Priority Goals Research Articles

Decreased patient discharges on weekends: part 2-what do the ward nurses tell us?

Hospital and emergency department (ED) crowding is exacerbated on Mondays because fewer in-patients are discharged during the weekend. We evaluated the experiences and attitudes of in-patient ward nurses to better understand the challenges they face when considering the weekend discharge of their patients. We conducted a qualitative study of in-patient ward nurses, using the theoretical domains framework (TDF), at two campuses of a major academic health sciences centre. The interview guides consisted of, first, a series of questions to explore the typical processes involved for safe patient discharges and, second, exploration of the influence of the 14 TDF domains. All interviews were audio-recorded, transcribed verbatim, and anonymized and then imported into NVivo qualitative software for data management and analysis. Analysis was conducted in three stages (coding, generation of specific beliefs, identification of relevant and nonrelevant domains). The 28 interviewed nurses represented a variety of medical, surgical and other wards, and reported being acutely aware of the pressures to discharge patients on weekends (knowledge). They believed that increasing weekend discharges would improve hospital flow and aid in decanting the ED (beliefs about consequences). However, they also acknowledged that the weekend discharge pressures might result in patients being discharged prematurely and bouncing back to the hospital (beliefs about consequences). Overall, the nurses reported that as a hospital culture, discharging patients was not much of a priority (goals; environmental context and resources). We know there are much fewer discharges on weekends, and this is associated with significant hospital and ED crowding on Mondays. This study has illuminated the many challenges faced by in-patient ward nurses when considering the discharge of admitted patients on weekends. In order to decrease ED and hospital crowding related to decreased weekend discharges, hospitals will need to effect a culture change amongst all staff.

Relationship between the concepts of “Digital transformation” and “Industry 5.0”: bibliometric analysis

At the current stage of transformational transformations, the problems of transformation of the national economy are extremely relevant. And these questions are especially relevant in the conditions of rapid development of the digital economy. According to estimates by Forbes experts, 67% of the leaders of companies from the Global 2000 list chose digital transformation as a priority goal of their corporate strategy in 2018. According to a study by analysts International Data Corporation, the total global spending on digital technologies will grow by 16.8% annually and amounted to 2.1 trillion dollars in 2019. Research by Huawei and Oxford Economics has shown that intelligent network interaction will trigger the growth of the digital economy, which will reach 23 trillion dollars by 2025. This increase will be 78.3% compared to 2017 (12.9 trillion dollars). By 2025, the share of the digital economy is planned to increase by 7.2 percentage points, or from 17.1 to 24.3% of global GDP. According to the calculations of The Boston Consulting Group experts, the volume of the digital economy by 2035 will amount to 16 trillion dollars USA. In view of this, the purpose of this study is to determine the trends and key directions of digital transformation research in the era of Industry 5.0 based on bibliometric analysis using the VOSviewer software. The article carries out a bibliometric analysis of the relationship between the terms “digital transformation”, “digitalization”,”Industry 4.0”, “Industry 5.0”. It has been established that currently the problems of the digital transformation of the economy in the context of the implementation of the digital strategy of the European Union are gaining special relevance. Digital transformation is a key component of the overall strategy to transform the global economy. Correctly selected digital technologies combined with employee competencies, processes and operations will allow companies to quickly adapt to crisis situations, use promising opportunities to modernize work processes, meet new and constantly changing customer needs, stimulate growth and implement innovative and management solutions. The concept of digital transformation of the national economy in the context of Industry 5.0 should involve the use of digital tools and platforms to transform traditional business processes, improve interaction with customers, introduce innovative technologies and form a digital ecosystem. The main components of the digital transformation of critical infrastructure include: digital technologies (cloud computing, artificial intelligence, big data analytics and the Internet of Things (IoT); organizational changes (restructuring of processes to increase their flexibility, introduction of new methodologies (DevOps, Agile), formation of a digital culture); customer orientation and integration of digital channels. For effective digital transformation of the economy on a practical level, it is advisable to pay attention to such main aspects as: having a clear vision and strategy that meets business goals; involving different groups of stakeholders and ensuring the interest of the entire organization; constant monitoring and evaluation of the implementation of digital transformation initiatives; an adaptive and iterative approach that allows you to navigate the changing digital landscape. It has been proven that the priority direction of research in the future should be the substantiation of the theoretical and methodological provisions of the formation of the digital ecosystem.

Valorization of a Local Italian Pear (Pyrus communis L. cv. ‘Petrucina’)

In recent decades, the food production chain has undergone transformations that have profoundly affected the way food is supplied, causing changes in the quality of the final products. Moreover, biodiversity is seriously threatened worldwide, and the valorization of local germplasm is a priority goal for most sectorial policies in Europe and elsewhere. Southern Italy and the Mediterranean basin present a vast heritage of fruit tree cultivars that is gradually being lost. Through this work, we aim to valorize a well-adapted local pear cultivar named Petrucina from the Salento area (southeastern Italy, Apulia region), which has never been studied before in detail. With this aim, the nutritional and nutraceutical features of pear flesh were characterized and compared with a reference pear cultivar that is widespread and well-known in Europe (cv. ‘Conference’). Petrucina fruits have shown a peculiar aromatic compound profile, and a content of up to 398.3, 30.9, and 4.7 mg/100 g FW of malic acid, citric acid, and ascorbic acid, respectively, much higher than that of Conference fruits. Additionally, Petrucina flesh presents a more than triple total phenolic content and an antioxidant activity more than double that of Conference, making Petrucina a true functional food that deserves wide appreciation.

Towards sustainable development in African countries: Are modern and combustible renewable energies effective?

AbstractEnvironmental degradation and climate change problems in the African continent seriously hit country economies and human health, negatively affecting the achievement of the Sustainable Development Goals (SDGs). African countries have the potential to use economic development and renewable energy as a tool for their environmental sustainability. In this context, this study examines the effects of economic growth, modern renewable energy, and combustible renewable energy on ecological footprint (EF) in five African countries. To this end, the study uses novel regularization common correlated effects and half‐panel jackknife approaches on data from 2006 to 2020. The findings of the study show that economic progress effectively reduces the EF of African countries, but renewable energy does not contribute to ecological progress. Due to their insufficient and ineffective utilization, renewable energies are not an important tool for improving ecological systems. Therefore, African countries should prioritize their economic development as a priority goal. Based on the results, African countries experiencing economic advancement should bolster for SDGs objectives through green financial incentives.

SOCIAL SUCCESS AS A COMPONENT OF STUDENT YOUTH ACTIVITY

The article discusses the concepts of social success and social activity of student youth. The need of an individual to achieve social success and the ability to solve urgent problems in society is becoming increasingly important. Active work is the key to social success and the formation of a socially successful personality. The purpose of the article is to substantiate social success as a condition for the formation of social activity of students. The social success of a student in a higher education institution is formed in the process of certain activities, social activity, and interpersonal interaction. The issue of social success and activity of a higher education student is defined as one of the priority goals in a number of regulatory documents. The authors used the methods of theoretical analysis of modern scientific literature of Ukrainian and foreign researchers, generalization, and systematization to deepen the understanding of the concept of social success and activity of student youth. Research attention is paid to the importance of promoting the level of social activity of student youth and social performance, as this affects not only the formation of an active life position of students, but also helps to improve the level of knowledge acquisition. The article reveals the concept of student's social activity, in particular, as a personality quality manifested in various forms of socially important activities, in particular, those which are a manifestation of social success. The achievement of social success by a person is impossible without his or her social activity in important areas of life. That is why the formation of social activity of student youth is one of the important tasks of a higher education institution, because it will help in the future to form a successful personality who will have an active life position and a desire to influence not only the life of the community, but also the life of the country.

The Priority Goals and Underlying Impairments Contributing to Goal-Related Problems of People with Parkinson's Disease Receiving a Community-Based Rehabilitation Program.

Goal setting is a core rehabilitation practice in Parkinson's disease (PD). Targeting therapy towards specific goals leads to greater improvements in performance and psychosocial outcomes. Goal setting in PD is feasible, and although the nature of goals has been described in previous studies, the underlying impairments related to goals have not been described. Understanding the nature of goals ensures that interventions for people with PD are aligned with their needs and priorities. Understanding the underlying impairments highlights which symptoms have the biggest impact on daily life and is necessary for planning appropriate interventions to target them. To describe the nature of the goals of people with PD; the underlying impairments related to goals; and to compare differences between high and low priority goals. Deductive content analysis was used to map goal statements to the international classification of function (ICF) activity and participation category and to map therapist field notes detailing the primary underlying impairment to the ICF Body Functions category. These results were then compared across goal priority rankings. 88 goals of 22 people with PD were analysed. We found that people with PD set diverse goals across all chapters of the ICF Activity and Participation category, with "self-care" goals making up the highest proportion of goals. The primary underlying impairment related to the goals was predominantly related to impairments in "mental functions" under the Body Functions category. Regardless of goal priority, most goal-related underlying impairments were found to be in the "mental functions" category. The goals of this sample of community-dwelling people with PD highlight their diverse needs and priorities. These findings indicate that nonmotor symptoms, namely, executive dysfunction and amotivation most commonly impact the performance of and participation in activities of greatest importance to people with PD. This trial is registered with ACTRN12621001483842.

How Do Mixed Cover Crops (White Mustard + Oats) Contribute to Labile Carbon Pools in an Organic Cropping System in Serbia?

Sustainable farming is one of the priority goals of the "4 per 1000" concept with regard to the preservation of soil fertility and carbon sequestration. This paper presents a study on the use of a mixture of cover crops of self-grown oats (Avena sativa L.) and sown white mustard (Sinapis alba L.) in organic farming under the agroecological conditions of Serbia. The main objective was to identify sensitive carbon pools (microbial carbon and nitrogen, basal respiration and a number of specific groups of soil microorganisms) in organic farming with and without cover crops. The inclusion of a mixture of white mustard and self-grown oats as a cover crop led to a significantly increased biogenity of the soil compared to a control after only a few years of investigation. The number of microorganisms, soil respiration and microbial biomass carbon were significantly higher in the cover crop treatment compared to the control soil on an organic farm in Serbia. This is the first study in Serbia to investigate the effect of self-grown oats as a cover crop. Further research will incorporate a wider range of variables and factors in order to develop a sustainable and effective site-specific system for organic crop production in Serbia.

Can attentional nudges improve efficiency of bilateral multi-attribute negotiations?

This paper reports the results from a lab experiment to simulate negotiation on innovative therapy commercialization. Using a between-subject design, we analyzed the consequences of two light choice interventions: (1) guiding negotiations towards early wins, and (2) inviting negotiators to share information about their priority goals. In both treatments, the total value created exceeded the control value by approximately 9 % of the maximal value that can be created in this experiment. However, it was essentially the buyer who captured the additional value. We found that, conditional on the success of the negotiation, the total value created increased with the time spent negotiating. Negotiator gender had an impact on the negotiation outcome, with women underperforming compared to men.

СЦЕНАРІЇ ФОРМУВАННЯ РЕЗЕРВІВ ПІДВИЩЕННЯ ЕКОНОМІЧНОЇ ЕФЕКТИВНОСТІ ПІДПРИЄМСТВ СФЕРИ ПОСЛУГ З ОРІЄНТАЦІЄЮ НА ІННОВАЦІЙНИЙ РОЗВИТОК

The article notes the priority tasks and goals of enterprises in the service sector, the solution of which requires the use of progressive approaches, and the formation of reserves is attributed to them. It is emphasized that the formation of reserves is the main element of ensuring the economic efficiency of entrepreneurial activity, and it is especially important when the strengthening of innovative development is expected. Depending on the industry, the scenarios for the formation of enterprise reserves may differ and, accordingly, require a thorough theoretical-methodical and scientific-applied justification. The absence of a universal approach to the formation of reserves for increasing the economic efficiency of enterprises in the service sector, which would simultaneously focus on the development of innovative activities, was revealed. It is important for enterprises in the service sector to master universal approaches to the formation of reserves, which allow both to ensure economic efficiency, innovative development, and to strengthen the readiness to overcome existential challenges and threats. It is appropriate to follow a structural approach, according to which the allocation of reserves will take place according to clear criteria, according to the principles of balance and rationality. It is suggested that the formation of reserves for increasing the economic efficiency of enterprises in the service sector with an orientation towards innovative development should be carried out according to price and marketing policy scenarios. The tools of price policy include sales, lending, discounting, break-even, high and target prices, etc. Instead, in the marketing policy, priority is given to tools such as diversification of services, brand management, benchmarking, digitalization, technological cooperation, etc.

МЕКТЕПТЕ «АЛҒАШҚЫ ӘСКЕРИ ЖӘНЕ ТЕХНОЛОГИЯЛЫҚ ДАЙЫНДЫҚ» ПӘНІН ОҚЫТУДЫҢ ӨЗЕКТІ МӘСЕЛЕЛЕРІ

The article examines the importance of the discipline "Initial military and technological training" in schools and colleges in the formation of abilities and qualities necessary for pre-conscripts and the creation of a coordinating educational and methodological council for teaching the discipline together with the basic schools of higher education institutions according to the teaching methodology "Initial military training and technological training". The need to increase the spirituality of future youth, as well as the further development of school activities in the context of the spiritual modernization of Kazakh society requires a critical understanding of the state of spiritual, moral, patriotic education and making the necessary changes to the concepts and programs of the social sphere, educational plans and content. To achieve the priority goal, information is provided on the transformation of the content of education and the educational process, their integration

Early Childhood in Marginalized Roma Communities: Health Risks and Health Outcomes.

This study aims to compare selected early childhood health risks and health outcomes of children from marginalized Roma communities (MRCs) in Slovakia with those of the majority. We obtained cross-sectional data from mother-child dyads from the majority (N = 109) and MRCs (N = 143) via questionnaires and from medical records. Socioeconomic status, health risks and health outcomes were compared using chi-square and Mann-Whitney U tests in SPSS. Mothers from MRCs reported significantly worse socioeconomic status. Air quality in the households in MRCs was significantly worse, affected by heating with stoves, burning fresh wood and indoor smoking. The diet composition of children from MRCs was characterized by shorter breastfeeding and unhealthy diet composition less fresh fruits and vegetables, more processed meat products, and sweet and salty snacks. Children from MRCs more often suffered from respiratory and diarrheal diseases, used antibiotics and were hospitalized. The health and healthy development of children living in MRCs is endangered by various poverty-related factors. Persistent differences in exposures and health in early childhood should be a priority goal of the state's social and health policies.

Research on the Interrelationship of Sustainable Development Goals Based on Multilayer Network Modeling

The Sustainable Development Goals are not just a call to action, but a vision of hope for a better world. To achieve sustainable development, it is critical to study relationship between SDGs and select the most effective priority goals. A multi-layer network approach was employed to establish a model for analyzing the interrelationships and impacts of SDGs.The ffnal model was derived by computing the Pearson correlation coefffcient matrix and network connections. The network models for 10 regions were visualized, revealing that in the WLD region, SDG8 had a positive impact on other SDGs, particularly on SDG4, while SDG17 had a negative impact on 14 SDGs.We have concluded that our model has strong robustness, high stability, and good interpretability. This provides scientiffc guidance and support for achieving the SDGs.

Model for assessing the effectiveness of implementing the financial strategy of an enterprise

Methods. In the course of studying the issues of evaluating the effectiveness of implementation of the financial strategy of enterprise, the article uses methods of generalization, systematization of terms and concepts, critical analysis in defining the essence of the concept of «financial strategy of enterprise», methods of economic and mathematical modeling – in building a component model of management of the financial strategy of enterprise, information technologies – in implementing the proposed approach. Results. A component model for managing the financial strategy of enterprise, consisting of three stages, is proposed. For each component, tasks, methods and models and the result obtained are defined. Based on the results of the first component, the type of the chosen financial strategy is determined. The second component allows obtaining forecast data of indicators necessary for assessing the effectiveness of strategy implementation. The paper develops and implements the third component of the model designed to evaluate the effectiveness of the financial strategy implementation. Novelty. The concept of financial strategy is clarified, which consists in determining the priority goals and a system of measures to achieve them in the field of financial resources formation, optimization of the capital structure and efficiency of asset use, which correspond to the general concept of enterprise development and ensure its implementation. The information system was improved on the basis of a built-in module based on the algorithm for building and implementing a financial strategy for enterprise development, which will allow: choosing economically feasible options for decisions regarding the selection and implementation of a financial strategy; correctly using the experience and subjective judgments of financial managers in making management decisions; improving functional coordination between employees of the financial department and the management of the enterprise. Practical value. To test the model, a model experiment was carried out using the financial statements of one of the operating enterprises. The results obtained indicate the efficiency and correctness of the proposed model and serve as an information basis for managerial decisions on assessing the effectiveness of measures to manage the financial strategy of enterprise.

Methodological provision of analysis of the efficiency of investment activities of enterprises

The paper is devoted to the disclosure of the main provisions of methodological support for the analysis of the investment activity of enterprises and practical recommendations on the use of methods for evaluating the effectiveness of the implementation of investment projects for decision-making. Making investment decisions is based on the use of various formalized and informal methods and models, taking into account the following factors: changes in the value of money over time; alternative value of resources; cash flows generated by the project; uncertainty and risk; inflation, price changes and currency exchange rate fluctuations; investment goals and investor psychology; possible changes in project parameters; synergies between investment projects of the enterprise. When forming the list of monitoring indicators, those aspects of the business entity's investment activity that are most important for owners, investors and management organizers were highlighted. It is proposed to form a system of performance indicators of the enterprise's investment activity in accordance with the sphere of investment: production, marketing, technology, organization. The principles of investment activity analysis and recommendations on the procedures for analyzing the effectiveness of project implementation have been formed, the choice of which depends on the management goals aimed at achieving a stable cash flow and ensuring the financial stability of the enterprise. The essential characteristics, advantages and disadvantages of the existing approaches to evaluating the effectiveness of investment projects are revealed. A system of indicators and criteria for the analysis of the effectiveness of investment activities of indicators characterizing the effectiveness of investments depending on the sphere of investment of funds: production, marketing, technology, organization are proposed. Recommendations for choosing a specific method for evaluating the effectiveness of investment projects in the context of achieving the priority goal - maximizing project profitability, risk acceptability and investors' interests are substantiated.

Revisiting Treatment of Metastatic Urothelial Cancer: Where Do Cisplatin and Platinum Ineligibility Criteria Stand?

Cisplatin-based chemotherapy has been the standard of care in metastatic urothelial cancer (mUC) for more than two decades. However, many patients with comorbidities cannot receive cisplatin or its alternative, carboplatin. 'Cisplatin-ineligible' and 'platinum-ineligible' patients lacked effective therapy options. However, the recent combination of enfortumab vedotin (EV), an antibody-drug conjugate targeting Nectin-4, with pembrolizumab (P), an antibody targeting the programmed death-1 (PD-1) immune checkpoint, is changing the status quo of frontline mUC treatment, with potential synergy seen in the EV-103 and EV-302 clinical trials. First, we review the working definitions of 'cisplatin ineligibility' and 'platinum ineligibility' in mUC clinical trials and the standard of care in both categories. Then, we review select clinical trials for frontline treatment of cisplatin- and platinum-ineligible mUC patients on ClinicalTrials.gov. We classify the investigated drugs in these trials by their therapeutic strategies. Alongside chemotherapy combinations, the field is witnessing more immunotherapy combinations with fibroblast growth factor receptor (FGFR) inhibitors, bicycle toxin conjugates, bispecific antibodies, innovative targeted therapies, and many others. Most importantly, we rethink the value of classifying patients by cisplatin or platinum ineligibility in the frontline setting in the post-EVP era. Lastly, we discuss new priority goals to tailor predictive, monitoring, and prognostic biomarkers to these emergent therapies.

SAFE EDUCATIONAL ENVIRONMENT: NEW CHALLENGES AND INNOVATIVE SOLUTIONS AT THE PRYDNIPROVSKA STATE ACADEMY OF CIVIL ENGINEERING AND ARCHITECTURE

Problem statement. Carrying out its mission in the extremely difficult circumstances of the war, the Ukrainian pedagogical community remains at the forefront of the educational front. Taking on a new, higher level of responsibility, the scientific and pedagogical team of the Prydniprovska State Academy of Civil Engineering and Architecture (PSACEA) (Dnipro city) is among the ranks of educators. The full-scale invasion of the Russian Federation on the territory of Ukraine forced us to rethink the role of education and change our view of the educational environment of our institution of higher education. In the first place, next to the traditional requirements for the educational environment, came the requirement of safety, i.e. the need to create a safe educational environment. In the martial law conditions in Ukraine, a priority goal of the state is to preserve the life and health of its citizens, especially young people, by ensuring their access to education. Access to education in war-time is the organisation of a safe educational environment. A safe educational environment is the surrounding space of an educational institution created in accordance with the institution educational goals, in which the educational process is carried out and the necessary and sufficient conditions for its participants to effectively and safely achieve the goals of education and upbringing are created. This is confirmed in the regulatory document “Concept of Educational Institutions Safety”, which aims to create equal, appropriate and safe conditions for education, to organise a safe educational environment, in particular in the of the russian federation military aggression context against Ukraine. The implementation period of this Concept is 2023−2025. The methodological framework for ensuring a safe educational environment is set out in the letter of the State Emergency Situations Service of Ukraine No. 03-1870/162-2 dated 14.06.2022. This methodological framework provides for a wide range of components for the preservation and provision of a set of objects and their attitudes to the realisation of educational goals.

Peningkatkan Higher Order Thinking Skills (HOTS) melalui Penerapan Model Pembelajaran Berbasis Case Method

In the learning process, complex problems are not only at the level of achievement of students' perseverance. Achievement in creating quality human resources is a priority goal for educational institutions by creating graduates who have positive values and character so that they can stimulate productivity in students. Learning methods with the aim of improving Higher Order Thinking Skills (HOTS) are considered to be able to provide solutions in learning by overcoming global problems. Project-based learning means experience in the form of reality where attitudes and skills become knowledge construction as a basis for its application. The case method can be a recommendation in learning by reducing errors in theory and practice, which is the use of the right model for the success of project based learning. This research aims to study the effect of implementing project based learning using the case method as an effort to improve Higher Order Thinking Skills (HOTS). This research is descriptive research using qualitative analysis, where the data collection process is based on interviews and observations in the learning process of international business courses. This research has 2 types of variables, namely independent variables and dependent variables. The independent variable in this research is project-based learning, while the dependent variable in this research is Higher Order Thinking Skills (HOTS) with indicators covering the ability to combine concept sharing, interpretation, problem solving, problem solving strategies, discovery of new methods, argumentation and decision making. The application of project-based learning using the case method in international business courses has increased Higher Order Thinking Skills (HOTS) so that students can analyze and make decisions according to phenomena in conditions covering the current global environment.

The place of the state regulatory system of the agricultural sector in ensuring sustainable development

This article is devoted to the study of the characteristic features of the system of state regulation of the agrarian sector and determining its place in ensuring sustainable development. Based on the analysis, it was established that the current system of state regulation of the agricultural sector in Ukraine includes a number of subjects that have influence based on their authority (public authorities of various levels), as well as those that influence indirectly (the public sector). These subjects directly or indirectly affect the agricultural sector of the economy through a number of means of influence (organizational, financial and economic, normative and legal and advisory or scientific and methodological). It was determined that among the priority goals of state regulation should be, first of all, the promotion of the gradual comprehensive growth of the country's economy, productive employment, which covers the largest possible number of working population, as well as decent working conditions for all. It is noted that the sustainable development of the agricultural sector in today's conditions is impossible without guaranteeing environmental safety, which is considered one of the key components of national security. In order to ensure a stable ecological situation in agro-industrial production, it is important to create, implement, and most importantly - finance targeted programs aimed at this at the state and regional levels. It has been proven that one of the key components of a modern effective system of state regulation of the agrarian sector is support for digital transformation in the agrarian sector. Digitization involves the use of technologies that include the application of advanced achievements in combination with the Internet for the global restructuring of agriculture. It was concluded that one of the directions for the fulfillment of these tasks can be the support of the clustering of the agricultural sector. The government's cluster approach to the sustainable development of the agricultural sector makes it possible to maintain a positive synergistic effect and reduce the impact of negative factors even with minimal state funding. It promotes inter-branch interaction, coordination of economic interests of subjects of agricultural production.

Prevalence and Psychosocial Risk Factors Associated with Depression in Older People in A Rural Community

Depression is a multifactorial disease that globally impacts all ages and sectors of the population. In this sense, it has become a public health problem, since it affects 280 million people in the world, according to information from the World Health Organization. Older adults represent 5.7% of the population that experiences this disease, with the moderate to severe stage being the one that most impacts their health, and, therefore, quality of life. For this reason, the objective of the research is to know the prevalence and psychosocial risk factors associated with depression in older people in the community of Santa Cruz, Hecelchakán, Campeche. The methodology used is with a quantitative approach because information was collected, based on the application of the Yesavage scale of geriatric depression, and the sociodemographic registry of 60 older adults of both sexes, in order to measure the percentage of prevalence through its respective epidemiological formula. Likewise, it is cross-sectional because it collected data in a single time: November 2022 – October 2023. Results: 46.7% experienced mild depression, 41.7% moderate depression and 11.6% severe depression. 55% of those interviewed were male and 45% female. The actual prevalence of depression is 100%. Likewise, the psychosocial risk factors identified were: the absence of recreational activities and social support networks, the economy, health services and family disintegration. Finally, it is necessary to design and implement socio-health intervention projects in the locality and with a socio-cultural perspective that impacts this age group, the family and from an intergenerational perspective, with the promotion of mental health being a priority goal in their execution.

Factors influencing health-related quality of life among long-term care residents experiencing pain: a systematic review protocol

BackgroundPain is highly burdensome, affecting over 30% of long-term care (LTC) residents. Pain significantly reduces residents’ health-related quality of life (HRQoL), limits their ability to perform activities of daily living (ADLs), restricts their social activities, and can lead to hopelessness, depression, and unnecessary healthcare costs. Although pain can generally be prevented or treated, eliminating pain may not always be possible, especially when residents have multiple chronic conditions. Therefore, improving the HRQoL of LTC residents with pain is a priority goal. Understanding factors influencing HRQoL of LTC residents with pain is imperative to designing and evaluating targeted interventions that complement pain management to improve residents’ HRQoL. However, these factors are poorly understood, and we lack syntheses of available research on this topic. This systematic review protocol outlines the methods to identify, synthesize, and evaluate the available evidence on these factors.MethodsThis mixed methods review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. We will systematically search Medline, EMBASE, PsycINFO, CINAHL, Scopus, Cochrane Database of Systematic Reviews and ProQuest Dissertation and Thesis Global from database inception. We will include primary studies and systematically conducted reviews without restrictions to language, publication date, and study design. We will also include gray literature (dissertation and reports) and search relevant reviews and reference lists of all included studies. Two reviewers will independently screen articles, conduct quality appraisal, and extract data. We will synthesize results thematically and conduct meta-analyses if statistical pooling is possible. Residents and family/friend caregivers will assist with interpreting the findings.DiscussionThis proposed systematic review will address an important knowledge gap related to the available evidence on factors influencing HRQoL of LTC residents with pain. Findings will be crucial for researchers, LTC administrators, and policy makers in uncovering research needs and in planning, developing, and evaluating strategies in addition to and complementary with pain management to help improve HRQoL among LTC residents with pain.Systematic review registrationPROSPERO CRD42023405425