Generative Artificial Intelligence (GenAI) has the potential to bring substantial benefits to language education, making it essential to examine how teachers engage with these technologies in practice. This exploratory qualitative case study draws on semi-structured interviews with four in-service upper-secondary English teachers in Norway to examine the factors shaping their engagement with GenAI. Drawing on the Unified Theory of Acceptance and Use of Technology (UTAUT), the study examined factors shaping teachers’ engagement with GenAI, including performance expectancy, effort expectancy, social influence, and facilitating conditions. Thematic analysis revealed a pattern of selective, context-sensitive use rather than straightforward adoption. While teachers recognised the potential of GenAI to support planning, idea generation, and formative feedback, their engagement was constrained by concerns about assessment validity, academic integrity, privacy, and institutional guidance. The findings suggest that teachers’ use of GenAI is shaped not only by perceptions of usefulness and ease of use but also by trust, assessment considerations, and the availability of clear policy frameworks. By using UTAUT as a qualitative analytical lens, this study contributes to research on technology acceptance and teacher agency by showing how teachers negotiate the use of GenAI in ways that reshape assessment practices and professional roles. The findings point to the need for clear institutional guidance, AI-resilient assessment practices, and targeted teacher education that supports ethical, pedagogically grounded use of GenAI.

In institutional long-term care facilities, the care environment and the psychosocial status of the staff are closely associated with the quality of care. The aim of this study is to examine how staff members in long-term care facilities in Germany and Türkiye understand their duties and develop caring relationships. In this qualitative descriptive comparative study, sixteen participants (eight from each country) were interviewed using a sociodemographic form and a semi-structured interview guide. Data were analysed using thematic analysis following Braun and Clarke's approach. Coding was conducted by the first author and independently reviewed by a second researcher, with differences discussed and resolved through comparison. The study suggests that both countries face similar challenges related to staffing needs and the care of residents with cognitive impairments, while also showing differences in organizational structures and care approaches. German participants emphasized the efficiency of fixed schedules and ergonomic aids, while Turkish participants highlighted shift irregularities and dependence on manual handling techniques. In terms of interaction, German staff described using structured dialogue and pragmatic cultural adaptations, while Turkish participants more frequently referred to relational approaches characterized by familial forms of address and religious sensitivity. Furthermore, although emotional rewards were described as outweighing material incentives in both settings, institutional frameworks in Germany were often associated with sustaining motivation, whereas intrinsic personal dedication in Türkiye was frequently mentioned in the context of limited systemic support. This study suggests that whilst empathy and respect are fundamental in both contexts, participants in Türkiye more frequently described motivation in relation to social bonds and personal commitment, whereas German participants more often associated motivation with institutional stability and defined professional roles. The comparison further suggests that both systems reflect distinct strengths within their respective contexts and may provide points for reflection in future cross-national discussions on long-term care practices.

Abstract Background Situated within a transcultural framework, this article traces the portrayal of psychiatry and mental health in Egyptian cinema, analysing representations of psychiatric disorders, therapeutic practices, and professional roles. It juxtaposes Egyptian productions with films from Europe, North America, India, and elsewhere to identify convergences and divergences in the cinematic depiction of stigma, illness, and care. Early Egyptian films often relied on sensational or comic tropes that mirrored prevailing social misconceptions; by contrast, more recent titles— Bab el Hadid (Cairo Station), Asef ‘ala el Ez‘ag (Sorry for the Disturbance, 2008), and Al Feel al Azraq (The Blue Elephant)—mark a shift towards psychological realism and empathetic engagement. Literary influences, notably Naguib Mahfouz and Ihsan Abdel Quddous, enrich characterisation and deepen the humanistic portrayal of mental suffering. Methodology This narrative review examines selected Egyptian films produced between 1952 and 2014, alongside key international films, to analyse trends in the depiction of mental illness, stigma, and psychiatric care. Films were included if they centrally portrayed psychiatric disorders, therapeutic practices, or professional roles and were culturally or historically significant. Films where mental illness appeared only incidentally or symbolically were excluded. The analysis identifies convergences and divergences across cinematic traditions, situates representations within cultural and historical contexts, and explores narrative, genre, and thematic patterns. Conclusion Ultimately, Egyptian cinema’s evolving representation of mental health presents opportunities for reducing stigma in the psychiatric social discourse. The review ends by arguing that cinema can serve both as a pedagogical resource for psychiatric education and as a vehicle for public engagement. It calls for closer collaboration among filmmakers, psychiatrists, and educators to enhance mental health literacy, and broaden societal understanding of human suffering and associated mental disorders.

