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Nursyamsiyah Nursyamsiyah; Nur Qamariyah

Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) 2020 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Leadership is an activity used to influence the behavior of other people so that they are willing to be directed to achieve certain goals, one of which is improving the performance of nursing services. Performance is an effort made from the results of work that can be achieved by a person or group of people in an organization in accordance with their respective authorities. This research method uses an analytical observational research design with a cross sectional study approach. The research population was all nurses at the Ridge Community Health Center, totaling 55 people with a sample size of 55 people, the sampling technique used total sampling technique. The instrument used for data collection was a questionnaire. The research results showed that the majority of respondents were women (72.7%) with a D3 education (76.4%) aged 21-30 years (40.0%) with a length of work of 1-10 years (52.7%). The results of statistical tests show that there is no relationship between authoritarian (p=0.185) and democratic (p=0.128) leadership styles on nurse performance. Meanwhile, there is a relationship between participative leadership style (p=0.000) and Laizes Faire (p=0.000) on nurse performance. Based on the research that has been carried out, it can be concluded that at the Ridge Community Health Center, the Participative Leadership Style (p=0.000) and Laizes Faire (p=0.000) are implemented, resulting in greater performance of good nurses compared to less good performance of nurses.    

Budi Raharjo

EBISNIS : JURNAL ILMIAH EKONOMI DAN BISNIS 2020 LPPM Universitas Sains dan Teknologi Komputer

In the first quarter of 2017, retail in Indonesia recorded a growth of 2.5%, while in 2018 the growth was only in the range of 1% -1.5%. The cause of the slow growth is the change in the consumption pattern of the people and it will continue at the beginning of 2018. In addition, the decreasing productivity of the community at the lower middle level. As a retailer, Anterah store also faces the same thing, so anticipating a decline in sales requires an analysis of the best-selling products and how to find out the relationship between the products purchased by consumers. The association relationship between these products will be used as the basis for product arrangement, so that the frequency of products that consumers often buy can be arranged closely together so that consumers do not have to look for them longer. Market basket analysis to determine the relationship between products sold simultaneously is used to explore association rules (Association Rule Mining) which will produce products that are purchased simultaneously as a consideration for product arrangement in Anterah Retail storefront. Meanwhile, the best-selling products will be explored using the Frequent Pattern Growth method in order to obtain a ranking list of the most purchased products by consumers. This analysis is used as a basis for considering product promotion. The test results on the sales sample data obtained an average value of minimum support = 0.0025, minimum confidence = 0.610, LaPlace = 0.9985, Gain = -0.006, p-s = 0.003, Lift = 103.82, Convicting 2.5285 with a processing time of 41.456 seconds.

Alfina Wildatul Fitriyah

Tabsyir: Jurnal Dakwah dan Sosial Humaniora 2020 STAI YPIQ BAUBAU, SULAWESI TENGGARA

Sexual needs are one of the factors that often cause rifts in the household, the harmony that should be created is lost little by little because the needs of mental sustenance are not met. This can have a negative impact on the sustainability of the household so that it does not cause a little divorce. To minimize the number of divorce rates, the sexual needs of couples must be considered again. This research uses the field research method, which is research carried out directly into the field to ask and observe the people who are being researched through interactions to learn about them, their life history, their habits, their hopes, fears, and dreams. Researchers meet new people or communities, develop friendships, and discover new social worlds, often considered fun. The results of research on divorce problems caused by factors of sexual need are caused by the lack of good communication between husband and wife in conveying the desire of sexual desire that makes husband and wife no longer able to maintain their domestic relationship. According to Islamic law, sexual relations are one of the obligations of the husband and become the right of isti in his mental sustenance.

Sri Ayu Nata

Jurnal Sains dan Kesehatan (JUSIKA) 2020 Universitas Muhamadiyah Manado

Information Technology is a medium that can convey information. Family support is the treatment given to a family member. Casual sex among teenagers is a type of juvenile delinquency that is committed without a marriage relationship. The purpose of this research is to analyze the relationship between information systems and family support for free sex among teenagers at SMK 1 Bungoro. This type of research is analytical survey research, with a cross-sectional design. This research was conducted in March 20 - May 10 2020 Based on the research conducted, the results showed that there was a relationship between information technology and knowledge of free sex (0.05=0.05) and there was no relationship between family support and knowledge of free sex (0.06>0.05). Teenagers are expected to be active in seeking positive information from various existing media so that students have high knowledge and understanding about free sex in order to avoid the risks and impacts caused by free sex.

