Management Skills Research Articles

Relation between the Time Management Skills and Nurses' Work Stress Levels

Relation between the Time Management Skills and Nurses' Work Stress Levels

Classroom Management Skills of Public Elementary School Teachers

Classroom management skills are necessary for public elementary school teachers to keep their classrooms running smoothly. These skills help teachers set clear rules, maintain order, and create a positive environment where students can learn and grow. In this context, this study aimed to determine the classroom management skills of elementary teachers in a Public Elementary School in a medium-sized division for the School Year 2023-2024. Data for this descriptive study was collected from the participation of thirty-nine (39) respondents in one of the large-size schools within a medium-sized division; therefore, Purposive Sampling was utilized using a self-made data gathering instrument that has passed the stringent tests of validity and reliability. Mostly, teachers’ classroom management skills were at a very high level. Subsequent analysis indicated no significant difference in the level of teachers’ classroom management skills. The findings specify that while teachers commonly identify the importance of effective classroom management, there is a need for heading for professional development creativities to support them in refining their skills. As a result, the larger suggestion is the importance of participating in continuous training and resources to allow teachers to expand their classroom management skills, thus nurturing a more conducive learning environment for all students. Keywords: Education, classroom management skills, public elementary school teachers, Negros Occidental

Beyond the Checklist: Pilot Education, Aviation Resources, and Health Management Skills

Beyond the Checklist: Pilot Education, Aviation Resources, and Health Management Skills

The effectiveness of enhanced reality simulation on postmastectomy patient care management provided by nursing students: a quasi-experimental study

AimThe aim of this study was to evaluate the effect of enhanced reality simulation on nursing students' learning satisfaction and self-confidence and patient care management knowledge and skills regarding postmastectomy care. BackgroundBreast cancer is a common disease with increasing incidence and mastectomy is the treatment of choice. Postmastectomy patient care is a multidimensional and complex process. For various reasons, nursing students today graduate with inadequate clinical skills and do not have experience with many cases. DesignThis quasi-experimental study was conducted using a pretest–posttest design with a nonequivalent control group. MethodsThis study was conducted with fourth-year nursing students (78 students). Students were allocated to each group through a simple random allocation using IBM SPSS Statistics version 24. Research data were collected at the Clinical Simulation Training Center of the university in 2020–2021 academic year. The study group (n=39) learned using a scenario-based learning approach with moulage in a real clinical setting using enhanced reality simulation, while the control group (n=39) learned using the same scenario-based approach with the routine practice adult standard patient care model. The data were collected through the “Student Sociodemographic and Descriptive Characteristics Data Collection Form”, the “Student Satisfaction and Self-Confidence in Learning Scale”, the “Postmastectomy Patient Care Skills Checklist” and the “Pre–Post Knowledge Test on Postmastectomy Patient Care Management”. ResultsAll 78 participants completed the training course. The training significantly increased the Student Satisfaction and Self-Confidence in Learning Scale subdimension scores of both groups (p<0.05). The Postmastectomy Patient Care Management scores of the study group students who received enhanced reality simulation training significantly increased (p<0.05), while there was no significant effect on the scores of the control group students (p>0.05). While most the students in the study group increased their rates of correct answers to Postmastectomy Patient Care Management questions significantly (p<0.05) after the enhanced reality simulation training, the students in the control group showed no significant improvement (p>0.05). The training significantly (p<0.001) increased the mean postmastectomy patient care skills control scores. This increase had a high effect size on the study group. ConclusionEnhanced reality simulation is a learning method that increases nursing students' learning satisfaction and self-confidence and patient care management knowledge and skills regarding postmastectomy care. Learning with enhanced reality simulation is an effective approach for nursing education that improves nursing students' learning satisfaction and self-confidence and patient care management knowledge and skills regarding postmastectomy care.

