Policy Development Research Articles

Breaking Barriers: An Innovative Tool to Assess the National and City-Level Physical Activity Policy Development to Practice Disconnect.

Population-level physical activity increases are improbable without intersectoral collaboration across government levels and sectors to develop and implement physical activity promotion policies. This study aims to provide information about the development of the Interaction between National and Local Government Levels in Development and Implementation of Physical Activity Policies Tool (INTEGRATE PA-Pol). A framework was created to examine the development and implementation of national and subnational physical activity policies and the (mis)alignment between government levels. The work was conducted in 3 phases: (1)a scoping review was carried out to identify local government physical activity promotion policies and instruments for assessing them, (2)an expert group designed 6 questionnaires, and (3)cognitive response testing was employed for validity testing and item modification with a panel of research and policy experts. The INTEGRATE PA-Pol Tool consists of 6 questionnaires assessing how national and subnational governments collaborate to develop and implement physical activity promotion policies. This tool can assist in better understanding the development and implementation of a public policy monitoring system that will allow for benchmarking and priority setting to comprehend how physical activity promotion policies are designed and executed.

Utilizing Ant Forest technology to foster sustainable behaviors: A novel approach towards environmental conservation

Amidst mounting environmental threats and exacerbated global risks from climate change, the urgency for sustainable behaviors has never been more critical, demanding concerted efforts to cultivate individual actions for environmental conservation. Ant Forest technology, a groundbreaking innovation for sustainable lifestyles, stands at the forefront of this battle, harnessing technological advancements to drive positive environmental impact and must be championed. This research investigates the dynamics of environmental conservation behaviors facilitated by Ant Forest Technology. Employing a theoretical framework integrating the Technology Acceptance Model (TAM) and Self-Determination Theory (SDT), the study explores the impact of autonomous and controlled motivation on attitudes, intentions, and conservation behaviors. Furthermore, the research assesses the influence of knowledge disseminated through Ant Forest Technology on users' intentions and behavior toward conservation behaviors. The study utilized the partial least square structural equation modeling in its analysis. Findings reveal that both motivational factors and knowledge significantly shape users' engagement in conservation behaviors activities through perceived ease of use and usefulness. These insights contribute to the development of effective policies and interventions aimed at harnessing Ant Forest Technology as a powerful tool for fostering widespread environmental conservation behaviors.

Impact of authentic leadership on nurses' well-being and quality of care in the acute care settings.

Both nurses' well-being and quality of care are top priorities of the healthcare system. Yet, there is still a gap in understanding the extent and how authentic leadership influences them. This information is needed to inform the development of effective interventions, organizational practices, and policies. Thus, this study aimed to test the mechanism by which nurses' perception of their managers' authentic leadership impacts nurses' well-being and perception of quality of care, given the role of the nursing practice environment and nurses' psychological capital. A cross-sectional design was used. This study recruited a random sample of 680 nurses from six hospitals in Saudi Arabia. A final sample of 415 completed the surveys, with a response rate of 61%. Structural equation modeling was performed to test the hypothesized model. The study showed that nurses' perceptions of authentic leadership in their managers positively and directly affect their perceptions of quality of care but do not directly affect nurses' well-being. Both the nursing practice environment and psychological capital fully mediated the relationship between authentic leadership and nurses' well-being. However, the nursing practice environment partially mediated the relationship between authentic leadership and perceptions of quality of care. The findings contribute to understanding the crucial role of authentic leaders' style in nurses' well-being and quality of care through its positive impact on the nursing practice environment and psychological capital. Designing interventions and policies that specifically target nursing managers' authentic leadership style has implications for enhancing nurses' well-being and the quality of patient care. Institutional measures are needed to help leaders practice an authentic leadership style to create a positive nursing practice environment and cultivate nurses' psychological capital, both of which contribute to nurses' well-being and attaining a better quality of care. Further work is required to highlight the outcomes of implementing an authentic leadership style relevant to other leadership styles.

