FAKTOR-FAKTOR YANG MEMENGARUHI KEPATUHAN PENERAPAN KAWASAN TANPA ROKOK PADA RESTORAN DI KABUPATEN TABANAN: ANALISA REGRESI LOGISTIK

ABSTRAK Kabupaten Tabanan memberlakukan peraturan kawasan tanpa rokok pada restoran, namun dalam penerapannya masih rendah. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi kepatuhan penerapan KTR oleh pengelola dengan memerhatikan larangan merokok total pada restoran di Kabupaten Tabanan. Penelitian ini merupakan penelitian analitik kuantitatif dengan rancangan crossectional. Sampel penelitian yaitu pengelola restoran yang berada di Kabupaten Tabanan. Besar sampel menggunakan total sampling dengan jumlah 110 restoran, dengan jumlah yang berpartisipasi 87 restoran (79% response rate). Data dianalisis dengan menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa kepatuhan restoran dalam menerapkan larangan merokok total sebesar 26,44%. Faktor yang memengaruhi kepatuhan penerapan KTR yaitu umur pengelola (OR=3,45; 95% CI: 1,10-10,84), pengetahuan pengelola (OR=3,56; 95% CI: 0,96-13,16), sikap pengelola (OR=2,45; 95% CI: 0,72-8,30), serta persepsi dampak bisnis pengelola (OR=4,62; 95% CI: 1,12-19,07) berpeluang meningkatkan kepatuhan KTR. Kepatuhan pengelola restoran di Kabupaten Tabanan terhadap penerapan larangan merokok total relatif rendah. Masih banyak terdapat indikator yang belum terpenuhi dalam implementasi kepatuhan restoran. Perlu adanya dukungan berbagai sektor dalam meningkatkan kepatuhan seperti pengelola, pengunjung, maupun pemerintah sebagai pembuat kebijakan. Kata Kunci: rokok, kepatuhan, KTR, restoran. ABSTRACT Tabanan regency applied smoke-free by law (SFL) in restaurant but the implementation was still low. This study aimed to determine the factors that influence the compliance of the implementation of smoke-free area by restaurant owners through looking complete smoking ban restaurant in Tabanan Regency. This was a quantitative analytic study with a cross-sectional design. The study samples were restaurant owners/managers in Tabanan Regency. The number of sampling on this study was set by respondent’s rate respond (79% response rate). Data was analyzed using logistic regression. The results showed that the compliance of restaurant manager to total smoking ban was low (26.44%). The factors that influence compliance SFL such as the age of the manager (OR=3.45; 95% CI: 1.10-10.84), the manager's knowledge (OR=3.56; 95% CI: 0.96-13.16), the manager’s attitude (OR=2.45; 95% CI: 0.72-8.30), as well as the perception of the impact of the manager's business (OR=4.62; 95% CI:1.12-19.07) has significantly association with compliance. The compliance of restaurant managers in Tabanan Regency on the implementation of total smoking ban was relatively low. There are still many indicators that have not been fulfilled. There needs concrete support to improving the compliance such as managers, customers, and government as policy makers. Key Words: cigarrete, compliance, smoke-free area, restaurant.

Leadership styles and job satisfaction of nursing staff in a peripheral general hospital in Greece: a survey

Background: Over time, the working conditions in hospitals are becoming more and more demanding and the nursing staff is every day called to cope with them. In this context, the effective administration by the leading executives of the Nursing Directorate plays an important role in both guiding and motivating the staff to achieve the goals as well as to improve job satisfaction in general. The aim of the present study was to explore the prevailing leadership style applied in a General Hospital, from the perspective of the nursing staff, as well as the level of job satisfaction of the nurses who serve in the organisation.Method and Material: In the period January 2020-February 2020, a survey was conducted at the General Hospital of Corfu using a questionnaire (Multifactor Leadership Questionnaire and Job Satisfaction Survey) in a random sample of 180 nurses from which 138 fully completed the questionnaire (76% response rate). Data analysis was performed by using the statistical package SPSS ver. 21.0.Results: The average value of the Transformational and Transactional leadership styles is 3.4 while that of the Passive leadership is significantly lower (2.3 average value). Moreover, the nursing staff expressed a high level of satisfaction with the supervision and the chief nurse, with its relations with the colleagues and with the nature of the work, while its dissatisfaction was mainly expressed when it comes to "Working Conditions", "Promotion", "Privileges-Benefits" and "Salary". The Transformational and Transactional leadership styles were positively related to satisfaction with the promotion (r = 0.22), with the supervision by the chief nurse (r = 0.63 and r = 0, 40 respectively) and with the nature of the work (r = 0.25 and r = 0.18 respectively). Transformational style was also positively related to the potential rewards (r = 0.18) and the relationship with colleagues (r = 0.22). Finally, the Passive leadership style was positively related to the satisfaction with the salary (r = 0.32), with the promotion (r = 0.27) and with the privileges-benefits (r = 0.41).Conclusions: The nursing staff considered that the current leadership style involves a combination of elements of the Transformational and Transactional leadership styles. As for the job satisfaction of the staff, it ranged at moderate levels. There is an urgent need for further research related to job satisfaction which can be boosted by the implementation of incentive policies and training programmes for the nurse administrators in the new forms of administration by the Nursing Directorate.

