Search

Introduction: The growing ability to provide online services has enabled the proliferation of exercise-based telehealth interventions; however, adoption in older adults may be impacted by low digital literacy and "technophobia." Objectives: The aim of this study was to explore the experience of community and aged-care dwelling older adults following exercise-based telehealth services to provide insights that could guide future telehealth exercise delivery. Design: Semi-structured interviews for qualitative analysis. Methods: Participants (age ≥60) who had completed at least one online exercise session from a registered health professional were recruited through a combination of purposeful and snowball sampling methods via their exercise facility or provider. A semi-structured interview guide was used by 2 interviewers to investigate participants' experiences and a "critical friends" approach used to identify common themes. Results: Thirteen interviews with 21 participants were conducted from 2 different facilities. Analysis identified meaning units within 3 themes and subthemes. Technology subthemes related to digital confidence prior to telehealth and changes during interventions, as well as the usability of technology for telehealth. Clinical practice subthemes described the different motivations to exercise, perceived benefits of telehealth, important implications for practitioners, and perceptions of safety. The social connection theme related to the social benefits of telehealth. Conclusions: Older adults in our sample were technologically confident and capable of performing exercise sessions delivered via telehealth. They notice benefits from this form of exercise delivery however, prefer face-to-face exercise delivery. [ABSTRACT FROM AUTHOR]

Existing mindfulness literature in sport primarily focuses on manualized mindfulness protocols, while less is known about athlete experiences with mindfulness outside of interventions. The purpose of the present study was to explore student-athlete experiences with and readiness to practice mindfulness. Using convenience and snowball sampling, 205 collegiate athletes completed a mixed-method survey that assessed readiness, trait mindfulness, social support for mindfulness practice, and mindfulness' perceived effect on performance. Participants were invited to comment on benefits, barriers, or adverse experiences during their practice. Athletes with long-term experience had significantly higher mindfulness scores than those with less experience; they also perceived that mindfulness had significantly greater effects on performance than those not practicing. Various benefits and barriers were expressed across stages of readiness, though roughly 6%–10% of participants reported an adverse effect of mindfulness practice. It is thus important for practitioners to consider readiness levels and previous experiences in implementing mindfulness interventions. [ABSTRACT FROM AUTHOR]

This study examined the lived experience, level, and relationship of SHS High School Students with Overseas Filipino Worker Parents (OFW) in terms of their Parental Absence and Moral Development. Utilizing the Mixed method design specifically an exploratory sequential study the research was conducted in Private Higher Educational Institutions in Calamba City, Laguna among Senior High School Students aged 15-18 years old which used homogeneous purposive sampling and snowball sampling techniques. The data were analyzed using thematic analysis, descriptive statistics, and Pearson product-moment correlation coefficient. This study generated ten (10) superordinate themes. For parental absence, these were: Various Influences of Family Dynamics; Consistent and Open Communication; Emotional Cut-Off and Various Emotional Reactions; and Maintaining a Sense of Self Amidst Familial Challenges. Correspondingly, the themes that emerged from Moral Development were Handling Criticism and Emotional Reaction; Influence of Social Dynamics and External Factors on Decision-Making; Emotional Regulation and Coping Mechanisms; Adherence to Laws and Regulations; Respect and Obedience to Authority Figures; and Ethical Behavior and Accountability. Moreover, the study revealed that although the SHS students had parental absence they developed independence and self-reliance and had a high understanding of what is morally right and wrong. There were significant relationships between the Various Influences of Family Dynamics and Ethical Behavior and Accountability (r=0.267, p < .05), Consistent and Open Communication and Emotional Regulation and coping mechanism (r=0.277, p < .05), Emotional Cut-Off and Various Emotional Reactions and Social Dynamics on Decision-Making (r=0.274, p < .05). This study also proposed an action plan that was focused on life guidance, regulation on the expression of emotion, decision skill management, proper acceptance of emotions, and awareness of basic rules and regulations among the SHS students. [ABSTRACT FROM AUTHOR]

This study aims to explore the complex and multifaceted relationship between Behavioral Activation and Behavioral Maintenance in sports participation, delving into the underlying mechanisms to provide practical insights into how individuals initiate and sustain engagement in sports activities. Utilizing a combination of convenience sampling and snowball sampling methods, 378 sports participants from over ten provinces and cities in China were selected as survey subjects, and an intermediary model concerning the activation and maintenance of sports participation behavior was constructed. Discriminant validity and mediation effect analyses were conducted using SPSS and AMOS 23.0. The results indicate that Behavioral Activation indirectly influences Behavioral Maintenance through Competence (ad = 0.39), with a 95% confidence interval [0.201, 0.642], excluding 0. Behavioral Activation also indirectly influences Behavioral Maintenance through Autonomy (be = 0.23), with a 95% confidence interval [0.109, 0.421], excluding 0. However, Behavioral Activation indirectly influences Behavioral Maintenance through Relatedness (cf. = 0.09), with a 95% confidence interval [-0.068, 0.336], which includes 0. The study reveals that both Competence and Autonomy significantly mediate the activation and maintenance of sports participation behavior among athletes. However, Relatedness does not play a significant mediating role in the activation and maintenance of sports participation behavior among the participants. [ABSTRACT FROM AUTHOR]

Background: Respectful maternity care forms the foundation of maternity services; however, delivery of dignified, efficient, and effective care in these settings remains inconsistent. Research has identified several factors that influence respectful maternity care. To understand the South African context, these factors were explored and described from the perspectives of midwives. Methods: A qualitative descriptive inquiry was conducted, with participants recruited through snowball sampling on the social networking site Facebook. Semi-structured questions were used to collect data, to which participants responded in writing, detailing factors that influenced respectful care, including words and practices they associated with respectful maternity care. The data was analyzed using content analysis to identify common categories. Results: Twenty-five responses from participants were analyzed; four categories and six sub-categories emerged as representations of respectful maternity care. The categories and sub-categories were as follows: healthcare professional behavior (ethical conduct and professional attributes related to education and training), managerial support (conducive work environment), interpersonal facet of care (characteristics of healthcare providers), and the birth environment (caring within the birth environment and client-centered care). Conclusion: Midwives emphasized the importance of understanding respectful maternity care to ensure optimal outcomes for women, families, and communities. However, given the complexity of maternity care, it is crucial for policymakers, administrators, and midwives to comprehend and appreciate the various elements that define respectful care, as this understanding can significantly enhance its successful implementation. [ABSTRACT FROM AUTHOR]

