Higher Intention Research Articles

Deconstructing University Learners' Adoption Intention Towards AIGC Technology: A Mixed‐Methods Study Using ChatGPT as an Example

ABSTRACTBackgroundChatGPT, as a cutting‐edge technology in education, is set to significantly transform the educational landscape, raising concerns about technological ethics and educational equity. Existing studies have not fully explored learners' intentions to adopt artificial intelligence generated content (AIGC) technology, highlighting the need for deeper insights into the factors influencing adoption.ObjectivesThis study aims to investigate higher education learners' adoption intentions towards AIGC technology, with a focus on understanding the underlying reasons and future prospects for its application in education.MethodsThe research is divided into two phases. First, an exploratory analysis involving practical activities and interviews develops an action decision framework for AIGC adoption. Second, a confirmatory analysis using fuzzy‐set qualitative comparative analysis on 233 valid questionnaires identifies six configurations associated with high adoption intentions, emphasising the roles of AI literacy and perceived behavioural control.Results and ConclusionsThe study reveals key factors influencing AIGC adoption, including the importance of AI literacy and perceived behavioural control. It provides actionable insights for educators and learners to prepare for and effectively integrate AIGC technology, ensuring equitable and adaptive educational practices.

Prosocial Intentions and Subsequent Cognitive Health: A Prospective Cohort Study.

Prosociality, defined as positive other-regarding intentions and behaviors, is a modifiable factor demonstrated to be associated with better mental, physical, and cognitive health in older adults. Prior studies have largely focused on individual prosocial behaviors, especially volunteering. This study examines whether prosocial intentions are associated with maintaining cognitive health over time. Data are from 7,844 adults aged 50 or older in the English Longitudinal Study of Ageing. A 9-item prosocial intentions scale was derived from self-reported items assessing altruism and collectivism. Cognitive health was assessed via biennial completion of tasks related to executive function and verbal memory and incident dementia diagnosis over 11 years. Linear mixed-effects models examined relationships between prosocial intentions and changes in executive function and verbal memory. Cox proportional hazards models assessed risk of developing dementia. A broad array of demographic, socioeconomic, and health-related covariates were also considered. Results from mixed-effects analyses suggest higher prosocial intentions are associated with better cognitive health maintenance after controlling for sociodemographics and baseline health characteristics including depressive symptoms. Participants with high versus low prosocial intentions had 24% slower decline in verbal memory and 55% slower decline in executive function. Similarly, higher prosocial intentions were associated with a 35% reduced hazard of dementia during this same period in fully adjusted models. These results suggest aspects of prosociality beyond formal volunteering facilitate maintaining cognitive health among older adults and may provide novel targets for future interventions to enhance healthy aging.

Perceived Telehealth Usability for Personalized Healthcare Among the Adult Population in Saudi Arabia: A Cross-Sectional Study in the Post-COVID-19 Era.

Background: Due to technological advancements, the demand for easily accessible and convenient healthcare services is rising globally. Thus, telehealth is gaining momentum that was previously unheard of. The Kingdom of Saudi Arabia (KSA) actively embraces digital innovation in the healthcare industry through its ambitious Vision 2030 initiative. This study aimed to assess the perceived usability of telehealth for personalized healthcare among the KSA adult population in the post-COVID-19 era. Methods: This cross-sectional study used a convenience sample of 975 adults from the general population in KSA. A digital survey was used for data collection through Survey Monkey software. It contained two sections: personal and health data and the Telehealth Usability Questionnaire (TUQ). The data was collected over three months (July-September 2024) and investigated using the multinomial logistic regression analysis. Results: This study showed that 59.8% of the participants have initiated telehealth service use before the COVID-19 pandemic, and the most frequently used services are the issuance of sick leave (30.6%), tele-prescription (29.0%), virtual consultation (20.0%), tele-mental health services (19.4%), telemonitoring (18.6), and tele-referral (18.2%). A high total telehealth usability score was observed among 60.4% of the participants: 72.7% perceive telehealth as highly useful, 76.4% perceive it as easy to use, 60.1% have high satisfaction and intention for future use, 57.4% perceive high interface quality, and 51.8% perceive a high interaction quality. Conversely, 45.8% perceive low reliability of the telehealth system. Multinomial logistic regression showed that low education (AOR = 2.04; 95% CI = 1.16-4.85) and using virtual consultation (AOR = 0.98; 95% CI = 0.38-0.99) were predictors of low telehealth usability. However, being female (AOR = 1.67; 95% CI = 1.27-2.55), being in higher education (AOR = 1.47; 95% CI = 1.02-2.34), and living in the central KSA region (AOR = 1.37; 95% CI = 1.10-2.23) were predictors of high telehealth usability. Working status, income, and presence of chronic disease were not statistically significant predictors. Conclusions: Telehealth services have been highly usable in KSA even before the COVID-19 pandemic, with commonly used asynchronous services. Many social, technological, and system-related factors could affect the user experience and system reliability. Hence, telehealth developments are recommended to overcome such barriers, with future initiatives focusing on the flexibility and convenience of telehealth systems.

