Strategizing for sustainable development of transport systems in the safety dimension

The article conducted a study on approaches to the strategy of sustainable development of transport systems on the example of air transport in Ukraine. The shortcomings of the main tool of their strategy, namely the methods of classical forecasting, which limit its application, are revealed. The methods of forecasting based on expert judgment and classical methods of forecasting containing congenital pathology of errors are considered. Therefore, long-term factors and trends are identified, which remains a classic forecast, rather than building long-term forecasts of the national economy. To implement the stage of strategic planning of transport systems used the concept of sustainable development, which includes stages of identification through integrated assessment in the measurement of safety and strategy by defining goals, building the desired trajectory and decomposition of integrated indices through adaptive control methods of management theory. Three scenarios for the development of air transport in Ukraine have been developed: realistic - 3.8%; optimistic -7.0% and balanced - increase in gross value added (GVA) by 11.7% with scientific substantiation of quantitative values of indicators and key macroeconomic indicators, which guarantees the desired trajectory of sustainable development, and monitoring their implementation determines the effectiveness of public policies and actions.

Nível de conforto na dimensão segurança de familiares de pacientes internados em unidade de terapia intensiva

Objetivo: Verificar o nível de conforto na dimensão segurança de familiares de pacientes internados em leitos de Unidade de Terapia Intensiva. Método: Estudo quantitativo, descritivo, transversal, realizado no período de junho a setembro de 2019, com 40 familiares de pacientes internados em leitos de Unidade de Terapia Intensiva de um hospital universitário do sul do Brasil. Os dados foram coletados por meio da Escala de Conforto para Familiares de Pessoas em Estado Crítico de Saúde e analisados por estatística descritiva simples. Resultados: Dos familiares entrevistados a maioria era do sexo feminino, com faixa etária de 40 a 59 anos, parentes de primeiro grau, com ensino médio completo. A média geral do nível de conforto em relação a dimensão segurança foi de 4,36 para Unidade de Terapia Intensiva I e 4,31 para a Unidade de Terapia Intensiva II, resultando em médio conforto. Conclusão: O nível de conforto na dimensão segurança mostrou-se médio, evidenciando reflexos positivos da inclusão familiar no contexto hospitalar relacionado ao acolhimento, interação com a equipe de saúde e confiabilidade no cuidado prestado.Descritores: Cuidados de Enfermagem; Família; Cuidados Críticos.COMFORT LEVEL IN THE SAFETY DIMENSION OF FAMILY MEMBERS OF PATIENTS HOSPITALIZED IN INTENSIVE CARE UNIT Objective: To verify the level of comfort in the safety dimension of family members of patients admitted to beds in the Intensive Care Unit. Method: Quantitative, descriptive, cross-sectional study, carried out from June to September 2019, with 40 family members of patients admitted to beds in the Intensive Care Unit of a university hospital in southern Brazil. The data were collected using the Comfort Scale for Family Members of People in Critical Health and analyzed using simple descriptive statistics. Results: Of the interviewed family members, most were female, aged 40 to 59 years old, first-degree relatives, with high school education. The general average of the comfort level in relation to the safety dimension was 4.36 for the Intensive Care Unit I and 4.31 for the Intensive Care Unit II, resulting in medium comfort. Conclusion: The level of comfort in the safety dimension was shown to be medium, showing positive reflexes of family inclusion in the hospital context related to welcoming, interaction with the health team and reliability in the care provided.Descriptors: Nursing Care; Family; Critical Care. NIVEL DE CONFORT EN LA DIMENSIÓN DE SEGURIDAD DE LOS FAMILIARES MIEMBROS DE PACIENTES HOSPITALIZADOS EN LA UNIDAD DE ATENCIÓN INTENSIVAObjetivo: Verificar el nivel de confort en la dimensión de seguridad de los familiares de pacientes hospitalizados en camas de la Unidad de Cuidados Intensivos. Método: Estudio cuantitativo, descriptivo, transversal, realizado de junio a septiembre de 2019, con 40 familiares de pacientes ingresados en camas en la Unidad de Cuidados Intensivos de un hospital universitario en el sur de Brasil. Los datos fueron recolectados usando la Escala de Confort para los miembros de la familia de personas en estado crítico de salud y analizados usando estadísticas descriptivas simples. Resultados: De los familiares entrevistados, la mayoría eran mujeres, de 40 a 59 años, familiares de primer grado, con educación secundaria. El promedio general del nivel de comodidad en relación con la dimensión de seguridad fue 4.36 para la Unidad de Cuidados Intensivos I y 4.31 para la Unidad de Cuidados Intensivos II, lo que resultó en un confort medio. Conclusión: Se demostró que el nivel de comodidad en la dimensión de seguridad era medio, mostrando reflejos positivos de inclusión familiar en el contexto hospitalario relacionados con la acogida, la interacción con el equipo de salud y la confiabilidad en la atención brindada. Descriptores: Atención de Enfermería; Familia; Cuidados Críticos

