Personal Aspects Research Articles

Sustainable Behavior of Generation Z Tourists’ Water Consumption

Tourism is one of the sectors with the highest demand for fresh water. Indicators suggest that water consumption by tourists is more than double that of residents. This phenomenon can be explained by tourists’ interest in engaging in unique experiences, which frequently entails putting sustainable practices aside. To mitigate the environmental impact of tourism and promote sustainable practices, the state of Quintana Roo has implemented the Sustainable Tourism Master Plan 2030, linking the government and companies to reduce environmental impacts by reducing tourists’ water consumption. Despite these efforts, the use of fresh water by tourists continues to be more than double that of residents. Consequently, tourists’ sustainable behavior is not significantly influenced by external factors, such as awareness campaigns, but depends more on the personal aspects of each individual. Generation Z stands out for being more aware of environmental problems and showing a willingness to modify their behavior towards more sustainable practices. The objective of this study was to explain the factors that influence the sustainable behavior related to water consumption among Generation Z tourists. The methodology employed was cross-sectional, with a quantitative approach, focused on attitude variables, subjective norms, and perceived control as determinants of sustainable behavior. This research is also considered nonexperimental, as there was no direct intervention with the subjects of the study, A non-probabilistic convenience sampling method was used to collect data directly from Generation Z tourists in the state of Quintana Roo, specifically from the destinations of Tulum, Playa del Carmen, Bacalar, and Cancún. These locations were selected due to their prominence as major tourist attractions within the data collection areas, without further differentiation or classification. Data were collected through a face-to-face survey conducted over a period of two months, with a total of 408 respondents participating, of whom 57.8% were male. The results revealed that subjective norms and perceived control influence sustainable water consumption behavior, while attitudes do not have a direct impact. These findings will provide governments and businesses with a basis to design more effective strategies that encourage sustainable behavior among Gen Z tourists, thus offering a starting point for understanding the behavior of other generations.

Integrated measure for training transfer in nursing practice: Development and validation study

BackgroundThe persistent knowledge-practice gap in nursing, where competencies gained through continuing professional development fail to integrate into practice, remains a significant challenge. Effective transfer of acquired knowledge and skills to the workplace is essential for bridging this gap. However, there is a lack of comprehensive, validated instruments to assess factors influencing training transfer in nursing practice. ObjectiveThis study aims to develop a questionnaire capable of assessing training transfer as an integrated construct, encompassing all factors influencing this process in nursing practice. DesignThe study followed a developmental, iterative approach guided by the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN). Setting(s)Eight tertiary teaching hospitals in the Netherlands. ParticipantsEducational experts (n = 8) and nurses (n = 1588). MethodsThe questionnaire development consisted of three phases: Phase 1) content development, in which instruments were identified based on a literature study and translation of included instruments into Dutch, Phase 2) pilot phase: content validation and usability testing using Delphi studies with experts and nurses, Phase 3) psychometric validation: construct validation using exploratory and confirmatory factor analysis, composite reliability and discriminant validity. The phases were completed from January 2023 till June 2024. ResultsThe literature review led to the inclusion of two key instruments: the Learning Transfer System Inventory (LTSI) and the Learning Climate Questionnaire (LCQ). Following item reduction based on Delphi rounds, nurses completed the adapted instruments. Psychometric validation demonstrated a good fit for these instruments in nursing practice. The adapted LTSI showed loadings ranging from 0.37 to 0.99, with a Normed Χ2 of 1.996, TLI of 0.908, CFI of 0.920, and RMSEA of 0.050 [CI = 0.047–0.054]. The adapted LCQ exhibited loadings from 0.64 to 0.94, with a Normed Χ2 of 3.385, TLI of 0.963, CFI of 0.974, and RMSEA of 0.069 [CI = 0.061–0.078]. The combined model demonstrated a Normed Χ2 of 2.014, TLI of 0.900, CFI of 0.907, and RMSEA of 0.051 [CI = 0.048–0.054]. ConclusionsThe adapted LTSI and LCQ, both separately and combined, are reliable and valid instruments for use in the Dutch nursing hospital context. Together, they provide a comprehensive assessment of factors influencing training transfer. They can also be used independently to examine specific components such as trainers (LCQ), context (LTSI), personal aspects (LTSI), or training (LTSI/LCQ). Furthermore, these instruments can facilitate discussions between nurses, managers, and educational experts to address barriers to training transfer in nursing practice.