Nurdalifah Nurdalifah

Jurnal Sains dan Kesehatan (JUSIKA) 2020 Universitas Muhamadiyah Manado

Indonesia is a developing country with a high population increase. The increasing population situation makes it difficult to improve and equalize people's welfare. The higher the population growth, the greater the efforts made to maintain people's welfare. One strategy to reduce the birth rate is through the use of contraception. However, there are several factors that influence the choice of contraception, including level of knowledge, age, birth spacing and parity and postpartum counseling. So this research aims to explain the analysis of factors that influence the choice of type of contraception in couples of childbearing age at Batara Siang Regional Hospital. Research Design: The type of research is quantitative descriptive correlation with a cross sectional design. The population in this study was all family planning acceptors at Batara Siang Regional Hospital in April 2020. The research sample was 47 couples of childbearing age at Batara Siang Regional Hospital using an accidental sampling technique. The results of the research show that the p value obtained from the Wald test for the age variable is 0.039, which means there is a relationship between age in choosing a contraceptive method. This relationship is statistically significant (OR= 11.139; p = 0.039), the education variable shows that the p value obtained from the Wald test for the education variable is 0.014, which means there is a relationship between education and the choice of long-term contraceptive methods. Conclusion: There is a significant influence between age and education and the choice of type of contraception in couples of childbearing age at Batara Siang Regional Hospital.   

Mar’atussaliha Mar’atussaliha

Jurnal Sains dan Kesehatan (JUSIKA) 2020 Universitas Muhamadiyah Manado

Exclusive breastfeeding in the world is only around 38 percent. When compared with the WHO target of reaching 50%, this figure is still far from the target. There are several factors that influence exclusive breastfeeding, namely knowledge, education, work. This has led to the assumption that breast milk cannot meet the needs of babies, working mothers whose workplaces do not have facilities to store expressed breast milk or who do not facilitate regulations for workers to express breast milk. In fact, breast milk is the best living fluid that babies really need, which contains various substances that are important for the baby's growth and development and suit their needs. So the aim of this research is to find out the factors that influence mothers in providing exclusive breastfeeding in Anrong Appaka Village, Kab. Pangkep. This research is an observational analytical study with a cross sectional approach. The research population was mothers who had babies aged 6-22 months in Anrong Appaka Village, Kab. Pangkep. The sample consisted of 32 people. This research uses a data collection tool in the form of a questionnaire. The research results show that there is a significant relationship between work, education and exclusive breastfeeding. The conclusion is that the job characteristics of the majority of respondents are not working. The majority of respondents have higher education. Bivariate test results There is a significant relationship between employment, education and exclusive breastfeeding.

Iswahyuni, Iswahyuni

ABSTRAK Minat kewirausahaan mahasiswa sebagai generasi muda harus dieksplorasi semaksimal mungkin dan diberikan pelatihan yang dapat mendukung minat tersebut sehingga diharapkan dapat memberikan andil dalam menurunkan angka pengangguran di Indonesia dan menciptakan lapangan pekerjaan baru yang lebih inovatif. Dengan pembuatan business plan merupakan treatment awal untuk mengetahui mindset dari pola minat mahasiswa dalam menciptakan usaha dengan keterbatasan modal, mengingat mahasiswa pada dasarnya pribadi yang belum memiliki tabungan yang cukup untuk membuka usaha sehingga mereka perlu diberi training yang berhubungan dengan business plan sehingga dapat berdampak pada perkembangan minat mahasiswa. Selain pendidikan informal dan nonformal, pendidikan formal juga cukup berperan dalam membentuk minat berwirausaha karena pendidikan formal telah memberikan bekal yang baik bagi tumbuhnya minat berwirausaha. Jadi pendidikan merupakan salah satu faktor yang mempengaruhi minat berwirausaha. Ada hubungan yang signifikan antara minat kewirausahaan dengan pembuatan business plan pada mahasiswa Jurusan Ekonomi Syariah STAI Denpasar Bali, dimana minat kewirausahaan mahasiswa tinggi sehingga mampu membuat business plan dengan baik. Sehingga tidak ada keraguan bahwa pembuatan Bussines Plan dapat menumbuhkan minat kewirausahaan.   ABSTRACT Student entrepreneurial interest as a young generation must be explored as much as possible andtraining that can support this interest is expected to be expected to contribute to reducing unemployment in Indonesia and creating new, more innovative jobs. Making a business plan is the initial treatment to find out the mindset of the pattern of student interest in creating businesses with limited capital, considering that students are basically individuals who do not have enough savings to open a business so they need to be given training related to business plans so that it can have an impact on the development of student interest. In addition to informal and informal education, formal education is also quite instrumental in shaping entrepreneurial interest because formal education has provided a good stock for growing entrepreneurial interest. So education is one of the factors that influence entrepreneurial interest. There is a significant relationship between entrepreneurial interests with the making of a business plan for students of the Department of Sharia Economics STAI Denpasar Bali. where the entrepreneurial interest of students is high so they are able to make a good business plan. So there is no doubt that making a Business Plan can foster entrepreneurial interest.

