Acceptance Process Research Articles

Capacity and Capability for Nursing, Midwifery and Allied Health Professional Principal Investigator Roles in Healthcare Research: A National Survey.

To understand the current capacity and capability for nursing, midwifery and allied health professional (NMAHP) principal investigator roles in England. Quantitative online survey. Online national quantitative survey across England analysed using descriptive statistics. The number of NMAHP PIs in an organisation was unrelated to the size of the NMAHP workforce. NMAHP PIs were more common in non-CTIMP studies. A quarter of organisations had no specific education or support for NMAHP PIs. Most respondents indicated that a national approach to support and training would be helpful. Having more research-active NMAHPs provides career progression, improved staff retention and improves the evidence base for practice. Having a broader range of CI/PIs allows for more targeted and specialty-specific oversight of research studies and streamlines the acceptance process to allow research to be delivered in a more timely manner. This will require more collaboration between NMAHP, medical and industry communities to promote a multidisciplinary approach to healthcare research delivery and to ensure that CI/PI roles are fulfilled by the most appropriate person, regardless of their profession. To ascertain NMAHP capacity and capability for PI research roles. Shows where national and organisational effort should be focused to increase this nationally. Cross reporting guidance for survey studies was utilised. No patient or patient contribution.

A Study of the AR Solutions Used in the Dangerous Goods Acceptance Process in Airport Cargo Warehouses

A Study of the AR Solutions Used in the Dangerous Goods Acceptance Process in Airport Cargo Warehouses

Virus Filtration Development for Adeno-Associated Virus-Based Gene Therapy Products.

Adeno-associated virus (AAV) vectors have become a leading platform for gene delivery. A major portion of gene therapy currently in clinical trials are AAV-based for a wide range of diseases. A commonly used method for AAV production is by mammalian or insect cell culture, with or without added viruses to introduce needed genetic elements for AAV production. There are potential risks of virus contamination from the production cell line, process residuals, or adventitious contamination in the production of biotherapeutics, including AAV-based gene therapy products; therefore, it is imperative to demonstrate that the drug substance manufacturing process has sufficient capability to clear process-related or adventitious viruses. In the AAV-based gene therapy manufacturing process, cell lysis, affinity chromatography, and ion exchange chromatography steps are often effective to inactivate or remove viruses. To increase the viral clearance robustness, virus filtration (VF) is increasingly recommended by regulatory agencies for gene therapy products as a dedicated viral clearance step in the downstream purification process. In the current study, two commercially available virus filters were evaluated in the context of AAV manufacturing. The filter throughput and process yield were assessed under different operational modes. Virus clearance performance was evaluated by spiking in Adenovirus type 5 (Adv-5) and Simian virus 40 (SV-40). The viral filters assessed in this study demonstrated manufacturable throughputs, acceptable process yields, and robust virus clearance capabilities for viruses greater than 40nm.

Exploring the relationship between trauma, mental health, and occupational performance in health science center students

IntroductionAttending university marks a pivotal yet stressful phase in students’ lives, characterized by significant adjustments to a new environment that can impact mental, emotional, and physical well-being. The journey through the acceptance and admissions process into university introduces substantial challenges, academic performance and changes to daily life. Such challenges and corresponding conditions can be intensified for students entering university with prior traumatic experiences.ObjectiveThe purpose the study is: (a) to clarify the factors affecting student mental health by cataloging the prevalence and types of traumatic events (including PTSD and complex PTSD) that students experience, and (b) examine the relationship between students’ mental health and occupational performance through the assessment of satisfaction with daily activities and quality of life (QoL).MethodThe research study utilized a descriptive cross-sectional design. Participants included students pursuing degrees in Medicine, Dentistry, Pharmacy, and Allied Health, (N = 223). Four self-administered questionnaires were employed: the International Trauma Questionnaire (ITQ), Beck’s Depression Inventory (BDI), the Self-Satisfaction of Daily Occupation (SDO), and World Health Organization Quality of Life Brief (WHOQoLBrief). Data was analyzed using descriptive statistics, and Spearman correlation.ResultResults from ITQ revealed participants experienced highest indicators of trauma were 68% affective dysregulation, and 65%, in avoidance and self-organization. Significant negative correlations were found between BDI scores and the quality-of-life social domain and quality of life environment domain (p = 0.001). Regarding BDI scores highest at 23.3% (n = 52) of students reported mild mood disturbance. SDO indicated that satisfaction levels increased with medium activity levels but decreased with high activity levels. In addition, a negative correlation was also found between SDO and BDI scores. Furthermore, a positive correlation between satisfaction with daily occupation (activity level) and WHOQoLBrief both physical, p > 0.001 and psychological, p = 0.006 was identified.ConclusionThis research investigates the cyclical impact of mental health on students’ daily activities, QoL, and occupational performance, particularly among those in Health Sciences Center. The study highlights how traumatic events and poor mental health contribute to dissatisfaction with daily tasks, which in turn leads to a decline in QoL and occupational performance emphasizing the importance of developing effective outreach strategies community.

