Poor Communication Research Articles

Factors Influencing Suicidal Behavior among the College Students

ABSTRACT: Worldwide, suicide is among the top five causes of mortality in the 15-to-29-year age group. In many countries it ranks first or second as a cause of death among both boys and girls in this age group. Suicide prevention among children and adolescents is therefore a high priority. Given the fact that in many countries and 3 regions most people in this age group attend school, this appears to be an excellent place to develop appropriate preventive action. Also, nowadays suicidal behavior becomes common in adolescents and number of suicidal cases and suicidal attempts increasing gradually. Usually, action is taken always after the incidents but there is less attention given towards preventive measures and finding the exact cause to decrease prevalence of suicidal behavior in adolescent OBJECTIVES: This study aimed at to assess the factors influencing suicidal behavior among college students METHODOLOGY: The research design was descriptive Survey design using descriptive analysis and purposive sampling technique was used to select 30 adolescents who met the inclusion criteria. The data was collected by using questionnaire method. RESULTS: From the data analysis, majority of sample shown inadequate factors, in regard to Socio Economic Factor, 26.66% students have trouble with their colleagues, 23.33% students have break up with their close friend, 20% students have said that they feel socially isolated, 13.33% students have cultural or religious belief that suicide is a noble resolution of personal dilemma, 0.00% students have believed that there is no easy access to any lethal means of suicide, 26.66% student’s friend’s committed suicide, 13.33% students have influenced by the media about suicidal behaviour, 20% students have peer group pressure or self-destructive peer acceptance, 16.66% students have suffered from rejection or provocative behaviour from college mates, 33.33% students have long term financial crisis and 26.66% students feel like taking revenge on someone. In Relation to Psychological Factors, 3.33% students have been diagnosed previously with a mental disorder, 3.33% students have been attempted for suicide earlier, 6.66% students have continuous thoughts of committing suicide, 23.33% students have low self esteem, 26.66% students confessed that have feeling of hopelessness and guilt, 10% students are addicted to alcohol and drugs, 36.66% students have feeling of loneliness and 23.33% have lack of social support. In regard to Family Factors, 6.66% students have continuous quarrel between the members of their family, 16.66% students are suffering from physical/emotional abuse in their family, 26.66% student family members have committed suicide, 20% students face poor communication their family, 16.66% have frequent quarrel with their parents, 43.33% students have confessed that their parents have very high expectation from them, 20% students have excessive authority from their parents and13.33% students have been neglected by their parents. In relation to Physical Factors, 6.66% students are suffering from serious physical illness, 0.00% students are handicapped, 6.66% students are suffering from chronic pain,16.66% students have physical fights with their friends,0.00% students are a victim of sexual abuse and 60% students are satisfied with their present body image. In relation to Academic Factors, 30% students have fear about their college life, 26.66% students have poor coping abilities during stress, 50% students feel excessive burden of exams, 16.66% students worried about poor academic performance, 40% students have lack of confidence in their studies, 6.66% students are a case of academic failure, 10% students are a victim of corporal punishment and 6.66% students are a victim of bullying. In regard with Major Life Events, 10% students have suffered from parental loss, 20% students have suffered from loss of closed one, 16.66% students have problem of love failure and 23.33% students have involved in antisocial

Level of Satisfaction along Dimensions of Service Quality of Accredited Hotels in Baguio City during the Pandemic

While the hospitality industry is slowly recovering, the COVID-19 crisis continues to exert profound impacts on how hospitality businesses operate. This study aimed to the explore quality of service and customer satisfaction of DOT accredited hotels in Baguio City during the COVID-19 pandemic on the basis of Service Quality Model. In addition, the study tried to find out the challenges faced by the hotel employees during the pandemic. The study adopted a descriptive-survey research design to determine the level of satisfaction of the hotel guests during the pandemic along tangibility, reliability, responsiveness, confidence and communication. From the 10 hotels in the city, a total of 387 respondents answered the questionnaire floated between the peak months of September and October. Results showed that hotel guests are very satisfied in all the dimensions of the SERVQUAL model in relation to customer satisfaction. Assurance/Confidence has the highest overall mean while Tangibility has the lowest overall mean. Furthermore, poor communication with guests, lack of employees and maintenance of cleanliness and sanitation were identified as the challenges encountered by the hotel employees in their service delivery. A Proposed Program to improve the level of satisfaction of the hotel guests in Baguio City was prepared as the output of the study.

