Lack Of Effective Communication Research Articles

Examining the experiences of vulnerably housed patients visiting Kingston, Ontario’s emergency departments: a qualitative analysis

IntroductionVulnerably housed individuals access emergency departments (EDs) more frequently than the general population. Despite Canada’s universal public health care system, vulnerably housed persons face structural barriers to care and experience discrimination from healthcare providers. This study examines how vulnerably housed persons perceive their experience of care in the ED and Urgent Care Center (UCC) in Kingston, Ontario and aims to develop strategies for improving care for this group.MethodsAs part of a larger mixed-methods study, narratives were collected from participants attending the ED/UCC as well as community-based partner organizations, asking them to describe an experience of a recent ED visit (< 24 months). Participants could identify as members of up to three equity-deserving groups (EDGs) (for example homeless, part of an ethnic minority, having a disability, experiencing mental health issues). Coding and thematic analysis were completed for the experiences of participants who identified as being vulnerably housed (n = 171). Results were presented back to individuals with lived experience and service providers working with clients with unstable housing.ResultsParticipants reported judgement related to a past or presumed history of mental health or substance use and based on physical appearance. They also often felt unheard and that they were treated as less than human by healthcare providers. Lack of effective communication about the ED process, wait times, diagnosis, and treatment led to negative care experiences. Participants reported positive experiences when their autonomy in care-decision making was respected. Furthermore, having a patient-centered approach to care and addressing specific patient needs, identities and priorities led to positive care experiences.ConclusionsThe ED care experiences of vulnerably housed persons may be improved through healthcare provider training related to trauma-informed and patient-centered care and communication strategies in the ED. Another potential strategy to improve care is to have advocates accompany vulnerably housed persons to the ED. Finally, improving access to primary care may lead to reduced ED visits and better longitudinal care for vulnerably housed persons.

Hassle and Tussle: The Challenges of Teachers in Carmen National High School

This research paper provided a concise overview of the study that aimed to understand and address the challenges of teachers at Carmen National High School. The research aimed to explore the challenges of teachers, particularly how the prevailing obstacles significantly impacted their instructional capabilities. It entailed assessing in-person teaching experiences, coping strategies for challenges, improvement efforts, and insights gained from these encounters. Anchored in David Kolb's Experiential Theory, the study employed phenomenology to subjectively explore conscious experiences. It identified emerging themes among the challenges, coping mechanisms, and educational insights, shedding light on the complex landscape of teaching. Through participant responses, challenges such as understanding the different learning styles of students, staying up to date with learning technology, and the lack of effective communication with students were revealed. Coping mechanisms included creating engaging lesson plans for students as well as behavior and classroom management. Educational insights encompasshaving the right attitude in teaching,professional development, and acknowledging students’ characteristics. The conclusion discussed implications for stakeholders and proposed future directions for customized professional development, enhanced communication, and student-centered approaches, emphasizing the significance of fostering an inclusive, technology-enhanced learning environment and contributing to ongoing educational research.

Stepping into the shoes of absent parents to provide educational support

Parental involvement is recognised as a significant factor in education globally. However, evidence suggests a scarcity of research focusing on parental involvement in education of vulnerable children in South Africa. Therefore, this study aimed to explore the perspectives of house parents at Sunshine Haven Children’s Home regarding parental involvement in the education of vulnerable children. Informed by Epstein’s theory of overlapping spheres of influence, the qualitative study adopted an interpretivist paradigm and a case study design. Data were obtained through focus group interviews with a group of five purposefully selected house parents at Sunshine Haven Children’s Home. The data were analysed using thematic analysis. The findings of the study reveal that, according to house parents’ perspectives, parental involvement in education for vulnerable children is not satisfactory. House parents experienced challenges in offering educational support, including lack of resources, lack of confidence in assisting with children homework and lack of effective communication between school and home. Therefore, the study recommends the forging of a viable partnership between teachers and house parents, the development of targeted interventions and training programmes and the allocation of resources to enhance parental involvement and ultimately improve the academic performance and wellbeing of vulnerable children.