Acceptance of Illness and Health Behaviours of Patients with End-Stage Renal Disease Treated with Haemodialysis: A Single-Centre Study.

Patients with end-stage renal disease undergoing haemodialysis experience numerous life changes often requiring significant sacrifices. Adaptation to the limitations associated with the disease and dialysis treatments may influence their health behaviour. The aim of the study was to analyse the relationship between the level of illness acceptance and the intensity of health behaviours in patients treated with haemodialysis. The study used a diagnostic survey method using the Acceptance of Illness Scale and Health Behaviour Inventory questionnaires, adapted to Polish conditions by Z. Juczyński. The study was conducted from December 2022 to March 2023 among 105 patients in one dialysis centre in Poland. The patients showed an average level of disease acceptance (22.64 ± 6.52) and presented a low level of health behaviour intensity (79.11 ± 12.46). The disease acceptance index and the intensity of health behaviours showed positive correlations with age, disease duration, and the duration of haemodialysis treatment. Statistically significant positive correlations were identified between illness acceptance and the intensity of health-related behaviours. The acceptance of illness may influence adherence to health behaviours, which highlights the importance of introducing integrated and early therapeutic support to assist in the acceptance process.

Factors Influencing Consumer Willingness to Use AI-Driven Autonomous Taxis.

The advancement of autonomous driving technology, particularly Tesla's launch of its new Robotaxi, marks a transformation in transportation. Understanding the theoretical mechanisms that drive consumers' intention to use autonomous taxis is essential. This study develops a structural equation model (SEM), extending the applicability of the TAM and TPB model, and incorporates external factors like attitudes, subjective norms, traffic efficiency, and perceived cost-benefit into the model to analyze their impact on consumers' perceived characteristics (perceived usefulness and perceived ease of use). A survey of 427 valid responses revealed that attitudes, subjective norms, and perceived cost-benefit all have significant positive impacts on perceived usefulness and ease of use, which, in turn, are the primary drivers of consumers' intention to use. Additionally, perceived risk significantly weakens the positive effects of perceived usefulness and ease of use on the intention to use, underscoring its critical moderating role in the technology acceptance process. This paper suggests strategies to enhance consumer acceptance, including strengthening user perception through marketing and public experience activities, optimizing technology to improve user experience, reinforcing safety and privacy measures to reduce perceived risk, and highlighting the insurance mechanism, convenience, and economic benefits of autonomous taxis in marketing.

Influence of Accelerators and Filler Content on Physical Properties of Tin Dioxide Reinforced Deproteinized Natural Rubber Nanocomposites

The global electrical industry is looking for sustainable materials in various domains, including electrical insulation cable materials. Tin dioxide (SnO2) nanoparticles combined with deproteinized natural rubber (DPNR) have the potential to produce an excellent and green electrical insulation material that combines their parents’ electrical properties. Yet, the processability is highly influenced by the curing system. The cure characteristics of rubber nanocomposites were investigated for the influence of different accelerators and SnO2 content. The 2,20-dithiobis (benzothiazole) (MBTS)-cured compounds exhibit ultrafast curing and higher melt viscosity than the N-Cyclohexyl-2-benzothiazole sulphonamide (CBS)-cured nanocomposite compounds, regardless of the increment in SnO2 loadings. Therefore, CBS-cured nanocomposites exhibit acceptable process safety, good processability and properties. The morphological, thermal and compositional analyses further supported the density, swelling behaviour and hardness of the DPNR nanocomposites of the selected accelerator system.

