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ONLINE SHOPPING – CONSUMER BEHAVIOUR ANALYSIS ON BIG BILLION DAYS OF FLIPCART

Flipkart has come a long way. From being a mere start-up with little knowledge and experience to being India’s number one e-commerce company. It has seen a major shuffle and reshuffle in its core management team as well. When Flipkart began its Big Billion Day Sale in 2014, there were many fax-paus. The major reasons behind the failure of the sale could be grouped under three broad heads- inherent faults, trade related malpractices, and the fierce competition. The inherent faults are technical issues, low inventory management, and improper planning and execution were among the major reasons for its failure. Other issues were trade related malpractices like fake deals, price changes, no refunds or cancellations and finally the Competition from the big rivals like Amazon, Snapdeal etc. Disgruntled shoppers were brutal in their criticism of the sale on social media. Some even pointed out that the rival firms Amazon and Snapdeal, were offering products at cheaper prices than Flipkart.

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  • Journal IconThe Social Science Review A Multidisciplinary Journal
  • Publication Date IconJul 16, 2025
  • Author Icon Smitha V P
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Influence of Self-Management on Organizational Performance of Universities in Kenya: A Literature Review Synthesis

This article critically examines the influence of self-management on organizational performance within Kenyan universities. Drawing from a systematic literature review, the paper employed a structured methodology to identify, select, and synthesize peer-reviewed studies, policy documents, and institutional reports relevant to the nexus between self-management and performance. The analysis is organized around key thematic areas—organizational effectiveness, decision-making efficiency, conflict resolution, innovation, and institutional resilience—providing a coherent and critically reflective framework. The study identifies emerging trends and key findings from the literature, including the growing recognition of self-management as a strategic leadership competency that enhances staff autonomy, accountability, and adaptability in dynamic university environments. Furthermore, the paper discusses gaps in current practices and offers implications for future research. It concludes with actionable recommendations for stakeholders—including policymakers, university councils, management teams, HR departments, development partners, and student leaders—to embed self-management competencies within leadership development programs, governance structures, and performance measurement systems to foster long-term institutional growth and effectiveness.

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  • Journal IconThe University Journal
  • Publication Date IconJul 15, 2025
  • Author Icon Simon Kagwe + 1
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Relationship between Emotion Regulation and Self-Confidence of Female Hockey Athletes

In the sport of hockey, athletes' ability to regulate emotions is crucial, especially in high-pressure situations. Athletes often face emotional challenges that can affect their self-confidence, such as making mistakes during a game or competing against strong opponents. Poor emotional regulation can lead to a decline in performance, including impaired decision-making, loss of focus, and reduced motivation. This study aims to examine the relationship between emotional regulation and self-confidence in female hockey athletes. A descriptive method with a quantitative approach was used in this study, involving 30 female hockey athletes from various clubs in Jakarta. The instruments used were an emotional regulation questionnaire and a self-confidence scale, which were distributed once to the participants. Data were analyzed using the correlation test with SPSS version 29. The results showed a significant relationship between emotional regulation and self-confidence among female hockey athletes. The correlation value between the variables was 42%, indicating a strong relationship. This study concludes that emotional regulation plays an important role in enhancing the self-confidence of female hockey athletes. Coaches and team managers are encouraged to pay more attention to emotional regulation by providing mental training programs and activities that support emotional well-being.

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  • Journal IconJournal of Physical Education Health and Sport
  • Publication Date IconJul 15, 2025
  • Author Icon Dea Destian + 3
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Waste Water Management and Sanitation in a Low-Cost Housing Settlement: The Case of Emali Town, Makueni County, Kenya

