Search

Background: Intimate partner violence (IPV) is the most common form of violence against women. Postpartum IPV refers to any type of IPV that occurs up to one year after childbirth and has many adverse impacts on mothers and their children. Considering the lack of sufficient information on the prevalence and factors related to IPV after childbirth in Iran, this study aimed to evaluate the frequency and severity of IPV, its different forms, and psychosocial factors related to IPV, as well as to explore how IPV is perceived among mothers one year after childbirth. Methods: An explanatory sequential mixed-methods design was used to conduct this study in two phases. The first phase is a cross-sectional study that will be performed on postpartum mothers who have a one-year-old child referred to health care centers in the southern region of Tehran, Iran, with the aim of determining the prevalence of IPV and its related factors. The second phase is a qualitative conventional content analysis study with the purpose of exploring women's experiences and perceptions of IPV and its preventive or protective factors. Purposive sampling will be used. Based on the results of the quantitative phase, mothers who are at the two ends of the IPV spectrum (based on their total Conflict Tactics Scale (CTS-2) scores) will be selected, and in-depth and semistructured interviews will be conducted with them. Finally, the researchers will provide an interpretation of the quantitative results using qualitative data. Discussion: This is the first study that uses a mixed methods approach to explain different dimensions of IPV, its related factors, and mothers' perceptions of it. By providing a better understanding of this phenomenon, it is hoped that the results of this research will be used by policymakers and officials of educational and cultural systems to plan and provide effective interventions, enact laws, and present educational and cultural programs to prevent IPV after childbirth. Ethical code: IR.TUMS.FNM.REC1400.200. Plain English summary: Intimate partner violence is the most common form of violence against women, with a higher prevalence in Asian and Eastern Mediterranean countries, including Iran. The period after childbirth is a stressful and anxiety-provoking event due to the increased physical, psychological, social, and economic needs of parents, leading to intimate partner violence. Studies show that women who experience violence after childbirth face many physical, sexual, and emotional problems. Additionally, it will have a negative impact on their baby. Many factors can lead to intimate partner violence, among which psychological factors are among the most important. Therefore, we decided to perform a study in two phases with the aim of determining the prevalence and factors related to intimate partner violence. In the first phase, we will study Iranian women who have a one-year child living in southern Tehran city and ask them to complete questionnaires related to intimate partner violence. In the second phase, we will conduct an interview with women who have experienced violence after childbirth to obtain more information about the factors involved. [ABSTRACT FROM AUTHOR]

This study investigates how tourists' Green Environmental Knowledge, Green Hotel Knowledge, and environment concern impact pro-environmental (PE) attitudes. Using mixed methods, it examines how PE attitudes influence the intention to stay at eco-friendly hotels, based on the theory of planned behavior. The study further explores the moderating role of the "Greta Effect" in connecting PE attitudes and hotel choice. This study utilizes a mixed-methods approach to enhance the comprehension of quantitative findings, on exploring the moderating impact of the "Greta Effect". The findings highlight the important role of environmental activism in inspiring action for green hotel choice. [ABSTRACT FROM AUTHOR]

This mixed methods research study aimed to determine spiritual care competencies and death anxiety levels of nursing students practicing in intensive care. The quantitative part of this study included 33 students while the qualitative part included 17 students. Nursing students' spiritual care competence was detected to be above medium and their death anxiety was high. Two themes emerged from the qualitative data collected through in-depth interviews with 17 nursing students: (a) Views on spiritual care competencies and (b) Views on death. These findings are significant to reduce nursing students' death anxiety, increase spiritual care competencies and the quality of patients' end-of-life care. [ABSTRACT FROM AUTHOR]

Young men from disadvantaged contexts are the least likely to attend university in Australia; furthermore, when they do attend, they are likely to struggle. This article draws on empirical data documenting the aspirations and resilience of first-in-family young men in Australian higher education, with the aim of nuancing their classed experience of university. Drawing on an exploratory longitudinal study (n = 42) and adopting a mixed method approach, we use the 25-item Connor-Davidson Resilience Scale (CD-RISC) and semi-structured interviews over a three-year period to explore changes in resilience of first-in-family men from the age of 17 to 20. The mixed-method approach employed in this study allows us to draw connections between the participants' subjective experience of resilience and the more objective measures of resilience as captured by the Connor-Davidson Resilience Scale, a psychometrically sound and validated instrument. Quantitative analyses of data enable us to document the trends in resilience over time for different groups of first-in-family men, while qualitative data provide insights structured around three key themes: independence and isolation; managing and adjusting; and using support structures. The article draws on analysis across these data to consider the participants' perceptions of their resilience, and how these perceptions change in reference to their experience, in order to paint a more nuanced picture of first-in-family men's classed experience of higher education. [ABSTRACT FROM AUTHOR]

Context: Despite the Weekly Iron folic acid supplementation (WIFS) program, the prevalence of anaemia among adolescent girls remains high. Phase 1 Indian Council of Medical Research (ICMR) task force study conducted in 2016 in Kallur showed that the IFA provision rate for adolescent girls was 72% but the consumption rate was only 15% in the Kallur area. The present study was done to identify the gaps for the difference between provision and consumption rate of weekly IFA tablets among adolescent girls using the WHO conceptual framework in home‑based settings. Materials and Methods: This crosssectional study with a mixedmethod design was conducted from October 2020 to December 2021. Quantitative data were collected from 972 adolescent girls and their parents using a structured pretested questionnaire, whereas qualitative exploration was done by focus group discussions. Descriptive analysis and bivariate analysis were used to analyse the quantitative data. Qualitative data were analysed and integrated with quantitative results. Results: The overall number of girls who were aware of Iron Folic acid therapy (IFAT) was 704 (72%). However, only 132 (13%) adolescent girls were found to be adherent to IFA therapy. Multivariable regression analysis revealed that side effects encountered on intake of IFAT (Odds ratio (OR) =0.5, P = 0.009) were associated with higher rates of nonadherence, whereas regular supply (OR = 13.6, P = 0.000), health education to parents (OR = 2.76, P = 0.002), and experiencing benefits (OR = 1.72, P = 0.006) were associated with higher rates of adherence. These were substantiated by qualitative findings. Conclusions: Ignorance on the impact of anaemia on adolescent health, fear of side effects, unpleasant effects experienced on intake of Iron folic acid (IFA), and inadequate counselling determines the adherence to weekly IFA supplements among adolescent girls. [ABSTRACT FROM AUTHOR]

Copyright of Tourism Tribune / Lvyou Xuekan is the property of Tourism Institute of Beijing Union University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cumhuriyet International Journal of Education is the property of Cumhuriyet University, Faculty of Education and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

We study the impact of providing consulting services and major capital infusions to small‐ and medium‐sized enterprises (SMEs) in the food sector in Kenya. We exploit a quasi‐experimental design that matches treated firms with comparable firms that applied for the same support but were just short of scoring sufficient points to receive this support. Using mixed methods, this quantitative analysis is supplemented by in‐depth qualitative interviews, which provide further insights into the workings of the program. The program helped SMEs launch new products and increased numbers of employees. Interviewees described higher sales resulting from the major capital infusions they received. [ABSTRACT FROM AUTHOR]

