The current kidney care model—focused on late-stage disease and in-center hemodialysis—is unsustainable, because of costs, environmental burden, poor outcomes, and reduced quality of life. The 78th World Health Assembly’s recognition of kidney disease as a serious health threat presents a critical opportunity to reshape kidney care. Aligned with this, the 2026 World Kidney Day theme, “Kidney Health for All: Caring for People, Protecting the Planet”, calls for a systematic change. A sustainable model must prioritize early detection and prevention, reducing the need for kidney replacement therapy. Transplantation and home dialysis benefit people with kidney failure, environment and society. Dialysis itself must become more eco-friendly without compromising care quality, recognizing that planetary perturbations in turn affect kidney health. Conservative care should also be considered, particularly for elderly and frail patients, if the quality-of-life benefits outweigh the perspectives offered by dialysis. Achieving this shift requires coordinated action across all stakeholders;education and engagement of the public, policy makers and health professionals to raise awareness about the threat of kidney disease; and an urgent move toward patient-centered care.

ABSTRACTAimThis descriptive correlational study aimed to examine the relationships between intensive care nurses' individual and professional characteristics, decision‐making styles, and attitudes toward evidence‐based nursing practice.DesignCross‐sectional study.MethodsThe study was conducted with 279 intensive care nurses working in the intensive care units of two university hospitals in Istanbul between October and December 2022. Data were collected using a survey comprising a Descriptive Information Form, the Nurse Decision Making Scale, and the Evidence‐Based Nursing Attitude Questionnaire.ResultsA structural equation model was developed to analyse the relationships among variables. Examination of path coefficients revealed that nurses' decision‐making levels were significantly predicted by the beliefs and expectations toward the EBNP subscale of evidence‐based nursing practice (β2 = 0.48, p < 0.001, t = 9.67), duration of intensive care professional experience (β2 = 0.13, p = 0.008, t = 2.66), and engagement with current professional publications (β2 = 0.22, p < 0.001, t = 4.33). The regression model accounted for 35% of the variance in nurses' decision‐making levels.ConclusionDespite generally positive attitudes toward evidence‐based nursing among intensive care nurses, the majority demonstrated a strong tendency toward intuitive decision‐making approaches.Patient or Public ContributionNo patient or public involvement.

Academic journal peer review lacks disciplinary support due to uneven quality of peer review and inconsistent comments. Based on long-term experience in peer review and professional journal publishing, the authors put forward some suggestions on establishing the discipline of reviewology. According to the requirements of the discipline system, this paper puts forward the basic framework of the theoretical system, methodology system and technical system of reviewology for academic discussion. The basic framework is mainly based on the universal rules involved in academic journal peer review, supplemented by special cases of medical research. This paper discusses the background of reviewology emergence, problems and challenges it faces, the social significance and academic value, as well as issues related to artificial intelligence.

IntroductionMultiple sclerosis (MS) is a common central nervous system disease among young adults worldwide and Finland is one of the high-risk MS regions in Europe. Fatigue affects around 80% of individuals with MS, with prevalence rising to 95% as the disease progresses. Fatigue significantly limits daily activities and is associated with poorer employment outcomes and reduced quality of life. The objective of this qualitative study is to explore the lived experiences of individuals with MS and conceptions of MS-related fatigue among physiotherapists.Methods and analysisThis qualitative study is part of a larger research project entitled ‘Building conceptualisation and understanding of momentary fatigue and activity-related fatigability in daily life for people with multiple sclerosis’ (EMA-FAMS), consisting of several studies conducted from 2024 to 2028. For this qualitative study, 10 individuals with relapsing-remitting MS will be interviewed using a phenomenological approach to collect their lived experiences of fatigue. Additionally, 15 physiotherapists with experience in MS rehabilitation will be interviewed using a phenomenographic approach to explore their conceptions of MS-related fatigue. All interviews will be conducted remotely during 2025–2026. Interview data will be analysed in two phases using interpretative phenomenological analysis (IPA) and phenomenographic analysis methods.Ethics and disseminationThe EMA-FAMS study project has obtained ethical approval from the Regional Medical Research Ethics Committee of the Helsinki University Hospital District (HUS/10011/2024), and all the participants will provide written consent. Findings of this study will be shared through peer-reviewed articles, at academic conferences and with public healthcare and healthcare professionals.