Fitriani, Eka Suci; Agrosamdhyo, Raden; Mansur, Ely

Dalam membantu masyarakat yang terdampak akibat dari pandemi wabah Covid-19, Baznas melakukan operasi pengelolaan ZIS dengan strategi penghimpunan dan penyaluran ZIS dalam bentuk program penyaluran Sembako untuk masyarakat yang terdampak langsung pandemi Covid-19. Tujuan penelitian yaitu Untuk mengetahui Strategi Penghimpunan ZIS Dan Penyaluran ZIS Dalam Program Sebar Sembako Pada Masa Pandemi Covid-19 di Baznas Provinsi Bali. Metode penelitian ini dengan kualitatif deskriptif. Informan 10 orang yang dipilih dengan menggunakan teknik purposive. Pengumpulan data melalui observasi, wawancara dan dokumentasi. Sedangkan teknik analisis data menggunakan reduksi data, penyajian data, penyimpulan dan verifikasi serta kesimpulan akhir. Hasil penelitian menunjukkan bahwa: (1) Strategi penghimpunan ZIS oleh Baznas meliputi Sosialisasi kepada Instansi pemerintah tingkat I, lembaga keuangan, dan majelis ta’lim, mengirimkan laporan pertanggung jawaban keuangan, mempromosikan program melalui tiga media yaitu media cetak, media sosial, dan media elektronik, memberi pelayanan pembayaran ZIS dengan cara pembayaran langsung, jemput zakat, membentuk UPZ di lembaga pemrintahan dan swasta, membuka rekening di beberapa Bank, scan barcode dan menjalin hubungan yang baik dengan muzaki/donatur, (2) Strategi penyaluran ZIS meliputi kepatuhan terhadap ketentuan syariah dan sesuai dengan UU, mengikuti protokol penanganan Covid-19 dengan physical distancing, social distancing, dan penggunaan masker, pendekatan penyaluran antara push approach dan pull approach, memberikan surat tembusan kepada gugus tugas Covid-19.   ABSTRACTIn assisting the affected communities as a result of the Covid-19 pandemic, Baznas carried out ZIS management operations with a ZIS collection and distribution strategy in the form of a basic food distribution program for people directly affected by the Covid-19 pandemic. The purpose of this research is to find out the strategy of ZIS Collection and Distribution of ZIS in the Distribution of Grocery Programs during the Covid-19 Pandemic Period in the Bali Provincial Baznas. This research method uses descriptive qualitative method. 10 informants were selected using a purposive technique. Data collection through observation, interviews and documentation. While data analysis techniques use data reduction, data presentation, inference and verification as well as final conclusions. The results of the research show that: (1) ZIS collection strategies by Baznas include socialization to government level I institutions, financial institutions, and majelis ta ‟lim, sending financial accountability reports, promoting programs through three media namely print media, social media, and media electronic, providing ZIS payment services by direct payment, picking up zakat, forming UPZ in government and private institutions, opening accounts in several banks, scanning barcodes and establishing good relationships with muzaki / donors, (2) ZIS distribution strategies include compliance with regulations sharia and in accordance with the law, following the Covid-19 handling protocol with physical distancing, social distancing, and the use of masks, the distribution approach between push approach and pull approach, giving a copy to Covid-19 task force.