Self-Acceprance of Parents Who Have Children With Special Needs at Benpasi State Special School

Children with special needs are children with mental, intellectual, physical, behavioral, emotional and communication limitations which can have an impact on the child's growth and development, making them different from other children their age. The importance of self-acceptance by parents of ABK in order to optimize the potential and development of ABK through the stages of acceptance according to Germer (2009), namely: Aversion, Curiosity, Tolerance, Allowing, Friendship. This research aims to describe the self-acceptance process of parents who have ABK at SLBN Benpasi. The research design uses a qualitative research approach with phenomenology with 5 subjects based on criteria determined using a purposive sampling technique. The data collected was analyzed using hermeneutic phenomenological analysis techniques and produced 3 main themes, namely, the challenge of acceptance, the process of facing reality, and coming to terms with reality. The process of self-acceptance by ABK parents experienced a positive acceptance process. Each participant was successful and able to go through each process well in different ways.

The Relationship Between Pain Acceptance and Acceptance of Illness in Individuals with Rheumatoid Arthritis.

Managing treatment and symptoms of chronic diseases without accepting the illness is challenging. This study aimed to determine the relationship between pain acceptance and the acceptance of illness in individuals with rheumatoid arthritis (RA). In this descriptive study of 123 people diagnosed with rheumatoid arthritis (RA), data were collected through a questionnaire. The questionnaire included a Patient Information Form, Visual Analog Scale (VAS), Health Assessment Questionnaire (HAQ), Disease Activity Score 28 (DAS28), Chronic Pain Acceptance Questionnaire (CPAQ), and Acceptance of Illness Scale (AIS). The mean chronic pain acceptance score of individuals with RA was 55.32 ± 12.96, and the mean acceptance of illness score was 25.00 ± 8.02. A statistically significant relationship existed between levels of pain measured by VAS and CPAQ (r=-0.184, P=.042). A statistically significant correlation existed between AIS and CPAQ total score (r=0.284, P=.001). As the levels of pain acceptance increased in RA patients, the levels of pain decreased, and the levels of acceptance of the illness increased. Patients must first acknowledge and accept their illness to follow their treatment plan effectively. Considering that the pain acceptance of individuals diagnosed with RA affects the level of acceptance of illness, it is essential to evaluate patients' pain and disease acceptance processes and support patients to increase treatment success.

Self-Identification Phenomenon in A Temporary Shelter Unit After A Disaster: AFAD Containers

Container homes used to meet the shelter needs of disaster victims in the post-disaster period are often foreign environments, which can create psychological challenges. The process of individuals adapting to a space begins with personalization. This study examines the physical and psychosocial needs of disaster victims through the 'phenomenon of personalization.' Implementing different forms of personalization to overcome alienation from the space can facilitate the acceptance process by making the environment familiar. The research addresses the personalization processes of disaster victims in containers and their user requirements, collecting data through observations and semi-structured interviews in the AFAD container city in İskenderun. As a result, the personalization that disaster victims engage in within the container contributes to psychological, social, and physical recovery processes. Therefore, it is essential that post-disaster shelter spaces are designed to allow for personalization and adopt a user-centered approach.

Professional and public views about early return of patients from Comprehensive Stroke Centers to local Acute Stroke Centers in England following displacement by emergency care pathways