Despite the rapid growth of the Emali town’s population, no concrete wastewater management system exists at the moment except for the normal use pit latrine and other rudimentary onsite sewerage. The study used survey research design. The target population for this study was 500 households and 34 institutions in Emali town. Data was collected using a semi structured questionnaire. The study findings indicated that grey water, which consists of water from domestic uses such as laundry, shower, and dishwashing, contributed to 75% of the total wastewater in Emali town. The study findings indicated that 65.2% of the respondents in Emali town are not connected to a wastewater collection system. The majority of the respondents, 80% are aware of the Makueni County Water and Sanitation Act and guidelines. Majority of the respondents, 98% indicated that they comply to the policy, legal and regulatory frameworks around the waste water management. The study concludes that proper waste water management and sanitation is a pubic good which had health, environmental and economic benefits for both individual households and institutions at large. The study recommends that the county government of Makueni to establish and formalize a multi-sectoral team for waste water management and sanitation. Keywords: Wastewater Management, Sanitation Systems, Environmental Impact, Low-Cost Housing, Policy Compliance

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  • Journal IconJournal of Agriculture
  • Publication Date IconJul 15, 2025
  • Author Icon Jackson Charo Daudi
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Legal Framework of Public-Private Partnership Contract Management in Varies Countries: Recommendations for Turkiye

Public-private partnerships emerge as an alternative financing method in providing public services for developing countries. Effective contract management is an important element for these high-risk and complex projects. For this reason, in the study, a literature review was conducted on contract management in public private partnerships and a framework was presented by determining the main activities for contract management in public private partnerships. Then, the laws and regulations in the developing countries of Brazil, Kenya, Kosovo, the Philippines and Turkiye were examined comparatively within this framework. As a result of the study, regulations were found for the establishment of administration and contract management team, planning, establishment and execution of contract management, managing contract changes, managing performance and contract termination and asset transfer, in these five countries examined. However, it has been concluded that there are deficiencies in the legal framework regarding risk management, monitoring and evaluation and relationship management, which are important criteria of contract management. Both activities are critical for successful contract management in public private partnership projects. In this context, recommendations have been made for Turkiye.

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  • Journal IconKent Akademisi
  • Publication Date IconJul 15, 2025
  • Author Icon İzel Akyel + 1
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Research on Internal Control and Financial Management of Administrative Institutions and Public Institutions under the New Situation

With the development of modern society, the functions of administrative institutions and public institutions are constantly evolving. Under the background of comprehensively deepening reform, higher requirements are put forward for the financial management of administrative institutions and public institutions. The financial management status of administrative institutions and public institutions will directly affect the quality of public services. Therefore, it is necessary to strengthen the internal control of financial management. By leveraging the constraints and supervision mechanisms of internal control, the transparency and credibility of financial management can be effectively enhanced. However, in the actual internal control and financial management of administrative institutions and public institutions, there are still some problems, which make it difficult to improve the level of financial management and affect the sustainable development of administrative institutions and public institutions. By analyzing the internal control and financial management of administrative institutions and public institutions under the new situation, this article proposes plans such as strengthening the construction of professional management teams, deeply using information technology means, and improving the internal control system, effectively enhancing the management efficiency of administrative institutions and public institutions and better adapting to the development of the times.

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  • Journal IconProceedings of Business and Economic Studies
  • Publication Date IconJul 15, 2025
  • Author Icon Jie Liu
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Corrigendum: Cultural diversity in top management teams: A multigroup study on leadership and performance

No abstract available.

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  • Journal IconSA Journal of Human Resource Management
  • Publication Date IconJul 14, 2025
  • Author Icon Retno P Setyaningrum + 3
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From Presence to Policy: The Conditional Impact of Women's Representation in Top Management Teams in Chinese Local Governments

ABSTRACTWhile public administration research has begun exploring the impact of women's representation in top leadership positions in public organizations, the conditions under which women's representation in top management teams (TMTs) produces policies specifically benefiting women remain underexamined. Using a panel dataset covering 276 Chinese municipalities (2010–2018), this study examines how women's representation in mayoral teams affects women‐sensitive policy adoption. Fixed‐effects Poisson regression analyses suggest that TMTs with two or more women leaders are likely to adopt more women‐sensitive policies than TMTs with no or a single woman leader. This relationship strengthens when women occupy a larger proportion of provincial leadership roles, but it weakens when TMTs maintain stronger patronage ties to provincial male leaders. These findings advance representative bureaucracy research by demonstrating how passive representation translates into active representation in government upper echelons from a team‐based perspective and how this effect is contingent on institutional factors within a multi‐level governance system.