Environmental citizenship in Lebanon: a study in the higher education context

ABSTRACT Global and regional environmental problems persist to this day, posing serious threats to the world and Lebanon. There is a data gap regarding environmental citizenship in Lebanon, despite numerous investigations and research done in relation to environmental problems. Current Lebanese eco-citizenship behaviours should be investigated. This article aims to quantitatively investigate Lebanese higher education students’ environmental citizenship. In this study, a survey method is used with a comparative approach and factorial analyses. The sample consisted of 355 Lebanese university students from 16 Lebanese educational institutions. Results show that participants declare relatively high environmental citizenship motivations, competences, and intentions. Conversely, they report low environmental past activities. Demographic factors such as gender, age, university (private vs. public), academic year, and major yielded significant differences among the measured factors. This paper encourages establishing feedback mechanisms to gather input from students on environmental educational programmes implementing sensitization and active youth participation in environmental sustainability.

THE ROLE OF PSYCHOLOGICAL CAPITAL IN MODULATING CAREER ADAPTABILITY AND TURNOVER AMONG NURSING ASSISTANTS

Abstract Background High turnover intention of nursing assistants was detrimental to the sustainability of long-term care. Career adaptability is an important determinant in reducing turnover intention, but little research has explored the mechanism from the perspective of psychological capital. The aim of this study was to analyze the association between career adaptability and turnover intention and to examine the mediating role of psychological capital between career adaptability and turnover intention among nursing assistants in mainland China. Methods A cross-sectional online study was conducted among 276 nursing assistants from eight nursing homes in Nanjing, China. The participants’ career adaptability, psychological capital, and turnover intention were obtained. SPSS 26.0 and Amos 24.0 software were employed for statistical analysis. Results Career adaptability was positively related to psychological capital and negatively linked to turnover intention (P < 0.01). Psychological capital played a fully mediating role (β = -0.085, P < 0.05) in the relationship between career adaptability and turnover intention, and the largest indirect effect was generated through the curiosity dimension. Conclusions: The management of long-term care facilities should focus on assessing the level of career adaptability of nursing assistants. The overall improvement of career adaptability and psychological capital is conducive in reducing turnover intention. Targeted interventions are recommended to improve career adaptability and reduce turnover intentions by increasing career curiosity. Online career adaptability programs can be developed for nursing assistant students to improve their psychological capital and facilitate career transitions.

Association between burnout and job-quitting intentions among public health center staff during the COVID-19 pandemic: a nationwide survey in Japan.

Objective The coronavirus disease 2019 pandemic has imposed considerable stress on public health centers (PHCs) in Japan, raising concerns over staff burnout and intention to quit. Therefore, this study aimed to examine the relationship between burnout and job-quitting intention among PHC staff members and estimated the prevalence of burnout and job-quitting intentions among these staff members.Methods This study employed a cross-sectional design. Survey requests were sent to all 468 PHCs in Japan. For the centers that agreed to participate, we confirmed the number of distributed surveys and conducted them via mail. The prevalence of burnout and job-quitting intentions was calculated after adjusting for age, sex, department, and occupation. The Burnout Scale includes three subscales; exhaustion, cynicism, and efficacy. We calculated descriptive statistics for each burnout subscale and assessed the relationship between burnout and job-quitting intentions using generalized estimating equations.Results We received responses from 23.9% of PHCs (112/468) and 29.3% of staff (1754/5990). Adjusted prevalence was 48.0% (95% confidence interval [CI]; 45.8-50.2%) and 62.2% (95% CI; 59.4-64.9%) for burnout and job-quitting intentions, respectively. Notably, public health nurses demonstrated a pronounced adjusted prevalence of 51.7 (95% CI; 47.2-56.2) and 65.8 (95% CI; 61.7-69.9) for burnout and job-quitting intention, respectively. Of the three burnout domains, only exhaustion (median; 4.40 [interquartile range [IQR]; 3.00-5.80]) had a median score higher than the cut-off value, whereas cynicism (median; 3.40 [IQR; 2.20-5.00]) and efficacy (median; 3.17 [IQR; 2.33-4.33]) had moderate scores. Burnout was a significant predictor of high job-quitting intentions (adjusted relative risk; 1.54, 95% CI; 1.40-1.70).Conclusion The high prevalence of job-quitting intentions among PHC staff highlights the need for interventions to prevent or reduce burnout. Addressing burnout is essential to reduce job-quitting intentions among Japanese PHC staff members.