Abstract Aim This pilot examined the effect of online peer support on mental health problems among individuals with post‐acute sequelae of COVID‐2019 (PASC). Methods A single‐arm pre‐post design of online peer‐support design consisting of eight sessions of 1 h per week with three to six participants and two facilitators per group was performed. Participants were recruited from online communities, social media, and medical clinics for the PASC between May and August 2023. The degrees of depression, anxiety, loneliness, social withdrawal, and self‐esteem were measured pre‐ and post‐intervention. Participants' statements during the sessions were analyzed using thematic analyses. Results Of the 18 participants, three dropped out of the interventions, and 17 (including two participants who dropped out) completed the pre‐ and post‐intervention questionnaires. Depression severity significantly decreased in the paired t‐test and linear mixed model. The following interactions were extracted: conveying the same feelings, dealing with difficulties, showing empathy, enhancing the atmosphere, and adapting to suit health conditions. Impressions extracted from participating in the interventions included feelings of emotional support, a sense of bonding, changes in perspective, changes in behaviors or new actions through participation, inadequacy during sessions, and adverse effects associated with participation. Conclusion Online peer support may be helpful in treating depression in individuals with PASC.

This study scrutinizes India’s growing appeal as a tourist destination, accentuated by government initiatives and innovative tourism policies like the e-visa program, Incredible India Campaign 2.0 and digital advancements in the travel sector. With the diminishing impact of COVID-19, there is a noticeable surge in various forms of tourism – inbound, outbound and domestic. The primary focus is to understand the driving factors behind the choice of India as a destination for inbound tourists. This research delves into these motivations, providing a global perspective on India’s attractiveness. A mixed-method approach was employed, utilizing convenience sampling for data collection. The quantitative analysis was based on a survey, informed by a literature review, comprising 390 respondents from 10 diverse Indian destinations. Additionally, 25 qualitative interviews were conducted, aiming to enrich and triangulate the quantitative findings. Exploratory factor analysis (EFA) revealed five predominant motivations among inbound tourists: culinary interests, spiritual pursuits, budget-consciousness, cultural curiosity and natural allure. These findings were substantiated through thematic analysis. The outcomes have significant practical ramifications for destination managers and tourism policy developers in India. By understanding these key motivators, they can devise targeted strategies for enhancing the appeal of India to these specific tourist segments. This study not only aids in refining tourism promotion efforts but also contributes to the academic discourse on tourist motivation offering a fresh international perspective on India’s image as a tourist destination.

Background and purpose: Health tourism is one of the dimensions of sustainable development to help Mazandarn’s economic dynamic. A strong agreement is doubted in identifying factors influencing the attraction of health tourists. This study was implemented to design a questionnaire to measure the factors influencing the attraction of healthy tourists and investigate its psychometric properties. Materials and methods: This study was done with a combinatorial approach in three steps, including relevant literature and the opinions of experts as long as health tourists' opinions of Mazandaran province were applied to the development of the item pool. Then, content validity, face validity, construct validity, and reliability of the questionnaire were assessed for the psychometric properties of the questionnaire. The final questionnaire was approved after performing 17 interviews and applying professional expertise in the qualitative part. In the first stage of the quantitative part content validity was studied by 10 people from an expert panel, and its face validity, the questionnaire was completed by 10 participants. Finally, the construct validity of the designed instrument was calculated using exploratory factor analysis using SPSS 24 software and confirmatory factor analysis using AMOS 24 software by asking 300 people familiar with health tourism in Mazandaran province. The internal and external validity were determined using Cronbach's alpha and test-retest in 25 people. Results: The results of the literature review and interviews with experts in the first and second stages of the study led to the design of 76 items. In the next step, the changes in the qualitative stage 15 questions did not receive favorite points in Content validity ratio (CVR) and content validity index (CVI) calculation in the quantitative part of content validity. Then face validity was applied and the item effect index for 8 items was lower than 1.5 in the quantitative stage of face validity. Then the questionnaire with 53 items was entered into construct validity. In the exploratory factor analysis, the value of KMO was equal to 0.778. Furthermore, the value of Bartlett's test of significance was less than 5%. Based on the rotated matrix of components, eight factors with positive values were obtained. The results of exploratory factor analysis showed that 7 items had a factor loading of less than 0.4, which were removed from the questionnaire, and finally, 46 items remained. In the confirmatory factor analysis stage, the factor load of all dimensions was in good condition and the P-value was in the acceptable range. Cronbach alpha rate was calculated as 0.831. The external reliability was lower than 0.05 (ICC= 0.90, P

The synergy of neuroleadership and Islamic values is crucial in addressing leadership challenges posed by Generation Z, particularly in combating toxic leadership, negative culture, and turnover. Generation Z's unique behaviors require leaders who combine neuroleadership and Islamic values to inspire and create positive environments. However, a lack of studies in Indonesia, the largest Muslim-majority country, highlights a significant research gap. Using a mixed-method approach, this study investigates how Islamic values and neuroleadership influence leadership skill development. We conducted focus group discussions with 60 participants and surveyed 317 active members of the biggest Islamic organization in Indonesia, aged 17–23, to test the hypotheses. The results show that both neuroleadership and Islamic values affect leadership skills. Among the eight neuroleadership indicators, transfer and caring are the most influential in shaping leadership skills. Additionally, in accordance with Islamic values, fairness and tolerance are key factors for effective leadership. Generation Z seeks to be heard and understood. While they may lack problem-solving skills, they excel in fairness, tolerance, and relationships.

Abstract Background Patient Reported Outcomes Measures (PROMs) are being used increasingly to measure health problems in stroke clinical practice. However, the implementation of these PROMs in routine stroke care is still in its infancy. To understand the value of PROMs used in ischemic stroke care, we explored the patients’ experience with PROMs and with the consultation at routine post-discharge follow-up after stroke. Methods In this prospective mixed methods study, patients with ischemic stroke completed an evaluation questionnaire about the use of PROMs and about their consultation in two Dutch hospitals. Additionally, telephone interviews were held to gain in-depth information about their experience with PROMs. Results In total, 63 patients completed the evaluation questionnaire of which 10 patients were also interviewed. Most patients (82.2–96.6%) found completing the PROMs to be feasible and relevant. Half the patients (49.2–51.6%) considered the PROMs useful for the consultation and most patients (87.3–96.8%) reported the consultation as a positive experience. Completing the PROMs provided 51.6% of the patients with insight into their stroke-related problems. Almost 75% of the patients found the PROMs useful in giving the healthcare provider greater insight, and 60% reported discussing the PROM results during the consultation. Interviewed patients reported the added value of PROMs, particularly when arranging further care, in gaining a broader insight into the problems, and in ensuring all important topics were discussed during the consultation. Conclusions Completing PROMs appears to be feasible for patients with stroke attending post-discharge consultation; the vast majority of patients experienced added value for themselves or the healthcare provider. We recommend that healthcare providers discuss the PROM results with their patients to improve the value of PROMs for the patient. This could also improve the willingness to complete PROMs in the future.

