Perceptions Of Managers Research Articles

Investigating the confidence business leaders have in business rescue

PurposeThe study measures business leaders’ perceptions of the likelihood of recovery, the competency of business rescue practitioners and the level of support they are expected to provide to businesses in rescue. By examining these three facets of confidence, using expectancy theory, the study seeks to reveal the perceptions of directors as decision-makers in commencing proceedings by inferring their level of confidence in the business rescue process to the likelihood of directors initiating business rescue proceedings timeously.Design/methodology/approachAn online survey targeted South African business leaders, especially directors, was developed to recognise the confidence in the business rescue process. The study combined quantitative (Likert scale) and qualitative (open-ended questions) methods. Data were analysed using the expectancy theory, linking behaviour to anticipated outcomes, to derive confidence in the rescue process. Limitations such as the sensitive nature of insolvency and its inherence negative inclinations should be noted.FindingsThe study revealed some complex sentiments surrounding the business rescue proceedings. The responses are indicative of both confidence in and scepticism of the process, offering a nuanced look at South Africa’s insolvency proceedings from outside the confines of the industry itself.Research limitations/implicationsThe limitations of the study are notably reflected in its reliance on qualitative insights, which may inherently skew towards negative perceptions due to the nature of the subject – business rescue proceedings. Moreover, despite the anonymity of the survey, there remains a possibility that respondents, who are directors with fiduciary duties, may not have been completely forthcoming. This reticence could stem from an unconscious bias to present themselves and the decisions they make in a more favourable light, thus potentially downplaying or overlooking their own hesitations or misgivings about the business rescue process. This may lead to an underrepresentation of both the depth of scepticism and the complexity of the challenges faced in initiating business rescue proceedings.Originality/valueThe originality of this paper lies in investigating the confidence business leaders have in the business rescue process in the context of South Africa derived from a survey instrument.

Perception, practice and associated factors of labour pain management among obstetric care providers in public health facilities in Harari Region, Ethiopia: a multicentre cross-sectional study.

Although providing relief from labour pain can improve the mother's satisfaction with the birthing process and lead to better reproductive outcomes. This study aims to evaluate the perceptions, practices and related aspects of labour pain management among obstetric care providers in public health institutions in the Harari Region of Ethiopia. A cross-sectional study was conducted in the labour and delivery wards of public health facilities in the Harari Region. Data were collected using a semi-structured and pretested self-administered questionnaire among systematically selected obstetrics care providers (OCPs). A multivariate logistic regression model was used to identify factors associated with the practice of labour pain management. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to determine the strength of associations and a p-value <0.05 was considered significantly associated. Data from 234 OCPs were employed for analysis. A total of 70.9% of OCPs have positive perceptions and 69.7% practiced labour pain management in the past 4weeks. Being a female (adjusted OR [aOR] 2.33 [95% CI 1.06 to 5.15]), having a positive perception (aOR 7.76 [95% CI 3.21 to 18.72]), being a physician (aOR 6.35 [95% CI 1.94 to 20.82]), being a midwife (aOR 5.28 [95% CI 1.78 to 15.63]) and being a highly qualified OCP (aOR 17.89 [95% CI 5.22 to 61.30]) were associated with being more likely to practice labour pain management. Positive attitude (aOR 2.77 [95% CI 1.51 to 8.72]), being a physician (aOR 6.01 [95% CI 1.23 to 29.35]) and practicing labour pain management (aOR 12.89 [95% CI 4.57 to 36.38]) were associated with labour pain management perceptions. Seven of ten OCPs practiced labour pain relief methods and had a positive perception of managing labour pain. Therefore, facilitating training and improving the perceptions and attitudes of OCPs towards labour pain management should be encouraged.

Identifying Critical Dimensions of the Patient Safety Culture Affecting Nurses’ Turnover

Background A lack of understanding of the causes of turnover among nurses is the main threat to patients, as it directly affects the care that staff provide based on the patient safety culture (PSC). Therefore, it is necessary to identify critical dimensions affecting nurses’ turnover. Methodology This study uses the internal data sets of the Chinese version of the safety attitudes questionnaire of a regional teaching hospital in Taiwan from 2015 to 2018 focusing on the turnover of nursing staff who left their jobs in the next coming year (from 2016 to 2019) by employing linear regression with forward selection. Results Perceptions of management are the first critical variable to be identified followed by safety climate and teamwork climate. These three dimensions positively influence the overall satisfaction of the PSC from the viewpoints of nurses’ turnover. In contrast, this study concludes that working conditions and job satisfaction might be the dimensions to influence nurses’ leave in this case hospital. Conclusion Improving working conditions and job satisfaction to result in a higher overall satisfaction of the PSC might be an approach to reduce nurses’ turnover.

