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J
P
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Vo
l.
5
,
No
.
3
,
Sep
tem
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er
201
6
,
p
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.
2
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~
2
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I
SS
N:
2252
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8806
240
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lis
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ia
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3
1
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c
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Nu
rsin
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lat
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stit
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Art
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1
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w
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ti
o
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is
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c
c
e
ss
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c
a
rr
y
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g
o
u
t
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e
tas
k
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a
s
w
e
ll
a
s
th
e
a
b
il
it
y
to
a
c
h
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e
th
e
g
o
a
ls
se
t.
T
h
e
a
i
m
o
f
th
is
stu
d
y
w
a
s
to
d
e
term
in
e
th
e
in
f
lu
e
n
c
e
o
f
i
n
d
iv
id
u
a
l
f
a
c
to
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o
rg
a
n
iza
ti
o
n
a
l
f
a
c
to
r
s,
o
rg
a
n
iza
ti
o
n
a
l
a
n
d
c
u
lt
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ra
l
f
a
c
to
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o
n
th
e
P
e
rf
o
rm
a
n
c
e
o
f
Nu
rse
s.
T
h
is
stu
d
y
u
se
d
a
c
ro
ss
se
c
ti
o
n
a
l
st
u
d
y
a
p
p
r
o
a
c
h
.
T
h
e
p
o
p
u
latio
n
u
se
d
i
n
t
h
is
s
tu
d
y
w
e
r
e
n
u
rse
s
p
o
n
k
e
sd
e
s
T
u
b
a
n
a
n
d
La
m
o
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g
a
n
d
istri
c
t
in
a
c
c
o
rd
a
n
c
e
w
it
h
th
e
in
c
lu
sio
n
c
rit
e
ria
a
s
m
u
c
h
a
s
5
5
,
w
it
h
a
sa
m
p
le
siz
e
o
f
4
8
re
sp
o
n
d
e
n
ts
sp
e
c
if
ied
re
se
a
rc
h
u
sin
g
sim
p
le ra
n
d
o
m
sa
m
p
li
n
g
tec
h
n
i
q
u
e
.
T
h
e
in
d
e
p
e
n
d
e
n
t
v
a
riab
le
in
th
is
st
u
d
y
is
th
e
in
d
iv
i
d
u
a
l
f
a
c
to
rs
(a
b
il
it
ies
a
n
d
sk
il
ls),
o
rg
a
n
iza
ti
o
n
a
l
c
u
lt
u
ra
l
f
a
c
to
rs
a
n
d
o
rg
a
n
iza
ti
o
n
a
l
f
a
c
to
rs,
d
e
p
e
n
d
e
n
t
v
a
riab
le
is
th
e
p
e
rf
o
rm
a
n
c
e
o
f
n
u
rse
p
o
n
k
e
sd
e
s
.
In
stru
m
e
n
ts
u
se
d
in
th
e
c
o
ll
e
c
ti
o
n
o
f
d
a
ta
in
th
e
f
o
rm
o
f
q
u
e
stio
n
n
a
ires
a
n
d
p
e
rf
o
r
m
a
n
c
e
e
v
a
lu
a
ti
o
n
sh
e
e
t.
Re
se
a
rc
h
a
n
a
l
y
sis
u
sin
g
si
m
p
le
li
n
e
a
r
re
g
re
ss
io
n
tes
t.
S
i
m
p
le
li
n
e
a
r
re
g
re
ss
io
n
a
n
a
l
y
sis
sh
o
w
e
d
v
a
ria
b
le
o
rg
a
n
iza
ti
o
n
a
l
c
u
lt
u
ra
l
f
a
c
to
rs
we
re
n
o
t
sta
ti
stica
ll
y
sig
n
if
ic
a
n
t
e
ffe
c
t
o
n
th
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rf
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rm
a
n
c
e
o
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th
e
p
-
v
a
lu
e
(0
.
0
0
0
)
,
o
rg
a
n
iza
ti
o
n
a
l
f
a
c
to
rs
a
lso
sig
n
i
fica
n
tl
y
in
f
lu
e
n
c
e
th
e
p
e
rf
o
r
m
a
n
c
e
o
f
th
e
p
-
v
a
lu
e
(0
.
0
2
7
).
W
h
il
e
th
e
v
a
riab
l
e
fa
c
to
rs
o
f
in
d
iv
id
u
a
l
(sk
il
ls
a
n
d
a
b
il
it
ies
)
d
o
e
s n
o
t
sig
n
if
ica
n
tl
y
in
f
lu
e
n
c
e
th
e
p
e
rf
o
r
m
a
n
c
e
o
f
th
e
p
-
v
a
lu
e
(0
.
1
0
3
).
K
ey
w
o
r
d
:
Nu
r
s
e
co
m
m
u
n
it
y
ap
p
r
o
ac
h
Or
g
an
iza
tio
n
al
c
u
lt
u
r
e
R
eg
r
es
s
io
n
te
s
t
Sk
ill
s
an
d
ab
ilit
ie
s
Co
p
y
rig
h
t
©
2
0
1
6
In
stit
u
te o
f
A
d
v
a
n
c
e
d
E
n
g
i
n
e
e
rin
g
a
n
d
S
c
ien
c
e
.
Al
l
rig
h
ts
re
se
rv
e
d
.
C
o
r
r
e
s
p
o
nd
ing
A
uth
o
r
:
Su
h
ar
to
n
o
,
Sch
o
o
l o
f
Nu
r
s
in
g
,
Nah
d
latu
l U
la
m
a
I
n
s
t
itu
te
o
f
Hea
lth
Scie
n
ce
,
I
n
d
o
n
esia
.
E
m
ail:
ar
to
.
s
u
h
ar
to
n
o
@
y
ah
o
o
.
co
m
1.
