Perceptions Of Managers Research Articles

Perceptions and practice in Natural Flood Management: unpacking differences in community and practitioner perspectives

Divergent community and practitioner perceptions of Natural Flood Management (NFM) may impact wide-scale uptake, but are under-researched, especially in peri-urban environments. This mixed-methods study used picture- and scenario-based exercises, interviews and envisioning workshops in a post-industrial, peri-urban area of Greater Manchester, UK. Key differences were unpacked, with community members showing less confidence in NFM, and more confidence in grey infrastructure than professionals. Community confidence in installed NFM measures was, however, higher following a major storm event. Analysis suggests the value of demonstrating how NFM reduces flood risk, together with other co-benefits, through early engagement plus interpretation in the landscape. Uncertainty around effectiveness can be addressed using a learning-through-doing approach, enabled through field observation by community members. There is potential to engage more effectively around multifunctional benefits, framing NFM as green infrastructure that enhances biodiversity and recreation from the start. These findings hold significance for increasing uptake of NFM worldwide

Perceived responsibility for mechanical ventilation and weaning decisions in intensive care units in the Kingdom of Saudi Arabia.

Optimizing patient outcomes and reducing complications require constant monitoring and effective collaboration among critical care professionals. The aim of the present study was to describe the perceptions of physician directors, respiratory therapist managers and nurse managers regarding the key roles, responsibilities and clinical decision-making related to mechanical ventilation and weaning in adult Intensive Care Units (ICUs) in the Kingdom of Saudi Arabia (KSA). A multi-centre, cross-sectional self-administered survey was sent to physician directors, respiratory therapist managers and nurse managers of 39 adult ICUs at governmental tertiary referral hospitals in 13 administrative regions of the KSA. The participants were advised to discuss the survey with the frontline bedside staff to gather feedback from the physicians, respiratory therapists and nurses themselves on key mechanical ventilation and weaning decisions in their units. We performed T-test and non-parametric Mann-Whitney U tests to test the physicians, respiratory therapists, and nurses' autonomy and influence scores, collaborative or single decisions among the professionals. Moreover, logistic regressions were performed to examine organizational variables associated with collaborative decision-making. The response rate was 67% (14/21) from physician directors, 84% (22/26) from respiratory therapist managers and 37% (11/30) from nurse managers. Physician directors and respiratory therapist managers agreed to collaborate significantly in most of the key decisions with limited nurses' involvement (P<0.01). We also found that physician directors were perceived to have greater autonomy and influence in ventilation and waning decision-making with a mean of 8.29 (SD±1.49), and 8.50 (SD±1.40), respectively. The key decision-making was implemented mainly by physicians and respiratory therapists in collaboration. Nurses had limited involvement. Physician directors perceived higher autonomy and influence in ventilatory and weaning decision-making than respiratory therapist managers and nurse managers. A critical care unit's capacity to deliver effective and safe patient care may be improved by increasing nurses' participation and acknowledging the role of respiratory therapists in clinical decision-making regarding mechanical ventilation and weaning.

Erken Kariyer Dönemindeki Müdürlerin Yöneticilik ve Liderlik Yeterliklerini Kazanmaları Sürecinin Veri Analizinin İncelenmesi

The aim of this study is to examine the data analysis of the process by which managers in the early career period acquire managerial and leadership competencies. This research conducted within the scope of the aforementioned purpose was carried out using phenomenological pattern interview technique from qualitative research in order to determine the perceptions of early career managers towards the process of gaining managerial and leadership competencies. The working group of the research; in the 2021-2022 academic year, Bahçelievler district of Istanbul province constitutes 10 school principals who are volunteers determined according to the random sampling method who have just started working in official schools. The data collected with the semi-structured interview form prepared by the researcher were analyzed by descriptive analysis method and categories were created according to the main theme contained in the common statements in this context. Keywords: Management, Career, Qualification, Data Analysis

Medical management during the pandemic period

We read with great interest the article titled "Diagnostic Accuracy of Clinical Gestalt of Doctors with Different Experiences in COVID-19 Suspected Patients" prepared by Özkan and published in the third issue of your journal in 2022. Thanks to the author and editorial board for this interesting and informative article. In addition, we would like to briefly touch on the parameters used in the perception of triage and patient management during the pandemic process.