This study examines teachers’ attitudes and readiness to implement an Artificial Intelligence–supported instructional model grounded in the Zone of Proximal Development (AI–ZPD). The proposed model integrates AI-driven personalization, real-time assessment, scaffolding, and collaborative learning to enhance constructivist teaching practices. A sample of 50 teachers completed a survey measuring six attitudinal dimensions: Technology, Pedagogical Alignment, Interaction and Collaboration, Teacher Professional Role and Autonomy, Student Impact, and Assessment Support. Descriptive results indicated moderately positive attitudes across all dimensions (M = 3.10–3.18 on a 5-point scale). Hypotheses testing showed that teachers with prior AI experience demonstrated higher descriptive acceptance of the model, although this difference was not statistically significant. Regression analysis confirmed that demographic variables, including years of experience and prior AI use, did not significantly predict acceptance of the model (F(3,46) = 0.59, p = .63, R² = .04). However, strong positive correlations were found between teachers’ beliefs in student-centred pedagogy, formative assessment, and overall acceptance of the AI–ZPD model (r = .94–.97, p < .001). These results provide robust evidence that pedagogical and assessment beliefs—rather than background factors—are key determinants of teachers’ readiness to adopt AI-supported ZPD-oriented instruction. The study contributes a theoretically grounded AI–ZPD framework and offers practical implications for professional development, policy design, and AI-enhanced teaching and learning.

Tracheostomy decannulation process model: an interprofessional, Latin-American Delphi consensus.

Discrepancies between nurses' ideal and actual roles can undermine job satisfaction, role identity, and care quality. This study explored how registered nurses in Jordan perceive their ideal versus actual roles and how these perceptions differ by demographic and organizational factors. A descriptive cross-sectional design was used with 357 nurses from governmental, educational, and private hospitals. Data were collected with a sociodemographic questionnaire and the Pieta Nursing Role Conception tool, which evaluates service, professional, and bureaucratic roles. Analyses included descriptive statistics, t tests, and analysis of variance. A significant overall discrepancy was found (mean difference = 0.52, p < .001), with the largest gaps in service (0.96) and professional roles (0.72). Bureaucratic roles were practiced more than desired (-0.08). Role discrepancies varied by age, hospital type, education, experience, and practice area. The findings highlight the need for continuing education, leadership development, and policy reforms to align nursing roles with professional expectations and improve workforce outcomes.

Seconds that matter: the hidden burden of vetting times on radiology workflow.

Perineal trauma remains a common outcome of spontaneous vaginal birth, often leading to immediate and long-term complications. Although numerous studies have examined clinical factors, the influence of individual clinician characteristics-such as professional role, experience, training, and attitudes-has received less attention. This scoping review synthesized existing evidence on the association between clinician characteristics and variations in perineal outcomes including obstetric anal sphincter injury, episiotomy, spontaneous tears and intact perineum. The review also examined methods of risk assessment and strategies to mitigate trauma related to clinician factors. The review was conducted following Joanna Briggs Institute methodology to map the breadth of evidence in this field. A systematic search was undertaken across multiple electronic databases using predefined keywords and inclusion criteria. Sixty-two studies, published between 1969 and 2024 from 25 countries, were included. Study designs encompassed cohort, cross-sectional, randomized controlled trials, qualitative and mixed methods. Episiotomy was the primary outcome in 57 studies, while 27 studies focused on obstetric anal sphincter injury and 10 on intact perineum. Clinician factors, particularly professional role, attitudes, experience and education, were consistently associated with variations in perineal outcomes. Midwifery-led care frequently corresponded with lower episiotomy rates, although it was sometimes linked with similar or slightly higher spontaneous tear rates. Reducing perineal trauma requires addressing both fixed and modifiable clinician factors. Standardized episiotomy training, adherence to evidence-based guidelines and collaborative, woman-centered care are recommended strategies to enhance the quality of maternity care for improved patient outcomes.