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  • Journal IconPublic Administration
  • Publication Date IconJul 14, 2025
  • Author Icon Ting Huang + 3
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Climate Change Initiatives, Environmental Management Training, and Firm Performance: The Trickle‐Down Effect of Board‐Level Gender Diversity on Gender Diversity in the top Management Team

ABSTRACTWe examine the interrelationships among climate change initiatives, environmental management training, and firm performance while considering the trickle‐down effect of board‐level gender diversity on gender diversity in the top management team (TMT). Using an unbalanced panel dataset of 117,410 firm‐year observations from five regions, representing 11 industries and operating in 71 countries from 2013 to 2022, our findings reveal that climate change initiatives significantly enhance firm performance. Our results further exhibit that the interaction effects of gender diversity at the board and TMT levels (the trickle‐down effect) support climate change initiatives by encouraging environmental management training (EMT), thereby improving firm performance. To address the potential endogeneity issues, we employed a two‐step system generalized method of moments (GMM) approach. Our empirical results are robust to endogeneity and alternative measures. Overall, our evidence supports the Resource‐Based View Theory and Upper Echelon Theory to demonstrate how a diverse TMT and board members can contribute to more robust climate change strategies by using EMT as a resource to achieve performance objectives. Hence, we make important contributions to the corporate governance and environmentalism strands of the literature by highlighting the role of gender in shaping climate change initiatives and influencing firm performance.

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  • Journal IconBusiness Strategy and the Environment
  • Publication Date IconJul 12, 2025
  • Author Icon Mushtaq Hussain Khan + 3
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Determinants of proactive intellectual property management in manufacturing Mexican SMEs: Analyzing the influence of top management team characteristics

ABSTRACT This study examines how top management team (TMT) characteristics influence intellectual property (IP) management styles in Mexican manufacturing small and medium-sized enterprises (SMEs). Using multinomial logistic regressions, factors such as firm size, age, education level, and IP awareness are analyzed in 323 SMEs to determine their effect on IP approaches. The findings indicate that larger and older SMEs are more likely to adopt proactive IP strategies. High IP awareness among TMT members strongly correlates with proactive IP management, reinforcing the importance of leadership in strategic decision making; however, the interaction between TMT education and IP experience does not significantly enhance IP management adoption. These findings contribute to the literature on SME strategic management by highlighting the role of managerial expertise in IP strategy. The study offers policy implications, particularly in the context of rising trade protectionism, emphasizing the need for government-led initiatives to improve IP education and strategic support for SMEs in global trade uncertainties.

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  • Journal IconJournal of the International Council for Small Business
  • Publication Date IconJul 12, 2025
  • Author Icon Jesús Calderón Aguiñaga
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Guideline for the Management of Novice Basketball University Teams in Guangdong Province

Background and Aim: This research aims to develop guidelines for the management of novice basketball university teams in Guangdong Province using management theory by investigating the current situation and problems of novice basketball university team management in Guangdong Province. Additionally, find out the main factors affecting the management of novice basketball teams at Guangdong University and put forward countermeasures to solve the problem. Finally, develop guidelines for the management of novice basketball university teams in Guangdong Province, which will be tested for applicability and validity by the experts using the connoisseurship method. This research mainly improves the management of novice basketball teams in Guangdong universities. Materials and Methods: The population of this research consists of three universities in Guangdong Province with novice basketball teams, namely Guangdong Teachers College of Foreign Languages and Arts, Guangdong Light Industry Vocational College, and Guangdong Institute of Finance. Seventy-nine novice basketball team members and eight coaches from three universities were a sample group of this research. A purposive sampling method was used. The questionnaire was distributed to the sample group to investigate the current situation in managing novice basketball university teams. After that, seven experts were invited to conduct interviews to draft the key elements for developing management guidelines. Nine experts conducted focus group discussions to develop management guidelines. Finally, seven experts conducted a connoisseurship discussion to confirm the developed management guideline. In this research, mean and standard deviation were used to analyze the data. The IOC value was as follows: the questionnaire for novice basketball team members was 0.86, the questionnaire for novice basketball team coaches was 0.90, and the interview form was 0.90. Results: The results showed that guideline for the management of novice basketball university teams in Guangdong Province was organized as follows: (1) planning divided into four aspects, namely set clear objectives, needs assessment, strategic partnerships, and annual development plan; (2) organizing divided four aspects, namely allocate resources effectively, build a structured team, recruit skilled coaches, and training program; (3) leading divided four aspects namely motivational leadership, player development, promote basketball on campus, and encourage open communication; (4) controlling divided four aspects namely monitor progress, feedback mechanisms, accountability systems, and evaluate team and coach performance. Conclusion: The results of this study show that the ‘Management Guide for New College Basketball Teams in Guangdong Province’ is comprehensive and targeted, based on the POLC (plan-organize-lead-control) management theory. The expert group agreed that the guide is very suitable for the resource conditions of universities in Guangdong Province and has high practicality and promotion value, considering the operational and development needs of novice teams. They can provide systematic guidance for improving the management efficiency and competitiveness of new college basketball teams in Guangdong Province.

