Center Employees Research Articles

Analysis of the provision of medical care using telemedicine technologies at the endocrinology research centre

In the first months after the pandemic of the COVID-19, the provision of medical care through telemedicine technologies took a leading position, in particular regarding endocrine nosologies. Meanwhile, at present, comprehensive information on telecommunications interaction between doctors of various medical organizations of the regions of the Russian Federation and employees of federal centers is insufficient, which determines the relevance of studying this topic. Analysis of the provision of medical care in remote interaction of medical workers using telemedicine technologies («doctor-doctor») between the Endocrinology Research Centre and the regions of the Russian Federation in 2019-2023. A single-center, observational, single-sample study was conducted, including completed planned and urgent telemedicine consultations in the format of «doctor-doctor « in the fields of «endocrinology» and «pedia-tric endocrinology», conducted through a telemedicine system for remote consultations at federal and regional levels between 2019 and 2023. Data on the referral rate of medical personnel from the regions of the Russian Federation to the Endocrinology Research Centre for telemedicine consultations were analyzed, including annual dynamics of treatment, frequency of referrals from each region, nosological structure of referrals, and number of patients admitted to the center based on the results of these consultations. Analysis of interdepartmental cooperation between the Endocrinology Research Centre and other federal centers was also performed. In the period from 2019-2023, 14,475 telemedicine consultations «doctor-doctor» were conducted. In 2019, medical workers from 78 regions of the Russian Federation applied to the Endocrinology Research Centre. By 2023, this figure has increased to 88 (including newly annexed territories). The Yamalo-Nenets Autonomous Okrug, Tambov Region and Astrakhan Region were the leading regions in terms of the circulation of medicines at the Endocrinology Research Centre. In the nosological structure, the largest number of consultations in adult patients were conducted for acromegaly and primary hyperparathyroidism, in children for stunting and type 1 diabetes mellitus. In the period from 2019-2023, the Endocrinology Research Centre sent a total of 300 «outgoing» requests to 17 medical organizations. Consulting with the use of telemedicine technologies has become a convenient and multifunctional way of providing medical care. Further analysis of the place of telemedicine in practical healthcare will expand its capabilities, including considering the introduction of financing by the territorial fund of compulsory medical insurance for this area of medical activity.

Investigating the relationship between the anxiety of contracting corona virus and the symptoms of obsessive-compulsive disorder with the mediating role of mental confusion and emotion regulation in health care center employees

Introduction: anxiety caused by the Corona virus transmission are highly prevalent among medical staff, so this study aims to determine the relationship between the anxiety of affected by infectious diseases and the symptoms of obsessive-compulsive disorder with the mediating role of mental confusion and emotion regulation. MethodS and Materials: This study was carried out based on correlational method in the form of modeling of structural equations, in which 350 male and female employees working in the health and treatment centers of Neyshabur city were selected through available sampling. Data collection tools included Madsley Practical Obsession Scale, Corona Alipour Anxiety Questionnaire, Criver, Solly and Esomil's Deliberate and Automatic Disorientation Questionnaire, and Gross and John's Emotion Regulation Questionnaire. After completing the questionnaires, data analysis using Modeling of structural equations was done with Lisrel and SPSS softwares. Results: between the anxiety and obsessive symptoms with r = 0.576, between mental confusion and obsessive symptoms with r = 0.553, between mental confusion and anxiety with r = 0.481, There is a significant direct relationship at the level p>0.01. But between emotional regulation and obsessive symptoms with r = -0.643, between emotional regulation and anxiety with r = -0.495, between emotional regulation and mental confusion with r = -0.611 there is an inverse significant relationship. Also, the results showed the role of two mediating variables of mental confusion and emotional regulation in the relationship between corona anxiety and obsessive symptoms. Conclusion: The model of the relationship between the anxiety caused by the transmission of the corona virus and the symptoms of obsessive-compulsive disorder according to the mediation of mental disorientation and emotion regulation has a good fit that with the increase in the number of emotions and defeat in regulating one's emotions, the symptoms of obsessive-compulsive disorder and confusion mental health also increases in the treatment staff. According to these findings, it is expected that health managers and medical centers will pay special attention to the psychological well-being of the personnel working in different parts of this profession.