Introduction Methods Results Discussion and Conclusions This study explores the attitudes of psychologists towards psychedelics and psychedelic‐assisted therapy (PAT) following the world‐first regulatory changes in 2023 in Australia which permitted psilocybin and 3,4‐methylenedioxy‐methamphetamine (MDMA) to be used in clinical services.A purposive sample of 20 Australian psychologists was recruited using snowball sampling. Semi‐structured interviews were conducted which explored participants' attitudes, knowledge and concerns about PAT. Data were coded and analysed to identify and develop theme categories.Most psychologists exhibited positive attitudes towards psychedelics and their therapeutic potential, viewing them as promising for addressing chronic mental health conditions like depression. However, there was a notable concern regarding the limited evidence on efficacy and potential adverse experiences, as well as the complexity of the individualised treatment protocol. Despite enthusiasm, many psychologists had limited detailed knowledge about the interventions themselves. The need for comprehensive education and training programs, including exposure to psychedelic experiences and credible higher education institutions, was emphasised to ensure competence in administering PAT.Psychologists displayed notably positive attitudes towards PAT, likely reflecting both shifting perceptions of psychedelics and self‐selection bias within the sample. Despite this optimism, concerns were raised about psychiatric risks and the necessity for comprehensive and reputable training and supervision. The cohort showed openness to both novel treatments and innovative training methods, underscoring the importance of enhancing educational frameworks to ensure effective implementation of PAT. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has been a life-altering experience. It compelled individuals to alter their attitudes and habits and adopt measures to prevent the risks of infection. This research discusses factors that determine adherence to these measures, with the aim of enhancing compliance in future pandemics. A descriptive cross-sectional study was conducted using snowball non-random sampling through an online Qualtrics survey targeting Bahraini residents, aged 18 and older. The sample included 1,008 participants, and data were analyzed using SPSS, and presented in tables and graphs. The majority of the participants were Bahraini females with a bachelor's degree, between the ages of 20–29 (43.2%). Awareness of COVID-19 transmission was high, with 87.7%. The adherence rates for preventive measures were high: mask usage at 98.8%, hygiene practices at 93.7%, and social distancing at 92.2%. Older adults aged 50 + showed the highest consistency in compliance (p = 0.001). Individuals with chronic diseases were more likely to adhere to mask use (p < 0.001). Conversely, those experiencing negative emotions about social distancing were more likely to visit crowded places (p = 0.031), indicating a psychological barrier. Mask use exhibited the highest adherence at 98.8%, while overall compliance was notably high among educated and retired individuals. Public health campaigns should target younger demographics with education about crowded spaces and address emotional barriers to social distancing. Future strategies can be tailored to promote adherence among diverse populations, enhancing community resilience against pandemics. [ABSTRACT FROM AUTHOR]

Introduction: Optimal outcomes during childhood cancer treatment require effective management of toxicities, often called supportive care. A lack of agreement on what comprises supportive care limits the development and provision of comprehensive guidance (for this work, we have defined supportive care as any disease‐ or treatment‐related condition experienced by children with cancer, excluding psychosocial conditions, palliative care, survivorship, or procedural topics). To address this gap, we conducted a consensus‐building exercise among global experts to define and prioritize topics for supportive care. Methods: Two rounds of brainstorming and prioritization exercises were conducted. A multidisciplinary panel nominated by professional societies and cooperative groups was formed to ensure geographic and resource representation using snowball sampling. An internal expert panel generated an initial list of supportive care topics. In round one, the multidisciplinary panel reviewed the initial list and recommended additional topics, followed by prioritization in round two using a seven‐point Likert scale. Results were summarized using descriptive statistics. Results: The multidisciplinary panel consisted of 57 members representing 32 countries. The initial list included 46 topics; 161 additional topics were suggested. After removing duplicates and out‐of‐scope additions, the final list contained 62 topics. Febrile neutropenia, sepsis, bloodstream infections, and pain were ranked highest priority. Mortality, morbidity, and frequency of the event were identified as the most important factors influencing prioritization. Conclusion: Through a multidisciplinary and globally representative process, we identified core supportive care topics and factors influencing their prioritization for childhood cancer. Outputs from this work will inform efforts to generate resource‐adapted recommendations for a global audience. This supports ongoing WHO CureAll work to develop a health systems‐level policy brief of supportive care requirements in the management of children with cancer. [ABSTRACT FROM AUTHOR]

To protect research participants and ensure scientific integrity in clinical trials, independent data monitoring committees (DMCs, also known as data and safety monitoring boards) increasingly oversee randomized clinical trials and recommend modifying or stopping research. Little is known about the ethical issues DMCs face. We conducted semistructured interviews of DMC members using a qualitative description approach with low‐inference interpretation. We recruited respondents through consultation with experts, an online registry of DMC members, and snowball sampling. We interviewed 22 DMC members who were statisticians, clinicians, and/or ethicists that had overseen a wide variety of trials globally. We identified three themes: finding common ground on responsibilities with variation; the need for judgment but not necessarily ethics expertise; and the resulting emotional distress from navigating ethical challenges. In the first case, DMC members identified 19 distinct duties, with some ethical responsibilities rarely mentioned. In the second case, not all DMC members saw the need for ethicists on DMCs or ethics training. In the third case, ethical challenges sometimes led to strong negative emotions. Developing tailored ethics training and decision‐making procedures may help DMCs respond more effectively to ethical challenges. [ABSTRACT FROM AUTHOR]

In the wake of the COVID-19 pandemic, the fluctuating nurse resignation rates highlighted an understudied area in healthcare: post-pandemic challenges in clinical settings. This study, conducted from May to November 2023, employed a qualitative inquiry using focus groups to delve into these challenges. Six focus group sessions, involving 33 nurse participants recruited through snowball sampling from various hospital settings were conducted to explore their clinical experiences during and after the pandemic. Thematic analysis revealed two primary themes: the 'Invisibility of Nurses' within the healthcare system and the 'Moral Duty of Nursing Practice'. These findings illuminate a tension between the overlooked role of nurses and their ethical obligations, underscoring a critical need for policy reassessment. The study advocates for systemic changes, particularly in the undervaluation of the nursing profession and the National Health Insurance system, to address the poor working environment and mitigate long-term nursing shortages. This research deepens understanding of post-pandemic nursing workforce challenges in Taiwan, highlighting the need for policy evolution to enhance recognition and support for the nursing industry. It is suggested to provide tangible compensation to acknowledge nurses' daily care and health education for patients. A healthier working environment can be enhanced by collaborative efforts between healthcare institutions and nurses. [ABSTRACT FROM AUTHOR]

Mobile Health (mHealth) presents the potential to facilitate healthcare and improve the quality of life if successful pilot projects are scaled up and sustainable. However, the persistent termination of mHealth at the pilot phase challenges its potential in developing countries. Existing research suggests an absence of understanding of these phenomena for two reasons. First, literature is scarce in the broad context of armed conflict zones in developing countries, particularly in the IS domain. Second, extant literature emphasizes mHealth implementation, while neglecting the scale‐up and sustainability of these technologies. Therefore, this study employs activity theory as a holistic lens to explore how contradictions shape the scale‐up and sustainability of mHealth in the armed conflict zone of developing countries. In this study, rather than viewing contradiction as a challenge, it serves as a driver for effecting changes that can foster scale‐up and sustainability. The Algorithm for the Management of Acute Childhood Illnesses (ALMANACH), provides an empirical basis for this study. The research employs the interpretivism philosophy and the case study method. In‐depth interviews, participatory observations, and document reviews were used to collect data. Purposive and snowball sampling techniques were used to select the study's participants. The study reveals a lack of professional expertise among the CHWs, the non‐involvement of the users and beneficiaries in designing ALMANACH, and the lack of financial compensation for using ALMANACH in practice as contradictions. The study further exposes how community volunteer groups and the ALMANACH scientific board were established to steer demand. [ABSTRACT FROM AUTHOR]

Copyright of Microbes & Infectious Diseases is the property of Microbes & Infectious Diseases 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.)