Суицидальные попытки у мужчин и женщин на фоне посттравматического стрессового расстройства: роль безнадежности и черт личности

The problem of the relationship between posttraumatic states and suicidal behavior (SB) has recently become increasingly relevant. Despite the fact that most often the presence of posttraumatic stress disorder (PTSD) increases the risk of suicide, the features of non-fatal suicidal behavior among women and men against the background of PTSD are insufficiently studied. The aim is to study the features of nonfatal suicidal behavior of men and women diagnosed with PTSD in comparison with suicides without psychiatric disorders. Materials and Methods. The present cross-sectional study utilizes the database of the GISS genetic project, in which more than 1300 families with the proband who made a suicide attempt (SA) were assessed using a number of psychometric instruments. The sample features were: the relatively young age of the suicide attempters (23,96±7,84 years), monoethnicity (Russians or Ukrainians in 3 generations), and standardized evaluation of the medical severity of SA (at least 2 points on the Beck scale). Data on 160 cases with an established diagnosis of PTSD and 637 cases without psychiatric diagnoses were extracted from the database. The Beck Medical Damage Scale (MDS), Suicide Intent Scale (BSIS), Beck Depression Scale (BDS), Spielberger State and Trait Anger Scale (STAS), Plutchik Feelings and Acts of Violence Scale (PFAV), and NEO PIR (Big Five) personality inventory were used. Psychiatric diagnosis was made using the CIDI 2.0. computerized questionnaire. Statistical analysis of the data was performed using the IBM SPSS Statistics program, version 26; various criteria were applied, taking into account the nature of variables and distribution. Results. The frequency of PTSD among women in the whole sample (N=1328) was 16,64%, among men – 7,97%. Among suicide attempters with PTSD there were significantly more women (65%, p<0,001). Comorbid diagnoses were found in about half of the cases both among women and men with PTSD, with addictions predominating among men (40,51%) and anxiety and stress disorders predominating among women (58,62%). Comorbid depression in male suicidal patients with PTSD was identified in 10,13% of cases, and in women – in 19,82% of cases. All suicide attempters with PTSD demonstrated more severe medical outcomes of SA and higher intentionality, women with PTSD were more often choosing lethal methods of suicide, thus displaying features of the masculine scenario. Women with PTSD showed more pronounced violent tendencies, higher depression scores, more anger, and more hopelessness, while in men presence of PTSD had no effect on these indicators. In women PTSD was associated with such traits as sharply increased Angry Hostility and decreased Agreeableness and Straightforwardness. Men with PTSD had lower Extraversion subscales (Assertiveness, Activity, and Positive Emotions), lower Trust and Tender-Mindedness and higher Modesty as compared with suicide attempters without diagnosis. The analysis of correlations between the SA severity and intentionality and other variables suggests that aggression plays the leading role in the psychological structure of SA on the background of PTSD in men, while anger plays the leading role under the same conditions in women. Conclusions. Non-fatal SB in individuals of Slavic origin with PTSD is characterized by higher lethality, intent, and is associated with more pronounced hopelessness and depressive symptoms. Women are more sensitive to the influence of PTSD as an additional factor, showing a number of behavioral traits characteristic of the "male" type of suicidal actions. Their main psychological and emotional problem is anger and they are more susceptible to the influence of hopelessness as a sign of pessimism about the future. The obtained data clarify the characteristics of non-fatal SB in men and women and may be useful for developing psychotherapeutic measures and during psychological counseling of patients who attempted suicide against the background (or in combination) with PTSD. Keywords: suicide attempt, post-traumatic stress disorder, suicidal intent, hopelessness, personality traits, Big Five, men and women

