scholarly journals PO 8313 PREDICTORS OF HEALTH INSTITUTIONAL READINESS FOR EBOLA EPIDEMIC CONTAINMENT IN NIGERIA: A STRUCTURAL EQUATION MODELLING (SEM) APPROACH

2019 ◽  
Vol 4 (Suppl 3) ◽  
pp. A28.3-A29
Author(s):  
Joshua Adekeye ◽  
Eustasius Musenge ◽  
Oyedunni Arulogun

BackgroundThere is paucity of literature on organisational readiness in the health space. Previous studies focus on epidemic preparedness and often depict readiness as a minor element in the implementation space. This study investigated the predictors of health institutional readiness to implement innovations for combating an Ebola epidemic outbreak in Nigeria.MethodsThe cross-sectional, mixed methods design was employed. The study population was 785 health care workers and non-health workers working at University of Port-Harcourt Teaching Hospital (Nigeria). The purposive sampling was used for qualitative study while the stratified random sampling technique was utilised for the quantitative study. Qualitative data were collected from fifteen respondents while a total of 511 questionnaires were administered at the study site. The qualitative data was analysed using inductive thematic analysis. The quantitative data was analysed using structural equation modelling (SEM).ResultsThe qualitative study suggested that quality improvement was perceived as most useful in influencing all the tree sub-components of readiness. Training is perceived as most useful in building readiness while it is perceived to be moderately useful in influencing the sub-component of readiness. The OLS estimates indicates that QI/QA exert a positive and significant effect on motivation (β=0.004, p<0.05) and general capacity score (β=0.28 p<0.05) while it inversely but significantly exerts influence on innovation specific capacity (β=−0.21×10–3, p<0.05). The SEM/pathway analysis shows the direct and indirect routes of interactions among predictors of readiness after adjusting for confounders. All the explanatory variables have significant effect on readiness except gender which was dropped from the final model.ConclusionThe strength of evidence of how an evidence-based system for innovation support can influence readiness was established. Though readiness is a rate-determining step in ensuring robust and effective implementation outcomes for epidemic containment, exploring innovation outcomes and their amplification through explicitly target readiness dynamics requires further investigation.

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e021741 ◽  
Author(s):  
Mengyun Luo ◽  
Yajiong Xue ◽  
Shunxing Zhang ◽  
Yuanyuan Dong ◽  
Dandan Mo ◽  
...  

ObjectivesGiven the increasing need of long-term care and the low occupancy rate of nursing homes in Shanghai, this study attempts to explore what factors influence older people’s intention to enrol in nursing homes.DesignA cross-sectional observational study based on the theory of reasoned action was conducted. Survey data were collected from subjects during face-to-face interviews. Structural equation modelling was employed for data analysis.SettingThis study was conducted in six community health service centres in Shanghai, China. Two service centres were selected in urban, suburban and rural areas, respectively.ParticipantsA total of 641 Shanghai residents aged over 60 were surveyed.ResultsStructural equation modelling analysis showed that the research model fits the data well (χ2/df=2.948, Comparative Fit Index=0.972 and root mean squared error of approximation =0.055). Attitude (β=0.41, p<0.01), subjective norm (β=0.28, p<0.01) and value-added service (β=0.16, p<0.01) were directly associated with enrolment intention, explaining 32% of variance in intention. Attitude was significantly influenced by loneliness (β=−0.08, p<0.05), self-efficacy (β=0.32, p<0.01) and stigma (β=−0.24, p<0.01), while subjective norm was significantly influenced by life satisfaction (β=−0.15, p<0.01) and stigma (β=−0.43, p<0.01).ConclusionsThis study advances knowledge regarding the influencing factors of older people’s intention to enrol in nursing homes. It suggests that Chinese older persons’ perceived stigma has the strongest indirect effect on their intention to enrol in nursing homes. This is unique to the Chinese context and has practical implications for eldercare in China and other Asian countries with similar sociocultural contexts.


2017 ◽  
Vol 1 (2) ◽  
pp. 57
Author(s):  
Eka Arista Anggorowati

Train system is one of the transportation modes with some special characteristics that make it becomes an effective and efficient transportation system to increase the service quality. Although the AC economy class of Majapahit Railway has been officially opened by the government, it has not been able to fulfill the people’s need. It is proved with the decrease of number of passenger, and the increase of critics related to the service quality. This research aims to analyze the principal elements and the effect of service qualities towards the customer’s loyalty. The research was conducted through survey on the Majapahit railway users consisting of 200 respondents. The used sampling technique was non probability sampling with purposive sampling method. It applied Structural Equation Modelling in which the previous test was the classical assumptions. Based on the calculations, it is indicated that the variables of service quality in customer satisfaction and loyalty is significant. The principal elements that influence satisfaction and loyalty are the operational schedule, the rolling stock condition, station’s comfort and security, safety, ticket price, and how the passengers enjoy the travelling. Adjusted R square of 0.8246 shows that 82 percent of consumer’ loyalty can give impact on service quality and customer satisfaction.