An Investigation Report on the International Communication Effect of Liuzhou Bridge Culture

This research takes Liuzhou Bridge as the research object, adopts the questionnaire survey method, the field investigation method, the literature retrieval method and the network retrieval method and so on many kinds of research methods, has carried on the research to Liuzhou Bridge Culture's international dissemination effect. The survey results show that there are some problems in the international communication of Liuzhou bridge culture, such as limited communication channels, single communication content, and poor communication effects. This study believes that in view of these problems, we should strengthen the construction of communication channels and expand diversified communication methods; Enrich the communication content and show the unique charm of Liuzhou bridge culture; Improve the effect of communication and strengthen interaction and communication with international audiences. The implementation of these countermeasures will help to improve the international reputation and influence of Liuzhou bridge culture, and promote cultural exchanges and interactions.

Research on the application of improvisation in creative design process

This work explores the evolution of improvisation and its consequences in the design domain, focuses on its applicative value within the design process, dives into the significance of improvisation in design, and presents a team-based creative design framework anchored in improvisation. Utilizing an approach integrating theoretical synthesis and methodological practice, this study comprehensively analyzes team design processes and activities, along with an examination of the challenges encountered by design teams. To investigate how to incorporate improvisation into the design process, this study employs the method of theoretical integration and comprehensive analysis of method practice, summarizes the team design process and design activities, and analyzes the problems and challenges faced by the team design. In the face of problems such as poor communication, lack of motivation, exhaustion of inspiration, and fixed thinking faced by design teams during the creative conception stage, improvisation encourages designers to explore any possible ideas and creates a relaxed and humorous design environment, which can effectively break the fixed thinking of design, expand creative thinking space, promote team cooperation and communication, and improve team collaboration efficiency.

Influence of BIM and Lean on mitigating delay factors in building projects

Building projects are affected by various phenomena that can affect their success and continuity and, in the worst cases, can lead to project abandonment. The delay has been identified as one of the phenomena with the most significant impact and recurrence; therefore, mitigation actions are required. BIM and Lean Construction are two approaches with great potential to mitigate delay-generating factors. However, more studies need to be conducted to analyze their influence on mitigating schedule delays. Considering this gap, this paper focuses on analyzing the influence of Lean Construction tools, and BIM uses that favor mitigating the main factors that generate variations in the construction schedules of residential buildings. The research method was divided into five main stages: (1) delay factors identification; (2) BIM uses identification; (3) Lean tools identification; (4) questionnaire design, validation, and application; and (5) influence quantitative analysis. A total of 20 delay factors, eight BIM uses, and eight Lean tools were selected. Next, a consultation was conducted with 50 building project managers and two residential building projects were analyzed. The findings show that implementing BIM and Lean tools greatly influences mitigating delay factors such as errors and deficiencies in design documents, inefficient project planning and scheduling, and poor communication and coordination with designers. BIM uses that have a strong influence on reducing delays include 4D construction planning and 4D construction analysis and optimization. In the Lean domain, the Last Planner System (LPS) and collaborative meetings have a high influence on mitigating delays. This study provides valuable insights for construction project managers to improve overall project efficiency by optimizing the implementation of BIM uses and Lean tools.