Identifying the drivers of private flood precautionary measures in Ho Chi Minh City, Vietnam

Abstract. Private flood precautionary measures have proven to reduce flood damage effectively. Integration of these measures into flood response systems can improve flood risk management in high-risk areas such as Ho Chi Minh City (HCMC). Since uptake of such measures is voluntary, it is important to know what drives householders to implement precautionary measures. In this study, we developed a framework representing the uptake of private precautionary measures based on protection motivation theory and the transtheoretical model. Using empirical survey data collected from 1000 flood-prone households in HCMC, we implemented lasso and elastic-net regression to identify the drivers of private precaution. The measures were classified into structural measures and non-structural measures based on whether structural changes to the building were required. The households were classified into proactive and reactive households based on whether their decision to reduce risk (i.e. uptake of precautionary measures) was preceded by experiencing a flood. The data-driven model revealed that the household's level of education, the degree of belief in the government to implement regional flood protection measures and the degree of belief that in case of flooding one has to deal with the consequences of flooding by themselves positively influence the proactive uptake of non-structural measures. Among the households that experienced flooding before implementing the measures, the uptake was found to be driven by the severity of the experienced damage. For the same group of households, perceiving a high severity of future flood impacts was found to negatively influence the uptake of structural flood precautionary measures. These results highlight that efforts to improve the implementation of private precautionary measures should consider the socio-economic characteristics of the members of the household, their past flood experience and their perception of flood risk management for communicating flood risk and incentivizing private precautionary measures.

The Central Role of Middle Leaders in Public Administration Facing Organizational Merger Policies

In this research studies were carried out in two merging Public Administration institutions, one with a public labor regime and the other a private one, which aimed to analyze culture and intermediary leadership. Study conducted based on the action-research methodology, with (i) quantitative approach to analyze the organizational climate and motivation with 79 leaders of institutions A and B using SPSS Statistic software, (ii) content analysis of 62 interviews with leaders from different hierarchical levels about the merger process and the perception of middle managers, and (iii) narrative analysis of the main aspects of the merger process. In the first, quantitative study, the organizational climate is analyzed, highlighting the role of middle management as facilitators of change. The second, qualitative section interprets the results obtained in the interviews with the leaders, showing that the process, from the start, did not have any convinced objectors, and that if there were any divisions, it would be due to the conduct of the process and not to an option at the start. The third chapter recounts the most significant episodes of the merger and reveals that the project gradually lost its meaning and became a mere change by decree. A descriptive analysis is made of the diagnosis presented by a consulting company, whose results seem to point to the &amp;quot;groupthink&amp;quot; phenomenon, reinforcing the Administration&amp;#39;s expectations.

THE EFFECT OF TALENT MANAGEMENT ON NURSES' PERCEPTIONS OF WORK MOTIVATION AND ORGANIZATIONAL TRUST

This study was conducted to determine the Effect of Talent Management on Nurses' Perceptions of Work Motivation and Organizational Trust. In this context, data obtained from all nurses working in ministry of health hospitals and university hospitals in Ankara were evaluated. For the data, the talent management practices scale consisting of 7 sub-dimensions (attraction, selection and placement, commitment, retention, training, rewarding, talent pool), nurse work motivation scale consisting of 25 factors and the organizational trust scale, which consists of 3 sub-dimensions (trust in the institution, trust in colleagues, trust in the manager) was used. As a result of the research, nurses' perceptions of talent management were found to be moderate (x=3,146), their perceptions of work motivation (x=3,839) and organizational trust perceptions (x=3,566) were found to be higher than the average. According to the findings, nurses' perceptions of talent management, work motivation and organizational trust have positive correlation to each other. The perception of talent management of nurses working in the ministry of health was found to be higher than those in the university. It has been concluded that the nurses working at the university trust their institution more than the ministry of health. The effect of talent management on work motivation was found to be higher in university hospitals. On the other hand, it has been concluded that the effect of talent management on organizational trust is higher in ministry of health hospitals.