BackgroundMechanical thrombectomy is a highly effective emergency treatment for selected cases of ischemic stroke but can only be provided at hospitals with appropriate facilities and interventionists. Many patients require transfers for treatment, including some who are subsequently considered ineligible. To maintain capacity at thrombectomy centers, displaced patients should soon be returned to their local hospital following assessment and treatment, but return processes vary. We sought the views of stroke and ambulance services, clinicians, and public representatives about the timing, planning and implementation of acceptable processes to inform recommendations about the early return of patients (< 24 h) displaced as a result of thrombectomy pathways.MethodsThree workstreams were undertaken between 01/05/2023 and 31/10/2023: 1. An online survey of hospital stroke services supplemented by a convenience poll of stroke clinicians. 2. An online survey of ambulance services. 3. Focus groups with stroke patients and carers using a topic guide describing typical early return scenarios. The surveys used multiple choice answers supplemented by free text boxes for additional comments. Data were reported descriptively without statistical comparison. Focus group data were analyzed thematically using emergent coding.ResultsResponses were obtained from 32 stroke services, 44 stroke clinicians, and 11 ambulance services. Stroke service and clinician respondents generally supported early return for most clinical scenarios but advised caution regarding transfers < 4 h after thrombectomy and < 24 h for hemorrhagic stroke due to the higher risk of complications. Ambulance respondents highlighted travel time, immediate service pressures and crew type as influences upon providing early returns, but supported 24/7 provision. Twenty-nine patients and four carers participated in three focus groups. There was general acceptance of early return processes but these participants emphasized the need for clear communication and individualized decisions based upon clinical status, age, journey length, patient preferences and individual contextual factors.ConclusionsAll contributors were generally supportive of early patient returns to maintain thrombectomy center capacity, but the results suggest important organizational, clinical, and patient-focused considerations for successful implementation.

On Being Accepted: Interrogating How University Cultural Scripts Shape Personal and Political Facets of Belonging

AbstractBelonging is personal and political. As a fundamental human need, belonging is about self-acceptance and about feeling “accepted” by others. And yet, this process of acceptance is inextricably tied to structures of power that work to include and exclude. Structures of whiteness within higher education systems, for example, relegate low-income, first-generation-to-college students of color to the margins and undermine their capacity and desire to belong. This makes the task of developing institutional practices that foster belonging complex. Such a task prompts important questions about what “acceptance” looks like. For example, in what ways can practices of acceptance attend to existing power structures? Under what conditions can acceptance occur so as not to solely expect students to assimilate or to silence important parts of themselves? How can practices of acceptance recognize the diverse belonging needs of marginalized students and the politics surrounding those needs? To answer these questions, I utilize frameworks that reveal the paradoxes of belonging—the push and pull of being accepted in spaces that marginalize the self. Specifically, drawing from a place-belongingness and politics of belonging framework, I first provide a foundation for understanding the personal and political components of belonging for marginalized students. I then review harmful institutional practices of “acceptance” and discuss more transformative practices that sustain students’ cultural identities. Illuminating the personal and political facets of what it means to be accepted provides a pathway for reimaging who can, wants, and gets to belong.

Design, validation, and application of the technology-enhanced listening task acceptance questionnaire

Researchers have increasingly used the Technology Acceptance Model (TAM) to evaluate the acceptance of CALL materials. However, as in other areas of language education, technology-enhanced L2 listening remains under-researched. To address this gap, this exploratory work was conducted in two stages: In stage1, we outline the design and validation process of the Technology-enhanced Listening Task Acceptance (TeLTA) questionnaire. The aim is to establish a reliable and valid instrument that can be employed in various contexts to assess acceptance levels and motivational components of platforms devoted to L2 listening development. In stage 2, we investigate the levels of acceptance and motivational components of the Ideasforlistening platform using the TeLTa questionnaire. The participants were 9th graders from two intact classes in Chile. Findings show that: (1) The TeLTA questionnaire demonstrates good reliability in measuring acceptance levels and motivational components of L2 listening platforms; (2) the Ideasforlistening platform is perceived as a useful environment that helps listeners develop listening processes awareness; (3) the platform is easy to use; and (4) the platform encourages listeners’ autonomy and provides them with a sense of competence. However, improvements are needed in areas related to fostering a sense of relatedness. We provide suggestions for further research and invite scholars to use the TeLTA questionnaire in their own research contexts.

Understanding the Process of Acceptance Within the Nurse-Patient Therapeutic Relationship in Mental Health Care: A Grounded Theory.

Background/Objective: Deepening knowledge about the meaning of acceptance in the context of the nurse-patient relationship will help us to understand the importance and value that people with mental health challenges attach to this attribute in the process of the therapeutic relationship. The objective of this study was to understand the process of acceptance as part of the therapeutic relationship between nurses and patients in the field of mental health. Methods: This study employed a qualitative research design using Strauss and Corbin's grounded theory approach. Using theoretical sampling, data were collected through unstructured interviews with mental health nurses and with people with mental health challenges. Results: Acceptance is a complex and dynamic process that takes place when both patients and nurses feel and make the other feel like an individual human being. Acceptance is not an automatic process; rather, it requires awareness on behalf of both parties involved in the therapeutic relationship. The creation of a non-hierarchical caring environment is fundamental for fostering mutual acceptance and engagement in the therapeutic process. Conclusions: Nurses must develop self-awareness and reflect on their attitudes and biases to provide person-centered care. Nurse training and personal development are essential requirements for achieving an effective therapeutic relationship and empowering patients in their recovery process.