Abstract Background Patients with a stroke often cannot care for themselves after hospital discharge. Assessment of their self-care ability is the first step in planning post-discharge home care. This study aimed to design and validate a measure of perceived self-care ability (PSCA) in stroke patients. Methods A sequential-exploratory mixed method was conducted in Tehran, Iran, in 2020–2021. The qualitative phase involved in-depth semi-structured interviews with 12 participants. Transcripts were content analyzed. The results guided the development of 81 items. psychometric properties such as face validity (Impact Score > 1.5), content validity ratio (CVR > 0.63), content validity index (Item Content Validity Index: ICVI > 0.78, Scale Content Validity Index/Average: SCVI/Ave > 0.8) and Kappa value (Kappa > 0.7), internal consistency (Cronbach’s alpha > 0.7), relative reliability (ICC: inter class correlation coefficient), absolute reliability (Standard Error of Measurement: SEM and Minimal Detectable Changes: MDC), convergent validity (Correlation Coefficient between 0.4–0.7), interpretability, responsiveness, feasibility, and ceiling and floor effects were assessed. Results Content analysis of the qualitative interviews yielded 5 major categories and 9 subcategories that reflected "Perceptual stability", "Cognitive fluctuations", "Sensory, Motor and Physical health",” The subjective nature" and "The dynamic nature” of PSCA. Results of face and content validity reduced the number of items to 32, capturing three dimensions of PSCA in chronic stroke patients; these dimensions included perceptual ability, threatened health status, and sensory, motor, and cognitive ability. The findings supported the reliability and validity of the measure. Conclusions The PSCA questionnaire was developed and validated within the Iranian culture. It is useful in assessing the self-care of patients with stroke and in informing practice.

Abstract Background Equitable access to quality care after injury is an essential step for improved health outcomes in low- and middle-income countries (LMICs). We introduce the Equi-Injury project, in which we will use integrated frameworks to understand how to improve equitable access to quality care after injury in four LMICs: Ghana, Pakistan, Rwanda and South Africa. Methods This project has 5 work packages (WPs) as well as essential cross-cutting pillars of community engagement, capacity building and cross-country learning. In WP1, we will identify needs, barriers, and facilitators to impactful stakeholder engagement in developing and prioritising policy solutions. In WP2, we will collect data on patient care and outcomes after injuries. In WP3, we will develop an injury pathway model to understand which elements in the pathway of injury response, care and treatment have the biggest impact on health and economic outcomes. In WP4, we will work with stakeholders to gain consensus on solutions to address identified issues; these solutions will be implemented and tested in future research. In WP5, in order to ascertain where learning is transferable across contexts, we will identify which outcomes are shared across countries. The study has received approval from ethical review boards (ERBs) of all partner countries in South Africa, Rwanda, Ghana, Pakistan and the University of Birmingham. Discussion This health system evaluation project aims to provide a deeper understanding of injury care and develop evidence-based interventions within and across partner countries in four diverse LMICs. Strong partnership with multiple stakeholders will facilitate utilisation of the results for the co-development of sustainable interventions.

Introduction: A good learning environment (LE) will affect the quality and standard of the learning process, student performance, and the outcome of the curriculum as well as predictor of the quality of health services. Our study aims to assess residents’ perception of the LE in Ophthalmology training programs for future improvement. Methods: Mixed method with an explanatory sequential design was implemented in this study using the Post-graduate Hospital Educational Environment Measure (PHEEM) as a quantitative approach and open-ended questions collaborated with focus group discussion (FGD) as a qualitative measurement. A comparison of the quantitative data was made using parametric and non-parametric analyses. Thematic analyses were performed for qualitative data. Integration of quantitative and qualitative data was done by connecting both data. Results: Fifty-three residents participated in this survey. The mean age was 30.96±2.18 years old, 64.15% were female and 77.36% are at the internship stage. The mean score of overall PHEEM was 123.40 ±12.35, indicated an excellent LE, while the mean score of perceptions of role autonomy, perceptions of teaching, and perceptions of social support were 42.57±4.62, 47.75±4.84 and 33.08±4.15, respectively. There is no significant difference between gender and study period with the perception of LE. Thematic analysis from qualitative data reveals six positive and five negative perception themes. All discovered themes confirmed concordance with the result of LE perception. Conclusion: Learning environment perception in the ophthalmology residency program was excellent and essential for the student's skills and performance quality. Some specific areas still need improvement strategies for institutional development.

The role and nature of business-to-business (B2B) sales performance has evolved since the end of the 20th century, largely due to technological, organizational, and societal changes. Nevertheless, literature has not yet been able to evolve along with it. The literature lacks research that exclusively shows a framework for determining the critical factors affecting the success of sales performance at the business-to-business (B2B) level. Therefore, this research has been conducted using a mixed method (qualitative and quantitative) to determine the impact of critical factors on the success of business-to-business (B2B) sales performance. At first, the qualitative method of systematic review was used. According to this method, out of 269 articles related to the topic, the results of 40 articles published in reliable databases from 1980 to 2022 have been reviewed and analyzed. Further, interviews were conducted with industry experts in this field, and data analysis was done with the help of SPSS software. The results of the research indicate that success in B2B sales performance may be influenced by 31 effective factors related to four dimensions: individual, organizational, environmental, and customer level. Finally, the limitations of the research and recommendations regarding success in B2B sales performance are provided.

