Stakeholder Engagement Research Articles

Initiatives to improve lung and sleep health in children: Delphi consensus from the pediatrics, pulmonary, and sleep conference.

The lung and sleep health of adults is heavily influenced by early factors, both genetic and environmental; therefore, optimizing respiratory health begins in childhood. Multiple barriers impede improvements in lung and sleep health for children. First, the traditional siloing between general pediatric care in the community, pediatric pulmonary and sleep subspecialty care, and the research community limits the translation of knowledge into practice. Additionally, identifying and addressing health disparities remains a challenge. The 2021 NHLBI-sponsored workshop "Defining and Promoting Pediatric Pulmonary Health (DAP3H)" was a first step in defining critical gaps in our current healthcare system in identifying and optimizing lung and sleep health in children. The workshop identified key opportunities including measuring pulmonary function in young children, sleep-focused outcomes, developing biomarkers, and longitudinal research cohorts. To expand on the work of DAP3H and continue initiatives to improve childhood lung and sleep health, the Pediatrics & Pulmonary Network: Improving Health Together conference was held in 2023. A modified Delphi process was applied to form consensus surrounding gaps, barriers, and action items, with the goal of identifying the most urgent opportnities for improving childhood lung and sleep health. Cross-cutting foundational principles were identified as: (1) Authentic Stakeholder Collaboration & Engagement, (2) Reach & Implementation in Real World Settings, (3) Understanding Current Landscape & Resources and (4) Purposeful Diversity, Equity, & Inclusion Initiatives. To improve lung and sleep health in children, these principles should be the foundation for research design, development, and implementation.

Enabling modern bioenergy deployment in Nigeria to support industry and local communities

Nigeria intends to rank among the top 20 global economies by 2030 by focusing on industrialisation. However, limiting energy access may slow the rate of industrialisation. Bioenergy integration into Nigeria's energy mix can accelerate the industrialisation agenda due to the co-benefits it offers. We used a disaggregated approach to map agri-residue availability and identify knowledge gaps in agri-residue application to support modern and sustainable bioenergy integration into Nigeria's energy mix. Expert interviews with stakeholders from government departments, small- and large-scale industries, and feedstock producers were used to validate the biomass mapping. The output of the biomass mapping shows that residues from yam, sorghum, wheat, palm, cassava, rice, sugarcane, etc, have knowledge gaps in agri-residue application and they could support the industrialisation agenda of Nigeria. The output of the stakeholder engagement shows that fossil fuels are the main energy source for productive uses in Nigeria. Current waste management practices involve onsite burning and disposal on land. Bioenergy technologies currently deployed in Nigeria are predominantly anaerobic digestion and combustion. Stakeholders have a strong preference for electricity to be the predominant energy vector. However, awareness of modern bioenergy applications and technologies was limited even though Nigeria's Energy Masterplan supports the efficient use of biomass to generate clean heat, electricity and biofuel for industrial, transport and household applications. Based on these findings, we have developed a suite of novel bioenergy case studies to support biomass integration into Nigeria's energy system.

Barriers and enablers to implementation of evidence-based practice in nursing: A systematic review of literature

Background; Evidence-Based Practice (EBP) is an essential aspect of today’s healthcare landscape through which high-quality scientific research evidence can be obtained and translated into the best practical decisions to improve health outcomes. Nurses and midwives deliver the highest proportion of direct patient/client care, and therefore need to utilize evidence based practice to ensure quality patient care. Despite the great importance of evidence-based care, majority practices shown to be effective by research remain unused in the nursing field. Nurses and other health care providers often cite barriers that prevent its delivery. Objective: To describe barriers and enablers to, successful implementation of evidence based Practice in nursing Methods: A Systematic mixed-studies review of literature, synthesizing quantitative and qualitative research was done. The review involved a search on multiple data base engines which included COCHRANE, google scholar and PubMed. A search of the database using keywords (implementation, adoption, compliance, Evidence based practice (EBP), nurses, barrier, challenges and facilitators was conducted. Results: A total of 43 articles were reviewed. Two common themes were identified as barriers to EBP. Individual barriers and organizational barriers. Individual barriers identified include inadequate knowledge on EBP, time constraints and nurse’s attitude towards EBP. Organizational barriers were lack of administrative support and lack of autonomy in nursing. Enablers of EBP identified were administrative support, engagement of stakeholders and nurses autonomy Conclusion: The key barriers to EBP implementation in nursing are deficient knowledge on EBP, time constraints and lack of autonomy in nursing. The barriers can however be overcome by supporting an environment that prioritizes EBP. Recommendations: Addressing barriers to EBP implementation will enhance quality of nursing care leading to better patient’ outcomes. To mitigate the barriers, targeted enablers such as trainings and workshops on EBP, supportive leadership and increasing nurses autonomy ought to be put in place.