Predicting Student Performance in Online Learning: A Multidimensional Time-Series Data Analysis Approach

As an emerging teaching method, online learning is becoming increasingly popular among learners. However, one of the major drawbacks of this learning style is the lack of effective communication and feedback, which can lead to a higher risk of students failing or dropping out. In response to this challenge, this paper proposes a student performance prediction model based on multidimensional time-series data analysis by considering multidimensional data such as students’ learning behaviors, assessment scores, and demographic information, which is able to extract the characteristics of students’ learning behaviors and capture the connection between multiple characteristics to better explore the impact of multiple factors on students’ performance. The model proposed in this paper helps teachers to individualize education for students at different levels of proficiency and identifies at-risk students as early as possible to help teachers intervene in a timely manner. In experiments on the Open University Learning Analytics Dataset (OULAD), the model achieved 74% accuracy and 73% F1 scores in a four-category prediction task and was able to achieve 99.08% accuracy and 99.08% F1 scores in an early risk prediction task. Compared with the benchmark model, both the multi-classification prediction ability and the early prediction ability, the model in this paper has a better performance.

What are the experiences of student nurses with online learning? Do they have the necessary digital and technological competencies?

Background and objective: Student Nurses have been conventionally and predominantly taught face to face for several decades. A recent surge in teaching student nurses online in the last decade has been expedited by the onset of the covid-19 pandemic. A significant number of research on online learning, focuses on its effectiveness from an educator’s perspective. Exploring student nurses’ experiences with online learning in relation to their digital and technology skills readiness is pertinent to informing a student-led pedagogy. The research aims to explore the experiences of student nurses with online learning and if they are digital and technology skills ready for online learning or not.Methods: The study is a descriptive qualitative research, which utilises Interpretative phenomenological analysis and hermeneutic Interpretative phenomenology. Four pre-registration student nurses in a university in the South-East of England were recruited for the study. Individual face-to-face tape recorded semi-structured interviews were conducted with verbal and written consent from participants. Data collected was concurrently transcribed and analysed. Preliminary codes were given to the collected data to describe the contents. Interviews were then searched for patterns in the given codes from the transcripts. The themes that emerged were reviewed and refined with written up verbatim quotations from participants to support interpretations. A reflexive diary was kept by the researcher throughout the research, to reduce the likelihood of biases. Results: The themes that emerged from the collected and analysed data indicated that student nurses were digital and technology skills competent to engage in online learning. Online learning was deemed beneficial by all students although a preference for face-to-face learning was reported. Factors that inhibited students from fully engaging with online learning included internet hitches and the inability of nurse educators to use technology. A lack of effective communication between lecturers and students during online learning also marred the experiences of students. Environmental distractions at home and a lack of support from peers and lecturers during online learning were further cited as inhibitors for online learning.Conclusions: The Nursing and Midwifery Council (NMC) requires qualified nurses to have sound technology skills for care delivery. Considerations for online learning must include a prior technology skills competence assessment. The approach will ensure a level playing field for all students who engage in online learning. The appropriate support and interventions can be put in place for students who may not have the prerequisite level of technology skills to engage in online learning. Findings supports a blended learning approach with a student led digital and technology skills baseline assessment, prior to online learning. The approach will ensure a successful co-creation with an amalgamation with pedagogy.

