Moderate Intention Research Articles

Patterns of self-medication and intention to seek pharmacist guidance among older adults during the COVID-19 pandemic in Macao: a cross-sectional study

IntroductionSelf-medication was remarkably popular during the COVID-19 pandemic. In older populations, the risk of self-medication is higher. Pharmacists are well positioned to provide public health education and disease prevention. This study aims to explore the self-medication patterns and intention to seek pharmacist guidance among older adults in Macao.MethodsA face-to-face cross-sectional survey was subsequently performed in March-April 2023 among older adults in Macao. The questionnaire was designed based on the Theory of Planned Behavior (TPB) framework. Multiple logistic regression was used to analyze predictors of self-medication behavior and multiple linear regression analysis to determine whether the TPB construct was the predictor of older adults’ intention to seek guidance from pharmacists.ResultsA total of 412 participants completed the questionnaire. The self-medication rate among older adults in Macao was 64.2%. The most commonly used types of medications were over-the-counter and traditional Chinese medicine, mainly from government anti-pandemic packages. The majority of individuals engaged in self-medication to treat COVID-19 symptoms or prevent COVID-19 infection. The prevalent reasons for self-medication were the perceived non-seriousness of the illness. 85 years old or older and university degree were significantly associated with self-medication behavior. Older adults had moderate intention to seek pharmacist guidance on medication use. The average scores (standard deviation) were 3.43 (1.10) for Attitude, 2.69 (0.99) for Subjective Norm, 3.56 (1.04) for Perceived Behavioral Control, and 3.07 (1.43) for Intention. Attitude, Subjective Norm, and Perceived Behavioral Control were all strong predictors of intention, which explained 53% of the variance in intention. In demographic factors, age was identified as a significant predictor of intentions.ConclusionsSelf-medication was widely practiced in Macao during the COVID-19 pandemic. To better control the risks associated with self-medication, the role of pharmacists is paramount. Enhancing the recognition and trust of pharmacists within society, modifying pharmacy management models, and strengthening pharmacists’ self-perception of their profession are all pivotal directions areas to further enhance their role.

The mediating role of psychological well-being on the effect of fear of future violent events at work on nurses' intention to migration.

To evaluate the effect of the fear of violence of nurses working in Turkey on their intention to migrate and to examine the mediating role of psychological well-being on this effect. Many countries are concerned about nurses' fear of violence and their intention to migrate. The fear of violence at work may influence nurses' intention to migrate. Additionally, psychological well-being may impact this process. However, the impact of the fear of violence at work on the intention to migrate, as well as the moderating effect of psychological well-being in a nursing context, is not well understood. We conducted this cross-sectional study on a sample of 221 nurses from two public hospitals. We collected survey data between November 2022 and January 2023 using three scales. We analyzed the data using SPSS, AMOS, and HAYES. We followed the STROBE statement guidelines for cross-sectional studies. Nurses reported a moderate intention to migrate and a moderate to high level of fear of violence and psychological well-being. Fear of violence is positively associated with the intention to migrate. Mediation analyses indicated that the association between fear of violence and intention to migration was mediated by psychological well-being. The fear among nurses of being exposed to violence increases their intention to migrate. However, high psychological well-being can reduce this intention. Nursing managers, policymakers, and decision-makers need to take serious precautions against the fear of violence in the future and make necessary improvements for nurses who witness violence. To achieve this, it can begin by paying attention to the high psychological well-being of each nurse.

Understanding the Post‐Pandemic Travel Intentions Among Chinese Residents: Impact of Sociodemographic Factors, COVID Experiences, Travel Planned Behaviours, Health Beliefs, and Resilience

ABSTRACTWe investigate the shift of travel intentions among Chinese residents following the end of China's Zero‐COVID policy in December 2022. Focusing on the 2023 Spring Festival, the first major holiday after the pandemic, we examine the factors influencing travel intentions, including travel experiences during COVID‐19, sociodemographics, infection and vaccination experiences, travel planned behaviours, health beliefs, and resilience. Using a cohort study approach, we conducted online surveys in two phases. Initial findings from 1, 263 respondents pre‐holiday indicated a moderate intention to travel (average 3.3 out of 5). The results reveal diminishing effects of COVID‐19 vaccination, infection experiences and health beliefs (perceived susceptibility, severity and benefits) over time. Past travel experiences, planned behaviours (attitudes, subjective norms and perceived behavioural control), perceived barriers and resilience significantly elevate travel intentions in the post‐COVID period. Additionally, a post‐holiday survey found that 44.3% of 79 participants had travelled, providing insight into the evolving travel tendencies.