Improving health outcomes in Cameroon through competency-based curricula and stakeholder engagement in accreditation

This review article explores the accreditation process for health personnel training in Cameroon, emphasizing its critical role in ensuring quality education and improving healthcare delivery. It begins with an overview of the current state of health education institutions and regulatory mechanisms, highlighting the need for robust national guidelines for accreditation. The review examines the importance of autonomous councils for each health specialty, emphasizing their role in establishing specialized standards, monitoring compliance, and promoting ethical values in training. It also discusses the historical context and evolution of accreditation, identifying past limitations and the necessity for updated standards. The strengths and challenges of the proposed guidelines are analyzed, focusing on their potential impact on the competence of health professionals. Comparative assessments with successful accreditation systems in other African nations, such as Nigeria and Ghana, provide valuable insights into best practices. The perspectives of various stakeholders, including government agencies, educational institutions, and healthcare providers, are examined. The article concludes with recommendations for enhancing accreditation processes, including capacity building and continuous stakeholder engagement, ultimately supporting the development of a competent healthcare workforce aligned with national health goals.

A strategic brand development framework for expanding cardiovascular and endocrinology treatments in emerging markets

This paper introduces a conceptual framework for strategic brand development in the pharmaceutical industry, specifically targeting the cardiovascular and endocrinology treatment sectors in emerging markets. The framework explores how stakeholder engagement, market segmentation, and brand positioning can enhance access to critical treatments, addressing growing public health challenges in these regions. Cardiovascular and endocrinological disorders, such as heart disease and diabetes, are rising rapidly in emerging markets due to lifestyle changes, urbanization, and increased life expectancy. Pharmaceutical companies face unique challenges in expanding their market presence in these regions, including varying healthcare infrastructure, economic disparities, and regulatory environments. The proposed framework emphasizes the importance of engaging key stakeholders—such as healthcare professionals, policymakers, and patients—through targeted educational campaigns, partnerships, and advocacy. Effective stakeholder engagement fosters trust and collaboration, which is essential for expanding access to life-saving treatments. In addition, market segmentation is a critical component of this strategy, allowing companies to tailor their marketing efforts to specific demographic groups, economic conditions, and healthcare needs in each region. By identifying the most relevant segments and understanding their unique needs, companies can ensure that their treatments reach the populations most at risk for cardiovascular and endocrinological diseases. Brand positioning is another cornerstone of this framework. By clearly defining and communicating the value of their treatments in terms of efficacy, affordability, and accessibility, pharmaceutical companies can differentiate themselves in increasingly competitive markets. Strategic positioning not only enhances brand visibility but also builds long-term customer loyalty, which is crucial for sustaining market growth in emerging economies. Overall, this conceptual framework provides a roadmap for pharmaceutical companies to strategically develop their brands in the cardiovascular and endocrinology sectors, ultimately contributing to improved public health outcomes in emerging markets.

Strategic leadership and management within non-profit organizations: An in-depth review of practices contributing to sustainable impact

This study provides an in-depth review of strategic leadership and management practices within non-profit organizations (NPOs) and their contribution to sustainable impact. Employing a systematic literature review and content analysis, the research aims to explore the evolving landscape of strategic leadership, define the scope of leadership and management in achieving sustainable impact, and identify innovative management practices that enhance organizational sustainability. The methodology involved a comprehensive search across peer-reviewed journals, conference proceedings, and grey literature from 2013 to 2023, focusing on empirical evidence, theoretical frameworks, and case studies relevant to NPOs' strategic leadership and management. Key findings reveal that adaptive leadership, innovative management practices, stakeholder engagement, and technology integration are crucial for NPOs to navigate operational complexities, engage stakeholders effectively, and achieve mission-driven objectives. The study proposes strategic recommendations for NPOs to enhance their sustainable impact, including adopting adaptive leadership styles, fostering innovation, integrating technology, and building resilient organizational frameworks. The study underscores the importance of policy development to guide non-profit leaders towards best practices in strategic leadership and management. It also highlights future research directions, emphasizing the need to explore the impact of emerging technologies, globalization, and cross-cultural dynamics on NPOs. Conclusively, the research affirms that effective strategic leadership and management are indispensable for enhancing the sustainable impact of NPOs, advocating for continuous innovation and adaptability in the non-profit sector.