Investigating the Determinants of Work-life Balance (WLB): Insights from Generation Y Employees in Sri Lanka

Aims: Previous studies show a significant attitudinal difference between Generation Y and others in the context of Work-Life Balance. The present study aimed at finding promising factors and the magnitude of them in affecting Work-Life Balance of Generation Y employees. Study Design: The study was a quantitative, cross-sectional inquiry of the determinants of Work-Life Balance which equipped an email survey (N = 213). Place and Duration of Study: The was primarily based on Kandy District of Sri Lanka. Approximately, the study stood for six months (February 2019 to August 2019). Methodology: Determinants of Work-Life Balance, namely; Flexibility & freedom, Motivation, Job satisfaction, Feedback & support and Technological adaption were tested for their influence over Work-Life Balance. The survey instrument had 32 items of which the responses were measured against a five-point Likert scale. A Google form of the instrument was e-mailed to respondents (85.2% response rate). Data was analyzed using univariate and multivariate techniques. Results: Results of multiple regression analysis detected Job satisfaction (β = .287; p < .001), Flexibility & freedom (β = .198; p < .001) and Feedback & support (β = .181; p < .001) as principal determinants of the Work-Life Balance of Generation Y employees. Technological adaption (p >.001) and Motivation (p > .001) found insignificant in affecting Work-Life Balance of Generation Y employees. Conclusion: The study was theoretically profound as it refined determinants of Work-Life Balance determinants specific to Generation Y. Practically, findings are useful in crafting any action plan towards enhancing Work-Life Balance of Generation Y employees who are currently the most active group in the workforce.

The Perception and Disposal Practices of Unused And Expired Medicines By Households In an Urban Municipality, Southwest Nigeria: A Comparative Cross-Sectional Study.

Background: Medicines are formulations for the prevention and treatment of diseases and symptoms. Pharmaceutical wastes are products of unused, damaged, and expired medicines (UEMs) which pose a disposal challenge globally. Previous studies have shown that environmental disposal of medicines has health and environmental consequences. Hence, this study aims to determine and compare the management of household UEMs in a heterogeneous municipality in southwest Nigeria.Methods: The study was comparative, cross-sectional in design. Multi-stage sampling identified respondents, who are females, experienced in the handling and safekeeping of medicines. The study sample was 404 and recorded a 93% response rate. Data were analysed by IBM-SPSS, version 20. Continuous and categorical variables were presented in tables as mean(±SD), proportions (%) while bar charts highlight salient findings. Differences between LDS and HDS values were determined by 𝝌2(Pα>0.05).Results: 53.4% and 71.2% of respondents respectively had good knowledge and positive attitudes to safe disposal of UEMs. At least 31.5% households do not stock medicines in homes while 1-2 sachets of antimalarial (57.3%), analgesics (52.7%) and antibiotics (49.7%) medicines were inventoried in households and significantly different between low-density (LD) and high-density (HD) settlements. 72.9% and 67.8%; 47.9% and 55.6% respondents in LD and HD settlements respectively disposed of household solid and liquid UEMs in thrash-bins, though 34.9% (LDS) and 16.7% (HDS) disposed of liquid UEMs in the toilet/sink. There were significant differences in medicines abundance and disposal practices between LD and HD settlements for solid and liquid medications. 37.1% of respondents perceived consequences for the current methods of disposing of UEMs, which include accidental ingestion (76.6% vs 26.7%) and land pollution (69.6% vs 36.7%) and water pollution (72.4% vs 32.8%) and drugs toxicity (58.3% vs 32.8%), respectively in LD and HD settlements.Conclusions: Respondents good knowledge and positive attitudes contrasted the poor UEMs disposal practice. Most of the households’ medicines were antimalaria and analgesics and there were disparities in the disposal of solid and liquid medicines, between LD and HD settlements, respectively. Appropriate legislation, compliance monitoring and enforcement are drivers to incentive-driven, sound recovery systems for UEMs to alleviate the consequences of current disposal practices in Nigeria.