Self-Service Technology Use by Older Adults: Moderating Effects of Need for Interaction

Changing face-to-face services to technology-based self-service can pose several challenges. This study aims to analyze whether the characteristics of elderly consumers who like to interact directly can moderate intentions toward behavior using self-service technology. Data were collected using questionnaires distributed to 204 elderly respondents in two provinces in Indonesia. The results showed that perceived usefulness of self-service technology is more important to increase behavioral intention to use STT than perceived ease of use. In addition, the influence of behavioral intention on self-service use behavior will be more assertive in individuals who enjoy face-to-face interaction. This study emphasizes the moderating role of the need for interaction in the relationship between behavioral intention and the use of SST among older individuals in developing countries. Self-service technology can be an alternative for older adults in developing countries to get services without relying on human services. However, the usefulness of service technology must be conveyed to consumers as service users. This research was conducted during the transition period due to COVID-19. However, future research, conducted in more normal conditions, might yield different results.
 Keywords: self-service technology, older adult, need for interaction, TAM, developing country

The Relationship Between Resilience and the Intention to Leave Among Staff Nurses at Governmental Hospitals in the Al-Baha Region of Saudi Arabia.

Background Nurses with high intent to leave can cause substantial problems for healthcare organizations, such as staffing shortages and higher expenses due to hiring and onboarding new nurses. In light of the increasing demands placed on nurses in understaffed and overloaded healthcare systems, nurses frequently face various pressures and difficulties in their field of work, including high workloads, irregular hours, complicated patients, and infectious disease exposure; resilience is critical for handling stress and hardship at work. Nurses will thus retain their jobs for longer. This study aimed to determine the relationship between resilience and the intention to leave among staff nurses. Methods This study utilized a quantitative, cross-sectional correlation design. It comprised three Saudi Ministry of Health-affiliated facilities in the Al-Baha region(King Fahad Hospital, Prince Mashari Hospital, and Mikhwah General Hospital). The study sample comprised nurses employed in critical areas and inpatientand outpatient hospital departments using convenience sampling and inclusion and exclusion criteria. An online questionnaire involving three sections was given out.The first part collected sociodemographic data, the second part included the Connor-Davidson Resilience Scale 25 (CD-RISC-25), and the third included the Anticipated Turnover Scale (ATS). Results This study found a moderate degree of intention to leave and resilience. Most participants in the survey held a bachelor's degree (75.8%), and around 87.1% of the sample consisted of women. About half of the sample (57.2%) were married; 67.6% of the participants were not Saudi nationals; and regarding the number of children, the majority (53.8%) were childless. Overall, 318 nurses working in acute and outpatient departments and critical regions participated. According to the study, 73.3% of the participants reported a moderate intention to quit, whereas 50.9% had moderate resilience. Similarly, a significant negative relationship was found between nurses' intention to leave and resilience. Conclusions In the current study, resilience has a statistically significant negative relationship with the nurses' intention to leave. Hospital management must consider the amount of work and the excessive work schedule to reduce nurses' intentions to leave. One way to do this is by assigning tasks to employees, minimizing their workload through flexible work schedules and shorter duty hours, and fostering teamwork among coworkers by ensuring clear communication and cooperation. Interventions like orientation programs for new nurses, regular meetings, seminars, and training sessions can improve nurse resilience.

Factors Associated with Nurses’ Intention to Leave in Saudi Arabia: A Literature Review