Manajemen Konflik Interpersonal (Studi Kasus pada CV Cyber Karya Nusantara Surabaya)

Interpersonal conflict is something that cannot be avoided in organizations, one of which is at CV Cyber Karya Nusantara Surabaya. The aim of this research is to find out a picture of interpersonal conflict management at CV Cyber Karya Nusantara Surabaya. Descriptive qualitative methods were used in this research with data collection techniques obtained from interviews and observations. The results of this research indicate that interpersonal conflict at CV Cyber Karya Nusantara Surabaya is caused by the lack of effective communication between team members and the ongoing organizational transformation. The conflict resolution or conflict management used is to use accommodation, integration and avoidance styles. The accommodation and integration style is used by the chairman or superior to resolve interpersonal conflicts experienced by employees, while the avoidance style is used by employees who experience interpersonal conflicts at CV Cyber Karya Nusantara Surabaya.

Relationship between workplace violence and mental/physical health of security guards during the COVID-19 pandemic in Taiwan.

To investigate the relationship between workplace violence (WPV) and mental and physical health (MPH) of security guards during the COVID-19 pandemic in Taiwan. A cross-sectional survey was conducted in 15 representative security companies across northern, central, and southern Taiwan, and outlying islands from July 2021 to June 2022 during the COVID-19 pandemic. 1,200 questionnaires were distributed. A total of 1,032 valid questionnaires were collected. 13.18% of the participants reported that they had experienced WPV during the COVID-19 pandemic, including physical violence (PhV), psychological violence (PsV), verbal violence (VV), and sexual harassment (SH). The most common violence was VV (54.19%), followed by PsV (20.69%). Community residents and property owners were the primary perpetrators, followed by strangers. The study showed that the security guards who had experienced WPV had higher scores on the 12-item Chinese Health Questionnaire (Taiwan version) (CHQ-12), indicating poorer MPH than those who had never experienced WPV. The result showed that VV had strong correlations with the lack of effective communication, dissatisfaction with treatment and service attitude, and work stress. PsV was strongly associated with excessive waiting times. There were correlations among PhV, VV, and PsV and they had adverse impacts on MPH, except for SH. The study found that the primary perpetrators of WPV against security guards were community residents and property owners. The causes were the lack of effective communication, dissatisfaction with treatment and service attitude, excessive waiting times, and work stress, which further led to turnover intention and poor MPH. The findings of this study have useful implications and it is recommended to enhance the understanding of workplace violence against security guards and to formulate appropriate local and international strategies to address it.

Implementation of School-Based Management at SD GMIM KOHA

This study aims to explore the implementation of school-based management in GMIM Ko Elementary School. The main focus of this study is the role played by school principals, school committees, and education commissions in managing and improving the quality of education in those schools. This study used a qualitative approach by adopting Miles and Huberman data analysis techniques. The data collection method involved in-depth interviews with principals, school committee members, and education commission members. Direct observation is also conducted to understand the dynamics of interaction between the three parties in the context of decision making and implementation of school-based management programs. The results of the study are expected to provide a clear picture of how principals, school committees and education commissions collaborate to achieve school-based management goals at GMIM Ko Elementary School. The implications of these research findings can be used as a basis for improving school-based management policies and practices in similar schools as well as contributing to the literature on the implementation of school-based management. Based on the results of the study revealed differences in understanding of the concept of School Based Management among school principals, education committees and education commissions. School principals focus more independently on managing resources, while education committees and commissions emphasize comprehensive management. This incomprehension can hinder SBM implementation, so training and modules are needed to improve understanding of concepts. Regarding the role of the principal, it is necessary to improve as educators, supervisors, and managers involving all stackholders. School committees need a greater focus on academic programs, while education committees play an important role as mediators and patrons of school ptograms. Obstacles to SBM implementation involve coordination constraints, lack of effective communication and busy stakeholders. Solutions include improved communication, understanding of roles and a culture of cooperation. The principal's proactive strategy with direct monitoring, limited consultation, efficient communication and quick decision making, plays a vital role in ensuring the effectiveness of SBM. This approach demonstrates pragmatism and flexibility in managing resources to achieve school goals.

