Current Position Research Articles

Investigating the Relationship Between Psychological Contract, Apprenticeship Participation, and Ethnic Papuan Turnover Intention

The study’s overarching goal was to look at how ethnic Papuans’ intentions to leave their current positions relate to their involvement in apprenticeship programs, the psychological contract, and other similar concepts, at the Nemangkawi Mining Institute IPN. Methods from the relational and transactional psychological contracts were used in this study. Through the privatized institution in the Mimika area and other contracting organizations, 110 persons took part in the apprenticeship program. We used the following tools for our measurements: the apprenticeship participation rate, the turnover intention scale, and psychological contracts. The multiple regression analysis yielded an F-value of 25.273, indicating statistical significance at the p<0.01 level. This data lends credence to the study premise that apprenticeship involvement and psychological contracts significantly impacts turnover intention. In forecasting desire to leave, psychological contracts and apprenticeship participation account for 39.9% of the total contribution value. Keywords: Papua ethnicity, intention turnover, apprenticeship participation, psychological contract, contractor workers

Therapeutic Options forRecurrence ofWeight and Obesity Related Complications After Metabolic and Bariatric Surgery: An IFSOPosition Statement.

Obesity is a chronic disease that may require multiple interventions and escalation of therapy throughout the years. Until recently, no universal definition existed for recurrent weight gain and insufficient weight loss. Standardization of reporting is key so outcomes can be compared and data can be pooled. The recent IFSO consensus provided standard terminology and definitions that will likely resolve this in the future, and publishers will need to enforce for authors to use these definitions. This current IFSO position statement provides guidance for the management of recurrent weight gain after bariatric surgery.

Real-Time Video Processing for Measuring Zigzag Length of Pantograph–Catenary Systems Based on GPS Correlation

Recent years have seen outstanding developments in research and technology, highlighting the importance of railway transportation, especially the implementation of high-speed trains, which is becoming more and more challenging. This facilitates extensive research into the science and technology of the electrical interaction between the components of pantograph–catenary systems (PCSs). Problems regarding the PCS can result in infrastructure incidents, potentially stopping train operations. A common cause of failure in electrified railway PCS is a contact wire’s zigzag length that exceeds the prescribed technical limit, which can be caused by missing droppers or faults in the mounting mechanism. This work proposes a video camera-based monitoring technique for zigzag geometry measurement that additionally employs a Global Positioning System (GPS) sensor to detect the current geographical position of the point of zigzag length measurement. There are two proposed techniques for measuring the length of the zigzag based on image processing. In the first technique, using previously recorded data, the images are analyzed in the laboratory, and in the second, the images are analyzed in real time. Based on the results, we suggest a model and prediction of zigzag length employing hybrid deep neural networks.

Understanding the professional factors that impact the retention of pathology workers in regional, rural and remote Australia.

The objective of this study was to determine what professional factors impact the retention of pathology workers in regional, rural and remote Australia. A cross-sectional survey was used to collect data regarding the professional factors that impact the retention of regional, rural and remote pathology workers in Australia (n = 95). The survey focused on pathology workers' satisfaction with specific professional factors and how long they intended to stay in their current position. Regional, rural and remote (MM2-7) pathology laboratories in Australia. There were a total of 95 participants, including 24 phlebotomists/laboratory assistants, 34 medical laboratory scientists and 29 supervisors/managers, with the majority of participants being from New South Wales, Queensland and Western Australia. Significant positive associations were found between satisfaction with career advancement opportunities, workplace culture and maintaining professional skills with the retention of regional, rural and remote pathology workers. Open-ended responses indicated that personal factors also played an important role in pathology worker retention in regional, rural and remote communities. This study provides important insights into the professional factors that impact the retention of pathology workers in regional, rural and remote Australia. Personal factors were also found to play an important role in retention. These findings have highlighted the need for further research to be conducted to explore the relationship between professional and personal factors and how this impacts the retention of pathology workers in regional, rural and remote Australia.