The nursing workforce represents a critical component of the healthcare system in Saudi Arabia, which is facing significant challenges related to retention and job satisfaction. High turnover rates among nurses not only compromise patient care quality but also place additional strain on the healthcare system. This study aims to investigate the factors associated with nurses' intention to leave their positions in Saudi Arabia, providing insights into the underlying causes of nursing turnover and suggesting potential strategies for retention. A comprehensive literature review was conducted, examining peer-reviewed articles, official reports, and relevant studies up to December 2023. The review focused on empirical research that specifically addressed the factors influencing nurses' intention to leave, including work environment, job satisfaction, leadership styles, recognition, societal norms, workload, opportunities for growth, work-life balance, and technological advancements. Quality assessment was performed using established checklists to ensure the reliability and validity of included studies. In this review, 28 quantitative studies met our inclusion criteria and were included in the final analysis. The findings revealed moderate levels of job satisfaction among nurses and a corresponding moderate intention to leave their current positions. Key factors influencing these outcomes included income level, nationality, work-life balance, and opportunities for professional development. Notably, a significant inverse relationship was observed between job satisfaction and the intention to leave, highlighting the importance of addressing these factors to enhance retention. Addressing nurses' intention to leave requires a multifaceted approach, focusing on improving work conditions, offering competitive rewards and recognition, fostering positive leadership and organizational culture, and providing opportunities for professional growth and work-life balance. Implementing targeted strategies that address these factors is essential for enhancing nurse retention, improving job satisfaction, and ensuring the provision of high-quality patient care in the healthcare sector of Saudi Arabia.

Attitude towards seeking professional help formental health among medical students In Karachi, Pakistan.

Aim: In Pakistan, seeking help for mental health is considered a social stigma and a large number of medical students are suffering from mental health. This study aimed to investigate the attitude toward seeking professional care for mental health issues among medical students. Methodology: A cross-sectional study was conducted with a total of 316 students selected through multistage stratified cluster sampling. With each academic year 500 students were enrolled. Linear regression analysis was used to find the association of outcome and independent variables. Results: Around 56% of students had a negative attitude toward seeking professional help. Common predictors associated with a negative attitude were age (p<0.001), academic year (p<0.001) and with self-harm behavior (p<0.001). Conclusion: University students generally had moderate intentions to seek counseling regarding mental health.

Well-Being Parameters and Intention to Leave Current Institution Among Academic Physicians

Physician turnover interrupts care delivery and creates health care system financial burden. To describe the prevalence of burnout, professional fulfillment, and intention to leave (ITL) among physicians at academic-affiliated health care systems and identify institutional and individual factors associated with ITL. This cross-sectional study administered a survey to 37 511 attending-level medical specialists at 15 academic medical institutions participating in the Healthcare Professional Well-Being Academic Consortium. Data were collected from October 2019 to July 2021. Statistical analysis was performed from May 2022 to March 2023. Hypothesized institutional and individual determinants of occupational well-being. The main outcome was ITL, defined as having at least a moderate intention (a score of 2 on a 0-4 scale) to leave one's institution within the next 2 years. Additional outcomes included burnout and professional fulfillment, defined using published Professional Fulfillment Index cut points. Of 18 719 academic physician survey respondents (8381 [44.8%] male; 2388 [12.8%] Asian, 10 599 [56.6%] White, 1039 [5.6%] other race, 4693 [25.1%] unknown race; 294 [1.6%] Hispanic or Latina/Latino/Latinx), 6903 of 18 217 (37.9%) met criteria for burnout and 7301 of 18 571 (39.3%) for professional fulfillment; 5177 of 15 890 (32.6%) reported moderate or greater ITL. Burnout, professional fulfillment, and ITL varied across specialties. After adjusting for demographics, each 1-point increase (range 0-10) in burnout was directly associated with ITL (odds ratio [OR], 1.52 [95% CI, 1.49-1.55])c, and each 1-point increase in professional fulfillment was inversely associated with ITL (OR, 0.64 [95% CI, 0.63-0.65]). After adjusting for demographics, burnout, and professional fulfillment, each 1-point increase (range 0-10) in supportive leadership behaviors (OR, 0.83 [95% CI, 0.82-0.84]), peer support (OR, 0.93 [95% CI, 0.91-0.95]), personal-organizational values alignment (OR, 0.81 [95% CI, 0.80-0.82]), perceived gratitude (OR, 0.95 [95% CI, 0.92-0.97]), COVID-19 organizational support (OR, 0.88 [95% CI, 0.85-0.91]), and electronic health record helpfulness (OR, 0.95 [95% CI, 0.93-0.97]) were inversely associated with ITL, whereas each 1-point increase (range 0-10) in depression (OR, 1.08 [95% CI, 1.05-1.10]) and negative impact of work on personal relationships (OR, 1.09 [1.07-1.11]) were directly associated with ITL. In this cross-sectional study of academic physicians, 32.6% indicated moderate or higher ITL within 2 years. Burnout, lack of professional fulfillment, and other well-being factors were associated with ITL, suggesting the need for a comprehensive approach to reduce physician turnover.