Manifestations of emotional burnout in rehabilitation centers staff

Introduction. High emotional intensity of professional activities of rehabilitation centers staff, the need to constantly respond to unexpected non-standard pedagogical situations, the requirements for empathy and reflection in conditions of uncertainty, etc. determine the development of emotional burnout. Consequently, an employee suffering from emotional burnout cannot fulfill professional duties efficiently and solve tasks set by the organization. In this regard, it is necessary to understand the emotional sphere manifestations in employees of rehabilitation centers and organize appropriate preventive work. The purpose of this article is to summarize the data on studying the emotional peculiarities, to identify the manifestations of emotional burnout in rehabilitation centers employees. Materials and Methods. The methodological basis of the research includes studying the content of the phenomenon of emotional burnout with the focus on personal and professional self-fulfillment. In order to solve the research tasks the authors used analysis and generalization as theoretical methods and empirical methods, including testing, conversation, and methods of quantitative and qualitative data analysis. The sample consisted of 124 employees of rehabilitation centers in the Krasnodar Territory. Results. The article presents a theoretical overview and summarizes the results of studying the emotional sphere of rehabilitation centers employees. The study reveals the manifestations of emotional burnout, clarifies essential aspects of emotional disorders prevention. Conclusions. Emotional exhaustion, stress resistance disorders, tension, etc. are revealed as basic manifestations of emotional burnout in the research sample. The article concludes that prevention should be comprehensive and take into account the identified characteristics of emotional disorders.

The association between ADAMTS14/rs4747096 gene polymorphism and some risk factors and knee osteoarthritis

Knee osteoarthritis (KOA) is an important cause of disability in the world and it denotes a public health defiance of the upcoming years.Aim To examine the connection between ADAMTS14 gene rs4747096 polymorphism and KOA and to assess risk factors associated with KOA.Methods A case control study was conducted on 158 patients with KOA and 120 controls with comparable age and sex randomly recruited from National Research Centre employees. All participants were subjected to full history taking, assessment of KOA severity using WOMAC scoring system, and thorough clinical examination. Blood sample was collected for detection of ADAMTS14/rs4747096 gene polymorphism.Results The frequency of ADAMTS14 gene rs4747096 genotypes among patients with KOA was 73.5% for AA, 25.7% for AG, and 0.7% for GG compared to controls 963%, 31.3%, and 5.6% respectively and the frequency of alleles among patients was 86.4% for A and 78.7% for G compared to controls (78.7% and 21.3% respectively, P < 0.05. The study found that the median levels of total WOMAC score and its domains were significantly higher among KOA patients than controls. The logistic regression analysis revealed that age ≥ 50 years, BMI ≥ 35, and long standing at work were predictive factors for KOA (P < 0.05). Regarding different genetic patterns, only the A recessive pattern of inheritance was found to be a predictive risk factor for KOA.Conclusion For ADAMTS14 rs4747096 genotype, the AA and AG genotypes significantly increased the risk of KOA. The recessive pattern of inheritance, older age, morbid obesity, and prolonged standing at work were the predictive risk factors for KOA. Further studies with larger sample size are encouraged to investigate the mechanism by which this genotype can affect the development of KOA.

The Influence Of Career Development, Work Environment And Workload On Job Satisfaction And Its Impact On Employee Performance

Objectives – Company performance is highly dependent on public administration personnel, including individual resources to work in all organizations. Management performance can be improved by ensuring that each level of the organization has adequate business requirements and clear plans to support management objectives. This research uses a quantitative approach with a type of causal research. This research focuses on PT. SSP contact center employees. as a population of 100 individuals. The saturated sampling method was used to select the research sample, which means the entire population was included. The questionnaire uses a Likert scale which is one of the questionnaire measuring tools. SmartPLS version 3. is software used to analyze data related to various variables. Innovation/Value - Learning organizations and employee empowerment drive continuous improvement, innovation and adaptability, enabling employees to make informed decisions and contribute to organizational goals. This helps organizations align and maintain competitive advantage by improving careers, environments and jobs.

Keeping Community During a Pandemic

The purpose of this qualitative exploratory study was to better understand how LGBTQ+ senior centers created virtual communities and implemented organizational adaptation in the earliest stages of the pandemic. Three focus groups (n=22) were conducted with program facilitators and senior center employees to better understand how these key stakeholders contributed to the transition from in person senior center to virtual senior center programming in March of 2020. The experiences of LGBTQ+ program facilitators and senior center staff varied based on the nature of their assigned roles. Latent pattern content analysis of the focus groups unveiled both shared and divergent categories and themes from the two cohorts. Themes identified for program facilitators included: adaptation, interconnectedness, some not served, and virtual preference. Themes identified for senior center staff included: communication, the blurring of the personal/professional, urgent needs, and future planning.