Israel has been greatly affected by the coronavirus (Covid-19), which the World Health Organization defined as a pandemic in March 2020. This study explored state anxiety, social support, work–family conflict, and happiness among mothers who are single by choice. This population's experiences have not been examined during crises such as a global pandemic. Using snowball sampling, we recruited 386 single mothers by choice to complete an online questionnaire. Correlation analysis revealed a negative relationship between income and state anxiety (r = −0.12, p < 0.05). Social support (r = −0.35, p < 0.01) and level of happiness (r = −0.58, p < 0.01) also had negative correlations with state anxiety. A positive and significant relationship was found between work–family conflict and state anxiety (r = 0.42, p < 0.01). Stepwise regression analysis showed that happiness explained 34% of the variance in state anxiety. Future studies could compare mothers in relationships and how single mothers by choice coped in other countries. This would shed light on state anxiety among mothers with varying relationship statuses and in differing locations. [ABSTRACT FROM AUTHOR]

Cultural perspectives on disability shape how disabled women (DW) are perceived and treated in the Yoruba culture, thereby creating an avenue for uniquely gendered exposure to vulnerabilities. The study examined how the socio-cultural construction of disability exposes DW to vulnerabilities in Lagos State. Critical Disability Theory and an exploratory research design were adopted. Primary data were collected through qualitative methods. Twelve in-depth interviews were conducted with vulnerable DW who were selected through snowball sampling. Ten key informant interviews were conducted with purposively selected state actors (the Police, Judiciary, and Lagos State Office of Disability Affairs (LASODA)) and non-state actors (the Disabled People Organization and culture custodians). The data were analyzed using narrative content analysis. Findings revealed that disability is perceived as a limitation of DW, which ensues from the barriers erected by society concerning their impairments. Therefore, disability is largely regarded as a social construct rather than a medical construct. Disabled women construct themselves as 'normal" or "equal' beings in society. However, their significant others socio-culturally constructed them variously as Abirun, Alaare, Elesu, Oosa, asexual, and intellectually deficient in Lagos. These negative constructions were influenced by cultural and belief systems about disability, which expose DW in Lagos to multiple risks and vulnerabilities with harmful consequences for their life chances. [ABSTRACT FROM AUTHOR]

Purpose: The prime purpose of the study is to analyse the effect of fintech adoption on the financial well-being of persons with disabilities (PWDs), considering the intervening role of financial behaviour, financial access and financial knowledge. Design/methodology/approach: A self-administered survey schedule collected primary data on fintech adoption and financial well-being among 205 PWD, through snowball sampling from January to May 2023. Researchers used exploratory factor analysis to identify reliable factors and PLS-SEM for testing mediation and research hypotheses. Findings: The study's outcome found that fintech adoption does not directly impact the financial well-being of PWDs. Instead, the impact on financial well-being is explained by mediating factors like financial access, financial knowledge and financial behaviour. Financial access is the most significant among these mediating factors. Research limitations/implications: The study demonstrates the significance of mediating factors in comprehending the influence of fintech adoption on financial well-being. These results underpin existing literature on determinants of financial well-being. Practical implications: Findings evidenced that developing disabled-friendly fintech tools can enhance financial access, reduce inequality and improve the financial well-being of PWDs, which would be helpful for public policymakers. Originality/value: There has been no comprehensive study conducted on this topic, particularly among PWDs. In the current study, an effort is being made to examine the relative effects of fintech adoption on financial well-being directly and indirectly through mediating variables. Peer review: The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-08-2023-0596 [ABSTRACT FROM AUTHOR]

Investors’ behavior is subject to actions and environmental factors in various political, legal, regional, security, etc. dimensions that can make the investment field undergo fundamental changes. Since looking into the future is inevitable and necessary in all economic categories, in the field of investors’ behavior, it is possible to pay special attention to their financial and economic developments in a futuristic manner in the direction of development. Conceptual and formative model of behavioral-psychological investors for decision-making based on environmental drivers, the researcher, while describing, explaining and modeling, seeks to identify indicators and components that play the role of investors’ behavior in development. They determine the attitude and beliefs of investors. This qualitative research is based on the foundation data method and with the Strauss-Corbin approach and semi-structured interview tool to present a conceptual model in order to investigate the behavior of investors in a prospective manner through interviews with 15 experts who were selected by the snowball method, within the scope at the height of the call from different sections of society to attend the stock exchange, i.e. from 2018 to 2022. The result of the research led to the presentation of 130 concepts and 14 categories, which were presented in the form of a paradigm model, and finally, in order to ensure the reliability of the tool, the within-subject agreement method was used, and the results obtained indicate the reliability of the tool. It was presented for use by investors, brokers, and policymakers of the Tehran Stock Exchange. [ABSTRACT FROM AUTHOR]

Financial literacy is crucial to the growth and development of any enterprise. This study investigates the impact of microentrepreneurs' demographic characteristics on financial literacy by breaking it down into three components: financial knowledge, financial behavior, and financial attitude. The study data were collected from 132 microentrepreneurs through a survey questionnaire using a snowball sampling technique. An ordinary least square regression was used to analyze how entrepreneurs' demographic characteristics are related to financial knowledge, financial behavior, financial attitude, and financial literacy. The study revealed that being male, having higher education and more experience, and operating in urban areas have a significant impact on financial literacy and its three components. However, age was found to have no significant impact on financial literacy. This study will help in designing targeted strategies and specialized programs for entrepreneurs looking at the significant impact of their diverse characteristics on financial literacy. [ABSTRACT FROM AUTHOR]

Maker communities are typically guided by noneconomic incentives to produce a positive impact on society. In this study, we offer novel insights into makers' personal values, understood as motivational goals. Specifically, we performed qualitative laddering interviews with 30 makers gathered via snowball sampling in Taiwan. This study maps the hierarchies governing the goals that motivate makers' intentions to dedicate themselves to the maker movement, anchored in seven personal values: self‐direction, hedonism, benevolence, universalism, stimulation, power and achievement. Accordingly, the findings in this study extend the literature concerning the maker movement; these practical contributions can enable managers and practitioners to develop an ecosystem that favours the development of maker communities. [ABSTRACT FROM AUTHOR]

Hikikomori, a form of severe social withdrawal has been found to be associated with behavioral addictions such as gaming addiction and problematic social media use (PSMU). Since literature related to hikikomori is lacking in the Middle East, this study aimed to determine whether there are significant differences in hikikomori-like traits between two different types of social media users and gamers and investigate loneliness as a potential mediator between hikikomori and the two types of problematic behaviors. A cross-sectional, correlational design was employed, collecting a final sample of 220 participants residing in Middle Eastern countries using a mixture of convenience and snowball sampling. Results showed that passive social media users demonstrated significantly greater hikikomori-like traits compared to active users. Furthermore, hikikomori-like traits exhibited significant positive associations with problematic gaming, PSMU, and loneliness. Two separate mediation analyses, the first with PSMU and a second with problematic gaming as predictors, revealed that loneliness acted as a significant mediator between both these problematic behaviors and hikikomori-like traits. [ABSTRACT FROM AUTHOR]

This study examines the family formation journeys of care leavers in China, focusing on how they plan, navigate, and face challenges during this process. Using convenience and snowball sampling, 19 participants (16 care leavers, 3 care stayers) were interviewed. Thematic analysis identified three family pathways: (i) acquaintance-matched, (ii) self-matched, and (iii) marriage “on the way”. The findings reveal ongoing social exclusion and obstacles to family formation, particularly for male care leavers, due to financial pressures, discrimination, and trauma. The study highlights the need for targeted support and social change to improve outcomes for care leavers in China. [ABSTRACT FROM AUTHOR]