Algorithmic Paranoia: Gig Workers' Affective Experience of Abusive Algorithmic Management

ABSTRACTAmidst the rapid rise of gig economy platforms, gig workers increasingly report feelings of mistrust, anxiety, and profound fear under opaque and abusive algorithmic management. This article introduces the concept of ‘algorithmic paranoia’ to capture the negative affective experiences stemming from workers' perceptions of algorithmic management as non‐transparent, arbitrary, and retaliatory. Drawing on the concept of organisational paranoia from sociology and organisation studies, we theorise how workers' adverse experiences breed mistrust and suspicion toward both human and nonhuman actors on the platform. This culminates in intense feelings of persecution and anticipations of harm, which workers strive to cope with through hypervigilance and self‐protective actions aimed at pre‐empting anticipated threats. Our study contributes to existing literature by emphasising the role of affect in workers' responses to algorithmic management, highlighting the self‐reinforcing dynamics among perceptions of abusive management, negative affective experiences, and preventive, self‐preserving actions. We base our findings on an abductive analysis of data from 53 in‐depth interviews with creative freelancers on gig economy platforms and conversations from an online community forum.

Accounting for credit card rewards programmes: the perceptions of managers and experts

Purpose International Financial Reporting Standard (IFRS) 15 required credit card rewards programmes (CCRPs) to reconsider their accounting practices. While Brink and Steenkamp (2023a, 2023b) developed a theoretical accounting model for CCRP transactions after the effective date of IFRS 15, this model should be validated and finalised as an accounting framework. Thus, the purpose of the present paper was to examine the validity of Brink and Steenkamp’s (2023b) model by interviewing CCRP managers and obtaining the opinions of experts in the field, and then develop a framework for accounting for CCRP transactions after the effective date of IFRS 15. Design/methodology/approach A qualitative exploratory approach within an interpretive paradigm was applied. Fifteen semi-structured interviews were conducted with South African CCRP managers, after which the Delphi technique (with 22 experts) was used. All data collected were analysed using thematic analysis, after which the CCRP accounting framework was finalised. Findings The study confirmed parts of the theoretical model, updated the model for what was evident in practice (e.g., not identifying interest as a relevant revenue stream, not differentiating between an open-loop and closed-loop structure and not including interest in the interchange fee) and improved the model by including alternative accounting treatments and additional guidance (e.g., to determine how the CCRP transaction should be viewed and to determine the value of award credits without an observable value). Practical implications The CCRP accounting framework provides practical guidelines for CCRP accounting and will assist managers of CCRPs in their decision-making processes and the application of judgement. Originality/value The study developed a CCRP accounting framework embedded in a decision tree and included all possible alternatives for accounting for CCRP transactions, which is a novel contribution to the field.

Sustainability in European luxury tourism companies: an analysis of practices and managerial perspectives

Purpose This paper aims to present findings from a preliminary study aimed at investigating sustainability practices and managerial perceptions within European luxury tourism companies. The study addressed two key research questions: What is the present state of sustainability practices in the luxury tourism sector? What are the managers' perspectives and the prevailing trends in the adoption of sustainable approaches? Design/methodology/approach The study used a mixed methods approach to gather data from a diverse range of European luxury tourism companies. The survey and the interview of companies’ representatives encompassed various organisational types engaged in different tourism activities, allowing for a comprehensive exploration of sustainability practices within the sector. Organisational characteristics, such as size, turnover and location, were considered to ensure a representative sample. Findings The findings of the study reveal a robust commitment to environmental, social and economic sustainability across the luxury tourism industry. Despite variations in organisational characteristics, including size, turnover and location, the study identified a lack of significant differences in sustainability practices, indicating a noteworthy homogeneity within the sector. The findings also show that a high percentage of companies hold sustainability certifications and share an emphasis on authenticity, local engagement and economic profitability. Research limitations/implications The study's sample size may limit the generalisability of the findings. A larger sample size would enhance the study's robustness and allow for more comprehensive insights into sustainability practices within the luxury tourism sector. The study's focus on European luxury tourism companies may limit its applicability to other regions or contexts. Originality/value This study contributes to the existing literature by providing insights into sustainability practices and managerial perspectives within the European luxury tourism sector. The study offers original insights into the current state of sustainability in luxury tourism and highlights opportunities for further research and refinement of sustainability initiatives within the sector.

