Faktor-faktor Yang Memengaruhi Loyalitas Pelanggan Pada Penerbangan Low Cost Carrier

Peristiwa yang terjadi pada lingkungan eksternal industri penerbangan berbiaya rendah (low cost carrier), seperti Perubahan peraturan dan kebijakan pemerintah serta perkembangan kondisi ekonomi dunia telah berdampak pada perkembangan industri penerbangan ini. Fakta empiris menyatakan bahwa perlu upaya ekstra untuk mempertahankan dan meningkatkan loyalitas konsumen. Penelitian ini dilakukan pada penerbangan LCC domestik terjadwal. Data dianalisis menggunakan LISREL 8.8, hasil analisis CFA dan Struktural Model Fit menyatakan model penelitian baik

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

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Pengaruh Kepuasan dan Kepercayaan terhadap Komitmen dan Dampaknya terhadap Loyalitas

The purpose of this survey is to examine the effect of satisfaction and trust to commitment and their impact to loyalty. The population includes everyone who travelling to Bandung from Jakarta by toll road suttle service Cipaganti and Xrans. There were 300 respondents purposively selected. Data analysis using Structural Equation Modelling produce the following results : 1) satisfaction influences commitment, 2) Trust influences commitment, 3) commitment influences loyalty, 4) Satisfaction influences loyalty, 5) Trust influences loyalty. Key Words- Trust, satisfaction, commitment, loyalty

Factors Affecting Talent Manager Performance: Study on the Food Manufacturing Industry in the Cikarang Industrial Area, West Java

This study purposes of analyzing and develop the factors that affect talent managers' performance (Study on the food manufacturing industry in the Cikarang industrial area, West Java). The research design taken is a causal study that explains the relationship between variables and descriptive analysis that explains the data from the indicators and each variable's dimensions. The research object included 14 companies in the food processing industry with a sample of 269 talent managers. The research data is in the form of primary data obtained from filling out questionnaires by respondents. The analytical method used is descriptive statistics, namely percentage, average, and chi-square, using SPSS software and Structural Equation Modeling (SEM) utilize LISREL software. The results of the descriptive study concluded that organizational culture is good. However, organizational culture has not been fully implemented in managing human resources, especially talent managers, because there is still a decentralization process in each different department. Hence, the talent manager's performance is relatively good except for the reservation and reservation dimensions, standards for measuring talent performance. The conclusion of this study states that the proposed research model has not been proven to be successful. The novelty element of this study cannot prove all the hypotheses that have been established as a research model. Therefore it can see from two sides, namely the academic side, by looking at the results of research that reject the hypothesis (anomaly), namely: organizational culture has no effect on job satisfaction. talent manager, organizational culture does not affect HRM, transformational leadership does not affect talent manager performance, and HRM does not affect talent manager performance. The practical side of this research's novelty element is the conservation dimension of the talent manager performance variable, namely the attitude or activity of maintaining work peace, protecting or maintaining work facilities and infrastructure, which is an element of novelty that rejects what should be, likewise with the exciting dimension of transformational leadership, namely the process of stimulating subordinates to think creatively and innovatively