Success Factors Research Articles

Women's mental health in the doctoral context: Protective function of the psychological capital and academic motivation.

Science recognizes the anxieties, depression, stress, and "turbulences" that women face in doctoral studies, but women's mental health in this context is still little addressed, even though it is a critical aspect for the well-being, persistence, and success of women doctoral candidates, who continue to be underrepresented in many professional fields. The study aims to evaluate the relationship between academic motivation, psychological capital, and university academic performance (UAP) and to identify factors of female mental health success. A cross-sectional, mixed-methods study was conducted with a sample of 108 female doctoral students from a university in Lima, during the first quarter of 2024. In the quantitative phase, three standardized scales were administered to assess academic motivation, psychological capital, and university academic performance (UAP). In the qualitative phase, interviews were conducted to gather relevant information on mental health. The findings emphasize five important points: (1) levels and the relationship between psychological capital, academic motivation, and performance, (2) motivational behavior according to study cycles, (3) risk and protection profiles, (4) protective functions, and (5) mental health success factors. The results indicate that 36% of the women have a low level of psychological capital, 34% have a medium level of academic motivation, and 37% have a high level of UAP, likewise "Intrinsic Motivation toward Accomplishment" is the positive core where most of these women converge. Significant differences were found between the study cycles with academic motivation and "University Academic Performance," and a significant gap between these variables. The risk profile (which limits performance) and the protective profile which allows high performance are determined; this positive profile is identified by women who present a high level of "Self-efficacy." The study demonstrates that "Psychological Capital" and "Academic Motivation" along with the dimensions of "Self-efficacy" and "Intrinsic Motivation to Experience Stimulation" serve protective functions. Fourteen success factors for women's mental health were identified and organized into four main approaches: Optimism, Hope, Resilience, and Self-efficacy. Limitations and future projections are discussed. The practical implications include implementing psychological support programs, fostering intrinsic motivation, integrating psychological assessments, establishing support networks, and making tailored curricular adjustments.

Abstract WP94: Early supported discharge program decreases length of hospital stay and demonstrates high clinic follow-up rates after stroke

Background: The transition period after hospitalization for stroke is a vulnerable time for patients as all adapt to new physical, cognitive, or emotional changes and destabilized comorbid conditions. Transitional care programs designed for post-stroke care carry the promise of improved outcomes and reduced hospital readmission rates, however attendance rates to these scheduled visits in other stroke early supported discharge programs are reported as low as 35%. In addition to patient specific consequences, missed stroke clinic visits impact system efficiency and workflow which carry broad regional consequences. We sought to understand the impact of our early supported discharge program on hospital length of stay and clinic attendance patterns to prepare for ongoing iteration of this program. Methods: All hospitalized stroke patients who are discharged to home are enrolled in the Joint Stroke Transitional Technology-Enhanced Program (JSTTEP) and seen by a stroke specialist using telemedicine platform within the first 2 weeks of hospital discharge. Following JSTTEP, patients receive usual care which includes a stroke clinic visit 2-3 months after discharge, either by telemedicine or in-person based on patient preference and clinical needs. Results: There has been no change in demographics since the inception of JSTTEP in 2020 with the average age of patients 61 years, 40% female, and nearly 50% black. In calendar year 2023, 309 patients were enrolled in the JSTTEP following hospitalization for acute stroke. Of those, 277 (90%) completed the first JSTTEP telemedicine visit. The mean time from hospital discharge to the first JSTTEP visit was 7.6 days. Hospital length of stay has decreased from 4.5 days prior to JSTTEP to 4.0 days in 2023. Modified Rankin Scale scores at 90 days decreased from 2.2 to 1.1 in a subset of patients with available scores. Conclusion: Since the implementation of JSTTEP, hospital length of stay has decreased for stroke patients who are discharged to home. We note a high show rate to this clinic and suspect that there are a variety of contributors to these successes including close proximity to hospitalization, rapid attention to evolving post-discharge needs, interaction with stroke specialists, and use of telemedicine to facilitate access during a time period where driving is prohibited. The intentional design of the JSTTEP resulting in high level of engagement is likely a strong factor in the early success of the JSTTEP program.

Mentorship advances antimicrobial use surveillance systems in low- and middle-income countries.