Due to the rise of media technology and the abundance of Social Media platforms, healthcare awareness and information gathering are simple, easy, and efficient. This study also aims to investigate the role of Social Media to obtain Coivd-19 information and updates. The researcher used the cross-sectional study design and selected a sample of n= 265 respondents from Islamabad, Pakistan. Further, to validate the phenomenon, the researcher developed and tested the self-structured model using Structural Equation Modelling. The SEM analysis involved Internal consistency assessments, Coefficients of Determination R2, and Path Analysis. Findings indicated a strong significant relationship between Social Media, Ease of Access (p≥ .000), Ease of Use (p≥ .011), Internet Availability (p≥ .013), and Information Acceptance (p≥ .042). Thus the results revealed a significant role of Social Media to spread Covid-19 awareness reinforcing positive healthcare attitudes among the public. Therefore, the researcher suggests more studies on the proposed research model, to scrutinize the role of the Social Media infodemic during the Coronavirus outbreak.


2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Harmatuti Harmatuti

Perdarahan pasca persalinan masih tinggi kejadiannya dikarenakan masih rendahnya perilaku pencegahan yang dilakukan saat masa kehamilan. Beberapa upaya yang dapat mengurangi gangguan fisik maupun psikis seperti  promosi hidup sehat serta deteksi awal dapat diterapkan dalam strategi pencegahan perdarahan pasca persalinan. Penelitian ini bertujuan mengetahui pengaruh pemberdayaan, peran suami, peran peer group, status kesehatan, pengetahuan dan sikap terhadap perilaku ibu hamil dalam pencegahan perdarahan pasca persalinan di RS Kesdam Cijantung Tahun 2019. Metode penelitian yang digunakan yaitu kuantitatif dengan desain cross-sectional. Analisis data menggunakan smartPLS 2.0 dan SPSS 18. Hasil pengujian hipotesis menggunakan Structural Equation Modelling (SEM) temuan penelitian yakni pemberdayaan (16,58%), peran suami (4,8%), peran peer group (18,30%), status kesehatan (24,37%), pengetahuan (10,07%) dan sikap (10,50%), pengaruh langsung perilaku ibu hamil dalam pencegahan perdarahan pasca persalinan sebesar 84,61%, dan pengaruh tidak langsung sebesar 1,1%. Status kesehatan merupakan faktor dominan yang sangat mempengaruhi perilaku ibu hamil dalam pencegahan perdarahan pasca persalinan. Peneliti menyarankan agar beberapa pihak bekerja sama untuk membantu ibu hamil dalam pencegahan perdarahan pasca persalinan.


2016 ◽  
Vol 47 (1) ◽  
pp. 23-34 ◽  
Author(s):  
Frederick Stander ◽  
Sebastiaan Rothmann ◽  
Elrie Botha

Information is needed regarding the antecedents and outcomes of flourishing, particularly in sports contexts, where the study of this optimal well-being state has remained largely unexplored. This study examined the role of strength use to facilitate flourishing, enhance team embeddedness, and counter withdrawal behaviour of athletes. It further investigated the role of flourishing to retain athletes to their sport and teams and examined the role of team embeddedness in this relationship. A cross-sectional research design was utilised with structural equation modelling to assess model fit and examine postulated relationships. The sample comprised 235 student athletes. The results suggested that team strength use predicts flourishing. It further revealed positive paths to team embeddedness from both individual and team strength use. Flourishing was also positively related to team embeddedness. Lastly, a negative association was found between team embeddedness and withdrawal behaviour among the athletes.


2020 ◽  
Vol 1 (1) ◽  
pp. 47-61 ◽  
Author(s):  
Chris Ryan

Purpose After expressing an initial disquiet about the nature of many studies that are published using structural equation modelling (SEM), a rationale for using the technique is provided. Given the advantages provided by the technique, the differences between covariance-based and partial least squares techniques are briefly described. The argument progresses by indicating assumptions behind the techniques and what it is that referees require before being able to properly referee the paper. Some issues are fundamental to survey-based materials and include the requirement to distinguish between importance and discriminatory power, and the over-dependency on cross-sectional analysis when making claims of generalisation. Other issues of scale creation and sample size are touched upon. This paper finishes by suggesting a checklist for referees who are asked to review papers using SEM.