Background: The research centers on an underrated type of mediator organization namely facilitator organizations (FO) that work in the health care setting. These organizations are mediators that bridge the gap between patients (healthcare customers) and medical services. The facilitator organizations considered for the study are non-governmental organizations situated in Assam that works in align to chronic diseases, particularly cancer. Methods: The data collection was done through organizational referrals for the study making it a snowball sampling, progressively incorporating additional contemporary entities. The study's respondents were facilitator organizations (i.e.Non-Government Organizations) actively involved in addressing chronic disease. Data were gathered from these facilitator organizations situated in Assam, India, supporting healthcare customers specifically those with cancer. Key informant interviews and semi-structured questionnaires were used for data collection, the responses were documented using a field diary and the Lovelock service model was used as a reference for the construction of the questionnaire and developing the research framework. Results: The analysis of data shows that facilitator organisations maintain continuity in relationships, which enhances health management and outcomes for customers. The shift in cancer care towards a patient-centred approach and the crucial role of FOs in providing comprehensive and individualized care, addressing diverse patient needs thereby addressing the holistic development of the health care customer is vital. In addition, effective patient-centred communication, incorporating trust, compassion, respect and comprehensive support including mental health therapy, occupational therapy, and rehabilitation plays a crucial role in leading a normal life. ' Conclusion: The facilitator organizations dealing with Cancer have to meet a broad range of services outside the core medical service providers for their healthcare customers. These efforts contribute to the overall recovery of both the healthcare customer with cancer and their family. [ABSTRACT FROM AUTHOR]

As automation becomes increasingly integrated into educational settings, understanding its role in shaping students' writing experiences is crucial. The goal of this qualitative phenomenological research was to explore the lived experiences, motivations, role of AI in students' writing, influence of AI on the learning process, and insights in using AI writing tools of the senior high school students of Monkayo National High School. There were 10 participants in this study who were selected through snowball sampling. An in-depth interview was used to gather the information needed. The findings revealed the potentials and pitfalls of AI in developing the students' writing skills. Most of the participants have seen AI's advantages, like completing the writing tasks easily, which meets the deadline, making good-quality outputs adhering to the technicalities of grammar, improving academic achievements, and gaining knowledge about writing. However, there are also some drawbacks, like students becoming indolent and AI dependent; AI diminishes one's critical thinking skills; AI gives inaccurate information; there is a limitation on usage; it is inaccessible when offline; and it is bad for one's health. Nevertheless, the role of AI in students' writing processes is significant. Its effectiveness and efficiency cannot be denied, but it should be used in moderation. Hence, incorporating AI in learning should be guided by strategies that balance its benefits with the need to maintain creative and critical thinking in students' writing. Educators should use AI as a tool to enhance, not replace, human creativity. This approach ensures that while students benefit from AI's strengths, they continue to develop their originality and critical thinking skills in writing. [ABSTRACT FROM AUTHOR]

ABSTRACT Background Aim Design Method Findings Conclusion Impact Reporting Method Patient or Public Contribution Nurse practitioners (NPs) play a crucial role in healthcare by providing person‐centred and high‐quality care. Their contributions encompass enhanced accessibility to healthcare and reduced hospital admissions and cost‐effectiveness. They usually hold a master's degree in nursing, incorporating expanded clinical skills to manage patients in different settings and address both nursing and medical needs. Despite the global development of the role, its implementation varies, presenting challenges related to role clarity, regulation and acceptance by other healthcare professionals.To explore how nurses who are or have been employed as NPs describe their experiences of transitioning to and working in the NP role in Sweden.A qualitative interview study.This study explores the experiences of 15 NPs in Sweden, using a snowball sampling strategy and semi‐structured interviews. The data were collected through interviews in April and May 2022 and analysed with inductive content analysis.The present study explores the experiences of NPs as they transition from experienced nurses to NPs, emphasising motivations, educational challenges, acceptance and autonomy. Transitioning into the NP role initially brought isolation that evolved into acceptance. They recognised their strength in integrating medical and nursing competencies for holistic care. Leadership was pivotal, with managerial support crucial for the successful implementation of the role. Autonomy‐related challenges, such as prescription rights and dependency on physicians, underscored the need for a protected professional title and national guidelines.This study enriches the evolution of the NP role in Sweden, offering vital insights into the ongoing national‐level dialogues on NP role development in Sweden.The paper's relevance extends globally by providing valuable perspectives on NPs practicalities and fostering international understanding and advancement.Standards for reporting qualitative research.Not applicable. [ABSTRACT FROM AUTHOR]

AbstractObjectivesMethodResultsConclusionThis study explored the experiences and challenges of older adults with functional disabilities in Israel during the ongoing Israel-Hamas war, particularly those receiving care from migrant live-in carers. The main objectives were to identify their main concerns and coping strategies during this period.A qualitative methodology was employed, involving face-to-face interviews with 13 older adults (mean age 91.33, SD = 5.31). All participants liveded in separate housesholds with the assistance of migrant live-in carers. They were recruited through purposive and snowball sampling techniques. The interviews were analyzed using thematic content analysis.Two main themes emerged from data analysis: 1) Concerns for others affected by the war and concerns for oneself, and 2) Coping strategies, including utilizing personal resources such as optimism and distraction, seeking connections with family members and carers, and contributing to the community.The study highlights the interplay between the vulnerabilities and strengths of older adults during wartime. Their ability to mobilize both internal and external coping strategies reflects an active approach to managing the stress and uncertainties of war, underscoring their resilience and agency and challenging the perception of older adults as passive recipients of care. [ABSTRACT FROM AUTHOR]

Background Methods Results Conclusions Professional guidelines recommend molecular profiling for mismatch repair (MMR), p53, and polymerase epsilon (POLE) status in endometrial cancer (EC). However, adoption in the United States has not been documented, and barriers to the implementation of testing have not been described.In this mixed‐methods study, implementation science frameworks were used to develop a quantitative survey. Gynecologic oncologists, medical oncologists, radiation oncologists, and pathologists affiliated with NRG Oncology programs were contacted through snowball sampling and were surveyed during 2022–2023. A subset of respondents was interviewed. Statistical and thematic analyses were performed.At least 403 NRG Oncology‐affiliated providers were contacted for the survey, and 107 (26.6%) responded. Greater than 90% of respondents perceived POLE, MMR, and p53 status as important for clinical care. MMR and p53 tests were perceived as easy to obtain, but only 24.2% of respondents reported that POLE testing was moderately or very easy to obtain. Respondents from academic sites reported better access to molecular classification and perceived greater importance of molecular classification compared with respondents from community sites. In thematic analysis of 13 qualitative interviews, cost concerns were reported as large barriers to testing. Interviewees reported a desire for prospective data to guide treatment selection based on classification results.Although integrating molecular classification into standard pathologic reporting is recommended, and clinicians perceive molecular profiling in early stage EC as important, survey respondents noted significant implementation barriers. Implementation challenges that differ between community oncology and academic practice settings were identified. Strategies to improve equitable access to molecular classification of early stage EC are needed. [ABSTRACT FROM AUTHOR]

BackgroundMethodsResultsConclusionParental stress significantly impacts the well-being of families, and necessitates culturally sensitive tools for its assessment. The Parental Stress Scale, widely used in diverse cultural settings, lacks a validated Arabic version suitable for the Lebanese context, where unique sociopolitical and economic factors might influence parental stress differently. This study aimed to translate, culturally adapt, and validate the scale in Arabic among a Lebanese sampleFollowing the Snowball sampling method, participants (n = 502) were adult Lebanese parents who answered demographic questions and completed the Arabic version of the Parental Stress Scale and the Depression, Anxiety, and Stress Scale-8.Confirmatory Factor Analysis showed a two-factor model of the Parental Stress Scale (CFI = 0.956). We found adequate composite reliability for both the ‘Parental Stress’ (ω = 0.91/α = 0.91) and ‘Parental satisfaction’ (ω = 0.94/α = 0.94) subscales. Convergent validity and concurrent validity were demonstrated through positive correlations with measures of depression, anxiety and stress. Our translation of the scale was shown to be invariant across sexes, with fathers scoring significantly higher than mothers.Our validated Arabic version of the Parental Stress Scale offers a culturally sensitive instrument for assessing parental stress in Lebanon. This tool enables healthcare providers and researchers to identify stressors affecting Lebanese families, facilitating the development of targeted interventions to support parental mental health. [ABSTRACT FROM AUTHOR]

