Background: Research examining whether sustained simulation, embedded in everyday clinical routines, can shift staff perceptions of patient safety culture remains limited.Methods: We conducted a controlled multi-site study across eight pediatric departments in Denmark (four intervention, four control;2023-2024).Departments in the intervention region integrated simulation-based team training into their duty rosters.Patient safety culture was measured pre-and post-intervention using the Safety Attitudes Questionnaire-Danish version.The primary analysis applied a difference-in-differences approach.Results: Of 2,440 distributed questionnaires, 1,412 were returned (58%), and 1,220 were eligible (947 unique respondents).Intervention sites conducted 244 simulation sessions compared with 84 in control sites (a 2.9-fold difference).Relative to controls, intervention departments reported higher scores for perceptions of management ( + 5.1 points, 95% CI: 0.8-9.5)and working conditions ( + 6.1 points, 95% CI: 2.0-10.2);changes in other dimensions were smaller and not statistically significant.Conclusions: A sustained, locally facilitated simulation program was associated with improved perceptions of management and working conditions-domains closely linked to patient safety culture.These findings suggest that, under supportive conditions, simulation may operate not only as a pedagogical method but also as an organizational practice that can influence how staff perceive the culture of their clinical environment.

Prior research has identified that individuals characterized by traits like psychopathy, narcissism, and Machiavellianism (i.e., the Dark Triad) are seen to more likely engage in unethical behavior and hold less pro-organizational work attitudes. Yet, behavior and attitudes are shaped not by individual traits alone but by their interaction with the environment-a factor frequently overlooked in Dark Triad research. In two studies, we therefore explored how an unethical organizational culture influences the relationship between Dark Triad traits and their organizational behavior and attitudes: A field study with German-speaking employees from various companies (N1 = 1,077) and a scenario-based experiment with German-speaking employees and students (N2 = 275), in which the participants were randomly assigned to either an unethical (n = 138) or an ethical (n = 137) organizational culture. Across both studies, perceptions of an unethical organizational culture amplified the link between the Dark Triad traits and unethical behavior as well as primarily influenced pro-organizational attitudes, with the traits proving relatively unimportant for the latter. Our findings highlight the importance of assessing organizational context when examining the "dark side" of organizational psychology. In addition, this research underlines the relevance of improving unethical organizational cultures.

Against the backdrop of expanding digital dissemination and experiential transformation in cultural heritage, visitors’ visual attention and symbolic choices increasingly shape heritage cognition and value transmission. Taking the Yellow Crane Tower as a case study, this research constructs a cultural symbol recognition dataset based on visitor-shared social media images and develops an enhanced ResNet-50 model for multi-label analysis. By integrating attention mechanisms and regularisation strategies, the model improves its capacity to capture complex cultural imagery, achieving a macro F1 score of 72.70% and a micro F1 score of 81.05% on the test set, indicating strong generalisation performance. The results reveal a significant imbalance in visual preferences: landmark symbols centred on the main architectural structure dominate at 32.95%, whereas culturally informative elements such as signage, cultural products, and interpretive facilities each account for less than 5%. Tag co-occurrence analysis further identifies three image production patterns: commemorative presentation, contextual documentation, and detail-oriented cultural photography reflecting different levels of heritage perception. Rather than directly proposing prescriptive strategies, the findings provide an empirical basis for informing future interventions aimed at shifting from landmark-focused viewing to deeper cultural perception. In this way, the study contributes to heritage display optimisation and research on visitor visual behaviour.

ABSTRACT African student mobility to non-Western host societies remains under examined within South–South higher education migration. This study addresses that gap by examining how African students adapt in Indonesia, a host setting located outside the dominant Western context that has shaped most cross-cultural adaptation models. Drawing on Social Support Theory, the study moves beyond contextual application by showing that adaptation in this setting is structured mainly through informal, relational, and culturally embedded forms of support rather than formal institutional mechanisms. Using a narrative inquiry design, this study analyses semi-structured interviews with six African students in Indonesia through narrative thematic analysis. The findings identify six interrelated themes: language and communication, cultural and culinary adaptation, peer solidarity and belonging, homesickness, perceptions of the host culture, and identity integration. The study finds that peer solidarity constitutes the primary support system in students’ adaptation process. These findings extend existing models of cross-cultural adaptation by demonstrating that the forms and functions of social support are context-specific and cannot be fully explained through assumptions derived from Western host environments. The study contributes to research on international student mobility by highlighting the theoretical significance of South–South and non-Western contexts in understanding adaptation, belonging, and support.