WORKERS JOB SATISFACTION IN TEXTILE FACTORY: BIBLIOMETRIC ANALYSIS

Textile industry represents one of the most competitive industries. Consequently, the management tend to create pressures to their workers to pace with the high productivity level. This constant pressure given to the workers may possibly affect their job satisfaction. Hence, this study focuses on the bibliometric analysis in mapping the trend, conceptual structure, and characteristic of job satisfaction of textile factory workers. The data collection process results in 147 papers out of the total of 241 extracted papers. According to the bibliometric analysis, research in this field is mainly led by the USA and France. The co-occurrence analysis shows Four major theme: Study on job satisfaction, worker’s health assessment, cultural influence on textile factory workers, and review on absenteeism. The results indicate that workers were more concerned about the security of their current position rather than overall employment security, and this factor affected their job satisfaction and well-being.

Spatial and historical patterns of sedimentary organic matter sources and environmental changes in the Ross Sea, Antarctic: implication from bulk and n-alkane proxies

Organic carbon (OC) burial in the Antarctic marginal seas is essential for regulating global climate, particularly due to its association with ice shelf retreat. Here, we analyzed total OC (TOC), total nitrogen (TN), radiocarbon isotope, n-alkanes and relative indicators in surface and core sediments from the Ross Sea, West Antarctica. Our aim was to investigate spatial and historical changes in OC sources, and to explore the influencing factors and implications for ice shelf retreat since the last glacial maximum (LGM). Our results revealed distinct spatial patterns of OC sources as indicated by n-alkane indicators in surface sediments. In the Western Ross Sea, n-alkanes predominantly originated from phytoplankton and bacteria, as evidenced by their unimodal distribution, low carbon preference index (CPI) of short-chain n-alkanes (CPIL = 1.41 ± 0.30), and low terrestrial/aquatic ratio (TAR = 0.22 ± 0.14). In the Southwest Ross Sea, n-alkanes were derived from marine algae and terrestrial bryophytes, indicated by bimodal distribution, low ratio of low/high molecular-weight n-alkanes (L/H = 0.62 ± 0.21), low CPI of long-chain n-alkanes (CPIH = 1.18 ± 0.16), and high TAR (1.26 ± 0.66). In contrast, the Eastern Ross Sea exhibited n-alkanes that were a combination of phytoplankton and dust from Antarctic soils and/or leaf waxes from mid-latitude higher plant, as suggested by both unimodal and bimodal distributions, high L/H (1.60 ± 0.58) and CPIH (2.04 ± 0.28), and medium TAR (0.61 ± 0.30). Geologically, during the LGM (27.3 – 21.0 ka before present (BP)), there was an increased supply of terrestrial OC (TOC/TN = 13.63 ± 1.29, bimodal distribution of n-alkanes with main carbon peaks at nC17/nC19 and nC27). From 21.0 to 8.2 ka BP, as glaciers retreated and temperatures rose, the proportion of marine n-alkanes significantly increased (TOC/TN = 9.09 ± 1.82, bimodal distribution of n-alkanes with main carbon peaks at nC18/nC19 and nC25). From 8.2 ka BP to the present, as the ice shelf continued to retreat to its current position, the marine contribution became dominant (TOC/TN = 8.18 ± 0.51, unimodal distribution of n-alkanes with main carbon peak at nC17/nC18/nC19, and low TAR (0.41 ± 0.32)). This research has significant implications for understanding the variations in Antarctic OC sources and their climatic impacts in the context of accelerated glacier melting.

Evolution of the Tn4371 ICE family: traR-mediated coordination of cargo gene upregulation and horizontal transfer.