A shortage of trained personnel poses significant challenges to implementing antimicrobial use (AMU) surveillance systems in low- and middle-income countries (LMICs). Traditional training models, such as workshops, seminars and online courses, often lack the sustained engagement and support necessary for deep learning and skill mastery. This article advocates for mentorship as an effective training method for AMU professionals in LMICs. Drawing on our experiences as mentors and mentees from 1- to 2-year mentorship programmes in Nepal, Pakistan, Papua New Guinea and Timor-Leste between 2019 and 2023, we highlight the challenges and success factors of mentorship. Our insights demonstrate mentorship's value in building expertise and sustaining capacity in AMU surveillance, offering a promising solution to address the personnel shortage in these regions.

Assessing the critical success factors for the sustainable construction project management of Saudi Arabia

ABSTRACT The construction sector in Saudi Arabia faces significant challenges in achieving sustainability in project management, encompassing activities from design to project completion. This research aims to identify and evaluate the critical success factors (CSFs) essential for sustainable construction project management in Saudi Arabia. Through an extensive literature review, 24 CSFs were identified, reflecting the sector’s complex dynamics. A detailed survey of industry experts assessed the importance of these factors using a Likert scale, with further analysis conducted through the Relative Importance Index (RII) and Analytic Hierarchy Process (AHP). The CSFs were categorized into five groups: human resources and stakeholder requirements, sustainable project delivery and stakeholder engagement, strategic planning and alignment, project management practices and leadership, and compliance and governance. Stakeholders emphasized the adoption of modern tools and processes to overcome challenges and improve project outcomes. The study highlighted five key CSFs: effective strategic planning, adherence to anti-corruption measures, efficient resource allocation, project managers’ expertise, and robust policy enforcement. These factors are pivotal in advancing sustainable construction project management in Saudi Arabia. The study provides a structured framework for evaluating CSFs and offers practical insights to stakeholders for promoting sustainability within the construction sector, particularly in Saudi Arabia and the Middle East.

Effect of Tympanostomy Tube Removal Technique on Surgical Success and Operative Time.

Tympanostomy tube removal is a common procedure, the most common complication of which is persistent perforation. Multiple surgical techniques exist. This study seeks to determine whether the technique used affects success rate or surgical time. This was a retrospective cohort study in a tertiary-care children's hospital. Tube removal procedure codes were used to extract charts from 2008 to 2023. Data were collected on surgical technique, success, operative time, indications, and patient factors. Primary outcome measure was surgical success, defined as no residual perforation. A total of 1562 patient ears were analyzed. Success rate was 95.5% for trichloroacetic acid (TCA) myringoplasty with patch, 86.5% for cold myringoplasty with patch placement (CMwP), 74.7% for cold myringoplasty without patch placement (CMsP), and 73.8% for tube removal alone (TR). TR as compared with CMsP did not show a difference in closure rates (p = 1.0000). CMwP was more likely to be successful than TR (p = 0.0162) or CMsP (p = 0.0117). TCA was more likely to be successful than CMwP (p = 0.0197). Median operative time was 4 min for TR, CMsP, and CMwP and 5 min for TCA. This difference in operative time between the groups was statistically significant (p < 0.001). TCA myringoplasty with patch shows greater surgical success rate than cold myringoplasty with patch, cold myringoplasty without patch, or tube removal alone, but it has a longer operative time. Cold myringoplasty with patch has greater surgical success than cold myringoplasty without patch or tube removal alone. 3 Laryngoscope, 2025.

Solar Energy Application in Malaysia’s Manufacturing Industry: Analysis of the Challenges and Success Factors

This study analyzes challenges and success factors in the use of solar energy in Malaysia’s manufacturing sector. A hierarchical tree based on the Analytical Hierarchy Process (AHP) method was modeled to identify the sub-criteria of challenge aspects and success factors. A questionnaire study based on the sub-criteria was conducted on 30 respondents among supervisors and above from various companies involved in the electrical, electronic, and mechanical manufacturing industries that employ machines intensively in the Klang Valley area, Malaysia. Data for the study were collected from survey respondents’ evaluations. The collected data was analyzed using the AHP method. Findings show that there is a significant positive relationship between the challenges and success factors of implementing solar energy in the manufacturing industry in Malaysia. As a result of the study, government initiatives are the key challenges and success factors for the industry involved in utilizing solar energy. The development of a framework for solving the challenge of using solar energy in the industry has been proposed. As a result, the framework can provide added value to government and funding agencies involved in improving Malaysia’s solar energy policy. This contribution will assist them with drafting, developing, and improving existing policies and plans, thereby, leading to more solar energy usage in Malaysia’s manufacturing industry.

