Research Framework Research Articles

Development and validation of clinical implementation methods for patient-reported outcomes in Japanese multi-center palliative care units

BackgroundPatient-Reported Outcomes (PROs) are recommended for use in clinical oncology. However, they are not routinely used in professional palliative care practices in Japan. The reasons include both patient and healthcare provider factors and the implementation of PROs. This study aimed to develop and validate clinical implementation methods for PROs in Japanese palliative care units.MethodsThe Consolidated Framework for Implementation Research (CFIR) was conducted with four palliative care units in Japan. The study was conducted in six steps: unit assessment, development and implementation of a PRO implementation plan, PRO post-implementation survey and analysis of its utilization, a review of the PRO implementation process, creation of a PRO implementation method in a palliative care unit, and use and verification of the implementation method. Steps 1–5 were the development phase, and step 6 was the verification phase.ResultsInterviews were conducted with healthcare providers prior to PRO implementation. Intervention characteristics, patient needs in the palliative care unit, and factors related to the organization were identified as barriers. The implementation plan was developed, and the core members were selected. The implementation procedures were created in the above mentioned steps. PROs were used in the palliative care units. The same was true in the validation phase.ConclusionsThis study guided PROs in specialized palliative care unit in a clinical setting. The method was developed and validated for the implementation of PROs in the palliative care unit. In the PRO implementation process, it was important to assess the unit, address the barriers to implementation, and reduce the burden on healthcare providers. Furthermore, healthcare providers had to be supported by the champion, a person responsible for the implementation of PROs in the palliative care unit.

Linking biases and paradoxes in the family entrepreneurship context: an integrative framework for future research

Abstract Biases and paradoxes are inherently context-dependent phenomena, as they are influenced by various contextual factors that can either magnify or diminish their prominence. In the realm of family entrepreneurship, these contextual intricacies are particularly pronounced due to the confluence of family life, family values, and family and business objectives. Nonetheless, the literature on family entrepreneurship has largely neglected exploration of whether the biases exhibited by family entrepreneurs are intricately linked to, stem from, and predict paradoxes. In this research, we gather, assess, and synthesize current literature to uncover whether and how biases of family entrepreneurs are linked with paradoxes—unique in the family entrepreneurship context—and how they affect behavior in family businesses. Our main contribution lies in the construction of an encompassing framework informed by the lens of value heterogeneity. This integrative framework aims to guide future research and hence to push research on the link between biases and paradoxes of family entrepreneurs further.

Computational assessment of the use of graphene-based nanosheets as PtII chemotherapeutics delivery systems.

Graphene is the newest form of elemental carbon and it is becoming rapidly a potential candidate in the framework of nano-bio research. Many reports confirm the successful use of graphene-based materials as carriers of anticancer drugs having relatively high loading capacities compared with other nanocarriers. Here, the outcomes of a systematic study of the adsorption behavior of FDA approved PtII drugs cisplatin, oxaliplatin, and carboplatin on surface models of pristine, holey, and nitrogen-doped holey graphene are reported. DFT investigations in water solvent have been carried out considering several initial orientations of the drugs with respect to the surfaces. Adsorption free energies, calculated including basis set superposition error (BSSE) corrections, result to be significantly negative for many of the drug@carrier adducts indicating that tested layers could be used as potential carriers for the delivery of anticancer PtII drugs. The reduced density gradient (RDG) analysis allows to show that many kinds of non-covalent interactions, including canonical H-bond, are responsible for the stabilization of the formed adducts.

