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Employees activities of PT PLN UIP X which are in the main office is conducting a projectadministration, where the majority of working time to be in the room to work using acomputer. Working hours by employees is 8 hours a day (with a period of rest for 1 hour) and5 days a week. With such a work pattern, if ways of working (postures and duration), workequipment used (chairs, tables, equipment placement computer), the layout of the workspace(office building, workstation), and the office environment (temperature, humidity, lighting,bacteria in the room) are not eligible and is influenced by the individual characteristics ofemployees (age, gender, working life and exercise habits ) then potentially affected byergonomic risk, i.e. musculoskeletal disorders (MSDs), job stress and fatigue. Researchconducted on 52 respondents where complaints seen from the individual characteristics ofeach employee. MSDs complaint was measured using a questionnaire Nordic Body Map,complaints of job stress was measured by a questionnaire DASS 42 and the fatigue wasmeasured by a questionnaire IFRC. The results showed that MSDs are the biggest complaintof employees with an average of 17.17%. The most complained of part of the body is theneck pain over with value of 50%, and then the right shoulder pain 42.31%, the lumbago42.31%, the back pain 38.46%, the neck pain lower 34.62% and the left shoulder pain30.77%. Judging from the individual characteristics obtained complaint data MSDs asfollows: women complain more than men, employees aged > 35 years more complaining thanemployees aged < 35 years, employees with working life > 10 years more complaining thanworking life <10 years, and employees who do not exercise more complaining thanemployees who regularly exercise. While fatigue is relatively small on average 6.86% whilethe stress only in the category of mild stress by an average of 11.54%.Key word: Employees of PLN UIP X, office, work posture, work equipment, officeenvironment, individual characteristic, musculoskeletas disorders.
Kualitas layanan internal memiliki peran yang penting dalam peningkatan kualitas layanan yang akan diberikan oleh karyawan. Penelitian ini bertujuan untuk menganalisis pengaruh kualitas layanan internal terhadap kepuasan pasien melalui kepuasan kerja. Studi ini dilakukan di Rumah Sakit Izza Karawang menggunakan pendekatan kuantitatif. Data dikumpulkan melalui survei terhadap 154 karyawan dan 308 pasien. Data dianalisis menggunakan Structural Equation Modeling Partial Least Squares (SEM PLS).
Hasil penelitian menunjukkan bahwa kualitas layanan internal, meliputi desain tempat kerja, desain pekerjaan, penghargaan, pengakuan, serta ketersediaan peralatan kerja, tidak berpengaruh signifikan secara langsung terhadap kepuasan pasien. Kualitas layanan internal berpengaruh signifikan dan positif terhadap kepuasan kerja (t-statistik 8,588, path coef 0,621). Kepuasan kerja memberikan pengaruh signifikan terhadap kepuasan pasien (t-statistik 1,750, path coef 0,284), meskipun kekuatan hubungan tergolong lemah. Analisis mediasi mengindikasikan bahwa kepuasan kerja berperan sebagai variabel intervening, meskipun dengan pengaruh yang lemah.
Temuan ini mengindikasikan bahwa meskipun kualitas layanan internal dan kepuasan kerja berkontribusi pada kepuasan pasien, ada faktor lain yang lebih dominan memengaruhi kepuasan pasien. Oleh karena itu, sebagai strategi jangka panjang, manajemen Rumah Sakit IZZA Karawang disarankan untuk terus meningkatkan kualitas layanan internal dan kepuasan kerja karyawan seraya mengoptimalkan aspek layanan yang langsung berdampak pada kepuasan pasien
Internal service quality plays a critical role in enhancing the quality of services delivered by employees. This study examines the impact of internal service quality on patient satisfaction, mediated by job satisfaction. Conducted at Izza Karawang Hospital, the research employs a quantitative approach with data collected from 154 employees and 308 patients, analyzed using Structural Equation Modeling Partial Least Squares (SEM PLS). The results showed that internal service quality, including workplace design, job design, rewards, recognition, and availability of work equipment, had no significant effect directly on patient satisfaction. Internal service quality has a significant and positive effect on job satisfaction (t-statistic 8.588 > t-table, path coef 0.621). Job satisfaction has a significant effect on patient satisfaction (t-statistic 1.750 > t-table, path coef 0.284), although the strength of the relationship is weak. Mediation analysis indicates that job satisfaction acts as an intervening variable, albeit with a weak effect. The study suggests that while internal service quality and job satisfaction contribute to patient satisfaction, other factors likely have a more significant impact. As a strategic recommendation, IZZA Karawang Hospital management should prioritize continuous improvements in internal service quality and employee job satisfaction while enhancing service elements that directly influence patient experiences