Factors Affecting Well-Being and Work Activity in Italian Dental Hygienists During COVID-19 Emergency.

The goal of this study was to assess the effect of the COVID 19 pandemic in terms of work-related stress on a sample of 424 Italian dental hygienists (rate response 98%). It was tested which factors may influence most the perception of stress among Italian dental hygienists, which coping strategies hygienists adopted, and which protective factors may help them to cope with stress. Data were collected during a phase of moderate improvement of epidemiological conditions in Italy (Summer 2021-from June to September) through an online questionnaire, 424 questionnaires were considered for analysis. Results show a perception of good satisfaction among participants about their job, although the level of stress perception seems to be significant. They have also a perception of effective risk management in the workplace. The elements that seem to influence mostly work-related stress levels are associated to (1) repetitive movements and postural changes due to the use of mechanical tools; (2) the use of personal protective equipment (e.g., surgery masks, gloves, etc.); and (3) relations with patients. Results show that participants tend to implement coping strategies such as physical activity and/or spending time with family and/or friends, but it seems that at an organisational level, no systematic measures have been taken. This study shows some protective factors that may help in coping with work-related stress, such as support from the dentist, a good work-life balance, role clarity with respect to the operational and professional role, the perception of self-efficacy at work, good integration into the teamwork and perceived support from colleagues.

The Influence of Emotional Intelligence on Psychiatric Nurses' Care Behavior, and the Chain Mediating Role of Compassion Fatigue and Perception of Management.

To investigate psychiatric nurses' emotional intelligence and its effect on care behavior, while also examining the mediating effect of compassion fatigue and perception of management. This cross-sectional study was conducted in several specialized psychiatric hospitals with 360 psychiatric nurses. Self-report surveys were administered, which included the Caring Factor Survey-Caring of Manager, Caring Behaviors Inventory, Compassion Fatigue Short Scale, and Wong Law Emotional Intelligence Scale. Data were analyzed using descriptive, correlation, and path analyses. Mean score for care behavior was 4.78 (SD = 0.83), which was at a moderate level. Compassion fatigue exhibited negative correlations with other variables. Results of mediation effect analysis showed that emotional intelligence directly predicted care behavior (p < 0.001). Emotional intelligence also indirectly affected care behavior through the mediating roles of perception of management and compassion fatigue, and affected care behavior through the chain mediation effect of perception of management and compassion fatigue. Nurse managers should pay attention to the influence of emotional intelligence on care behavior and improve care behavior by strengthening leadership and alleviating compassion fatigue. [Journal of Psychiatric Nursing and Mental Health Services, xx(xx), xx-xx.].

Knowledge and Perceptions about Diagnosis, Clinical Management, and Prevention of Dengue Fever among Physicians during the 2023 Outbreak: A Cross-Sectional Study in Peru.

The objective of this study was to evaluate the knowledge level and perception of dengue fever management among Peruvian physicians and to determine the factors associated with higher knowledge. We conducted an analytical cross-sectional study based on an online survey. To evaluate the factors associated with a high level of knowledge (≥70% of correct answers), we used crude (cPR) and adjusted (aPR) prevalence ratios by the Poisson regression model. Of 359 respondents (median age: 33 years; male: 56.5%), 78.8% achieved a high level of knowledge. Multivariable analysis showed an independent association with having read the Peruvian clinical practice guidelines for dengue management (aPR: 1.29; 95% CI: 1.12-1.49), having experience in treating patients (aPR: 1.32; 95% CI: 1.03-1.68), and having treated cases frequently (aPR: 1.22; 95% CI: 1.02-1.46). Residing in the eastern macroregion (aPR: 0.83; 95% CI: 0.71-0.97) was associated with a low level of knowledge. In conclusion, Peruvian physicians had a high level of knowledge about dengue fever. This was associated with having clinical experience in dengue management. However, given the low level of knowledge in the eastern macroregion, educational campaigns are necessary in this area.