ICEKKS102Tn4677 carries a bph operon for the mineralization of polychlorinated biphenyls (PCBs)/biphenyl and belongs to the Tn4371 ICE (integrative and conjugative element) family. In this study, we investigated the role of the traR gene in ICE transfer. The traR gene encodes a LysR-type transcriptional regulator, which is conserved in sequence, positioning, and directional orientation among Tn4371 family ICEs. The traR belongs to the bph operon, and its overexpression on solid medium resulted in modest upregulation of traG (threefold), marked upregulation of xis (80-fold), enhanced ICE excision and, most notably, ICE transfer frequency. We propose the evolutional roles of traR, which upon insertion to its current position, might have connected the cargo gene activation and ICE transfer. This property of ICE, i.e., undergoing transfer under environmental conditions that lead to cargo gene activation, would instantly confer fitness advantages to bacteria newly acquiring this ICE, thereby resulting in efficient dissemination of the Tn4371 family ICEs.IMPORTANCEOnly ICEKKS102Tn4677 is proven to transfer among the widely disseminating Tn4371 family integrative and conjugative elements (ICEs) from β and γ-proteobacteria. We showed that the traR gene in ICEKKS102Tn4677, which is conserved in the ICE family with fixed location and direction, is co-transcribed with the cargo gene and activates ICE transfer. We propose that capturing of traR by an ancestral ICE to the current position established the Tn4371 family of ICEs. Our findings provide insights into the evolutionary processes that led to the widespread distribution of the Tn4371 family of ICEs across bacterial species.

The JCCP's current position on future education and training standards/competencies and routes to qualification

The JCCP remains committed to the key principles contained within the JCCP/CPSA's current competency standards framework

An enhanced seagull algorithm for multi-threshold image segmentation based on Kapur entropy

Abstract To address the shortcomings of the Seagull Optimization Algorithm (SOA), such as poor distribution of individuals’ positions and low population diversity leading to susceptibility to local optima after the collision avoidance phase, an Enhanced Seagull Algorithm (ESOA) is proposed. Firstly, a chaos-guided mechanism is utilized to replace the original individual positions after collision avoidance with the mean of individual optima and current positions, effectively improving the distribution of the population. Secondly, a circular-topology neighborhood structure with random weights is introduced, allowing interaction between the current individual’s position and the information from its two adjacent optimal positions, thereby improving population clustering and enhancing diversity. Thirdly, a dynamic lens mapping strategy is employed to direct the optimal seagull individuals toward their newly generated mapped points, enhancing their ability to avoid local optima. ESOA is applied to the problem of multi-threshold image segmentation based on Kapur entropy, and experimental results demonstrate its effectiveness in improving segmentation performance.

Trade-offs between optimal and robust scheduling in one-stage production

Given stochastic disturbances, such as variation in processing times, robust scheduling is recommended over optimal scheduling for production. Different from optimal scheduling that seeks an optimal solution to a key performance indicator (KPI), which relates to the average of a KPI, robust scheduling is to minimize the largest deviation from the optimum for the worst-case scenarios, which relates to the variance of a KPI. However, minimizing the variance does not necessarily optimize the average of a KPI. As one of the fundamental KPIs in production scheduling, total completion time (TCT) drives many other KPIs, such as average flow time, waiting time, due dates, and length of stay. Stochastic processing times and NP-hardness to minimize the variance of TCT, i.e., min(VTCT), are two challenges in production scheduling. To investigate the trade-offs between optimal and robust scheduling, we apply the differentiation method to analyze the first and second moments of TCT. In our approach, we use three statistical measures for processing times, which are the lower bound, the expected value, and the upper bound. We also use three terms for sequencing, which are x(1) the processing time of the initial job, x(i) the processing time of a job in the current position i of a sequence, and x′(i) the difference of processing times between two adjacent jobs. Applying the three measures for processing times to each of the three independent terms for sequencing, we generate 27=3·3·3 sequences to analyze the dynamics of VTCT. Through numerical analysis in our case studies, we show that our sequencing scheme can generate optimal solutions to min(TCT), and solid variation ranges of VTCT. Consequently, we can not only balance the trade-offs between min(TCT) and min(VTCT), but also analyze the trade-offs between optimal scheduling focusing on the first-moment of a KPI and robust scheduling focusing on the second moment. Moreover, our analysis approach using the differentiation method is unique for production scheduling, which enables us to develop analytical methods and heuristics for balancing trade-offs between optimal and robust scheduling.

Secondary School Athletic Trainers' Experiences Managing Workplace Organizational-Professional Conflict.