Bridging the gap: enhancing orthopaedic outcomes through qualitative research integration.

The evidence base within trauma and orthopaedics has traditionally favoured quantitative research methodologies. Qualitative research can provide unique insights which illuminate patient experiences and perceptions of care. Qualitative methods reveal the subjective narratives of patients that are not captured by quantitative data, providing a more comprehensive understanding of patient-centred care. The aim of this study is to quantify the level of qualitative research within the orthopaedic literature. A bibliometric search of journals' online archives and multiple databases was undertaken in March 2024, to identify articles using qualitative research methods in the top 12 trauma and orthopaedic journals based on the 2023 impact factor and SCImago rating. The bibliometric search was conducted and reported in accordance with the preliminary guideline for reporting bibliometric reviews of the biomedical literature (BIBLIO). Of the 7,201 papers reviewed, 136 included qualitative methods (0.1%). There was no significant difference between the journals, apart from Bone & Joint Open, which included 21 studies using qualitative methods, equalling 4% of its published articles. This study demonstrates that there is a very low number of qualitative research papers published within trauma and orthopaedic journals. Given the increasing focus on patient outcomes and improving the patient experience, it may be argued that there is a requirement to support both quantitative and qualitative approaches to orthopaedic research. Combining qualitative and quantitative methods may effectively address the complex and personal aspects of patients' care, ensuring that outcomes align with patient values and enhance overall care quality.

유학자의 덜어내는 마음공부 : 황덕길의 「일성도(日省圖)」의 교육적 의미

The purpose of this paper is to examine the meaning of “Ilseongdo(日省道)”, a diagramwritten by Hwang Deok-gil, a confucian scholar of the late Joseon Dynasty, to the present-day education. “Ilseongdo” was created for the purpose of educating students in the author’s later life. “Ilseongdo” was presented through the illustration of five sentences. It means to take out the unnecessary from the inner (thought), personal (learning, work), and relational (talk, relationship) aspects one’s in everyday life. And it deals with Gyeong(敬), which is the core principle of Confucian practice, as a practice of ‘reducing’ in daily life. Since the beginning of modern education, education, it has always placed importance solely ‘adding’ education. Thus, we have now come to think of only accumulating a lot of knowledge and achieving a lot of results through education. Current education has not been able to teach students the values of ‘emptying out’ and ‘resting’. Amid the numerous comparisons, conflicts, and competitions occurring in a hyper-connected society, education of ‘reducing’ suggested by Hwang Deok-gil in「Ilseongdo」comes to be meaningful. Before analyzing the contents of Ilsungdo, this paper examined the thought of Hwang Deok-gil on Gyeong(敬) It which follows the thought of Song Dynasty(宋)'s confucian and toe-gye(退溪) in Choseon Dynasty(朝 鮮), but is characterized by the fact that Gyeong(敬) is mainly discussed from a practical point of view. Hwang Deok-gil's Ilsungdo has originality that distinguishes it from previous scholars’s works in discussing Gyeong in daily life. It is a valid discussion in our daily life today, where the Confucian debate on the mind has disappeared.

Perspectives of cancer consumer representatives on their involvement in healthcare service improvement: a qualitative study