The Handling of Covid-19 Pandemic in Indonesia from the Perspective of Nonmilitary Defense Strategy

Pandemic coronavirus disease -2019 (COVID-19) resulted in various aspects of the life of Indonesian people, including aspects of defense and security. The defense state classifies threats into military threats, nonmilitary, and combined or hybrid threats. The epidemic of COVID-19 is a non - military threat with a public safety dimension against the national defense. The bureaucracy that has not been properly integrated, sectoral egos, and negative news about the pandemic have become obstacles in the handling of the COV ID-19 pandemic by the Government of Indonesia. This research aims to analyze the simple handling of the pandemic COVID-19 by the Indonesian Government from the perspective of nonmilitary defense principles. This becomes important to unravel and minimize the obstacles faced so that subsequent handling will be more effective and efficient. This paper uses descriptive analysis with a qualitative approach and a literature study. With the theory principles of defense strategy of nonmilitary, the author is looking at steps undertaken by Indonesia Government in handling the pandemic COVID-19. The principle of unity of command, coordination principle, the principle of anticipation, and the principle of transparency still need to be improved in a concrete way so that the handling of the pandemic COVID-19 is effective and efficient, could be reached. Building synergies and integrity policymakers consistently and continuously, inevitability to improve the defense state ability in the face of threats, military, nonmilitary and hybrid threats

ANALISIS PSIKOMETRIS SKALA IKLIM SEKOLAH MDS3 PADA SISWA SMA

This research aims to determine the psychometric properties of MDS3 (Maryland's Safety and Supportive School) school climate measurement tools which are adapted in Indonesian to high school students. The study participants consisted of 200 public and private high school students in Bandung. The MDS3 instrument in the English version translated into Indonesian consists of 56 items that have three dimensions namely Safety, Engagement and Environment. Psychometric analyzes such as item-total correlation, Alpha reliability, and exploratory factor analysis were performed as empirical evidence of the psychometric quality of this instrument. The results of this study indicated that the reliability of this instrument is high, 0.881 with item discrimination power or total-item correlations that are relatively weak in the Safety Dimension. Exploratory factor analysis also showed unsatisfactory results on the Safety dimension because many items are different from the model of the factor structure of school climate measurement tools. The lack of fit models used in factor analysis could be due to inadequate or insufficient samples because only at state high schools, while only one respondent came from private high schools. Adding samples and repairing items needs to be done to improve the quality of the Indonesian version of the MDS3.