Abstract The focus of the present study is to design the teachers' intrinsic motivation model. It is a functional study and the mixed approach has been used in it. The statistical population of the study in the qualitative part included all the experts in the department of education in the city of Isfahan from whom 13 experts were interviewed via semi-structured interview through purposive sampling method. A researcher-made questionnaire was designed in the quantitative part in order to confirm the model taken from the qualitive part and 530 questionnaires were distributed among all the teachers in the city of Isfahan and 504 ones which were complete have become the basis of analysis after being returned. The results in the qualitative part revealed that the positive effective factors and negative effective factors influence the intrinsic motivation and intrinsic motivation, per se, results in two personal and organizational outcomes. The results of quantitative part, too, show that the identified factors in the qualitative part have significant effect on the intrinsic motivation.IntroductionSocieties today consist of various organizations and it is the objectives of the organizations that determine their activities and human resources is one of the most effective factors in reaching the objectives of the organizations. Teachers, too, who are the staff of the department of education are not the exception. Considering the fact that education is of dramatic role in changing the life and building better future for people and their societies all around the world and the fact that the school can be assumed a formal educational organizational unit where all teacher-student interactions take place and accomplishing the predefined purposes for the school, both qualitatively and quantitatively, are determined just by the school teachers we will realize the importance of the teachers' intrinsic motivation; since they, as the teaching employees in the department of education, are the only ones which are directly in communication with the students.Due to very great importance and outstanding effect on the operation and outputs of the organization, fundamental investigation and designing the model of intrinsic motivation determine the significance of this research. Moreover, through instigating the theoretical framework it was specified that designing intrinsic motivation model has been addressed less and its effect on the other components has been addressed more. Besides, it was revealed that there was no research in the field of designing intrinsic motivation model in the country and it requires more meticulous investigations. By making a correct understating of the teachers' intrinsic motivation and designing intrinsic motivation model, this study attempts to help managers in the department of education apply the intrinsic motivation as a valuable means to recognize the reasons of the behaviors in the organizations, direct the behaviors and also predict the effects of management measures.Case studyConsidering the position and main duties of education, and the existing gaps in it regarding the intrinsic motivation and also taking the thought-provoking and effective outcomes of the intrinsic motivation, the present study was conducted in the department of education in Isfahan.Material and MethodologyIt is functional in case of purpose and mixed (qualitative-quantitative) in case of administration with exploratory approach. The statistical population in the qualitative part is all the experts employed in the department of education in the city of Isfahan including school principals who teach at Farhangian University too and know enough about the objective and the subject of the study. The statistical population in the quantitative part includes the teachers in the department of education in Isfahan (zone 6). A questionnaire has been designed according to the achieved model after passing the stages of the qualitative part and codifying the research model, and stratified sampling method appropriate to the sample size was used for the distribution. Free and semi-structured interviews technique and the research-made questionnaire were used in the qualitative and quantitative parts respectively. Thirteen teachers were interviewed to collect the data in the qualitative part and the data got to the saturation point in this stage. A questionnaire was designed according to the model in the quantitative part of the study after passing the qualitative part and codifying the research model. The statistical population was all 8375 teachers in the city of Isfahan and stratified sampling appropriate to the sample size was used. 5q ≤ n ≤ 15 q has been used to calculate the sample size Minimum number of required questionnaires is 320 according to the formula, so 530 questionnaires were distributed and 504 ones which were complete became the basis of analysis after being returned.Discussion and resultsThe findings of the preliminary study in the qualitative part imply that the teachers' model of intrinsic motivation in the department of education in the city of Isfahan includes the aspects of effective factors on the intrinsic motivation, the aspects of intrinsic motivation and the outcomes of intrinsic motivation. Effective factors on the intrinsic motivation were divided into two positive and negative effective factors and positive effective factors include include subthemes of positive organizational factors and positive management factors and positive external-organizational factors and negative effective factors include negative organizational factors and negative management factors. Components of intrinsic motivation, too, include the importance of the teaching profession, job challenge, job attractiveness, teachers' independence, interest in the job, sense of effectiveness and usefulness, work-life balance, developing the teaching profession; enriching the teaching profession and satisfying the sense of curiosity. In addition, the conducted analyses imply that the staff's intrinsic motivation can lead to some outcomes too; the outcomes which have been accommodated into organizational and personal dimensions. The results in the quantitative part show that positive organizational factors, positive management factors, positive external-organizational factors, negative organizational factors, and negative management factors have significant effect on the intrinsic motivation with 55%, 39%, 56%, 43%, 39% respectively. Moreover, intrinsic motivation has significant effect on the organizational outcomes with 65% and on the personal outcomes with 64%.ConclusionThe main objective of the present study was to design the teachers' motivation model in the city of Isfahan which was conducted via doing interview and coding the findings from the interview. The investigations led to identifying the components of intrinsic motivation, positive and negative effective factors on it and also identifying the outcomes of the teachers' intrinsic motivation.

With rapid global economic growth and a rise in disposable household income, particularly within a progressively warming planet, the escalating demand for energy to achieve thermal comfort has become a salient concern in the Global South, notably in emerging economies like India. This burgeoning need for cooling solutions has not only underscored the vital role of energy consumption but has also accentuated the imperative of comprehending the ensuing implications for electricity policy and strategic planning, particularly within the ambit of the Global South. This study explored the nuanced landscape of active cooling within an intentional community, Auroville, in southern India, aiming to discern the factors underpinning household preferences and practices in the pursuit of thermal comfort. Employing a mixed-methods approach, this study contributed empirically and methodologically to the interdisciplinary discourse by analysing residential electricity consumption patterns and cooling practices within selected households in the specified community. The study unfolded in three methodological stages: firstly, an analysis of climatic data coupled with an environmental stress index (ESI) assessment; secondly, the monitoring of end-user electricity consumption followed by rigorous data analysis; and lastly, the utilisation of qualitative in-depth interviews and observational techniques. This study’s outcome yielded empirical insights into the unprecedented shifts in the ESI for Auroville since 2014. Furthermore, the study unravelled the intricate complexities inherent in occupant behaviour within residential structures, thereby offering valuable insights into the practices that shape householders’ cooling preferences. This research enriched the understanding of the dynamics of energy consumption in the pursuit of thermal comfort and contributes to the broader discourse on sustainable development and energy policy in the context of climate change.

Abstract Background Community Health Workers (CHWs) play an essential role in linking communities to facility-based healthcare. However, CHW programmes have often been hampered by low levels of staff motivation, and new tools aimed at improving staff motivation and work environment are needed. One such intervention is the “Learning from Excellence” (LfE) programme. We aimed to assess feasibility, outputs, and impact of a co-designed LfE programme on CHW motivation, in Neno District. Methods We conducted a convergent mixed-method evaluation of the LfE programme. Co-design of the programme and forms took place between October 2019 and January 2020. LfE forms submitted between September and November 2020 were analysed using descriptive statistics and memos summarising answers to the open-ended question. To investigate experiences with LfE we conducted in-depth semi-structured interviews with key stakeholders, CHWs, and site supervisors, which were analysed thematically. A pre-post intervention questionnaire was developed to assess the impact of the co-designed LfE intervention on CHW motivation and perceived supervision. Outcomes were triangulated into a logic model. Results In total 555 LfE forms were submitted, with 34.4% of CHWs in Neno District submitting at least one LfE report. Four themes were identified in the interviews: LfE implementation processes, experience, consequences, and recommendations. A total of 50 CHWs participated in the questionnaire in January 2020 and 46 of them completed the questionnaire in December 2020. No statistically significant differences were identified between pre-and post-LfE measurements for both motivation (Site F: p = 0.86; Site G: p = 0.31) and perceived supervision (Site F: p = 0.95; Site G: p = 0.45). A logic model, explaining how the LfE programme could impact CHWs was developed. Conclusions Many CHWs participated in the LfE intervention between September 2020 and November 2020. LfE was welcomed by CHWs and stakeholders as it allowed them to appreciate excellent work in absence of other opportunities to do so. However, no statistically significant differences in CHW motivation and perceived supervision were identified. While the intervention was feasible in Neno District, we identified several barriers and facilitators for implementation. We developed a logic model to explain contextual factors, and mechanisms that could lead to LfE outcomes for CHWs in Neno District. The developed logic model can be used by those designing and implementing interventions like LfE for health workers.

