomitant injury on outcome. Our study has two goals. First, to determine whether concomitant injury affects the safety of selective nonoperative treatment. Secondly we aimed to identify factors that can predict failure. Methods From our prospective trauma registry we selected all nonoperatively treated adult patients with blunt splenic trauma admitted between 01.01.2000 and 12.21.2013. All concurrent injuries with an AIS ≥ 2 were scored. We grouped and compared patients sustaining solitary splenic injuries and patients with concomitant injuries. To identify specific factors that predict failure we used a multivariable regression analysis. Results A total of 79 patients were included. Failure of nonoperative therapy (n = 11) and complications only occurred in patients sustaining concomitant injury. Furthermore, ICU-stay as well as hospitalization time were significantly prolonged in the presence of associated injury (4 versus 13 days,p < 0.05). Mortality was not seen. Multivariable analysis revealed the presence of a femur fracture and higher age as predictors of failure. Conclusions Nonoperative management for hemodynamically normal patients with blunt splenic injury is feasible and safe, even in the presence of concurrent (non-hollow organ) injuries or a contrast blush on CT. However, associated injuries are related to prolonged intensive care unit- and hospital stay, complications, and failure of nonoperative management. Specifically, higher age and the presence of a femur fracture are predictors of failure