THE IMPACT OF AIRCRAFT CABIN DIGITALIZATION ON IMPROVING PASSENGER EXPERIENCE IN EGYPTAIR

This study aims to investigate the impact of aircraft cabin digitalization (smart electronically dimmable windows, intelligent seats, smart overhead bins, radio-frequency identification tags for luggage tracking, futuristic intelligent seats, and inflight virtual reality) on improving the inflight passenger experience in EgyptAir, as well as measuring passengers' interest in using digital cabins. Furthermore, exploring passengers’ intention to pay to use digital services, including futuristic intelligent seats, inflight virtual reality, and radio frequency identification tags for tracking luggage. To meet the research goals, a structured survey was designed and distributed among Egyptian frequent travelers in EgyptAir. A total of 311 complete surveys were collected and analyzed. Results indicated the high interest of Egyptian passengers in using the digital aircraft cabins in EgyptAir due to its significant impact on improving their inflight experience. Furthermore, analyses revealed the high intention of Egyptian passengers to pay to use inflight virtual reality and futuristic intelligent seats. However, they showed a moderate intention to pay to use radio frequency identification tags for tracking luggage.

The role of professional identity and job satisfaction in paediatric nurses' intention to remain employed amidst the COVID-19 pandemic.

The COVID-19 pandemic has significantly affected nursing, as nurses are crucial in providing healthcare services. Understanding the factors influencing nurse retention is essential for maintaining a strong and long-lasting workforce because nurse retention is becoming increasingly complex. This study aimed to investigate the influence of professional identity and job satisfaction on the intention to remain employed while also evaluating the levels of professional identity, job satisfaction, and intention to stay among paediatric nurses amidst the COVID-19 pandemic. This correlational and descriptive study included a stratified sample of 257 paediatric nurses and was guided by the STROBE checklist. Data were collected through valid and reliable questionnaires, which included a nurses' professional identity scale, job satisfaction survey, intention to stay scale, and a demographic questionnaire. Data collection was conducted from January to April 2022. The study was approved by the ethical research committee at the Nursing Faculty - Mansoura University, ensuring adherence to the Helsinki Declaration. The paediatric nurses reported elevated professional identity, moderate job satisfaction, and moderate intention to stay employed with mean scores of 80.35 ± 13.22, 113.70 ± 19.58, and 8.40 ± 3.55, respectively. Multiple regression explained 13.0% of the variation in paediatric nurses' intention to remain employed (F = 18.50, p < 0.001). Professional identity positively correlated with the intention to stay (β = 2.69, p = 0.008). Job satisfaction also had a positive relationship with the intention to stay (β = 3.49, p < 0.001). Healthcare managers should focus on professional identity strategies such as supportive work environments, growth opportunities, and valuing paediatric nurses' contributions. Implementing interventions such as fair compensation, support, and rewards can enhance paediatric nurses' retention and quality of patient care.

Restaurant managers knowledge and intention to improve building ventilation and indoor air quality using control measures in a middle-income country

Transmission of SARS-CoV-2 virus can occur via aerosol in inadequately ventilated indoor spaces, including restaurants. Despite the introduction of guidelines to ensure good indoor air quality (IAQ) and ventilation, business owners in low- or middle-income countries (LMIC) remain unsure about the regulations. This study aims to evaluate the level of knowledge and intention to improve IAQ and building ventilation among restaurant managers, and whether it is reflective of the implementation of control measures during COVID-19. This cross-sectional study involved restaurants from eight study sites at Kuala Lumpur, Malaysia, selected using cluster randomised sampling. A survey was conducted using a questionnaire adapted from the guidance note on ventilation and IAQ for non-residential setting during the COVID-19 pandemic by the Department of Occupational Safety and Health, Malaysia. Data collected were analysed using Statistical Package for the Social Sciences, version 27. Low knowledge level (median score: 4, range: 1–7) and moderate intention level (median score: 6, range 2–8) were reported among restaurant managers; however, the level of knowledge and intention were not correlated with the implementation of control measures. Insights from this study will be useful in informing the authorities to assess and review the practicality of current standard operating procedures and guidelines. The study findings are also expected to be translated to other airborne infectious diseases to increase the country's preparedness in managing future pandemics.