Wenzhen Tang,1 Yuanxi Xie,1 Qingfeng Yan,2 Yanjuan Teng,1 Li Yu,1 Liuying Wei,3 Jinmei Li,4 Yuhui Chen,1 Xiaolin Huang,1 Shaoli Yang,1 Kui Jia1 1The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, 530021, People’s Republic of China; 2The Sanming Second Hospital, Sanming, Fujian Province, 366099, People’s Republic of China; 3Nanning Fourth People’s Hospital, Nanning, Guangxi Zhuang Autonomous Region, 530021, People’s Republic of China; 4Wanxiu District Chengnan Community Health Service Center, Wuzhou, Guangxi Zhuang Autonomous Region, 543000, People’s Republic of ChinaCorrespondence: Kui Jia, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, 530021, People’s Republic of China, Email 1960728884@qq.comAim: To investigate the current status of experience and support of nurses as second victims and explore its related factors in nurses.Design: A sequential, explanatory, mixed-method study was applied.Methods: A total of 406 nurses from seven tertiary hospitals in China were chosen as participants between September to October 2023. The Chinese version of the Second Victim Experience and Support Questionnaire (SVEST), Somatic Complaints of Sub-health Status Questionnaire (SCSSQ) and Generalized Anxiety Disorder (GAD-7) were applied to collect quantitative data. Eight nurses were selected for a qualitative study through in-depth interviews. Through interpretive phenomenological analysis, the interview data were analysed to explore the experience and support of nurses as second victims.Results: Practice distress (15.74 ± 4.97) and psychological distress (15.48 ± 3.74) were the highest dimensions, indicating Chinese nurses experienced second victim-related practice and psychological distress. Nurses with different gender, age, education, marital status, income, working hours, professional titles, and unit types have different levels of second victim-related experience and support (p

Abstract Background Evidence-based practice (EBP) is crucial for delivering high-quality healthcare and effective self-care. Enhancing clinical nurses’ research competencies through structured mentorship is key to the widespread application of EBP. This study evaluated a newly developed Research Competency Enhancement Program (RCEP), aimed at bolstering EBP among experienced nurses. Methods Conducted in a tertiary university hospital in Korea, this single-group study employed a pretest-post-test design and a mixed-methods approach. The RCEP involved 11 experienced clinical nurses in an 8-week intervention, featuring mentor-led workshops, interactive sessions, and resource-driven activities. Data were collected using the Evidence-Based Practice Beliefs Scale (EBPB), the Evidence-Based Practice Attitude Scale (EBPA), and the Research Practice Ability (RPA) tool, alongside qualitative feedback. These measures assessed the program’s feasibility, acceptability, and preliminary effectiveness. Results The quantitative analysis indicated significant improvements in research competency post-intervention. Mean scores on the EBPB and RPA scales increased (Z = -2.53, p = .011; Z = -2.66, p = .008). Participants described the RCEP as inspirational and challenging, creating an environment conducive to research. Facilitators included mentor support and innovative learning tools, while barriers were internet connectivity and scheduling conflicts. Suggestions for improvement included more hands-on sessions, small team collaborations, and integration with academic institutions. Conclusion The RCEP, facilitated by EBP mentors, significantly improved the research competencies and attitudes of clinical nurses towards EBP. The study underscores the importance of continual RCEP refinement, integrating structured, interactive, and collaborative elements to further empower nurses in evidence-based practice. The program shows promise in enhancing research competencies and fostering a commitment to EBP in clinical settings.

AbstractThe sustainable business model is critical in designing a performance model for logistics service companies by taking into account the dominant factors in managing all the resources needed to carry out operational processes, including the implementation of the logistics system as an effort to increase organizational competitiveness and resilience in the logistics services industry in a sustainable manner. The problems faced today are in line with the increasing frequency of using logistics services with the growth of E-commerce so the competition for logistics services companies, especially in urban areas, is getting tighter. This study used Mix Methods Research (MMR) with an explanatory design strategy and Structural Equation Model-Partial Least Square (PLS) analysis. In this study, a measurement model simulation used a system dynamic approach. Previous studies used the variant-based structural equation method but were limited to 1st-order models. This study aimed to formulate a more comprehensive sustainable logistics management model using the 2nd-order model and continued with a measurement model simulation up to 2040. The population in the study were employees of urban logistics services companies at the supervisor level with more than 5 years of service. Data were collected through questionnaires, observation, Focus Group Discussion (FGD), and literature study from January to August 2023. Based on the results, economic factors, environmental factors, social factors, and customer factors had a positive influence of 13.8 % (0.138 × 100%), 12.9 % (0.129 × 100%), 14.2 % (0.142 × 100%) and 12.9% (0.129 × 100%), respectively, meaning mutual support to the sustainable logistics model. Based on dynamic system analysis, the sustainable logistics model will have an increasing valuation every year. Thus, the relationship between variables in the sustainable logistics model was good in maintaining the company sustainability. This study is expected to give an exact recommendation for logistics companies to maintain their sustainability by always improving the four main factors with the positive influence namely environmental, customer, social, and economic factors.

(1) Background: Patient safety culture (PSC) encompasses the values, attitudes, norms, beliefs, practices, perceptions, competencies, policies, and behaviours of professionals that determine organisational commitment to quality and patient safety. Few studies use mixed methods to analyse patient safety culture, and none offer the richness of using a mixed methodology to develop their theoretical model. This study aims to identify the factors nurses believe contextualise and influence PSC in relation to existing theoretical frameworks. (2) Methods: This study employed a sequential explanatory mixed-methods design combined with the Pillar Integration Process for data integration. (3) Results: In the final data integration process, 26 factors affecting nurses' PSC were identified. Factors nurses related to PSC not being assessed with the tool used in phase 1 were notification system, flow of patients, patient involvement, resources and infrastructure, and service characteristics. (4) Conclusions: This mixed-methods study provides an opportunity to identify the weaknesses and strengths of currently developed theoretical frameworks related to PSC and offers content for its improvement. Even though multiple studies aim to assess PSC using existing quantitative method tools, the development of this study offers a glimpse of some aspects relevant to nurses' PSC not included in the theoretical framework of the said tools, such as patient involvement, the flow of patients, and service infrastructure. [ABSTRACT FROM AUTHOR]