BackgroundConsumer involvement in healthcare service organisation and policy development is recognised globally as a vital strategy in improving the quality and patient-centredness of care. There are significant gaps in knowledge about consumer involvement in practice, including consumers’ engagement in the process of enhancing cancer services. This study aimed to explore consumers’ perspectives on their involvement in cancer service improvement.MethodsCancer consumer representatives were recruited through Victorian Integrated Cancer Services, Australia. Eligible consumers were, or had been, a member of a health service improvement-related committee or project and attended at least one meeting with health professionals. Semi-structured qualitative interviews were conducted online and transcribed verbatim. Data were analysed using inductive thematic analysis.ResultsSix experienced consumer representatives were interviewed. Perspectives on their involvement in improving cancer services were categorised into three major topics. The first addressed personal aspects of involvement, in which participants described personal motivations (e.g., having lived experience of cancer themselves or in their family), challenges encountered in committee involvement, experiences of received support in their role as a consumer representative, concerns about narrow representation, and their evolving identity as a consumer representative. The second discussed practical contributions made by consumer representatives to improve systems and services. Participants detailed their active engagement with committees and consumer-led projects, contributing both their cancer experiences and general or professional skills. The third topic focused on directions for improving consumer involvement in the health system. Suggestions highlighted widening consumer representation to include often marginalised voices to inform decision-making at local committee and health system levels.ConclusionsThis study enhances the real-world understanding of the role that consumer representatives play in improving cancer health services. The strategies suggested in our research provide the opportunity to enhance consumer involvement and pave the way for more effective cancer service planning and implementation across diverse healthcare settings.

Reliability and objectivity of the new version of the 'susceptibility test for body injuries during a fall' (STBIDF-M) in physiotherapy students

Background and Study Aim. Falls are a global public health and economic challenge. Since falls are often unavoidable, it is crucial to focus on preventing injuries caused by the impact with the ground. The aim of this study was to verify the reliability and objectivity of the STBIDF-M. Material and Methods. The sample included 30 male (n = 9) and female (n = 21) physiotherapy students (age 20.97 ± 1.16 years; weight: 66.5 ± 12.06 kg; height: 171 ± 9.62 cm). The STBIDF-M was administered twice, with the second measurement (retest) conducted seven days after the first (test). A method of direct secondary observation, allowing for multiple replays, was used. The assessment involved reviewing video recordings of both stages (test and retest) by three experts experienced in using the STBIDF-M. Results. Each expert observed a tendency to reduce errors during the 'retest' compared to the 'test' stage. This was measured by the arithmetic mean. Statistically significant differences were found in tasks 3, 4, 5, 6, and in the IndexSBIDF-M based on the experts' agreed assessments. Three students (10%) repeated their results from the 'test' stage, showing full correlation. Twenty students (66.67%) demonstrated a tendency to reduce errors. The IndexSBIDF-M 'test-retest' results showed a very high positive correlation (r = 0.810, p < 0.01). This indicates a statistically significant impact of motor modifications in most students. Specifically, clapping hands during Task 3 and pressing the sponge to the body with the chin during Task 4, simulating a backward fall, helped reduce errors. These reductions were noted during ground impact as the degree of coordination difficulty increased in subsequent tasks. Conclusions. The results of this 'test-retest' procedure demonstrate the flexible, non-standardized possibilities of analyzing and synthesizing data using this basic method. This flexibility is attributed to the innovative motor structure of the STBIDF-M, which goes beyond traditional methodological approaches. Observing the unconscious behaviors and actions of the participants has provided valuable insights into inferential phenomena related to the mental and intellectual aspects of human personality.

Data-Driven Personalization : Revolutionizing User Experience

Data-driven personalization has emerged as a transformative approach in digital user experience design, leveraging advanced analytics and machine learning to tailor content and interfaces to individual users. This article explores five key aspects of data-driven personalization: user behavior analysis, segmentation and targeting, machine learning algorithms, real-time adaptation, and privacy and ethical considerations. It examines the significant impact of personalization on business outcomes, including increased revenue and customer engagement, while also addressing implementation challenges, such as technological complexity and privacy concerns. The article provides insights into the methodologies, processes, and best practices for effective personalization, supported by industry statistics and case studies, offering a comprehensive overview of how organizations can harness this powerful approach to create more engaging, relevant, and effective digital experiences.