Partisipasi Stakeholder dalam Pengembangan Kurikulum Pendidikan Islam di Pesantren

This research aims to analyze the obstacles and challenges in involving stakeholders in developing the Islamic education curriculum in Islamic boarding schools, how stakeholders contribute to each stage of the curriculum development process and recommendations for Islamic boarding schools and educational development policies related to the Islamic education curriculum in Islamic boarding schools. The method used in this research is the library research method, data was obtained from various sources such as scientific journals, books, seminar papers and other publications both offline and online. The data analysis model consists of data collection, data reduction, data presentation, and drawing conclusions. The research results show that obstacles and challenges that may arise include differences in views and priorities, limited time and resources, inequality of representation, technical challenges, politics and personal interests, lack of effective communication, resistance to change, and intimidation of results. Stakeholders contribute to each stage of the curriculum development process by identifying needs and objectives, designing materials and learning, selecting learning and evaluation methods, testing and assessing, and revising and adjusting. Recommendations for Islamic boarding schools and educational policies related to curriculum development include increasing stakeholder involvement, forming a curriculum development team, openness to innovation, and integrating religious values. For education policy, apart from support and recognition, development of training stakeholders, provision of resources, support for research and innovation and partnerships with Islamic boarding schools.

Challenges in promoting accountability and feedback mechanisms through customer complaints in the South African public service

The study examines whether the customer complaints management policy in the Department of Employment and Labour in the Free State province is effectively and efficiently implemented. Skilful and committed policy implementers are required to ensure that policies are implemented successfully. A descriptive qualitative research design was employed in this study using semi-structured online interviews, to gather data from 20 participants who were purposively selected. The major findings of the study reveals that a lack of clarity and accessibility of complaint channels, inadequate training of newly appointed officials in customer complaint management processes, and user-unfriendliness of the complaint processes flow are prohibiting factors of the implementation of the policy. Additionally, there was a lack of effective communication and coordination among both the internal and external stakeholders, and a noticeable absence of consequence management. The study recommend that the Department of Employment and Labour should consider to design a user-friendly customer complaints management processes flow as well as to incorporate customer complaints module during the induction of newly appointed employees.

Preferred Communication Strategies for People with Communication Disabilities in Health Care Encounters: a Qualitative Study.

People with communication disabilities (CDs), which includes disabilities in speech, language, voice and/or hearing, experience health and healthcare disparities. A barrier to accessing high-quality, equitable care is the lack of effective communication between patients and their providers. In designing a patient-prompted tool to facilitate communication, we analyzed qualitative feedback on communication strategies and the experience of people with CDs, caregivers, and providers in healthcare encounters. We aimed to describe communication strategies that patients with CDs find most useful and optimize a tool for patients to share their communication strategy preferences during clinical encounters. While patient-provider communication is paramount in every interaction, we aimed to highlight the intricacies of optimizing communication for this population. We performed a qualitative study utilizing focus groups and interviews with patients with CDs, their caregivers, and healthcare providers. A total of 46 individuals participated in focus groups or interviews; 26 participants self-reported a CD, nine were caregivers, and 11 were providers. Participants represented diverse types of CDs, including stuttering, aphasia, hearing loss, and people with autism or cerebral palsy who use assistive technology to communicate. Analysis of qualitative interview and focus group data was guided by a qualitative content analysis approach. We identified three themes: (1) While communication strategies should be individualized, participants agreed upon a consolidated list of best strategies and accommodations. We used this consolidated list to finalize tool development. (2) Patients and providers preferred disclosure of the CD and desired communication strategies before the appointment. (3) Providers often do not use communication strategies and accommodations during clinical encounters. For patients with CDs, it is critical to acknowledge and document the CD and individualize communication strategies during healthcare visits to facilitate communication. Studies are needed to evaluate whether improved communication strategy usage leads to improved health outcomes for this population.

A view from the top: A qualitative exploration of top-level health care leaders' perceptions on the implementation of simulation-based education in postgraduate medical education.