Higher and Middle Management Perspectives on Patient-Centered Care in an Oncology Setting: A Qualitative Study.

Patient center care (PCC) plays a crucial role in achieving the organizational and patient outcomes. Literature suggests that PCC enhance patient's adherence to treatment, lower the cost of health care organization. This study aimed explore the higher and middle managers' perceptions of patient-centered care (PCC) in an oncology setting, identify the PCC implementation challenges in the oncology setting, and understand the role of managers in facilitating PCC within the oncology context. Sampling involved the use of the purposive sampling technique on 17 middle managers and 6 upper managers who had been working in an oncology setting. The six-step thematic analysis method was used for data analysis. The interviews identified six main themes and seventeen subthemes: "comprehensive care, partnership, and informed decision-making", "infrastructure and support systems", "leadership influence on patient-centered care", "cultural and operational barriers", "perceived outcomes", and "strategies to enhance PCC in oncology". The subthemes of comprehensive care included fostering partnerships and enabling informed decisions. The infrastructure and support systems encompassed educational empowerment and service integration. Leadership influence highlighted the role of elevating awareness, providing organizational support, and promoting comprehensive care. The cultural and operational barriers addressed the challenges faced in implementation. The perceived outcomes focused on the results of patient-centered care, while strategies to enhance PCC in oncology provided actionable insights for improvement. This provides a comprehensive understanding of the perceptions of middle and higher managers on patient-centered care (PCC) in oncology settings. It identifies key challenges in PCC implementation, highlights the critical role of managers in facilitating PCC, and offers actionable strategies for enhancing PCC.

Managerial insight on triple bottom line reporting – an analysis of the Indian banking sector

Purpose Reporting on triple bottom line (TBL) practices has emerged as an essential aspect in banking sector due to evolving social and environmental concerns. Engaging in social and environmental activities is a strategic means to uphold dynamic alliances with stakeholders and eventually attain sustainable development. Furthermore, perception towards social and environmental practices is strategic to satisfy stakeholders’ interests. This paper aims to examine managers’ perception about reporting on social-environmental performance and its impact on financial performance (FP) in Indian banking sector. Research further assesses moderating effect of gender and experience in influencing the relationship between the constructs and also determines importance and performance of the constructs. Design/methodology/approach A well-structured questionnaire was distributed to 400 bank managers across India’s public, private, regional-rural, foreign and cooperative banks. The collected data were analysed through Smart PLS structural equation modelling. The moderating effect of demographics of bank managers in influencing the relationship was assessed using PLS-multi-group analysis (MGA). Besides, importance performance map analysis (IPMA) was used to understand the importance and performance of the constructs. Findings Findings indicate that bank managers believe that social and environmental activities strengthen relations between banks and stakeholders, resulting in better FP, thereby endorsing the stakeholder theory. Results of MGA suggest that gender and experience of bank managers are not effectual moderators in determining relationship between the constructs. Using IPMA, findings advocate that managers perceive environmental performance as a relatively high performance and a more important construct in influencing FP than social performance. Social implications Research would pave the way for banks to effectively communicate their commitment to sustainable development goals, engage stakeholders and demonstrate their commitment to creating positive social and environmental impacts. Furthermore, managerial perceptions can have a marked effect on customers’ understanding of social and environmental practices. This may influence customer satisfaction, conviction, commitment and constancy. Besides, a better understanding of the performance on social and environmental aspects over and above the FP of banks would facilitate the investors to make more informed and effectual decisions. Originality/value Considering the paucity of studies on the managerial perception of social and environmental activities and determining how the perception affects financial success, this study makes significant contribution to the literature. It would facilitate banks to design appropriate strategies and legislations to incorporate reporting on TBL practices for improved performance analysis. This would eventually ensure profitability along with sustainability in the Indian banking sector.