Subagyo, Herry

KOMPAK : Jurnal Ilmiah Komputerisasi Akuntansi 2020 Universitas Sains dan Teknologi Komputer

This study examines the relationship of Corporate Governance with Debt Policy, and Profitability, especially in corporate that conduct IPOs on the Indonesia Stock Exchange for the 2018-2019 period. Corporate Governance uses proxies of the Board of Commissioners, Independent Commissioners, Institutional Investors, and Insider Ownership which is predicted to affect Debt Policy and Profitability Using a purposive sampling technique, obtained 108 samples, the analyst uses multiple regression with the IBM SPSS 23 program. The findings show that Insider Ownership and the Board of Commissioners have a positive effect on profitability, Institutional Investors and Independent Commissioners are not proven to affect profitability. Corporate governance variables that are proven to influence Debt Policy are Insider Ownership, Institutional Investors, and Independent Commissioners.

Anggraeni, Mei Diah Putri; Sulhan, Muhammad

Jurnal Ilmu Manajemen dan Akuntansi Terapan 2020 Sekolah Tinggi Ilmu Ekonomi Totalwin

The purpose of this study is to determine the effect of profitability, liquidity, leverage on firm value and determine the effect of dividend policy in moderating the relationship of the effect of profitability, liquidity, leverage on firm value. This research is a quantitative research. The population is 154 manufacturing companies listed on the Stock Exchange in 2016-2018. The sampling method uses a purposive sampling method and a sample of 39 companies is produced. Analysis using multiple linear regression and MRA (Moderated Regression Analysis) using SPSS software version 24. The results showed that: 1) Profitability and leverage have a significant positive effect on firm value, while liquidity has no effect on firm value, 2) Dividend policy is able to moderate relationship between the effect of profitability on firm value, 3) Dividend policy is not able to moderate the relationship of the influence of liquidity on company value, 4) Dividend policy is able to moderate the relationship of the influence of leverage on firm value.

Jaeni, Jaeni -; Kartika, Andi

Jurnal Ilmu Manajemen dan Akuntansi Terapan 2020 Sekolah Tinggi Ilmu Ekonomi Totalwin

This study aims to examine the effect of Regional Original Income (PAD), General Allocation Funds (DAU) and Special Allocation Funds (DAK) on Capital Expenditures which are moderated by Remaining Over Budget Financing (SiLPA). The population in this study is the Regency / City of Central Java Province which consists of 35 Regencies / Cities. This study uses secondary data in the form of the 2015 - 2017 APBD Realization Report. The data analysis technique used is multiple linear regression analysis. The results of this study indicate that partially Regional Original Income (PAD), General Allocation Fund (DAU), and DAK affect the Capital Expenditures. But the Remaining More Budget Financing (SiLPA) partially does not affect Capital Expenditures. While the Remaining More Budget Financing (SiLPA) partially does moderate the relationship of Allocation Funds (DAK) to Capital Expenditures and Regional Original Revenue (PAD), General Allocation Fund (DAU) does not moderate the relationship to Capital Expenditures.

Yusfiarto, Rizaldi

Jurnal Ilmu Manajemen dan Akuntansi Terapan 2020 Sekolah Tinggi Ilmu Ekonomi Totalwin

Measurement of firm performance becomes very important for management to evaluate and planning for future goals. Several factors can affect firm performance, including profitability, ownership structure, and company size. For that this study aims to examine the effect of profitability, ownership structure, company size on firm performance with capital structure as an intervening variable. Data obtained during the period 2016-2018 from manufacturing companies listed on the Indonesia Stock Exchange. The results in this study indicate profitability, ownership structure and firm size simultaneously (together) affect the capital structure. Profitability, ownership structure, firm size, and capital structure simultaneously (together) affect the firm's performance.