From theory to practice: evaluating success factors of adaptive reuse through a case study

PurposeThis study assesses the success of a real project in practice, using identified success factors from recent systematic literature. It investigates how theoretical insights translate into real-world outcomes by answering the question: “How do success factors identified in existing literature contribute to the success of a real-world adaptive reuse project?”.Design/methodology/approachThis research utilizes a case study methodology to explore the adaptive reuse phenomenon through the lens of the Fenix I in the Netherlands. Three comprehensive semi-structured interviews with key decision-makers provide insights into experiences, challenges, and ultimately the evaluation of success factors in practice. Data analysis involves deductive coding, systematically organizing success factors into ten categories derived from the literature, to implement the analysis and align with the research objectives.FindingsThe results demonstrate the application of a majority of success factors identified in literature within the case study. This study reveals differences in the levels of significance among these factors, their categorization and their existence, particularly between listed and non-listed heritage buildings. Moreover, it shows the remarkable impact of public-private collaboration from the early stages of decision-making through project implementation. The study confirms that a successful real-world project addresses a significant proportion of the success factors identified in the literature.Originality/valueThis research facilitates the decision-making process for stakeholders and practitioners in adaptive reuse projects, aiming to foster the development of more successful initiatives in this field.

Lessons from AI in finance: Governance and compliance in practice

This article examines the evolution and implementation of AI governance frameworks in financial institutions, focusing on the critical aspects of regulatory compliance and risk management. The article investigates how financial institutions have transformed their operations through AI adoption, particularly in areas such as fraud detection, customer data privacy, and regulatory compliance. By analyzing current governance practices, success factors, and implementation challenges, the article demonstrates the significant impact of AI on operational efficiency, risk management, and customer service delivery. The article highlights the importance of early compliance integration, transparent documentation, and continuous monitoring in successful AI governance frameworks, while also addressing future considerations including enhanced regulatory scrutiny, evolving privacy regulations, and the growing emphasis on ethical AI implementation.

Long-term exposure therapy outcome in phobia and the link with behavioral and neural indices of extinction learning.

Extinction learning is regarded as a core mechanism underlying exposure therapy. Under this assumption, studies have looked at the predictive value of the extinction learning paradigm for exposure therapy outcomes. However, predicting factors of long-term exposure therapy success have not been established. Participants with a specific phobia (SP) for spiders were included in a double-blind randomized controlled trial. Participants were randomly assigned to receive exposure therapy (n=25, 24 females) or an active control intervention, progressive muscle relaxation (PMR; n=18, 15 females). Symptom levels were measured with the Fear of Spiders questionnaire (FSQ) at baseline (T0), after the intervention (T1), and at six- (T2) and twelve (T3) months follow-up. At baseline, participants completed a three-day fMRI fear conditioning, extinction learning, and extinction recall paradigm. Indices of extinction were defined as self-reported threat expectancy and fear, and neural activation during stimulus presentations and threat omission in the ventromedial prefrontal cortex and nucleus accumbens, based on prior data. Mixed model analysis revealed that the exposure therapy group had an overall stronger decrease in phobic symptoms over time than the PMR group (β=10.95, p<.001). However, none of the indices of extinction learning were predictive for FSQ scores after exposure therapy at the longest follow-up measurement (T3). In sum, the current results show the long-term effectiveness of a single session of exposure therapy for reducing a specific fear of spiders but no baseline characteristics were identified that predicted individual differences in exposure therapy success after one year.

How effective and sustainable is proctoring in robotic surgery? A retrospective analysis based on interviews with surgeons.