NURSE FACULTY MEMBERS' PERCEPTION OF DIVERSITY MANAGEMENT: A CROSS-SECTIONAL ONLINE SURVEY İN TURKEY

Academic organizations are institutions where people with different backgrounds come together. However, the perceptions of academics working in academic organizations on diversity management are unknown. This, aim to determine the perceptions of academic nursing faculty members regarding diversity management. A total of 351 volunteer academic nursing faculty members participated in the study. The study data were collected using an online survey. It was determined that the perception of the diversity management of academic nursing faculty members is at a moderate level. In addition, academic nursing faculty members born in 1980 or earlier, female, single, holding the title of professor, having administrative duties, having 21 years and more of both professional and institutional experience, and evaluating the management style of their institution as "participatory" had higher sub-dimension scores, and there were statistically significant differences between groups in terms of title, administrative duties, institutional experience, and management style of the institution (p &lt; 0.05). To increase the perception of diversity management of academic nursing faculty members, it can be recommended to raise awareness of academic unit managers and to adopt diversity management approaches.

The Impact of ESG Facilitation Factors Perceived by Franchise Hair Salon Workers on Adoption Intentions

The purpose of this study is to analyze the differences in ESG promotion factors and adoption intentions among franchise hair salon employees based on their general characteristics, and to identify the impact of ESG promotion factors on adoption intentions. This study aims to provide the necessary foundational data for establishing effective policies and implementation strategies. A survey was conducted among franchise hair salon employees from Generation Z to older generations, resulting in 492 valid responses used for the final analysis. The data were analyzed using SPSS 22.0, employing frequency analysis, factor analysis, reliability analysis, and multiple regression analysis. The study results revealed differences in ESG promotion factors based on generation, education level, position, and work experience. Adoption intentions varied by generation, education level, and position. ESG promotion factors, including management willingness, government policy, and consumer demand, significantly influenced adoption intentions, with management willingness being the most crucial factor. This study provides essential insights for establishing ESG adoption and implementation strategies in the franchise hair salon industry and contributes to understanding generational differences in ESG perceptions. Future research should focus on collecting more diverse data and conducting detailed studies on the characteristics and perceptions of franchise hair salon managers.

Students Perception on Soft Skills in Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia

Background: Soft skills is important attributes of professionalism in the practice of medicine. Soft skills to be known as person's ability beyond knowledge, intelligence, or competence. Faculty of Medicine in Universitas Swadaya Gunung Jati, Cirebon, Indonesia, has used various learning methods to support students' skills, allowing students to have different perspectives in understanding soft skills. Aims: To identify the perception of medical students at Faculty of Medicine, Swadaya Gunung Jati University, in the pre-clinical stage towards soft skills. Methods: This was an observational descriptive study. Respondents were selected using Stratified Random Sampling techniques, sample size was 262 respondents were obtained from semester 2, 4, 6 and 8. This study used primary data with 42 statement items with univariate analysis. Results: From 262 respondents, of 93.1% students (244) have a good perception of the definition of soft skills. As many as 50.4% (123) of 262 respondents have a good perception of time management. As many as 81.3% (213) of 262 respondents have a good perception of critical thinking. 73.7% (193) of 262 respondents have a good perception of teamwork. As many as 87.4% (229) of 262 respondents have a good perception of public speaking. Conclusion: This study showed medical student perception of soft skills regarding definition, time management skills, critical thinking, teamwork, and public speaking had a good perception. In the future, Faculty needs to provide space for students to develop these soft skills through training or interprofessional education and other programs. Received: 10 September 2024 | Reviewed: 16 October 2024 | Revised: 23 October 2024 | Accepted: 31 October 2024.

Perception of Safety Management and Safety Culture Among AbInitio Pilots

Perception of Safety Management and Safety Culture Among AbInitio Pilots

Evidence-Based Medicine Culture, Curriculum, and Program Outcomes: A CERA Study.