I
NT
RO
D
UCT
I
O
N
P
er
f
o
r
m
a
n
ce
p
r
o
b
le
m
s
o
cc
u
r
r
ed
n
o
t
o
n
l
y
i
n
t
h
e
g
o
v
er
n
m
en
t
ag
e
n
cie
s
b
u
t
al
s
o
p
r
iv
ate
ag
en
cies
t
h
at
ar
e
ex
p
er
ien
ce
d
ed
u
ca
ted
p
eo
p
le.
I
t
is
also
ex
p
er
ien
ce
d
b
y
h
ea
lt
h
ag
e
n
cies
i
n
I
n
d
o
n
esia
r
an
g
i
n
g
f
r
o
m
ce
n
tr
al
to
lo
ca
l le
v
els,
r
an
g
in
g
f
r
o
m
t
h
e
h
o
s
p
ital to
t
h
e
v
i
llag
e
h
ea
lt
h
c
en
ter
(
p
o
n
k
e
s
d
es).
P
er
f
o
r
m
a
n
ce
is
s
u
es
w
il
l
i
m
p
a
ct
th
e
v
ast
a
n
d
d
an
g
er
o
u
s
f
o
r
th
e
lo
n
g
ter
m
.
No
t
o
n
l
y
h
a
v
e
an
i
m
p
ac
t
f
o
r
th
e
h
ea
lth
au
th
o
r
it
y
,
b
u
t
al
s
o
h
a
s
i
m
p
licatio
n
s
f
o
r
s
o
ciet
y
.
O
n
h
ea
lt
h
a
g
en
c
ies
co
u
ld
h
ap
p
en
f
o
r
e
x
a
m
p
le
h
ea
lt
h
ce
n
ter
s
p
la
n
n
ed
p
r
o
g
r
a
m
w
as
n
o
t
ca
r
r
ied
o
u
t
o
p
ti
m
all
y
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th
e
les
s
p
eo
p
le
f
ee
l
th
e
b
en
ef
its
o
f
t
h
e
p
o
n
k
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es.
Her
e
is
a
n
is
s
u
e
wh
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w
i
ll
ce
r
tain
l
y
h
a
m
p
er
t
h
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d
ev
elo
p
m
e
n
t
o
f
h
ea
lt
h
i
f
it
d
o
es
n
o
t
r
esp
o
n
d
an
d
d
id
n
o
t
i
m
m
ed
iatel
y
d
ea
lt
w
i
th
p
r
o
p
er
ly
.
Ma
n
y
th
in
g
s
ca
n
af
f
ec
t
t
h
e
p
er
f
o
r
m
a
n
ce
,
to
t
h
e
ag
e
n
cie
s
s
h
o
u
ld
s
tr
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to
e
n
s
u
r
e
th
a
t
th
e
f
ac
to
r
s
r
elatin
g
to
th
e
p
er
f
o
r
m
a
n
ce
ca
n
b
e
m
et
to
th
e
f
u
lles
t.
O
n
e
ef
f
o
r
t
th
at
ca
n
b
e
d
o
n
e
to
im
p
r
o
v
e
t
h
e
p
er
f
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r
m
a
n
ce
o
f
n
u
r
s
e
s
p
o
n
k
e
s
d
es is
to
ap
p
r
o
ac
h
o
r
g
an
izatio
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al
cu
ltu
r
e.
A
p
p
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ac
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r
g
a
n
izatio
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a
l
cu
ltu
r
e
is
a
co
m
m
o
n
p
er
ce
p
tio
n
h
e
ld
b
y
m
e
m
b
er
s
o
f
t
h
e
o
r
g
a
n
iz
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n
,
an
d
is
a
s
y
s
te
m
o
f
s
h
ar
ed
m
ea
n
i
n
g
,
w
h
ich
h
as
th
e
ch
ar
ac
ter
i
s
tics
o
f
in
n
o
v
a
tio
n
,
n
a
m
el
y
t
h
e
e
x
te
n
t
to
w
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ic
h
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I
J
P
HS
I
SS
N:
2252
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8806
P
erfo
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ma
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Mo
d
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I
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r
to
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241
e
m
p
lo
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s
ar
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co
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ed
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in
n
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v
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is
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s
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h
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tio
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to
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etail
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ex
te
n
t
to
w
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e
m
p
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ex
p
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ted
to
ex
h
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p
r
ec
is
io
n
,
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al
y
s
i
s
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d
atten
tio
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to
d
etail.
R
es
u
lts
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ien
tatio
n
,
n
a
m
e
l
y
t
h
e
ex
te
n
t
to
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h
m
an
ag
e
m
e
n
t
f
o
c
u
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e
s
o
n
r
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lt
s
r
ath
er
th
an
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n
t
h
e
tech
n
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u
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s
an
d
p
r
o
ce
s
s
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u
s
ed
to
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iev
e
th
e
s
e
r
es
u
lts
.
P
eo
p
le
o
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ien
tatio
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t
h
at
i
s
t
h
e
ex
ten
t
to
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h
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m
an
a
g
e
m
en
t
d
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is
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n
s
tak
e
in
t
o
ac
co
u
n
t
t
h
e
e
f
f
ec
ts
o
n
p
eo
p
le
w
i
th
i
n
t
h
e
o
r
g
a
n
izatio
n
.
T
ea
m
o
r
ien
tat
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n
t
h
at
i
s
th
e
e
x
t
en
t
to
w
h
ich
w
o
r
k
ac
tiv
itie
s
ar
e
o
r
g
an
ized
ar
o
u
n
d
tea
m
s
,
n
o
t
in
d
i
v
id
u
al
s
.
Ag
g
r
e
s
s
i
v
en
e
s
s
i
s
ass
o
ciate
d
w
it
h
a
g
g
r
es
s
i
v
en
e
s
s
e
m
p
lo
y
ee
s
.