Purpose: This study evaluates the mediating roles of entertainment, perceived usefulness, and social media use on social information (content) and students' academic performance. Methodology: Primary data was collected from 445 students at King Khalid University in Saudi Arabia using the snowball sampling strategy was employed. For data analysis, structural equation modeling (PLS-SEM) was used. Findings: Entertainment partly mediates the link between social information quality "content" (IQ) and social media use (SMU) and SMU mediates the link between IQ and student's academic performance (SAP). Perceived usefulness mediates the link between IQ and SAP. Suggesting that entertainment and perceived usefulness are crucially necessary for inspiring social media content to obtain optimum performance among graduate students. The study was limited to a single academic institution. Therefore, the results of the investigation cannot be generalized as a whole, and cannot track respondents' social media activity over time. Thus, longitudinal data may be used in future investigations. Practical implications: The results of this study indicate that faculties can adapt and adjust their teaching methods and activities to incorporate social media, perceived usefulness, and entertaining content since it affects student performance. Social media (SM) has a significant influence on students' social and academic performance. Thus, educational stakeholders, such as university authorities, the government, and parents and guardians, should recognize social media as a tool for achieving educational objectives. Originality/value: The study enhances the application of UTAUT2 by examining how factors that influence the adoption of technology are connected to the subsequent influence of that adoption on students' learning and conduct. [ABSTRACT FROM AUTHOR]

Background: Agricultural insurance has emerged as an effective climate risk management strategy in many African countries, but its adoption is still low in Benin. This study seeks to understand farmers'access and perception of agricultural insurance, while analyzing the factors that affect its adoption in the municipality of Ouèssè in Benin. Methods: Using the method of snowball sampling, the research team collected data from 112 household heads, from six major maize-producing villages. With the data from focus group discussions and a structured questionnaire, we performed descriptive statistics and used the logistic regression model to analyze the factors influencing farmers' agricultural insurance adoption. Result: Our investigations revealed that almost all (95%) of the respondents have received agricultural insurance information at least once and about 94% of them found insurance useful for effective agricultural risk management. However, most of respondents (66.5%) lacked knowledge of loss assessment methods and 52% of them said that the insurance premium was too high for farmers. Most (95%) of the respondents who subscribed to agricultural insurance also received agricultural credit. The binomial logistic regression analysis revealed that adopting agricultural insurance is positively influenced by the farmers' perception of the insurance, educational level, household size andaccess to agricultural credit. Implementing strategies that consider these influencing factors andpromote awareness, while building capacity and trust, could facilitate farmers' adoption of agricultural insurance, especially in countries like Benin, where agricultural insurance is relatively new. [ABSTRACT FROM AUTHOR]

In the modern age, many people live a life centered around home, work and consumption. This situation has many negative effects on people. As a way of escape from the negative effects, people have turned to different ways of thinking and living. One of these lifestyles is minimalism. The aim of this study is to examine the relationship between minimalism and spirituality. Qualitative research method was adopted in the study. In this direction, semi-structured interviews were conducted with 21 participants in November-December 2022 in order to learn the practices, emotional and spiritual changes experienced by people who have adopted a minimalist lifestyle. The participants were asked about their ideas about the concept of minimalism, the changes they have experienced and its effects on their lives. In addition, questions were asked about the participants' definitions of spirituality, their spiritual experiences and the relationship between minimalism and spirituality. Purposive sampling and snowball technique were used to reach the sample group. Descriptive and content analysis methods were used to evaluate the data obtained. Many emotions and changes experienced by the participants who adopted a minimalist life were identified, along with their thoughts on the concept of minimalism and the organization of their relationships with matter. Peace, cooperation, search for a meaningful life, love for animals, environmental sensitivity are among the emotions and changes experienced by the participants. In addition, the participants' views on the concept of spirituality and the relationship between minimalism and spirituality were also identified. Participants also explained the concept of spirituality by associating it with religion. As a result of the study, it was concluded that the participants' spirituality was strengthened through the changes and emotions they experienced. [ABSTRACT FROM AUTHOR]

Background: Multiple sclerosis (MS) is a chronic, autoimmune disease that attacks the central nervous system. Aims: The study was conducted to determine the role of sex and other personal characteristics in the impact of symptom severity on self‐care in individuals with MS. Methods: The study was cross‐sectional and was completed with 200 participants throughout Turkey. The data were collected through random and snowball sampling using the MS‐related symptom checklist (MS‐RS), the Fatigue Severity Scale (FSS), and the Exercise of Self‐Care Agency (ESCA) form. The data obtained were analyzed using the SPSS 21. Statistical significance was evaluated at the level of p < 0.05. Results: The mean age of the participants was 37.97 ± 10.6 years. The mean scores were 47.4 ± 22.41 for MS‐RS, 4.58 ± 2.2 for FSS, and 94.65 ± 24.76 for ESCA in females. The mean MS‐RS score in males was 45 ± 25.89, FSS was 4.33 ± 2.5, and ESCA was 83.43 ± 23.95. There were no significant differences between the sexes except that the ESCA scores were higher in females (p < 0.05). According to a multiple linear regression analysis, the duration of diagnosis and sensory subdimension of MS‐RS negatively affected the ESCA score in females, and this statistically significant model explained 22.6% of ESCA scores. Conclusion: The study found that both sexes had clinically significant fatigue, mildly severe symptoms, and moderate self‐care agency. While being a female positively affected self‐care agency, disease duration, and sensory symptoms negatively affected females' self‐care agency. [ABSTRACT FROM AUTHOR]

INTRODUCTION: Female circumcision (FC) is a deep-rooted tradition in Malaysia, influenced by religious, cultural, and health beliefs. However, it has drawn criticism for its similarities to Female Genital Mutilation (FGM) in Africa, particularly during the 2018 Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) by the United Nations Human Rights (UNHR). Amidst this backdrop, this study aimed to investigate parents' perspectives and experiences concerning female circumcision, as well as the factors driving its persistence. MATERIALS AND METHODS: This qualitative study used phenomenological approach and 20 in-depth interviews were conducted using a semi-structured questionnaire until data saturation were reached. We employed convenience and snowball sampling methods. The interviews were recorded, transcribed, and analyzed using NVivo 12 software. We used thematic analysis to identify key themes in the data. RESULTS: Three themes emerged from the interviews: (1) FC is a 'fitrah', (2) maintaining good health is the main influence; and (3) FC causing no harm. The main influences on this practice are religious, cultural, and health factors. Parents described the procedure as simple and harmless for the baby and themselves, both physically and emotionally. CONCLUSIONS: This research shown that FC in Malaysia is not solely religious but deeply embedded in culture. The blend of cultural and religious aspects makes it a crucial practice for some. [ABSTRACT FROM AUTHOR]

Aim: Dietitians are a well‐placed profession to be providing pre‐emptive oral health promotion. Despite recommendations that oral health promotion should be routinely part of dietetic practice, there is limited data informing the current practices of clinical dietitians in this area across Australia. Hence, the aim of this study was to investigate the knowledge and practices of Australian dietitians and oral health promotion. Methods: A cross‐sectional survey was undertaken involving registered clinical dietitians in Australia using purposive and snowballing sampling (social media/dietetic organisations/public databases). Data were analysed using descriptive and inferential statistics. Results: A total of 149 dietitians participated in the national survey. Overall, dietitians were knowledgeable about oral health risk factors and preventative measures across general health domains. Majority of dietitians agreed that oral health can affect nutrition interventions (95.5%) and dietitians should be discussing oral health (88.0%). However, nearly half were not confident in providing counselling or education and felt that undergraduate training for oral health promotion was inadequate (78.2%). A small proportion (6.0%) of dietitians were already providing oral health promotion regularly. Key barriers included a lack of clear guidelines for practice, limited training opportunities and indistinct referral pathways. Conclusion: Dietitians have acknowledged that oral health promotion should be incorporated into their practice. However, they are challenged by a lack of resources and training to support this in clinical practice. So What?: Capacity building dietitians to promote oral health allows opportunity for improvement in the oral health, nutritional status and quality of life of priority population groups. [ABSTRACT FROM AUTHOR]