Disability and Climate Crises: Opportunities to Move Beyond Recognizing Ethical Responsibility and to Take Action.

Transitioning from student to newly graduated nurse is challenging, often leading to anxiety, high turnover, and even attrition from the profession. This exacerbates the nurse shortage and compromises health quality. Transition programmes tailored to support newly graduated nurses are essential. The aim was to assess the feasibility of a 2-year transition programme for newly graduated nurses employed at a medical ward, evaluating programme acceptability, demand, implementation, practicality, integration and limited efficacy. A feasibility study using triangulation. Data were collected using qualitative semi-structured interviews and registration data collected via a survey. The interviews with newly graduated nurses and providers were conducted between May and August 2023. Interview data were analysed using directed content analysis. The transition programme, developed in 2018, includes elements such as supervision, rotation in outpatient clinics, visiting the nurses in the municipality, followership, skills training and simulation. Of the 23 nurses who provided registration data, 11 were interviewed, along with 12 providers. The newly graduated nurses completed 84% of the programme elements planned, with cancellation primarily due to sick leave or time constraints. Participants generally perceived the transition programme as acceptable and suitable for newly graduated nurses and providers. The 4-week rotation in outpatient clinics for patients with gastroenterological and pulmonary diseases, supervision, and visits to the municipality were considered satisfactory. Dissatisfaction appeared when the newly graduated nurses' expectations about planned conversations and followership were unmet. Preceptor presence was crucial for integrating the programme into the daily routine and heightening the nurses' job satisfaction. The 2-year timeframe accommodates the multi-component nature of the programme across two specialties. A 2-year transition programme is feasible in a complex setting such as a medical hospital ward, supporting newly graduated nurses' transition into practice and enhancing their confidence.

Research as identity: Exposure, confidence, perceptions, and motivators among pharmacy students in a practice-based research network.

Interaction strategies of newly graduated nurses with senior colleagues under asymmetrical power relations: A qualitative study.

Evaluating short-term study abroad programs with self-reported growth and objective testing.

Forced displacement has reached unprecedented levels, with over 120 million people uprooted globally and more than 100,000 refugees resettled in the United States in 2024. Refugees arrive with diverse cultural identities, prior professional roles, and experiences of trauma, yet often face systemic barriers, clinician bias, and unmet health needs. This article offers a practical framework grounded in holistic, person-centered values for delivering palliative nursing care to refugee communities. It outlines the complex resettlement journey and highlights how structural inequities, institutional racism, and communication barriers can undermine trust and care delivery. Cultural humility is defined and proposed as a guiding principle. Through real-world examples, communication strategies, and evidence-based insights, the authors demonstrate how care grounded in this principle can promote dignity, build trust, and improve outcomes. Special attention is given to interpreter use, social integration, and the importance of recognizing both cultural differences and individual strengths. When combined with the interdisciplinary, person-centered principles of palliative care-such as symptom management, effective communication, and cultural and spiritual respect-a strengths-based approach can enhance how care is delivered to displaced populations. By understanding the sociocultural and systemic factors that shape the refugee experience, nurses can better meet the complex needs of these patients and their families.