This mixed-methods study examines the gap between standardized screening outcomes and self-recognition of elder abuse among rural Chinese older adults, and the cultural frameworks shaping perceptions of mistreatment. Data from 432 participants aged 60-79 were collected using a three-item NSHAP screening tool, a direct self-report question, and open-ended questions. Thirteen percent screened positive (91.2% psychological, 3.5% physical, and 14.0% financial abuse), with spouses representing the largest single perpetrator category across abuse types. Yet none of the 57 screening-positive participants self-identified as abused. Qualitative findings indicated mistreatment was defined primarily as violations of filial piety-such as neglect, disrespect, disobedience, or failure to provide financial support, typically involving adult children or children-in-law. Spousal conflict or abuse was not mentioned. Findings reveal a cultural disconnect between Western-derived screening tools and local understandings, highlighting the value of culturally responsive approaches to abuse identification that consider filial norms and parent-adult child dynamics.

ABSTRACT Determining renewal priorities for old residential communities is a key challenge for advancing people-centered urban renewal in resource-constrained small and medium-sized cities (SMCs). Using Jiefang District in Jiaozuo City as a case study and drawing on 192 valid questionnaires, this study developed a dynamic assessment framework that integrates spatial heterogeneity analysis, Analytic Hierarchy Process (AHP)-Entropy Weight Method (EWM) combined weighting, and AHP-Partial Least Squares Structural Equation Modeling (PLS-SEM) path modeling to quantify key influencing factors. The Importance-Performance Analysis (IPA) method was subsequently applied to establish priority orders. The results reveal a significant spatial misalignment between the allocation of public space resources and population carrying pressure. Property services, community belonging, parking, and community management were identified as prominent influencing factors. Community infrastructure perception emerged as the core driver of overall satisfaction, exhibiting positive synergistic effects with perceptions of community governance and culture. Accordingly, differentiated renewal strategies are proposed: to prioritize enhancements in accessibility, lighting, management, and belonging in key improvement areas; to consolidate strengths in advantage-maintenance areas through smart technologies; and to strategically enhance cultural services in slow-improvement areas. This study offers a scientific decision-making framework and a practical guideline for old residential community renewal in SMCs.

The digitalisation of healthcare requires nurses to possess strong Digital Health Literacy (DHL) to ensure patient safety. This study aimed to evaluate the relationship between DHL and perceptions of PSC among registered nurses in Jordan and to identify the demographic and professional factors associated with varying levels of DHL. A multi-center, cross-sectional survey was conducted from July to September 2025 across five public, private, and university-affiliated hospitals in Jordan. A sample of 500 registered nurses was recruited using stratified random sampling. Data were collected using a validated, seven-part composite questionnaire. Data were analyzed using descriptive statistics, reliability analysis (Cronbach's alpha), and structural equation modelling. The results confirmed the study's primary hypothesis, revealing a significant and strong positive predictive relationship between DHL and PSC (β = 0.42, p < 0.001), with DHL explaining 28.1% of the variance in PSC. Nurses reported moderately high DHL overall (M = 3.28), with strengths in operational skills but lower confidence in evaluating information reliability. Perceptions of patient safety culture were positive (M = 3.71), with Teamwork Climate rated highest (M = 4.21) and Perceptions of Management lowest (M = 3.34). Significant disparities in DHL were found; higher levels of education (p < .001) and working in a university-affiliated hospital (p = 0.001) were associated with higher competency. Notably, no significant differences were observed based on age or years of experience. Lack of adequate training and insufficient time were identified as the primary organisational barriers to technology use. Digital health literacy was significantly associated with better patient safety culture among Jordanian nurses, driven more by organisational and educational factors than generational stereotypes. To realise the safety benefits of digital health investments, institutions should strengthen nurses' digital and critical appraisal skills and remove organisational barriers.