Implementasi Teori Pendidikan Ki Hajar Dewantara: Tinjauan Praktik Pembelajaran dan Dampaknya pada Peningkatan Kualitas Pendidikan Dasar

This study aims to investigate the implementation of Ki Hajar Dewantara education theory at the basic education level, especially at SD Negeri Ngudirejo 1, Jombang District, focusing on learning practices and their impact on improving the quality of basic education. Ki Hajar Dewantara, as an Indonesian education figure, is known for his contribution to the development of holistic and humanist education. This study uses a qualitative approach with classroom observation methods, interviews with teachers, and document analysis to collect data on learning practices related to the theory of Ki Hajar Dewantara. The results showed the implementation of various aspects of Ki Hajar Dewantara theory in learning practice at SD Negeri Ngudirejo 1. Teachers adopt principles such as freedom of learning, stage play is stage learning, and empowerment of learners. In addition, this study reveals the positive impact of the implementation of the Ki Hajar Dewantara theory on improving the quality of basic education, both in terms of learning outcomes and character development of students. The application of Ki Hajar Dewantara theory in learning practice at SD Negeri Ngudirejo 1 has a positive impact in forming students who are more independent, creative, and have strong character. These findings contribute to the understanding of educational practices in accordance with the principles of Ki Hajar Dewantara and reinforce the urgency of applying the theory in improving the quality of basic education in Indonesia. The implications of this research can also be the basis for the development of education policies that are more oriented towards holistic and humanist approaches advocated by Ki Hajar Dewantara.

Integrating climate change, food safety, nutrition, and health outcomes in food systems policies and programs in Africa

AbstractIntegrating climate change, food safety, nutrition, and health outcomes in food systems policies and programs is crucial for addressing the multifaceted challenges African countries encounter. Climate change significantly impacts food production, food safety, and the provision of nutritious and healthy diets. Existing interventionist policies in Africa have not taken a comprehensive approach to addressing the bidirectional relationships among climate change, food safety, nutrition, and health outcomes. This hinders the formulation of comprehensive policies and programs that effectively address these interconnected issues. Also, limited evidence supports understanding the interplay among climate change, food safety, nutrition, and health outcomes within the African context. Thus, the study explores the pathways of interlinkages and complementarities among these factors and identifies the barriers to their effective implementation. In achieving its objective, this study adopts a food systems approach to examine the interrelaionships among climate change, food safety, nutrition, and health programs and policies. The study uses a comprehensive analysis of existing literature and empirical data to better understand these interrelationships within the food system. By identifying the interdependencies, the study is relevant for the development of integrative policies and programs that address these interconnected issues.Á

Oral health-related quality of life in the Myanmar population: The first national oral health survey 2016 - 2017.

To describe the oral health-related quality of life (OHRQoL) and its potential influencing factors within the Myanmar population. Data were from the first national oral health survey, involving 3,513 participants aged 15-18 years, 35-44 years, and 60-74 years from 21 selected townships in Myanmar. Self-administered questionnaire-based surveys, conducted from December 2016 to January 2017, included socio-demographics, behavioral factors, self-reported oral conditions (number of teeth present, teeth and gingival conditions), and inquiries regarding OHRQoL (a set of 12 questions with 5 response options) using the recommended questions from WHO Oral Health Surveys. The most prevalent oral health issues were difficulties in chewing (32.2%) and biting foods (30.8%). In bivariate analysis, older individuals, rural residents, and participants with higher educational levels were associated with OHRQoL. In multiple regression analysis, self-reported number of teeth, teeth and gingival conditions were strong predictors of OHRQoL in all age groups. Self-rated oral health conditions predicted quality of life due to oral problems. The development of national oral health policies and strategies is imperative to facilitate early detection of oral health problems and promote the awareness of oral health importance.

Foreign Direct Investment and Economic Development: An International Perspective

Foreign Direct Investment and Economic Development: An International Perspective

Globalisation and the value of Ulrich Beck’s concept of ‘cosmopolitanisation’ in orienting a new sociology of later life

German sociologist Ulrich Beck has described ‘cosmopolitanisation’ as the sociological face of globalisation and has advocated for a cosmopolitan sociology. The turn to the cosmopolitan he suggested involves an epistemic shift within the discipline. It demands a move away from a sociology dominated by methodological nationalism to one whose focus is not so much on the external, ‘out there’ processes of globalisation, but on the internalised global practices reflected within societies. This article employs such a cosmopolitan lens to explore the changing nature of old age/later life. We highlight a number of domains where Beck’s elaboration of cosmopolitanisation may be actualised in later life. These include: (a) the ‘assetisation’ of later life; (b) the transgenerational expansion of information and communications technology; (c) the experience of transnational ageing; (d) the development and promotion of transnational policies for a senior citizenry; and (e) the impact of global climate change. We conclude by noting how Beck’s desire to shift sociology from its traditional base in methodological nationalism to what he termed a more cosmopolitan sociology can apply equally to analysis of the changing character of later life. In seeking to apply and extend Beck’s concept of cosmopolitanisation to the sociological study of later life, we hope to enrich and enliven a new sociology of later life; our article aims to make such a start.