Limited faculty development is a barrier to advancing evidence-based medicine (EBM) education. This study sought to describe program director perception of EBM culture in family medicine residency training and to assess the association among structured faculty roles, EBM curricula, and specific resident outcomes including publications in EBM. Members of the Society of Teachers of Family Medicine EBM collaborative drafted survey questions based on a literature review. The questions were electronically distributed in May 2023 to all US family medicine residency program directors who had not previously opted out by the Council of Academic Family Medicine Educational Research Alliance within its study of family medicine program directors. We analyzed results using descriptive and comparative statistics. The overall response rate was 44.7% (309/691). We found that 260/281 (92%) of program directors reported an EBM curriculum of some kind, and 253/281 (90%) of program directors agreed/strongly agreed that EBM was accepted by residents. Of the respondents, 72/281 (25.6%) reported that no specific faculty member was responsible for their EBM curriculum. Most program directors reported that less than 50% of residents will leave their programs with the ability to detect an error in original research (23.8%; 67/281), detect an important omission in an UpToDate article (16%; 45/281), or author a narrative review for American Family Physician (10%; 28/281). Program directors reported strong acceptance of EBM among residents and a high prevalence of a formal curriculum. However, many lacked a specific faculty lead, and few reported that residents had strong EBM skills. This study identified gaps in residency training to support future EBM-skilled family physicians as well as concerns about pathways for the development of future EBM faculty.

OVERVIEW OF CAREER MANAGEMENT IN DENTISTRY: CHALLENGES AND TRENDS FOR THE FUTURE FROM THE STUDENTS' PERSPECTIVE

Career management has faced several innovations, due to the economy, politics and social contexts. Such changes are justified by technological advances, globalization, communication processes, outsourcing, and unemployment (PEREZ, 2021). It is relevant to reflect and outline a career plan, in order to find a way to put it into practice, to have the attitude of moving towards the achievement of both personal and professional goals. To describe the perception of career management, as seen by students in the health area at a private university in Belo Horizonte. This is a quantitative research, with the purpose of obtaining results that answer the guiding problem of this study. All dentistry students from Brazilian public and private universities were included, who answered a semi-structured questionnaire, reaching the following results: Gender 76.9% of the interviewees are female and 23.1% male; Age 58% of the students are in the 25-year age group; working in the area represent 38%; 79.3% of these students are studying their first undergraduate degree; 20.7% are in their second degree. Regarding the income profile, 37.9% receive between 1 and 2 thousand reais per month, and 50.7% have a salaried employment relationship, and 70.9% have never taken a vocational test to choose dentistry. Therefore, it is possible to conclude that in the current times, important changes in the work scenario are visible. Having achieved the objectives of this study, evidencing the commitment of dentistry students, however, contrary to expectations, it was noted that the individual initiative to develop the career is unsatisfactory, as well as there is no promotion by the HEIs due to the lack of disciplines on clinical career management and offices during the course.

Insights from an international clinic survey on CIED patient management practices and perceptions

Abstract Background Remote monitoring (RM) is recommended as standard of care to manage patients with cardiac implantable electronic devices (CIEDs). However, implementation within overall follow-up (FU) practice is challenging with many organizational aspects to consider. While the 2023 HRS/EHRA/APHRS/LAHRS consensus on management of remote device clinics provided guidance, data on current patient management practice is lacking to understand existing gaps. Purpose This survey of device clinic staff characterized the state and perceptions of CIED patient management. Methods A Delphi panel of US and EU clinical experts guided the research objectives, structure, and content of the survey. Once consensus was reached, the online survey (Qualtrics) was deployed in partnership with HRS. An available case analysis was performed to handle missing data. Results A total of 471 responses were received between September 2023-January 2024 (66% US, 19% Europe, 15% other). Overall, performing a combination of in-office visits and RM was the most frequent FU practice for all devices. Remote-only management was only commonly reported for insertable cardiac monitors (ICM). Adoption of RM was lower in EU compared to US for therapeutic devices, especially pacemakers for which in-person only FU remained high (Figure 1). Frequency of routine visits and transmissions is reported in Figure 2. While the majority of respondents (48-67%, depending on device type) expressed that less than 20% routine visits are actionable, adopting a practice of FU visits scheduled every 2 years as suggested in the 2023 consensus was rarely reported for therapeutic devices. However, alert-based RM seems to emerge for ICM without routine FU. In the US, frequency of scheduled transmissions appeared aligned with reimbursement rules (monthly for ICMs; quarterly for therapeutic devices), whereas there was more variability in EU where RM often lacks clear funding. Divided opinion was observed regarding staff sufficiency as 43% found staffing levels somewhat/very sufficient, while 42% rated it as somewhat/very insufficient. Managing disconnected patients, initial transmission review, and patient phone calls were identified as most burdensome tasks and were the ones for which there was most willingness to outsource. Although 60% respondents rated their practice as somewhat/very efficient, the majority (45%) did not report monitoring performance. The minority (29%) assessing patient management performance primarily tracked workload volume rather than quality-related metrics. Conclusion This large international survey characterized contemporary CIED patient management practices. While the 2023 HRS/EHRA/APHRS/LAHRS consensus highlighted the potential for alert-based RM, reducing in-person visits, and third-party resources to streamline patient FU, these practices have yet to be fully implemented. As such, there is opportunity to standardize and optimize workflows to drive efficiency and quality of care.Follow-up paradigm by regionFrequency of routine follow-up