A Conceptual Model of the Relationship between Quality of Work Life and Employee Engagement among Telecommunication Call Center Employees in Malaysia

Employee engagement has been one of the deepest issues for organizations. Organizations are currently struggling to survive due to the tough current economic environment, whereas the only tool for the organization to achieve a competitive advantage is by engaging employees to foster a competitive edge in the marketplace. Previous studies discovered that employee engagement in Malaysia is still steadily improving but falling behind its neighboring countries, including Indonesia and the Philippines, with the result rising only by four points to 63%. In addition, it was revealed that our country still ranks among the lowest in the region. This study focuses on employee engagement among call centers at selected telcos in Malaysia. There are many theoretical approaches to examining the quality of work life and employee engagement. Hence, this study adopted the Spillover Theory and Self-Determination Theory to explain the relationship between independent variables and employee engagement.

English

This study aims to analyze the effect of job satisfaction on turnover intention with organizational commitment as mediation (study of Beachwalk Shopping Center employees). This research used a sample of 78 employees. The method used in this research is a survey method using questionnaire techniques and interviews with PLS-based Structural Equation Modeling (SEM) inferential statistical analysis tools. The research results show that job satisfaction has a negative and significant effect on turnover intention. Job satisfaction has a positive and significant effect on organizational commitment, organizational commitment has a negative and significant effect on turnover intention, and organizational commitment mediates the effect of job satisfaction on turnover intention. The implication of this research is to prove the traditional turnover theory and its relationship to the research variables. This research also offers the benefits of organizational commitment, managing job satisfaction on turnover intention.

The Effect of Servant Leadership and Motivation on Employee Performance: The Mediating of Work Engagement

This research aims to determine the influence of Servant Leadership and Work Motivation on Employee Performance with Work Engagement as an Intervening Variable. The subjects of this research were 52 employees of the Trans Central Java Bus under the auspices of PT Mulia Orda Serasi. The author uses quantitative methods in this research where data is obtained through questionnaires. The data analysis that has been carried out shows that: (1) Servant leadership has a positive and insignificant influence on the performance of Trans Central Java bus employees. (2) Work motivation has a positive and significant influence on the performance of Trans Central Java bus employees. (3) Servant leadership has a positive and significant influence on the work engagement of Trans Central Java bus employees. (4) Work motivation has a positive and significant influence on the work engagement of Trans Central Java bus employees. (5) Work engagement has a positive and significant influence on the performance of Trans Central Java bus employees. (6) Work engagement can mediate the influence of servant leadership on the performance of Trans Central Java bus employees. (7) Work engagement 0can mediate the influence of work motivation on the performance of Trans Central Java bus employees.

Factors influencing physical activity and sedentary behaviour in contact centres during the COVID-19 pandemic and their relevance for the future of hybrid working.

The COVID-19 pandemic changed the way many industries work, including contact centres, with some employees working from home and new on-site restrictions/measures in place representing even greater challenges for employers around staff engagement and wellbeing. This study aimed to understand the interplay of individual, social, environmental and organisational factors influencing physical activity and sedentary behaviour in UK contact centre employees, how the pandemic impacted these factors, and their relevance for the future of hybrid working. Individual interviews (n = 33) were conducted with participants (staff working full and part time, on site and from home) from four UK contact centres. A topic guide based on the ecological model was developed to understand current barriers and facilitators to physical activity and (reducing) sedentary behaviour during and outside of working hours. Thematic analysis was carried out using a codebook and a deductive coding approach to identify themes. Three key insights are provided. First, participants felt they were generally sitting more and moving less since the first UK-wide lockdown. Second, factors which negatively impacted on these behaviours were evident across all levels of the ecological model. These included individual and social barriers (e.g., lack of motivation and preferable physical activity options) as well as environmental and organisational barriers (e.g., poor home office setup, back-to-back virtual meetings). There were a mix of new and existing barriers (exacerbated by the pandemic) and several of these were linked to homeworking. Third, organisational support requirements (e.g., homeworking ergonomic support) and existing facilitators (such as the provision of informational support and flexible working arrangements) were identified. Solutions to reduce sedentary behaviours and increase physical activity in contact centres need to address barriers from the individual to the organisational level. Whilst the study was undertaken in the UK, the results are like to be applicable globally. Clinical trial registration: The trial for the wider project has been registered on the ISRCTN database: http://www.isrctn.com/ISRCTN11580369.