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  • Journal IconInternational Journal of Sociologies and Anthropologies Science Reviews
  • Publication Date IconJul 11, 2025
  • Author Icon Jin Wang + 2
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The New Era of Work: Management of Hybrid Teams and Their Challenges

Objective: The general objective is to investigate the challenges and strategies for managing hybrid teams, analyzing their implications for organizations and workers. As specific objectives, we seek to understand the impacts of the hybrid model on productivity and organizational culture. Theoretical framework: The context of the new era of work; Management of hybrid teams: challenges and opportunities and leadership and strategies for the effective management of hybrid teams. Method: The method is a bibliographic review, of an exploratory nature, adopting a qualitative methodological approach. Systematic data collection was carried out through the renowned Scopus, Google Scholar and Scielo databases. Results and Discussion: Given the results identified, it is understood that the effectiveness of hybrid management is directly related to clarity in communication, the appropriate use of digital technologies, emotional support for employees, and the performance of leaders prepared to deal with flexibility and decentralization of work. Challenges such as equity in access to opportunities, work overload, and the risk of isolation of remote professionals were also identified. It is concluded that adaptation to the hybrid model requires a balance between autonomy and control, as well as the development of organizational policies that promote inclusion, engagement, and sustainability in labor relations. Research Implications: The practical and theoretical implications of this research are discussed, providing insights into how the results can be applied or influence practices in the field. Based on the analysis of the available data, it is possible to conclude that organizations will need to review their people management, communication and performance evaluation policies, adapting them to the hybrid model. Also, the need for investments in training and development of leaders and staff. The research seeks to alert about the differences and weaknesses between remote and in-person employees, indicating the need for practices that ensure equal access to opportunities for growth and visibility. Originality/Value: This study contributes significantly to the literature by highlighting the importance of intensifying academic production on the hybrid work model. The scientific community and researchers are encouraged to expand their research in this field of undeniable relevance. The originality and value of this research lie in the fact that this hybrid work model has recently become established, especially after the COVID-19 pandemic. This means that the topic is still undergoing transformation and has many gaps to be explored.

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  • Journal IconRevista de Gestão Social e Ambiental
  • Publication Date IconJul 10, 2025
  • Author Icon Gislaine Koglin + 5
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Pilot Study on Delay Factors and Solutions Strategies in Government Buildings Projects in Kuwait: Stakeholders’ Perspectives Using Confirmatory Factor Analysis (CFA)

Construction delays are a repeated problem in government buildings projects in Kuwait, always leading to increased costs and schedule slippage. This pilot study investigates key delay factors and corresponding solutions strategies by analyzing the responses from 60 construction professionals representing project management consultants (PMCs), contractors, and consultants. Using a structured questionnaire and confirmatory factor analysis (CFA), the study identifies and validates critical delay constructs and explores useful solutions measures from stakeholders’ perspectives. The findings provide foundational data to refine the main study and enhance model validity for structural equation modeling (SEM). The top of the delay factors are poor contractor monitoring, weakness of consultant project management team, and design faults. Recommended solutions strategies include establishing a monitoring system to track subcontractor progress and addressing potential delays proactively, ensuring timely approval for the required workforce, and establishing clear delivery schedules. The results validate the questionnaire’s reliability (Cronbach’s alpha = 0.920) and provide insights into urgency areas for delay mitigation in the Kuwaiti governmental building construction sector.