Effects of on-site Supportive Communication Training (On-site SCT) on doctor-patient communication in oncology: Study protocol of a randomized, controlled mixed-methods trial

BackgroundThe quality of communication in oncology significantly impacts patients' health outcomes, as poor communication increases the risk of unnecessary treatment, inadequate pain relief, higher anxiety levels, and acute hospitalizations. Additionally, ineffective communication skills training (CST) is associated with stress, low job satisfaction, and burnout among doctors working in oncology. While acknowledging the importance of effective communication, the specific features of successful CST remain uncertain. Role-play and recorded consultations with direct feedback appear promising for CST but may be time-consuming and face challenges in transferring acquired skills to clinical contexts. Our aim is to bridge this gap by proposing a novel approach: On-site Supportive Communication Training (On-site SCT). The concept integrates knowledge from previous studies but represents the first randomized controlled trial employing actual doctor-patient interactions during CST.MethodsThis randomized multicenter trial is conducted at three departments of oncology in Denmark. Doctors are randomized 1:1 to the intervention and control groups. The intervention group involves participation in three full days of On-site SCT facilitated by a trained psychologist. On-site SCT focuses on imparting communication techniques, establishing a reflective learning environment, and offering emotional support with a compassionate mindset. The primary endpoint is the change in percentage of items rated “excellent” by the patients in the validated 15-item questionnaire Communication Assessment Tool. The secondary endpoints are changes in doctors’ ratings of self-efficacy in health communication, burnout, and job satisfaction measured by validated questionnaires. Qualitative interviews will be conducted with the doctors after the intervention to evaluate its relevance, feasibility, and working mechanisms. Doctors have been actively recruited during summer/autumn 2023. Baseline questionnaires from patients have been collected. Recruitment of new patients for evaluation questionnaires is scheduled for Q1-Q2 2024.DiscussionThis trial aims to quantify On-site SCT efficacy. If it significantly impacts patients/doctors, it can be a scalable CST concept for clinical practice. Additionally, qualitative interviews will reveal doctors' insight into the most comprehensible curriculum parts.Trial registrationApril 2023 – ClinicalTrials.gov (NCT05842083). April 2023 – The Research Ethics Committee at the University of Southern Denmark (23/19397).

Using incident reports to diagnose communication challenges for precision intervention in learning health systems: A methods paper.

Poor communication is a leading root cause of preventable maternal mortality in the United States. Communication challenges are compounded with the presence of biases, including racism. Hospital administrators and clinicians are often aware that communication is a problem, but understanding where to intervene can be difficult to determine. While clinical leadership routinely reviews incident reports and acts on them to improve care, we hypothesized that reviewing incident reports in a systematic way might reveal thematic patterns, providing targeted opportunities to improve communication in direct interaction with patients and within the healthcare team itself. We abstracted incident reports from the Women's Health service and linked them with patient charts to join patient's race/ethnicity, birth outcome, and presence of maternal morbidity and mortality to the incident report. We conducted a qualitative content analysis of incident reports using an inductive and deductive approach to categorizing communication challenges. We then described the intersection of different types of communication challenges with patient race/ethnicity and morbidity outcomes. The use of incident reports to conduct research on communication was new for the health system. Conversations with health system-level stakeholders were important to determine the best way to manage data. We developed a thematic codebook based on prior research in healthcare communication. We found that we needed to add codes that were equity focused, as this was missing from the existing codebook. We also found that clinical and contextual expertise was necessary for conducting the analysis-requiring more resources to conduct coding than initially estimated. We shared our findings back with leadership iteratively during the work. Incident reports represent a promising source of health system data for rapid improvement to transform organizational practice around communication. There are barriers to conducting this work in a rapid manner, however, that require further iteration and innovation.