Conceptual framework for enhancing decision-making in higher education through data-driven governance

In an increasingly complex and competitive landscape, higher education institutions must leverage data-driven governance to enhance decision-making processes. This paper presents a conceptual framework aimed at integrating data analytics into the governance structures of higher education, facilitating informed decision-making, and improving institutional effectiveness. The framework emphasizes the importance of collecting, analyzing, and utilizing data across various dimensions, including academic performance, student engagement, financial management, and operational efficiency. By adopting a data-driven approach, institutions can identify trends, forecast outcomes, and make strategic decisions that align with their mission and goals. The study outlines key components of the framework, including data governance, analytics capabilities, stakeholder engagement, and institutional culture. Data governance ensures that data quality, integrity, and security are maintained, while analytics capabilities empower decision-makers with actionable insights. Engaging stakeholders—faculty, administrators, students, and external partners—fosters a collaborative environment where data-driven decisions are embraced and supported. Furthermore, the framework addresses the challenges institutions face when implementing data-driven governance, such as resistance to change, data silos, and inadequate technological infrastructure. Strategies for overcoming these challenges include investing in professional development, enhancing data literacy, and promoting a culture of continuous improvement. The framework also highlights the significance of ethical considerations and transparency in data usage, ensuring that decision-making processes are equitable and accountable. The findings indicate that by embracing data-driven governance, higher education institutions can enhance their responsiveness to changing demands, optimize resource allocation, and improve overall institutional performance. Ultimately, the conceptual framework serves as a guide for higher education leaders seeking to harness the power of data in their decision-making processes, fostering a proactive and adaptive institutional environment.

Cybersecurity and defense in intelligent transportation systems

Intelligent Transportation Systems (ITS) have become increasingly crucial for enhancing transportation networks' efficiency, safety, and security. ITS includes advanced technologies such as electronic sensors, data transmission, and intelligent control technologies, providing better driver and rider services. However, these technologies pose significant security and privacy risks, in which attackers can easily disrupt transportation systems. This paper presents a survey of the challenges with ITS, the engineering requirements, attack challenges, and related work of securing ITS. This survey also discussed the elements of ITS, including advanced traffic management systems, connected and automated vehicles, intelligent infrastructure, and integrated data analytics, as well as the role of government policies, public-private partnerships, and stakeholder engagement. The aim is to look at present security challenges associated with ITS and provide better ways to the system. which is critical for creating smart cities and increasing the importance of individual and public transportation systems.

Data-driven digital marketing and battery supply chain optimization in the battery-powered aircraft industry through case studies of Rolls-Royce’s ACCEL and Airbus's E-Fan X Projects

This paper investigates the interplay between data-driven digital marketing strategies and battery supply chain optimization in the battery-powered aircraft industry, with a focus on Rolls-Royce's ACCEL and Airbus's E-Fan X projects. As the electric aircraft market emerges, these companies face the dual challenge of promoting technological advancements to a skeptical audience while navigating complex supply chain requirements. The study explores how data analytics and targeted content marketing are employed to enhance stakeholder engagement, build consumer trust, and communicate the benefits of electric aviation. By leveraging digital platforms, Rolls-Royce and Airbus effectively highlight key aspects such as battery performance, sustainability, and the safety of electric propulsion, addressing both technical and consumer concerns. Concurrently, the research delves into the intricacies of battery supply chain optimization, examining the processes involved in sourcing high-energy-density batteries, ensuring quality control, and adhering to regulatory standards. Advanced supply chain management techniques, including predictive analytics and real-time monitoring, are analyzed for their role in streamlining procurement and manufacturing processes. The integration of these strategies within digital marketing campaigns demonstrates how each company positions itself as a leader in the industry, emphasizing technological innovation and reliability. This study aims to provide a comprehensive understanding of how digital marketing and supply chain optimization are not only critical for promoting the adoption of electric aircraft but also for overcoming market skepticism and ensuring operational efficiency. By presenting case studies of two pioneering projects, ACCEL and E-Fan X, the research highlights best practices and strategic approaches that can guide other companies in the industry. The findings underscore the importance of a synergistic approach where digital marketing is informed by supply chain realities, creating a transparent and trustworthy narrative for consumers and stakeholders. Ultimately, this paper contributes to the discourse on how emerging technologies in aviation can be successfully marketed and operationalized, offering insights into the effective use of digital marketing and supply chain management in the rapidly evolving electric aircraft sector.