IMPULSIVITAS SISWA SEKOLAH MENENGAH: PERAN MINDFULNESS DAN SELF-CONTROL

This research aims to determine the psychometric properties of MDS3 (Maryland's Safety and Supportive School) school climate measurement tools which are adapted in Indonesian to high school students. The study participants consisted of 200 public and private high school students in Bandung. The MDS3 instrument in the English version translated into Indonesian consists of 56 items that have three dimensions namely Safety, Engagement and Environment. Psychometric analyzes such as item-total correlation, Alpha reliability, and exploratory factor analysis were performed as empirical evidence of the psychometric quality of this instrument. The results of this study indicated that the reliability of this instrument is high, 0.881 with item discrimination power or total-item correlations that are relatively weak in the Safety Dimension. Exploratory factor analysis also showed unsatisfactory results on the Safety dimension because many items are different from the model of the factor structure of school climate measurement tools. The lack of fit models used in factor analysis could be due to inadequate or insufficient samples because only at state high schools, while only one respondent came from private high schools. Adding samples and repairing items needs to be done to improve the quality of the Indonesian version of the MDS3.

Indicators of effectiveness of nursing care in the dimension of patient safety

ABSTRACT Objectives: to validate nursing care effectiveness indicators of patient safety dimension. Methods: quantitative survey, using the electronic Delphi sampli, with 52 participants selected by the Snowball sampling. Eight indicators were evaluated regarding the attributes: availability, reliability, simplicity, representativeness, sensitivity, comprehensiveness, objectivity, cost, utility, stability and timeliness. For validation, the minimum agreement criterion was 70%. Results: Cronbach’s alpha (0.942) evidenced the high internal consistency among the attributes. The indicators fall with damage, hip fracture, and postoperative hip fracture, incidents related to equipment, incidents due to failures in patient identification, and pressure injury were validated in all attributes, and those of medication error and hand Hygiene were not validated. Conclusions: the validated indicators allow assessment of the effectiveness of hospital nursing care. Unavailability of data is an obstacle to monitoring patient safety.

The impact of the level of customer satisfaction on the quality of e-commerce services

Purpose The purpose of this paper is to present the results of surveys conducted in the field of level of e-commerce services quality. The criteria of quality of e-commerce services were identified. On this basis the hierarchy of importance of the adopted criteria for e-commerce service quality were proposed. Design/methodology/approach The level of customer satisfaction was measured using the Servqual method. In order to compare two groups: the quality of e-commerce services before purchase and the quality of e-commerce services after the purchase, a student’s t-test was used. To check if the relations between variables are sufficient to carry out the factor analysis (sampling adequacy), the Keizer–Meyer–Olkin test was used. The scope of the research included 23 selected criteria of customers satisfaction. Findings A comparison of the Servqual weighted and unweighted results shows that customers valued the guarantee/safety dimension the most. It can therefore be expected that customers perceive e-commerce services with increasing trust and consider them increasingly reliable which is also confirmed by the growing tendencies in the forecasts of e-commerce services in Poland. Originality/value Research allows to know the opinion and expectations related to the quality of services provided in the analysed area and to develop the strategy of company. The most important indicator of the quality of e-commerce services remains reliability (weighting = 0.34). However, the noticeable difference in opinions concerns the tangible elements index compared to the results of the Berry and Parasuraman team and amounted to 0.20.

Satisfacción de la atención en el servicio de emergencia de una institución privada de salud