Not taught in medical school but needed for the clinical job – leadership, communication and career management skills for final year medical students

BackgroundStarting the first job as a young physician is a demanding challenge. Certain skills are important to master this transformation that go beyond the theoretical knowledge and practical skills taught in medical school. Competencies such as communication, leadership and career management skills are important to develop as a young physician but are usually not sufficiently taught in medical school in a structured and comprehensive way.MethodsWe performed an online survey among final year medical students regarding how they perceive their current competency level in communication, leadership and career management skills. We also assessed how they rate the importance to acquire these competencies and the current emphasis during their medical school education regarding these topics.ResultsOf 450 final year medical students 80 took part in the voluntary survey and 75 complete datasets were returned (16.7%). The majority of respondents rated different communication skills, leadership skills and career management skills as important or very important for their later clinical work. However, most students felt to be poorly or very poorly prepared by the current medical school curriculum, especially for certain leadership and career management skills. Overall, 90.7% of participants expressed interest in an additional educational course that covers subjects of communication, leadership and career management skills during the later stage of medical school, preferably as a hybrid in-person session that also offers synchronous online participation.ConclusionsThe results of the survey express the need to address communication, leadership and career management skills in the medical curriculum to be better prepare students for the demands of residency and their further course as physicians. An educational format during the final year of medical school may be suitable to address mentioned topics in the framework of clinical practical exposure.

Enhancing Academic Success: A mixed Study on the Influencing Factors among Pharmacy Students in Syrian Universities.

Academic achievement is the result of both effort and perseverance exerted by the students. This mixed-methods study aims to investigate the factors affecting the academic achievement of pharmacy students in Syrian universities. A convergent parallel mixed-methods study was utilized. In the quantitative phase, a cross-sectional study was conducted on 1008 students (773 females and 235 males) from 23 Syrian universities. A questionnaire consisting of 48 items was designed to be completed by pharmacy students using a 5-point Likert scale.In the qualitative phase, twelve questions were developed to interview thirty pharmacy students from five Syrian universities to obtain in-depth insights into the factors influencing their academic achievement. A significant number of students lacked effective time management skills, identified as a weakness among students. The majority of students faced challenges in maintaining a consistent study routine, averaging a score of (2.0).Motivation towards learning emerged as a crucial factor in enhancing academic performance. Lecturers in the pharmacy faculty employed traditional teaching methods (2.01), and the pharmacy curriculum was perceived as lacking modernity (1.92).Quantitative findings demonstrated that pharmacy students experienced exam-related anxiety (2.05), identified as a weakness in the qualitative phase.Factors associated with the Syrian crisis, like unreliable electricity (1.87) and transportation issues (1.83), could have an impact on academic achievement. Economic conditions were identified as challenging to students' academic performance, negatively affecting the learning process (1.98). The results of the study demonstrate that personal factors, lecturers, educational environment, exams, and the Syrian crisis influence the academic achievement of pharmacy students in Syrian universities.

Intervention for the Management of Neuropsychiatric Symptoms to Reduce Caregiver Stress: Protocol for the Mindful and Self-Compassion Care Intervention for Caregivers of Persons Living With Dementia.