Analysis of barriers for performance measurement system effectiveness in a company: perceptions across hierarchical levels

Purpose This study aims to identify the perception of people in a Portuguese company regarding the main barriers to the effectiveness of the existing performance measurement system (PMS) and whether those perceptions are dependent of people’s hierarchical levels, education levels, work shifts, gender and department. Design/methodology/approach Primary data was collected through structured interviews (adapted to three levels of interviewees in the company hierarchy) and Likert scale questionnaires. Descriptive statistical analysis of the collected data was performed as well as a chi-square test. Findings The results provide an insight on the perception of barriers to the PMS effectiveness in the company. After performing interviews and questionnaires it was possible to identify that the main perceived barriers were: poor communication system and issues on target definition, lack of trained resources, employee involvement, indicators understanding and use for improvement. Practical implications This study is the starting point to develop actions aiming to eliminate, or at least mitigate, the impact of the barriers on the PMS effectiveness. Originality/value PMSs play an essential role in an organization, so it is essential to identify what hinders its effectiveness. This study opens the discussion by diagnosing the company’s perception of the barriers to PMS effectiveness.

Contributory factors related to patient safety incidence: A nursing perspective.

There are growing concerns about patient safety and quality assurance enhancement in the healthcare setting because of the increase in the incidence of patient harm and adverse events over the years. This study explored the contributory factors associated with patient safety practices. The study was conducted in two private hospitals in Gauteng province, South Africa. A qualitative approach was used to gain an in-depth understanding of the issues pertaining to patient safety incidence. Purposive sampling was used to select professional nurses practicing within the two private hospitals. Thematic analysis was used. The study utilised the Donabedian model of patient safety and quality. The study revealed that majority of the professional nurses did not understand the concept of patient safety; there was poor communication between the multidisciplinary team. There was poor adherence to patient safety policies. Patient safety issues remain an issue of concern in public health. There is a need for nurses to be capacitated on the implementation of patient safety programmes as well as improving communication within the multidisciplinary team. Identifying and addressing risk and contributory factors will help reduce the global burden of patient harm. The study has presented the challenges as seen with patient safety and made recommendations on how to improve patient safety from the nursing perspective. It is anticipated that the results of this study may be used to create awareness on patient safety issues. This should promote a good healthcare climate in private healthcare institutions.

Protection on the territory and customary rights of Cibarani Wewengkon in Lebak Regency, Banten, Indonesia

This study examines the influencing factors of policies related to customary rights or Wewengkon implementation in the Cibarani indigenous peoples, affecting the destruction of Leuweng Titipan Mount Liman. The protection and supervision of the Cibarani Wewengkon are regulated by the Lebak Regional Government Number 8 of 2015 concerning the Recognition, Protection, and Empowerment of the Kasepuhan Customary Law Community. However, despite getting supervision and protection, natural damage caused by unlicensed gold miners continues to wreak natural harm. As a result, two hectares of forest on Mount Liman were deforested. This research used a qualitative research approach and collected data through a literature study. The results indicated that the influencing factors of inadequate protection for the Cibarani Wewengkon are the ignorance of the Lebak Regional Government regarding the supervision and protection of the Cibarani Wewengkon. Their insensibility is induced by the issues in transmission of information or poor communication between policymakers, such as the Lebak Regency house of representative and the regent, resulting in vague details on the authority to safeguard and supervise.

Experiences of injured patients referred to higher levels of care after initial assessment and management at non-tertiary hospitals in Ghana