From Frozen Ponds to Organized Competitions: The Growth of Skating and Ice Hockey in Korea, 1886–1938

The encounter of American Protestant evangelicalism and Japanese imperialism formed in Korean society in the late 19th and early 20th centuries became a steppingstone for the acceptance of modern winter sports in Korea. In particular, skates introduced by American Protestant missionaries and the Young Men’s Christian Association formed an imaginary space to counter Japanese imperialism in Korea during Japanese colonial era. Ice hockey introduced along with skating is a representative product that evolved in this process. The history of the introduction of American ice hockey to Korea also had a dual imperial influence between the United States and Japan, and in another direction, there was a voluntary acceptance process by Koreans who recognized ice hockey as a modern product.

Active offer of influenza vaccination during hospitalization: a multicenter study in Sicily (Italy)

Abstract Background Every cold season, the Italian health institutions strongly recommend influenza vaccination for categories at risk of complications, however influenza vaccination coverage is over and over far from the desirable target of 95%. After the pilot experience conducted in Palermo during the 2022-23 influenza season, the ‘Vaccinations in the ward’ project was extended to other Sicilian centers in order to evaluate the impact of the vaccination offer strategy in a broader territorial reality and to analyze the determinants of influenza vaccine acceptance among at risk people. Methods The project was conducted at the Umberto I Hospital in Enna and the University Hospitals of Messina and Palermo during the 2023-24 influenza season. A questionnaire was administered to the at risk hospitalized patients to investigate socio-demographic factors, behavioral habits, and clinical condition. Furthermore, influenza vaccination upon discharge was offered. Multivariable logistic regression was performed to identify the determinants of influenza vaccine acceptance. Results Overall, 374 patients with a median age of 65 years (IQR: 50-70) were recruited, of whom 36% had been vaccinated for influenza during the 2022-23 season (n = 136). The patients who accepted influenza vaccination in the ward were 57% (n = 214). The determinants of vaccination adherence were: age (OR: 1.03; p = 0.003); having quit smoking (OR: 2.68; p = 0.017); having received advice on vaccination from general practitioner (OR: 4.9; p < 0.001) and hospital healthcare workers (OR: 7.3; p < 0.001). Conclusions The offer of vaccination in the ward effectively increased influenza coverage among categories at risk of complications. Furthermore, the adoption of correct behavioral habits and the promotion of influenza vaccination by healthcare personnel have played a decisive role in the vaccine acceptance process. These findings could be useful for planning future influenza vaccination campaigns targeted to at risk people. Key messages • Vaccination strategies are needed to increase influenza coverage among at-risk categories. Active offer of influenza vaccine upon discharge can effectively increase vaccination compliance. • The adoption of correct behavioral habits and the promotion of vaccination by healthcare personnel play a decisive role in the influenza vaccine acceptance process among at risk people.

Psychometric Properties of the Chinese Version of the Psy-Flex Among Parents of Children with Autism Spectrum Disorder.