Athletic trainers (ATs) face organizational-professional conflict (OPC), often surrounding return-to-sport decisions. To prioritize patient safety and establish a healthy work environment, OPC must be mitigated, yet few researchers have determined how ATs manage conflicts with stakeholders. To explore ATs' experiences with OPC in the secondary school setting. Qualitative study. Telephone interviews. Sixteen ATs (9 females, 7 males; age = 43 ± 11 years; years certified = 17 ± 9; years in their current positions = 9 ± 6). We digitally recorded telephone interviews and had them professionally transcribed. Data saturation guided recruitment efforts and was met. To ensure rigor and trustworthiness of the data, we completed basic member checks along with multiple-analyst triangulation. We analyzed the qualitative data using an interpretive phenomenological approach. Four themes emerged effective communication, professional relationships, stakeholder education, and professional experience. Participants used effective communication described as frequent, open, and direct, during interactions with stakeholders to manage OPC. Organizational-professional conflict was reduced when ATs built professional relationships with stakeholders centered on trust and respect. Participants used stakeholder education as a primary strategy for managing OPC by educating stakeholders about prognosis and return-to-sport timelines postinjury and providing rationale for decisions made. Additionally, years of experience served as a mitigating factor of conflict, in that as ATs gained experience and confidence, they perceived less OPC. Participants suggested various interpersonal relationship development strategies that can be implemented to manage OPC, especially when starting a new position or building rapport with stakeholders. Specifically, educating various stakeholders on reasons for clinical decisions via effective communication and developing strong professional relationships built on mutual respect assisted in avoiding OPC. Since professional experience appears to alleviate conflict, OPC management strategies should be taught during professional preparation and used early during transition to autonomous practice.

A Dynamic Path Planning Method for UAVs Based on Improved Informed-RRT* Fused Dynamic Windows

In recent years, navigating rotor drones in complex and dynamic environments has been a significant challenge. This paper proposes an improved path planning method by integrating the enhanced Informed-RRT* algorithm with the Dynamic Window Approach (DWA) algorithm. Firstly, the probability weight function for sampling direction is dynamically adjusted based on the Euclidean distance between the start and goal points to obtain higher-quality sampling points. Secondly, the Artificial Potential Field (APF) concept is introduced during the generation of new nodes, applying the improved APF method to the elliptical sampling area to guide the direction of new node generation. This significantly reduces the number of redundant nodes, enhances the convergence speed, and improves the obstacle avoidance efficiency. Then, a polynomial fitting method is employed to optimize the path, yielding a smoother trajectory. Finally, the improved DWA algorithm is integrated. Initially, the Informed-RRT* algorithm generates an optimal path from the starting point to the goal point in the global space, which is then provided as an initial reference path to the DWA algorithm. During actual operation, the DWA algorithm dynamically adjusts control inputs based on the current position, speed, and reference path of the drone, ensuring that the drone can avoid dynamic obstacles and unknown static obstacles in real time while staying as close to the reference path as possible.

Tropospheric delay estimation and influencing factors analysis of GNSS multi-system

Abstract In this paper, the tropospheric delay parameters are estimated by GNSS regional network solution, and the different factors affecting the estimation of tropospheric delay parameters are analyzed experimentally. The high-precision tropospheric delay correction file (.ztd) provided by IGS and the traditional model estimation of the GNSS regional network are compared to verify the final positioning accuracy. The main factors affecting the estimation of tropospheric delay parameters and the conditions conducive to the estimation of tropospheric delay parameters in the data solution process are obtained. The experimental results show that: (1) GPS has the highest tropospheric delay estimation accuracy in the European region, Galileo is slightly worse than GPS, and BDS has the lowest tropospheric delay estimation accuracy; (2) The tropospheric delay estimation accuracy of post-product in different satellite precision products is better than that of real-time products, and CLKM2 is better than CLK93 in real-time products. With the increase of satellite systems, the accuracy of tropospheric delay estimation is gradually improved. Compared with the GPS single system, the accuracy of the GPS+ Galileo+BDS triple system is improved by about 7.2%, 7.2%, and 7.5%; (3) The tropospheric delay estimation accuracy of the European region is better than that of the Australian region; (4) Based on the BDS whole system data solution, the high-precision tropospheric delay correction file (.ztd ) has better positioning accuracy, and the tropospheric delay estimated by the GNSS observation data through the traditional Saastamoninen model of the regional network can also meet the current high-precision positioning requirements in terms of positioning accuracy. The horizontal direction is better than 2 cm, and the elevation direction is better than 4 cm.