S
tab
ilit
y
e
m
p
h
asiz
in
g
r
ete
n
tio
n
o
f
o
r
g
an
izatio
n
al
cu
ltu
r
e
i
s
g
o
o
d
.
2.
RE
S
E
ARCH
M
E
T
H
O
D
T
h
e
s
tu
d
y
d
esi
g
n
u
s
ed
is
cr
o
s
s
s
ec
tio
n
al
s
t
u
d
y
.
T
h
e
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3.
RE
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A
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SI
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ab
le
1
s
h
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les
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s
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o
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o
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k
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b
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d
an
d
d
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o
g
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ap
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s
o
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I
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ce
v
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e
x
p
lain
s
t
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at
t
h
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b
ac
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d
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o
g
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ap
h
ics.
Fac
to
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f
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g
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e
p
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latter
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f
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tio
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alit
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o
b
s
atis
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ac
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a
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j
o
b
s
tr
e
s
s
.
W
h
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t
h
e
t
h
ir
d
f
ac
to
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i
s
a
f
ac
to
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a
t
af
f
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t
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th
e
p
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f
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a
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ce
o
f
a
n
o
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an
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co
n
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is
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g
o
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eso
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s
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lead
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s
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ip
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co
m
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s
atio
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/
r
e
m
u
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er
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,
o
r
g
an
n
is
asi
s
tr
u
ct
u
r
e
an
d
d
esig
n
w
o
r
k
[
1
]
.
B
ased
o
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th
e
th
eo
r
etica
l
b
a
s
is
an
d
s
ee
t
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o
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t
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ch
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a
t
b
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e
ab
il
it
y
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d
s
k
ill
s
i
n
th
e
i
n
d
iv
id
u
al
v
ar
iab
les
t
h
er
e
ar
e
also
f
ac
to
r
s
th
a
t
ca
n
af
f
ec
t
t
h
e
p
er
f
o
r
m
a
n
ce
ie
th
e
b
ac
k
g
r
o
u
n
d
a
n
d
d
em
o
g
r
ap
h
ics
[
1
]
.
W
h
er
e
b
ac
k
g
r
o
u
n
d
in
c
lu
d
es
f
a
m
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s
o
ci
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lev
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an
d
e
x
p
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ien
ce
.
Fa
m
i
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a
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f
f
ec
t
a
n
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2252
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8806
P
erfo
r
ma
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Mo
d
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f Nu
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mmu
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ity
A
p
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a
ch
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Org
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l Cu
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in
I
n
d
o
n
esi
a
(
S
u
h
a
r
to
n
o
)
243
in
d
iv
id
u
al
'
s
p
er
f
o
r
m
a
n
ce
b
ec
au
s
e
o
f
m
an
y
f
ac
to
r
s
o
r
p
r
o
b
lem
s
th
at
th
er
e
ar
e
i
n
t
h
e
f
a
m
il
y
s
u
c
h
as
ec
o
n
o
m
ic,
s
o
cial,
an
d
s
o
f
o
r
th
.
W
h
ile
th
e
s
o
cial
le
v
el
al
s
o
n
ee
d
s
to
b
e
f
ac
to
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ed
in
th
e
ef
f
ec
t
o
n
p
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f
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a
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ce
,
it
ca
n
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e
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s
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at
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h
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lev
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l
o
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g
o
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d
in
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l
p
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f
o
r
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an
ce
is
also
g
o
o
d
.
T
h
en
th
e
ex
p
er
ien
ce
is
a
n
asp
ec
t
th
at
i
s
i
m
p
o
r
tan
t
to
lo
o
k
a
t
th
e
i
m
p
ac
t
o
n
in
d
i
v
id
u
al
s
,
w
it
h
lo
n
g
w
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k
ex
p
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ie
n
ce
t
h
at
m
a
y
allo
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an
in
d
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id
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'
s
p
er
f
o
r
m
a
n
ce
i
s
g
e
ttin
g
b
etter
[
1
]
.
W
h
ile
d
e
m
o
g
r
ap
h
ic
f
ac
to
r
s
i
n
clu
d
i
n
g
ag
e,
e
th
n
icit
y
,
a
n
d
g
en
d
er
is
a
f
ac
to
r
to
b
e
co
n
s
id
er
ed
in
ad
d
itio
n
to
th
e
b
ac
k
g
r
o
u
n
d
o
f
in
d
iv
id
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al
s
i
n
t
h
eir
in
f
l
u
e
n
ce
o
n
p
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f
o
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a
n
ce
.
Ag
e
m
a
y
a
f
f
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t
p
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f
o
r
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a
n
ce
,
w
it
h
i
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cr
ea
s
i
n
g
ag
e,
t
h
e
i
n
d
i
v
id
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w
ill
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n
cr
ea
s
e
t
h
e
k
n
o
w
l
ed
g
e,
in
s
ig
h
t
a
n
d
ex
p
er
ien
ce
th
at
w
il
l
af
f
ec
t
t
h
e
p
er
f
o
r
m
a
n
ce
o
f
in
d
i
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a
ls
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F
o
r
eth
n
icit
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a
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als
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ec
ess
ar
y
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s
tu
d
y
it
s
ef
f
ec
t
o
n
p
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f
o
r
m
a
n
ce
.