This research aimed to translate the original English version of the Psy-Flex, a scale of psychological flexibility, into Chinese and to test its psychometric properties among parents of children with autism spectrum disorder (ASD). Two phases were conducted: (1) translation from English to Chinese (Psy-Flex-C), followed by a semantic equivalence evaluation between two versions, a pre-test, and an evaluation of the Psy-Flex-C in terms of face validity with 20 parents of autistic children, and content validity of the Psy-Flex-C with eight experts. (2) A cross-sectional study with 248 parents of autistic children was conducted for validation, and a subgroup of 50 participants was randomly selected to assess the test-retest reliability at a 2-week interval. The Psy-Flex-C showed satisfactory semantic equivalence with the original version and demonstrated adequate internal consistency (Cronbach's α = 0.84) and test-retest stability (weighted kappa statistic = 0.88). Concurrent validity was supported by a moderate correlation between the Psy-Flex-C and the Comprehensive Assessment of Acceptance and Commitment Therapy Processes (Pearson's r = 0.54, p < 0.01). The Psy-Flex-C showed a significant mean score difference between parents with high and low parenting stress (t = 5.43, p < 0.001). Similar to the original scale, confirmatory factor analysis showed the best fitting one-factor structure of the Psy-Flex-C (X2/df = 1.62, p = 0.13, RMSEA = 0.05, GFI = 0.99, CFI = 0.99, TLI = 0.98, SRMR = 0.023). The Psy-Flex-C can be a reliable and valid instrument to self-report psychological flexibility in parents of children with ASD. Future research is recommended to test the Psy-Flex-C using diverse samples from different cultures and contexts to enhance its generalizability.

Self-Acceptance Process as an Idea in the Creation of Graphic Art

The process of creating art is often closely intertwined with the direct experiences of an artist. Various emotions experienced during the journey towards self-acceptance have the potential to serve as sources of inspiration, with empirical experiences encompassing a range of feelings such as sadness, disappointment, or even feelings of inadequacy, to acceptance and gratitude in everyday life. Efforts to depict the journey of self-acceptance involve presenting excerpts of self-acceptance stories, the acceptance process, and the array of emotions felt by the artist into graphic art. The symbolic manifestation of the artwork is supported by realistic figures, presenting the journey of self-acceptance with relevant idioms to support ideas using high printing techniques.

Artificial intelligence in corporate communications: determinants of acceptance and transformative processes

PurposeThis study investigates the determinants of artificial intelligence (AI) acceptance in and AI-driven transformations of corporate communications. From a technology adoption perspective, the study explores the dual influence of individual and organizational factors on AI acceptance.Design/methodology/approachEmploying a qualitative research design, this study conducted semi-structured interviews with 19 AI experts in large-scale companies in Germany.FindingsThe study reveals micro-level determinants of AI acceptance related to AI’s perceived usefulness and ease of use. It also identifies macro-level determinants, including organizational awareness and frameworks. Corporate communications is expected to gain relevance due to the organizational integration of AI.Research limitations/implicationsThe proposed model integrates crucial factors influencing AI adoption and offers a starting point for quantitative validation. The study serves as a benchmark for future research, particularly given its timing right before the extensive adoption of ChatGPT.Practical implicationsOrganizations are encouraged to develop strategies that enhance both individual and organizational AI readiness. By reflecting both micro- and macro-level determinants of AI acceptance, a more holistic understanding of effective change management initiatives related to AI integration can be fostered.Originality/valueBy proposing an extension to the technology acceptance model, which incorporates both micro- and meso-level determinants, this study provides a novel framework for holistically understanding AI acceptance in corporate communications.

Evaluating the core processes of a hybrid trauma-informed acceptance and commitment therapy intervention for college students

Acceptance and commitment therapy (ACT) is based on the psychological flexibility model, underpinned by six core processes: contact with the present moment, acceptance, cognitive defusion, self as context, values, and committed action. The current study examined the roles of these processes in the first randomized controlled trial to examine the efficacy of a mental health promotion intervention for college students based on Trauma-Focused ACT (TFACT; Ajayi et al., 2024; Harris, 2021). The hybrid intervention combined web-based modules with peer coaching in a research laboratory setting. This current study aimed to extend those findings by empirically evaluating the theoretical components of the ACT model of psychological flexibility. Participants were 78 college students ranging between 18 and 32 years of age. It was found that the level of changes in awareness, self as context, values, and committed action were significantly different between the intervention and control groups, while psychological inflexibility, acceptance, and cognitive fusion were not. Simple regressions suggested that changes in psychological inflexibility significantly predicted changes in life satisfaction at post-intervention and 3-month follow-up. Whereas, changes in psychological inflexibility predicted changes in psychological distress only at follow-up. Furthermore, penalized regressions suggested awareness and cognitive fusion significantly predicted changes in psychological distress, but did not predict changes in psychological inflexibility or life satisfaction. The current study adds to the knowledge base regarding the process of change in ACT interventions to inform the design and implementation of more targeted and effective mental health interventions.