Stress related to Alzheimer disease and related dementias (ADRD) is common, particularly among those who care for persons with challenging behaviors and personality or mood changes. Mindfulness and self-compassion programs are efficacious for managing stress. The skills of mindfulness and self-compassion, however, must be integrated with behavioral management skills in order to effectively improve caregiver stress. In this study, we aimed to describe the development of the Mindful and Self-Compassionate Care (MASC) program, the first program that combines mindfulness and self-compassion with behavioral management skills to decrease caregiver stress, and its evaluation in the Supporting Our Caregivers in ADRD Learning (SOCIAL) study. Using the National Institutes of Health (NIH) stage model, we describe 3 phases of work encompassing NIH Stages 1A and 1B. In phase 1, we conducted 5 focus groups (N=28) of stressed individuals caring for persons with ADRD and challenging behaviors. Rapid data analysis informed the development of a 6-week online intervention. Phase 2 (NIH stage 1A) includes an open pilot (N>10) with optional exit interviews. Phase 3 (NIH stage 1B) is a feasibility randomized controlled trial of the intervention versus the Health Education Program control. Primary outcomes focus on feasibility with secondary outcomes encompassing acceptability, credibility, fidelity, and signals of preliminary efficacy. Phase 1 follows traditional recommendations for qualitative analyses (at the point of thematic saturation) which was achieved after 5 focus groups (N=28). For the phase 2 open pilot, up to 12 participants will be recruited. For the phase 3 feasibility study, recruitment of 80 caregivers will allow the assessment of feasibility benchmarks. Data for phase 1 included 5 focus groups. In phases 2 and 3, data collection will occur through REDCap (Research Electronic Data Capture; Vanderbilt University) surveys and an optional qualitative exit interview. Analyses will include hybrid inductive-deductive analyses for qualitative data and assessment of changes in our intervention targets and outcomes using t tests and correlation analyses. In phase 1, caregivers reported interest in a brief, online stress management program. Participants held misconceptions about mindfulness and self-compassion, but after detailed explanation thoughts, these skills could be helpful when directly linked to implementation during caregiving routines. Phases 2 and 3 will be completed by the end of 2025. We describe the protocol for the Supporting Our Caregivers in ADRD Learning study, as well as the development and feasibility testing of the Mindful and Self-Compassionate Care intervention. Future work will include a fully powered efficacy-effectiveness randomized controlled trial. ClinicalTrials NCT05847153; https://clinicaltrials.gov/study/NCT05847153; and ClinicalTrials.gov NCT06276023; https://clinicaltrials.gov/study/NCT06276023. DERR1-10.2196/58356.

Bank Indonesia's CSR: A Model for Social Entrepreneurship Transformation

Context: This research explores how central bank social programs can empower micro-level Small and Medium Enterprises (SMEs) in Indonesia. The observed economic growth suggests both micro and macro contributions are at play. The study's practical value lies in aiding SMEs enhance their managerial skills, technical and marketing capabilities across local, regional, and international markets. The programs have enhanced human capital development, equipping individuals with the essential skills and knowledge to achieve the SDGs, particularly in developing regions. Purpose: The study aims to describe the social entrepreneurship transformation model implemented by Bank Indonesia (BI) as part of its Corporate Social Responsibility (CSR) efforts. Methods: Narrative-based qualitative methods and theme analysis were utilized. Data collection was done through in-depth interviews and observations. The subjects are 7 Small and Medium-sized Enterprise (SME) economic actors involved in BI's CSR program. Result: The socio-economic program implemented by BI includes training, technical guidance, and the provision of infrastructure to partner SME groups. This program has led to managerial improvement, market expansion, cost savings, production, and profit for these SME partners. On a macro scale, BI's CSR initiatives involving SMEs have enhanced its public reputation and bolstered its capacity to manage inflation, finance, and digital transformation. These outcomes align with the broader goal of policy coherence and support for the Sustainable Development Goals. Contribution: This study finds that the Indonesian central bank's initiatives contribute to improved economic performance for SMEs. It further supports the theory that state involvement, like social entrepreneurship initiatives driven by the central bank, can bridge the gap between government policies and local entrepreneurial activities.

Balancing enjoyment and learning in teaching software project management with game-based learning

Despite advancements in project management education, project failures remain common, often due to insufficient experience and skills. Games offer a valuable platform for teaching practical project management skills, allowing players to learn from mistakes without significant economic costs. However, many serious games in this field lack focus on engagement and motivation. The "Software Project Management Game" introduced in this article addresses these issues by incorporating motivational game design principles, drawing inspiration from entertainment games like Game Dev Tycoon and The Sims. The game ensures a smooth flow without unnecessary interruptions, putting players in control. Players progress through five projects of increasing complexity, gradually developing their skills and learning soft skills and task dependencies. This article details the design, implementation, and evaluation of the game, focusing on gameflow, intrinsic motivation, perceived learning, and usability. The results indicate that the game successfully balances enjoyment and learning, making it an effective tool for teaching core project management skills.