Implementing a two-stage, shim field-calibrated superconducting shimming method on a 7 T cryogen-free small animal MRI magnet

Ultrahigh field systems (≥ 7 T) can increase the signal-to-noise ratio of magnetic resonance imaging (MRI), improving imaging performance compared to systems with lower fields. However, these enhancements heavily rely on a high B0 magnetic field homogeneity level, which can be achieved through superconducting shimming. This paper presents a novel two-stage superconducting shimming method designed to achieve precise shimming for a 7 T MRI superconducting magnet. In the initial stage, detailed measurements and fittings were conducted to determine the current polarity and the axial or circumferential positions of the shim fields. Subsequently, an optimization strategy was implemented to determine the optimal shim currents with a flexible target field. The second stage involves an iterative process to fine-tune the current of a specific shim coil, identified as having the most significant impact on field homogeneity. The overall fitness of 99.5% underscores the precision in determining the current polarity and position of the shim fields. Significantly, the calibrated shim system substantially improves the peak-to-peak and Root Mean Square Error (RMSE) field homogeneities from 107.42 ppm and 37.00 ppm to 11.12 ppm and 3.26 ppm, respectively, representing improvements of 89.65% and 91.19%. Furthermore, the simulation results of the fine-tuning stage demonstrate additional enhancements in peak-to-peak field homogeneity, to 9.9 ppm by reducing the current of the Z2 shim coil by 51.3 mA. Additionally, the shimmed magnetic field exhibited high time stability, with a maximum variation of only 27 µT observed within 48 h. Thus, the proposed two-stage superconducting shimming framework effectively addresses the challenge of imperfect B0 magnetic fields, enhancing peak-to-peak and RMSE field homogeneity. The stepwise optimized approach also mitigates deviations caused by shim-to-shim coupling, demonstrating its efficacy in achieving precise shimming in ultrahigh-field MRI systems.

Musculoskeletal imaging fellowship program directors: A study of educational paths, and scholarly engagement in the United States

PurposeThe overall aim of the study is to analyze and provide a comprehensive understanding of the demographics, educational backgrounds, and scholarly activities of musculoskeletal imaging fellowship program directors across the United States. MethodsA list of all members of the Society of Skeletal Radiology was obtained and musculoskeletal imaging fellowship program directors across the US were included. Publicly available online sources were used to gather demographic and educational information about each musculoskeletal imaging fellowship program director, which included the online curriculum vitae from the program websites, Health Grades, Doximity, and Elsevier's Scopus database. Demographic and educational data including age, gender, educational background (medical school, residency, fellowship), additional degrees, academic rank, prior leadership positions, and metrics of scholarly activity were recorded. Fellowships in diagnostic musculoskeletal radiology along with additional degrees were recorded. A two-tailed unpaired t-test was used to calculate the difference between means of scholarly activity between male and female PDs. ResultsIn this study encompassing 92 programs across the United States, the majority (88) were dedicated to pure Musculoskeletal (MSK) Imaging Fellowship, while one each offered combined training in MSK and Body Imaging, MSK, and Emergency Imaging, MSK Sports, and Interventional Spine, and Pediatric MSK Imaging. Program directors were identified for 90 out of 92 programs, revealing a regional distribution of 29 in the South (31.5 %), 24 in the North East (26.1 %), 20 in the Midwest (21.74 %) and 19 in the West (20.65 %). Gender analysis unveiled a predominantly male representation, with 71 male directors compared to 17 female directors, while age ranged from 30 to 70 years, with a mean age of 47.17 ± 7.4 years. Medical school backgrounds predominantly featured MD degrees (80), followed by IMG (7) and DO (4) degrees, with the most common IMG source being India. Faculty positions were mainly distributed among Assistant Professors (35), Associate Professors (32), and Professors (11). Research output metrics showcased a mean of 41.943 publications and an h-index of 10.625. Extra degrees were obtained by 31 directors, with common additions being other fellowships, MBAs, MS degrees, and PhDs. Notably, some directors held previous or current leadership positions, while a few had completed residencies outside of Radiology or pursued fellowships beyond MSK Imaging. ConclusionMusculoskeletal imaging fellowship program directors across the United States are predominantly male, with approximately 8 % having graduated from international medical schools. The most common training pathway for these directors is completing a diagnostic radiology residency followed by a musculoskeletal radiology fellowship. This study highlighted the gender disparity within this leadership group and emphasized the diverse educational backgrounds that contribute to the field of musculoskeletal imaging.