Climate-sensitive training for sustainable business in Dickson County with global applications

Purpose This paper aims to examine the implementation and impact of climate-sensitive training programs tailored to the specific climate risks and business needs of Dickson County, Tennessee. It aims to emphasize the importance of integrating climate adaptation strategies into business training and to propose a replicable model that can be adapted to regions facing similar challenges, contributing to global sustainability efforts. Design/methodology/approach The research uses Dickson County’s climate profile as a case study, analyzing its impact on local businesses in sectors such as agriculture, manufacturing and tourism. This paper integrates theoretical frameworks, including organizational learning and adaptive capacity, to provide practical strategies for climate-sensitive training. It further incorporates insights from local institutions, industry partnerships and public data, using a qualitative approach to analyze key themes related to training effectiveness and sustainability. Findings The findings demonstrate that climate-sensitive training significantly enhances the resilience and sustainability of businesses by preparing them to address local climate challenges. Critical factors for successful implementation include stakeholder engagement, industry-specific customization and the continuous evaluation of training outcomes. The model presented shows promise for broader applicability in other regions, especially when localized climate data and collaborative efforts are integrated. Originality/value This paper provides a novel, region-specific approach to climate-sensitive training, distinguishing itself by combining theoretical insights with practical strategies for businesses. By focusing on localized adaptation and stakeholder collaboration, the model addresses an existing gap in the literature on climate adaptation training for smaller, climate-vulnerable regions. This work offers a replicable and scalable framework that contributes to the global discourse on sustainable development and climate resilience in business practices.

An Irish public health policy research team: impact and lessons learned, one year on

Abstract Issue In 2023, in Ireland, a public health policy research team was established in the Health Information and Quality Authority to conduct evidence syntheses and provide evidence-based advice to inform national decision-making, at the request of the Department of Health. One year on, we reflect on the impact of this team and outline lessons learned. These findings may support other countries in creating and developing public health policy research teams. Description of the problem We aim to answer the following questions: What impact can a public health policy research team have and what are the lessons learned, one year on? Projects completed by the team in 2023 were reviewed for stakeholder engagement (such as expert and public and patient involvement) and impact (feedback from policymakers, resulting public health actions or policies and online report downloads). Results Seven public health projects were completed in 2023, in areas including: Long COVID, public health reform, rapid multiplex testing, and medical countermeasure stockpiling. National and international stakeholders were engaged with via expert advisory group membership, document review and project presentations. Patient representatives were included from Long COVID Advocacy Ireland and Rare Diseases Ireland. Project reports were downloaded a total of 281 times. Positive feedback was received from all stakeholders. Project findings were presented to policymakers to inform national public health and rare disease strategy development, and the Long COVID model of care in Ireland. Lessons Early and ongoing stakeholder engagement is key when translating research to practice, via policy. Innovative methods of engagement, including public and patient involvement, can ensure meaningful collaboration. Adapting methodologies to meet stakeholder needs, such as rapid evidence synthesis, enhances impact. Lastly, research impact on policy takes time, and an understanding of national policy development is required. Key messages • A public health policy research team provides impactful evidence synthesis to advise national policymakers. • Stakeholder engagement is key to developing impactful policy advice.