The current kidney care model - focused on late-stage disease and in-center hemodialysis - is unsustainable, because of costs, environmental burden, poor outcomes, and reduced quality of life. The 78th World Health Assembly's recognition of kidney disease as a serious health threat presents a critical opportunity to reshape kidney care. Aligned with this, the 2026 World Kidney Day theme, "Kidney Health for All: Caring for People, Protecting the Planet", calls for a systematic change. A sustainable model must prioritize early detection and prevention, reducing the need for kidney replacement therapy. Transplantation and home dialysis benefit people with kidney failure, environment and society. Dialysis itself must become more eco-friendly without compromising care quality, recognizing that planetary perturbations in turn affect kidney health. Conservative care should also be considered, particularly for elderly and frail patients, if the quality-of-life benefits outweigh the perspectives offered by dialysis. Achieving this shift requires coordinated action across all stakeholders; education and engagement of the public, policy makers and health professionals to raise awareness about the threat of kidney disease; and an urgent move toward patient-centered care.

Recent decades have seen the rising establishment of public engagement professionals supporting communication and engagement in the contexts of science and health research. This article explores how public engagement professionals consider the ethical dimensions of their work. Based on analysis of 17 interviews with science communication and public engagement specialists at UK academic institutions and in practice settings, we examine the ways in which they frame ethical issues associated with engagement, as well as how they frame both publics and researchers. In doing so, we explore two tensions that together highlight how the rising popularity of engagement methods, including engaged research, can increase awareness of the need to ethically scrutinise engagement and associated practices. We also argue that public engagement professionals can further contribute to and advance academic discussion around engagement, arguing that ongoing research with practitioners is beneficial for academic understanding of communication, engagement and engaged research.

ABSTRACT Multicultural Australian young adult (YA) novels offer authentic, relatable narratives with themes that connect deeply with adolescent readers. Many multicultural YA authors embody their personal experiences, feature their culture, community and family dynamics in their novels and spotlight themes that tend to be culturally distinctive as well as progressively universal. The focus of this research was to investigate power dynamics within Asian immigrant families portrayed in Australian YA novels and the broader societal implications of those representations. This qualitative study used Critical Content Analysis methodology alongside Youth Lens Theory to interpret and analyse four award-nominated YA novels written by self-identified Asian Australian authors. During three rounds of close readings, critical incidents highlighting the impact of parental expectations on the adolescent protagonists were noted in the form of analytic memos. These lead to relevant codes, categories and two prominent overarching themes: emphasis on ‘family first’ and negligence of mental and emotional health. The study reveals hidden complex layers of interpersonal relationships in immigrant Asian Australian families, and highlights various implications for adolescent readers, teacher librarians, parents/caregivers, public service professionals and publishing industry professionals.

Unintended pregnancy (UP) is highly prevalent among individuals with multiple social and/or (mental) health challenges. Despite this, pregnancy intentions and contraceptive options are rarely addressed in routine social and public healthcare. To bridge this gap, the Dutch Not Pregnant Now program integrates person-centered counseling on pregnancy intentions and contraceptive options into a variety of social and preventive public health services that people already access, such as social care, mental health and youth care, and public health programs. Since professionals providing these services play a central role in implementation in practice, their experiences and competencies are relevant for understanding feasibility and impact, and to guide further development and implementation of routine counseling on these topics in the Netherlands and beyond. The aim of this study is to explore social and public healthcare professionals' self-rated ability to deliver counseling on pregnancy intentions and contraceptive options within the context of the Dutch Not Pregnant Now program. Specifically, we aim to identify both strengths and areas for improvement by examining how professionals' reported skills, attitudes, and structural barriers relate to their self-perceived counseling capacity, representing core elements and practical requirements for delivering the counseling within their own work setting and during regular client visits, rather than as a separate activity. A practice-based, cross-sectional study was conducted using 131 self-reported questionnaires completed by trained professionals providing Not Pregnant Now counseling in social and public healthcare. The survey addressed reported responsibility for discussing pregnancy intentions and contraceptive options during regular care visits, skills in motivational interviewing, competence in contraceptive option counseling, client screening practices, and time constraints. Quantitative data were analyzed using ordinary least squares (OLS) regression to explore factors affecting self-rated counseling ability. Open-ended responses were thematically analyzed to provide additional insights and contextualize the findings within practice. Social and public healthcare professionals who reported stronger skills in motivational interviewing-particularly in identifying the right moment to initiate the conversation, demonstrating empathy, and applying effective techniques-felt significantly more capable of delivering counseling on pregnancy intentions and contraceptive options during regular care visits. Competence in discussing contraceptive options further enhanced this perceived ability. In contrast, no significant effects were observed for (the lack of) perceived responsibility for providing such counseling, client screening skills, or time constraints. Open-ended responses highlighted the importance of building rapport with clients and creating a nonjudgmental environment to successfully embed counseling into routine care. Strengthening and sustaining professionals' motivational interviewing and contraceptive option counseling skills enhances their confidence and ability to integrate pregnancy intentions and contraceptive option counseling into practice. Embedding these discussions as a normalized component of routine social and public healthcare-services that people already turn to for support-may contribute to more comprehensive, preventive, and person-centered care, supporting unintended pregnancy prevention. The findings highlight the importance of ongoing training, skill development, and normalization of option counseling, not only in the Netherlands but also for other countries seeking to implement this often-overlooked aspect of care within their social and public health systems.