Quality of home-work environment and crises: a case study of call center employees

The home-work environment theme has received high attention post-COVID-19 pandemic. This suggested the need to assess the quality of the indoor home-work environment in terms of telecommuters' performance and satisfaction. The study investigated the performance of telecommuters in a call centre of a telecommunications company in Jordan based on the performance assessment data collected before, during, and after the COVID-19 period. A survey was conducted to examine telecommuters' satisfaction with the quality of the indoor home-work environment in the spatial, behavioural and environmental dimensions. A comparative analysis of key performance indicators was conducted. The results affirmed a relationship between indoor home-work environment quality, employee performance and satisfaction. The analysis demonstrated that behavioural and environmental changes could improve the three factors. Thus, recommendations were made to improve telecommuting settings to facilitate health, well-being, and sociocultural sustainability for new and existing housing by designing more resilient housing suites in several industries.

Social Networks as a Tool for Promoting Intangible Cultural Heritage of Ukrainian Regions (based on the materials of the information and communication content of Vinnytsia Regional Centre of Folk Art)

The purpose of the article is to comprehensively investigate the materials of the informational and communicative content of the Internet site and Facebook page of the Vinnytsia Regional Centre of Folk Art and to reveal the essential aspects of the use of social networks in the conditions of a full-scale invasion as an effective tool for the presentation and popularisation of the intangible cultural heritage of Vinnytsia as a region of Central Ukraine. The research methodology consists of general scientific and specific cultural approaches, principles and methods of scientific knowledge. The systemic-structural approach was applied to the study of the organisational and methodological activities of the Vinnytsia Regional Centre of Folk Art, aimed at popularising the intangible cultural heritage of the region. The internal connections and interaction of various components of the cultural and educational activity of the Centre for Cultural and Educational Activities, aimed at the presentation and popularisation of intangible cultural heritage in the conditions of a full-scale invasion, are revealed by the results of monitoring the materials of the Internet pages of the Centre (the Internet site and Facebook pages). Formal and comparative methods were used to analyse the institutional features of work in the Vinnytsia region as a region of Central Ukraine. The method of content analysis was used to generalise the publications of the Internet site and the information of the Facebook page of the Vinnytsia Regional Centre of Folk Art, dedicated to the intangible cultural heritage of Vinnytsia, contributed to the objective determination of the main thematic trends related to the investigated problem. The scientific novelty consists in substantiating, revealing and proving the effectiveness of the use of social networks as a really effective tool for expanding the role of regional centres of folk creativity in the presentation and popularisation of the intangible cultural heritage of Vinnytsia in the information field, in particular in the conditions of a full-scale invasion. On the basis of a practical study of the materials of the informational and communicative content of the Internet site and Facebook page of the Vinnytsia Regional Centre of Folk Art, the traditional culture of Vinnytsia, which contains a preserved living folk artistic culture with a classical / traditional folklore paradigm. The interaction of the Vinnytsia regional centre of folk creativity with institutions, cultural institutions and the external environment in the matter of preservation and popularisation of the intangible cultural heritage of Vinnytsia region was revealed. Conclusions. Summarising the positive experience on the materials of the information and communication content of the Vinnytsia Regional Centre of Folk Art (website and Facebook page) demonstrated concrete achievements in the presentation, popularisation and preservation of the intangible cultural heritage of Vinnytsia in the conditions of a full-scale invasion. It is argued that the digital representation of the content of the intangible cultural heritage of the regions of Ukraine, in particular Central Ukraine, in social networks is a really effective tool for popularising the intangible cultural heritage in the information field. It is concluded that the traditional culture of Vinnytsia contains a preserved living folk artistic culture with a classical / traditional folklore paradigm. It was noted that the employees of centres of folk creativity need to have the skills to work in the spheres of SEO and SMM, which requires constant improvement of professional qualifications and stimulation of scientific and creative approaches in this direction and is a continuously relevant requirement of the time.