Persepsi Mahasiswa Mengenai Manajemen Keuangan Pribadi Dalam Menghadapi Ancaman Resesi Ekonomi Di Indonesia

The COVID-19 pandemic has triggered the threat economic recession in Indonesia. This condition was strengthened by the increasing number unemployed and soaring prices basic goods and fuel oil. Economic growth in Indonesia is expected to show positive numbers periodically every quarter. However, people still have to be vigilant and prepare to face the threat economic recession. Including one of them, namely students in managing finances wisely and efficiently. The purpose of this research was to determine student perceptions of personal financial management in facing the threat economic recession in Indonesia. This research method is descriptive qualitative which focuses on three indicators, namely budget preparation, emergency fund preparation, and savings measures. The population in this study were students Faculty of Economics and Business, Universitas Budi Luhur with sample 265 respondents who were taken using a purposive sampling technique. Analysis the data used in this study to measure student perceptions using score interpretation categories. The results of the study show that the budget preparation indicator is in the low category. The emergency fund preparation indicator is in the medium category. And for the indicator for saving action, it is in the low category. So that there is a low perception of students in preparing a budget, and they understand enough about the importance of emergency funds, but have not been able to take savings measures in the face threat of an economic recession in Indonesia. Suggestion the students as millennial generation can improve their financial literacy by getting used to making budgets and routines saving to achieve personal financial well-being. Keywords: Perception Student, Personal Financial Management, Recession Threat.

Erken Kariyer Dönemindeki Müdürlerin Yöneticilik ve Liderlik Yeterliklerini Kazanmaları Sürecinin Bulgularının Değerlendirilmesi Erdoğan Karahan

It is thought that the process of early career managers gaining managerial and leadership competencies will eliminate an important deficiency in the field of this study aimed at evaluating the findings. This research was conducted using phenomenological pattern interview technique from qualitative research in order to determine the perceptions of early career managers towards the process of gaining managerial and leadership competencies. After analyzing the data, some categories were created in accordance with the main theme contained in the common expressions. In the tabular form, the findings that constitute the main framework of the research are presented together with the frequency values in accordance with the sub-purposes in the section. In the research conducted, a school principal should have competence and spiritual competence in the field of education and pedagogy as a priority, participants mostly considered their own competencies sufficient for the managerial and leadership competencies that a school principal should have, managers increased their managerial and leadership competencies with in-service trainings the most, it is one of the main results of the research that managers apply to graduate education the most in order to increase their managerial and leadership competencies and receive the most support from universities in this regard. Key Words: Manager, Career, Competence, Research Findings

Current Status and Challenges for Forest Commons (Iriai Forest) Management in Japan: A Focus on Forest Producers’ Cooperatives and Authorized Neighborhood Associations

Iriai forests are an example of communal forest management in Japan. Local institutions have never been static in governing iriai forests and the external environments of iriai forests have changed significantly over time. This study examines the management challenges of forest producers’ cooperatives (FPCs) and authorized neighborhood associations (ANAs) as the two most important contemporary forms of iriai forest management. Data from nine FPCs and three ANAs in the Fukuoka and Saga prefectures of Kyushu Island are used. Surveyed topics included basic information about FPCs and ANAs, recent management activities, financial conditions, and member perceptions of forest management. Some FPCs suffered from disadvantageous forestry circumstances, including low timber prices, decreased number of members, and tax burdens; at the same time, some FPCs greatly profited from non-forestry income or assets, e.g., by leasing or selling forestland. In most cases, basic forest management operations had been conducted by both FPCs and ANAs, and members had maintained attachment to and responsibility for iriai forests and a sense of public contribution. Policy recommendations include making legal settings and administrative supports more compatible with contemporary realities, providing greater financial support for management activities, and pursuing multi-level governance to open the commons to wider society.