The aim of the study is to examine the role of childhood experiences and achievement motivation in high school students' hope levels. The quantitative (N = 686, 43.9% females and 56.1% males, aged between 13 and 19; Mage = 16.02, standard deviation = 1.23) and qualitative data of the study, in which enriched design was used, were collected from high school students studying in the Southeast of Turkey. Hierarchical regression was used in the quantitative part of the study and content analysis was carried out in the qualitative part. It is seen that the results in the qualitative analysis part largely coincide with the results in the quantitative part. The results denote that high school students have high hope levels. Also, according to the results, there is a negative, low‐level, and significant relationship between childhood experiences and hope, and a positive and moderately significant relationship between hope and achievement motivation. Although childhood experiences and achievement motivation significantly predict the level of hope, it is concluded that achievement motivation contributes more to the hope‐related variance which is explained. The findings reveal the value of achievement motivation and childhood experiences in understanding adolescents' hope multidimensionally. Practitioner Points: Childhood experiences and achievement motivation significantly predict adolescents' hope.It has been concluded that negative experiences do not affect the level of hope in adolescents who predominantly remember these experiences from childhood.Hope in adolescents is more related to achievement motivation, which is a goal‐oriented and individual trait, than to childhood experiences. [ABSTRACT FROM AUTHOR]

In the current educational context, international institutions are being called to rethink education and declining new strategies that aim to teach sustainable behaviors. From this perspective, the present study aims to investigate the attitudes towards the sustainability of trainee teachers, verifying their connection with psycho-social variables, such as environmental identity and sense of community responsibility, and exploring their most common dispositions. In total, 126 Italian preservice teachers were involved in a mixed method study where they were asked to complete a questionnaire and participated in focus groups. The use of a combination of quantitative–qualitative methodologies has allowed us to obtain in-depth information about sustainability education. Quantitative data showed a virtuous circular relationship between environmental identity, attitudes towards education for sustainability, and the sense of community responsibility. Qualitative data showed the high frequency of two key action verbs, avoid and respect, but no specific reference to the educational field. After creating the target concept 'to teach', we observed a worrying absence of lemmas related to emotional dimension, and that the communication perspective is set on adults' point of view, rather than on pupils. Limitations, strengths, and practical implications have been extensively discussed, especially in relation to the field of teacher education. [ABSTRACT FROM AUTHOR]

A barrier to meeting the goal of universal health coverage in India is the inequality in utilisation of health services between indigenous and non-indigenous people. This study aimed to explore the determinants of utilisation, or non-utilisation, of public healthcare services among the Santals, an indigenous community living in West Bengal, India. The study holistically explored the utilisation of public healthcare facilities using a framework that conceptualised service coverage to be dependent on a set of determinants – viz. the nature and severity of the ailment, availability, accessibility (geographical and financial), and acceptability of the healthcare options and decision-making around these further depends on background characteristics of the individual or their family/household. This cross-sectional study adopts ethnographic approach for detailed insight into the issue and interviewed 422 adult members of Santals living in both rural (Bankura) and urban (Howrah) areas of West Bengal for demographic, socio-economic characteristics and healthcare utilisation behaviour using pre-tested data collection schedule. The findings revealed that utilisation of the public healthcare facilities was low, especially in urban areas. Residence in urban areas, being female, having higher education, engaging in salaried occupation and having availability of private allopathic and homoeopathic doctors in the locality had higher odds of not utilising public healthcare services. Issues like misbehaviour from the health personnel, unavailability of medicine, poor quality of care, and high patient load were reported as the major reasons for non-utilisation of public health services. The finding highlights the importance of improving the availability and quality of care of healthcare services for marginalised populations because these communities live in geographically isolated places and have low affordability of private healthcare. The health programme needs to address these issues to improve the utilisation and reduce the inequality in healthcare utilisation, which would be beneficial for all segments of Indian population. [ABSTRACT FROM AUTHOR]

Background and purpose: Health tourism is one of the dimensions of sustainable development to help Mazandarn’s economic dynamic. A strong agreement is doubted in identifying factors influencing the attraction of health tourists. This study was implemented to design a questionnaire to measure the factors influencing the attraction of healthy tourists and investigate its psychometric properties. Materials and methods: This study was done with a combinatorial approach in three steps, including relevant literature and the opinions of experts as long as health tourists' opinions of Mazandaran province were applied to the development of the item pool. Then, content validity, face validity, construct validity, and reliability of the questionnaire were assessed for the psychometric properties of the questionnaire. The final questionnaire was approved after performing 17 interviews and applying professional expertise in the qualitative part. In the first stage of the quantitative part content validity was studied by 10 people from an expert panel, and its face validity, the questionnaire was completed by 10 participants. Finally, the construct validity of the designed instrument was calculated using exploratory factor analysis using SPSS 24 software and confirmatory factor analysis using AMOS 24 software by asking 300 people familiar with health tourism in Mazandaran province. The internal and external validity were determined using Cronbach's alpha and test-retest in 25 people. Results: The results of the literature review and interviews with experts in the first and second stages of the study led to the design of 76 items. In the next step, the changes in the qualitative stage 15 questions did not receive favorite points in Content validity ratio (CVR) and content validity index (CVI) calculation in the quantitative part of content validity. Then face validity was applied and the item effect index for 8 items was lower than 1.5 in the quantitative stage of face validity. Then the questionnaire with 53 items was entered into construct validity. In the exploratory factor analysis, the value of KMO was equal to 0.778. Furthermore, the value of Bartlett's test of significance was less than 5%. Based on the rotated matrix of components, eight factors with positive values were obtained. The results of exploratory factor analysis showed that 7 items had a factor loading of less than 0.4, which were removed from the questionnaire, and finally, 46 items remained. In the confirmatory factor analysis stage, the factor load of all dimensions was in good condition and the P-value was in the acceptable range. Cronbach alpha rate was calculated as 0.831. The external reliability was lower than 0.05 (ICC= 0.90, P<0.001). Conclusion: The designed questionnaire, due to the low number of questions, the simplicity of the sentences, as well as the acceptable validity and reliability, can be used to identify and investigate the factors affecting the attraction of health tourists. Normalization of the questionnaire in other cultures is suggested. It is hoped that the findings of this study will be utilized by researchers, healthcare and tourism system managers, and other stakeholders to inform the planning of interventions aimed at increasing medical tourism. Additionally, it is hoped that the results of this study will serve as a springboard for future research in this area. [ABSTRACT FROM AUTHOR]

Copyright of Mersin University School of Medicine Lokman Hekim Journal of History of Medicine & Folk Medicine is the property of Mersin University School of Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This study assessed the quality of perioperative nursing (PON) care in selected hospitals in Osun State, Nigeria. This study adopted a concurrent mixed method design to assess the quality of perioperative nursing care in selected hospitals. The study adopted multiple sampling select surgical patients and perioperative nurses for quantitative and qualitative data. observational checklist and interview guide were used for data collection. for analysis using SPSS version 25 for quantitative data while descriptive and inferential statistical techniques were employed for quantitative data at significant level of 0.05while content and thematic analysis were used for qualitative data. Results from quantitative data showed that 52.8% of pre-operative nursing care was of good, quality, 53.2% of intra-operative nursing care was of good, 47.9%, of post-operative nursing care was of poor quality while 49.9% of overall perioperative nursing care was of good, quality. There was statistically significant difference between the level of quality of care across the three health facilities (p = 0.01). Results from the qualitative findings showed that nurses rated the quality of perioperative care as moderate while many of the patients spoke glowingly about the quality of care they receive and that perioperative nurses are doing their best. This study concluded that there is good quality of pre and intra- operative nursing but poor quality of post-operative and overall quality of perioperative nursing care. Hence, there is need for perioperative nurses to make their voices and care more visible in the care of surgical patients. Public Contribution: Perioperative nurses were involved at the data collection stage. They were the subjects for the study. [ABSTRACT FROM AUTHOR]

