Pengaruh Dukungan Top Manajemen, Budaya Layanan, dan Orientasi Pelayanan dalam Kualitas Layanan terhadap Kepuasan Pelanggan dan Loyalitas Pelanggan

The purpose of this paper is to examine whether there is a relationship between variable stop management support, service culture and service orientation. Where is the service culture is antecedent of service orientation. This case, was also examined the relationship between service orientation, service quality, customer satisfaction and customer loyalty in starbucks coffee cibubur square, cibubur junction, bogor rest area, botani square, and university of Indonesia. In this study, data were collected through surveys and structural equation modeling is used for data analysis. The number of samples as many as 100employees and 100 customers starbucks coffee that is divided in cibubur square, cibubur junction, bogor rest area, botani square, and university of Indonesia and 100 customers of Starbucks Coffee. Factor analysis with SPSS and structural equation model with AMOS program used to test the hypothesis.The results of this study indicate that the support of top management, the service culture was positively related to service orientation and service quality. However, the service quality to customer satisfaction found a negative relationship.Then between customer satisfaction and customer loyalty is strong and positively related to each other

Pemberdayaan Psikologi : Hubungannya dengan Kepuasan Kerja dan Komitmen Afektif

The purpose of this research is to analyze the relationship between Psychological empowerment toward Job satisfaction and Affective commitment in Hasanah Graha Afiah Hospital, Depok. In this research, the researcher used descriptive statistic analysis and correlation coefficient in SPSS 11.5 software. Total sample of this research is 115 employees in this hospital. The conclution's result from this research is most of the gender that worked in Hasanah Graha Afiah Hospital is woman with total result with 82,6%, age from 24-26 years is 67,8%, and have been worked from 1-3 years is 46,1%. This research used hypotheses test toward every variable dimension through individual analysis based on any informations related to Psychological empowerment (mean score 3.89) toward Job satisfaction (mean score 3.85) and Affective commitment (mean score 3.92). Based on the relation analysis of Psychological empowerment toward Affective commitment and Job satisfaction showed that there was a significant relation between Psychological empowerment toward affective commitment and Job satisfaction with the Pearson Correlation's value for each relationship was 0.785 and 0.570

Evolution over Time of Ventilatory Management and Outcome of Patients with Neurologic Disease∗

OBJECTIVES: To describe the changes in ventilator management over time in patients with neurologic disease at ICU admission and to estimate factors associated with 28-day hospital mortality. DESIGN: Secondary analysis of three prospective, observational, multicenter studies. SETTING: Cohort studies conducted in 2004, 2010, and 2016. PATIENTS: Adult patients who received mechanical ventilation for more than 12 hours. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Among the 20,929 patients enrolled, we included 4,152 (20%) mechanically ventilated patients due to different neurologic diseases. Hemorrhagic stroke and brain trauma were the most common pathologies associated with the need for mechanical ventilation. Although volume-cycled ventilation remained the preferred ventilation mode, there was a significant (p < 0.001) increment in the use of pressure support ventilation. The proportion of patients receiving a protective lung ventilation strategy was increased over time: 47% in 2004, 63% in 2010, and 65% in 2016 (p < 0.001), as well as the duration of protective ventilation strategies: 406 days per 1,000 mechanical ventilation days in 2004, 523 days per 1,000 mechanical ventilation days in 2010, and 585 days per 1,000 mechanical ventilation days in 2016 (p < 0.001). There were no differences in the length of stay in the ICU, mortality in the ICU, and mortality in hospital from 2004 to 2016. Independent risk factors for 28-day mortality were age greater than 75 years, Simplified Acute Physiology Score II greater than 50, the occurrence of organ dysfunction within first 48 hours after brain injury, and specific neurologic diseases such as hemorrhagic stroke, ischemic stroke, and brain trauma. CONCLUSIONS: More lung-protective ventilatory strategies have been implemented over years in neurologic patients with no effect on pulmonary complications or on survival. We found several prognostic factors on mortality such as advanced age, the severity of the disease, organ dysfunctions, and the etiology of neurologic disease