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  • Journal IconBuildings
  • Publication Date IconJul 10, 2025
  • Author Icon Mubarak M Aldammak + 2
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Are Nature Index journals a valid basis for academic assessment: a study of academic impact and disruptive innovation assessment based on open bibliographic metadata and citation data

Journal listings play an important role in current journal evaluation, publication reference, research assessment and position promotion. Considering the current orientation of science and technology development and the need of transformative changes in academic evaluation, this study aims to examine Nature Index journals list. The focus will be on exploring the coverage of research topics, assessing the innovation levels of the published papers, and identifying underrepresented research areas. The outcome will facilitate the identification of high-level science and technology journals that can serve as valuable references for the Nature Index team and relevant management and research institutions in their scientific research evaluation processes. The results of the study show that of the 3029 research topics in the science fields defined by OpenAlex, 2217 (73.19%) are covered by Nature Index journals. Across all 18 research disciplines outside of Dentistry and Veterinary, Nature Index journals show a clear advantage in academic quality (the average share of dominant research topics in each disciplinary category is around 90%). However, Nature Index journals have an advantage in terms of academic impact over the level of disruptive innovation. In this study, two journals have been also selected to supplement the latest Nature Index list by taking the disruptive innovation level as the core index and the academic influence and long-term development of the journals in the related research fields as the reference. Generally speaking, the list of Nature Index journals is relatively complete, but there is still room for adjustment. Nature Index journals have a high academic impact and disruptive innovation level in most of the research topics that they cover, but they are more focused on academic impact. Appropriately adding representative journals in uncharted research areas will enhance the application value of the Nature Index in academic evaluation.

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  • Journal IconHumanities and Social Sciences Communications
  • Publication Date IconJul 9, 2025
  • Author Icon Yuyan Jiang + 1
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Expanding innovation boundary: the moderating role of platform ecological embeddedness

ABSTRACT While executive equity incentives are widely recognised as a key governance mechanism to align managerial interests with those of stockholders, the close link between such incentives and the innovation boundary – particularly in the context of platform ecological embeddedness – remains underexplored in existing literature. This study, using a dataset of 5938 firm-year observations from Chinese listed firms spanning from 2010 to 2022, underlines an inverted U-shaped relationship between executive equity incentives and innovation boundaries. This relationship exhibits greater salience in firms with higher platform ecological embeddedness. Statistical analysis indicates that top management team (TMT) stability mediates this relationship: executive equity incentives influence the innovation boundary by affecting the stability of the TMT. By incorporating the platform ecological embeddedness into the corporate governance-innovation strategy framework, this research not only extends corporate governance literature but also provides feasible implications for optimising innovation strategies.

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  • Journal IconTechnology Analysis & Strategic Management
  • Publication Date IconJul 9, 2025
  • Author Icon Sujuan Geng + 1
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The Influence of Lock-In Centered Business Model Innovation on the Performance of Manufacturing Firms in Kenya

Purpose: Business model innovation is a fundamental catalyst for organizations to transform their value creation infrastructure in order to achieve superior long-term performance and pay off associated complex commercial risks. This study was designed to investigate the influence of lock-in centered business model innovation on the performance of manufacturing firms in Kenya. Methodology: The study adopted the descriptive research design and positivism philosophy that was aligned to the classical scientific method of research inquiry. Multi-stage sampling method was adopted to collect data from top management team in the manufacturing sector using a semi-structured questionnaire. The data was analysed using descriptive analysis techniques such as mean, percentages and standard deviation. Inferential analysis using linear regression was undertaken to establish the relationship between the predictor variable and the outcome variable using Statistical Package for the Social Sciences software. Findings: The study revealed that lock-in centered business model innovation (β=-0.47, p=0.001<0.05) negatively and significantly influences manufacturing firms’ performance. Unique Contribution to Theory, Practice and Policy: The study recommends that manufacturers should endeavour to innovate their business models in order to achieve superior long-term performance. The study contributes to manufacturing sector literature by providing empirical evidence on how managers can embed business model innovation practices to improve Kenyan manufacturing firms’ performance in the highly volatile, uncertain, complex and ambiguous environment.