Keeping Pace with the Generations! Quantitative Job Insecurity and Retention in Gen Z Workers: The Mediating Roles of Affective Commitment and Psychological Empowerment

The workforce is changing as new employees enter the labour pool. Malaysia’s largest demographic segment is currently Gen Z, constituting 38% of the total population, and boasting a monthly disposable income of US$428 million. Over the next ten years, up to 10 million people in Malaysia born after 1995 (i.e., Gen Z) will enter the workforce. The purpose of this research is to investigate the relationship between job security and employee retention through the mediating mechanism of affective organizational commitment and employees’ psychological empowerment among Gen Z, who are currently working and making up part of the workforce in Malaysia. Gen Z is characterized by distinctive attributes, demanding that human resource management (HRM) professionals anticipate potential innovations in their recruitment and training methodologies. Among the paramount concerns confronting HRM lies the challenge of employee retention, which holds a pivotal position in the overall success of an organization. This centrality is underscored by the financial burdens linked to the recruitment and training of fresh personnel, the disruption of business continuity occasioned by employee departures (commonly referred to as ‘turnover’), and the ensuing decline in productivity stemming from employee attrition. One strategy to increase retention is job security, because the finding of this research show that employees who have job security have high commitment and psychological empowerment, as well as high intention to stay in organizations. Implications for theory and research and management practice are discussed.

Beyond Intention: Barriers to Undergoing a Blood Pressure Check in the South-West Shewa Zone, Ethiopia.

Hypertension is often asymptomatic, progresses slowly, and leads to multiple secondary diseases. Thus, a regular blood pressure check is recommended. The objective of this study is to assess the intention to undergo a blood pressure check and its associated factors among adults in Southwest Shewa Zone, Ethiopia. A healthcare-facility-based cross-sectional design was utilized. A standardized questionnaire, adapted from previous research, was administered by trained interviewers. Binary logistic regression analysis was used to determine the factors the intention to undergo blood pressure checks is associated with, utilizing SPSS version 27. Four hundred twenty-one participants provided a complete response, yielding a 99.7% response rate. Of these participants, 153 (36%) had had their blood pressure checked at some point. The vast majority of the study participants (387, 91.9%) did not know the normal blood pressure range. The median score for intention to undergo blood pressure check was 11 (interquartile range 10-13). Female participants were 59% less likely (adjusted odds ratio [AOR] 0.408, 95% confidence interval 0.208-0.801) to intend to undergo a blood pressure check than male participants. Participants in the poorest wealth quintile were 82% less likely (AOR 0.183, 95% CI = 0.063-0.533) to intend to undergo a blood pressure check than those in the richest quintile. Participants who intended to undergo a blood pressure check had a significantly favorable attitude (t = 10.801, p < 0.001) and lower perceived behavioral control (t = -2.865, p < 0.001) compared with those who had no intention of checking. A high intent to undergo a blood pressure check should prompt healthcare facilities to offer regular blood pressure check-up services. Behavioral change communication interventions should address the attitude and perceived behavioral controls of individuals associated with the intention to undergo a blood pressure check. In doing so, special attention should be given to female and economically disadvantaged populations.

RESEARCH ON THE DIFFERENTIATION OF URBAN RESIDENTS’ LOW CARBON TRAVEL INTENTIONS

The literature on low-carbon travel (LCT) of urban residents regards urban residents as homogeneous individuals and lacks quantitative delineation of the disparities in LCT intentions among different residents. Therefore, this study aims to use Chinese cities as cases to comprehensively investigate the influencing factors and interaction mechanisms of the LCT intentions of urban residents in different regions with different characteristics. First, based on the theory of planned behavior, this study comprehensively considers the inner psychological factors and external factors, selects five psychological latent variables and designs a questionnaire to obtain the LCT intentions data in cities of Shenzhen and Xi’an in China. Secondly, according to the LCT intention data, the residents of Shenzhen and Xi’an are divided into three classes: low intention, medium intention, and high intention. Finally, structural equation models are constructed for different classes of urban residents to investigate the key factors influencing their choices of LCT. The findings indicate that the influencing factors and influencing mechanisms of LCT intentions vary among residents of different intention classes. For residents with low and high intentions, acceptance attitude and subjective norms are the key factors affecting the LCT intentions; for residents with medium intentions, policy perception is the key factor.

I love my job. But it's physically, mentally, and emotionally draining": a cross-sectional survey exploring midwives' intentions of leaving the profession in Melbourne, Australia.