A
lt
h
o
u
g
h
i
n
th
is
s
t
u
d
y
th
e
i
n
d
iv
id
u
al
f
ac
to
r
s
d
o
n
o
t
h
av
e
a
s
ig
n
i
f
ica
n
t
i
n
f
l
u
en
ce
o
n
th
e
p
er
f
o
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m
an
ce
,
b
u
t
t
h
e
in
d
iv
id
u
al
f
ac
to
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s
s
t
ill
n
ee
d
to
b
e
c
o
n
s
id
er
ed
in
th
e
s
tu
d
y
ar
e
to
d
o
w
it
h
p
er
f
o
r
m
a
n
ce
,
b
ec
au
s
e
in
t
h
is
s
tu
d
y
i
n
th
e
ta
k
i
n
g
o
f
i
n
d
iv
id
u
al
f
ac
to
r
s
as
v
ar
iab
le
s
t
h
e
s
t
u
d
y
o
n
l
y
l
o
o
k
at
f
ac
to
r
s
ab
ili
ties
an
d
s
k
ills
,
d
o
n
o
t
lo
o
k
at
b
ac
k
g
r
o
u
n
d
f
ac
to
r
s
an
d
d
e
m
o
g
r
ap
h
ic
i
n
d
iv
id
u
al
[
1
]
.
Me
an
w
h
ile
to
s
ee
d
escr
ip
tio
n
s
o
f
t
h
e
b
eh
a
v
io
r
o
f
s
p
ec
if
i
c
in
d
iv
id
u
als,
Go
m
e
s
d
escr
ib
es
s
ev
er
a
l
d
i
m
en
s
io
n
s
o
r
cr
iter
ia
t
h
at
n
ee
d
atten
tio
n
i
n
m
ea
s
u
r
in
g
p
er
f
o
r
m
an
ce
,
a
m
o
n
g
o
th
er
t
h
i
n
g
s
:
t
h
e
q
u
an
t
it
y
o
f
w
o
r
k
is
t
h
e
a
m
o
u
n
t
o
f
w
o
r
k
d
o
n
e
w
it
h
in
a
s
p
ec
i
f
ied
ti
m
e
p
er
io
d
,
th
e
q
u
alit
y
o
f
w
o
r
k
is
q
u
alit
y
w
o
r
k
ac
h
ie
v
ed
u
n
d
er
th
e
ter
m
s
o
f
s
u
itab
ilit
y
an
d
r
ea
d
in
ess
,
j
o
b
k
n
o
w
led
g
e
is
th
e
b
r
ea
d
th
o
f
k
n
o
w
led
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e
a
n
d
s
k
il
ls
o
n
th
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j
o
b
.
C
r
ea
tiv
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n
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s
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s
t
h
e
au
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e
n
ti
c
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y
o
f
t
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id
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s
r
ai
s
ed
an
d
m
ea
s
u
r
es
to
r
eso
lv
e
t
h
e
p
r
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b
lem
s
t
h
at
ar
is
e,
C
o
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p
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is
th
e
w
illi
n
g
n
e
s
s
to
co
o
p
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ate
w
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th
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er
f
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lo
w
m
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m
b
er
s
o
f
t
h
e
o
r
g
a
n
izatio
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,
Dep
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is
a
w
ar
e
n
ess
a
n
d
tr
u
s
t
w
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y
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ter
m
s
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f
atte
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d
an
ce
an
d
co
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p
leti
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g
t
h
e
w
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k
,
t
h
e
I
n
itiat
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e
is
a
p
ass
io
n
f
o
r
ca
r
r
y
o
u
t
n
e
w
ta
s
k
s
an
d
to
en
lar
g
e
its
r
esp
o
n
s
ib
ilit
ie
s
,
p
er
s
o
n
al
q
u
alitie
s
ar
e
r
elate
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t
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,
le
ad
er
s
h
ip
an
d
p
er
s
o
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al
in
te
g
r
it
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[
2
]
.
3
.
2
.
T
he
I
nfl
uence
o
f
O
rg
a
niza
t
i
o
na
l F
a
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n t
he
P
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f
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Nurses
P
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le
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s
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o
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t
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R
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1
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p
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2
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T
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Du
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(
D=
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1
7
6
)
,
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5
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t
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M
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r
s
e
s
p
o
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ke
s
d
es
(m
an
a
g
e
m
en
t a
n
d
ad
m
i
n
i
s
tr
ati
o
n
,
s
er
v
ice
p
r
o
ce
s
s
,
a
n
d
o
u
tp
u
t ser
v
ices)
.
Me
a
n
s
t
h
e
b
etter
n
u
r
s
e
o
r
g
a
n
izat
io
n
al
cu
lt
u
r
e,
th
e
b
etter
th
e
p
er
f
o
r
m
an
ce
o
f
n
u
r
s
e
s
p
o
n
ke
s
d
es
.
T
h
e
r
esu
lts
s
u
p
p
o
r
t
th
e
t
h
eo
r
y
R
o
b
b
in
s
s
tated
t
h
at
o
r
g
a
n
i
za
tio
n
al
cu
ltu
r
e
ca
n
i
m
p
r
o
v
e
e
m
p
lo
y
ee
p
er
f
o
r
m
a
n
ce
,
esp
ec
iall
y
i
f
th
e
s
ev
e
n
f
ac
to
r
s
th
at
s
h
ap
e
t
h
e
o
r
g
an
iza
tio
n
al
c
u
lt
u
r
e
(
in
n
o
v
ati
o
n
an
d
r
is
k
ta
k
i
n
g
,
atten
tio
n
to
d
etails,
p
eo
p
le
o
r
ien
tatio
n
,
tea
m
o
r
ie
n
tatio
n
,
r
esu
lt
s
o
r
ien
tatio
n
,
ag
g
r
es
s
iv
en
es
s
,
s
tab
ilit
y
)
i
s
ac
ce
p
ted
as
th
e
v
alu
e
s
th
at
m
u
s
t
b
e
ad
h
er
ed
to
,
b
eliev
ed
an
d
im
p
le
m
e
n
ted
w
h
o
leh
ea
r
ted
l
y
,
s
o
th
at
w
ill
g
iv
e
b
ir
th
to
an
o
r
g
an
izat
io
n
al
c
u
lt
u
r
e
th
at
w
i
ll h
a
v
e
an
i
m
p
ac
t o
n
i
m
p
r
o
v
i
n
g
e
m
p
lo
y
ee
p
er
f
o
r
m
an
ce
[
4
]
.