Cross‐cultural experiences and self‐protective leadership: A multi‐country comparison of managerial perception

AbstractIn this study, we examine the effect of cross‐cultural experiences on perceptions of the effectiveness of self‐protective leadership (SPL). We use survey data from 15 non‐western countries collected in the second wave of the GLOBE leadership project to analyze the relationship between the global experiences of non‐western managers and the leadership schemas they hold. We examined three types of global experience – working in a multinational corporation, being trained in western management practices (WMP), and living abroad – and the leadership schema of self‐protective leadership (SPL). These results show that prior work experience in a multinational company and receiving training in WMP are associated with more negative perceptions of SPL, whereas having lived abroad has a more complex relationship with SPL. These results provide empirical evidence for the link between global experiences and cognitive schemas about leadership. Non‐western managers with international work experience and training hold SPL schemas that are significantly different from the SPL schemas of their peers with no such experience. Further, consistent with Implicit Leadership Theory (ILT) and recent research that links leadership effectiveness to expectations about behaviors associated with gender stereotypes, we find that SPL, a leadership style that encompasses behaviors that are traditionally associated with a male stereotype (conflict inducement, procedure orientation, status enhancement), is viewed more negatively by female managers compared to their male counterparts. Practical implications of our findings are provided.

Assessment of Healthcare Workers’ Perception of Health Hazards and Management’s Safety Practices

Health workers are vital workforce in the society globally. In many countries, such as Sub-Sahara Africa, workers are at great risk of preventable, life-threatening work-related hazards. The impacts of these hazards are irrefutably crucial generally such as health workers’ shortage, apathy, patient and health workers’ vulnerability to infections, poor services, cost effect, death etc. Hence, this study assesses health worker’s perception of health hazards as well as management safety practices in selected public hospitals in Rivers State, Nigeria. Descriptive cross-sectional design and a sample size of 347 were used. The study employed a multi-staged sampling technique and a structured instrument based on a coefficient of 0.88 as reliability. Descriptive and inferential statistics were used for data analysis. Results revealed good health worker perception of health hazards but poor management’s safety practices. However, management opined that there are protective measures and safety procedures meant to reduce risk of health hazards in the hospitals. Also, there is no significant (p&gt;0.05) association between health workers perception of health hazards and socio-demographic variables. Therefore, to limit frequent health hazards, there is great need for strong advocacy on health hazards, standard safety rules and good management safety practice in the hospitals. It is of importance for the government and hospital managements to develop quality safety management system, integrated standard safety regulation policies and procedures in conformity with global best practices.

Coaching impact on work-family conflict and occupational stress among educational administrators in primary schools.

Many workers in developing countries have complained about poor working conditions, unhappiness, and job insecurity. As a result, irrationality in employees judgments of the dissatisfactory status of Nigerian organizational environments has been linked to deviant public employee behavior. Apparently, workers in this work environment experience job-induced hazards and distorted feelings about their occupational well-being. With that in mind, we evaluated the impact of rational-emotive occupational health coaching on work-life quality and occupational stress management among educational administrators in Nigeria. This research employed a group-randomized trial design. A total number of 70 administrators were recruited, measured with 2 measurement tools during the study. Frequency, percentage, and Chi-square statistics were employed to describe the recruited sample, and inferential (mixed model ANOVA) statistics were utilized to examine the information gathered from the participants. The result showed a significant effect of the rational-emotive occupational health coaching (REOHC) group in decreasing the perception of stress and work-family conflict management among educational administrators. Also, the study reported a significant effect of time on administrators' occupational stress and work-family conflict management. The results also indicate that administrators' occupational stress and work-family conflict coping skills had a significant influence due to group and time interaction effects. REOHC is a powerful and useful coaching strategy that improves perceptions of administrators about work-life and job stress in work environment. Based on these results, we recommend REOHC for practitioners in different works of life.