Enhance comprehension of over-the-counter drug instructions for the general public and medical professionals through visualization design

The presence of artificial intelligence (AI) in academic and professional work is becoming increasingly prevalent. AI is no longer a technology that GLAM practitioners can ignore or disregard. Practitioners must be at the heart of considerations regarding AI integration into GLAM institutions to safeguard the profession’s core values of equity, fair access, intellectual freedom, and social responsibility. This thematic review encompasses professional publications and peer-reviewed articles. It serves as a “syllabus of understanding” that will empower GLAM practitioners, students, and emerging professionals to assess and define ethical stewardship in the time of AI integration.

ABSTRACT Public procurement is central to policy delivery, yet it remains underdeveloped in strategic procurement research. Established portfolio frameworks (e.g., the Kraljic Matrix) do not reflect public‐sector regulatory accountability, heterogeneous stakeholder mandates, or the primacy of societal value over profit. This article develops a prescriptive, typology‐based portfolio model tailored to public procurement. The model organizes procurement contexts along two analytically distinct dimensions: (1) institutional–stakeholder complexity (i.e., the challenge of reconciling regulatory obligations, policy mandates, and diverse stakeholder interests) and (2) supply network risk (i.e., operational vulnerabilities that threaten continuity through disruptions, traceability failures, and catastrophic events). Crossing these dimensions yields four strategy archetypes—Cooperative Agreements, Patronized Competition, Monitored Partnerships, and Contingency Sourcing—with if‐then design rules that prescribe governance, sourcing, oversight, and stakeholder coordination choices for each context. Developed through a synthesis of procurement portfolio management literature, an expert qualitative questionnaire with senior public procurement professionals, and conceptual integration, the framework links institutional–stakeholder dynamics with supply network risk, offering actionable guidance for aligning procurement strategy with societal objectives while advancing public procurement theory.

Co-design of the PREDICT-Kidney online tool by patients, members of the public and healthcare professionals (HCPs), to support the communication of the risk of recurrence following surgical treatment for kidney cancer. Qualitative co-design study. Using an iterative process, feedback was collected (via workshops), prioritised and implemented. Online workshops with participants from across the UK were conducted between December 2023 and November 2024. 18 adult participants, including patients surgically treated for kidney cancer, members of the public without a history of kidney cancer and HCPs involved in kidney cancer care. To produce an online tool to support the communication of risk of kidney cancer recurrence that is easy to use, easy to understand and acceptable to stakeholders. Secondary outcomes are the properties of the feedback collected, including volume and type. Across nine workshops, 99 discrete feedback items were collected, resulting in 71 actionable changes to the initial prototype tool. Differences in priorities were observed between participant groups, especially around the inclusion of information about competing risks of death. Participants valued the tool for improving consistency of follow-up information, supporting shared decision-making and providing multiple visual formats to communicate risk. Iterative feedback led to refinements in terminology, design, content and delivery, including adjustments to the presentation of recurrence and mortality risk. A co-design approach was used to improve the PREDICT-Kidney online tool to align with the needs of patients and HCPs. A feasibility study is required to evaluate its use and impact in clinical practice.