The Effect of Anterior Crowding Toward Oral Hygiene Index-Simplified and Gingival Index Score

Dental crowding is one form of malocclusion characterized by disparities between the size of the tooth and the arc dimension. It is commonly found in the anterior region. Keeping the crowded and misaligned tooth is hard, leading to more plaque accumulation and increasing the risk of gingival inflammation. This research aims to find the effects of anterior dental crowding on the Oral Hygiene Index-Simplified (OHI-S) and Gingival Index scores of Poltekkes Kemenkes Kupang students. This is a cross-sectional study performed by observational analytical study design. The population was the student of Poltekkes Kemenkes Kupang with anterior crowding. Using 70 samples were chosen using purposive sampling technique. The result showed that most of the students had moderate anterior crowding (45.7%), followed by mild crowding (30%) and severe crowding (20%). The chi-square test showed a significant effect of anterior crowding toward OHI-S (p=0.03) and GI scores (p=0.04). While Socio-economical aspect also showed a significant effect (p=0.00) on OHI-S scores. A significant effect of socioeconomic status was also recorded on GI score (p=0.00). An observation of the students' oral hygiene intention showed that they mostly had a moderate intention (72.9%) to keep their mouth clean, and the rest, 27.1% had high oral hygiene intention. This aspect also significantly affects their scores of OHI-S (p=0.00) and GI (p=0.01). This study concluded that anterior crowding, socioeconomic status, and oral hygiene intention can affect OHI-S and GI scores of the students of Poltekkes Kemenkes Kupang

Adolescents’ Individual Characteristics and Intentions to Seek Help from Types of Peers and Parents

Adolescents’ relationships with friends and with parents provide them with access to potential sources of assistance when they are experiencing problems. However, we lack more nuanced information about the types of peers and parents they intend to approach and about the contributions their individual characteristics make to their plans. This study examined adolescents’ intentions to seek help for a personal/emotional problem from five types of peers and parents (female friend, male friend, romantic partner, mother, father) and evaluated the unique, common, and total contributions of youth’s individual characteristics (gender, adaptable temperament, negative affect, self-disclosure competence, and conformity to the emotional control, self-reliance, and nice in relationships gender norms) to their intentions. Participants were 358 Canadian adolescents (51% boys; Grades 9–12) who completed a survey at school. On average, adolescents reported moderate intentions to seek assistance from each type of peer and parent. Hierarchical regression and commonality analyses showed that adolescents’ gender, self-disclosure competence, and emotional control beliefs made the largest total contributions to help-seeking intentions for both types of friends; self-disclosure competence and emotional control and self-reliance beliefs were most salient for help-seeking intentions for a romantic partner; and self-reliance beliefs and negative affect were most salient for help-seeking intentions for each parent, with emotional control beliefs also contributing to help-seeking intentions for mother. These results highlight the need to include more precise terms for peers and parents in help-seeking models and in assessments of adolescents’ help-seeking intentions, and the benefit of examining the unique, common, and total contributions of adolescents’ individual characteristics to clarify their relevance to youth’s plans to seek help.

The acceptance of SARS-CoV-2 rapid antigen self-testing: A cross-sectional study in China.

Compared with the nucleic acid amplification test (NATT), the severe acute respiratory syndrome coronavirus 2(SARS-CoV-2) rapid antigen self-testing (RAST) has advantages in speed and convenience. However, little is known about people's acceptance and influencing factors for SARS-CoV-2 RAST. A cross-sectional study was conducted from April 21 to 30, 2022 in China. The χ2 test and multivariate logistic regressions were used to identify the influencing factors. The structural equation model was used to test the extended protective motivation theory(PMT) model hypotheses. Among the total of 5107 participants, 62.5% were willing to accept the SARS-CoV-2 RAST. There were significant differences in acceptance among different residences (p < 0.001), educational level (p < 0.001), occupation (p < 0.001), monthly income (p < 0.001), travel frequency (p < 0.05), and feelings about NATT (p < 0.001). Response efficacy (β = 0.05; p = 0.025) and self-efficacy (β = 0.84; p < 0.001) had a positive effect, while response cost showed a negative effect (β = -0.07; p < 0.001). The public's major concerns about SARS-CoV-2 RAST are its reliability, testing method, price, and authority. Overall, a moderate intention to use SARS-CoV-2 RAST was found among the Chinese population. The extended PMT can be used for the prediction of intention to accept the RAST. We need to take measures to increase people's acceptance of SARS-CoV-2 RAST.