So
m
e
r
esear
ch
r
elate
d
to
cu
ltu
r
al
o
r
g
an
izat
io
n
s
t
h
at
h
a
v
e
m
ad
e
o
th
er
r
esear
ch
e
r
s
to
p
r
o
v
e
th
at
o
r
g
an
izatio
n
al
c
u
lt
u
r
e
is
v
er
y
i
m
p
o
r
ta
n
t a
n
d
p
la
y
s
a
n
i
m
p
o
r
tan
t r
o
le
f
o
r
th
e
p
r
o
g
r
ess
o
f
a
n
o
r
g
an
izat
io
n
.
So
m
e
r
esear
ch
i
n
I
n
d
o
n
esia,
p
r
o
v
i
n
g
th
at
o
r
g
a
n
izatio
n
al
cu
ltu
r
e
h
a
s
a
s
ig
n
i
f
ica
n
t
in
f
l
u
en
ce
o
n
e
m
p
lo
y
ee
m
o
ti
v
atio
n
b
y
Ha
m
id
[5
]
.
R
ese
ar
ch
co
n
d
u
cted
Su
m
ar
d
j
o
k
o
w
h
ich
i
s
t
h
e
o
b
j
ec
t
o
f
th
e
s
t
u
d
y
w
a
s
co
lleg
e,
s
h
o
w
ed
t
h
at
t
h
e
o
r
g
an
izatio
n
al
cu
l
tu
r
e
v
ar
iab
les
h
a
v
e
th
e
g
r
ea
tes
t
co
n
tr
ib
u
ti
o
n
to
th
e
lect
u
r
er
's
r
o
le
in
q
u
alit
y
as
s
u
r
an
ce
[6
]
.
So
ed
j
o
n
o
r
esear
ch
r
esu
lt
s
e
x
p
lain
s
t
h
at
th
er
e
i
s
a
s
i
g
n
if
ica
n
t
i
n
f
l
u
en
ce
o
f
o
r
g
a
n
iz
atio
n
al
c
u
lt
u
r
e
o
n
o
r
g
an
izatio
n
al
p
er
f
o
r
m
a
n
ce
[7
].
R
esear
ch
Ko
tter
an
d
Hes
k
ett
,
C
h
at
m
a
n
an
d
B
er
s
ad
e
s
ay
t
h
a
t
o
r
g
an
izatio
n
al
c
u
lt
u
r
e
h
as
an
in
f
l
u
e
n
ce
o
n
e
m
p
lo
y
ee
p
er
f
o
r
m
a
n
ce
,
o
r
g
an
izatio
n
al
c
u
lt
u
r
e
ca
n
p
r
o
d
u
ce
ef
f
ec
ts
th
at
af
f
ec
t
i
n
d
iv
id
u
als
an
d
t
h
e
p
er
f
o
r
m
a
n
ce
,
esp
ec
ial
l
y
i
n
a
co
m
p
eti
tiv
e
en
v
ir
o
n
m
e
n
t,
th
is
in
f
lu
e
n
ce
ca
n
e
v
en
b
e
g
r
ea
te
r
th
an
a
ll
t
h
e
o
th
er
f
ac
to
r
s
[8
]
.
W
h
ile
Har
v
e
y
a
n
d
B
r
o
w
i
n
f
o
u
n
d
o
n
l
y
co
m
p
a
n
ie
s
w
it
h
ef
f
ec
ti
v
e
cu
ltu
r
e
t
h
at
c
an
cr
ea
te
in
cr
ea
s
ed
p
r
o
d
u
ctiv
it
y
,
i
n
cr
ea
s
e
th
e
s
e
n
s
e
o
f
o
w
n
er
s
h
ip
o
f
th
e
e
m
p
lo
y
ee
s
an
d
u
lti
m
atel
y
i
m
p
r
o
v
e
t
h
e
c
o
m
p
an
y
's
p
r
o
f
it
b
y
Mo
eld
j
o
n
o
[
9
]
.
P
eter
s
an
d
W
ater
m
a
n
r
esear
ch
s
h
o
w
ed
s
t
r
o
n
g
er
cu
lt
u
r
e
o
f
t
h
e
o
r
g
an
izat
io
n
,
e
m
p
lo
y
ee
s
w
ill
b
e
m
o
r
e
r
es
u
lts
-
o
r
ien
ted
.
W
h
e
n
e
m
p
lo
y
ee
s
u
n
d
er
s
ta
n
d
t
h
e
o
r
g
an
i
za
t
io
n
'
s
cu
ltu
r
e,
th
e
y
k
n
o
w
w
h
a
t
i
s
e
x
p
ec
ted
o
f
th
e
m
.
Her
e
th
e
co
r
e
v
al
u
es
s
er
v
e
as
t
h
e
f
o
u
n
d
atio
n
th
a
t
s
u
p
p
o
r
ts
an
d
g
u
id
e
e
m
p
lo
y
ee
b
e
h
av
io
r
r
elate
d
to
th
eir
d
u
tie
s
b
y
Ma
n
g
k
u
n
a
g
ar
a
[
1
0
]
.
R
o
b
b
in
s
d
escr
ib
es
h
o
w
th
e
c
u
lt
u
r
e
o
f
an
o
r
g
an
izatio
n
is
b
u
ilt
an
d
m
ai
n
tai
n
ed
.
T
h
e
o
r
ig
i
n
al
c
u
lt
u
r
e
w
a
s
s
h
o
w
n
o
n
th
e
p
h
ilo
s
o
p
h
y
o
f
it
s
f
o
u
n
d
er
,
th
e
n
t
h
is
c
u
lt
u
r
e
g
r
ea
tl
y
af
f
ec
t
s
th
e
cr
it
er
ia
u
s
ed
in
h
ir
i
n
g
e
m
p
lo
y
ee
s
.
