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FACTORS AFFECTING EMPLOYEE PERFORMANCE: CASE STUDY AT PERMATA HATI HOSPITAL RIAU, INDONESIA Hetty Ismainar; Sandi Iljanto; Efrianti Efrianti
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Employees are important factors in the organization to achieve the goal. The employee's performance will affect the quality of service. As we know that patient expectations are getting the best service. From the preliminary survey, we discovered some patient complaints; attitudes, communication and undisciplined by employees. Since last 3 years, the hospital quality service indicator has decreased, BOR (Bed Occupancy Rate) <60-80% (Ministries of health Standard). Aims: To determine the factors affect the employees’ performance in Permata Hati Hospital Riau Indonesia Methods: This research used the analytical quantitative study design with cross sectional study. The study was carried out in Mei-June 2014 in Permata Hati Hospital. We used questionnaires for collecting data, The sample of the research are employees in the provision of services to patients directly, totally 154 respondents. Consists of: health workers (nurses, midwives, laboratory, pharmacy, radiology, doctor) and administrative and finance personnel. The dependent variable is employees’performance and the independent variables are: leadership, salary, supervision, and training. Processing data using statistical calculation: univariate, bivariate and multivariate with multiple logistic regression test. Results: There was a significantly strong correlation between independent variables toward the performance of employees (pvalue <0.05). Leadership exerted a significant effect on performance (exp (B) 2.025), salary significant effect on performance (exp (B) 2.029), supervision significant effect on performance exp (B) 1.525) and training significant effect on performance (exp (B) 2.991). Conclusion: Training is the dominant factor affecting the performance of employees in Permata Hati Hospital. It is a necessary to build a roadmap of continuous training in enhancing the competence and quality of service, monitoring and evaluation of performance and performancebased finance system. 
Analysis of Internal Nasal Valves Shapes and Angle due to Nasal Obstruction in Asian Nose Tiara Melati; Mirta Hediyati Reksodiputro; Trimartani Koento; Sandi Iljanto
eJournal Kedokteran Indonesia Vol 10, No. 3 - Desember 2022
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.10.203.212-8

Abstract

BACKGROUND Internal nasal valve (INV) is widely discussed because it is believed to have a role in structural nasal obstruction. Caucasian has a rather acute angle of INV due to the known geometric of their nose. Whilst Asian generally has broader, thicker, and bigger anthropometric proportion of nose than Caucasian. Asia is vastly diverse in ethnicity, one can only assume that Asian INV may be differ in shape and larger in angles compare to Caucasian, due to the minimum publication addressing this issue. AIM To report the anatomy of INV and its angle in obstructed Asian noses. METHOD A case control study was conducted. Forty cases of nasal obstruction and 80 controls without nasal obstruction. Both groups were evaluated using Nasal Obstruction Symptom Evaluation (NOSE) questionnaire, rigid nasal endoscopy and active anterior rhinomanometry (AAR). Anatomy and angle of INV was later measured using digital image analysis. RESULT Six basic INV shapes were seen throughout both groups, many has different shape combinations. Most commonly (more than 60%) observed shape in both groups were the occupied by nasal septal body (NSB). The right INV angle in case group was 15,5º ± 10,1º (p = 0,123) and left INV angle was 17,2º ± 9,0º (p = 0,022). In control group, the right INV angle was 19,6º ± 11,8º (p = 0,123) and left INV angle was 23,2º ± 12,5º (p = 0,022). CONCLUSION It is shown that most common shape of Asian INV in both groups, is the occupancy by NSB. Internal nasal valve angle in obstructed nose is narrower in comparison to those without nasal obstruction. This study also demonstrates Asian, particularly Indonesian, has a wider angle than Caucasian.