Robot-assisted surgery is one of several minimally invasive techniques which have become increasingly important in recent years. Education and training are key factors of sustainable success, and surgical tutoring by an experienced external surgeon (proctoring) has emerged as a very useful method of training surgeons. Proctoring enables surgeons to train their respective skills and eventually improve the overall quality of surgical care. To evaluate the sustainability of proctoring, we conducted telephone interviews with colleagues who participated in a single-center surgical proctoring program. The aim was to analyze the feasibility of the concept for being established in the future, how well it suits the surgeons (depending on their individual work experience), and which areas of clinical practice would benefit from proctoring. Furthermore, the surgeons provided free-text comments to the questions on a feedback form handed out after the proctoring. Surgical skills were significantly enhanced and operating times were reduced after proctoring. Given favorable structural conditions, the number of cases and the case-mix index were also significantly increased. It was found that the learning needs of surgeons differ, depending on their medical function, work experience, and the frequency of robotic surgery. On the feedback forms, proctoring was consistently rated as a positive and supportive measure. Proctoring is an important aspect of the individual development of surgeons. Depending on learning needs, a structured curriculum is crucial and should be established for the future. Regular feedback modules should be a part of any surgical training concept.

PENDEKATAN SISTEMATIS DALAM PERENCANAAN DAN PENGEMBANGAN KARIER: TANTANGAN SERTA FAKTOR PENENTU

Effective career planning and development is essential in the context of today's competitive and dynamic job market. A systematic approach is crucial to helping individuals and organizations identify and achieve their career goals. This research aims to analyze the importance of a systematic approach in career planning and development, the challenges faced, and the determining factors for success that need to be considered. The method used in this research is literature study, which includes analysis of related literature and best practices in career development. The research results show that self-assessment, setting clear goals, developing skills, as well as mentorship and technology support play an important role in achieving career success. Apart from that, organizations must also play an active role in providing structured development programs to increase employee engagement. The conclusion of this research emphasizes the need for synergy between individuals and organizations in creating a mutually beneficial career development ecosystem.

Why digital transformation in fintech requires mainframe modernization: A cost-benefit analysis

This comprehensive analysis examines the critical role of mainframe modernization in driving digital transformation within the financial services sector. The article explores the current state of legacy systems in financial institutions, evaluating both the challenges and opportunities presented by modernization initiatives. Through detailed cost-benefit analysis, risk assessment, and examination of real-world implementation strategies, this research provides insights into successful transformation approaches. The article includes an in-depth case study of Citibank's modernization journey, highlighting key success factors and lessons learned. Additionally, it addresses future technological trends and market dynamics that will shape the evolution of banking systems, offering strategic guidance for financial institutions undertaking modernization initiatives.

Strategic modelling for sustainable power grids: a comprehensive study on energy storage integration in India

Purpose This study aims to address the critical need for innovation in the power grid sector, driven by global carbon reduction commitments. It highlights the pivotal role of critical success factors (CSFs) in enhancing system adaptability and environmental mitigation within India’s power industry. Design/methodology/approach This research is grounded on transition management theory to identify and validate the CSFs necessary to integrate energy storage systems (ESS). Here, exploratory factor analysis (EFA) and total interpretive structural modeling (TISM) are integrated to evaluate the model’s effectiveness in reducing CO2 emissions while ensuring grid stability and flexibility. Findings The research develops a seven-level hierarchical model illustrating the interaction of ESS components for a stable power grid, clean energy and a profitable electric industry. It emphasizes the strategic significance of managing key factors to reduce CO2 emissions and ensure grid stability. The study recommends continuous monitoring at tactical and operational levels to enhance overall performance. Research limitations/implications The study provides policymakers with strategic insights for the successful implementation of smart grid initiatives, facilitating effective decarbonization of the electricity industry. Additionally, it offers a comprehensive framework for minimizing the environmental impact associated with electricity generation, thereby enhancing overall operational sustainability and efficiency. Originality/value The originality of this study lies in its integration of EFA and TISM for robust model assessment and the application of transition management theory to identify and validate CSFs in the integration of ESS. This approach offers a novel perspective on enhancing the sustainability and efficiency of power grids.