Issue Addressed: Most food and nutrition programs cease within 2 years. Understanding the determinants of program sustainability is crucial to maximise output from funding, whilst allowing sufficient time for program benefits to be achieved. This study applied the Consolidated Framework for Implementation Research (CFIR) to map the barriers and enablers of successful long‐term implementation of school‐based nutrition and food programs. Methods: Qualitative methods with purposive and snowball sampling were used to recruit experts who were identified as being influential in implementing and sustaining long‐term (>2 years) school‐based food and nutrition programs. Semi‐structured interviews with global experts were conducted, transcribed verbatim and coded deductively (by applying the CFIR constructs) and inductively when required. Thematic analysis informed the development of themes. Results: Interviews were conducted with 11 experts including researchers, government employees, and a consultant of an international agency, from seven countries. Forty‐eight deductive codes and eight inductive codes identified six main themes: (1) funding and integrity of its source; (2) political landscape; (3) nutrition policies and their monitoring; (4) involvement of community actors; (5) adaptability of the program and (6) effective program evaluation. Themes related mainly to the 'outer setting' domain of the CFIR. Conclusions: The CFIR highlighted pertinent factors that influence the successful long‐term implementation of school‐based food and nutrition programs. So What?: The findings suggest that to sustain program implementation beyond its initial funding, relationships across government departments, local organisations and communities, need to be nurtured and prioritised from the outset. [ABSTRACT FROM AUTHOR]

Introduction: Professional guidelines recommend that providers routinely monitor children prescribed second-generation antipsychotics (SGA) to reduce the risk of adverse metabolic events associated with the medication. Despite this guidance, many studies show low rates of monitoring compliance. In this study, we interviewed child psychiatrists for their views of possible barriers to monitoring. Methods: Semi-structured qualitative interviews, developed according to the Regehr model of influences upon patient–provider decision making, were conducted with child and adolescent psychiatrists in current practice and recruited by convenience and snowball sampling. Interviews were conducted through internet video meetings and were recorded. Interview data were analyzed following Framework Analysis qualitative methods. Results: We recruited and completed interviews with 17 psychiatrists. Patient-level barriers included travel difficulties, limited family time for health care appointments, patient fear of blood draws, and more. Provider-level barriers included professional judgment versus guideline guidance, perceived family burden, assumption of low-risk, short-term SGA use, and more. Organizational level barriers included lack of organizational mandates or incentives, limited appointment time per patient, lack of care coordination, lack of co-located labs, personnel turnover, and more. Barriers at the social and cultural level include stigma and low health literacy. Conclusion: These practicing prescribers provided a wide range of possible barriers to metabolic monitoring in children and adolescents prescribed SGAs. The next step is to explore which may be present in certain settings, and to pilot quality improvement interventions. Addressing barriers can reduce risk of metabolic disorders arising from long-term use of SGAs in children and adolescents. [ABSTRACT FROM AUTHOR]

Background: Police activity in emergency medical settings has been shown to complicate the care of patients and impact patient-provider relationships. Recent scholarship has called for clear hospital policy outlining the terms of police access to patients and the role of clinicians. Despite regular contact between trauma surgeons and police, research on the impact of police activity on trauma care has been limited. Methods: Semi-structured interviews were conducted with attending trauma surgeons and general surgery residents (N = 13) at 3 urban hospitals about their interactions with police in clinical settings. Participants were recruited using snowball sampling. Interviews were audio-recorded, transcribed, and analyzed for recurrent themes using an iterative grounded theory process. Results: Participants reported routine contact with police that required active negotiation of the scope of clinical and police authority in the hospital. These negotiations were shaped by prior experiences, perceptions of police, officer behavior, and institutional culture. Surgeons felt compelled to advocate for patients, but reported intimidation in moments of conflict. Participants noted uncertainty around the legal dimensions of their relationship to police and a lack of universal guidance on appropriate responses. Discussion: This data points to the need for improvements in both policy and workflow to regulate and reduce the burden of these interactions and protect clinicians' priorities from being subordinated to those of police. Further research is needed to understand how police presence impacts patient outcomes, and to guide best practices for regulating and mitigating potential negative impact. [ABSTRACT FROM AUTHOR]

This paper examined the need to update the accounting curricula in Ghanaian universities to address the issue of unemployment among accounting graduates, particularly in the context of the fourth industrial revolution (4IR). A qualitative approach involving document analysis and in-depth interviews was employed. Both purposive and snowball sampling methods were used to select a diverse group of participants, comprising government officials, accounting academics, employers, and graduates for the interviews. Data were analyzed using thematic review procedures. The study established the need for substantive changes in the accounting curricula in Ghanaian universities to teach 21st-century multi-disciplinary skills, balance practical and theoretical skills, provide a comprehensive range of financial and management accounting expertise, combine academic and professional credentials, and uphold strong ethical standards and integrity. Substantial modifications must be undertaken to the accounting curriculum to effectively address the issue of unemployment among accounting graduates. The findings require a stronger collaboration among government, academics, employers, graduates, and other interested parties in accounting to create an accounting curriculum that will focus on 21st-century skills and adequately blend theory and practice to reduce unemployment among accounting graduates. [ABSTRACT FROM AUTHOR]

Background: The variables that contribute to positive and negative experiences of clinical education amongst student physiotherapists are well established. Multiple stakeholders are invested in the ongoing success of physiotherapy clinical placements given workforce challenges within the profession and the emerging relationship between clinical placements and new‐graduate recruitment. However, little is known about the relationship between clinical placement experiences and the career decisions of new‐graduate physiotherapists. Purpose: To explore the influence of clinical placement experiences on new‐graduate physiotherapists' career intentions and decision making. Methods: A qualitative study which used a general inductive approach. New‐graduate physiotherapists (n = 18) were recruited through a snowball sampling approach and participated in semi‐structured interviews. Ethical approval was obtained from The University of Queensland. Results: Four overarching themes were generated; (1) clinical placements impact career decisions, (2) placements as a trial for future employment to identify professional preferences, (3) feeling valued as a team member, and (4) clinical educators' shape placement experiences. Discussion and Conclusion: Clinical placements play a significant role in directing new‐graduate physiotherapists' careers, with clinical placement viewed as an opportunity to explore one's career options. A complex interplay of clinical and nonclinical variables was acknowledged by new‐graduates, with positive experiences during clinical placements considered to increase new‐graduate physiotherapist intentions to work in similar settings or contexts. Factors that contributed to positive experiences included accessible mentorship from clinical educators with regular feedback, and opportunities for the students' contribution and clinical capacity to be acknowledged and valued. Recommendations are made for creating supportive workplace environments for clinical education and include prioritizing supportive mentorship. Implications for Physiotherapy Practice: Clinical placement providers intending to recruit new‐graduates who have attended their workplace as students may benefit from implementing strategies that assist students to feel supported as valued members of the team. Additionally, the findings of this study may guide education providers when considering the training delivered to new and existing clinical placement sites with the aim of providing supported student learning environments. [ABSTRACT FROM AUTHOR]