This article addresses the legal, ethical, and juridical limits of the actions of police officers without medical or nursing training in providing care to victims in the pre-hospital setting, whether in tactical or conventional scenarios. This care, provided by public security professionals, has become an essential practice in the face of the increase in violent traumatic events in Brazil. However, the actions of police officers without medical or nursing training raise questions about the legal limits of their intervention in the pre-hospital environment, whether tactical or conventional. Normative, technical, and scientific foundations that define this action were analyzed, considering the professional legislation of medicine and nursing, the national guidelines for tactical pre-hospital care, and international protocols such as ATLS, PHTLS, TCCC, and TECC. This is a qualitative, exploratory, and descriptive research study, with documentary and bibliographic analysis, using content analysis techniques. The results indicate that police officers can act within the specific normative guidelines of authorized training, especially in the control of external hemorrhages, basic airway management, and tactical evacuation, provided that clear legal restrictions are respected, avoiding interventions that exceed the regulated professional competencies of acts exclusive to doctors and nurses as defined by law. It is concluded that the legality of the action is conditional upon formal training, observance of official protocols, and respect for regulated professional competencies, under penalty of administrative, civil, and criminal liability.

ABSTRACT Objective Adolescent males remain a difficult population to engage in counselling and psychotherapy despite being at a high risk for mental health problems. Limited training opportunities exist to prepare therapists to support this specific population. The aim of this study was to explore the common challenges that Australian therapists face when working with young men to guide future training and intervention. Method Semi‐structured interviews were completed with 13 Australian therapists, including psychologists, psychiatrists, counsellors and social workers, who were recruited through professional association websites and publications. Responses were analysed using reflexive thematic analysis. Results Three themes and eight subthemes were developed: (1) therapists' lack of confidence when working with young men; (2) young men as pressured and ill‐prepared to attend therapy; and (3) young men's reluctance to ‘open up’ throughout therapy. Conclusion The challenges provided by Australian therapists align with the broader international literature highlighting young men's reluctance towards counselling and psychotherapy and warrants the need for a concerted research agenda to engage this population. Responses from therapists showed that young men's disengagement and resistance in therapy create challenges for therapists when it comes to building therapeutic rapport and can subsequently stymie young men's continued engagement with mental health services. Recommendations for future research and intervention are discussed.

Poor communication between healthcare professionals is one of the main causes of medical errors. Many articles about interprofessional communication (IPC) do not define what communication is and often describe it only as a domain of competencies of interprofessional collaboration. Three communication paradigms coexist: the transmission model, the transactional model and the constitutive model. These models focus on different aspects of communication and are complementary. No review about IPC, including all healthcare professionals or all healthcare settings, has been found. A scoping review protocol was developed to map the research on the topic of IPC, the paradigms of communication used by the researchers, as well as to clarify the definition of this concept. We will follow the Joanna Briggs Institute methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews. Eligibility criteria follow the Population, Concept, Context framework. Articles about health professionals, allied health professionals and social workers and students in these fields will be included. Articles evaluating IPC in healthcare, either quantitatively or qualitatively, will be included. Articles investigating IPC in any type of healthcare setting in any country will be considered. All types of published articles in scientific journals will be included. The databases that were searched are MEDLINE, CINAHL, APA PsycINFO, EMBASE and Web of Science. In October 2025, 22 798 citations were retrieved, of which 9722 duplicates were deleted. Two researchers will then independently assess the remaining 13 078 citations against the eligibility criteria. This step is scheduled for completion in May 2026. They will then chart the data using a standardised data extraction tool. Formal ethical approval is not required, as primary data will not be collected in this study. Findings of the scoping review will be disseminated through professional networks, conference presentations and publication in a scientific journal. Because the study is a scoping and not a systematic review, registration was not possible on PROSPERO. The study was registered on Open Science Framework: https://osf.io/dyh2a.

Continuing professional development (CPD) comprises self-directed educational activities that are vital to the lifelong learning of healthcare professionals. It maintains competence, adapts to new guidelines, and supports evidence-based practice. In South Africa, professional boards mandate CPD, which is offered via journals, webinars, courses, conferences, and digital platforms. We evaluated CPD articles in theSouth African Family Practice(SAFP) journal from 2020 to 2025. Clinical content dominated, with guidance on infectious and chronic diseases. However, online engagement was limited. This 6-year snapshot, part of the journal's 45-year celebration, emphasises SAFP's role in advancing primary care education. It also highlights opportunities for greater inclusivity and accessibility, for innovation in CPD publishing, and the need for future evaluations of readership patterns and practitioners' needs.Contribution:This article reviews CPD publishing in SAFP over 6 years, focusing on themes, authorship, and engagement challenges within its 45-year legacy of promoting lifelong learning in primary care.