Mothers to Babies & Art of Creation: Canadian stakeholder engagement during intervention development

Abstract Background The 2021 British Medical Research Council framework, outline that effective development of interventions requires engagement of diverse stakeholders. In practice, however, engaging stakeholders in health intervention development often receives insufficient investment. The Mothers to Babies (M2B) Study and its linked Art of Creation (AoC) Intervention Project comprise a joint case study in prioritizing stakeholder engagement. Methods From 2016 to 2019, our M2B team dedicated its financial and personnel resources to assessing community health priorities for preventing non-communicable diseases (NCDs) in Hamilton, Canada. Motivated by a “first 1000 days” approach (i.e. health environments through pregnancy and infancy have outsized impacts on NCD risks across a child’s life), we worked with stakeholders to identify acceptable, feasible complex intervention strategies supportive of health behaviours among pregnant Hamiltonians. To this end, we surveyed 434 pregnant people of diverse backgrounds and ran focus groups, interviews, and meetings with 69 stakeholders with diverse orientations to pregnancy and family health provision. Results M2B’s work indicated two areas actionable through a complex, behavioural intervention: 1) lack of knowledge about the first 1000 days, and 2) need for platforms for peer support and empowerment. These themes were centred in the development and the stakeholder-engaged implementation/evaluation of the ongoing AoC intervention study. AoC uses outreach through local cultural institutions and arts-based workshops to facilitate understanding of the first 1000 days. AoC increases participants’ knowledge of the first 1000 days, supports social relationships among participants and is enjoyable and empowering. Conclusions Investing three years and dedicated personnel to stakeholder engagement by M2B yielded the development of AoC, a complex health promotion intervention that fits the diverse priorities of Hamilton communities.

5.A. Scientific session: From theory to action - Applying the Medical Research Council framework on complex interventions

Abstract The reasons for the workshop: Globally, public health problems such as obesity, poor mental health, and social inequality in health are on the rise. Tackling these significant challenges requires well-designed complex interventions. Interventions rarely follow linear sequences from intervention design toward large-scale implementation. Rather, they take non-linear trajectories by constantly adapting the intervention design according to the context. This thinking is outlined in the British Medical Research Council’s (MRC) 2021 framework for developing and evaluating complex interventions. This workshop encompasses four case projects, each corresponding to one of the four phases in the framework: i) development, ii) feasibility, iii) implementation, and iv) evaluation. However, recognising the deliberately generic nature of this framework, our workshop also encompasses co-creation, process evaluation, and implementation theories and methodology. Combining these methodologies presents challenges that necessitate clear argumentation and critical reflection. In this workshop, we will share the challenges encountered when applying the MRC 2021 framework and hopefully inspire future innovative opportunities in intervention research. Specifically, this workshop aims to: i) exchange challenges from intervention research methods and theories drawing on presenters’ experiences across four public health case projects. Presenters will critically reflect on the key concepts from the MRC framework including context, programme theory, engagement of stakeholders, uncertainties, and refinement of interventions. ii) discuss opportunities for future complex intervention research and outline best practices for using the MRC 2021 framework for complex interventions. The added value of organising the workshop: The audience attending this workshop will reflect on multiple on-the-ground experiences of applying methodology and principles from the MRC 2021 framework as well as methods and theories relevant to intervention research: co-creation, qualitative (e.g., ethnography, interviews) and quantitative (e.g. experimental, observational) methods applied to all core phases of complex interventions. At the end of the workshop, the audience will be invited to participate in an open, plenary discussion facilitated by the workshop’s chairs: two international experts on complex interventions, Reader Rhiannon Evans and Prof. Helle Terkildsen Maindal. The experts will encourage the presenters and audience to reflect critically on the case projects and ways forward for complex intervention research. Coherence between the presentations in relation to the workshop topic: The four case projects are guided by the MRC 2021 framework for complex interventions and involve public health interventions at the individual, interpersonal, and structural levels in Denmark and Canada. Key messages • Tackling public health challenges demands innovative and well-designed complex interventions combining research traditions, principles from health promotion, and cutting-edge best-practice frameworks. • The symposium will create a platform for cross-disciplinary knowledge exchange through case projects and expert-led joint discussions on how to apply the MRC 2021 framework for complex interventions.