Prior to the COVID-19 pandemic there were midwifery workforce deficits reported in Australia, but inadequate workforce data to identify retention and attrition in the profession. In the post-pandemic era, workforce deficits continue. This paper reports on midwives' intentions to leave the profession and explores reasons for and factors associated with having high intention to leave, to inform strategies that can address retention and attrition of midwives. A cross-sectional survey with midwives was conducted in 2017 via an online survey in two maternity care sites in Victoria, Australia. Plans for remaining in or leaving the profession were explored along with reasons for leaving or intending to leave the profession. Other data collected included demographic and workforce characteristics and occupational stressors. Burnout was measured using the Copenhagen Burnout Inventory and job satisfaction using the Midwifery Process Questionnaire. Descriptive statistics, univariate, multivariate analyses, and content analysis were used for data analysis. Of the 326 respondents (326/508, 64%), over half had considered leaving the midwifery profession in 12 months prior to the study, 20% had thought about leaving frequently and 12% were planning on leaving in the next five years. The main reasons for leaving were not wanting to do shift work, feeling worn out, and experiencing work-related stress. Factors associated with a high intention to leave the profession were work-related burnout, poor job satisfaction and a high intention to leave the workplace. Age did not impact intention to leave but was influential on the reasons for leaving. Pre-pandemic, midwives in Victoria, Australia had a high intention to leave the profession regardless of age. Approaches that address midwifery stress, burnout, and fatigue need to be considered, including developing options that offer employment that does not require shift work. To provide safe quality care that supports positive outcomes for women and their families, an appropriate midwifery workforce must be achieved and maintained. Understanding midwives' intentions to leave the profession is critical and requires ongoing attention given the workforce is likely to remain under significant stress until the major contributing factors are addressed.

Factors influencing provider deviation from national HIV and nutritional guidelines for HIV-exposed children in western Kenya: a qualitative study

BackgroundMalnutrition and HIV interact in a vicious cycle for HIV-exposed infants (HEIs), increasing vulnerability and the severity of each condition and contributing to poor health outcomes. We identified multi-level factors influencing provider adherence to Kenyan HIV and nutrition guidelines for HEIs.MethodsWe conducted six focus group discussions and seven in-depth interviews using a semi-structured question guide. Participants were selected through purposive maximum variation sampling of health workers involved in maternal and child health services and outpatient nutrition programs at two facilities in western Kenya. Data collection and analysis were guided by the Theoretical Domains Framework (TDF). Transcripts were coded by two primary coders using both deductive and inductive thematic analysis.ResultsTDF domains that drove guideline adherence included: environmental context and resources, beliefs about capabilities, and social influences. While participants praised attempts to integrate HIV and nutritional services through teamwork and service colocation, challenges in the successful referral of patients between services persisted. Participants described siloed HIV and nutrition-related knowledge across staff, leading to missed or delayed care if certain providers were unavailable. Participants emphasized understaffing as a major contributor to gaps in care. Inconsistent material resource availability also disrupted linkages between HIV and nutrition services for patients. While participants frequently expressed high intention and internal motivation to link children between services, they described minimal structured supervision or positive reinforcement from supervisors and feeling demoralized when resource constraints interfered with care provision. Lastly, participants described patient-level factors that made it challenging for families to seek or remain in care, including poverty and HIV and malnutrition-related stigma. Participants made several recommendations, including training multiple cadres in the fundamentals of both HIV and nutritional care to address siloed services and understaffing.ConclusionsThis study details the factors that facilitate or hinder health workers as they implement national guidelines and link HEIs between HIV and nutritional services, including the impact of physical integration of service sites, human and material resource constraints, and health worker motivation. Future interventions can address these challenges by expanding access to needed resources, task sharing, and testing implementation strategies that increase the efficiency of service delivery to improve linkages in care for vulnerable infants.