La satisfacción del paciente es uno de los objetivos más importantes de cualquier sistema de salud. El objetivo de este estudio plantea describir la satisfacción de la atención en el servicio de emergencia de una institución privada de salud de categoría III-1. Para ello se realizó un estudio descriptivo de corte transversal. La población de estudio estuvo conformada por los pacientes y/o acompañantes con una muestra constituida por 206 participantes. El instrumento utilizado fue tomado de la Guía Técnica para la Evaluación de la Satisfacción del Usuario Externo, aprobada por el Ministerio de Salud del Perú, que consta de dos componentes: percepciones y expectativa, con 22 preguntas cada uno. Los resultados mostraron que la edad media de los pacientes fue de 51,8 años con predominio del sexo femenino. Así mismo, en la dimensión fiabilidad, la insatisfacción fue 57,4 %; en la dimensión capacidad de respuesta, se encontró 63 % de insatisfacción; la dimensión seguridad, 56,9 % de insatisfacción, las dimensiones empatía y aspectos tangibles, obtuvieron un 55.6% de insatisfacción. Se concluye que la dimensión capacidad de respuesta obtuvo la mayor puntuación de insatisfacción, mientras que la dimensión empatía y aspectos tangibles obtuvieron mejores resultados de satisfacción. La puntuación final fue 42,4 % de satisfacción. Palabras Clave: Satisfacción, emergencia, paciente, atención Abstract Patient satisfaction is one of the most important objectives of any health system. The objective of this study is proposed to describe the satisfaction of the attention in the emergency service of a private health institution of category III-1. For this purpose, it was realized a cross-sectional descriptive study was carried out, the study population was made up of the patients and/or companions, the sample consisted of 206 participants. The instrument used was taken from the Technical Guide for the Evaluation of External User Satisfaction approved by the Ministry of Health, which consists of two components; perceptions and expectation, with 22 questions each. The results showed that patients’ average age was 51.8 years with a predominance of females. Likewise, in the reliability dimension, the dissatisfaction was 57.4 %; in the response capacity dimension, it was 63 % of dissatisfaction; the safety dimension, 56.9 % of dissatisfaction, and the dimensions of empathy and tangible aspects was 55.6 % of dissatisfaction. It is concluded that the response capacity dimension obtained the highest dissatisfaction score; while the empathy dimension and tangible aspects obtained better satisfaction results. The final score was 42.4 % satisfaction. Keywords: Satisfaction, emergency, patient, attention

Satisfacción de la atención en el servicio de emergencia de una institución privada de salud

La satisfacción del paciente es uno de los objetivos más importantes de cualquier sistema de salud. El objetivo de este estudio plantea describir la satisfacción de la atención en el servicio de emergencia de una institución privada de salud de categoría III-1. Para ello se realizó un estudio descriptivo de corte transversal. La población de estudio estuvo conformada por los pacientes y/o acompañantes con una muestra constituida por 206 participantes. El instrumento utilizado fue tomado de la Guía Técnica para la Evaluación de la Satisfacción del Usuario Externo, aprobada por el Ministerio de Salud del Perú, que consta de dos componentes: percepciones y expectativa, con 22 preguntas cada uno. Los resultados mostraron que la edad media de los pacientes fue de 51,8 años con predominio del sexo femenino. Así mismo, en la dimensión fiabilidad, la insatisfacción fue 57,4 %; en la dimensión capacidad de respuesta, se encontró 63 % de insatisfacción; la dimensión seguridad, 56,9 % de insatisfacción, las dimensiones empatía y aspectos tangibles, obtuvieron un 55.6% de insatisfacción. Se concluye que la dimensión capacidad de respuesta obtuvo la mayor puntuación de insatisfacción, mientras que la dimensión empatía y aspectos tangibles obtuvieron mejores resultados de satisfacción. La puntuación final fue 42,4 % de satisfacción. Palabras Clave: Satisfacción, emergencia, paciente, atención Abstract Patient satisfaction is one of the most important objectives of any health system. The objective of this study is proposed to describe the satisfaction of the attention in the emergency service of a private health institution of category III-1. For this purpose, it was realized a cross-sectional descriptive study was carried out, the study population was made up of the patients and/or companions, the sample consisted of 206 participants. The instrument used was taken from the Technical Guide for the Evaluation of External User Satisfaction approved by the Ministry of Health, which consists of two components; perceptions and expectation, with 22 questions each. The results showed that patients’ average age was 51.8 years with a predominance of females. Likewise, in the reliability dimension, the dissatisfaction was 57.4 %; in the response capacity dimension, it was 63 % of dissatisfaction; the safety dimension, 56.9 % of dissatisfaction, and the dimensions of empathy and tangible aspects was 55.6 % of dissatisfaction. It is concluded that the response capacity dimension obtained the highest dissatisfaction score; while the empathy dimension and tangible aspects obtained better satisfaction results. The final score was 42.4 % satisfaction. Keywords: Satisfaction, emergency, patient, attention