Navigating Challenges in Remote Speaking Tasks: Unveiling Technical and Non-Technical Problems Faced by Students

In today’s digitally driven era marked by widespread remote communication, individuals grapple with diverse challenges when undertaking speaking tasks from a distance. Despite extensive research on communication dynamics in virtual contexts, the specific hurdles associated with remote speaking tasks remain understudied. This research addresses this gap by qualitatively exploring the complexities of such challenges and proposing practical strategies for effective communication in virtual environments. Employing a qualitative research approach, a survey with open-ended questions was administered to 19 students in the English Education program, and NVivo 12 was used for analysis. The findings highlight technical and non-technical challenges in remote speaking tasks, emphasizing the critical role of digital proficiency and a stable technical infrastructure. The study underscores the need to address personal and social aspects, suggesting solutions that encompass a precise and adaptive approach, including ensuring a reliable Internet connection, strategic use of digital resources, enhancement of technical skills, and a holistic strategy to tackle both technical and non-technical challenges. This research implies that educators should prioritize developing students’ digital proficiency and adopt a comprehensive approach that tackles both technical and psychological challenges, aiming to boost confidence and interpersonal skills in virtual learning environments.

Conceptualizing the Implications of Artificial Intelligence (AI) Tools and Personalization Marketing on Consumer Purchase Intention: Insights from the Malaysian E-Commerce Market

Artificial intelligence (AI) has emerged as a powerful tool, enabling online retailers to offer highly personalized shopping experiences tailored to individual preferences and behaviors. As e-commerce continues to grow in Malaysia, understanding the influence of AI and personalization marketing on consumer purchase intentions has become increasingly important for businesses seeking to remain competitive. However, the rapid adoption of AI also raises concerns about data privacy, ethical AI usage, and compliance with emerging data protection regulations, such as Malaysia’s Personal Data Protection Act (PDPA). This study aims to explore the potential impact of artificial intelligence (AI) and personalization marketing on consumer purchase intention within the Malaysian e-commerce market. By reviewing previous literature and theoretical frameworks, the study explores how the use of AI tools including predictive analytics automation, and personalization experiences might influence consumer behavior in online shopping environments. The study adopts a quantitative approach, in which quota sampling will be used for the participant selection. A self-administered questionnaire with a five-point Likert scale will be employed to gather data from e-commerce users in Malaysia. The findings from this study have important implications for both e-commerce businesses and policymakers in Malaysia. For businesses, understanding which aspects of AI and personalization most influence consumer purchase intentions can help them strategically implement these technologies to enhance customer engagement and drive sales. For policymakers, the study highlights the need to consider ethical and legal issues, such as data privacy and policy issues, in the growing use of AI in the e-commerce market.

Occupational Stress Among Italian Postgraduate Medical Trainees: A Pilot Study for the Validation of the SCOPE Questionnaire

The occupational environment may affect one’s psychophysical health by leveraging both external workplace stressors and individual psychological responses. We developed a comprehensive questionnaire to assess occupational stress among postgraduate medical trainees, investigating both situational and personal aspects. Exploratory factor analysis was used to identify the constructs captured by the questionnaire, and reliability was assessed by estimating Cronbach’s alpha. Construct-specific scores were computed, and their correlation with established pre-validated scales (criterion validation) was assessed. Four factors—“stress”, “coping”, “empathy”, and “trauma”—explained 50% of data variability and demonstrated satisfactory overall internal consistency (Cronbach’s alpha = 0.76). Significant correlations were found between the “stress” score and the “emotional exhaustion” component of the Maslach Burnout Inventory (MBI) (r = −0.76), the “coping” score and the “positive attitudes” component of the Coping Orientation to Problems Experienced Inventory (COPE) (r = 0.46), and the “empathy” score with the “empathic concern” (r = 0.52), “fantasy” (r = 0.41), and “perspective taking” (r = 0.45) components of the Interpersonal Reactivity Index (IRI). No significant differences in scores were found in terms of gender or medical specialization. This study suggests that the SCOPE questionnaire may be a promising tool for assessing workplace stress and psychological responses among medical residents.