Disaster risk management and cultural heritage: The perceptions of European world heritage site managers on disaster risk management

Research into the sustainable management of the world's cultural heritage (CH) is increasing. This is due to the vulnerability of CH to climate-related disasters and the perceived contribution of CH to the achievement of broader sustainability goals. Despite the perceived benefits of bringing together CH and sustainability, researchers have identified barriers that slow integration. These barriers are theoretical and practical, and targeted research would help improve the resilience of our CH. This article aims to explore the perceptions of a group of UNESCO world heritage site managers (WHSM) on disaster risk management. A questionnaire was sent to WHSM via professional email boxes. The questionnaire consisted of 26 questions designed to explore the perception of WHSM. In total, 58 responses were received, and the results produced findings worthy of discussion. WHSM still have limited access to disaster risk management strategies or practical implementation experience. Practitioners in this field perceive multiple risks, not just those related to climate change. The researchers noted that there was a tendency to focus on the most immediate problem, rather than the full range of risks they might face. It is clear that there is an opportunity to improve resilience through knowledge sharing and better communication across all CH. This is also true of individual world cultural heritage sites, with opportunities to engage more effectively with local stakeholders. This article pinpoints the current perceptions of WHSM for the academic community and highlights critical avenues of research that will aid in the overarching theoretical and operational integration of CH and sustainability.

Integrating perceptions of ecosystem services in adaptive management of country parks: A case study in peri-urban Shanghai, China

As a type of peri-urban green space with natural environments and countryside features, country parks provide numerous ecosystem services (ES) for human beings. In China, the multifunctional characteristics and diverse social groups related to the country park construction in the context of urbanization indicate that these ES need to be managed in the social dimension through adaptive decision-making. However, little work has focused on the perceptions of ES for country park management. In this study, we developed a three-step research framework aiming to integrate ES perceptions in adaptive country park management. We carried out face-to-face photo-elicitation questionnaire surveys (n = 229) in a country park pilot in Shanghai to analyze the perceptions of ES by park users. Multiple analytical methods, including statistical analyses, importance-performance analysis, and ES indexes, were applied to reveal the linkages among perceived ES, users’ characteristics, and specific landscape features. Our results showed that water and air quality maintenance, aesthetic, habitat, and physical and mental health, were perceived as the most important, highest performance, and highest priority ES. Users’ education level and their self-reported knowledge about the country park were the two most important variables that explained perceived ES. Perceptions of user groups differed along the distance of the place of residence from the study area, with locals assigning high priorities to provisioning ES and cognitive cultural ES and more distant visitors assigning high priority to education. Semi-natural landscape features, such as lakes and rivers, marsh, swamp forest, and lotus ponds, were perceived as providing the most ES. We further communicated and discussed the results with managers and experts, and provided insights for the next stage of management. We argue that adaptive management should be woven toward environmental justice by understanding the diverse perspectives and views of users on ES.

Modeling domestic wastewater pathways on household system using the socio-MFA techniques

This study discussed the Malaysian household consumer perception of domestic wastewater management from food waste. Moreover, the solutions for wastewater flow rehabilitation were established based on the Material Flow Analysis (MFA) model for Malaysian household systems. The research scope includes creating an allied scientific platform and introducing a socio-material analysis approach for urban-rural-scale wastewater flow management in Malaysia. In this approach, background information was collected from Mental Model (MM) observations on food flow. This model showed Malaysia's household agents' current state of conduct, beliefs, and action, supported by the MFA primary and secondary data. The leading research detailed an MFA diagram framework and a questionnaire conducted with selected household respondents residing in urban and rural areas. The study also contained in-depth interviews with selected stakeholders, who explained their views on the importance of understanding, knowledge, and social responsibility towards Malaysia's integrated wastewater management system. The solution developed identified a close gap to understand the context of ethnopedology literature and the empirical context in food wastewater flow management. This idea is specific for households based on the object, tool, and subject perspectives.