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  • Journal IconEuropean Journal of Business and Strategic Management
  • Publication Date IconJul 9, 2025
  • Author Icon Michael Maundu + 2
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Individual and Organisational Factors Influencing Knowledge, Attitude and Practice Regarding Post-Extubation Dysphagia in ICU Nurses: A Cross-Sectional Multicentre Study.

Dysphagia is a prevalent and critical issue in critically ill patients who have undergone mechanical ventilation. The knowledge, attitude, and practice (KAP) of ICU nurses are determinants of the effectiveness of post-extubation dysphagia (PED) management. However, existing evidence regarding the current KAP status of PED among ICU nurses remains insufficient. This study aimed to assess the current status of ICU nurses' KAP regarding PED, along with associated individual and organisational factors. From August to September 2024, a cross-sectional, multicentre study was conducted on a convenience sample of 305 ICU nurses from 15 tertiary hospitals in 10 cities of Guangdong Province, China. An online self-reported structured questionnaire was used to collect data on the KAP of PED among ICU nurses. A total of 305 valid questionnaires were analysed. The overall mean score was (70.08 ± 15.34). The mean scores of knowledge, attitude, and practice were (78.10 ± 28.98), (80.02 ± 13.27), and (52.13 ± 22.94), respectively. Multivariate analysis revealed that the individual factors related to the total score included confidence in PED management (β = 0.356, p < 0.001), and the organisational factors included leadership support (β = 0.210, p < 0.001), unit compliance with PED screening and treatment protocols (β = - 0.169, p = 0.001), and availability of PED educational resources (β = 0.156, p = 0.002). ICU nurses possess a relatively extensive knowledge base and exhibit positive attitudes toward PED, but there is still room for practice improvement. Besides strengthening the training of ICU nurses on PED-related knowledge, formulating standardised protocols, establishing a multidisciplinary management team, creating a favourable improvement atmosphere, and providing sufficient training resources are indispensable measures for enhancing the quality of clinical PED management. To enhance the quality of PED management, it is advisable to formulate a multi-aceted support strategy targeting both organisations and individuals, thereby facilitating the implementation of relevant practices. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement of cross-sectional studies was followed for reporting in the study. No patient or public involvement.

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  • Journal IconJournal of clinical nursing
  • Publication Date IconJul 9, 2025
  • Author Icon Long Huang + 4
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Loan Delinquency and Profitability of Equity Bank, Rwanda

Purpose: The general objective of the study was to examine the effect of loan delinquency on the profitability of equity bank, Rwanda. The specific objectives of the study were: to examine the effect of interest rate, loan policy, loan size and loan duration on profitability of Equity bank in Rwanda. Methodology: Both correlational and descriptive research design utilize questionnaires to collect data on a variety of subjects. The target population consisted of 175 individuals from Equity Bank Rwanda, including Senior Management, Loan Officers, Risk Management Team, Financial Analysts, and the Compliance and Regulatory Team. By applying Slovin's formula, the researcher has determined that a suitable sample size would be 122 participants. The research employed basic random sampling to guarantee that each member of the population has an equal chance of being picked. Data collection incorporated both questionnaires and document analysis to gather comprehensive information. Data for this research was analyzed using the Statistical Product and Service Solutions (SPSS) version 25. Findings: The regression coefficients reveal the significant impact of each predictor on the profitability of Equity Bank, Rwanda. The constant term (α = 0.090) indicates the expected profitability when all independent variables (Interest Rate, Loan Policy, Loan Size, and Loan Duration) are zero. The unstandardized coefficients show that a one-unit increase in Interest Rate (B = 0.197, t = 4.205, p-value = 0.000), Loan Policy (B = 0.267, t = 6.389, p-value = 0.000), Loan Size (B = 0.388, t = 7.709, p-value = 0.000), and Loan Duration (B = 0.135, t = 3.282, p-value = 0.001) results in respective increases in profitability of 0.197, 0.267, 0.388, and 0.135. All these relationships are statistically significant, with p-values well below the 0.05 threshold, highlighting the strong positive influence of these predictors on the bank’s profitability. Unique Contribution to Theory, Practice and Policy: The study recommended that Equity Bank Rwanda regularly adjust interest rates based on market trends, introduce tiered rates for varying risk profiles, and update loan policies to align with market demands and regulatory changes. For future research, academics should explore the impact of interest rates, lending rules, loan sizes, and loan terms on loan delinquency and profitability.