How Practice Ready are We? Attitude among Fresh Dental Graduates Regarding Dental Practice Management in India

Background Dental practice management encompasses the administrative and operational aspects of running a dental office efficiently. Fostering dental practice management skills which are tailored to the current social needs will aid the practitioner to be more competent and successful.  Aim The aim of this study is to assess the attitude among fresh dental graduates regarding dental practice management.  Materials and Methods This survey was conducted among 207 interns, fresh dental graduates, and postgraduate students of various dental specialties. The study tool was a questionnaire, consisting of basic demographics and 11 questions, to assess participant’s attitude on dental practice management. Data collection was done using Google forms circulating through social media platforms and the first 207 to submit fully answered questionnaire were included in the study. The data was then statistically analyzed.  Conclusion Mean age of the study population was 26±2.58. Majority of the study population (80.7%) felt that dental practice management was equally important as clinical skill for a successful dental practice and thought it would be helpful if there were guidelines for dental practice management in India. Our study findings indicate need for reforms in dental curriculum and training in this area.

Impact of Managerial Skills on Organizational Development: An Applied Study in the Regional Directorate of Transport and Communications of the Amazonas Region

This study analyzes the relationship between managerial skills and organizational development in the Regional Directorate of Transport and Communications of the Amazon Region during the year 2021. A quantitative approach with descriptive-correlational and non-experimental design was adopted, using a structured questionnaire applied to a sample of 72 workers. The results show that there is a low but significant positive evaluation between managerial skills (leadership, communication, decision making and motivation) and the dimensions of organizational development (planning, organization, integration and direction). The highest rating coefficient was Rho = 0.300, indicating a moderate relationship between managerial skills and overall organizational development. Although managerial skills influence process improvement and efficiency, other factors, such as organizational structure and available resources, also play a crucial role. It is concluded that it is essential to strengthen managerial competencies through continuous training programs and to improve internal processes in order to optimize organizational development in this public entity. Finally, it is suggested that other factors that may impact organizational development, such as technology and organizational culture, be explored in future studies.

Digital Marketing Strategy for MSMEs to Increase Competitiveness of Local Products

General background in the current digital era, small and medium enterprises (MSMEs) are a vital component of local economic development, particularly in rural areas. Specific background MSMEs producing local products such as bags and suitcases are prominent in certain regions, but face significant marketing challenges. Knowledge gap: However, few studies have explored the application of digital marketing strategies to improve the competitiveness of local MSME products.This study aims to analyze the application of digital marketing as a marketing strategy for local village products to increase the competitiveness of MSMEs using a SWOT analysis approach. The results show that MSMEs need strong government and institutional support to overcome market barriers and adopt advanced marketing techniques. The findings emphasize the importance of training and mentoring programs to enhance technical and managerial skills, as well as the introduction of new technology. Additionally, creating a community of craftsmen and entrepreneurs can foster knowledge-sharing and expand business networks, contributing positively to the competitiveness of local products. Novelty the study introduces a comprehensive approach that combines digital marketing and community building, which has not been extensively studied in the context of rural MSMEs. The implications of this research suggest that by leveraging digital platforms and forming supportive networks, MSMEs can increase their market reach and competitiveness, contributing significantly to local economic growth. Highlights: MSMEs require digital marketing strategies to boost product competitiveness. Government support and training are crucial for overcoming market challenges. Community-building among craftsmen enhances business networks and knowledge-sharing. Keywords: MSMEs, Digital Marketing, Competitiveness, Local Products, SWOT

Construction 4.0 implementation for performance improvement: an innovation management perspective