Higher education’s impact on CO2 mitigation: MENA insights with consideration for unemployment, economic growth, and globalization

This study investigates the intricate interplay between higher education and environmental pollution in the MENA region from 2000 to 2018. Employing a comprehensive analytical approach, including cross-dependency tests alongside panel unit root tests, Kao cointegration tests, fixed effect GLS, DOLS (dynamic ordinary least squares), FMOLS (fully modified ordinary least squares) estimations, and Granger causality tests, the research focuses on three critical control variables—Unemployment, gross domestic product, and the globalization index. GLS analysis reveals a positive correlation between higher education, globalization, GDP per capita, and CO2 emissions in the MENA region. However, delving deeper using DOLS and FMOLS, a nuanced perspective emerges, indicating the role of higher education and globalization in mitigating CO2 emissions in the long run, challenging the Kuznets curve hypothesis. Additionally, causality tests highlight the significant influence of higher education and globalization on CO2 emissions. These findings address a critical gap in the understanding of environmental dynamics in the MENA region and offer valuable insights for policymakers and governments, informing targeted interventions and policies for sustainable development and reduced CO2 emissions.

Thúc đẩy đầu tư hạ tầng xanh: Kinh nghiệm một số nước châu Âu và bài học cho Việt Nam

Green infrastructure investment addresses environmental challenges while promoting economic growth, improving public health and enhancing quality of life. This is a comprehensive development solution that prioritizes environmental sustainability and enhances long-term resilience to climate change in all countries around the world. Using the case study method, the study analyzes and evaluates the green infrastructure investment strategies of European countries, specifically Germany, the Netherlands and Finland. The results of the study show differences in the approach and implementation of green infrastructure development policies in these three countries. On that basis, the author draws lessons from European experience and applies them to Vietnam, explores opportunities and benefits of investing in green infrastructure, and proposes policies for green infrastructure development in Vietnam.

Technologies and policies for sustainable environment development and carbon footprint reduction

Technologies and policies for sustainable environment development and carbon footprint reduction

Are Polish doctors ready to start working right after graduation? The 2023 modification to physicians’ postgraduate internship and possible paths forward

The Polish healthcare system faces many problems, among which the shortage of healthcare professionals is one of the most urgent. In less than ten years, more than twenty Higher Education Institutions (HEIs) have been allowed to add medical programmes to their offer, aiming to increase the number of doctors in Poland. Recently, the healthcare system was faced with a proposal to abolish the mandatory postgraduate internship which has been a mandatory component of medical training for years.Two main reforms were considered. The first one focused on the programme of the internship and aimed to update it. The second one recommended an abolition of the internship. The authors of this article analysed the opinions and positions of key players within the system regarding the postgraduate internship.Opinions in this regard are diverse, leading to the conclusion that additional actions would be required prior to the internship abolition. Undergraduate training has changed and currently students are taught in modern facilities, using new teaching methods. On the other hand, internship allows trainees to improve or even acquire skills they may not have obtained during their studies. The postgraduate internship is an essential part of doctors’ training. However, in Poland, there is still a lack of a well-thought, long-term policy or strategy for physicians' workforce development. Our study presents a Polish perspective on common challenges in medical training and workforce policy, highlighting the clash over the growing demand for physicians and the limitations of the existing system.

Effective multi-sectoral approach for rapid reduction in maternal and neonatal mortality: the exceptional case of Bangladesh

BackgroundBangladesh experienced impressive reductions in maternal and neonatal mortality over the past several decades with annual rates of decline surpassing 4% since 2000. We comprehensively assessed health system and non-health...