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  • Journal IconInternational Journal of Finance and Accounting
  • Publication Date IconJul 9, 2025
  • Author Icon Sam Mugabo + 1
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Multiple Simultaneous Disasters as a Complex Challenge to Disaster Management: An Interpretative Phenomenological Analysis

Abstract Multiple simultaneous disasters (MSD), namely the occurrence of more than one disaster at the same time, have imposed complex challenges to incident management teams (IMTs) operating at different government levels. While IMTs’ challenges and efforts in a single disaster have been extensively reported in the literature, there is limited knowledge regarding functioning of IMTs during MSDs. To fill this knowledge gap, the current study aims to further examine definitions of MSDs and identify challenges and efforts of IMTs during MSDs. An interpretative phenomenological analysis method was used to analyze transcripts of semi-structured online interviews of nine highly experienced professionals who responded to MSDs in the US over the past three decades. Findings are presented in line with three pillars of the US National Incident Management System–resource management, command and coordination, and information and communication. During MSDs, IMTs experienced lack of human and technical resources, difficulty allocating resources, lack of unified command, poor integration of Incident Command System, incompatible rules and procedures between jurisdictions, inconsistent terminologies, and information hoarding. Regarding efforts to overcome these challenges, IMTs took advantage of mutual aid, civilian-provided resources, flexibility of incident command, advanced information technologies, team meetings, and liaison officers. Considering growing risks of MSDs, more attention needs to be paid to current and future issues the IMTs face and more supports need to be provided for IMTs to foster their capabilities of managing complex demands from MSDs.

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  • Journal IconJournal of Homeland Security and Emergency Management
  • Publication Date IconJul 9, 2025
  • Author Icon Corey Shultz + 1
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The Efficacy and Safety of Peripherally Inserted Central Catheters in Neuro Intensive Care Management: A Retrospective Study.

This study aimed to analyze the efficacy and safety of peripherally inserted central catheters (PICCs) inserted by the PICC nursing team in the neuro intensive care unit (ICU). A retrospective analysis was conducted on 756 patients admitted to the neuro ICU of a clinical neurosciences center in Shanghai, China, between January 2019 and December 2022. All patients required elective central venous access and had a PICC inserted by the PICC nursing team. Data on patient demographics, catheter type, insertion approach, puncture site, tip position, insertion success rate, and complications were extracted from electronic medical records using Questionnaire Star software. The study compared outcomes before and after the implementation of a specialized training program for the PICC nursing team, which included theoretical and practical training on PICC insertion techniques, maintenance, and complications management. Following the implementation of the trained PICC nursing team, significant changes were observed in catheter type and insertion technique. The use of 3-way valve Solo catheters and power-injectable open-ended catheters increased, while the use of 3-way valve catheters decreased. In addition, the use of ultrasound-guided modified Seldinger technique (MST) increased significantly, with a corresponding decrease in conventional PICC insertion and MST without ultrasound guidance. Malpositioned tips occurred in 6.3% of cases. Notably, after the implementation of the trained team, complications significantly decreased ( P <0.05) and the first-attempt success rate significantly increased ( P <0.05) compared with the period before the training program. In neuro ICU patients, the use of PICCs inserted by a well-trained, competent PICC nursing team demonstrated improved outcomes, including reduced complications, increased first-attempt success rates, and higher quality of care. These findings highlight the importance of specialized training for PICC nursing teams in neurointensive care management.

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  • Journal IconJournal of patient safety
  • Publication Date IconJul 8, 2025
  • Author Icon Dong-Mei Li + 6
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