Relationship of Tetrad Dark Personality Traits and Delinquent Behavior among Adolescents: Moderating Role of Social Support

The current research studies the relationship between Dark Tetrad personality dimensions: Machiavellianism, narcissism, psychopathy, sadism, and delinquency in adolescence while considering the role of social support as the moderator. For this study the cross-sectional research design was used and the sample included 300 adolescents comprising 150 males and 150 females in the age group of 10 to 19 years randomly selected from twin cities of Islamabad and Rawalpindi. The data were collected using the Short Dark Tetrad (SD4) self-reported delinquency – Problem Behavior Frequency Scale and Child and Adolescent Social Support Scale (CASSS). The analyses conducted found positive and significant correlations between the dark personality traits and the delinquent behaviors with each of the dark personality traits being positively correlated with the manifests of delinquent behaviour. Furthermore, the study revealed that social support acted as a moderator that could help decrease the delinquency rate among the adolescents who possess a high level of dark personality traits. These imply that dark personality facets and insufficient social support should be targeted to reduce delinquency among adolescents. The results imply that any prevention or treatment programs targeted at decreasing delinquency must take into account the presence of dark personality features in adolescents, especially through modulating the perceived usefulness of social support. The insights from the research can be quite useful for schools, families, and community-oriented programs to design effective interventions not only to address behavior management but also to address the potentially detrimental effects associated with these personality traits.

An Introduction to Acting “Together with Others” and Participation as the Basis for Community in the Thought of Karol Wojtyla

Karol Wojtyła’s conception of community is an often overlooked part of his vast body of writing. While much energy is dedicated to his ethics and theology, little attention is given to how he defined the way in which human persons interact with one another and build the communities and societies wherein they find themselves. Central to this definition of community are the concepts of “acting ‘together with others’” and “participation.” For Wojtyła, these two intimately personal and subjective aspects of the human person serve as both the basis and mode from which authentic human communities emerge. This work presents an introduction to Wojtyła’s basis for community through analyzing “acting ‘together with others’” and “participation,” thus placing the primary impetus for inter-personal action strictly within the tradition of metaphysical anthropology and personalism which Wojtyła himself embraced. In doing so, an overview of Wojtyła’s thought is presented that is based on his most influential philosophical works concerning community, particularly Person and Act and The Person: Subject and Community, with this serving as a realistic philosophical background for subsequent analysis of both the human person and communities generally.

Influence of personal and career burnout on female employers' subjective evaluation of workplace acoustic environment.

Burnout is an increasingly common problem in modern work settings that significantly affects people's health and well-being. Several studies have emphasized the impact of career burnout on employees' performance and efficiency. It is unknown whether career burnout mediated by personal burnout may affect employees' perception of their workplace physical environment attributes. This research aims to understand if personal and career burnout can affect employers' acoustic environment evaluation of their workplace. Considering commonly experienced or highly experienced personal and career burnout among working women, the study targeted female university faculty members. The research involved stratified sampling and employed data from 272 individuals across five public and private universities in Tehran. Collected data were analyzed using SmartPLS (latest release 4.1). The results revealed a significant link between personal and career burnout and the subjective evaluation of workplace acoustic environment. Career burnout mediated the relationship between personal burnout and negative evaluation of the workplace acoustic environment. This study provides compelling evidence that experiences of burnout, whether related to personal or career aspects, substantially impact the subjective assessment of the acoustic environment within the workplace. The results underscore the complex interplay between an individual's degree of burnout and their subjective perception of the acoustic dimensions of their work environment. The findings extend our understanding of how psychological factors might shape our interpretation of the physical workplace.

Avengers, Disassemble!

Popular culture both reflects and shapes the audiences’ beliefs. Content Analysis of blockbusting movies can teach us about public attitudes. This study examined underlying themes pertaining to personality types, as they are reflected in movies produced by the largest franchise in history, Marvel Cinematic Universe. Twenty-seven Marvel characters were assessed for their personality traits and received a rating for each of the big five personality aspects. To test which personality type was endorsed by the Marvel narratives, each character’s success was measured by examining the outcomes for that character. Successful outcomes were defined by levels of goal achievement in two categories, somatic goals and reproductive goals. The hypothesis was that being a commercial art-product of Western culture, Marvel storylines will follow neoliberal ideas, and award success to characters that align with the entrepreneurial personality type. That is, characters that exhibit high levels of openness, stability, extraversion, and conscientiousness, but not high levels of agreeableness. Results showed that the strongest predictor for success was openness to experience. It was followed by a second predictor, emotional stability. No correlation was found between extraversion or conscientiousness and success. Agreeableness was found to be moderately correlated to somatic success. The hypothesis was partially supported, indicating there might be some influence of neoliberal values on the Marvel character depiction.