Although there is substantial evidence supporting the benefits of simulation-based education (SBE), its widespread and effective implementation remains challenging. The aim of this study was to explore the perceptions of top-level health care leaders regarding SBE and the barriers and facilitators that influence its wide implementation as part of the postgraduate surgical curricula in Denmark. We conducted semi-structured interviews with top-level health care leaders who were chosen based on their roles in ensuring high-quality patient care delivery and developing strategies to achieve the goals of the entire health care system. The interview transcripts were translated into English, and a thematic approach was used to code and inductively analyse the data. We used the Consolidated Framework for Implementation Research to identify and understand the determinants to a successful implementation of SBE. We interviewed 13 participants from different political and administrative levels. We found that the participants had limited knowledge about SBE, which highlighted a disconnection between these leaders and the educational environment. This was further compounded by a lack of effective communication and inadequate information dissemination between simulation centres and higher-level organisations. While participants recognised the benefits of SBE for doctors in training, they expressed concerns about the implementation given the already strained health care system and limited resources. The need for evidence, particularly in the context of patient safety, was emphasised to facilitate SBE implementation. Although participants supported the implementation of SBE, it was unclear who should initiate action. This study highlighted the perspectives of top-level health care leaders regarding SBE and identified the determinant factors for a successful implementation. Effective communication channels are crucial to enhance collaborations and reduce the disconnection between the different health care organisational levels. Strategic implementation processes, including the roles and responsibilities, should be defined and established. These will inform decisions regarding the implementation strategies to effectively integrate SBE into the residency training curricula.

Exploring the challenges of curriculum advisors in schools in the Vhembe-West district, Limpopo province, South Africa

Monitoring and supporting teachers in the classroom, as well as the implementation of curriculum changes, pose problems in South Africa. This is due to an array of challenges such as a lack of resources, communication barriers within the Department of Basic Education (DBE) as well as a lack of proper infrastructure. In the research reported on here we investigated the challenges that curriculum advisors in the Vhembe-West district face and provides insight into some of their daily challenges. This could assist the international platform, especially as developing countries and other Third World Countries can benefit from the outcomes of this research. A qualitative research approach was used where 12 interviews were conducted with curriculum advisors in the Vhembe-West district. The interview questions were e-mailed to them beforehand so that they could familiarise themselves with the questions to be answered. Within a period of 2 weeks thereafter, interviews were conducted and recorded for analysis on Zoom or Microsoft Teams. The data were grouped and are presented in 5 different themes with the aim of highlighting the challenges as well as providing recommendations to deal with the challenges that curriculum advisors experience. The data reveal that curriculum advisors experience that they receive minimal support from their superiors and that the resources at their disposal also prove to be minimal. This study highlights the lack of resources, insufficient infrastructure, and lack of effective communication from management needed for proper curriculum implementation at schools.

Evaluating the impact of the metastatic spinal cord compression coordinator in a regional cancer network: a prospective, non- randomized pilot study.

Extradural metastatic spinal cord compression (MSCC) is a debilitating and potentially irreversible complication of cancer. Delay in treatment could lead to irreversible neurological damage, adverse quality of life and a burden on health care resources. Lack of effective communication between teams has been identified as one of the reasons for delay in treatment. The MSCC coordinator (often a nurse, radiotherapy radiographer or a doctor) is responsible for coordinating the diagnosis and management of patients with MSCC. The role has been shown to streamline service, ensure timely decision-making and improved survival outcomes. However, available data are anecdotal or from limited series presented as abstracts in conferences. In this study, we assessed the impact (time to treatment) of the newly introduced role on the treatment pathway compared to similar period in the preceding year. This was a multi-centre, prospective, pilot study carried out in Kent, UK between 1st April to 30th June 2021. Patients were considered eligible if they had MRI-confirmed cauda equina or cord compression. The data prospectively collected include: (I) time from diagnostic imaging to radiotherapy treatment; (II) number of referrals to hospital palliative care (HPC), occupational/physiotherapy (OPH) and community hospice referrals (CHP). A comparative retrospective data for (I) was collected for the same time period in the preceding year. The study outcome assessed was reduction in time from radiological diagnosis of MSCC to receiving radiotherapy. Fifty-eight patients in 2020 and 24 patients in 2021 were included in the dataset. The MSCC coordinator role (introduced in 2021) led to reduction in the time from imaging to treatment (P=0.045). Compared to 2020, there was a shorter mean/median time to treatment, seeing more patients being treated within 24 hours. All hospitals except East Kent Hospitals saw more patients being treated within 24 hours. 7 referrals each made to HPC, OPH and CHP respectively. Introduction of MSCC coordinator role led to improved time from imaging to radiotherapy treatment. The new service led to engagement with rehabilitative and palliative services. Future work should be done to assess the long-term impact of this role on utilization of support services and patient recovery.