5.E. Round table: Crafting Policies for Health Promotion: evidence from local settings

Abstract As communities vary in their needs, challenges, and resources, tailoring health promotion policies to specific contexts becomes imperative for effectiveness. Drawing upon the expertise of seasoned practitioners, policymakers, and researchers, this workshop offers a multifaceted perspective on navigating the complexities inherent in designing, implementing, and evaluating locally tailored health promotion policies, with a specific focus on environmental and social factors. The workshop will make it possible to compare different experiences from various European countries, with high-level speakers who have different backgrounds and roles in their countries and regions, thus providing an interesting and interactive way of comparing and examining real-world examples and best practices. The examples provided delve into: participatory techniques to design healthier environments, to identifying, collecting and elaborating evidence upon which to build policies and actions that are effective in addressing specific health challenges. Through the examples presented, we will seek to make the case for multi-actor and multisectoral collaboration. In addition, we will try to understand How do subnational authorities and partners identify priorities for action. A common question asked to the speakers will therefore: how can a variety of actors (local and regional authorities, university and research centres...) come together to support cross-sectoral action? How can policymakers be supported towards creating environments that prioritize the well-being of all, ensuring a healthier and more prosperous future for everyone? The end goal will be to enable attendees to be equipped with actionable strategies and tools to foster meaningful change within their own communities, by understanding the intricate interplay between community dynamics, stakeholder engagement, evidence-based practices, and policy implementation strategies. The workshop is being organized by the WHO Regions for Health Network (RHN). Key messages • Tailoring health promotion policies to specific contexts is imperative for effectiveness, considering the diverse needs, challenges, and resources of different communities. • Subnational authorities and partners must identify priorities for action and collaborate across sectors to address specific health challenges effectively. Speakers/Panelists Klara Dokova Medical University of Varna, Varna, Bulgaria Camilla Ihlebaek Norwegian University of Life Sciences, Aas, Norway Jo Peden Public Health Wales, Cardiff, UK Odile Mekel NRW Centre for Health, Bochum, Germany Liesbeth van Holten Province of Utrecht, Utrecht, Netherlands

Do the prevention procedures work in reducing infections?

Abstract Introduction Healthcare-associated infections (HCAIs) pose significant challenges in healthcare settings. Poor environmental hygiene contributes to HCAI. This study aims to evaluate and to assess the effectiveness of HCAI containment practices in nursing homes (NH). Methods The study examined infection prevention procedures in eight NHs supervised by the Multidisciplinary Commission of the Tuscany South-East Local Health Authority of Italy. Infection frequencies were obtained from NHs management and compliance with preventive procedures was assessed by inspection reports. Infection prevention protocols, including cleaning and disinfection procedures, were referenced from ministerial guidelines for hospital and territorial facilities. Comparisons was done whit Mann-Whitney test, using STATA. Results In 2023 more frequent infections were SARS-CoV-2 (19.5%), urinary tract infections (17%), pharyngitis (15.7%), influenza-like syndromes (ILI) (15%), and pneumonia (9%). Compared to 2022, significant improvements were observed in legionellosis surveillance, laundry, sanitary procedures, instrument disinfection, and hairdressing services. Non-compliance to specific procedures revealed differences in infectious onset like cleaning process verification with fungal infections (P = 0.01; M = 2,5), gastrointestinal infections (P = 0.04; M = 1.5); cleaning sanitary pans with Clostridium Difficile gastrointestinal infections (P = 0.04; M = 2); instrument disinfection with gastrointestinal infections (P = 0.04; M = 1.5) conjunctivitis (P = 0.01; M = 8); laundry procedures with pneumonia (P = 0.04; M = 18) and ILI (P = 0.04; M = 35). Conclusions These findings emphasize the importance of well-defined procedures in reducing HCAIs. While preventive measures demonstrate efficacy, continuous efforts are necessary for their consistent implementation. Continuous monitoring and stakeholder engagement are essential for developing sustainable strategies in preventing healthcare-associated infections. Key messages • Healthcare-associated infections are a significant complication in the healthcare sector and require effective practices in nursing homes. • Prevention measures are effective, but continuous and collaborative effort is needed to ensure their uniform implementation and develop more effective strategies in preventing HCAI.