SPECIFICITIES OF PHYSICAL DEVELOPMENT OF CHILDREN WITH CEREBRAL PARALYSIS IN A FAMILY-ORIENTED MODEL OF INTERVENTIONS

Families with a child with cerebral palsy (CP) face a number of medical, economic, legal, educational and psychological problems from the moment of birth. The main responsibility for the child's development lies with families, as it is there that key aspects of the child's personality are formed. There is a clear dependence of a child's psychological and physical health on the psychological climate of the family. Children with such disorders need to be provided with favorable conditions that will help compensate for the consequences of their disabilities. They need the support of qualified specialists and, most importantly, a warm and friendly attitude from their parents and the environment [1]. It should be emphasized that there are a number of factors that contribute to the psychological maladjustment of children with cerebral palsy in the family environment, which should be known to the child's relatives. First and foremost, it is the inadequate assessment of physical and mental development by parents, as well as the psychological atmosphere in the family. These factors cause deformation of the child's psyche and complicate his or her social adaptation, and negatively affect motor activity and treatment and rehabilitation processes. There are two sides to this situation: on the one hand, parents who find it difficult to understand the complexity of the situation and the child who needs special care, treatment and education. Physical rehabilitation requires the active participation of the person being rehabilitated, but with children, especially young children, this process is too complex for quality rehabilitation and requires the participation of parents. It is also important to take into account the role of the family in the development of motor skills, as it helps to integrate therapeutic techniques into the child's daily life. The aim of the study was to analyze the latest research and approaches to determine the peculiarities of cooperation between a physical therapist and families raising children with cerebral palsy. Using the Internet search databases and the bibliosemantic method, the peculiarities of applying a family-centered approach, motor training, principles of neuroplasticity and home exercise programs to improve the motor activity of children with cerebral palsy were determined. This article describes some peculiarities of physical therapist's work with patients suffering from cerebral palsy. The peculiarity is that these patients are children and when working with children, unlike adults where motivation comes first, intervention approaches in children are formed on the basis of pleasure. Accordingly, various specialists should be involved at all stages to ensure the normal functioning and development of the child. However, the role of parents in this process remains no less important, as they should be the main link that connects these processes for the well-being of the child. The review analyses research on motor training and home exercise programs. The family-centred approach to physical rehabilitation for children with cerebral palsy emphasizes the role of the family as a key factor in achieving goals and improving the child's quality of life. Involving the family in physical therapy helps to integrate therapeutic techniques into the daily life of the child and his or her family. Conclusions. The family-centred approach is characterised by the active participation of the family in the rehabilitation process. This is important because the family plays a crucial role in supporting and motivating the child during treatment. This approach not only provides treatment, but also provides the family with the knowledge, skills and resources to continue to help the child in their daily lives. This approach aims not only to improve the child's functioning, but also to help the child become part of the wider family and social environment. This promotes greater integration and independence. Thus, the family-centred approach to physical rehabilitation of children with cerebral palsy demonstrates the importance of family support and integration during treatment, contributing to the comprehensive improvement of both the physical and psychosocial condition of the child.