This paper constructs two conforming finite element grad grad and elasticity complexes on the cuboid meshes. For the finite element grad grad complex, an H 2 conforming finite element space, an H (curl ; S) conforming finite element space, an H (div ; T) conforming finite element space and an L 2 finite element space are constructed. Further, a finite element complex with reduced regularity is also constructed, whose degrees of freedom for the three diagonal components are coupled. For the finite element elasticity complex, a vector-valued H 1 conforming space and an H (curl curl T ; S) conforming space are constructed. Combining with an existing H (div ; S) ∩ H (div div ; S) element and an H (div ; S) element, respectively, these finite element spaces form two finite element elasticity complexes. The exactness of all the finite element complexes is proved. [ABSTRACT FROM AUTHOR]

Copyright of Trakya Journal of Education is the property of Trakya Journal of Education and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Patient Reported Outcomes Measures (PROMs) are being used increasingly to measure health problems in stroke clinical practice. However, the implementation of these PROMs in routine stroke care is still in its infancy. To understand the value of PROMs used in ischemic stroke care, we explored the patients' experience with PROMs and with the consultation at routine post-discharge follow-up after stroke. Methods: In this prospective mixed methods study, patients with ischemic stroke completed an evaluation questionnaire about the use of PROMs and about their consultation in two Dutch hospitals. Additionally, telephone interviews were held to gain in-depth information about their experience with PROMs. Results: In total, 63 patients completed the evaluation questionnaire of which 10 patients were also interviewed. Most patients (82.2–96.6%) found completing the PROMs to be feasible and relevant. Half the patients (49.2–51.6%) considered the PROMs useful for the consultation and most patients (87.3–96.8%) reported the consultation as a positive experience. Completing the PROMs provided 51.6% of the patients with insight into their stroke-related problems. Almost 75% of the patients found the PROMs useful in giving the healthcare provider greater insight, and 60% reported discussing the PROM results during the consultation. Interviewed patients reported the added value of PROMs, particularly when arranging further care, in gaining a broader insight into the problems, and in ensuring all important topics were discussed during the consultation. Conclusions: Completing PROMs appears to be feasible for patients with stroke attending post-discharge consultation; the vast majority of patients experienced added value for themselves or the healthcare provider. We recommend that healthcare providers discuss the PROM results with their patients to improve the value of PROMs for the patient. This could also improve the willingness to complete PROMs in the future. [ABSTRACT FROM AUTHOR]

Background: Patients with a stroke often cannot care for themselves after hospital discharge. Assessment of their self-care ability is the first step in planning post-discharge home care. This study aimed to design and validate a measure of perceived self-care ability (PSCA) in stroke patients. Methods: A sequential-exploratory mixed method was conducted in Tehran, Iran, in 2020–2021. The qualitative phase involved in-depth semi-structured interviews with 12 participants. Transcripts were content analyzed. The results guided the development of 81 items. psychometric properties such as face validity (Impact Score > 1.5), content validity ratio (CVR > 0.63), content validity index (Item Content Validity Index: ICVI > 0.78, Scale Content Validity Index/Average: SCVI/Ave > 0.8) and Kappa value (Kappa > 0.7), internal consistency (Cronbach's alpha > 0.7), relative reliability (ICC: inter class correlation coefficient), absolute reliability (Standard Error of Measurement: SEM and Minimal Detectable Changes: MDC), convergent validity (Correlation Coefficient between 0.4–0.7), interpretability, responsiveness, feasibility, and ceiling and floor effects were assessed. Results: Content analysis of the qualitative interviews yielded 5 major categories and 9 subcategories that reflected "Perceptual stability", "Cognitive fluctuations", "Sensory, Motor and Physical health"," The subjective nature" and "The dynamic nature" of PSCA. Results of face and content validity reduced the number of items to 32, capturing three dimensions of PSCA in chronic stroke patients; these dimensions included perceptual ability, threatened health status, and sensory, motor, and cognitive ability. The findings supported the reliability and validity of the measure. Conclusions: The PSCA questionnaire was developed and validated within the Iranian culture. It is useful in assessing the self-care of patients with stroke and in informing practice. [ABSTRACT FROM AUTHOR]

This paper aims to analyze equity in education policies and practices in Southern Spain that ensure cultural competence in services and the inclusion of migrant and racialized students. Our model for defining and analyzing equity in education was adapted from the Migrant Integration Policy Index (MIPEX) and includes five dimensions: (E1) equity in mission/goal, (E2) equity in access, (E3) quality/sensitivity of services, (E4) equity in participation, and (E5) development of partnerships and opportunities. Through transformative mixed methods (i.e., documental analysis of 13 policies, 15 interviews with professionals, one focus group with mothers of Afro-descendant students), the results showed that equity was 100% present in the mission/goal of the Andalusian education system, although there were gaps in its practical implementation, especially in participation and quality/responsiveness. These results were discussed and recommendations for improving equity in education policies and practices are proposed participatively. [ABSTRACT FROM AUTHOR]

Introduction: A good learning environment (LE) will affect the quality and standard of the learning process, student performance, and the outcome of the curriculum as well as predictor of the quality of health services. Our study aims to assess residents' perception of the LE in Ophthalmology training programs for future improvement. Methods: Mixed method with an explanatory sequential design was implemented in this study using the Post-graduate Hospital Educational Environment Measure (PHEEM) as a quantitative approach and open-ended questions collaborated with focus group discussion (FGD) as a qualitative measurement. A comparison of the quantitative data was made using parametric and nonparametric analyses. Thematic analyses were performed for qualitative data. Integration of quantitative and qualitative data was done by connecting both data. Results: Fifty-three residents participated in this survey. The mean age was 30.96 2.18 years old, 64.15% were female and 77.36% are at the internship stage. The mean score of overall PHEEM was 123.40 12.35, indicated an excellent LE, while the mean score of perceptions of role autonomy, perceptions of teaching, and perceptions of social support were 42.57 4.62, 47.75 4.84 and 33.08 4.15, respectively. There is no significant difference between gender and study period with the perception of LE. Thematic analysis from qualitative data reveals six positive and five negative perception themes. All discovered themes confirmed concordance with the result of LE perception. Conclusion: Learning environment perception in the ophthalmology residency program was excellent and essential for the student's skills and performance quality. Some specific areas still need improvement strategies for institutional development. [ABSTRACT FROM AUTHOR]