The effectiveness of public sector organizations in delivering quality services and achieving their mandates depends critically on how they manage their human resources. This study examines the relationship between strategic human resource management (SHRM) practices and organizational performance in Indonesian public sector organizations. Employing a mixed-methods research design, data were collected from 312 public sector managers and HR professionals across 45 government agencies through surveys and 32 in-depth interviews. The research investigates five key SHRM dimensions: strategic recruitment and selection, performance management systems, employee development and training, compensation and rewards, and employee engagement. Findings reveal significant positive relationships between SHRM practices and multiple performance indicators including service quality, operational efficiency, employee productivity, and organizational innovation. Regression analysis demonstrates that SHRM practices collectively explain 47.3% of variance in organizational performance scores. Qualitative data illuminate implementation challenges including limited HR professional capacity, rigid civil service regulations, political interference, and resistance to performance-based management. The study identifies critical success factors such as top management commitment, alignment between HR strategy and organizational strategy, investment in HR analytics capabilities, and cultural transformation toward merit-based practices. Results indicate that high-performing public organizations distinguish themselves through systematic talent management, data-driven HR decision-making, continuous learning cultures, and stronger linkages between individual performance and organizational outcomes. This research contributes empirical evidence on SHRM effectiveness in public sector contexts and provides actionable recommendations for HR practitioners and policymakers seeking to leverage human capital for improved public service delivery.

ABSTRACT Employee engagement has emerged as a critical employee attitude linked to employee motivation and organisational performance and has successfully embedded itself in governments around the world. Apart from a few exceptions, however, much of what we know about engagement does not attend to the institutional context of public institutions and whether private-sector theories and approaches to driving employee engagement work well in public sector organisations. To address this gap, we systematically review the evidence on antecedents of employee engagement, and determine whether and how sectoral differences may matter. We then discuss the findings and contextualise the debate surrounding the employee engagement construct. The paper ends by proposing an institutionally grounded model of employee engagement that proposes public values, professionalism, and political insulation as key macro-level drivers of employee engagement.

Despite vaccination being the most effective way of preventing infections and vaccination rates recovering worldwide after the COVID-19 pandemic, vaccine hesitancy persists. Some factors, such as psychological and social barriers, can negatively impact views on vaccines and can contribute to vaccine hesitancy. The primary objective of this structured literature review is to investigate the available evidence relating to factors affecting vaccine hesitancy within several countries in Southeastern Europe. An electronic database search was conducted to identify studies assessing the public and healthcare professionals' (HCPs) attitudes towards vaccination in Southeastern Europe. These searches were supplemented with grey literature searches. Included studies were conducted in Bulgaria, Croatia, Romania, Serbia, and Slovenia between 1 January 2012 and 31 December 2022. Of the 35 studies identified from the database searches, the most prominent theme observed across Romania, Croatia, and Bulgaria was low confidence in COVID-19 vaccines. Across all age groups, COVID-19 vaccine confidence in these regions was highly dependent on whether individuals thought vaccines were safe and effective, as well as their general trust in vaccines. Confidence in COVID-19 vaccines was seen as relatively high, with attitudes towards routine and elective vaccines being generally positive amongst the general public and HCPs, in Romania, Croatia, Serbia and Slovenia. However, uncertainty around the effectiveness of the vaccine still exists. In Bulgaria, trust in routine and elective vaccines remained low in the general public. Complacency and financial constraints were also identified as underlying causes of vaccine hesitancy. The main cause behind vaccine hesitancy in several countries in Southeastern Europe is distrust in vaccine effectiveness and safety. These key findings can be utilised to support evidence-based decisions regarding where to focus resources to improve public and HCP perception of vaccines in Southeastern Europe.

The International Society of Managing and Technical Editors (ISMTE) serves a unique niche within the academic, scientific, medical, technical, and professional publishing industry—editorial office staff. Through ISMTE’s newsletter, discussion forum, online resources, and meetings, ISMTE connects you with others in the profession. ISMTE provides networking and training infrastructure, establishes best practices, and studies and reports on editorial office practices. ISMTE connects, educates, and provides resources for professionals who are passionate about the operations of peer-reviewed publications.