The Ability of Physical Education Teachers in Implementing Learning at Elementary Schools in Southwest Aceh Regency

Physical education teachers are responsible for preparing quality Learning Implementation Plans and implementing effective learning processes so that learning objectives are achieved. A good Learning Implementation Plan will make it easier for teachers to implement structured and directed learning. Physical education teachers face challenges in implementing effective learning processes. The physical education learning process must actively involve students and train their motor skills. However, in practice, physical education teachers often face difficulties in managing classes and making students actively engaged in learning. The approach used by the author in this study was a mixed-method approach (combined method) with an explanatory sequential design type. The research sample comprised nine physical education teachers working in elementary schools throughout Aceh Barat Daya Regency. The data collection techniques used by the researcher were observation and interview techniques. 1) Physical education teachers' ability to implement learning in elementary schools in Aceh Barat Daya Regency obtained the "Good" category with an average score of 6.5. Teachers can display personality aspects that include indicators of being charming, authoritative, firm, full of calling, and alert. In learning activities, teachers can carry out activities to open lessons, master materials, determine learning steps (activities), evaluate the process and learning outcomes, and close learning well. 2) The obstacles felt by physical education teachers in implementing the learning process at Elementary Schools in Southwest Aceh Regency are related to the limited availability of physical education learning facilities and infrastructure at schools. This has an impact on the less-than-optimal implementation of learning and evaluation activities. In addition, the limited time in learning activities, especially to evaluate the learning process of each student as a whole, so that teachers choose a fast and simple evaluation method. 1) The ability of physical education teachers to implement learning in Elementary Schools in Aceh Barat Daya Regency obtained the "Good" category. Teachers can display personality aspects and implement learning well. 2) The obstacles felt by physical education teachers in implementing the learning process at SD Negeri Aceh Barat Daya Regency are related to the limited availability of physical education learning facilities and infrastructure at the school and limited time in learning activities, especially to evaluate the learning process of each student as a whole.

Experiences of clinical nurses with medication interruption: A systematic review and qualitative meta-synthesis.

Managing medication interruptions is considered one of the biggest dilemmas for nurses in clinical settings. To improve medication safety, it was imperative to conduct a systematic review to get a deeper understanding of nurses' experiences with medication interruptions. A systematic review and qualitative meta-synthesis aimed to explore clinical nurses' experiences of interruption during medication in hospitals. Systematic searches were conducted in PubMed, CINAHL, Ovid Medline, Embase, Web of Science, and The Cochrane Library from inception to January 2024. The search strategy included four groups of keywords: (1) qualitative research, (2) nurses, (3) medication interruption, and (4) experience. Critical Appraisal Skills Programme was used to assess the quality of the studies. Meta-ethnography was utilized to synthesize the findings of the included studies. Nine articles published between 2012 and 2023 were included; the number of participants varied from 5 to 40, aged 20-68 years, and the majority were female. Four synthesized findings were identified as follows: (1) an inevitable part of the routine, (2) a decision-making process, (3) working in a minefield, and (4) coping with interruption. Nurses embraced interruptions as an inherent component of clinical care. Previous experience and nursing culture, encompassing personal and professional aspects, significantly influence nurses' attitudes toward medication interruptions. It is crucial to incorporate the distinctive work experiences of nurses into techniques aimed at efficiently handling interruptions in future research. The registration number in PROSPERO is CRD42023470276.

Kako se izogniti potvorjeni znanosti?

Purpose: The falsification of research data and ideas is not a new phenomenon in scientific communication, nor is it specifically related to open science, rather to the issue of web resources in general. Access to scientific publications has become even faster, cheaper and more accessible for the user. Unfortunately, misleading publishers, and sometimes the researchers themselves, are becoming increasingly inventive. Cooperation with such entities affects (non)evaluation of publications and creates a broader social problem. Not only are publications questionable but the use or misuse of such untrusted sources is also objectionable. Such practices adversely affect the development of society as a whole. Non-experts portray themselves as experts and refer to unverified, misleading scientific publications to justify their attitudes towards current social issues. In communication, including academic writing, we are witnessing a growing lack of knowledge and inability to think critically and an increasingly aggressive justification of the personal aspect as the only acceptable approach. One consequence is also the growing general mistrust in science and, in extreme cases, even deaths due to incorrect decisions by individuals, based on unverified claims and sources that appear to be scientific. Methodology: We have identified tools, platforms, and procedures that help identify and evaluate these practices, and are helpful to researchers and authors in selecting sources and publications in which to publish their findings. Results: The University of Maribor informs students and employees about this issue at lectures, and we have also prepared some research guides in which we try to raise awareness of the user, encourage them to think critically, and at the same time introduce them to the ways and tools that help them detect misleading practices