The role of communication in the successful implementation of the Slovenian NCCP

Abstract Issue Cancer remains a significant global public health challenge, necessitating comprehensive strategies for effective control and management. Slovenian National Cancer Control Programme (NCCP) addresses this challenge by prioritizing proactive communication with various stakeholders engaged in cancer care planning, delivery and advocacy. The communication strategy within this programme plays a pivotal role in its successful implementation. Description of the problem Active engagement and collaboration among stakeholders is crucial for achieving the programme’s objectives. NCCP seeks to address this challenge through various communication activities by fostering dialogue, sharing best practices, and facilitating networking opportunities among oncology professionals throughout Slovenia. Additionally, it seeks to strengthen partnerships with sectors beyond health and prioritizes engagement with cancer patient advocacy groups. Results The programme has devised a long-term communication strategy, guiding annual communication plans to engage stakeholders and foster support for its objectives. Notable communication activities in the period 2022-2024 include: organizing annual meetings for different oncology stakeholders including cancer patient associations, hosting impactful professional events, conducting visits to regional cancer hospitals, distributing e-newsletters and managing a NCCP website. Initial outcomes indicate strengthened communication and collaboration among professionals and institutions in the field of oncology nationwide. Engagement with patient advocacy groups has facilitated discussions on topics important to patients. Lessons Effective communication with diverse stakeholders is crucial for comprehensive cancer control. Collaborating across sectors enhances the impact of cancer control initiatives. Enhanced networking fosters innovation and synergy among oncology professionals, positioning Slovenia for greater success in cancer control. Key messages • Slovenia’s NCCP prioritizes proactive communication, fostering collaboration among stakeholders. Annual events, newsletter, and partnerships strengthen awareness and drive comprehensive cancer control. • Long-term communication strategy of Slovenia’s NCCP drives stakeholder engagement, and supports strategic objectives. This proactive approach strengthens comprehensive cancer control efforts.

Maximising the potential of National Cancer Mission Hub-like structures: A SWOT analysis approach

Abstract Cancer is a significant and urgent concern in public health, particularly in the context of an aging population like in Europe. It is estimated that new cancer cases will increase by 21% by 2040 in Europe. With the ambition of improving the lives of 3 million people by 2030, the European Commission launched 2 major initiatives: Europe’s Beating Cancer Plan (EBCP) and the Mission on Cancer (MoC). The EBCP is a policy-driven initiative aimed at supporting Member States in addressing the whole cancer continuum. It is supported by the MoC, a research driven initiative. Member States are implementing the EBCP and MoC in a way that fits their national contexts. This can take different forms, such as ‘cancer hub,’ ‘mirror group,’ or other similar structures. The role of these entities can vary, ranging from purely coordinating activities to involving more technical work. We performed a SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis with different national mission-hub-like (NCMH-like) structures to explore their strategic positioning. We collected results from 6 countries (Belgium, Italy, the Netherlands, Portugal, Poland, and Sweden) as part of the EU project ECHoS on setting NCMHs. Participants perceived that formal government endorsement, existing stakeholder mapping, and good stakeholder engagement as strengths for the structure. Whilst, they identified overlap with other ongoing initiatives and low stakeholder engagement as weaknesses that need to be addressed, the future of existing structures could be threatened by financial and human resources as well changing political landscape. National, regional alignment and the leverage of EU funding were recurrent opportunities to build on. Ultimately, NCMH-like structures can be leveraged to achieve national and European alignment on cancer initiatives, if they succeed in building a sustainable financial and governance structure. Key messages • National Cancer Mission Hub-like structures can build on existing initiatives to support the implementation of EU cancer initiatives if they achieve sustainable financial and governance structures. • SWOT framework is a good tool for a comprehensive overview of the strategic positioning of National Cancer Mission Hub-like structures in different European countries.

Organisation of school environment on reopening schools amidst COVID-19: Barriers and facilitators

Abstract Background The reopening of schools during the COVID-19 pandemic has had a profound global impact, affecting millions of students, educators, and families worldwide. This organisation study, conducted in collaboration with professionals from Brazil, Mozambique, and Portugal, focuses on the organisation of school environments to ensure education safety and continuity, underscoring the global relevance of our findings. Methods A consortium of 12 countries developed a script for the semi-structured online interviews used in this study, which took place between March and December 2021. Focusing on the reorganisation of schools during lockdowns in the classroom, we interviewed 12 native Portuguese speakers involved in this process. We applied thematic analysis using NVivo v.22.0 to transcript interviews. Results Results revealed complexities in school reopening during the public health crisis. Key barriers were disparities between public and private schools and inadequate infrastructure. Facilitators included thorough preparation of staff, community engagement, and strong collaboration between the educational and health sectors, along with classroom and school space adaptations. Conclusions This study highlighted significant barriers and facilitating factors affecting school reopening during the pandemic. Challenges such as educational inequalities and infrastructure gaps were evident, while effective facilitation involved comprehensive planning and stakeholder engagement. These findings offer valuable insights for strategic planning and professional practice in ensuring safe and continuous education during pandemics. Key messages • Global collaboration in this study spotlights the complex challenges and necessary strategies for safely reopening schools amid a pandemic. • Research underscores the critical role of thorough preparation and community engagement in overcoming educational disparities during crises.