Factors Associated with Nurses' Intention to Leave from Different Critical Care Units

Context: Nurses' likelihood of leaving the intensive care unit is substantially high. The high turnover intention among nurses significantly contributes to nursing shortages, although several other factors also play a role. Aim: This study sought to identify the factors associated with nurses' intention to leave from different critical care units. Methods: A quantitative cross-sectional analytical study was conducted at Dammam Medical Complex on 291 critical care nurses. Data were gathered through a self-administered questionnaire that included demographic and employment information, the Nurses' Intention to Leave Scale, and the Job Content and Work Factors Assessment tool. Results: 55.3% of nurses are uncertain about their intent to leave, 32.6% have high intent to leave, and 12.1% have low intent to leave. The age group below 30 is significantly associated with intent to leave work in critical care units (p&lt;0.05). Also, decreased job-skill discretion for nurses in the critical care units contributed significantly to their intent to leave the ICU (p&lt;0.05). Conclusion: One-third of the studied nurses are highly intent on leaving the ICU because of their young age and job-skill discretion. The hospital manager must promote continuing education and training to motivate new nurses to decrease their intention to leave the ICU. Nursing management should consider implementing a competency-based evaluation system alongside compensation adjustments that reflect clinical experience to address nurse turnover. Ensuring competitive compensation aligned with skill levels can improve retention rates among skilled nurses. Furthermore, maintaining adequate staffing levels is essential to uphold quality care, emphasizing the need for strategic hiring practices in nursing departments.

The Effects of Brand Awareness and Price Promotion on Purchase Intention

The purpose of this study was to explore the impacts of brand awareness, price promotion, and impulsive buying traits on Taiwanese high mountain tea purchase intentions. A quota sampling design was employed to collect information. A total of 700 questionnaires were distributed to 10 tourist areas in Alishan Township, Chiayi, Taiwan (70 questionnaires in each tourist area) with an effective response rate of 98.3%. Structural equation modeling was employed to verify the relationships among the proposed models. The results showed that brand awareness and price promotion had positive influences on purchase intention. Impulsive buying traits did not moderate the relationship between brand awareness and purchase intention but moderated the relationship between price promotion and purchase intention. Based on the results and discussion, suggestions are given for tourists, business operators, and future researchers.

Turnover intention and its influencing factors among male nurses in China: a national-scale descriptive study

BackgroundThe number of registered male nurses has increased in China, yet research specifically addressing their turnover intentions remains limited. While high turnover intention is known to exacerbate the workforce shortage of nurses, the national level and unique factors contributing to turnover intention among registered male nurses in China are unclear and underexplored.AimThis study aimed to investigate the turnover intention of registered male nurses in China and its unique influencing factors, with focus on variables that have received limited attention in previous research.MethodsIn this cross-sectional study, 13,088 registered male nurses were recruited from over 1,000 hospitals across China between May and August 2023. Data collection was conducted through an online questionnaire. Univariate analysis and multinomial logistics regression were performed to analyze the data.Clinical trial numberNot applicable.ResultsOur analysis revealed that 71.6% of registered male nurses in China exhibited medium to high turnover intentions. Male nurses with no children, lower occupational prestige, and lower work values were more likely to exhibit a higher turnover intention. Other significant factors contributing to a high turnover intention included low income satisfaction, limited career development opportunities, and minimal support from hospitals.ConclusionsA substantial proportion of registered male nurses in China express moderate to high turnover intentions, driven by factors that extend beyond traditional occupational concerns. This study highlights the importance of addressing less explored variables such as work value, occupational prestige and marital pressures in developing targeted interventions to enhance job satisfaction and reduce turnover within this essential workforce segment.

Robots and humans working together: factors influencing job pursuit in sustainable diverse hospitality environments

ABSTRACT This study aims to investigate the effects of personal innovativeness, information sharing, environmental, social, and governance sustainability, sustainable diversity, valence, and instrumentality on job pursuit intention in diverse hospitality environments where robots and humans collaborate, comparing prospective White and non-White employees. Drawing on sustainable diversity and inclusion theory, a framework incorporating these factors was developed and tested using Generalised Linear Modelling (GLM) and fuzzy-set Qualitative Comparative Analysis (fsQCA). GLM and FsQCA revealed that six independent variables are necessary for high job pursuit intention in White and non-White groups, while the two groups had notable similar but different configuration requirements regarding diversity and technology.

Location of entrepreneurial zones in Latin America: a spatial analysis

This study analyzes spatial patterns in the entrepreneurial intention of university students in Latin America. Studies on the entrepreneurial phenomenon have paid little attention to possible spatial associations, which might explain the dissimilar resultsreported by prior work. The analysis uses a sample of 70,337 university students drawn from the GUESSS survey. The results of the exploratory spatial model reveal significant spatial patterns in Costa Rica and Panama with a high entrepreneurial intention (hot spots). This study can serve as a basis for developing public policies to promote entrepreneurship and, when appropriate, propose articulated and coordinated strategic initiatives between countries located in the identified clusters (hot/cold spots).