The article investigates the notion of refugium as both shelter and enclave, situating it in relation to wetlands (swamps, marshes, and peat bogs) and their significance in the literature and cultural imagination of Central and Eastern Europe. The author’s point of departure is however the idea of silence, music, and listening, understood as intimately entangled with the cultural practices of refuge making. The analysis foregrounds the auditory conditions of this process, drawing attention to the complexities of the human relation to the environmental soundscape in the Anthropocene, as well as to the challenges of cultivating arts of attentiveness within environments saturated by technology and digital simulacra. The second part of the article focuses on the cultural perception of wetlands in the European thinking, tracing their ambivalent position: on the one hand, as sanctuaries of unspoiled nature, spaces of intimate encounter with elemental forces and sites of retreat; on the other hand, as zones of exile – dangerous, impure, and accursed – which are resistant to modernization. Within this discussion, a new narrative is introduced, emerging in connection with the so-called wetland turn in the environmental humanities. The narrative exposes the Enlightenment drive toward drainage and reclamation as an attempt to conquer wetland environments and to colonize their inhabitants. The final section returns to the nexus of refugium, silence, and music, approached through an analysis of the sonic representation of wetlands in contemporary Polish nature writing. Here, the notion of a sonic refuge of the Anthropocene is explored in relation to ideas of multispecies assemblages, heterogeneous temporalities, and polyphonic modes of listening, as articulated in Anna Lowenhaupt Tsing’s conceptual framework.

Mexico is undergoing a significant demographic transformation marked by population ageing, with rapid social and economic change and limited social protections and opportunities for older adults. Current public policies focus primarily on poverty alleviation, although healthcare continues to be described as this population’s most urgent need. Both are understood through a traditional cultural perception of older adults as frail and dependent on care. This perspective limits the recognition of older adults as active contributors to society and reinforces the notion that they require protection rather than engagement. Gerontology in Mexico is classified as a health-related field, and education programmes are compelled to adhere to medical regulations. We found 68 active higher education programmes in Mexico focusing on ageing, and among these there was a predominance of biomedical perspectives that address care and assistance, overlooking the complexity of later life. While perspectives on social, political, economic and human rights were covered in these programmes, these were treated as secondary to biomedical perspectives. By maintaining and enforcing a primarily biomedical lens, the status quo of ageing education and ageing policy in Mexico reflects biomedicalisation of ageing across three key areas: scientific knowledge, professional practice and policy making. Such an approach perpetuates stereotypes that equate ageing with frailty and illness, undermining the interdisciplinary nature of gerontology. Consequently, Mexican health and education authorities are yet to fully embrace the diverse dimensions of ageing studies and social gerontology, which could foster a more robust understanding of older adulthood beyond mere health concerns.

Against the backdrop of ongoing efforts to promote rural cultural dissemination and the preservation of intangible cultural heritage, the question of how local traditional material culture can be used to construct memory through documentary film has become a topic worthy of attention. Local traditional material culture manifests itself not only in specific artefacts, crafts and modes of production, but also embodies the lived experiences, emotional structures and cultural identities of a particular region. This paper takes the documentary The Green Endures as its subject of study. Employing textual analysis and adopting a cultural memory perspective, it examines how the film transforms Boxing's traditional coarse cloth into a visual text of local cultural memory through the presentation of artefacts, oral accounts, scenes of daily life and narrative expression. The study argues that The Green Endures does not merely offer a superficial documentation of traditional weaving techniques. Instead, through a structural organisation centred on 'objects—people—daily life', it transforms the old coarse cloth from a local artefact into a symbolic memory that embodies rural sentiments, local experiences and cultural perceptions. Simultaneously, by employing first-person narration, documentary-style imagery and everyday expressions, the film enhances the authenticity, relatability and communicative power of its portrayal of local culture. This case study demonstrates that the significance of documentary films on traditional local material culture lies not only in the preservation of traditional crafts, but also in the use of visual media to drive the reconstruction and contemporary expression of cultural memory.