Predictors of seropositivity to SARS-CoV-2 among employees at a large urban medical center

BackgroundBefore SARS-CoV-2 vaccination availability, medical center employees were at high risk of COVID-19. However, risk factors for SARS-CoV-2 infection in medical center employees, both healthcare and non-healthcare workers, are poorly understood.MethodsFrom September-December 2020, free IgG antibody testing was offered to all employees at a large urban medical center. Participants were asked to complete a questionnaire on work and non-work related risk factors for COVID-19 infection.ResultsSARS-CoV-2 seropositivity was found in 4.7%. Seropositivity was associated with close contact with COVID-19 cases with or without the use of adequate personal protective equipment (PPE), (OR 3.1 [95% CI 1.4–6.9] and OR 4.7 [95% CI 2.0–11.0] respectively), never wearing a mask outside of work (OR 10.1 [95% CI 1.9–57]), and Native Hawaiian/Pacific Islander race (OR 6.3 95% CI (1.6–25)].ConclusionsAmong workers in a large urban medical center, SARS-CoV-2 seropositivity was associated with work-related COVID-19 close contacts and low mask use outside of work, suggesting that non-workplace close contacts are also relevant routes of COVID-19 spread among healthcare workers.

Development of occupational well-being measurement model in the employee of Abadan University of Medical Sciences

BACKGROUND: Given the importance of healthcare centers and the employees of medical centers and affiliated institutions in providing comprehensive health services to the community, especially patients, as well as training the students in health-related fields, it is crucial to address the occupational well-being of university employees who are prone to physical and mental disorders. Therefore, this study aims to develop a model for the occupational well-being of employees at the Abadan University of Medical Sciences. MATERIALS AND METHODS: Two hundred Abadan University of Medical Sciences employees were selected using stratified sampling. All the selected participants responded to the Demo and Paschoal Well-being at Work Scale (2016). The model parameters were estimated using partial least squares regression based on the collected data. Afterward, the measurement model of occupational well-being was tested using fit indices. Moreover, data analysis was performed using Smart-PLS software. RESULT: The primary results showed that based on the positive correlation indices and t-test results for the factors of occupational well-being, the Demo and Paschoal measurement model had an acceptable fit; moreover, significant internal correlations were observed among the questionnaire items. The composite reliability and Cronbach’s alpha coefficients of the factors indicated a high reliability of the occupational well-being measurement model. CONCLUSION: The measurement model of occupational well-being was examined, and it is recommended that future researchers employ the current questionnaire to assess occupational well-being.

Effects of Policy Environment on Solid Waste Management in Urban Centres in Eastern Uganda

Purpose: This paper explores the policy environments in urban centres in Eastern Uganda and the extent to which they have affected Solid waste management. Methodology: A correlational survey design was used to analyze primary data from 273 employees of urban centres, using, descriptive statistics, Pearson correlation and regression analysis. Findings: Policy environment positively predicted effective Solid waste management (β =.21, p&lt;.05). Though legal, political, cultural and media limitations decreased effectiveness of Solid Waste Management. Unique Contribution to Theory, Policy, and Practice: Urban authorities should implement more responsive governance that promotes effectiveness, responsiveness and participation of residents and in all SWM operations. Urban councils need to innovate strategies to allow a high degree of organized representation, accessibility and openness for all categories of stakeholders. They also need to develop a variety of initiatives to allow all stakeholders in the communities to actively contribute to SWM ideas for the common good of their areas.

EDUCATION AND JOB SATISFACTION IN U.S. CONTACT CENTERS

Objective: The objective of this study is to investigate the relationship between the level of education completed after high school graduation and the level of job satisfaction among U.S. contact center employees. Theoretical Framework: In this topic, the main concepts and theories that underpin the research are presented. Herzberg’s Two Factor Theory stands out, providing a solid basis for understanding the context of the investigation. Method: The methodology adopted for this research comprises a quantitative correlational approach. Participants include U.S. contact center employees. Data collection was carried out through questionnaires distributed to contact center employees. Results and Discussion: The results obtained revealed that the level of education completed after high school graduation does not significantly impact the level of job satisfaction for U.S. contact center employees. In the discussion section, these results are contextualized in light of Herzberg’s Two Factor Theory, highlighting that education completion cannot be utilized as a motivator factor in this context. Possible discrepancies and limitations of the study are also considered in this section. Research Implications: The practical and theoretical implications of this research are discussed, providing insights into how the results can be applied or influence practices in the field of business and education. These implications could encompass human resources, management, and post-high-school education. Originality/Value: This study contributes to the literature by offering a practical contribution to contact center professionals and educational institutions. The relevance and value of this research are evidenced by its potential to impact contact center hiring processes and assessing the value of post-high-school education for contact center employees.