Comparison of Management Perceptions and Expectation Levels of X and Y Generation Teachers Working in Secondary from Education Institutions

Farklı dönemlerde ortak yargı ve yaşam koşullarında doğan ve ortak paydalarda buluşan nüfus kuşak (Baby Boomer, X, Y, Z ve Alfa) olarak tanımlanmaktadır. Kuşaklar bu ortak paydalar ve çevresel koşullar altında iş hayatından, toplumsal ilişkiler ve tüketim alışkanlıklarına kadar benzer davranışlar göstermektedir. Ekonomik siyasi, sosyal ve kültürel açıdan farklı yaşam koşullarında yetişen kuşaklar arasında ise mesleğe karşı tutum; yeniliklere, değişikliklere karşı istek ve uyum, meslekten ve yöneticilerden beklentiler değişmekte ve farklılaşmaktadır. Farklılıkların yönetimi günümüzde artık gruplara ya da bireylere; ayrım yapmamanın ötesinde bireysel farklılıkları olduğu gibi kabul eden, değerli gören, zenginlik olarak bakan bir anlayışa dönüşmüştür. Eğitim liderlerinin değişen bu anlayışa bakışı ve kabulü iş görenlerin potansiyelini ve dolayısıyla eğitimin kalitesini de belirlemektedir. Bir taraftan toplumsal değişim ve gelişimin temelini oluştururken bir taraftan da değişim ve gelişmelerden etkilenen eğitim kurumlarının liderleri, yönetim politikalarında sürekli bir gelişim anlayışı ile hareket etmek durumundadır. Bu araştırma Ortaöğretim kurumlarında X ve Y Kuşağı öğretmenlerin okul yöneticilerinin yönetimsel uygulamalarına ve farklılıkları yönetim düzeyine ilişkin algılarının farklılaşıp farklılaşmadığını araştırmak amacıyla yapılmıştır. Balay ve Sağlam tarafından geliştirilen ‘’Eğitimde Farklılıkların Yönetimi Ölçeğinin’’, Yönetimsel Uygulamalar ve Politikalar bölümü uygulanmıştır. Çalışma grubunu 2020–2021 eğitim-öğretim yılı Adana Seyhan İlçesinden rastgele seçilen Anadolu lisesinde görev yapan 204 öğretmen içinde X ve Y kuşağına giren 192 öğretmen oluşturmuştur. 16 maddelik 5’ li Likert tipi Farklılıkların Yönetimi Ölçeği (Ölçeğin Yönetsel Uygulamalar ve Politikalar bölümü) ile elde edilen veriler SPSS 26 istatistik paket programında, analize tabi tutulmuştur. Kuşakların ifadelere verdikleri cevapların her biri ANOVA testine tabi tutularak aralarında anlamlı fark oluşturup oluşturmadığı tespit edilmiştir. Genel olarak kuşakların yönetim algı ve beklentileri arasında pozitif yönde, yönetimin eşitlik ve adalet boyutunda ise negatif yönde ilişki olduğu tespit edilmiştir.

Acute Traumatic Pain in the Emergency Department.