A
ctio
n
s
o
f
to
p
m
an
ag
e
m
e
n
t
d
ef
i
n
es
t
h
e
g
e
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cli
m
ate
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f
g
o
o
d
b
eh
av
io
r
is
ac
ce
p
tab
le
o
r
n
o
t.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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N:
2252
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8806
P
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(
S
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to
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245
Ho
w
e
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p
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o
cia
lized
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e
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w
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m
p
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s
w
it
h
t
h
e
o
r
g
a
n
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'
s
v
al
u
es
in
t
h
e
s
elec
tio
n
p
r
o
ce
s
s
a
s
w
el
l
as
t
h
e
p
r
ef
er
en
ce
s
[4
].
An
o
r
g
an
izat
io
n
u
s
u
al
l
y
f
o
r
m
ed
to
ac
h
iev
e
a
ce
r
tain
g
o
al
t
h
r
o
u
g
h
th
e
p
er
f
o
r
m
a
n
ce
o
f
al
l
ex
is
ti
n
g
h
u
m
a
n
r
eso
u
r
ce
s
w
i
th
in
t
h
e
o
r
g
an
iza
tio
n
.
Ho
w
e
v
er
,
th
e
p
er
f
o
r
m
a
n
ce
o
f
h
u
m
a
n
r
eso
u
r
ce
s
i
s
d
eter
m
i
n
ed
b
y
t
h
e
co
n
d
itio
n
o
f
i
n
ter
n
al
a
n
d
ex
te
r
n
al
en
v
ir
o
n
m
en
t
o
f
th
e
o
r
g
a
n
izatio
n
,
i
n
cl
u
d
in
g
t
h
e
o
r
g
an
i
za
tio
n
'
s
c
u
lt
u
r
e
[4
]
.
T
h
er
ef
o
r
e,
th
e
ab
ilit
y
to
cr
ea
te
an
o
r
g
a
n
izatio
n
w
it
h
a
cu
lt
u
r
e
th
at
is
ab
le
to
p
u
s
h
p
er
f
o
r
m
an
ce
i
s
a
r
eq
u
ir
e
m
en
t
b
y
W
ib
o
w
o
[
1
1
]
.
W
h
ile
No
e
an
d
Mo
n
d
l
y
s
ee
t
h
at
o
r
g
an
izatio
n
al
c
u
lt
u
r
e
is
a
n
in
te
g
r
al
p
ar
t
o
f
a
s
et
o
f
p
r
o
ce
s
s
es
o
r
d
ev
ices
to
ac
h
iev
e
t
h
e
m
i
s
s
io
n
an
d
g
o
als
o
f
th
e
o
r
g
a
n
izatio
n
.
T
h
u
s
,
th
e
f
o
r
m
a
tio
n
o
f
a
p
o
w
er
f
u
l
o
r
g
a
n
izatio
n
al
c
u
lt
u
r
e,
ad
ap
tiv
e
a
n
d
tr
a
n
s
f
o
r
m
ativ
e
i
s
a
s
tep
i
n
th
e
s
tr
a
teg
ic
a
n
d
tactica
l
m
an
a
g
e
m
e
n
t
to
b
u
ild
th
e
o
r
g
an
iza
tio
n
o
n
a
n
o
n
g
o
in
g
b
asis
.
T
h
u
s
o
r
g
a
n
izatio
n
al
cu
ltu
r
e
th
a
t
en
ab
le
s
in
d
iv
id
u
als
to
i
n
ter
ac
t
a
n
d
i
n
t
eg
r
a
te.
I
n
ter
ac
tio
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a
n
d
i
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teg
r
a
tio
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i
n
ad
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itio
n
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n
g
a
s
en
s
e
o
f
b
elo
n
g
in
g
w
il
l
also
e
n
ab
le
o
r
g
a
n
izatio
n
s
co
n
s
ta
n
tl
y
lear
n
to
ad
ap
t
an
d
in
ter
ac
t
w
i
th
d
e
v
e
lo
p
m
e
n
t
e
n
v
ir
o
n
m
e
n
ts
b
y
T
ik
a
2006
[1
2
]
.
I
n
ac
co
r
d
an
ce
w
it
h
th
e
o
p
in
io
n
o
f
R
o
b
b
n
is
s
tati
n
g
t
h
at
t
h
e
e
m
p
lo
y
ee
'
s
p
er
f
o
r
m
an
ce
is
a
f
u
n
ctio
n
o
f
th
e
in
ter
ac
tio
n
b
et
w
ee
n
t
h
e
ab
ilit
ies
an
d
m
o
ti
v
atio
n
.
I
f
o
n
e
less
t
h
en
t
h
e
p
er
f
o
r
m
a
n
c
e
w
ill
b
e
n
e
g
ati
v
e.
I
n
telli
g
en
ce
a
n
d
s
k
ill
s
n
ee
d
to
b
e
co
n
s
id
er
ed
in
ad
d
itio
n
to
th
e
m
o
ti
v
atio
n
to
e
x
p
lain
ac
cu
r
atel
y
t
h
e
p
er
f
o
r
m
a
n
c
e
o
f
e
m
p
lo
y
ee
s
[4
]
.
R
ian
i
s
u
g
g
est
s
th
e
p
r
esen
ce
o
f
th
e
o
r
g
an
izatio
n
's
cu
lt
u
r
e
w
il
l
allo
w
e
m
p
lo
y
ee
s
to
ad
ju
s
t
to
th
e
en
v
ir
o
n
m
e
n
t
o
f
t
h
e
o
r
g
an
izati
o
n
,
an
d
h
elp
e
m
p
lo
y
ee
s
to
d
eter
m
in
e
w
h
at
ac
tio
n
s
h
o
u
ld
b
e
d
o
n
e
in
ac
co
r
d
an
ce
w
it
h
th
e
v
alu
e
s
t
h
at
ex
i
s
t
w
it
h
in
t
h
e
o
r
g
a
n
iz
atio
n
a
n
d
u
p
h
o
ld
th
ese
v
al
u
e
s
as
a
g
u
id
e
e
m
p
lo
y
ee
s
to
b
eh
a
v
e
w
h
ic
h
ca
n
b
e
r
u
n
i
n
ca
r
r
y
in
g
o
u
t
it
s
d
u
tie
s
a
n
d
w
o
r
k
.