Understanding the emerging success factors gap of accounting information systems in developing countries – a systematic literature review

PurposeWhile the adoption of accounting information systems (AIS) is crucial in developing countries owing to the rapidly changing business environment, the emerging factors in its successful implementation continue to be inconsistent. This systematic literature review (SLR) aims to understand the emerging factors of underlying successful AIS implementation, with a specific focus on developing countries.Design/methodology/approachA total of 70 empirical studies from 2017 to 2024 were analysed using an SLR technique. Studies including the search term “accounting information systems” OR “AIS” AND “developing countries” in their titles, keywords or abstracts were retrieved from five digital databases. The articles were analysed and synthesised using thematic analysis.FindingsThe findings revealed six key themes: (1) AIS literacy, (2) automation in AIS, (3) cloud-based AIS, (4) cultural factors, (5) environmental factors and (6) mobile accessibility and 25 subthemes.Practical implicationsA comprehensive understanding of these gaps will enable academics, policymakers and AIS professionals to make well-informed decisions and enhance the efficacy and efficiency of AIS operations.Originality/valueThe thematic analysis highlights the theoretical gaps and exposes areas where the connection between factors may be inadequate to indicate future study avenues.

Implementing data lineage frameworks in financial institutions: A systematic analysis of compliance, efficiency, and risk management

This article comprehensively analyzes modern data lineage frameworks within financial institutions, examining their implementation challenges, operational impacts, and regulatory compliance benefits. The article investigates the key components of enterprise-scale data lineage systems, including source integration, transformation architecture, storage mechanisms, and governance structures. The article systematically examines implementation strategies across multiple financial organizations and identifies critical success factors and common impediments in establishing robust data lineage frameworks. The findings demonstrate significant improvements in regulatory compliance efficiency, risk management capabilities, and operational transparency when implementing comprehensive data lineage solutions. The article highlights the importance of integrated governance policies, automated monitoring systems, and scalable architectural designs in achieving successful outcomes. Furthermore, the article reveals that financial institutions implementing structured data lineage frameworks show an enhanced ability to meet evolving regulatory requirements while maintaining operational efficiency. This article contributes to the growing knowledge of data governance in financial services. It provides practical insights for organizations seeking to strengthen their data management capabilities through modern lineage frameworks.

Design-driven innovation in the public sector: insights from case studies of initiatives in Taiwan

ABSTRACT Contemporary public sectors face inefficiency, poor service quality, and limited innovation capacity. Existing solutions often lack flexibility, overlook organizational and human factors, and fail to address complex challenges. While Taiwan has successful design-driven public sector innovation cases, systematic analysis and implementation guidelines remain scarce. This study aims to analyse 6 cases from the Taiwan Design Research Institute using a framework covering ‘Background and Origins’, ‘Challenges and Difficulties’, ‘Key Breakthroughs’, and ‘Major Output Achievements’. It identifies key success factors, such as cross-department communication, collaborative design participation, and design capacity building, and proposes a six-step innovation process: 1) Understanding Challenges and Opportunities, 2) Cultivating an Innovative Culture, 3) Integrating Design Thinking, 4) Allocating Resources and Training, 5) Partner Collaboration, and 6) Continuous Evaluation. The study highlights implementation challenges like resource limitations, bureaucratic delays, and regulatory constraints while demonstrating how design-driven approaches enhance public service quality, efficiency, and responsiveness to citizen needs. This study demonstrates that design-driven innovation enhances public service quality, efficiency, and innovation. It aids officials in understanding citizen needs, aligning services with requirements, and providing systematic guidelines to address challenges, improve efficiency, and deliver better services in the public sector.

Sex-Specific Difference in Treatment Success/Failure after Vestibular Schwannoma Treatment