Music Publishers and Synchronized Scores: Mascagni, Ricordi, and Rapsodia satanica

Music Publishers and Synchronized Scores: Mascagni, Ricordi, and <i>Rapsodia satanica</i>

Stakeholder perspectives on navigating the pediatric concussion experience: Exploring the needs for improved communication across the care continuum.

For children, the post-concussion return to school process is a critical step towards achieving positive health outcomes. The process requires integration between healthcare professionals, parents, and school personnel. This research team conducted focus groups with stakeholders including parents, education personnel, school nurses, external healthcare providers (nurses) and athletic trainers to identify communication patterns between healthcare providers outside of the school setting and school personnel. Data from focus groups were analyzed using a Thematic Analysis approach. Researchers used an inductive (bottom-up) coding process to describe semantic themes and utilized a critical realist epistemology. We identified four key themes within focus group data: (1) lack of effective communication between hospital and outpatient healthcare providers to school personnel; (2) parents who were strong advocates had improved communication with healthcare professionals and garnered more accommodations for their children; (3) non-school professionals and families were often confused about who the point of contact was at a given school; and (4) differing experiences for athletes vs. non-athletes. This study suggests gaps in communication between healthcare and school professionals when children return to school following a concussion. Improving communication between healthcare providers and school staff will require a multi-faceted approach.

Strategi Komunikasi dalam Mensosialisasikan Program Website Layanan Aspirasi dan Pengaduan Online Rakyat

The lack of effective communication by the government in socializing the LAPOR program has resulted in this program not being used optimally by the community. Therefore, this study aims to analyze the communication strategy used in socializing the LAPOR program in Pematang Siantar City, North Sumatra. This study uses a qualitative approach with data collection techniques in the form of interviews, literature studies, and observations. The results of the study indicate that there are five communication strategies that can be used in socializing the LAPOR program, namely: (i) utilizing social media such as Facebook, Twitter, and Instagram as media for socializing the LAPOR program; (ii) organizing an exhibition about the LAPOR program so that it can be shown how to use the LAPOR program; and (iii) providing training on how to use the LAPOR program. This training can be carried out in collaboration with village and sub-district officials so that they can assist in socializing the LAPOR program to the community; (iv) placing banners and banners regarding the LAPOR program in strategic places such as on main roads, city centers, and other public places; and (v) conducting roadshows to various areas in Pematang Siantar City. In this roadshow, the government can provide information about the LAPOR program and its benefits. Active government involvement and community participation are critical to the success of the LAPOR program. Through the use of the right strategy, it is hoped that the LAPOR program can continue to grow and provide benefits to the community.&#x0D;

Machinery Changes and Challenges of Architecture and Landscape Design in the Virtual Reality Perspective