Lecturers’ Use of Multimedia Resources for Knowledge Transfer: A Study of Adeleke University, Ede, Osun State

This study investigated lecturers’ use of multimedia resources for knowledge transfer at Adeleke University. A descriptive survey design was employed. The study was conducted among the 84 full-time academic staff using census techniques. A self-developed was used to collect data from 84 lecturers out of which 80 questionnaires were adequately completed and retrieved for analysis making a 95.2% response rate. Data analysis involves the use of descriptive and inferential statistics such as frequency counts and percentage distribution, mean and standard deviation as well as student t-test and multiple regression analysis. Findings revealed an overall moderate level of multimedia resource availability at Adeleke University (mean = 2.81) on the scale of 4points. The study also revealed a high extent of knowledge transfer among lecturers with the use of multimedia resources (mean = 2.99). The findings revealed that top among the factors militating against multimedia use includes lack of understanding of the benefits of multimedia facilities (mean = 2.89), high cost of technology (mean = 2.88), lack of perceived economic value of the multimedia resources (mean = 2.85) and inadequate capital on the part of individual lecturer to procure some of the multimedia resources for personal use (mean = 2.81). The findings revealed that slide prThis study investigated lecturers’ use of multimedia resources for knowledge transfer at Adeleke University. A descriptive survey design was employed. The study was conducted among the 84 full-time academic staff using census techniques. A self-developed was used to collect data from 84 lecturers out of which 80 questionnaires were adequately completed and retrieved for analysis making a 95.2% response rate. Data analysis involves the use of descriptive and inferential statistics such as frequency counts and percentage distribution, mean and standard deviation as well as student t-test and multiple regression analysis. Findings revealed an overall moderate level of multimedia resource availability at Adeleke University (mean = 2.81) on the scale of 4points. The study also revealed a high extent of knowledge transfer among lecturers with the use of multimedia resources (mean = 2.99). The findings revealed that top among the factors militating against multimedia use includes lack of understanding of the benefits of multimedia facilities (mean = 2.89), high cost of technology (mean = 2.88), lack of perceived economic value of the multimedia resources (mean = 2.85) and inadequate capital on the part of individual lecturer to procure some of the multimedia resources for personal use (mean = 2.81). The findings revealed that slide presentation (β = 2.494, t = 4.067, p<.05); use of projector (β = 0.075, t = .077, p<.05) and Internet use (β = 4.551, t = 9.242, p<.05) were shown to significantly influenced knowledge transfer among the lecturers. Arising from the findings, recommendations were made. Keywords: Meltimedia, Knowledge Transfer, Lecturers, Adeleke University

Loss to follow-up: initial non-responders do not differ from responders in terms of 2-year outcome in a hip arthroscopy registry

Loss to follow-up in registry studies is a problem due to potential selection bias. There is no consensus on the effect of response rate. The aim of this study was to compare patient-reported outcome measures (PROMs) between responders and initial non-responders (INR) in a hip arthroscopy registry and to examine whether demographics affect the response rate. Data from hip arthroscopies performed at two centres in Gothenburg were collected and the patients were followed up with PROMs. The follow-up was a minimum of 2 years after surgery. All 536 patients who underwent primary hip arthroscopies during 2015 and 2016 and had recorded pre-operative PROMs were included. A total of 396 patients completed the follow-up and were labelled ‘Responders’ (R) and 107 patients responded after reminders were sent and labelled ‘Initial non-responders’ (INR). The mean time of follow-up was 24.7 ± 2.9 and 42.5 ± 7.0 months for the R- and INR-group, respectively. There were no differences between the two groups at the follow-up for the Copenhagen Hip and Groin Outcome Score, European Quality of life 5 dimensions questionnaire, EQ-VAS, International Hip Outcome Tool or a visual analogue scale for hip function. A larger proportion of R was satisfied after hip arthroscopy compared with INR (86% versus 70%, P = 0.0003). INR were younger than responders (31.5 ± 12.5 versus 35.6 ± 12.7 years of age). The conclusion of the study was that there were no differences between R and INR at the follow-up across the PROMs except patient satisfaction, where responders were more satisfied.

Impact of gender and employment type on job loss among cancer survivors

Objective To identify factors associated with cancer-related job loss following cancer diagnosis. Methods A multicentre cross-sectional survey was conducted among adult cancer survivors employed at the time of cancer diagnosis. Hierarchical multivariate logistic regression was used to examine the association of gender and employment type with job loss after cancer diagnosis and if the interaction between gender and employment type predicted job loss. Results Of 1618 patients recruited, 1483 returned questionnaires (91.7% response rate). Data from 708 patients were eligible for analyses. Approximately 21% of patients had lost their job within 10 years of diagnosis. Patients who had undergone chemotherapy were more likely to lose their jobs than those who had not (OR = 3.24, 95% CI 2.13–4.91). Women were more likely to lose their jobs than men (OR = 2.58, 95% CI 1.48–4.50). Temporary employees were more likely to lose their jobs than regular employees (OR = 2.62, 95% CI 1.72–3.99). After controlling for demographic and clinical characteristics, no interaction effects between gender and employment type were observed (P = 0.44). Conclusions Women and temporary employees are more vulnerable to cancer-related job loss. Clinicians need greater awareness of the risk of patient job loss, and they need to assess patients’ employment types and provide appropriate support to balance treatment schedules and work.