Confusion and cognitive uncertainty of employees in the workplace can lead to confusion and negative consequences in individual and organizational thinking. However, using the power of imagination and mental creativity, people who are known as dreamers, can serve as a psychological tool for managers. The purpose of this study is to model the dreaming power of employees in organizations. The method of the present research in terms of purpose, is fundamental and applied, with qualitative-exploratory approaches and in terms of implementation, has been done using the given techniques. The instrument used was a semi-structured interview with experts in the field, 15 of whom were selected using targeted snowball sampling based on the principle of saturation. The results showed that a total of 40 categories and 364 statistical codes were organized in the form of five categories: causes, contexts, interventions, strategies and messages. The results showed that the drawn model of employee empowerment directly causes significant leaps in organizational creativity and innovation and overcomes organizational burnout and inertia crises. Managers can use this technique to train professionals with high empowerment, competencies and goals aligned with the organization. [ABSTRACT FROM AUTHOR]

Copyright of Environmental & Social Management Journal / Revista de Gestão Social e Ambiental is the property of Environmental & Social Management Journal 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 Environmental & Social Management Journal / Revista de Gestão Social e Ambiental is the property of Environmental & Social Management Journal 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.)

Objective: This study aims to explore the experiences and perceptions of public managers in Iranian governmental organizations regarding organizational democracy. By adopting a phenomenological approach, the research seeks to understand the essence of organizational democracy from the perspective of those who have experienced it firsthand, highlighting the key themes and subthemes that emerge from their lived experiences. Methodology: The study employs a qualitative research design with a phenomenological approach to capture the lived experiences of public managers. A non-random snowball sampling method was used to select 15 public managers from various governmental organizations in Iran. Data were collected through semi-structured interviews, and the analysis continued until theoretical saturation was reached. The interviews were transcribed verbatim and analyzed using thematic analysis to identify key themes and subthemes. Findings: Four major themes emerged from the data: transparent and accountable management, independent organizations, personal fulfillment, and free and fair participation. Subthemes included the transition to democratic supervision, planning for civic participation, financial support for employees, fostering innovation, and integrating diverse values. The findings reveal a significant shift towards more democratic organizational practices, emphasizing transparency, employee empowerment, and participatory decision-making processes. Conclusion: The study highlights the critical role of transparency, participatory decision-making, and employee empowerment in enhancing organizational effectiveness and employee satisfaction within Iranian governmental organizations. [ABSTRACT FROM AUTHOR]

BACKGROUND AND OBJECTIVES: Nowadays, in order to continue their activities and attract and retain customers, insurance companies should think more about customer confusion and provide effective strategies to eliminate or reduce customer confusion. For this purpose, this research aims to provide effective strategies in managing customer confusion in life insurance. METHODS: This research is based on thematic analysis (coding and recognition of the underlying categories of the interview text or writing). In terms of the objective, it is considered fundamental based on the data collection method. The research participants are experts in insurance and marketing industry. Non-probability, judgmental, and snowball sampling methods were utilized and the number of sample size according to the theoretical saturation of the data was 23 people. Semi-structured interviews were conducted to collect data. FINDINGS: According to the results of the research, 3 central cores and 18 main themes with the title of customer orientation (continuous follow-up of customers, communication with customers, understanding customer needs and improving customer service and well-being), marketing strategies (holding significant and attractive events, word-of-mouth advertising, identity building), desirable in social networks, innovative use of brochures, TV programs, effective advertisements) providing a complete package of high quality services (monitoring the performance of employees, transparency of performance, flexibility in insurance coverage, providing loyalty programs in a new way, focusing on the value chain, visualizing insurance life, use of information technology (intelligence)) were identified. CONCLUSION: In this research, the strategies of overcoming customer confusion management in life insurance services were considered. According to the findings of the research, using systems to track and understand the needs of customers by creating and maintaining long-term relationship have made customer orientation an important factor. Also, the creation of marketing strategies based on the production of stimulating content and the use of the capacity of virtual space along with the development of programs to provide high-quality services to provide superior value to the customer and according to the current conditions may assist managers and entities in charge to overcome customer confusion. In order for the desired strategy to be successful, it is necessary for managers and entities in charge to consider the confusion of customers in all stages and processes of implementing strategies. [ABSTRACT FROM AUTHOR]

The current research was conducted with the aim of designing a model for using cloud computing in Small and medium-sized enterprise. This study is a developmental in terms of its purpose and it is a qualitative research in terms of the nature of data collection and analysis, and was conducted using the grounded theory method. The statistical population consists of experts and entrepreneurs in the field of handicrafts and university professors of Kermanshah city, among which 14 people were selected as sample members by snowball sampling. semi-structured interviews was used for data collection. The results show that improving competitive advantages and improving operational processes explain why cloud computing should be used in these Enterprise. The findings also indicate that cultural-management facilitators, infrastructural facilitators and facilitators related to cloud computing are among the factors that can act as contextual factors. In addition, two categories of intervening factors (promoting and inhibiting factors) can affect the use of these technologies in these enterprises. The strategies of using cloud computing are also identified at two enterprises and environmental levels, and the consequences of using these technologies are also identified in four categories of operational, managerial-executive, entrepreneurial and competitive consequences. [ABSTRACT FROM AUTHOR]

Purpose: This research aims to assess how well the e-governance initiative aligns with its design expectations and on-ground realities for property management to redevelop Delhi, the mega-city of India. Additionally, the study proposes strategic interventions to address any gaps identified, aiming to improve the project's effectiveness and success. Design/methodology/approach: The research employs a singular exploratory case study methodology to scrutinise the e-governance initiative undertaken by the Government of India to confer property rights. Specifically, the study utilises a qualitative research approach known as design-reality gap (DRG) analysis. The study draws from primary and secondary sources using a mixed-methods data collection strategy. Primary data are gathered through a purposeful and snowball sampling method involving direct engagement with respondents, whilst secondary data are sourced from the project portal. Findings: The investigation reveals a substantial disparity between the planning and execution phases of e-governance projects. This incongruity predominantly manifests in the domains of process, staffing and skills, as well as objectives and values. The study further finds that strategic collaboration amongst stakeholders and the sustainability of decisions are the most critical factors in ensuring the success of e-governance initiatives and bridging the DRG of e-governance projects. Research limitations/implications: This research highlights the complex challenges faced by e-governance projects in technical, human and organisational aspects. The successful implementation and sustainability of these projects require effective strategies to overcome challenges, which management should proactively identify and act on. To improve services, beneficiaries should be encouraged to provide feedback and suggestions, as they play a crucial role in service enhancement. A dynamic feedback loop would be established by creating a two-way interaction between beneficiaries and service providers, leading to iterative service improvement. It is important to note that the study's findings are more illustrative than conclusive due to the moderate sample size, reflecting its limitations. Originality/value: The research contributes to the scholarly discourse on e-governance and policy implementation by comprehensively examining the alignment between conceptual design and real-world execution. It also introduces a normalised scale for the DRG framework, mapping its dimensions to deduce specific outcomes. This innovative approach enhances the research's originality and value, offering insights applicable in both academic and practical domains. [ABSTRACT FROM AUTHOR]