Colonial methodologies: a discourse analysis of medical students’ talk about psychology

The historical tension between the natural and social sciences, and the associated discourses of superiority and inferiority, remains prevalent today in academia and practice. This study analyses the discourses that medical students at a South African university employ in their talk about psychology. The analysis demonstrates the function of these discourses and locates them within historical debates surrounding the social and natural sciences. More importantly, it identifies how psychology is locked into Eurocentric assumptions of rigour and empiricism. We use discursive psychology to examine five online discussion board entries detailing medical students’ understanding of psychology. The findings suggest that definitions of psychology subvert the discipline under the guise of bolstering its value in ways that are comparable to colonial methodologies, thereby reconstituting and reinforcing historical notions of othering in social scientific discourses. This research therefore contributes to debates on the current role and position of psychology in South Africa and helps to destabilise dominant scientific discourses within and against which psychology is enacted in the academy. Through a critical interrogation of such hegemony, this study aims to forge new ways of doing and thinking psychology in South Africa.

Innovative approaches to enhancing logistics for adapting to the evolving demands of manufacturing companies in East Africa through improved lean strategies

This article explores innovative approaches to enhancing logistics for manufacturing companies in East Africa through improved lean strategies. The region faces numerous logistical challenges, including poor infrastructure, political instability, and supply chain disruptions. These issues are critical barriers to the competitiveness and growth of East African manufacturers in a globalized market. By adopting lean strategies such as Just-in-Time (JIT) inventory management, Value Stream Mapping (VSM), and Continuous Improvement (Kaizen), companies can streamline their operations, reduce costs, and improve customer satisfaction. The article highlights the importance of localizing lean practices to fit the unique context of East Africa, emphasizing the need for a cultural shift towards continuous improvement and innovation. Additionally, it underscores the role of advanced technologies, public-private partnerships, and regional collaborations in optimizing logistics systems. The future of logistics in East Africa is seen as promising, with opportunities arising from the African Continental Free Trade Area (AfCFTA) and the potential for technological advancements to reshape the logistics landscape. Ultimately, the article calls for concerted efforts from governments, businesses, and NGOs to invest in infrastructure, foster innovation, and promote sustainable logistics practices. By doing so, East African manufacturers can overcome current challenges and position themselves for long-term success in the global market.

Reform of Article 46 Paragraph (3) Letter C of the Broadcasting Law Regarding the Phrase "Prohibition of Advertisements Demonstrating the Form of Cigarettes": Comparative Study With Singapore

<em>This study has been motivated by the weaknesses in the formulation of the Article 46 Paragraph (3) Letter c of Broadcasting Law No. 32 of 2002, which bans only those cigarette ads showing the shapes of cigarettes and leaves room for the tobacco industry to practice indirect advertisement. The focus of this research is to assess the enforcement of limitations on cigarette promotion in broadcasting law and to explore the legal modification of c of Broadcasting Law Article 46 paragraph 3. The method of the study is a normative juridical approach and comparative law method. The findings reveal that current laws in Indonesia have been ineffective in controlling the increase of the smoking population, among the youth in particular, due to a number of issues that the tobacco industry exploits. In contrast, smoking problems are much less prevalent in Singapore which has imposed more stringent policies. Most importantly, the research also discusses that ineffective regulation in Indonesia results from poor enforcement and light punishments offered for violations of the law. Therefore,there is need for restructuring section Article 46 Paragraph (3) Letter c of the Broadcasting Law, by promoting a bitter pill approach towards cigarette advertising, in addition to the current ineffectual position interrogated, to enhance public health.</em>