Purpose The emergence of Construction 4.0 technologies provides an impetus for radical change and rejuvenates the interest of stakeholders in addressing long-standing performance issues in the construction sector. However, construction firms struggle to implement Construction 4.0 technologies for performance measurement and improvement. Therefore, the purpose of this research is to develop a conceptual model of innovation management for implementing Construction 4.0 that guides and facilitates the strategic transformation of construction firms. Design/methodology/approach A conceptual model of innovation management is presented, and the findings are synthesised based on a literature review, 20 semi-structured interviews, two focus group discussions, three workshops, expert consultation and observations on three digitally-enabled projects. Data were inductively analysed using thematic analysis. Findings The analysis of empirical data revealed: (i) Four scenarios that could lead the industry to different futures, based on the extent of research and development, and the extent of integration/collaboration; (ii) Construction 4.0 capability stages for a sustained implementation route; (iii) Possible business model configurations derived from servitisation strategies; and (iv) Skills management challenges for organisations. Research limitations/implications First, the empirical data was only collected in the UK with its unique industry context, which may limit the applicability of the results. Second, most of the research data comes from the private sector, without the views of public sector organisations. Third, the model needs to be further validated with specific data-driven use cases to address productivity and sustainability issues. Practical implications Successful Construction 4.0 transformation requires a concerted effort of stakeholders, including those in the supply chain, technology companies, innovation networks and government. Although a stakeholder’s action would depend on others’ actions, each stakeholder should undertake action that can influence the factors within their control (such as the extent of collaboration and investment) and the outcomes. Originality/value The conceptual model brings together and establishes the relationships between the scenarios, Construction 4.0 capability stages, business models and skills management. It provides the first step that guides the fuzzy front-end of Construction 4.0 implementation, underpins the transformation to the desired future and builds long-term innovation capabilities.

Bridging the diverse leader gap in public relations through accreditation: examining US diverse practitioners’ motivations, challenges and leader development

PurposeThis study aims to examine the impact of the Accreditation in Public Relations (APR) certification on the leader development of US diverse practitioners.Design/methodology/approachThe study involved six online focus groups with 64 APRs who identified as diverse practitioners and APR chairs who supported and mentored diverse candidates.FindingsDiverse practitioners identified specific knowledge, skills and abilities (KSAs) that they developed through the APR study process, which are consistent with those desired in leaders such as technical, relationship management and conceptual skills. Not only did diverse practitioners become more strategic thinkers and skilled in the public relations planning process, but they also were promoted or hired into management positions. Effective mentors were key to their success. These findings confirm that the APR can be a form of leader development for diverse public relations practitioners that opens doors to management positions. However, employers need to provide instrumental support for diverse practitioners to be successful, such as covering costs associated with the exam, providing study time and supporting their membership in professional associations.Originality/valueBased on the theoretical framework of self-efficacy and a lifelong learning mindset, the study reveals the value of the APR in preparing diverse practitioners for leadership roles, which can be a resource to address the gap in diverse leaders in the public relations industry.

Entrepreneurial Skills Required for Self-Employment among Electrical Installation Students in Technical Colleges in Adamawa State: A Focus on Managerial, Accounting, and Marketing Competencies

This study investigates the entrepreneurial skills required by Electrical Installation and Maintenance Works (EIMW) trade students in Government Science and Technical Colleges in Adamawa State for successful self-employment. Utilizing a descriptive survey research design, data were collected from a sample of 217 respondents, including administrators, teachers, and students, using a structured questionnaire. The findings reveal that students need a total of 20 managerial skills, with particular emphasis on effective planning and resource control. Additionally, the study identifies 22 essential accounting skills, such as determining profit and loss and knowledge of costing, which are crucial for business survival. In terms of marketing, students require 16 key skills, highlighting the importance of customer loyalty retention and effective communication. These findings emphasize the necessity for educational institutions to enhance their curricula by integrating practical entrepreneurial training. The study also recommends collaboration with local businesses to provide students with real-world experiences and continuous professional development for educators to ensure they are equipped to teach relevant skills.