Puspita Puji Rahayu

Jurnal Visi Manajemen 2020 Sekolah Tinggi Ilmu Ekonomi Pariwisata Indonesia Semarang

Global environmental changes have increased the complexity and disarray of the competitive environment, resulting in severe competition and placing pressure on each player to hone their creative business skills. At this point, the company realized that using its human resources would be its last remaining option for resolving the problem. In other words, enhancing organizational performance motivates staff to produce top-notch work. As a result, from the beginning of the job relationship until it is over, efforts must be made effectively. Discipline may motivate workers to carry out any duty successfully. Therefore, you must try to become an expert in the discipline. This study set out to determine how much the employees' level of education and work ethic influenced their performance at the Semarang District Social Service. The data used in this inquiry were based on the survey's fundamental information. The sample for the study consisted of every employee of Semarang District Social Service.

Rahma Danti, Dwi Suci; Oktaviani, Rachmawati Meita

Dinamika Akuntansi Keuangan dan Perbankan 2020 Faculty of Economic and Business Universitas STIKUBANK

This study aims to study the influence of machiavellian and religiosity as a moderating variable on tax evasion in this study are all individual taxpayers registered in the North West Java KPP Pratama. The number of samples used in this study were 100 respondents from 101,055 taxpayers received. The sample selection technique uses random purposive sampling. Data collection in this method using a questionnaire. The data analysis technique used is multiple linear regression analysis. The results showed that machiavellian had a positive effect on tax evasion, religiosity had a negative impact on tax evasion and that religion did not moderate the relationship of positive machiavellian influence on tax evasion.  Keywords: machiavellian, relogiusity, tax evasion

Qoidul Khoir

Tabsyir: Jurnal Dakwah dan Sosial Humaniora 2020 STAI YPIQ BAUBAU, SULAWESI TENGGARA

This article aims to describe the review of Islamic law on the obligations of a father who abandoned the maintenance of the child in the decision of the Supreme Court number 608/K/AG/2003 and describing a living madliyah children after divorce based on the protection of children's rights in Law Number 23 Year 2002 on the Protection of Children. This research is included in the type of normative legal research, using a statutory approach and a conceptual approach. The processing of legal materials in normative legal research is by means of literature studies which are described and then linked between one legal material and other legal materials, especially the relationship between the elements covered in the research problem. So it is presented in a systematic writing form to answer the problems that have been formulated in this research. The result showed that the duty of a father to meet child support does not become payable if the elapsed time, but it could be due to maintenance if there is a decision of the judge. This imposition on the grounds that the father in condition to be able to work deliberately remiss. Supreme Court Decision No. 608/K/AG/2003 does not conflict with Islamic law. Every parent has an obligation to be responsible for nurturing, nurture, educate, and protect children. Deliberateness of a father neglects the obligation to provide maintenance, so that children can not get their rights and suffer a loss, then it can be described as acts of negligence as regulated in Law Number 23 of 2002 on the Protection of Children

Yenni Yenni; Andi Tenri Angka

JURNAL KEPERAWATAN SISTHANA 2020 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Iron (Fe) tablets are mineral tablets that the body uses to make red blood cells and hemoglobin. For red blood cell production, Fe is the most significant element. Food is a natural source of iron. Nutritional anemia can develop in pregnant women if they don't get enough iron in their diet (blood deficiency). Pregnant women need iron (Fe) tablets, so they must consume at least 90 Fe tablets during pregnancy. The aim of the research was to determine the relationship between consumption of Fe tablets and the incidence of anemia at the Penrang Community Health Center, Wajo Regency. The type of research used was a cross sectional study. The samples were 72 pregnant women who underwent pregnancy checks at the Penrang Community Health Center, Wajo Regency, using a random sampling technique. The research results showed a relationship between consumption of Fe tablets and the incidence of anemia at the Penrang Health Center, Wajo Regency, where the p value = 0.000 < ? = 0.05. The conclusion is that there is a relationship between the consumption of Fe tablets and the incidence of anemia at the Penrang Community Health Center, Wajo Regency.