Employers’ perception of employability skills among built-environment graduates

Purpose Universities have become training centres or “academic hubs” where skilled labour for societal and global consumptions are continuously produced. More so, the quality of teaching (pedagogy) provided by universities is essential in enhancing the skills, expertise and competencies of students who are required to meet the needs of the construction industry after graduation. Hence, the purpose of this study is to assess employers’ level of satisfaction with the employability skills of built-environment graduates in Nigeria. Design/methodology/approach A quantitative approach was adopted for this study with close-ended questionnaires administered to respondents drawn from professionals in the Nigerian construction industry. Out of 150 questionnaires disseminated, 131 were completed and 126 were usable, signifying an 87% response rate. Data from this research were analysed using descriptive and exploratory factor analysis. Findings Employers are seemingly satisfied with the sound academic record of built-environment graduates. They also affirmed their contentment with graduates’ willingness to learn and the way they achieve tasks with positive results. However, they expressed their dissatisfaction with the graduates’ prior work experience, communication skills and technical competencies in handling industry tasks effectively. Research limitations/implications Data was collected from construction professions across two cities – Abuja and Lagos. Because of the limited budget allocated for this study, other regions were not considered. Because of time and financial implications, it was extremely impossible to visit all 36 states. It is, therefore, impossible to generalise the results of this research to the larger population. In generalising the results on a larger scale, the study would have to factor in a more diverse sample to ensure it is more representative. A more diverse sample may mitigate any possible bias that may arise from a self-administered questionnaire. Practical implications From the survey results obtained from the respondents, it was observed that general knowledge about local and global trends, management skills, teamwork skills, work experience, communication skills, critical thinking skills, numeracy skills and civic responsibility are among the major non-academic skills lacking among built-environment graduates. This places significant pressures on universities in Nigeria to revisit and revamp its curricula in developing these skills among students who require them to thrive in the construction industry. Originality/value Although the subject of employability has been adequately discussed across various fields (accountancy, psychology, management, business, marketing, etc.), there exist limited research studies in the built-environment context, a gap, which this study aims to fill. This study also provides several approaches through which employability skills can be developed.

Knowledge, Attitudes, and Intentions towards Human Papillomavirus Vaccination among Nursing Students in Spain

Human papillomavirus (HPV), which is linked to specific types of cancer, can be prevented by vaccination. This study aimed to determine the knowledge and attitudes of nursing students about HPV and its vaccine as well as their intentions towards personal vaccination. A total of 536 Spanish nursing students were invited to complete the Spanish version of the questionnaire “Knowledge, attitudes and intentions towards HPV”. Overall, 367 surveys were completed (68.4% response rate). Data analysis included the calculation of three scores: the knowledge score, categorized into low (<33%), moderate (33%–66%), and good knowledge (>66%); the attitude score, sorted into positive (<2.5), neutral (2.5–3.5), and negative attitude (>3.5); and the intention score, categorized into not favorable (<4), neutral (4–7), and favorable intention (>7). Knowledge about HPV and its vaccine was moderate (54.34 ± 0.9%), and the attitude towards vaccination was positive (2.34 ± 0.03). The intention towards personal vaccination increased significantly after completing the questionnaire (before: 4.14 ± 0.27, after: 6.02 ± 0.28; p < 0.001). The present study highlights the need of training future nurses about HPV and its vaccine, considering the important role it plays in the prevention of sexually transmitted diseases.

Exploring Stressors of the University Faculty members: A Comparative Study

Stress is defined as a dynamic condition in which an individual is confronted with an opportunity, constraint, demand related to what he or she desires and for which the outcome is perceived to be both uncertain and important. This study focused on the manifestations and the sources of stress on faculty members of Hail University for the 2nd Semester of Academic Year 2018-2019. A quantitative-comparative approach was employed in this study. There were 236 faculty who had participated in the study resulting to 94.4% response rate. Data collection started from February 2019 to April 2019. To measure manifestations and the sources of stress, the Total Teacher Concern Inventory was used. This consists of 48 distinct statements. Weighted mean, Analysis of Variance (F-test), and (t-test) were used. All statistical analyses were performed at 0.05 level of significance. Results shows that the faculty disagreed that the sources of stress from work-related stressors (3.47). A significant difference between time management and sex (0.04) was determined. Likewise, a significant difference between gastrointestinal manifestations (0.01), behavioral manifestations (0.01) and the faculty’s age was obtained.