N
u
r
s
e
s
w
h
o
h
a
v
e
g
o
o
d
o
r
g
an
izatio
n
al
cu
lt
u
r
e
a
n
d
k
n
o
w
th
e
b
en
e
f
its
,
t
h
en
t
h
e
p
er
f
o
r
m
an
c
e
o
f
n
u
r
s
es
w
il
l
k
ee
p
r
u
n
n
i
n
g
co
n
ti
n
u
o
u
s
l
y
w
ell
[
13
]
.
T
h
at
w
ill
cr
ea
te
ef
f
ec
tiv
e
o
r
g
a
n
izatio
n
al
en
v
ir
o
n
m
e
n
t.
Or
g
an
izatio
n
al
cu
l
tu
r
e
b
ec
o
m
e
s
v
er
y
i
m
p
o
r
ta
n
t,
s
o
it
i
s
n
ec
ess
ar
y
to
i
m
p
r
o
v
e
th
e
o
r
g
a
n
izatio
n
al
cu
ltu
r
e
in
o
r
d
er
to
o
p
tim
ize
th
e
r
o
le
o
f
n
u
r
s
es.
W
i
t
h
g
o
o
d
o
r
g
an
izatio
n
a
l
cu
lt
u
r
e
n
u
r
s
e
w
il
l
d
e
m
o
n
s
tr
ate
its
a
b
ilit
y
to
th
e
tas
k
in
h
a
n
d
,
w
it
h
in
n
o
v
a
tio
n
,
s
u
cc
e
s
s
o
r
ien
tatio
n
an
d
g
o
o
d
p
er
f
o
r
m
a
n
ce
s
tab
ilit
y
a
s
s
o
ciat
ed
w
it
h
th
e
d
u
tie
s
o
f
a
n
u
r
s
e
p
o
n
ke
s
d
es
,
an
d
h
a
s
a
h
i
g
h
l
o
y
al
t
y
to
d
u
t
y
a
s
a
n
u
r
s
e
s
o
th
at
w
i
ll a
f
f
ec
t p
er
f
o
r
m
an
ce
.
4.
CO
NCLU
SI
O
N
A
p
p
r
o
ac
h
o
r
g
an
izatio
n
al
cu
lt
u
r
e
ca
n
b
e
a
r
ef
er
en
ce
DHO
in
i
m
p
r
o
v
i
n
g
h
ea
lt
h
w
o
r
k
er
p
e
r
f
o
r
m
an
c
e
in
t
h
e
w
o
r
k
i
n
g
ar
ea
o
f
h
e
alth
d
i
s
tr
icts
o
f
T
u
b
an
a
n
d
L
a
m
o
n
g
a
n
.
T
h
e
ap
p
r
o
ac
h
ca
n
b
e
ap
p
lied
i
n
o
r
g
an
izatio
n
al
c
u
lt
u
r
e
an
d
p
er
f
o
r
m
a
n
ce
o
f
n
u
r
s
i
n
g
d
u
t
ies
ac
ted
u
p
o
n
e
v
er
y
d
a
y
,
s
o
it
ca
n
b
e
an
e
x
a
m
p
le
f
o
r
o
th
er
h
ea
lt
h
w
o
r
k
er
s
.
Nee
d
to
d
o
f
u
r
t
h
er
r
esear
ch
o
n
o
th
er
v
ar
iab
les
t
h
at
a
f
f
ec
t
t
h
e
p
er
f
o
r
m
an
ce
o
f
o
u
t
s
id
e
v
ar
iab
les ex
a
m
i
n
ed
in
t
h
i
s
s
t
u
d
y
.
ACK
NO
WL
E
D
G
E
M
E
NT
S
T
h
e
au
th
o
r
s
w
o
u
ld
li
k
e
to
th
a
n
k
t
h
e
tea
m
o
f
r
esear
ch
er
s
i
n
T
u
b
an
a
n
d
L
a
m
o
n
g
a
n
,
I
n
d
o
n
esia.
T
h
is
r
esear
ch
is
n
o
t
p
o
s
s
ib
le
w
it
h
o
u
t
th
e
i
n
n
o
v
ati
v
e
w
o
r
k
an
d
d
ed
icatio
n
to
i
m
p
r
o
v
in
g
th
e
p
er
f
o
r
m
a
n
ce
o
f
n
u
r
s
e
s
p
o
n
ke
s
d
es.
RE
F
E
R
E
NC
E
S
[1
]
G
ib
so
n
a
n
d
Iv
a
n
c
e
v
ich
,
“
Org
a
n
iz
a
ti
o
n
,
Be
h
a
v
io
r
,
S
tr
u
c
tu
re
s,
”
T
ra
n
sla
ted
b
y
:
Zu
h
a
d
Ic
h
y
a
u
d
in
,
Ja
k
a
rta,
Erl
a
n
g
g
a
,
1
9
9
6
.
[2
]
F
.
C.
G
o
m
e
s,
“
Hu
m
a
n
Re
so
u
rc
e
s
M
a
n
a
g
e
m
e
n
t
,
”
Yo
g
y
a
k
a
rta
,
A
n
d
i
Off
s
e
t,
2
0
0
3
.
[3
]
Y.
T
.