Trauma is a major cause of mortality throughout the world. Traumatic pain-acute, sudden, or chronic-is defined as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage". Patients' perceptions of pain assessment and management have become an important criterion and relevant outcome measure for healthcare institutions. Several studies show that 60-70% of ER patients experience pain, and more than half of them express a feeling of sorrow, which can be moderate or severe, at triage. The few studies that have analyzed how pain is assessed and managed in these departments agree that approximately 70% of patients receive no analgesia or receive it with remarkable delay. Specifically, less than half of the patients receive treatment for pain during admission and 60% of discharged patients have higher intensity pain than at admission. Trauma patients are also the ones who most commonly report low satisfaction with pain management. Associated with this lack of satisfaction, we can describe the poor use of tools for measuring and recording pain, poor communication among caregivers, inadequate training in pain assessment and management, and widespread misconceptions among nurses about the reliability of patients' estimation of pain. The aim of this article is to review the scientific literature to explore the methodologies of pain management in trauma patients attending the emergency room and analyzing their weaknesses as a starting point to improve the approach to this, unfortunately too often, underestimated issue. A literature search was performed using the major databases to identify relevant studies in indexed scientific journals. The literature showed that the multimodal approach in trauma patients is the best approach to pain management. It is becoming increasingly crucial to manage the patient on multiple fronts. Drugs acting on different pathways can be administered together at lower doses, minimizing risks. Every emergency department must have staff trained in the assessment and immediate management of pain symptoms as this allows the reduction of mortality and morbidity and shortens hospital stays, contributing to early mobilization, reduced hospital costs, and enhanced patient satisfaction and quality of life.

A Cross-Sectional Descriptive Study on the Attitudes Towards Patient Safety and Influencing Factors of Nurses in Infectious Diseases Wards.

Patient safety is an important aspect of healthcare delivery and is critical to healthcare quality. An assessment of the attitudes of nursing staff in infectious diseases wards towards patient safety may identify deficiencies and allow for the development of educational programmes to train nursing staff to participate in good patient safety practices. To explore the current situation and influencing factors on nurses' attitudes towards patient safety in infectious diseases wards. This cross-sectional study enrolled 446 nurses from infectious diseases wards in eight hospitals in the Hebei Province to participate in an electronic questionnaire survey from October to December 2020. The Chinese version of the safety attitude questionnaire was used to gather the opinions of these participants, and SPSS 22.0 statistical software was used to analyse the data. The average score of safety attitudes towards patients was 3.59 ± 0.30. The scores for each dimension, from high to low, were as follows: management perception: 3.77 ± 0.42 points, pressure perception: 3.77 ± 0.42 points, safety atmosphere: 3.57 ± 0.43 points, job satisfaction: 3.57 ± 0.43 points, teamwork: 3.55 ± 0.50 points and working conditions: 3.50 ± 0.45 points. The results of the multiple stepwise regression analysis showed that the influential factors on nurses' attitudes towards patient safety in infectious diseases wards were as follows: night shift working (β = 11.885, P = 0.000), years of nursing experience (β = 2.862, P = 0.001), education level (β = 4.462, P = 0.001) and marital status (β = 3.871, P = 1.002), which together explained 33.5% of the total variance. Nurses' attitudes towards patient safety in infectious diseases wards were moderately high. Night shift work, years of nursing experience, education level and marital status affected nurses' attitudes towards patient safety. Managers should focus on these groups of nurses and improve their working conditions and job satisfaction to further enhance patient safety.

Older Individuals' Experiences of Medication Management and Care After Discharge from Hospital: An Interview Study.

To develop an in-depth understanding of older individuals' attitudes and perceptions of medication management and care after discharge from hospital-to-home. A qualitative study using semi-structured interviews with selected individuals 75 years and older, discharged from hospital within the last 6-12 months, living at home, and managing their own medications. Face-to-face interviews were audio-recorded, transcribed and analyzed with thematic analysis. Among the 15 respondents, mean age was 83.5 years (range 75-95 years), 67% were women, and 60% lived alone. The majority (80%) managed their medications with a pill organizer or directly from the pill boxes, while 20% used dose dispensed medications. The analysis of the data led to six themes: Medication adherence, Personal responsibility, Transitions of care, Beliefs about medications, Participation (experience of participation, willingness to participate) and Accessibility (easier to reach hospital than primary care, navigating in the care system, continuity, personal chemistry). The included respondents who were older individuals, living at home and managing their own medications, expressed that they were medical adherent and self-managing. Two important aspects which were seen were difficulties to reach primary care on their own initiative and the lack of continuity with the same physician over a longer period of time.