8.A. Scientific session: Engage, co-create, collaborate, transform: uniting practice and research for health innovation

Abstract Background Public health practitioners are increasingly challenged by theoretical, political, and contextual changes and innovations. To ensure that innovations are sustainable, it is important not only to include stakeholders (e.g. end-users, implementers, policy-makers), but also to actively involve them in the development, implementation and transformation of public health innovations. Participatory action research, co-creation and stakeholder engagement are proven methods to co-produce effective innovations, strengthen existing networks and promote implementation by increasing fit and applicability in practice. In this workshop, our overall aim is to bring together practitioners and researchers to improve mutual understanding and adapt practices in development, implementation and transformation of innovations. The objectives of the workshop are: 1) to increase participants’ understanding of the circumstances under which stakeholder involvement is most meaningful, and 2) to increase participants’ awareness of tools, strategies or theories to overcome challenges in stakeholder involvement. Workshop format The workshop consists of two parts: four interactive presentations that introduce important development steps of public health innovation and a problem-based discussion using a real-life case that builds upon the presentations. Interactive presentations describe (1) Theory of Change (ToC) approach for active collaboration with stakeholders, (2) co-creation of a serious game for and with healthcare providers, (3) visualising collaboration through Social Network Analysis to improve implementation, and (4) enhancing scale up with PRACTIS and Design Thinking. During the presentations, interactive tools are used to help identify the characteristics of the workshop participants (e.g. work setting, type of stakeholders), as well as their interests and needs (e.g. challenges faced, methods used). During the second part of the workshop, a health innovation is chosen from a number of pre-selected innovations from European contexts (e.g. BOB campaign, Schools4Health, LETHE) that aligns most with participants’ background and interests. Next, the main goal and known challenges within these innovations are introduced, which aids participants to formulate intermediate goals using the ToC approach. Then, they answer questions and make decisions for the discussed stages of innovation development (e.g. “Which gaps exist in the current network and how can we address them to improve collaboration?”, ‘What scalability challenges exist in this innovation and how can PRACTIS help identify them?”). In answering these questions, participants will share their knowledge and expertise with each other, while the chair facilitates the discussion. We are flexible in the format of the challenge-based discussion; depending on the number of attendees, we may work with a plenary discussion or smaller groups that work independently under the supervision of 1 or 2 facilitators each. Key messages • Non-linear approaches are needed to take into account the complicated and changing systems in which health innovation takes place. • Theory of change, co-creation, social network analysis, PRACTIS and design thinking offer practical guidance for stakeholder involvement in specific phases of health innovations.

Environmental Accounting and Sustainability: A Meta-Synthesis

This study conducts a comprehensive meta-synthesis of review-based research on environmental accounting, spanning from 1995 to 2024. Environmental accounting, also known as green accounting, has evolved as a critical tool for integrating sustainability into corporate financial practices. Using bibliometric methods via Bibliometrix R-package (Biblioshiny—Version 4.2.0) and VOSviewer (Version 1.6.20), the research mainly examines scholarly discussion in review-based studies and identifies dominant themes. The main clusters identified are (1) environmental audits and management, (2) green accounting, financial reporting and sustainable development, (3) CSR, stakeholder engagement, and accountability, and (4) environmental accounting and protection. On the descriptive end, publication trends, prominent authors, articles, and sources are identified. The findings highlight a significant increase in review-based studies since 2022, coinciding with the growing global awareness and importance of sustainability. This study contributes to the field by consolidating fragmented research on environmental accounting, offering a framework for future academic exploration. Practically, it informs policymakers and business leaders on the importance of unified reporting standards across regions; integrating environmental considerations into financial decision-making; promoting transparency, accountability, and sustainability accounting; and disclosure across industries and regions.