Pregnant women and healthcare workers' perceptions on tuberculosis and screening: a cross-sectional study in Indonesia.

There is a scarcity of studies regarding the obstacles in tuberculosis (TB) screening in pregnant women. This study aimed to assess the perceptions of TB as a disease and TB screening among pregnant women and healthcare workers, describe pregnant women's perceptions on specific TB screening methods and explore associations between the perceptions of TB with the intention to have TB screening by pregnant women. A cross-sectional study was conducted at six primary healthcare centres in Yogyakarta Municipality, Indonesia among 240 pregnant women and 126 healthcare workers interviewed with a structured questionnaire about their perceptions. Perceptions were analysed as percentages and associated factors were tested by multivariable logistic regression. Most pregnant women and healthcare workers supported TB screening in pregnant women based on their perceptions of the susceptibility to or severity of TB and the benefits and risks of TB screening. Women who perceived the high susceptibility of TB disease and the benefits of TB screening were significantly more likely to have high intentions to accept TB screening in the future. Pregnant women's perceptions of TB and TB screening influenced their intention to be screened; however, appropriate testing methods for universal TB screening in pregnant women in areas with a high prevalence of TB require further studies.

PERSONAL FINANCIAL PLANNING AND BUSINESS FINANCE IN UMKM IN ARA VILLAGE, BULUKUMBA REGENCY

In an increasingly competitive economy, efficient financial management is the key to success for both individuals and businesses. Good financial planning is not only important for individuals in managing personal finances but also crucial for business continuity, especially for Micro, Small and Medium Enterprises (MSMEs). In 2023, it is estimated that the Indonesian economy will strengthen thanks to the significant contribution of MSME growth, MSMEs play a vital role as the main driver of the Indonesian economy, considering that 99% of businesses in this country are MSMEs. PKM uni aims to increase knowledge about personal finance and business finance. The method used in producing the focus of PKM objectives is Service Learning (SL), where through this approach business groups are invited to not only understand the theory of using science and technology in their business activities theoretically, but also to apply this knowledge practically. The results obtained are Based on the survey conducted, there was a positive response from the participants in the community service activities which was seen from the average of the three aspects in the survey results which were classified as very high above four. There were no significant obstacles during the process of implementing community service activities, due to good cooperation from partners and a high intention to learn from the training participants.

A Systematic Review of the Attitudes, Beliefs, and Acceptance of the COVID-19 Vaccine in the Western and Eastern Hemispheres.

The availability of an effective vaccine does not equate to its use; its effectiveness primarily depends on vaccine acceptance by the targeted population. Despite the rapid development and widespread access to the COVID-19 vaccine, herd immunity is yet to be achieved, with vaccine hesitancy as a major barrier. This study sought to systematically assess the beliefs, attitudes, and acceptance towards COVID-19 vaccines, including factors contributing to vaccination hesitancy in the Eastern and Western Hemispheres. A comprehensive search of articles was conducted through Scopus, PubMed, Embase, CINAHL, Cochrane CENTRAL, and Web of Science databases for studies published from inception to May 2023 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Our search yielded 1154, of which 21 were eligible for inclusion. The rate of willingness or intention to vaccinate varied with the geographic region, from 12% in the United States to 93.9% in China. Four studies from the Western region and two from the Eastern region reported a low acceptance rate (defined as <50%): United States (12%), Spain (48.3%), Switzerland (38.6%), Europe (multi-national, 31%), Nepal (38.3%), and Oman (43%). Overall, vaccine acceptance was low to moderate in the general population and healthcare workers (HCWs) in both Eastern and Western Hemispheres except for China which reported high acceptance (defined as >75%) among the general population and HCWs. Demographic characteristics (female, younger age, and higher education) and non-demographic factors (knowledge about the COVID-19 vaccine and its development, history of influenza vaccination, perceived susceptibility or severity of infection, and the belief that vaccines are effective in controlling the pandemic) were associated with high acceptance rates or intentions to take the COVID-19 vaccine. On the other hand, mistrust of the vaccine, its safety and effectiveness, disinformation or poor awareness of the vaccine, side effect concerns, belief in natural immunity, previous adverse experience with the vaccines, and distrust in the information sources about the COVID-19 pandemic were associated with vaccination hesitancy. For better acceptance, COVID-19 vaccination campaign strategies should be modeled based on regional political, economic, and social contexts.