2021 ◽  
Vol 5 (2) ◽  
pp. 235
Author(s):  
Veronica Veronica ◽  
Rodhiah Rodhiah

Tujuan penelitian ini adalah untuk mengetahui pengaruh privacy, social influence terhadap online purchase intention dan trust sebagai variabel mediasi. Desain penelitian yang digunakan adalah metode kuantitatif dengan pendekatan deskriptif. Pengambilan sampel menggunakan metode nonprobability sampling dengan teknik purposive sampling. Sampel pada penelitian ini sebanyak 100 responden. Pengumpulan data dilakukan dengan cara menyebarkan kuesioner melalui link google form. Analisis data menggunakanPartial Least Squares- Structural Equation Modelling (PLS- SEM) dengan menggunakan software SmartPLS versi 3.0. Hasil penelitian menunjukan bahwa privacy dan social influence mempengaruhi online purchase intention secara positif dan signifikan. Trust dapat memediasi privacy terhadap online purchase intention secara positif dan signifikan pada pelanggan Shopee di Jakarta. Hasil penelitian ini memberikan penjelasan kepada pelanggan Shopee bahwa hal terpenting dalam berbelanja secara online adalah keamanan yang ketat sehingga meningkatkan rasa kepercayaan dan feedback berupa kepuasan dan ketidakpuasan terhadap produk yang telah dibeli. The purpose of this research is to investigate the effect of privacy, social influence on online purchase intention and trust as a mediation. The research design used is a qualitative method with a descriptive approach. This research uses non probability sampling method with purposive sampling technique. The sample number is 100 respondents.Data collection is done by distributing questionnaires through the google form link. Partial Least Squares- Structural Equation Modelling (PLS-SEM) is used to analyze research data by using SmartPLS ver 3.0. The findings show privacy and social influence possitively and significanly on online purchase intention. Trust can mediate privacy of online purchase intention on Shopee customers at Jakarta.The results of this research provide an explanation to Shopee customers that the important thing in online purchasing is tight security increasing trust and feedback as satisfaction and dissatisfaction with the product that has been purchased.


2017 ◽  
Vol 4 (2) ◽  
pp. 317-344
Author(s):  
Sulasih Sulasih

Penelitian ini berjudul “Pengaruh Motivasi, Persepsi Dan Internalisasi Standar ISO 9001 Terhadap Kinerja pada PT. Holcim Indonesia Tbk Cilacap. Tujuan penelitian ini adalah untuk menganalisis pengaruh motivasi, persepsi dan internalisasi standar ISO 9001 terhadap kinerja. Hipotesis penelitian ini adalah pertama motivasi penerapan standar ISO 9001 berpengaruh positif dan signifikan terhadap persepsi penerapan standar ISO 9001. Kedua motivasi penerapan standar ISO 9001 berpengaruh positif dan signifikan terhadap internalisasi standar ISO 9001. Ketiga motivasi penerapan standar ISO 9001 berpengaruh positif dan signifikan terhadap kinerja. Keempat persepsi penerapan standar ISO 9001 berpengaruh positif dan signifikan terhadap kinerja. Kelima internalisasi standar ISO 9001 berpengaruh positif dan signifikan terhadap kinerja. Penelitian ini merupakan penelitian survei yang mengambil data dengan kuesioner. Sasaran penelitian adalah karyawan PT. Holcim Indonesia Tbk Cilacap Populasi dalam penelitian ini adalah semua karyawan di departemen PT. Holcim Indonesia Tbk Cilacap, sedangkan metode pengambilan sampelnya yaitu Probability Sampling dan jumlah sampel yang memenuhi syarat dalam penelitian ini sebanyak 143 orang. Alat analisa data yang digunakan dalam penelitian ini adalah Structural Equation Modelling (SEM) melalui program Analysis of Moment Structure (AMOS) versi 16.0. Sedangkan pengukuran data menggunakan 7 skala likert This study was aimed at analyzing the influence of motivation, perception, and internalization of ISO 9001 standard on the performance of PT Holcim Indonesia Tbk Cilacap. There are five hypothesa of this study, i.e: 1) the motivation of applying ISO 9001 standard has a positive and significant impact to the perception on applying ISO 9001 standard; 2) the motivation of applying ISO 9001 standard has a positive and significant impact to; 3) the motivation of applying ISO 9001 standard has a positive and significant impact to the performance; 4) the perception on applying ISO 9001 standard has a positive and significant impact to the performance; 5) the internalization of ISO 9001 standard has a positive and significant impact to the performance. This is a survey research the data of which was gained through questionaires. The respondents of this research were emplyoees of PT> Holcim Indonesia Tbk Cilacap and sampling technique used in this research was probabiliy sampling fulfilling the requirement of 143 orang. Data were analyzed with Structural Equation Modelling (SEM) using version 16.0 of Analysis of Moment Structure (AMOS) and data measurement used a Likert scale of 7.


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