Walking plays a central role in how tourists experience cities, yet most walkability measures remain oriented toward residents and do not reflect the specific spatial behaviours, sensitivities, and motivations of visitors. Existing indices typically overlook the importance of cultural access, environmental comfort, and safety perceptions for tourist mobility. As a result, there is a need for tourism-specific approaches that can capture how walkability varies within cities and how it relates to tourist mobility patterns. This paper proposes the Tourism Walkability Index (TWI), a fully geospatial and street-level framework designed to quantify walkability from a tourist perspective. The TWI integrates three dimensions – accessibility to relevant points of interest, access to public and shared transport systems and comfort conditions shaped by infrastructure and environmental quality. These dimensions are operationalised using a pedestrian network with slope-adjusted travel times and geospatial datasets describing urban amenities, mobility services, and comfort-related variables such as lighting, pedestrianisation, heat exposure, air quality, noise and traffic safety. The TWI is applied to four cities in northern Portugal – Porto, Braga, Guimarães and Vila Real – representing contrasting data environments and urban morphologies. Across all cities, the TWI reveals a recurring spatial structure: historic centres emerge as the most walkable areas, while peripheral zones consistently score lower. The fine spatial resolution reveal micro-scale contrasts that broader neighbourhood metrics obscure, including highly accessible but low-comfort streets, and comfortable yet poorly connected areas. These patterns highlight opportunities for targeted interventions, improved tourist dispersal, and enhanced alignment between tourism mobility and urban liveability goals. The multi-city application further demonstrates that the TWI yields coherent results even when only open data are available, indicating that its conceptual structure is robust and transferable. By providing a replicable, open-source workflow and fine-grained urban diagnostics, the TWI offers a practical tool for integrating walkability into tourism planning and sustainable mobility management.

ABSTRACT Home visiting is a promising approach to family engagement in education. However, few studies have investigated how home visits shape teachers' understanding of culture in families of bilingual students, which is crucial to culturally sustaining pedagogy. This study examined how relationship-building, asset-framed home visits shaped kindergarten and second-grade teachers' perceptions of culture in Spanish-English bilingual students and their families. Participants included four pairs of Spanish- and English-instruction teachers from a dual-language immersion programme. Thematic analysis of teacher reflection logs was conducted to examine how their understanding of multilingual, multicultural students and families evolved through home visiting. Comparisons between pre- and post-visit reflections revealed that teachers learned about families' cultural traditions and transnational experiences through the artifacts and stories shared during home visits. All teachers shared novel insights into students' lives outside of the classroom. Differences between Spanish and English teachers' reflections suggested that individual background knowledge influenced their interpretation of the cultural values and social-emotional significance conveyed in family narratives. The findings illustrate how relationship-building, asset-framed home visiting enhanced teachers' holistic and humanistic perspectives of bilingual students and their families, which is essential for culturally sustaining pedagogy and family-school partnerships.

At present, participation in winter sports in China faces multi-dimensional cognitive thresholds, which are formed with both the particularity of social and cultural contexts and the complexity of practical contradictions. In view of this, this study uses text analysis to construct a model of the threshold for participation in winter sports. The study found that resource accessibility prediction and environmental facility perception are external elements, while information awareness, cultural compatibility perception and skill fit insight are internal elements. Extrinsic elements not only form the fundamental driving force of intrinsic elements, but also regulate the psychological pathways from cognitive formation to the transformation of behavioral intentions. Each factor has both independent and cumulative effects on the willingness to participate in winter sports. Boost the confidence of potential participants by lowering the cognitive threshold. Dig deep into the theoretical model of key elements of the cognitive threshold shape to provide a theoretical framework for the subsequent development of participation in winter sports.

Survey dataset on key drivers of tax evasion.

This study aimed to measure changes in staff perceptions of research capacity and culture in a small rural health service in Australia over time. Staff completed the Research Capacity and Culture Tool, a valid and reliable survey that measures individuals' perceptions of their own research capacity and the research capacity and culture of their team and organisation. Data from 2015 was compared to 2023, following significant changes at the health service that focused on integrating research into the organisational structure. This was a repeated cross-sectional study in which data were collected from different individuals. Data were collected from a rural health service in Victoria (Modified Monash Model 4-5). All staff working in the health service were invited to complete the survey. Research Capacity and Culture Tool. Results demonstrated improvements in eleven out of eighteen measures of research capacity and culture at the organisation level, six out of nineteen measures at the team level, but none at the individual level. Median improvements were modest, typically two points on the 10-point scale. Integrating research into the health service organisation structure may be beneficial for its research capacity and culture.