Review of Current Early Bed Positioning Practice by Occupational Therapists With Patients Post-Acute Stroke

Abstract Background Many patients experience varied degrees of physical impairments post stroke, which can impact their ability to adjust their posture and position independently. National guidelines state that positioning should be assessed promptly and within 4 hours of arrival to hospital (National Clinical Guideline for Stroke for the UK and Ireland, 2023). Therefore, occupational therapists (OTs) working in stroke should prioritise positioning as early as possible within the intervention process. Aim: To highlight current practice and appraise in line with clinical standards to promote the importance of early bed positioning for acute stroke patients. Methods A two-month audit on positioning intervention by OTs was completed locally. Data was collated on a secure logbook. Results 59 patients were admitted with a stroke between January and February of 2024. 15 patients required bed positioning. Only 2 patients received bed positioning on initial assessment. Documented reasons for not completing bed positioning included time constraints, pain, and resources. Conclusion OTs are not meeting current standards in relation to bed positioning in SVUH. Time constraints, referral times and staffing were highlighted as contributing factors. A service development opportunity was identified and rolled out during the completion of this audit. Implications for practice: Ward based education and an information resource booklet on bed positioning was provided to the staff on the stroke ward. This has prompted a review of the OT initial assessment form to include bed positioning as part of the assessment, and the development of a positioning guidelines hand-out for the stroke interdisciplinary team to implement upon admission.

The impact of moral resilience on nurse turnover intentions: the mediating role of job burnout in a cross-sectional study

BackgroundHigh nursing staff turnover is a critical issue that negatively impacts the quality of care and patient safety. Turnover intentions, a key predictor of actual turnover, reflect an individual’s likelihood of leaving their current position. Understanding the underlying mechanisms driving nurse turnover intentions is crucial for developing targeted interventions to stabilize the nursing workforce globally.ObjectivesThis study aims to explore the relationship between moral resilience, job burnout, and turnover intentions among nurses, focusing on the mediating role of job burnout in this relationship.DesignThis study employed a quantitative, cross-sectional design.MethodsA convenience sample of 322 registered nurses was recruited from two tertiary hospitals in China between August and October 2023. Data were collected using the Chinese version of the Rushton Moral Resilience Scale (Chi-RMRS), the Maslach Burnout Inventory (MBI), and the Turnover Intention Scale. Data analyses were conducted using SPSS 26.0 and Amos 21.0. The study followed the STROBE guidelines for observational research.Ethical considerationBefore the commencement of data collection, the Institutional Review Board of Hunan Traditional Chinese Medical College (YXLL202401004) granted ethical approval.ResultsThe proposed model exhibited an excellent fit to the data, with fit indices as follows: χ2/df = 1.819, CFI = 0.977, TLI = 0.961, RMSEA = 0.072 (90% confidence interval [CI]: 0.033 to 0.107). The structural equation model revealed that moral resilience was inversely associated with job burnout and turnover intentions. Furthermore, job burnout fully mediated the relationship between moral resilience and turnover intentions (β = −0.473, p = 0.007). Further analysis indicated that the depersonalization component of job burnout was the sole mediator in the relationship between moral resilience and turnover intention (β = -3.934, 95% CI [-5.837, -1.932]).ConclusionThe findings indicate that moral resilience among nurses is negatively associated with turnover intentions, with this effect fully mediated by the depersonalization dimension of job burnout. Enhancing moral resilience in nurses may be valuable strategy for healthcare administrators to mitigate job burnout and subsequently reduce turnover intentions.