Preschool teachers' read-aloud and writing practices were investigated using a questionnaire about how activities were planned and organized, and what their purpose was. The results indicate that early literacy practices were not planned systematically. Most of the preschool teachers (77%) reported having storybook read-alouds at least three times per week. A large minority (45.5%) reported never or seldom using writing activities, and rarely in play. The main aims of read-alouds were to promote learning and development, create a sense of community, and regulate group activities. The main aims of writing practices were to learn about letters, understand the function of print, and arouse interest in writing. We discuss the implications of these findings in relation to a need for a didactic approach, where play is the core of early literacy practices. [ABSTRACT FROM AUTHOR]

Just like in many countries around the world, there is a multicultural society in Northern Cyprus. As migrations to the island continue to increase, the phenomenon of multiculturalism has begun to be discussed in the education system. This research was conducted with the aim of determining the attitudes and views of primary school teachers in Northern Cyprus towards multicultural education. Mixed methods strategy was used in this research. In the research, the concurrent triangulation strategy from mixed methods strategies was used. Data collection tools the Teacher Multicultural Education Attitude Scale and developed interview form were used. In the quantitative part of the research, the Teacher Multiculturalism Attitude Scale was applied to 111 randomly selected teachers. According to the survey results, no significant difference was detected depending on the variables of gender, nationality, professional seniority, branch, graduation degree and graduated school. However, significant differences were identified in the multiculturalism scores age and based on the region where the teachers were employed. In the qualitative part of the research, interviews were conducted with 12 participant teachers. According to the qualitative findings, teachers perceived multiculturalism as diversity in terms of nationality, ethnic background, language, and religion. Further, teachers indicated that education in Northern Cyprus does not cater to a multicultural structure, leading to various problems experienced by students and parents, primarily related to communication. The teachers attributed this situation to the unpreparedness of the Ministry of Education (MEB) and the reluctance to change education policies due to an exclusive society. Subsequently, teachers expressed that they did not consider themselves competent in multicultural education and expressed a willingness to participate in in-service training programs if provided. [ABSTRACT FROM AUTHOR]

The Palace Museum, well known as the Forbidden City, is one of the most splendid and valuable cultural treasures of China and a World Cultural Heritage. During the past 10 years many improvements and changes have been made in the Palace Museum, however, it is more important to know whether and to which extent visitors are satisfied with their experience. Although prior research has discussed the strategic management of the curator, little is done to combine tourists' perception with the curator's performance. To address this issue, a mixed method is applied to compare the planned action from the leader's perspective and the online review from tourists' comments, by analyzing the operation of Shan from 2012 to 2019 and online reviews of tourists from three major Chinese tourism websites. This research is innovative insofar as it provides a new theoretic framework to evaluate the curator's performance. [ABSTRACT FROM AUTHOR]

Agricultural production is affected by the threats of climate change, such as changes in the frequency of extreme events (such as flood and drought), changes in rainfall patterns, and increased pest attacks and diseases. As a result, the farmers face huge socio-economic losses in the form of loss of lives, loss of cultivable lands, loss in crop yield, and loss to infrastructure. The smallholder farmers who primarily depend on rainfed agriculture for a living bear major crop losses and threats to food security due to climate change. In order to enable the farmers to cope with the challenges associated with climate change, climate-smart agricultural (CSA) practices were introduced. It must be noted that CSA practices depend on economic, environmental, and social attributes; hence, location-specific studies are required to identify the determinants of CSA adoption. The present study aims to identify the factors influencing smallholder farmers’ adoption of CSA strategies in the highly vulnerable Nagaon district of India. Our study has incorporated six forms of capital: physical capital, social capital, human capital, financial capital, natural capital, and institutional capital in its analytical framework. The influence of these capitals is examined on the farmers’ adoption decision. We use a mixed-method approach to conduct the analysis. A multivariate probit model is used for the quantitative analysis, and excerpts from focus group discussions are presented as qualitative information gathered from field surveys. Three unique variables are included in the present study: the use of agricultural applications by smallholder farmers, the application of indigenous technical knowledge, and access to government-provided seeds. Each of the three variables was found to be statistically significant. Further, the study found the variables under social capital, physical capital, and institutional capital to be critical determinants affecting CSA adoption by smallholder farmers. [ABSTRACT FROM AUTHOR]

Background: The causality assessment tool can be utilized to assist patients in identifying adverse drug reactions (ADRs). Aim: To evaluate the accuracy of the causality assessment tool for patients identifying ADRs compared to assessments made by pharmacists, and to explore how patients recall and recognize symptoms as ADRs. Method: Mixed methods study consisting of self-administered questionnaires (phase 1) and semi-structured, face-to-face interviews (phase 2) with patients who had experienced ADRs in the past year at a tertiary care hospital in Thailand. Results: Out of 769 questionnaires, 716 were returned and 622 of these were both valid and had at least one ADR (86.8%). Classification of patient-reported symptoms using the causality assessment tool found 12 (1.9%) highly-probable ADRs, 399 (64.1%) probable ADRs, 207 (33.3%) possible ADRs, and 4 (0.6%) that were not classified as ADRs. There was fair agreement between patient-assessed and pharmacist-assessed causality classifications using the Naranjo algorithm (K = 0.268) and the World Health Organization Uppsala Monitoring Centre (WHO-UMC) criteria (K = 0.373). The timing relationship between the occurrence of symptoms and administration of a suspected drug was the most frequently mentioned reason that patients gave for recalling and recognizing suspected ADRs. Conclusion: Promoting the causality assessment tool for use by patients in collaboration with healthcare professionals is likely to enhance patients' ability to correctly identify ADRs and ultimately contribute to increased medication safety. [ABSTRACT FROM AUTHOR]

Copyright of Western Anatolia Journal of Educational Sciences (WAJES) / Batı Anadolu Eğitim Bilimleri Dergisi is the property of Dokuz Eylul University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Acculturation is a multidimensional concept and often means paying attention to different cultures. Since in acculturation, one seeks alternative attributes and values, this can affect the consumption of goods by the consumer. Considering the role of consumption of domestic goods on the economic growth and development of the country, it is important to identify the dimensions and components of consumer acculturation and research in this field. Therefore, this study seeks to identify the dimensions and components of consumer acculturation in the consumption of domestic goods and to develop a scale in this regard. The present study has been done by the mixed method. The statistical population of the research in the qualitative stage included experts in the Iranian clothing industry, which due to theoretical saturation, a sample of 20 people was selected by judgment. In the quantitative stage, the statistical population consisted of clothing consumers in Iran, of which 310 were selected by cluster sampling. After interviewing the experts, the thematic analysis method was used to identify the main components. Then, using quantitative methods such as exploratory and confirmatory factor analysis, the identified components were classified in the form of dimensions and were verified. In the end, the scale of consumer acculturation in the consumption of domestic goods, including the main dimensions and components was proposed. The main contribution of this paper is developing and validating a multidimensional scale for consumer acculturation in the clothing sector, which has been overlooked in previous research. [ABSTRACT FROM AUTHOR]