Organization of Vaccination Sites in Quebec: Perception of Users, Employees and managers

Abstract Since late 2020, vaccination sites have emerged rapidly in order to protect the population against COVID-19. Health services in Montérégie (Québec) are provided by three organizations. Each adopted a different approach to immunization. The Regional Public Health Department took this opportunity to describe, compare, and explain these three approaches. A mixed methods design through a multiple case study was conducted. Users, employees and managers were interviewed at the end of 2021 on several performance-related topics. Individual interviews with employees and managers in mid-2022 further explored these topics. 38 managers, 360 employees, and 946 users participated in the survey. 9 managers and 10 employees were interviewed. Most participants were satisfied with vaccination organization regardless of the model used, mainly because of high geographic and temporal accessibility of the sites. Further signage to indicate directions could optimize accessibility. High adaptability was essential for managers and employees. Training strategies such as people to refer to and pairing allowed to better deal with frequent changes and staff rotation. The addition of ongoing training could be beneficial. Rapid changes in employee schedules were identified as a challenge. The use of technology-based scheduling tools, accessible to all, brought added flexibility, which was appreciated. Several ideas were used to communicate updates on a daily basis. However, timely implementation of new recommendations remained an ongoing challenge. Dedicated clinics for specific clienteles were successful. Community partnerships were generally beneficial, although establishing more of them could potentially reach other vulnerable communities. To improve accessibility and minimize health social inequities, a greater investment in local partnerships might reach more vulnerable clienteles. Regular communication and innovative employee support are key elements to improve fluidity of operations. Key messages • Reaching out for vulnerable clienteles is essential to minimize health social inequities. • Rapid changes in services needs underlign fluidity communication importance.

The Attitudes of Households for Disaster Risk Management in Fogera, Estie and Ebenat Woredas

The underlining disaster risk management practice translates the combination of knowledge, attitude, and action to maximize the effectiveness of responses against disasters. While knowledge and disaster risk management activities move along simultaneously, attitudes are inherent to individuals posing challenges to easily identify issues and then taking extended time to change. Lack of scientific wisdom on the perception of individuals towards disaster management, and the limited understanding of different factors that influence attitudes, complicates the endeavor in response to the increasingly uncertain future. This study assesses the attitudes of households for disaster risk management in the nine kebeles, the lowest administrative unit in Ethiopia, and 32 villages in Fogera, Ebenat and Estie districts (Woredas, the main administrative unit similar to county). Cross-sectional quantitative method was employed, and attitudinal survey was conducted among 412 households selected through probability simple random sampling. Purposive nonprobability sampling technique was used to identify research kebeles based on disaster prevalence, and to collect supplementary attitudinal data from 64 participants representing academia and local stakeholders. Descriptive statistics and parametric test of variance and covariance have been conducted to determine the attitude levels and to assess major factors influencing households’ attitude for disaster risk management. Results indicated that most of the households (53%) have a fairly positive attitude. Households with negative (27%) and extremely negative (20%) perception are concentrated in rural kebeles that are highly affected by recurrent disasters. Therefore, households in disaster affected areas have negative and unconstructive perception for disaster risk management. This is mainly associated with lack of active community participation and ineffective risk management activities. Households’ attitude is also significantly affected by age (p = 0.0001), and within different age groups (p = 0.001), location by kebeles (p = 0.0237), education levels (p = 0.0016), education status (p = 0.004) and experience in indigenous risk management practices (p = 0.00001). In addition, this study revealed a linear relationship within all the identified factors and households’ attitude levels. Considering the situation in Ethiopia where individual perceptions are deeply rooted, coupled with the results of this study that revealed highly negative attitude among disaster affected households, it is recommended to consolidate efforts and influence attitude through maximizing community participation and enhancing the effectiveness of disaster management.