Analysis of Factors Affecting Nursing Services with Inpatient Satisfaction at Harapan / Pematangsiantar Hospital

Improving quality of nursing services became a major issue in health development both in national and global, because of growing demands on health services organization to give satisfaction with nursing services maximally by providing the best service to facilitate the ease of fulfilling the needs and realize the satisfaction. This study was a quantitative research design survey analytic used cross-sectional approach. It was conducted at Harapan Hospital Pematangsiantar. The population were 280 respondents  and  a sample obtained by 74 respondents. Data analysis of univariate, bivariate using chi - square and multivariate using logistic regression at 95% confidence level (α =.05). The result showed that more respondents who gave a rating of good in the aspect of reliability, followed by the aspect of responsiveness, tangible, assurance, and empathy the influence aspects in this study were reliability        (p=.002), assurance (p=.014), tangible (p=.011), empathy (p=.030), responsiveness (p=.024). The most influential aspects of this study was  the reliability with  Exp(B)/OR=20.667 that aspect of reliability that respondents perceived to have the opportunity 20.667 times to produce patient satisfaction. It is concluded that there was an influence of reliability, assurance, tangible, empathy, responsiveness to patient satisfaction in Harapan Hospital. It is recommended to hospital to further improve the quality of nursing service, to improve the welfare of nurse through provision of appropriate  incentives hope the nurse, provide training, and installing  CCTV in every  room and monitoring of the level of patient satisfaction on a regular basis  through a survey so that can improve the quality of  hospital services as a whole.

Simultaneous Escape Routing Ser With Application to Pcb

With the advancement in technology, the use of compact ball grid array (BGA) components is being increased in printed circuit boards (PCB). The problem of routing pins from under the body of BGA, towards component boundary is known as escape routing. It is often desirable to perform simultaneous escape routing (SER) to produce elegant PCB design. The task of SER is non-trivial, given the small size of components and hundreds of pins arranged in random order in each component that need ordered connectivity. This thesis proposes the use of optimization models with multiple routing constraints that simultaneously solves the net ordering and net escape problem. It is hypothesized that optimization model along with all necessary constraints can route more number of nets, instead of solving constraints one by one. In the first part of thesis, flow models are proposed for different types of pin arrays for multiple capacities and the routing problem is mapped to planar bipartite graph problem. In the second part, integer linear programming (ILP) based opiii iv timization model is proposed for single component ordered escape routing to see the effect of planar routing, net ordering and system constraints. In the third part, ILP optimization model for SER problem is proposed and finally an algorithm is proposed to find the valid net order to reduce the complexity of SER problem. Both optimization models prove that they can route maximum possible nets in their respective scenarios, by considering the design rules. Comparative analysis shows that the proposed optimization models perform better than the existing routing algorithms in terms of number of nets routed. Also the use of net ordering algorithm reduces the complexity and converts the SER problem to simple ordered escape routing problem.