Evolution of Professional Standards: Reflecting on the Past to Inform the Future

Clearly defined professional standards result in better prepared professionals who positively impact outcomes for children and families by ensuring an effective workforce. This article describes the evolution of early intervention early/childhood special education preparation standards from the on-the-job competencies of the 1960s to the historic 2020 Initial Practice-Based Professional Standards for Early Interventionists/Early Childhood Special Educators (EI/ECSE Standards), in concert with the evolution of the profession itself. Influencing factors include (a) changes in federal legislation and policy, (b) ages and characteristics of children served, (c) growing knowledge of effective practices, (d) collaboration with other disciplines, and (e) ongoing advocacy for EI/ECSE as a profession. The article concludes with a vision for using these EI/ECSE Standards to guide the future local, state, and national agenda of the profession around preservice preparation and accreditation, professional development, state and federal policy, cross-disciplinary collaboration, and standards-informed research.

Ecotourism or ecological concerns? Tracing the impact of economic policy uncertainty and natural resources on tourism-driven ecological footprints.

The influence of tourism development and economic policy uncertainties on environmental sustainability is substantial. Promoting responsible tourism and using sustainable tourism practises, like offering eco-friendly lodging, is a key part of protecting natural habitats and lowering carbon footprints. Hence, this study tries to examine the relationship between tourism development, economic policy uncertainty, renewable energy, and natural resources on the ecological footprint of India during 1990-2022. This study applies a novel dynamic ARDL simulation approach for long-run and short-run analyses. The study also employs frequency-domain causality to check the causal relationship between the variables. The result reveals that tourism has a positive effect on the ecological footprint. Similarly, economic policy uncertainty has a positive and significant effect on the ecological footprint in India during the sample period. Additionally, natural resource rent shows a positive effect on the ecological footprint or deteriorating environmental quality in the short and long run in the sample period. However, renewable energy consumption indicates a negative effect on the ecological footprint. The results reveal that TDI and EPU have rejected the null hypothesis of no Granger cause in the long, medium, and short term. While renewable energy has a causal relationship with ecological footprints in both the long run and medium run, it is imperative for India to adopt measures that facilitate the advancement of sustainable tourism, with a particular focus on promoting environmentally friendly lodging options, enhancing public transportation systems, and implementing effective waste management strategies.

Effect of human H3N2 influenza virus reassortment on influenza incidence and severity during the 2017–18 influenza season in the USA: a retrospective observational genomic analysis

During the 2017-18 influenza season in the USA, there was a high incidence of influenza illness and mortality. However, no apparent antigenic change was identified in the dominant H3N2 viruses, and the severity of the season could not be solely attributed to a vaccine mismatch. We aimed to investigate whether the altered virus properties resulting from gene reassortment were underlying causes of the increased case number and disease severity associated with the 2017-18 influenza season. Samples included were collected from patients with influenza who were prospectively recruited during the 2016-17 and 2017-18 influenza seasons at the Johns Hopkins Hospital Emergency Departments in Baltimore, MD, USA, as well as from archived samples from Johns Hopkins Health System sites. Among 647 recruited patients with influenza A virus infection, 411 patients with whole-genome sequences were available in the Johns Hopkins Center of Excellence for Influenza Research and Surveillance network during the 2016-17 and 2017-18 seasons. Phylogenetic trees were constructed based on viral whole-genome sequences. Representative viral isolates of the two seasons were characterised in immortalised cell lines and human nasal epithelial cell cultures, and patients' demographic data and clinical outcomes were analysed. Unique H3N2 reassortment events were observed, resulting in two predominant strains in the 2017-18 season: HA clade 3C.2a2 and clade 3C.3a, which had novel gene segment constellations containing gene segments from HA clade 3C.2a1 viruses. The reassortant re3C.2a2 viruses replicated with faster kinetics and to a higher peak titre compared with the parental 3C.2a2 and 3C.2a1 viruses (48 h vs 72 h). Furthermore, patients infected with reassortant 3C.2a2 viruses had higher Influenza Severity Scores than patients infected with the parental 3C.2a2 viruses (median 3·00 [IQR 1·00-4·00] vs 1·50 [1·00-2·00]; p=0·018). Our findings suggest that the increased severity of the 2017-18 influenza season was due in part to twointrasubtypes, cocirculating H3N2 reassortant viruses with fitness advantages over the parental viruses. This information could help inform future vaccine development and public health policies. The Center of Excellence for Influenza Research and Response in the US, National Science and Technology Council, and Chang Gung Memorial Hospital in Taiwan.