Introduction: Community pharmacies are among the most accessible points of care for patients seeking healthcare advice and services. With escalating out-of-pocket healthcare expenditure and a burgeoning Over-The-Counter (OTC) drug market in India, there is a substantial opportunity for community pharmacists to evolve from product-oriented service providers to patient-centred care providers. This transition has the potential to reduce healthcare costs and improve patient outcomes. Aim: To explore community pharmacists’ perspectives and practices regarding Patient-Centred Services (PCS) and to motivate them to apply pharmacoeconomic principles in patient care. Materials and Methods: An exploratory study design with a qualitative approach, employing both purposive and convenience sampling, was used to explore the perspectives of community pharmacists from urban areas in the vicinity of BGS Global Institute of Medical Sciences, Bangalore, from November 2022 to January 2023. Face-to-face interviews using a semi-structured interview guide were conducted with 25 pharmacists who held a minimum qualification of a Diploma in Pharmacy and who consented to participate. The entire study was planned and executed in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) studies guidelines. Audio recordings were transcribed verbatim, and the transcripts were thematically analysed using a content analysis approach. Descriptive statistics were used to represent the emerging themes and subthemes that were coded and categorically grouped. Upon completion of the study, a selfprepared and pre-validated awareness manual was distributed to the participants. Results: A total of 25 qualified community pharmacists (19 males and 6 females), aged between 22 and 60 years, with professional experience ranging from four months to 35 years, were interviewed. Six major themes-prescription handling; patientcentred services beyond drug dispensing; barriers to offering PCS; practices related to OTC dispensing; understanding of pharmacoeconomic principles; and perceived roles in improving the Indian healthcare system-along with eleven subthemes, were identified. Eighty percent of participants expressed a positive outlook towards offering patient-centred services and reducing overall healthcare costs. However, time constraints and a lack of recognition and support from consumers and doctors were major concerns reported by more than 76% of respondents. Conclusion: The present study highlights community pharmacists’ readiness and acceptance of expanded professional roles and establishes that they are indispensable yet underutilised healthcare professionals. With appropriate support and recognition, community pharmacists can significantly contribute to improving the Indian healthcare system.

Background: Surgical Site Infections (SSIs) remain one of the most prevalent healthcare-associated infections, affecting millions of patients worldwide and leading to increased morbidity, mortality, prolonged hospital stays, and financial burdens on healthcare systems. The role of healthcare professionals, particularly nurses, in preventing surgical site infections is well established in clinical research, with various studies emphasizing the importance of knowledge,practice in reducing infection rates. The aim of this study: was to assess the effect of nursing guidelines regarding prevention of surgical site infection on the performance of surgical nurses. Design: A quasi-experimental design was utilized. Setting: The study was performed at the general surgery department, surgical operating theater and Outpatient clinics in El Sheikh Fadl emergency hospital at El minia governorate. Sample: A non-randomized purposive sample of 50 nurses from both genders involved in this study from the above mentioned setting. Tools: data were collected by three tools

As artificial intelligence transforms the service sector, human-centric emotional connection becomes a critical differentiator; however, the daily toll of emotional labor threatens job engagement, essential for high-quality service. Integrating Job Demands-Resources (JD-R) theory with a needs-supply fit framework, this study investigates the daily episodic processes of emotional labor and the defensive role of meaningful work. Using a 10-day diary study of 60 early childhood educators (n=596 observations), the research confirmed dual pathways: surface acting triggered a health impairment process by depleting positive affect, while deep acting initiated a motivational process by generating it. Crucially, the findings revealed that meaningful work acts as a vital motivational supply that neutralizes the depleting effects of surface acting. For professionals with high levels of meaningful work, the health impairment process was effectively blocked, preserving their behavioral investment. This study extends JD-R and job engagement literature by highlighting the importance of needs-supply (motivational fulfillment) alongside person-job fit perspectives. It suggests that sustaining engagement in professional service roles may be significantly influenced by fulfilling the psychological need for meaning, which enables employees to proactively reframe emotional demands as professional opportunities rather than mere burdens. These insights offer a strategic framework for managing human capital in an increasingly automated service economy.