Evaluating the Correlates of Diversification at Zambia Law Development Commission in the Tenacity of Revenue Increase

The study evaluated the correlates of diversification for the Zambia Law Development Commission. A positivism research design was employed supported by quantitative and qualitative data collection approach. The sample size comprised of 33 respondents. The study was a census based one and purposive sampling was used to select the participants while data was collected through use of questionnaires and interviews. Thematic analysis and a statistical package of SPSS 22.0 was used to analyse the data collected. The Findings reviewed that Staff demonstrated moderate intention to diversify, the correlates of constraints to business of diversification show a weak to moderate correlate and that while the Commission has intentions to embark on related diversification than unrelated diversification, four constraints are prominent and these are value, money, people and clientele related. By employing the Theory of Constraints, this study has added various nuances and textures to eliciting diversification and constraints in a public institution. Should the Commission desire to increase its revenue and be sustainable, it would be ideal to employ the theory of constraints. Keywords: Innovation, diversification, sustainability and performance DOI: 10.7176/PPAR/12-6-02 Publication date: August 31 st 2022

Ethical Eggs: Can Synthetic Biology Disrupt the Global Egg Production Industry?

Commercial egg production relies on the industry-accepted practice of culling day-old male chicks, which are a live by-product of the egg production industry. Researchers are exploring the use of a transgenic marker gene to allow early identification of male embryos in ovo at the point of lay, rather than upon hatching. Here we examine social acceptability of this biotechnology-enabled solution to sex selection, which addresses the key ethical issue of culling and improved sustainability of food systems. A national online survey (N = 1148) measured psychological factors influencing public support for the development of the technology and willingness to purchase eggs derived from the novel process. Most participants expressed at least a moderate intention to support the development of gene marking technology, with 1 in 5 people expressing strong support. Participants expressed moderate to high agreement that gene marking of chickens would: (a) help reduce or eliminate the practice of culling male chicks in the egg-laying industry (response efficacy), and; (b) that this new synbio approach to sex selection may be better than current methods of identifying and removing male chicks during egg production (relative advantage). Of those participants who consumed eggs, almost 60% reported they would be moderately to strongly willing to purchase eggs derived from the gene marking process. A partially-mediated path model comprising both intention to support and willingness to buy eggs (R2 = 0.78) showed that key factors involved in decision-making, in addition to response efficacy and relative advantage, were evaluative attitudes toward the technology (e.g., was the technology bad/good, risky/safe, unethical/ethical) and emotional reactions. These results suggest that consumers may be primarily basing their decisions and behavioral choices on how valuable they perceive the novel gene marking solution, reflecting on how it compares favorably to current culling practices, yielding a range of benefits such as higher animal welfare, improved sustainability, and reduced waste.

University students' self-efficacy, attitudes, and intentions toward chemistry: Myanmar context

This research examined the self-efficacy beliefs, attitudes towards Chemistry, and intentions to take future Chemistry courses in a sample of (n = 112) students from selected universities in Myanmar. The main purpose of the study was to determine the university students' self-efficacy, attitudes, and intentions toward Chemistry in Myanmar context. Findings indicate that self-efficacy (Mean=2.05) and attitude (Mean=2.47) are both significant, making a larger unique contribution. According to the findings, Self-efficacy of undergraduate students was slightly significant indicating confidence of the participants. Our findings suggest that in general, although the population at Myanmar universities slightly feel confident in their ability to perform in Chemistry (Mean=2.06, SD=0.60), have strong attitude towards Chemistry (Mean=2.47, SD=0.84), and moderate intentions toward enrolling in future Chemistry courses (M=1.98, SD=0.97). In the current context, the students believe that they are capable of successfully performing tasks affiliated with Chemistry content. Students with a high self-efficacy toward Chemistry will be more likely to take on the challenge of Chemistry and persist through the courses. Finally, implications for educators and administrators are discussed.

Assessment of melanoma precision prevention materials incorporating MC1R genetic risk information.