Purpose: Land value in urban areas in India is influenced by regulations, bylaws and the amenities associated with them. Planning interventions play a significant role in enhancing the quality of the neighbourhood, thereby resulting in a change in its value. Land is a distinct commodity due to its fixed location, and planning interventions are also specific to certain locations. Consequently, the factors influencing land value will vary across different areas. While recent literature has explored some determinants of land value individually, conducting a comprehensive study specific to each location would be more beneficial for making informed policy decisions. Therefore, this article aims to examine and identify the critical factors that impact the value of residential land in the National Capital Territory of Delhi, India. Design/methodology/approach: The study employed a combination of semi-structured and structured interview methods to construct a Relative Importance Index (RII) and ascertain the critical determinants affecting residential land value. A sample of 36 experts, comprising property valuers, urban planners and real estate professionals operating within the National Capital Territory of Delhi, India, were selected using snowball sampling techniques. Subsequently, rank correlation and ANOVA methods were employed to evaluate the obtained results. Findings: Location and stage of urban development are the most critical determinants in determining residential land values in the National Capital Territory of Delhi, India. The study identifies a total of 13 critical determinants. Practical implications: A scenario planning approach can be developed to achieve an equitable distribution of values and land use entropy. A land value assessment model can also be developed to assist professional valuers. Originality/value: There has been a lack of emphasis on assessing the impact of planning interventions and territorial regulation on land values in the context of Delhi. This study will contribute to policy decision-making by developing a rank list of planning-based determinants of land value. [ABSTRACT FROM AUTHOR]

Background: The objective of the study was to identify the psychosocial and contextual markers considered by physicians to personalize care. Methods: An online questionnaire with one open-ended question, asking physicians to describe clinical situations in which they personalized care, was used. Physicians were recruited from March 31, 2023, to August 10, 2023, from three hospitals, five university departments of general practice and six physician organizations in France. Recruitment was conducted through email invitations, with participants encouraged to invite their colleagues via a snowball sampling method. The participants were a diverse sample of French general practitioners and other medical specialists who see patients in consultations or in hospital wards. We extracted the psychosocial and contextual markers considered by physicians to personalize care in each clinical situation. The analysis involved both manual and AI-assisted content analysis using GPT3.5-Turbo (OpenAI). Mathematical models to assess data saturation were used to ensure that a comprehensive list of markers was identified. Results: In total, 1340 people connected to the survey platform and 1004 (75.0%) physicians were eligible for the study (median age 39 years old, IQR 34 to 50; 60.5% women; 67.0% working in outpatient settings), among whom 290 answered the open-ended question. The participants reported 317 clinical situations during which they personalized care. Personalization was based on the consideration of 40 markers: 27 were related to patients' psychosocial characteristics (e.g., patient capacity, psychological state, beliefs), and 13 were related to circumstances (e.g., competing activities, support network, living environment). The data saturation models showed that at least 97.0% of the potential markers were identified. Manual and AI-assisted content analysis using GPT3.5-Turbo were concordant for 89.9% of clinical situations. Conclusions: Physicians personalize care to patients' contexts and lives using a broad range of psychosocial and contextual markers. The effect of these markers on treatment engagement and effectiveness needs to be evaluated in clinical studies and integrated as tailoring variables in personalized interventions to build evidence-based personalization. [ABSTRACT FROM AUTHOR]

Background: The experiences of GPs in Australia highlight key considerations regarding workload demands, remuneration incentives and the practical implications of working in regions with high ethnic density. This exploration helps to understand the elements that influence GPs delivery of care, particular for refugee women who exhibit disproportionately higher rates of chronic pain. This qualitative study explored the experiences of GPs providing care for refugee women living with chronic pain. Methods: Semi-structured interviews were undertaken with 10 GPs (9 female and 1 male) practicing across metropolitan Melbourne, Australia. GPs were recruited via purposive sampling and a snowballing strategy. Participants work experience ranged from one to 32 years. Audio recordings of the interviews were transcribed verbatim and stored in qualitative data Nvivo 12 software for coding. Transcripts of interviews were analysed thematically using a phenomenological approach. Results: Three overarching themes were identified: (1) meeting the needs of refugee women living with chronic pain; (2) the role of the GP; and (3) the challenges of the health care system. These themes reflected the complexity of consultations which arose, in part, from factors such as trust, the competencies of clinician's and the limitations posed by time, funding and interpreter use. Conclusion: GPs acknowledged the uniqueness of refugee women's chronic pain needs and whilst doctors welcomed care, many were often challenged by the complex nature of consultations. Those that worked in settings that aligned with refugee women's needs highlighted the importance of cultivating culturally safe clinical environments and listening to their patients' stories. However, system level challenges such as time, funding and resource constraints created significant challenges for GPs. Exploring GPs experiences allows for a better understanding of how vectors of disadvantage intersect in health care and highlights the need to better support doctors to improve health care provision for refugee women living with chronic pain. [ABSTRACT FROM AUTHOR]

This paper is based on data from a qualitative participatory study with 40 (boy = 18; girl = 22) secondary school students of Grades 7–10 (ages 13–16 years) recruited through snowball sampling from both urban and rural areas of Bangladesh. Semi-structured one-on-one and focus group interviews were conducted online with the students to gain an in-depth understanding of an array of external assets typically located in broader ecological, relational contexts of young people's lives, such as their peers, family, school, and/or community that facilitate their well-being experiences at school. Grounded theory approaches were used to analyse the data. The study found four external assets entailed Support (from parents, school), Empowerment (e.g., sense of safety), Boundaries and expectations (e.g., high expectations from teachers and parents), and Constructive use of time (e.g., extracurricular activities) conducive to students' positive development and well-being at school. The findings were discussed within the developmental asset conceptual framework. The findings have implications to inform strengths-based interventions for improving students' well-being experiences at schools in Bangladesh. [ABSTRACT FROM AUTHOR]

Bioplastics serve as good alternatives to conventional plastics, but their production and adoption globally remain generally low. This paper sought to determine the consumer preference for bioplastics due to the urgent need for an invention on plastic pollution in Nigeria. This was achieved by employing green nudges on consumers' choice experiments on bioplastic products. The study used a sample size of 327 respondents employing the snowball sampling approach. We discovered that there was high preference heterogeneity among respondents probably due to cultural diversity and attitudinal differences. Moreover, respondents preferred to stick with their preferences instead of opting for a change in their decisions. This may have been because Nigerians are known to be brand loyalists. Our results showed that the Text treatment group thought that bioplastic labels were innovative and useful compared to the control group. This perception was probably because of the concise text on the advantages of bioplastics. We conclude that although respondents were exposed to various green nudges, there was little effect of the green nudges on their purchasing decisions. We recommend that further studies be carried out to understand why price effect was not effective in Nigeria against theory and as compared to developed countries. [ABSTRACT FROM AUTHOR]

ABSTRACT Background Aim/Question Methods Results Discussion Implications for Practice Mental health conditions cause a huge burden on individuals and healthcare systems. According to the World Health Organization, around 970 million individuals worldwide had a mental disorder in 2019.To explore the attitudes towards mental health conditions among the Iraqi community and determine factors influencing such attitudes.A cross‐sectional survey was conducted on 1394 individuals of the Iraqi general population between December 2022 and February 2023 using a self‐administered online questionnaire in Arabic, utilising convenience and snowball sampling. The data were analysed using R Statistical Software.In total, 763 (54.73%) individuals had positive attitudes towards mental health conditions. The multivariate regression analysis revealed the males and age group of 46 years, and more were significantly associated with negative attitudes (p = 0.001, p = 0.045 respectively).Individuals with mental health conditions experience stigmatising attitudes as in the Middle East jeopardising their treatment and recovery. This is the first study to address the Iraqi population's attitudes towards mental health conditions indicating overall positive attitudes.Health promotions must be conducted by educators, healthcare workers and universities to dispel the myths. Future studies with extensive sampling will help clarify the obscurity of mental health conditions in Iraq. [ABSTRACT FROM AUTHOR]