BackgroundThe experiences of trauma patients referred from Ghanaian non-tertiary hospitals for definitive care at higher levels is not well-known. Understanding the motivations of injured patients who do not attend their referral for definitive management may inform interventions to improve injury outcomes. MethodsThis study is a follow-up survey of participants of a larger study involving initial management of injured patients presenting to 8 non-tertiary hospitals in Ghana from October 2020 to March 2022. Injured patients referred to higher levels of care were surveyed by phone using a structured questionnaire and patients who could not be reached were excluded. The main outcome was referral non-attendance and differences between patients who attended the referral and those who did not were determined with chi squared tests. Variables with intergroup differences were included in a multivariable logistic regression. Open-ended survey responses were analyzed using thematic content analysis. ResultsOf 335 referred patients surveyed, 17 % did not attend the referral. Factors associated with referral non-attendance included being male (Adjusted odds ratio (AOR)=2.70, p = 0.013), sustaining a fracture (AOR=2.83, p = 0.003), and having less severe injury (AOR 2.84, p = 0.017). Primary drivers of referral non-attendance included financial problems (59 %), family influence (45 %), and lack of transportation (20 %). The majority of patients (77 %) not attending the referral sought treatment from traditional healers, citing lower cost, faster service, and a perception of equivalent outcomes. Reported facilitators of referral attendance included positive hospital staff experiences and treatment while barriers included higher hospital costs, lack of bed space, and poor interhospital communication. ConclusionsAn important proportion of injured patients in Ghana do not attend referrals for definitive management, with many seeking care from traditional healers. Our study identified possible targets for interventions aimed at maintaining the continuum of hospital-based care for injured patients in order to improve outcomes.

Fullerene derivatives barrier layer for efficient and stable perovskite solar cells through interfacial modification and removal of superoxide radicals

Superoxide radicals(O2•–)-induced decomposition of perovskite, which seriously impairs the photovoltaic performance and stability of perovskite solar cells (PSCs). Both TiO2 and perovskite produce O2•– that accelerates the rate of catalytic degradation at the interface and inherently poor interfacial contact, exacerbating charge recombination and efficiency loss. Adding fullerene phenol derivative (C60HTB) to the perovskite/TiO2 interface absorbs O2•– and improves poor interfacial communication. The PSCs' power conversion efficiency (PCE) is improved from 20.54 % to 21.63 %. The target devices retained 91.20 %, 94.86 %, and 89.36 % of their initial power conversion efficiencies after 48 h of aging under full-spectrum illumination, 240 h of aging under ultraviolet illumination, and dark storage in air for 500 h, respectively. In this work, efficient and stable TiO2-based-PSCs were realized by scavenging O2•–, which opens a new way to enhance the stability of PSCs in light and O2 environments (light/oxygen).

The impact of provider-patient communication skills on primary healthcare quality and patient satisfaction in rural China: insights from a standardized patient study

ObjectivesIn middle-income countries, poor physician-patient communication remains a recognized barrier to enhancing healthcare quality and patient satisfaction. This study investigates the influence of provider-patient communication skills on healthcare quality and patient satisfaction in the rural primary healthcare setting in China.MethodsData were collected from 504 interactions across 348 rural primary healthcare facilities spanning 21 counties in three provinces. Using the Standardized Patient method, this study measured physician-patient communication behaviors, healthcare quality, and patient satisfaction. Communication skills were assessed using the SEGUE questionnaire framework. Multivariate linear regression models and multivariate logistic regression models, accounting for fixed effects, were employed to evaluate the impact of physicians’ communication skills on healthcare quality and patient satisfaction.ResultsThe findings indicated generally low provider-patient communication skills, with an average total score of 12.2 ± 2.8 (out of 24). Multivariate regression models, which accounted for physicians’ knowledge and other factors, demonstrated positive associations between physicians’ communication skills and healthcare quality, as well as patient satisfaction (P < 0.05). Heterogeneity analysis revealed stronger correlations among primary physicians with lower levels of clinical knowledge or more frequent training.ConclusionThis study emphasizes the importance of prioritizing provider-patient communication skills to enhance healthcare quality and patient satisfaction in rural Chinese primary care settings. It recommends that the Chinese government prioritize the enhancement of provider-patient communication skills to improve healthcare quality and patient satisfaction.