Few studies have examined cognitive responses to mailed precision prevention materials. MC1R is a robust, well-described melanoma susceptibility marker. The purpose was to assess cognitive responses to generic or precision prevention materials incorporating MC1R genetic risk. Non-Hispanic White participants (n = 1134) enrolled in a randomized controlled trial received either precision prevention materials incorporating MC1R genetic risk (higher/average) or generic prevention (standard) materials. Six months after baseline, 808 (71.3%) participants reported on the amount of prevention materials read (5-point scale); believability and clarity of materials; intention to change preventive behaviors (7-point Likert scale); and recall of their MC1R genetic risk. Comparisons were conducted using Kruskal-Wallis and chi-squared tests. Overall, participants read most to all (Mdn = 4, IQR = 2) of the prevention materials, reported high believability (Mdn = 7, IQR = 1) and clarity (Mdn = 7, IQR = 1), and moderate intention to change preventive behaviors (Mdn = 5, IQR = 2). Higher-risk participants reported slightly less clarity (Mdn = 6, IQR = 2) than either average-risk (Mdn = 6, IQR = 1, p = 2.50 × 10-3) or standard participants (Mdn = 7, IQR = 1, p = 2.30 × 10-5); and slightly less believability (Mdn = 6, IQR = 1) than standard participants (Mdn = 7, IQR = 1, p = .005). Higher-risk participants were 2.21 times as likely (95% CI = 1.43-3.43) to misremember or forget their risk compared to average-risk participants; misremembering was observed only among higher-risk participants (14%). Mailed precision prevention information were mostly read, highly believable and clear, and resulted in moderate levels of intention to change sun protection behaviors, bolstering the feasibility of population-level precision prevention. Defensive reactions may explain lower clarity, believability, and higher incorrect risk recall among higher-risk participants.

Local Renewable Energy Development: School Teachers’ Perceptions, Attitudes and Teaching Intentions

This study investigated factors that might influence teachers’ intention to choose Renewable Energy Sources as an optional module. The research involved 454 Greek teachers working in the archipelagos of the southern Aegean region in Greece, an area with significant potential for the development of Renewable Energy Sources (RES). This potential however remains largely unexploited partly due to local community reluctance towards RES development in the area. Although renewable energy education is considered to be necessary for further RES development, RES are not among teachers’ first choice as an environmental module. We found that, despite teachers demonstrating highly positive attitudes towards RES, they consider local communities to be rather non-supportive of local RES development. A relationship between teachers’ moderate intention to teach RES and teachers’ perceptions of locals as non-supportive towards RES was found. We also found that local teachers feel more competent to teach about RES than non-local teachers. The latter are more motivated to comply with social pressure than locals. These findings emphasize the need for renewable energy education policy makers to take into account local communities’ role in influencing the teaching of RES and to provide teachers with the appropriate skills in order to competently handle potential oppositions.

Nurse Manager's Leadership Practices and its Relation to Staff Nurses Motivation and Intention to Leave

Background: Staff nurses are the most strategic human resource in healthcare organizations. Therefore, administrators struggle to enhance nurse manager's leadership practices to promote employee motivation and retention. Aim: to assess nurse manager's leadership practices and its relation to staff nurses motivation and intention to leave. Research Design: A descriptive correlational design was utilized to achieve the aim of the present study. Sample: A convenient sample (n=142) of staff nurses who agreed to participate in the study were included. Setting: The study was conducted at a University hospital at Cairo Tool: three questionnaires were used,1- leadership practices questionnaire 2- motivation questionnaire 3- Intention to leave questionnaire Results: the majority of staff nurses' highly perceived their nurse managers leadership practices, around half of them had moderate motivation level and around two-thirds of them had high to moderate intention to leave level. There was a highly positive statistically significant correlation between staff nurses' perception of nurse managers' leadership practices, and staff nurses' motivation and intention to leave. Conclusion: the study finding revealed that there was a highly positive statistically significant correlation between staff nurses' perception of nurse managers' leadership practices and their motivation and intention to leave. Recommendations: Administrators should develop nursing education programs to prepare the new and inexperienced nurse managers' leadership practices to fit different positions and they should enhance leadership practices that support the development of a healthy work environment through which they will achieve a high motivation level and improve staff retention welling.