With the in-depth study of architectural planning in China, more and more designers and developers are aware of the superiority of the use of technological robots to improve the speed and quality of construction, weakening past experience and based on real-world research through modern technology. However, the application of this method in the predesign work is not mature. To be specific, designers may lack expertise due to the overly detailed division of labor. In addition, the developer’s blind pursuit of profitability leads to inaccurate market positioning and forecasting. At the same time, the lack of effective communication between designers and developers, architects and owners makes the predesign work ineffective and does not provide reasonable and accurate guidance for the building design. Therefore, the predesign work requires the designer to analyze and select the site reasonably. In addition, it is necessary to conduct in-depth research on the target customers. At the same time, it is necessary to accurately position and predict the dynamic market, and then to have a thorough understanding of the norms and regulations. As a result, the predesign work enables the design to be analyzed in the context of the actual situation. Then, according to the data and information from various aspects, effective planning and argumentation are carried out, and corresponding decisions are made to provide guidance for the design. Overall, predesign is a process of rational planning of the design process. In fact, in the process of landscape design innovation, it is necessary to fully consider the requirements of the intelligent era. Therefore, multimedia and advanced robotics can continuously enhance the interaction and experience of urban landscape to make it integrate into the intelligent system of the future city. In other words, multimedia technology can enhance the new image of the city in an intelligent, digital, and humanized interactive experience. Especially in the landscape design process, the advent of computers has enabled landscape designers to use relevant design software to design their own works, thus giving them unlimited design possibilities. Virtual reality technology, as a form of computer technology, provides designers with a new creative experience in the design phase of a landscape project. To be specific, this technology allows designers to freely grasp the design space and scientifically compare the differences between design options to make the design more reasonable and complete. Therefore, this paper analyzes the differences in the general environment and concepts of 3D software virtual reality technology, starting from the characteristics of the application of 3D technology as an entry point. At the same time, this study uses the similarities and differences in technology to discover the vital role of using virtual reality technology to reconstruct the space and the impact of robots on modern architecture.

Farmer Producer Organization for Turmeric Growers in Tribal Region of Odisha: Success Factors and Constraints

The study of success factors and constraints of Farmer Producer Organisations (FPOs) helps in improving the functioning of FPOs by providing valuable policy insights. Therefore, a study was conducted with 120 members of an FPO in Kandhamal district of Odisha in 2021 to delineate the success factors and constraints. Data were analysed using TOPSIS method and Friedman test. Results revealed that the most important factors contributing to success were the better price for produce compared to local traders, good infrastructure for value addition and marketing, and assistance in availing the benefi ts of various government schemes. Major constraints were delayed payment compared to local traders, inadequate and irregular supply of inputs, and lack of eff ective communication between offi ce-bearers and farmers. The study recommends that for success, producers' organizations should focus more on better price realization, creating marketing infrastructure, and timely payment and services to the members.

Work Ability and Well-Being Management and Its Barriers and Facilitators in Multinational Organizations: A Scoping Review

The aim of this scoping review was to identify effective workplace programs for work ability and well-being management and its barriers and facilitators in multinational organizations. The PubMed, Embase, and Web of Science databases were searched from 1974 through February 2023 to identify quantitative and qualitative studies on the management of work ability and well-being, and related outcomes including presenteeism, absenteeism, productivity loss, and healthy practices, conducted in a multinational organization or company. The titles and abstracts of over 11,000 publications were screened, and 10 studies fulfilling the inclusion criteria were included in the review. The management of work ability and well-being in multinational companies requires leadership support and commitment, effective communication, employee health awareness and engagement, comprehensive personalized health risk and condition assessments, and the management of risk factors and occupational and non-occupational health conditions. Financial constraints, high workloads, competing priorities, a lack of effective communication, a lack of worksite managers' motivation, employees' language barriers, high worksite managers' turnover, and a decline in the support of senior managers are considered as barriers, and the presence of existing participatory practices is considered as a facilitator of participation in workplace health and well-being interventions in multinational companies. This review suggests that the management of work ability and well-being in multinational companies should go beyond health promotion and include comprehensive personalized health risk and health condition assessments and management.