A Roadmap for Improving Medicare’s Application of Coverage With Evidence Development

The Centers for Medicare and Medicaid Services’ coverage with evidence development (CED) policy allows the agency to provide coverage for an item or service through a National Coverage Determination (NCD), conditional upon an agreement to collect evidence designed to address specific questions or uncertainties. The goals of this policy are to expedite beneficiary access to new items and services and to generate additional evidence on the impact of these items or services for Medicare beneficiaries. However, these goals have not been fully realized because of several issues with the way the policy has been implemented, including (1) a lack of clear criteria for when CED will be applied, (2) examples of CED data collection activities placing unnecessary burdens on clinicians and the potential for undue inducement on beneficiaries, and (3) a lack of clarity around the process and timeline for reconsidering and ending CED requirements. Additionally, there are cases in which the application of CED has failed to improve access to services for certain Medicare beneficiaries because no data collection activity was implemented in response to the CED requirement or because the NCD only allows the technology to be provided and studied in certain centers of excellence. We describe a roadmap for addressing these issues, which includes, for example, developing a framework to guide the application of coverage constraints in NCDs with CED requirements. Once these issues are addressed, the Centers for Medicare and Medicaid Services could consider expanding the use of CED to technologies that are not subject to NCDs.

The influence of institutional quality, economic freedom, and technological development on Islamic financial development in OIC countries

This study investigates the relationship between Institutional quality, Economic freedom, technological advancement, and Islamic financial development in selected OIC countries. This study employs the panel estimation method to examine annual data pertaining to Islamic bank industries across 22 countries, sourced from the SESRIC database, from 2013 to 2021. The findings show that the overall quality of institutions and economic freedom influence Islamic finance development. Further, the contribution of technological development appears when institutional quality indicates higher performance. Despite the predominant correlation observed among institutional indicators, this study, focusing on a comprehensive index, reveals a consistent and significant contribution of institutional quality to the growth of Islamic finance. Furthermore, this study's findings show that institutional quality and economic freedom are related; yet, the methods by which the foundations of each indicator influence financial development differ. The findings of this research underscore the importance of urging policymakers, particularly governmental authorities, to prioritize the development of policies and initiatives aimed at fostering a healthy and conducive environment. Emphasizing practical and transparent institutional frameworks is essential for cultivating a well-regulated economic environment.

Regional perspectives on patient safety policies and initiatives: a focus group study with patient safety leaders in the Middle East and Asian regions

Preventing and reducing risks and harm to patients is of critical importance as unsafe care is a leading cause of death and disability globally. However, the lack of consolidated information...

Conversion practices in Aotearoa New Zealand: Developing a holistic response to spiritual abuse.

Research arising from conversion practices, also known as conversion therapy and sexual orientation and gender identity change efforts, has generally been underpinned by an emancipatory discourse that has evolved to counter harmful practices by evidencing associated harms and estimating prevalence. Little attention, however, has focused on what is required to support survivors, inclusive of those currently or those having previously experienced conversion efforts. Within a context of Aotearoa New Zealand having recently criminalised conversion practices, this study adopted an in-depth qualitative research design, informed by a dual adherence to life history and an empowerment methodology. Twenty-three religious conversion practice survivors, who had experienced religious conversion practices across a range of Christian identified faith settings, were interviewed. Participants had a median age of 34 and the majority identified as New Zealand European, cisgender, and gay. Participant narratives were discursively analysed. Three primary discourses were identified that inform the needed development of interventions and supports: 1) pervasive framing of conversion practices as harm, rather than spiritual abuse, has minimised the impacts of conversion practices. Rather, conceptualising conversion as spiritual abuse positions conversion practices as requiring urgent intervention and ongoing support, inclusive of the development of policy and operational responses; 2) the coercive nature of spiritual abuse needs to be appreciated in terms of spiritual, social, and structural entrapment; 3) the metaphor of a pipeline was enlisted to encapsulate the need for a multidimensional array of interventions to ensure those entrapped within spiritual abuse have a "pipeline to safety". Holistic survivor-centric conversion-related responses to spiritual abuse are required. These need to be informed by an understanding of entrapment and the associated need for holistic responses, inclusive of extraction pathways and support for those entrenched within abusive religious settings, support immediately after leaving abusive environments, and support throughout the survivors' healing journeys.