Big data analytics managerial skills and organizational agility: a moderated mediation model

PurposeAlthough big data analytics managerial skills (BDAMS) offer opportunities for firms to foster organizational agility, existing studies present inconclusive indications of this impact, with an overlooking of the intermediate pathways involved. This study explored how BDAMS affect organizational agility by investigating the mediation effect of data-driven organizational learning (DDOL) and the moderating roles of technological and market turbulence.Design/methodology/approachThis study employed mediation and moderated mediation analyses to test the hypotheses using data collected from listed Chinese firms. Furthermore, we performed a fuzzy set qualitative comparative analysis (fsQCA) as a supplementary approach to identify the configurations that lead to organizational agility.FindingsThis study shows that DDOL partially mediates the relationship between BDAMS and organizational agility. Besides, technological and market turbulence positively moderate the effect of DDOL on organizational agility and the mediation effect of DDOL. Our additional analyses also reveal several patterns of conditions that facilitate agility.Originality/valueThis study offers a comprehensive exploration of the relationship between BDAMS and organizational agility by verifying the mediating effect of DDOL and moderating effects of technological and market turbulence. In addition, the fsQCA results highlighted the combinatorial effects of key factors in this study, reinforcing and refining the moderated mediation results.

Edukasi Menabung Sejak Dini Guna untuk Memanajemen Keuangan Dimasa Depan Bagi Anak Anak di Mesjid Taqwa Mandala

Education about saving from an early age is an important step in forming good financial management skills in children. Educational activities carried out at the Taqwa Mandala Mosque through Real Work Lectures (KKN), aim to increase children's understanding of the importance of saving and simple financial records. The research method used is a qualitative approach with counseling techniques, where children are introduced to the concept of saving using the media "Saving paper and piggy banks." This activity lasted for 15 days, with a focus on direct interaction to facilitate better understanding. The results of this activity show high enthusiasm among children and an increase in their knowledge about financial management. Support from PRM Mandala also plays an important role in the success of the program. Even though there are challenges, such as low interest in saving, this education has succeeded in instilling awareness of the importance of discipline in managing money. It is hoped that this activity can become a model for efforts to develop financial literacy in other communities, as well as have a positive impact in forming healthy financial habits for children.

Future prospectives in plantain agro-chain by foresight-by-scenarios and Delphi analysis

Purpose This paper aims to identify future scenarios and convergent technologies regarding the plantain chain in the region of Quindío, Colombia. It proposes the definition of key variables, convergent technologies, future objectives, future scenarios and hypotheses based on stakeholders’ and experts’ opinions collected through questionnaires, surveys and workshops. Design/methodology/approach The present analysis seeks to identify and anticipate the future routes for the improvement of scientific, technological, innovative and skills management of the plantain agroindustrial chain in the region of Quindío, Colombia using the foresight-by-scenarios and, Delphi methodologies and finally validating the results with artificial intelligence code and natural language processing. Findings After the analysis of 100 initial variables, the results suggested the identification of five key variables defined by the stakeholders and matrix-based multiplication applied to a classification (MICMAC) analysis such as “weather,” “financing and economy,” “grouping and associativity,” “crop” and “territorial planning and raw material.” Moreover, the definition of four future objectives along with the matrix of alliances and conflicts, tactics, objectives and recommendations (MACTOR) analysis suggested scenarios according to the probability. The most possible, probable and desirable scenario, was the cooccurrence of the five proposed hypotheses. Furthermore, the Delphi analysis allowed us to define nine subgroups from 116 subtopics including: “plantain varieties,” “plantain agroindustry,” “waste use” and “crop,” among others. Research limitations/implications Due to the specificity of the analyzed agro-chain, the study only encompasses the plantain and banana sectors. However, the implications are related to the generation of projects in the selected technologies. Practical implications This paper includes implications for the development of prospective studies combining two or more different methodologies such as foresight-by-scenarios and Delphi method at the same time and further comparing the results with artificial intelligence analysis. Social implications The generation of public policies in the sector and input for governmental analysis and tools for decision-making with a well-grounded, systematic and rational point of view. Originality/value This work describes for the first time, the implementation of the Delphi method regarding an important agroindustry sector such as plantain and banana prospective study. Furthermore, it explains the alignment of two methodologies; foresight-by-scenarios and the Delphi method related to the sectorial approaches, and convergent technologies and innovations, respectively. Moreover, a complementary bibliometric analysis with global terms related to the plantain or banana agroindustry was also included. In a novel way, we also applied an artificial intelligence code using Python software to contrast the results previously obtained in the foresight-by-scenarios method.

