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.

Design of Efficient Adaptive Beamforming Algorithms for Novel Mimo Architectures

The major issue in the mobile communication is the presence of several types of im- pairments in the wireless medium. There are many types of impairments, the important one is refer to as fading which is defined as the interference occurred in the received signal because of its multiple copies arrived through multi paths. It creates considerable changes in receive signal power and therefore counted as significantly destructive in nature. Fading introduces significant distortion and disturbances in almost all wireless radio signal. The major cause of the fading is multipath propagation of the signals and the relative movement of mobile transmitting and/or receiving device. The cancellation of fading effect is essential to achieve higher data rate and better ser- vice quality with similar radiating power and/or bandwidth. Diversity is one of the im- portant techniques to reduce the effect of fading. In order to achieve different diversity types multiple input multiple output antenna array is employed. If a switchable or movable beam pattern is connected to multiple input multiple output (MIMO) antenna system; the system is referred to as smart system. In order to perform xivthis function, smart antenna requires certain signal processing and adaptive computa- tion. Such adaptive computations are performed through some algorithms known as adaptive beamforming algorithms. This dissertation develops three novel MIMO beamforming architecture using decision directed mode in order to exploit spatial and temporal diversities. Moreover, we pro- posed three new adaptive beamforming algorithms for fast convergence and high beam gain. The simulation results prove their effectiveness over other available algorithms and architectures.