Analisis Kualitas Pelayanan terhadap Kepuasan Mahasiswa pada Fakultas Ekonomi Universitas Negeri YOGYAKARTA

Penelitian ini mengkaji kualitas layanan yang disediakan oleh FE UNY dan pengaruhnya terhadap tingkat kepuasan mahasiswa studi di FE UNY. Lebih spesifik lagi, penelitian ini bertujuan untuk mengetahui pengaruh keandalan, ketulusan, jaminan, keberwujudan dan ketanggapan terhadap kepuasan mahasiswa. Penelitian ini termasuk penelitian kausal-komparatif, yaitu penelitian untuk menguji variabel satu mempengaruhi varaibel lain. Pengumpulan data dilakukan dengan kuesioner yang dibagikan kepada para mahasiswa FE UNY dari semua program studi, baik S1 maupun D3, mahasiswa yang berkuliah di Kampus UNY Karangmalang, maupun di UNY Wates, dengan menggunakan metode proportional random sampling. Teknik analisis data dengan menggunakan regresi berganda, dengan melihat uji-t dan uji-F. Hasil penelitian ini menyimpulkan bahwa terdapat pengaruh positif dan signifikan Keandalan terhadap Kepuasan mahasiswa; terdapat pengaruh positif dan signifikan Ketulusan terdahap Kepuasan mahasiswa;t idak terdapat pengaruh Jaminan terhadap Kepuasan mahasiswa; terdapat pengaruh positif dan signifikan Keberwujudan terhadap Kepuasan mahasiswa; terdapat pengaruh positif dan signifikan Ketanggapan terhadap Kepuasan mahasiswa. Secara simultan kelima variabel berpengaruh positif dan signifikan terhadap Kepuasan mahasiswa, dengan koefisien determinasi (R2) sebesar 0,814. Artinya, kelima variabel independen mempengaruhi variabel Kepuasan mahasiswa sebesar 81,4%, sedangkan selebihnya (18,6%) dipengaruhi oleh variabel lain yang tidak diteliti dalam penelitian ini

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely