Proactive Culture Research Articles

From Dis-empowerment to empowerment: Crafting a healthcare cybersecurity self-assessment

Due to the valuable and sensitive nature of its data, the Australian healthcare sector is increasingly targeted by cyberattacks. Existing cybersecurity evaluation methods often lack the specificity required to address the unique vulnerabilities within this sector, especially in terms of engaging stakeholders and fostering a proactive security culture. These evaluations often overlook psychological empowerment, which enhances individuals’ confidence in managing cybersecurity.This study aims to develop a tailored cybersecurity self-assessment index for the Australian healthcare system. It will focus on enhancing psychological empowerment alongside technical assessments to improve overall sector resilience against cyber threats.Using a design science research approach, the index was developed using expert reviews, online surveys, and in-depth interviews with key stakeholders, including healthcare providers, consumers, and government entities. This iterative process involved identifying gaps in existing cybersecurity measures and designing an index to address technical and human factors.The index’s evaluation through a pilot study revealed that it effectively raised awareness and empowered individuals within the healthcare sector to take ownership of cybersecurity practices. Participants reported increased confidence in managing cybersecurity risks and found the index’s actionable recommendations helpful in improving their security posture. However, challenges related to its applicability across diverse healthcare environments and regulatory constraints were identified.The Australian Healthcare Cybersecurity Self-Assessment Index shows promise as a tool for strengthening cybersecurity in the healthcare sector by integrating psychological empowerment with technical assessments. Further research is needed to refine the tool, incorporate quantitative data, and explore its scalability across different healthcare settings and global applications.

Effectiveness of social engineering awareness training in mitigating spear phishing risks in financial institutions from a cybersecurity perspective

Spear phishing remains a critical cybersecurity threat to financial institutions, where attackers exploit human vulnerabilities to breach sensitive systems. This review paper explores the effectiveness of social engineering awareness training programs in reducing spear phishing risks within the financial sector from a cybersecurity perspective. By analyzing existing research, the paper assesses various training approaches, focusing on elements such as content relevance, delivery methods, and employee engagement. The review highlights how targeted awareness programs can enhance employees' ability to recognize and respond to phishing attempts, thereby strengthening overall cybersecurity defenses. The findings emphasize the importance of continuous, specialized training in fostering a proactive security culture and offer recommendations for optimizing awareness strategies to bolster cybersecurity resilience in financial institutions.

Opportunities for nurses to address employee voice in health care providers: a scoping review

BackgroundEmployees’ decision to speak up or to stay silent can have implications for health care providers, employees and people who need care. As a result, a shift is needed from blindly following guidelines to implementing a sustainable proactive organizational culture in which employees, especially nurses, can evaluate their work environment and take advantage of growth opportunities. The aim of this review is to analyse the characteristics of employee voice opportunities in the health care context, particularly for nurses.MethodsThe search was conducted in April 2023 in the following databases: MEDLINE via PubMed, CINHAL via EBSCO, Scopus via Elsevier, Wiley/Web of Science and Cochrane Library. The search results were imported into the COVIDENCE program and screened by two researchers separately. We used the following search components: health care organization, opportunities, and employee voice. The review followed the PRISMA-ScR guidelines. We identified 951 studies in five databases and via citation tracking. After we removed 102 duplicates and screening 839 titles and abstracts, 23 full texts were assessed. According to our inclusion and exclusion criteria, we included 9 studies.ResultsThree main characteristics of employee voice opportunities that need to be considered to enable nurses to have a voice in the organization were identified. These main categories are individual factors, organizational culture, and available voice channels. It is not possible to rank them in order of importance; they are interrelated.ConclusionsTo conclude, employee voice is a process. In order for utilize employee voice opportunities, individual employee factors, organizational culture and its embedded context must be considered. Individual internal and external motivation, which is influenced by socio-cultural aspects and work hierarchies, must also be considered for successful use of opportunities.

On the effects of Erasmus+ KA 1 mobilities for continuing professional development in teachers’ biographies: A qualitative research approach with teachers in Portugal

For several years, the European Commission has been investing in transnational mobility projects, namely Erasmus+, for the continuing professional development of teaching and non-teaching staff of schools for the sole purpose of improving the quality of education, as well as to establish networks of communications where teachers and schools can share their best practices and experiences. Although necessarily nestled in a proactive and positive school culture, these projects also have an impact on teachers professionally, but also on a personal level. This article therefore aims at studying how these international teacher professional development experiences change teachers’ biographies and their narrative expressions and possibly transform how they identify themselves personally, as European citizens, and professionally as European teachers. Empirical data collected through a multiple case study in Portugal appears to confirm that a considerable shift in professional and personal identity occurs through the participation of Erasmus+ KA1 projects for teacher professional development.

Corporate Financial Risk Management in China's Financial Markets: Strategies and Practices

This research paper explores the realm of corporate financial risk management within the dynamic context of China's financial markets. Focusing on market risk, credit risk, and operational risk, the study examines the strategies and practices employed by industry leaders, including Ping An Insurance, Alibaba Group, and Tencent Holdings. Through a combination of case studies and insights from interviews with key personnel, the research elucidates the multifaceted approaches these companies employ to mitigate financial risks. The analysis highlights the critical importance of technological innovation, robust governance frameworks, and a proactive risk-aware culture in navigating the complex landscape of financial risk management in China.

“Activism is welcome as long as it’s peaceful”: athletic administrators’ perspectives on college athlete activism via stakeholder theory

The purpose of this study was to examine athletic department administrators’ perceptions of student-athlete activism via Stakeholder Theory. Since 2012, the United States has witnessed a resurgence of activism within sport, college sport including. While collegiate athletes’ point of views have been studied, college athletic administrators’ (e.g., an Athletic Director) point of view is missing. The researchers interviewed senior level athletic administrators utilizing Stakeholder Theory to identify key stakeholders athletic administrators find salient when a college athlete engages in activism. Results are broken down into sub-themes highlighting stakeholders with power (coaches, communications, campus administrators, and high-level campus leaders), legitimacy (proactive culture of accepted activism, personal investment, and type of activism), and urgency (public protest, real-life events of socio-cultural importance, and the athletes). This study’s importance lies in the practical benefit it provides athletic administrators and other stakeholders surrounding an athletic department as it relates to collegiate athlete activism.

Key Factors of Organizational Resilience in Prisons and Police Forces in French-Speaking Switzerland during COVID-19

During the COVID-19 crisis, organizations had to demonstrate organizational resilience (OR) to continue to carry out their missions. We conducted qualitative research to identify the factors that contributed to the OR of police and penitentiary institutions in French-speaking Switzerland, in terms of their operations and management. The modes of action and crisis responses of these emergency services, regularly confronted with crises and particularly impacted during the pandemic, are worthy of attention. To this end, we synthesized the OR factors that are frequently identified in both theoretical and empirical review articles and identified four theoretical conceptualizations: (a) resilience engineering, (b) ecological resilience (these two are the most widely used), (c) a third way situating resilience at an intermediate stage in a metamodel representing the evolution of organizations from a fragile to antifragile state, and (d) a conceptualization focusing on the temporal dimension of OR. Based on the results of 25 semi-structured interviews with executives from cantonal police forces and prisons, we present what we consider to be the key levers in a three-phase resilience process (upstream, during, and after the shock): anticipatory and proactive organizational culture, information management and communication, liminal leadership practices, social and environmental practices, agility-enhancing governance practices, and learning capabilities. Our results largely confirm that these parameters significantly contributed to the OR of the institutions in question. They also enable us to propose winning configurations of factors that can increase the potential for OR.

Pengaruh Kepemimpinan Instruksional Terhadap Prestasi Siswa: Pendekatan Manajemen Pendidikan yang Efektif

This study investigates the practice of instructional leadership with qualitative methods with a descriptive approach to analysis. Involving principals, teachers, and teaching staff with a total of 15 respondents. The data collection method used is through observation, documentation and interviews. Data analysis techniques through data collection, data presentation and data verification. The results show that instructional leadership includes concrete steps in shaping an inclusive and proactive learning culture. These findings are in line with the literature emphasizing the positive role instructional leadership plays on teacher motivation and commitment. However, to evaluate its concrete impact on student achievement, further research is needed. The study recommends developing leadership training programs, strengthening teacher collaboration and participation, and developing supportive school policies. Periodic monitoring and evaluation is also proposed as an important step in ensuring the effective implementation of instructional leadership practices. Through the implementation of these recommendations, it is expected to continue to improve the quality of education and contribute to the development of the literature on instructional leadership

Study of the technology of smart cleaning of solar power modules of an autonomous power station

The advancement of solar technology has facilitated the development of autonomous power stations that primarily rely on solar energy. This article delves into the crucial role that smart cleaning technologies play in enhancing the efficiency of these solar power modules. Solar panels, pivotal in harnessing solar energy, require regular and effective cleaning to maintain their efficiency. Traditional cleaning methods, although somewhat effective, are increasingly becoming insufficient due to the evolving demands of autonomous systems. The focus of this research is on the innovative integration of the Internet of Things (IoT) technologies to optimize the cleaning process. IoT not only enables remote monitoring and control but also automates the cleaning process through advanced algorithms that assess environmental data and panel conditions. This optimization ensures that the panels operate at peak efficiency by scheduling cleaning sessions based on actual needs rather than fixed intervals. Specifically, the study explores various smart devices such as autonomous robots and drones equipped with sensors and cleaning systems. These devices perform tasks ranging from dust detection to thorough cleaning without manual intervention, significantly reducing the labor cost and time involved in maintaining large solar farms. The use of embedded sensors and cameras facilitates real-time monitoring of the panels’ conditions, detecting any inefficiencies or malfunctions early. Furthermore, this article highlights the potential of mobile applications in smart cleaning systems. These applications provide operators with real-time data analysis, system status updates, and the flexibility to adjust operational parameters remotely. This capability not only enhances the responsiveness of the maintenance teams but also contributes to a proactive maintenance culture, preventing potential downtimes. In conclusion, smart cleaning technologies, powered by IoT and supported by innovative hardware and software solutions, represent a significant advancement in the field of renewable energy. They ensure that solar power modules operate at their highest potential, thereby supporting the broader goal of sustainable and efficient energy use in autonomous power stations. This research underscores the transformative impact of integrating smart technologies in the renewable energy sector, suggesting that continued innovation in this area is essential for the future of sustainable energy infrastructure.

Capacity Improvement of PRM Kadirojo in The Role of Family Toward the Formation of Dissaster Resilliance Village.

Abstract. This community service was aimed at improving the community resilience in Kadirojo, Palbapang village, Bantul, a region affected by the big Bantul earthquake in 2006. The earthquake severely damaged Kadirojo, which was upsetting for the people. Support and assistance have been given to the people to build back the community, and more activities are still needed to improve the people's resilience. Villagers in Kadirojo need to be aware of and prepared for their condition, which is located in the active fault of Kali Opak, Bantul, Yogyakarta. The activities done in this community service were generating awareness among the people and improving their behaviour to create a family-based resilient community, generating a pro-active and positive culture in disaster management, and upgrading the family resilience by systematically enhancing the capacity of Aisyiyah and Muhammadiyah as two religious-based social agents in the community. The branches of Aisyiyah and Muhammadiyah in Kadirojo, Palbapang, Bantul have always been with the people and have made big contributions to the social, economic, and religious movements in Kadirojo. Enhancing the capacity of these two organizations and providing them with sufficient instruments will effectively contribute to the development of a family-based, resilient community. This community service used the constructivist approach of Peter L. Berger by conducting collective and interactive discussions to raise the awareness and preparedness of the people.

Risk factors for the colonization of carbapenem-resistant Enterobacteriaceae in patients transferred to a small/medium-size hospital in Korea: a retrospective study

Purpose: This study aimed to identify the colonization rate of carbapenem-resistant Enterobacteriaceae (CRE), the characteristics of CRE isolates, and risk factors for CRE colonization in patients transferred to the general wards of a small/medium-sized hospital.Methods: This retrospective study was conducted on patients who underwent CRE culture tests within 24 hours of admission among patients transferred to a small/medium-sized hospital. Forty-seven patients confirmed as positive for CRE were classified as belonging to the patient group. For the control group, 235 patients (five times the number of the patient group) were matched by sex, age, and diagnosis, and then selected at random. Data were analyzed using descriptive analysis and multiple logistic regression analysis.Results: The CRE colonization rate was 5% (47 out of 933 patients), and Klebsiella pneumoniae (68.0%) was the most common isolate of CRE. The positivity rate of carbapenemase-producing Enterobacteriaceae was 61.7%. The risk factors for CRE colonization included renal disease (odds ratio [OR]=4.93; 95% confidence interval [CI], 1.49-16.31), heart disease (OR=3.86; 95% CI, 1.35-11.01), indwelling urinary catheters (OR=4.43; 95% CI, 1.59-12.36), and cephalosporin antibiotic use (OR=8.57; 95% CI, 1.23-59.60). Conclusion: Having a comorbid renal or cardiac disease, an indwelling urinary catheter, or a history of exposure to cephalosporin antibiotics could be classified as risk factors for CRE colonization in patients transferred to small and medium-size hospitals. It is necessary to perform active infection control through proactive CRE culture testing of patients with risk factors.

Why a proactive research culture is necessary for advancing social sciences in Sri Lanka?

This editorial points to the need for developing a positive research culture for advancing social science research in Sri Lanka. This is not to say that a positive attitude towards research is absent among social scientists and the scientific community in general in Sri Lanka. On the contrary, there is an emerging recognition that social science inputs are necessary for tackling the various challenging problems facing the country today. However, what is lacking is a firm faith in building a local social science knowledge base for exploring various approaches for understanding critical issues facing the country, constant debates about relevant issues and a critical engagement with the social, economic, and political environment in which we find ourselves. This is what I call a “proactive research culture” where we constantly turn to new research for generating new knowledge and finding answers to serious problems affecting the current and future generations.

RISING NEED OF PHYSICAL REHABILITATION IN ICU

This mini-review discusses the importance of physical rehabilitation in Intensive Care Units (ICUs) to mitigate physical, mental, and psychological problems among critically ill patients. Early and customised physical activities that encourage patient movement from in-bed activities to walking are highlighted. A systematic review of 60 trials (n = 5352) showed that physical rehabilitation improves physical function and reduces ICU stay duration compared to conventional treatment. Despite its benefits, physical therapy is underutilised due to perceived safety issues. Recommendations for effective physical rehabilitation include interprofessional collaboration, addressing specific hurdles, and utilising mobility equipment. Patients should be assessed daily for rehabilitation eligibility, and a proactive culture for mobilisation should be promoted. While physical therapy is generally safe, it requires balancing risks and benefits, especially for patients with extended ICU stays. Structured exercise routines and patient engagement are crucial during the ICU stay, and regular evaluation of mobilisation and physical activity outcomes is essential at ICU discharge and follow-up. The overall goal is to enhance patient recovery and independence, emphasising the need for early physical rehabilitation interventions.

A multi-level safety culture maturity model for (new) building projects in Hong Kong

Ninety-two per cent of industrial fatal accidents in Hong Kong in 2021 were attributed to the construction industry. Previous construction safety culture studies focused on projects as a singular organisation. Studies in building projects from a multitier perspective merit further examination. This study develops a safety culture maturity (SCM) framework to assess (new) building projects in Hong Kong at three levels: Client Safety Culture (CSC), Main Contractor Safety Culture (MSC) and Subcontractor Safety Culture (SSC). A closed question survey (N-31) incorporating subculture constructs (Informed, Just, Reporting, Learning and Flexible Cultures) with Hudson’s safety culture ladder (Pathogenic, Reactive, Calculative, Proactive and Generative Cultures) is conducted. The findings reveal: CSC (Mean: 3.55, SD: 0.512), MSC (Mean: 3.71, SD: 0.311) and SSC (Mean: 1.90, SD: 0.605). Kruskal-Wallis One-Way-ANOVA shows that the mean maturity value of three organisations are unequal (χ² = 53.8, df: 2, p: < 0.001). A SCM framework is designed for (new) building projects related to near misses and accidents. It would not be applicable to health-related, workplace violence, burglary and accidents outside construction-related activities. This is the first study to examine the safety culture maturity at three organisational levels. The study recommends improving project-based SCM by intervening and aligning individual levels between CSC, MSC and SSC.

Total Force Fitness Education: A Critical Enabler ofHuman Performance Optimization.

Military health education has historically been focused on conveying the consequences of risky behaviors, informing about external resources, and addressing disease through mitigation and prevention. Total Force Fitness (TFF) and Human Performance Optimization (HPO) provide a broad and holistic framework for preventing health issues and bolstering performance. The Consortium for Health and Military Performance convened a workgroup at the TFF Summit in 2021 to discuss the current state of TFF/HPO in military health education efforts and to identify areas for improvement. An education workgroup of 42 attendees gathered to discuss the current state of TFF/HPO-based health education in the military. Four questions were posed to all members for discussion. Notes were taken and consolidated to obtain feedback and promote discussion from the attendees in a larger audience at the TFF Summit. The education workgroup identified several education formats, goals, initiatives, and opportunities for improving the development and dissemination of TFF/HPO-based health education throughout the Services. Workgroup members reached a consensus on health education formats (development, dissemination, and audience) and that the primary goal of education is knowledge dissemination and increasing awareness. They also identified several stellar examples of existing TFF/HPO initiatives and explored how health education can increase impact and be more sustainable. The workgroup outcomes were shared with the TFF Summit audience to generate further discussion and to outline action items. Seven action items were identified to improve the development and dissemination of TFF/HPO resources and ensure productive and effective initiatives and programs throughout the Department of Defense. The TFF Summit outlined several actionable items that would improve the development and dissemination of TFF/HPO-based health education throughout the Department of Defense's initiatives and programs. A broader approach to military health education that uses a TFF/HPO framework will directly impact the health and performance of the force. Ultimately, embedding TFF/HPO information into the fabric of military health education would shift the focus toward a holistic, proactive, preventive, and performance-based culture.

Teacher’s Perceptions of STEM Education at the Primary Level in Morocco

STEM education is critical in developing students' interest in science and technology. Primary schools establish the groundwork by teaching fundamental technology ideas. Digital programs are favored over old paper-based approaches in response to current demands. The essential objective of this research is to show how information and communication technology (ICT) can improve the quality of teaching, learning, and motivation among primary school students. A questionnaire has been sent to 80 teachers at elementary schools, and a quantitative methodology was utilized to examine their thoughts. As an evaluation instrument, an eight-question quiz has been utilized to assess the usefulness and significance of ICT in promoting active and autonomous learning, resulting in creating a student-centered education approach. According to the research, the majority of teachers support the use of ICT as an of use pedagogical tool that fosters a proactive learning culture in young learners.

Current issues in reprocessing of medical and surgical instruments

By the very nature of reusability, processing for reusable medical devices has been and continues to be risk prone. Healthcare systems have historically been slow to embed best practice quality control elements into everyday reprocessing workflow. The identification of weak points and an openness to change are necessary to allow for a proactive culture of safety. Infection preventionists can play key roles in establishing and maintaining related quality control and oversight.

Fostering a culture of business ethics: a roadmap for responsible management through codes of ethics based on the experience of Spanish companies

PurposeThis paper aims to analyse the role of the code of ethics as a critical element of responsible management and posits it as a tool that integrates ethics, sustainability and attention to stakeholders. This proposed tool can be a facilitator of integrated management of these dimensions.Design/methodology/approachA survey was developed to answer the research questions, and descriptive and factor analyses were carried out. A non-probabilistic sampling technique, purposive sampling, was used. The survey, sent by e-mail, was addressed to managers and decision makers of Spanish companies belonging to associations explicitly committed to corporate social responsibility and ethics; 73 questionnaires were answered. Statistical analyses were performed with SPSS 26.0 software.FindingsThe findings highlight that companies that are showing leadership in ethical management are using their codes of ethics as a key instrument in the business ethics strategy. Codes of ethics go beyond being a guide to ethical conduct to being an instrument at the service of stakeholder relations, sustainability and ethics. The keys that these companies agree on are the design of participative processes of responsible management, the multidimensional content of their codes of ethics and a code management oriented to generate a proactive ethical culture in the company.Practical implicationsThis paper proposes a series of recommendations that may be useful to all those companies that wish to promote effective and integrative ethical management through their code of ethics, as much as if they already have one, as they are developing it.Originality/valueThis research highlights the role of code of ethics as an integrative tool for ethics, sustainability and stakeholder responsibility. For that, the keys that these companies agree on are the design of participative processes of responsible management, the multidimensional content of their codes of ethics and code management oriented to generate a proactive ethical culture in the company.

Understanding perceived characteristics and causes of orthorexia nervosa in online communities—A Reddit analysis

The present study analysed individual experiences of orthorexia nervosa (ON), a term commonly associated with obsessive health behaviors. With no universal definition available in research or practice, this study aimed to analyse six months of publicly available Reddit data to identify common characteristics and perceived causes of ON as reported in eating disorder- (ED) and diet-related subreddits. A Python code was used to extract comments from a publicly available Reddit data archive. To explore themes for each category of subreddit, a text-mining approach was combined with thematic analysis within a social constructionist framework. In both subreddit categories, the manifestation of ON was conceptualized in the context of shifting ED expressions and associated with the perception of food as a threat as well as the pursuit of superiority. In ED-subreddits, commenters discussed ON as a safety mechanism for health anxieties, the role of the body as visualising ON, and ON’s role within a proactive selfcare culture. Diet-related subreddit themes encompassed the conceptualization of ON as health perfectionism, ON’s underlying mental health concerns, and ON pathology as the result of problematic norms. The analysis of 246 online comments revealed a wide scope of ON conceptualizations and highlighted the need for a coherent diagnostic model of ON, which takes into account sociocultural as well as individual factors.

The impact of hospital accreditation on patient safety culture in the health services implementation at Sanglah General Hospital, Bali

Background and purpose: Hospital accreditation is carried out to evaluate hospitals’ performance in providing patients with excellent and safe health services. One aspect of service quality is patient safety culture. This study aims to determine the impact of hospital accreditation on patient safety culture in health service implementation at the Sanglah General Hospital in Denpasar City, Bali Province. Methods:This study used a qualitative research design. In-depth interviews were conducted to 11 informants consisting of hospital management, clinicians and nurses which were chosen purposively since they were directly related to the assessment and supervision of health service providers at Sanglah Hospital. The interview guide was based on the Modified Manchester Patient Safety Framework (MaPSaF). Data were analyzed with a thematic approach. Results: The interview results show that the ten dimensions of patient safety culture had been implemented well but still need to be improved in the dimensions of giving priority to safety, system errors and responsibilities, recording incidents and best practices, learning and influencing change, also education and training of staff and teamwork. The maturity level of patient safety culture at Sanglah Hospital is at generative culture in four dimensions and at proactive culture on the six dimensions of patient safety culture. Conclusion: Accreditation had a positive impact on the maturity level of patient safety culture at a proactive level, mainly changes in knowledge, attitudes, and behavior in health service providers. However, in its implementation, there were still constrained on infrastructure, time, and energy.