Ke
b
a
n
,
“
S
ix
S
trate
g
ic
Dim
e
n
sio
n
o
f
P
u
b
li
c
A
d
m
in
istratio
n
,
C
o
n
c
e
p
t
,
T
h
e
o
ry
a
n
d
Iss
u
e
,
”
Ja
k
a
rta
,
G
a
v
a
M
e
d
ia
,
2
0
0
4
.
3
[4
]
S
.
P
.
Ro
b
b
in
s,
“
Org
a
n
iza
ti
o
n
a
l
Be
h
a
v
io
r:
Co
n
c
e
p
t,
c
o
n
tr
o
v
e
rs
y
,
A
p
p
li
c
a
ti
o
n
s
,
”
T
ra
n
sla
ted
b
y
:
Ha
d
y
a
n
a
P
u
jaa
tm
a
k
a
,
Ja
k
a
rta,
P
T
.
P
re
n
h
a
li
n
d
o
,
1
9
9
6
.
[5
]
A
.
H
a
m
id
,
“
T
h
e
In
f
lu
e
n
c
e
o
f
th
e
Org
a
n
iza
ti
o
n
Cu
lt
u
re
,
M
o
t
iv
a
ti
o
n
a
n
d
W
o
rk
A
c
h
ie
v
e
m
e
n
t
in
P
T
Nu
sa
n
tara
IV
S
u
m
a
tera
Uta
r
a
,
”
Dise
rta
si
,
S
u
ra
b
a
y
a
,
Un
a
ir,
2
0
0
2
.
[6
]
S
o
e
d
j
o
n
o
,
“
T
h
e
In
f
lu
e
n
c
e
o
f
th
e
Org
a
n
iza
ti
o
n
a
l
Cu
lt
u
re
t
o
t
h
e
P
e
r
f
o
r
m
a
n
c
e
Org
a
n
iza
ti
o
n
a
n
d
Jo
b
S
a
ti
sf
a
c
ti
o
n
o
f
Em
p
lo
y
e
e
s
in
th
e
P
u
b
li
c
P
a
ss
e
n
g
e
r
T
e
r
m
in
a
l
in
S
u
ra
b
a
y
a
,
”
J
u
rn
a
l
M
a
n
a
jem
e
n
d
a
n
Ke
wira
u
s
a
h
a
a
n
,
v
ol
/i
ss
u
e
:
7
(
1
)
,
2
0
0
5
.
[7
]
B.
S
u
m
a
rd
jo
k
o
,
“
T
h
e
Co
n
tri
b
u
ti
o
n
o
f
th
e
L
e
a
d
e
rsh
ip
a
n
d
Org
a
n
iza
ti
o
n
Cu
lt
u
re
th
r
o
u
g
h
th
e
Co
m
p
e
ten
c
ies
o
f
th
e
ro
le
o
f
th
e
L
e
c
tu
re
r
in
th
e
G
u
a
ra
n
tee
th
e
Qu
a
li
ty
o
f
P
T
S
Re
si
d
e
n
c
e
in
S
u
ra
k
a
rta
,
”
J
u
rn
a
l
Va
r
ia
Pen
d
id
ik
a
n
,
v
ol
/i
ss
u
e
:
22
(
1
),
2
0
1
0
.
I
S
S
N 0
8
5
2
-
0
9
7
6
.
[8
]
Ko
tt
e
r
a
n
d
He
sk
e
tt
,
“
Co
rp
o
ra
te
Cu
lt
u
re
a
n
d
P
e
rf
o
rm
a
n
c
e
,”
T
ra
n
sla
ted
b
y
:
B
e
n
y
a
m
in
M
o
lan
,
Ja
k
a
rta
,
P
T
P
re
h
a
li
n
d
o
,
1
9
9
8
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
880
6
I
J
P
HS
Vo
l.
5
,
No
.
3
,
Sep
tem
b
er
20
1
6
:
2
4
0
–
2
4
6
246
[9
]
M
o
e
ld
j
o
n
o
,
“
Org
a
n
iza
ti
o
n
a
l
Cu
lt
u
re
in
th
e
Ch
a
ll
e
n
g
e
,
Ja
k
a
rta
,
P
T
A
le
x
M
e
d
ia Ko
m
p
u
ti
n
d
o
,
2
0
0
5
.
[1
0
]
A
.
P
.
M
a
n
g
k
u
n
e
g
a
ra
,
“
Be
h
a
v
io
r
a
n
d
Org
a
n
iza
ti
o
n
a
l
Cu
l
tu
re
,
”
Ba
n
d
u
n
g
,
Re
f
ik
a
A
d
it
a
m
a
,
2
0
0
8
.
[1
1
]
W
ib
o
w
o
,
“O
rg
a
n
iza
ti
o
n
Cu
lt
u
re
a
Ne
e
d
s
to
I
m
p
ro
v
e
th
e
P
e
rf
o
rm
a
n
c
e
o
f
th
e
L
o
n
g
-
ter
m
,
”
J
a
k
a
rta
,
P
T
.
Ra
ja
G
ra
f
in
d
o
P
e
rsa
d
a
,
2
0
1
0
.
[1
2
]
P.
T
ik
a
,
“
Org
a
n
iza
ti
o
n
Cu
lt
u
re
a
n
d
Im
p
ro
v
e
m
e
n
t
o
f
th
e
Co
m
p
a
n
y
P
e
rf
o
r
m
a
n
c
e
,
”
J
a
k
a
rta
,
P
T
.
Bu
m
i
Ak
sa
ra
,
2
0
0
6
.
[1
3
]
A
.
L
.
Rian
i,
“
Org
a
n
iza
ti
o
n
a
l
Cu
lt
u
re
,
”
Yo
g
y
a
k
a
rta,
G
ra
h
a
m
Il
m
u
,
2
0
1
1
.
Evaluation Warning : The document was created with Spire.PDF for Python.