Voices From the Field: Amplifying Clinicians' Perspectives for Black Maternal Equity [ID 2683631

INTRODUCTION: Nationally, Black birthing individuals face a disproportionate burden of maternal mortality and severe maternal morbidity. Although there is growing research interest in tackling these inequities, a significant gap exists in incorporating the insights and perspectives of interprofessional front-line clinicians. This study sought to learn the experiences and viewpoints of physicians, certified nurse-midwives (CNMs), and registered nurses (RNs) to identify strategies for addressing maternal care inequities. METHODS: In collaboration with our community advisory board, we constructed semistructured questions to conduct interviews and focus groups with obstetrical clinicians. Transcripts were coded using NVIVO, utilizing inductive and deductive approaches, and content and narrative analysis to identify themes. Participant consent and IRB exemption status were obtained. RESULTS: We interviewed 20 clinicians: 6 ob-gyn physician interviews, 3 CNMs, and 14 RNs across two focus groups between January and July 2023. Key themes emerged regarding systemic challenges and opportunities. Identified challenges include 1) clinician bias and poor communication, 2) unequal care, 3) patient mistrust, and 4) lack of administrative data. Opportunities for future directions include 1) implementation of clinician training and simulation with an equity lens, 2) standardization of maternal care with safety bundles, 3) incorporation of group prenatal care and expansion of postpartum wraparound services, and 4) disaggregation of clinical operations data by race. CONCLUSION: This study identifies key challenges and opportunities to address the Black maternal health crisis. Our findings inform priorities to guide ACOG's collective action and commitment to eliminating racial inequities that lead to disparate health outcomes.

How does communication affect patient safety? Protocol for a systematic review and logic model

IntroductionOne in 10 patients are harmed in healthcare, more than three million deaths occur annually worldwide due to patient safety incidents, and the economic burden of patient safety incidents accounts...

Real emotional experience of family members of patients transported within hospital in neurosurgical intensive care unit: A descriptive qualitative study.

To understand the real experience of family members of patients in neurosurgical intensive care unit (NICU) during intra-hospital transport (IHT), explore their inner needs and provide effective intervention measures for the construction of standardized IHT plan. A descriptive qualitative study. For the purposes of this study, 10 family members of IHT patients were included using a purposive sampling method. Semi-structured in-depth interviews were used to collect the data, Nvivo 11 software was used to organize the data, and Colaizzi's 7-step descriptive phenomenology method was used to analyse the data. A total of three themes and nine subthemes were extracted, namely: Experience of emotional changes at different stages (uncertainty before transfer, complex internal activity during transit, ambivalence after transfer); Perception of problems in IHT (poor doctor-patient communication, weak awareness of risk assessment, deficiencies in the transfer procedure); Consciousness of the real needs (emotional respect and closeness, stay informed of the progression of the disease, greater social support). Family members of patients in the NICU have complex internal experiences and multiple support needs during IHT, reflecting the need for further standardization of the transport process. In the future, we should improve the mode of safe IHT involving doctors, nurses and family members of patients, ensure the safety of patient transport, meet the social support needs of family members and improve the experience of IHT and the medical satisfaction of family members.

Association of Screen Time Exposure With Autism Spectrum Disorder in Four to Six-Year-Old Children in Arar City, Saudi Arabia.

Background Autism spectrum disorder (ASD) is a psychopathologic disorder caused by several factors. The early signs include poor interaction and communication, delayed milestones, and repeated behavior patterns. This study aimed to assess the relationship between screen time and ASD severity and investigate the types of electronic devices associated with ASD in children aged four to six years in Arar City, Kingdom of Saudi Arabia (KSA). Methodology A cross-sectional study was conducted in primary healthcare centers (PHCs) in Arar City, KSA. The study enrolled all parents with children aged four to six years attending the PHCs in Arar City, KSA. Results The total sample size was 199 participants. Regarding the relationship between screen time exposure and ASD, there were variable screen time exposure durations, with 22.6% of children exposed for less than an hour, 30.7% for one to two hours, and 46.7% for more than two hours. Moreover, the type of electronic devices to which children were exposed varied, with smartphones being the most prevalent (68.3%). In terms of the age of children since exposure to electronic devices, the data indicated that 30.2% were exposed before the age of two, 35.2% between two and three years, and 34.7% after three years of age. Regarding the relationship with sociodemographic characteristics, there was a statistically significant relationship with the mother's age at birth (p = 0.050), mother's education level (p = 0.009), father's education level (p = 0.049), whether the child was suffering from any chronic or neurological disease (p = 0.008), age since the child was exposed to electronic devices (p = 0.049), and screen time exposure duration (p = 0.040). Conclusions The study highlights the significant association between screen time exposure andthe development of ASDin children. Public awareness of this associated risk among caregivers is recommended to follow the protective guidelines. Further research and interventions are needed to better understand and address the impact of screen media use on children's neurodevelopment and overall well-being.