Product Lifecycle Management (PLM) emerged from the growing need for companies to oversee their products throughout their entire lifecycle—from design and production to usage, and even disposal. This responsibility includes managing product data, regardless of whether the product remains within the company, is in use by customers, or has reached the end of its life in a landfill. PLM systems aim to centralize and allow editing of all product-related data across departments and stages. However, integrating such comprehensive tools into industrial environments is often challenging. The diversity of professional roles each with distinct cultures, expertise, and technical languages complicates seamless adoption and efficient use of PLM systems. To address this challenge, Digital Adoption Platforms (DAPs) have emerged as complementary tools. DAPs are software layers that integrate with existing applications to guide users through processes via step-by-step tutorials, contextual tooltips, and input suggestions. While DAPs have proven effective in many enterprise software domains by easing onboarding and increasing productivity, their use within PLM systems remains limited and under-researched. Particularly, there is a lack of data on how DAPs affect the usability of complex PLM systems and whether they offer tangible improvements for novice users. This study aims to evaluate the usability of PLM systems enhanced by DAPs. By analyzing the user experience and measuring performance, the research seeks to determine whether DAP assistance leads to better adoption, reduced training time, and improved user satisfaction. The findings will also help identify the underlying reasons behind any observed benefits or limitations.

Purpose: Despite the importance of physical activity for older adults in long-term care, practical challenges hinder its implementation. This study explores caregivers' experiences of providing physical activity in nursing homes. Methods: A qualitative study was conducted with 11 participants from three nursing homes. In-depth one-on-one interviews were conducted between November 18, 2023, and March 10, 2024. Thematic analysis was performed using MAXQDA24. Results: Four themes, eight subthemes, and 71 codes emerged: (1) physical activity at the boundary between obligation and choice (2) tensions and rewards in providing physical activities (3) the driving force behind providing physical activities, and (4) practical challenges in providing physical activities. Staff in long-term care facilities perceive physical activity variably—at times as a core duty, and at other times as a secondary task. They experience both challenges from unexpected difficulties and a sense of reward from residents’ improvements. The practice of physical activity is shaped more by staff commitment and management philosophy than by official guidelines. To enhance physical activity, expanding resources and fostering collaboration with external organizations are essential. Conclusion: This study suggests that understanding residents’ experiences and outcomes is essential to enhancing physical activity in nursing homes. It also highlights the importance of clarifying professional roles and strengthening collaboration among care providers.

Purpose This study investigates how career self-management and organizational career management influence self-perceived employability over time. Drawing on the Social Cognitive Career Theory-Career Self-Management model, it examines the mediating role of movement capital, comprising human, social and psychological resources. Design/methodology/approach A time-lagged survey design with a 6-month interval was employed in a large Dutch public sector organization. Findings Our study reveals that both career self-management and organizational career management are directly linked to self-perceived internal and external employability. Movement capital, which includes human, social, and psychological capital, partially mediates the relationship between both career self-management and organizational career management and self-perceived internal and external employability. Specifically, skills and knowledge mainly strengthen opportunities within the organization, whereas networks and resilience are especially important because they enhance both internal and external employability. By distinguishing movement capital's components, rather than treating it as a unified construct, this study provides a more nuanced understanding of how career resources contribute to employability development over time. Research limitations/implications Based on a two-wave design and a homogeneous sample of civil servants, our study offers a foundation for future longitudinal and cross-sector research. Future studies could further examine how distinct components of movement capital interact across different contexts and career stages. Practical implications For HR and career professionals, our findings underscore the importance of supportive work environments that foster employee career development, encouraging employees to recognize future job opportunities and prioritize the development of their movement capital. Social implications This study highlights the crucial role of HR and career professionals in enhancing civil servants' employability by focusing on the development of movement capital. Originality/value Our research offers new insights into the dynamic process of employability development by integrating both employee and organizational perspectives and by disentangling the distinct roles of human, social and psychological resources within movement capital. This nuanced approach provides new insights into how career self-management and organizational support jointly shape self-perceived internal and external employability over time.