Suprapti E; Azhari N.K; Lestariningsih

JURNAL KEPERAWATAN SISTHANA 2020 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Satisfaction is a person's feelings of pleasure or disappointment that arise after comparing the results of a service that are in accordance with or not in accordance with the expectations they had before getting service. Patients as users of nursing services demand nursing services in accordance with their rights, namely quality nursing services. In providing nursing services, Standard Operational Procedure (SOP) is very important to assist nurses in achieving quality nursing care. In giving medicine, one must pay attention to the six "correct" principles which have become mandatory procedures before giving medicine, namely: right patient, right drug, right dose, right method, right time, and correct documentation. This study aims to identify the effect of applying standard operational procedures (SOP) for drug administration with the six correct principles on the level of patient satisfaction in Ungaran Hospital. The design of this research is descriptive analysis using a cross sectional approach, the number of samples used is 90 respondents using the Slovin formula to determine. The results of the study using the Chi Square analysis test showed that there was a significant effect between the application (SOP) of drug administration with the six correct principles on the level of patient satisfaction (p = 0.000). From the results of the analysis obtained the value of Odds Ratio (OR) of 59.160. The recommendation from this research is that nurses always apply the SOP correctly to increase patient satisfaction.

Malinton, Devi; Kampo, Kunradus

Dinamika Akuntansi Keuangan dan Perbankan 2020 Faculty of Economic and Business Universitas STIKUBANK

This study investigates the effect of corporate social responsibility on going concern, and the effect of green banking as moderate on relationship between corporate social responsibility and going concern. Population used in this study is the whole bank listed on Indonesia Stock Exchange (IDX) period 2013 – 2016. Total samples are 11 banks for 4 years selected by purposive sampling method and using secondary data, i.e. annual report, financial report, and sustainability report collected from IDX database and each bank’s official website. Analysis results show that the effect of corporate social responsibility in bank can increase going concern. The findings also indicate that green banking is able to moderate the relationship between corporate social responsibility and going concern, but green banking has weak influence as a moderating variable. These findings imply going concern is measured by not only financial aspect but also the impact that company gives to its social environment.  Keywords: corporate social responsibility, going concern, and green banking.

Nur Qamariyah; Nursyamsiyah Nursyamsiyah

Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) 2020 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

The quality of health services shows the level of perfection of health services in creating a sense of satisfaction in patients.In this study, researchers used a purposive sampling type of research, namely sampling with special criteria, namely inclusion and exclusion criteria with a cross sectional approach, namely research that explores, analyzes and explains the relationship between the quality of health services and patient satisfaction at the Ridge Health Center. The data needed comes from filling out questionnaires by patients or families of patients seeking treatment at the Ridge Health Center.The sample in this study used 44 respondents who received treatment at the Ridge Health Center. And in this research, the instrument used was a questionnaire with a total of 40 questions.The results of this study show that there is a relationship between the quality of health services, reliability (0.038<0.05), assurance (0.000<0.05), tangibility (0.002<0.05), empathy (0.000<0.05), and responsiveness (0.000 <0.05) with patient satisfaction. The conclusion of this research is that there is a relationship between the quality of health services (reliability, assurance, tangibility, empathy and responsiveness) with patient satisfaction at the Ridge Community Health Center. The advice that researchers can give is that they can evaluate and improve management to improve the quality of service so that patient satisfaction is related to research results, namely the components of speed of administration, patient comfort as well as completeness of medical equipment and accuracy of information so that it is hoped that it can increase patient satisfaction.    

Sri Wahyuni; Siti Astariyani Latjui

Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) 2020 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Workload is the ability of the worker's body to accept the job. From the standpoint of ergonomics, every workload received must be appropriate and balanced against the physical and psychological ability. The good Response time for patients is <5 minutes. Handling of emergency is the whole act performed in emergency conditions that are effectively and efficiently. The purpose of this study was to determine the relationship workload response time nurses with nurses in emergency departments of RSUD Bitung General Hospital. This study was descriptive and cross sectional study. Samples were taken based on the number of respondents as many as 31 nurses by using total sampling. The data collection is done by filling out the observation sheet and questionnaire. Furthermore, the data that has been collected processed with the aid statistics analyzed by chi square test with significance level is ? = 0.05. After the results, the value of p = 0.008, this may imply that there is a relationship between the workload of nurses response time. CONCLUSIONS of this study found that there is a relationship between nurses workload response time. Suggestions for the research was taking place is setting a good system including facilities and infrastructure in order to nurse response time can be improved.