Edible insects have long contributed to food security, nutrition, and cultural identity in sub-Saharan Africa, yet systematic ethnographic documentation remains limited in many countries, including Tanzania. The lack of coordinated data constrains policy integration, conservation planning, and safe food system development. This study employed a mixed-methods ethnographic design combining geo-referenced household surveys (n = 131), semi-structured interviews, key informant discussions, participant observations, and specimen collection across nine regions of Tanzania (2022-2025). Geographic Information Systems (GIS) were used to map existence of insects in their habitats as mentioned by the respondents for harvest and consumption hotspots, while qualitative data were thematically analyzed to document cultural practices, taboos, and perceptions related to edible insects. Over 40 edible insect taxa across six taxonomic orders were documented, consumed by 29 ethnic groups. Orthoptera and Lepidoptera were the most widely consumed orders. Consumption patterns were strongly shaped by cultural norms, seasonality, ecological habitats, and sensory preferences. Edible insects were integrated into child feeding practices, with82% of respondents reporting feeding insects to children under five years. Medicinal and therapeutic uses were widely reported, though some adverse health effects were linked to poor hygiene and processing practices rather than inherent toxicity. Edible insects remain culturally embedded, nutritionally valued, and ecologically significant in Tanzania. However, erosion of indigenous knowledge, habitat pressures, and limited food safety awareness threaten their sustainability. This study provides the first national ethnographic baseline to inform nutrition policy, biodiversity conservation, and sustainable insect-based food system development in Tanzania.

From Barriers to Breakthroughs: A Mixed-Methods Evaluation of Stroke Education in an Under-Resourced Urban Population.

Mental health literacy programs in Nigeria: A comprehensive scoping review of interventions, challenges and outcomes.

Purpose Grounded in the social information processing theory, this study examines the impact of innovative climate on employees' perceptions of cultural diversity management and its subsequent effect on organizational commitment. We also explore the moderating role of workplace formalization in these relationships. Design/methodology/approach Multisource survey data were collected from 219 matched pairs of Thai employees and Chinese supervisors across 56 multinational enterprises in Thailand. The data was analyzed using Partial Least Squares Structural Equation Modeling. Findings The findings support the positive relationships between innovative climate, cultural diversity management, and organizational commitment. However, high formalization was found to diminish these effects. Particularly in highly formalized workplaces, the positive effect of innovative climate on perceived cultural diversity management is significantly reduced. Moreover, perceived cultural diversity management does not lead to the development of organizational commitment in such environments. Practical implications The findings offer policy recommendations for multinational enterprises on fostering an innovative climate and effective cultural diversity management while avoiding excessive formalization. Such practices can enhance employee commitment, which in turn may strengthen human capital and improve firm productivity over time. Originality/value Our study advances the understanding of how employees process information about inclusivity in innovative work environments and how these perceptions influence organizational commitment. We also offer new insights into how workplace formalization shapes employees' ability to internalize and respond to the positive effects of an innovative climate and cultural diversity management.

User-generated content and electronic word-of-mouth (eWOM) have become crucial sources of information for tourists over the past two decades. At the same time, tour operators and agencies are increasingly attentive to travelers’ opinions, reflecting shifting expectations and preferences in destination choice. This paper analyzes TripAdvisor reviews of Samarkand’s (Uzbekistan) main attractions, with the objective of identifying differences in ratings by attraction, travel type, and travelers’ region of origin. In addition, it explores the dominant themes, emotions, and issues reflected in visitors’ comments after visiting Samarkand, offering insight into perceived destination attributes. Using Maxqda and Leximancer software, 400 reviews of the eight most visited attractions in Samarkand were systematically analyzed through quantitative and qualitative content analysis. Results show that reviews are overwhelmingly positive, with only slight variations between attractions and regions of origin of travelers. Negative expressions were rare, while strong positive emotions and symbolic associations predominated accross narratives. The findings illustrate how eWOM reinforces the city’s reputation as a world-class heritage destination and highlights the symbolic role of online reviews in shaping cultural tourism perceptions. Furthermore, positive eWOM enhances Samarkand’s global competitiveness by strengthening its visibility, credibility, and appeal among potential visitors. Content analysis also reveals that travelers’ experiences are largely consistent across attractions, travel types, and regions of origin. These insights provide local authorities and tourism stakeholders with empirical evidence to strengthen Samarkand’s identity and attractiveness, supporting more effective and sustainable heritage tourism promotion strategies, and destination management policies in emerging cultural tourism contexts.