How to meet coping strategies and preferences of children during invasive medical procedures: perspectives of healthcare professionals

Children with negative procedural experiences have an increased risk of fear and distress, with psychological consequences for subsequent procedures and future healthcare behaviors. Gaining control and feeling trust are important aspects for children to decrease fear. To enable professionals providing personal care during medical procedures, a systematic, evidence-based approach that supports children in expressing their preferences is needed. This study will gain insight into the experiences and needs of professionals involved in small invasive medical procedures to meet the coping strategies and preferences of children undergoing these procedures. A qualitative design was used to gain insight into professionals’ perspectives. Data were collected through online focus groups with various professionals involved in medical procedures, such as anesthetists, laboratory staff, nurses, and pediatricians. Five interdisciplinary focus groups, with a total of 32 participants, were held. One overarching theme was revealed: “Balancing between different actors within the context of the hospital.” Professionals reported they had to deal with different actors during a medical procedure: the child, the parent, the colleague, and themselves. Each actor had its own interests. They were aware of the child and parents’ priority to gain control and feel trust. Nevertheless, they perceive organizational and personal aspects that hinder addressing these needs. Conclusion: To provide personalized care, professionals experience balancing between the needs and interests of diverse actors during medical procedures. The findings underscore the importance of a policy supporting HCPs in integrating patient-centered care into practice through practical tools and training initiatives such as scenario training.What is Known:• Unresolved pain and stress arising from medical procedures can have significant short- and long-term impacts on children. Empowering children to gain control and fostering a sense of trust are crucial factors in reducing fear associated with medical procedures.• Children and parents expect to receive child-tailored care from professionals including respect for their own, unique needs, and boundaries. Professionals should build trustful relationships and provide appropriately tailored autonomy around medical procedures.What is New:• Healthcare professionals vary in their awareness of children’s needs during a medical procedure. Beside this, the organizational dynamics of the hospital, along with the presence of actors such as the child, parent, colleague, and oneself, collectively influence the conduct of medical procedures.• Providing person-centered care during medical procedures can present challenges. The results highlight the significance of a policy to assist healthcare professionals in incorporating patient-centered care into their practice through practical tools and a culture of self-reflections regarding patient-centered values.

Contrastive Functional Connectivity Defines Neurophysiology-informed Symptom Dimensions in Major Depression.

Major depressive disorder (MDD) is a prevalent psychiatric disorder characterized by substantial clinical and neurobiological heterogeneity. Conventional studies that solely focus on clinical symptoms or neuroimaging metrics often fail to capture the intricate relationship between these modalities, limiting their ability to disentangle the complexity in MDD. Moreover, patient neuroimaging data typically contains normal sources of variance shared with healthy controls, which can obscure disorder-specific variance and complicate the delineation of disease heterogeneity. We employed contrastive principal component analysis to extract disorder-specific variations in fMRI-based resting-state functional connectivity (RSFC) by contrasting MDD patients (N=233) with age-matched healthy controls (N=285). We then applied sparse canonical correlation analysis to identify latent dimensions in the disorder variations by linking the extracted contrastive connectivity features to clinical symptoms in MDD patients. Two significant and generalizable dimensions linking distinct brain circuits and clinical profiles were discovered. The first dimension, associated with an apparent "internalizing-externalizing" symptom dimension, was characterized by self-connections within the visual network and also associated with choice reaction times of cognitive tasks. The second dimension, associated with personality facets such as extraversion and conscientiousness typically inversely associated with depression symptoms, is primarily driven by self-connections within the dorsal attention network. This "depression-protective personality" dimension is also associated with multiple cognitive task performances related to psychomotor slowing and cognitive control. Our contrastive RSFC-based dimensional approach offers a new avenue to dissect clinical heterogeneity underlying MDD. By identifying two stable, neurophysiology-informed symptom dimensions in MDD patients, our findings may enhance disease mechanism insights and facilitate precision phenotyping, thus advancing the development of targeted therapeutics for precision mental health.