Alignment of the functional structure with sustainability aspects in product development – combining the strengths of the functional structure with the MECO matrix

AbstractMany of the methods and tools proposed in the literature for validating product concepts are matrix-based, but they do not allow the results to be communicated easily and comprehensibly. This is a major obstacle to the integration of such methods. The poor communication of the results of a method therefore represents great potential for better integration of sustainability aspects in product development. In this article, an approach is proposed on how the results of the MECO matrix can be converted into a clear visualization of the reduced environmental assessments.

Hubungan Pola Asuh Orang Tua dengan Interaksi Sosial pada Teman Sebaya pada Siswa Kelas Va di SDN 1 Bukit Tunggal Palangka Raya

Parenting plays a significant role in shaping a child's personality. The issue of parenting arises due to the lack of parental attention towards their children, often because parents are preoccupied with work. This phenomenon is observed at SD Negeri 1 Bukit Tunggal in Palangka Raya, where there is a lack of social interaction among peers, as seen from children's behavior, such as preferring to be alone, having poor communication with peers, and lacking empathy, which results in low sensitivity to their social environment. This study aims to examine the relationship between parenting styles and peer social interaction among Grade VA students. Method: The research design used was a correlation study with a cross-sectional method, aimed at identifying the correlational relationship between two variables. The instruments used in this study were questionnaires and the Spearman Rank statistical test, administered to 36 students in Grade VA. Results: The significance value of the relationship between parenting styles and social interaction at SDN 1 Bukit Tunggal was 0.548 &gt; 0.05. Therefore, the hypothesis H1 was rejected, indicating that there is no relationship between parenting styles and peer social interaction among Grade VA students at SDN 1 Bukit Tunggal, Palangka Raya. Conclusion: There is no relationship between parenting styles and peer interaction in the process of shaping children's personalities, based on the research results.

Integrated agile facility management model for improving performance in construction projects

Facilities management (FM) has many challenges related to facilities requirements, unique services, and a need for actions to achieve customer/end-user/clients’ expectations. There is poor communication among stakeholders, weaknesses, inflexibility in business realities, and difficulty engaging decision-makers and other key partners. Adopting an agile philosophy in facilities management can improve the value and achieve quality and stakeholder satisfaction. The main objective of this article is to explore a guideline on applying agile philosophy in facilities management to achieve flexibility in management and improve performance. The papers published between 2000 and 2022 had been selected. Content analysis was used.to complement the qualitative findings. This article focuses on academic articles including subject areas: engineering, decision-making, and operations. The conceptual model is supported by current theories, literature and previous empirical studies from facilities management, agile philosophy, service quality, and stakeholder satisfaction. The major finding is the disclosure of a framework for evaluating agile philosophy in organizations by linking the agile mindset to facilities management practices. The results also revealed a conceptual framework for using agile philosophy in facilities management to achieve value and stakeholder satisfaction. This study is a review of theories and empirical studies. However, the previous studies were very limited and affected access to information widely. Therefore, it is preferable to conduct research and experimental studies on the application of agile philosophy in facilities management. Ultimately, using an agile philosophy in facilities management helps to achieve value and stakeholder satisfaction.