Knowledge, attitudes, and practices among medical students toward depression management: a cross-sectional study in China.

The prevalence of depression among university and college students in China is nearly one-quarter. This study aimed to investigate the knowledge, attitudes and practices (KAP) among medical students toward depression management. Depression, a significant public health issue, has a substantial impact on students, with a reported prevalence of 23.8% among university and college students in China. This web-based cross-sectional study was conducted between January 2023 and October 2023 at three medical universities in China. A self-administered questionnaire collected demographic information and assessed medical students' KAP on depression management. A total of 632 participants were enrolled in this study from three medical universities. Among them, 383 (60.60%) were female, and the participants were aged 20.17 years on average (SD ± 1.80). Most of their family members (521, 82.44%) were not in the medical profession. Using a validated 15-point knowledge scale, a 50-point attitude scale, and a 30-point practice scale, which covered areas such as symptom recognition, treatment approaches, and stigma related to depression, the mean knowledge, attitudes and practices scores were 10.55 ± 3.36 (possible range: 0-15), 41.72 ± 4.45 (possible range: 10-50) and 19.79 ± 5.44 (possible range: 6-30), respectively. Males had lower knowledge (p = 0.003). Only children had higher practice (p = 0.034). Urban residents had higher attitudes (p = 0.046). Higher income linked to better practice (p = 0.047). Freshmen scored higher across all KAP (p < 0.05). Medical family background linked to better knowledge (p = 0.005). The attitude scores were correlated with the practice scores (r = 0.403, p = 0.004). The structural equation model demonstrated that knowledge had direct effects on attitude and practice, as indicated by a path coefficient of 0.725 (p < 0.001) and 0.370 (p = 0.001), respectively. Furthermore, attitude had direct effects on practices, with a path coefficient of 0.509 (p < 0.001). The study revealed that medical students possessed sufficient knowledge and demonstrated active attitudes but exhibited limited practical skills in managing depression. In investigating the KAP of medical students, it is essential to integrate specific practical applications, such as role-playing scenarios and case studies, into the curriculum. These methods will emphasize the importance of knowledge, foster positive attitudes, and promote peer collaboration to enhance practical skills in depression management.

Predicting Financial Failure of Public Teaching Hospitals: An Application of Fuzzy Clustering Analysis

Purpose –To develop a novel prediction model and determine the variables that best predict hospitals’ financial failures. Design/methodology/approach –A fuzzy C-means clustering analysis was conducted using financial ratios from MoH Hospitals’ financial databases. Hospital Fuzzy Financial Health Scores (HF-HFS) then were calculated the as the degree of financial failure measured through the selected n-cluster model. Findings –The results show that the number of teaching hospitals experiencing financial failure has increased. HF-FHS scores also were compared with the modified Altman Z scoresa commonly used financial distress measure in the hospital service sector. The HF-FHS scores in good and poor financial conditions differ significantly. The HF-FHS scores were also strongly correlated with the Altman Z scores. Discussion –The rising trend in the number of hospitals experiencing financial difficulties over the years may cause some hospitals in financial distress to fail to fulfill their obligations, which may disrupt the services provided. In such a situation, good management skills, which are the most important factor reducing the financial risks of hospitals, will not work after a certain point.Conclusions –The findings indicate Fuzzy C Means clustering as a viable option to evaluate the financial failure of hospitals compared to more traditional methods such as Altman Z scores. Hospitals still face financial pressures due to market and structural factors such as the global budget repayment system, pricing and collection time, and insufficient competition conditions.Predicting hospitals’ financial failures can help develop managerial policies and strategies to recognize and combat risks, improveperformance, and improve the current situation of hospitals.