The Influence of Workload and Job Satisfaction on Turnover Intention of Lintasarta Central Sumatra Area Employees

This study aims to determine the influence of workload and job satisfaction on employee turnover intention at Lintasarta Central Sumatra Area. The phenomenon in this study is the high turnover rate for Lintasarta Central Sumatera Area employees. This research was carried out by distributing questionnaires, the sample in this study was the entire population using simple random sampling method, where the questionnaires were distributed to 100 employees at Lintasarta Central Sumatera Area. After the questionnaires were returned, the data was then tested for validity and reliability, then followed by descriptive analysis, hypothesis testing and coefficient of determination. Simultaneously testing the hypothesis using the F test and Q-Square to find out how much influence workload and job satisfaction have on turnover intention and partially testing the hypothesis using path coefficients, t-statistics and level of significance (p-value) to find out how much workload has an effect on turnover intention and how much job satisfaction has an effect on turnover intention.

Pengaruh Kompensasi dan Beban Kerja Terhadap Turnover Intention Karyawan pada Antic Sport Center Karawang

The objective of this study is to investigate the influence of compensation and workload on employee turnover intention at the antique sports center. This type of study applies quantitative with a population consisting of all employees of the Antic Sport Center, namely forty-five and a sample consisting of all employees of the Antic Sport Center, namely forty-five. The technique of sampling in this research uses a saturated sample, namely, all members of the population are sampled. Saturated sampling is often carried out when the population is relatively small, namely less than thirty people. The data collection technique used was questionnaires and observations of Antic Sport Center employees. In this study, the data analysis method used is multiple regression analysis, the data analysis of which is performed using the SPSS application program. Referring to the study results, the variable of compensation indivdiually has a negative and insignificant affect on turnover intention at the antique sports center, meaning that when compensation is low, employee turnover intention will increase. The partial workload variable on turnover intention at the Antic Sport Center has a significant positive influence. This means that when the workload is high, the level of employee turnover intention increases, and simultaneously the compensation and workload variables on turnover intention at the Antic Sport Center have a significantly positive influence, meaning this reveals that the compensation and workload variables simultaneously will increase employee turnover intention.

Evaluating the feasibility and effectiveness of an LGBTQ+ cultural humility training for community mental health providers

BackgroundLGBTQIA+ patients face significant physical and mental health disparities, and providers often lack the training and knowledge to meet their needs. PurposeThe purpose of this quality improvement project was to evaluate the feasibility and effectiveness of an LGBTQIA+ cultural humility training program. MethodsUsing a pre-posttest design, 20 community mental health center employees completed surveys on knowledge, attitudes, and skills related to working with LGBTQIA+ patients before and after completion of an interactive online training module. ResultsResults showed statistically significant improvement in clinical preparedness. DiscussionFurther research is needed to determine the impact of improved provider knowledge and skills on patient outcomes.

Dampak Good Corporate Governance, Profitabilitas dan Kualitas Audit terhadap Manajemen Laba pada Perusahaan yang terdaftar di Bursa Efek Indonesia

This study aims to test and analyze the effect of GCG, profitability and audit quality on earnings management in basic and chemical industry companies listed on the IDX in 2019-2022. This study uses a quantitative approach, namely hypothesis testing. The data analysis method used is multiple regression analysis. The population used is all basic and chemical industry companies listed on the IDX in 2019-2022, and sampling using the purposive sampling method of 21 companies. The results of the study indicate that motivation does not have a significant effect on the performance of Jambesari Health Center employees. Partially throughout the 2019-2022 period, the GCG ratio in basic and chemical industry companies listed on the IDX in 2019-2022 does not have a significant effect on earnings management, as well as the profitability ratio and earnings quality in basic and chemical industry companies listed on the IDX in 2019-2022 do not have a significant effect on earnings management. Keywords: Good Corporate Governance, Audit Quality, Earnings Management, Profitability