Abstract Background Sex-related differences in patients with sporadic, unilateral vestibular schwannoma (VS) are poorly investigated so far and it remains unclear whether biological sex affects the treatment response to stereotactic radiosurgery (SRS) or microsurgical resection (SURGERY). This study elucidates sex-related differences in treatment outcome of VS. Methods This is a retrospective two-center cohort study. All consecutive patients treated for their VS between 2005 und 2012 were included. Previously treated VS and patients with Neurofibromatosis were excluded. Clinical status and treatment-related complications were analyzed from centers’ treatment registries. Recurrence/progression-free-survival was assessed radiographically by contrast-enhanced Magnetic Resonance Imaging. Results Within the entire patient cohort of N=1,118, the majority of VS patients (56%) was female. 62% of patients were treated by SRS. Females with very small tumors (KOOS I) were significantly less likely to be assigned to SURGERY than men (p=.009). Mean follow-up time was 6±4.3 years. In SURGERY, the rate of subtotal resection was significantly higher in women (7%) compared to men (2%) (p=.041). However, there was no difference in long-term tumor control after SURGERY between both sexes (p=.729). In SRS, the incidence of recurrence was significantly higher in women (14%) compared to men (8%) (p=.004), which was also reflected in the Kaplan-Meier-Analysis (p=.031). Conclusions Female sex was a negative prognostic factor for treatment success (long-term tumor control) if treated with SRS – there was no sex-related differences in long-term tumor control after SURGERY. Additional research is needed to elucidate sex-related differences in tumor biology affecting the response to VS treatment.

Hydrogen as a Renewable Fuel of Non-Biological Origins in the European Union—The Emerging Market and Regulatory Framework

The European Union continues to lead global efforts toward climate neutrality by developing a cohesive regulatory and market framework for alternative fuels, including renewable hydrogen. This review article critically examines the recent evolution of the EU’s policy landscape specifically for hydrogen as a renewable fuel of non-biological origin (RFNBO), highlighting its growing importance in hard-to-abate sectors such as industry and transportation. We assess the interplay of market-based mechanisms (e.g., EU ETS II), direct mandates (e.g., FuelEU Maritime, RED III), and support auction-based measures (e.g., the European Hydrogen Bank) that collectively shape both the demand and the supply of hydrogen as RFNBO fuel. The article also addresses emerging cost, capacity, and technical barriers—ranging from constrained electrolyzer deployment to complex certification requirements—that hinder large-scale adoption and market rollout. The article aims to discuss advancing and changing regulatory and market environment for the development of infrastructure and market for hydrogen as RFNBO fuel in the EU in 2019–2024. Synthesizing current research and policy developments, we propose targeted recommendations, including enhanced cross-border coordination and capacity-based incentives, to accelerate investment and infrastructure development. This review informs policymakers, industry stakeholders, and researchers on critical success factors for integrating hydrogen as a cornerstone of the EU’s climate neutrality efforts.

From classrooms to real-world contexts: enhancing vaccine education through open schooling

The topic of vaccination has been a highly debated issue for many years, whether related to measles, HPV, or the recent COVID-19 pandemic. It necessitates deeper exploration, particularly in school biology classes where it is often superficially covered, with ethical considerations rarely addressed. To enable students to engage in an in-depth examination of this complex socio-scientific issue and to enhance their argumentation and decision-making skills, a vaccine educational project was implemented based on the concept of open schooling, where schools collaborate with various societal institutions. Over a three-day interdisciplinary program, secondary school students worked with scientists from diverse fields, including immunobiology, medicine, and ethics, across different career levels, providing varied perspectives. Students actively engaged in real-world learning contexts with authentic problems, fostering individual reflection. A qualitative study, which involved observations and interviews with students, scientists, and teachers, highlighted key success factors in developing student interest and engagement in the topic of vaccination: learner-centered design, interaction with experts, exposure to diverse professional environments, active science learning, and the integration of ethical aspects. This approach promoted not only student engagement with the complex subject matter but also critical thinking and argumentation, contributing to informed decision-making and public health awareness.

Social Acceptance of Mining Exploration Projects: Case Study from an Austrian Town

Abstract Achieving social acceptance for new exploration projects in the EU has become significantly challenging in recent years. In 2020 a company started a new construction materials project in an Austrian municipality. However, after three years of development, the project failed due to substantial opposition from the local community. This contribution aims to investigate the main reasons for the project’s failure and to analyze the diverse perceptions that emerged during the discussion. To address these objectives, semi-structured interviews were conducted with citizens involved in the debate. The findings were then compared with those from related studies to identify similarities and differences. The analysis shows that transparency is the key success factor for mining projects, while dust, noise, and traffic are the most relevant disruptive factors. The interviewees acknowledged the critical role of mining in strengthening the EU’s independence and economy, while emphasizing the need to enhance public awareness regarding its significance.