Linking self-regulated learning to community of inquiry in online undergraduate courses: A person-centered approach

AbstractThe Community of Inquiry (CoI) framework has gained widespread recognition as a theoretical model for understanding student learning in online environments. Despite its prevalence, CoI has been critiqued for its limited emphasis on learners’ proactive roles in self-regulating their own learning. To address this, researchers have suggested integrating self-regulated learning (SRL) into the CoI framework. This integration calls for empirical research to explore the relationship between SRL and the three established CoI presences: teaching, social, and cognitive. Using a person-centered approach, this study examines how varying SRL skills among 750 undergraduate students in an online introductory mathematics course are related to the three CoI components. Latent profile analyses identified five distinct SRL profiles: minimal regulators, low regulators with limited social skills, low regulators, moderate regulators, and competent regulators. We found that students in higher SRL profiles demonstrated higher perception of CoI, whereas those in relatively lower SRL profiles showed lower levels of perceived CoI. Our findings underscore the importance of incorporating self-regulation in the CoI framework for a more comprehensive understanding of online learning.

Codesigning an E-Health Intervention for Surgery Preparation and Recovery.

Surgery is a significant part of healthcare, but its demand is increasing, leading to challenges in managing patient care. Inefficient perioperative practices and traditional linear models contribute to adverse outcomes and patient anxiety. E-health interventions show promise in improving surgical care, but more research is needed. The purpose of this study was to involve patients and healthcare workers during the design phase of an e-health intervention that aims to support the perioperative care of elective surgery preparation and recovery. This study used an Information Systems Research Framework to guide collaborative codesign through semistructured interviews and cocreation workshops. Semistructured interviews collected insights on the perioperative journey and e-health needs from healthcare workers and consumers, resulting in the creation of a patient surgery journey map, experience map, and a stakeholder needs table. Collaborative work between consumers and healthcare workers in the cocreation workshops identified priority perioperative journey issues and proposed solutions, as well as prioritizing application software needs, guiding the development of the wireframe. The development of an e-health application aimed at supporting surgery preparation and recovery is a significant step toward improving patient engagement, satisfaction, and postsurgical health outcomes.

The influence of rural tourism landscape perception on tourists’ revisit intentions—a case study in Nangou village, China

Rural tourism development has an important impact on optimizing the rural industrial structure and stimulating local economic growth. China’s Rural Revitalization Strategy has promoted the development of rural tourism nationwide and emphasized Chinese characteristics in the process of local development. Based on the theoretical analysis of landscape perception, this article uses the external Landscape Perception→Satisfaction→Revisit Intention influence path as a theoretical research framework to construct a structural equation model to analyze the willingness of tourists to revisit rural tourism destinations. We selected Nangou Village, Yan’an City, Shaanxi Province, as a key model village for rural revitalization, and conducted an empirical analysis. The empirical analysis results show that landscape perception has a significant positive impact on satisfaction and revisit intention. Tourist satisfaction has a significant positive impact on revisit intention and plays an intermediary role between landscape perception and revisit intention. The five dimensions of natural ecology, historical culture, leisure recreation, research experience, and integral route under landscape perception are all significantly positively correlated with revisit intention, with historical culture and integral route having the greatest impact on landscape perception. The survey about Nangou Village verifies the relationship between landscape perception, satisfaction, and tourists’ revisit intention. Based on the objective data analysis results, this study puts forward suggestions for optimizing Nangou Village’s tourism landscapes and improving tourists’ willingness to revisit from three aspects: deeply excavating rural historical and cultural resources, shaping the national red culture brand, and creating rural tourism boutique routes. It is hoped that the quantitative research method of landscape perception theory in Nangou Village can also provide a reference and inspiration for similar rural tourism planning.

Metaphors postgraduates use to depict their student experience

In an Australian national study into student constructions of postgraduate education, 38 students (masters and doctoral) were asked to draw literal or figurative pictures of their experience. Manual thematic analysis of interview transcripts revealed 33 metaphors. Metaphors were coded into individualistic, personal constructions (Me), relational community depictions (Us) and digital or information technology conceptualisations (IT) which were mapped to the Community of Inquiry (CoI) Framework’s elements of Cognitive, Social and Teaching Presence. The highest proportion of metaphors were about personal gain and process. The next largest thematic category was relational, mostly depicting what students think others should give, rather than student contribution. Aligned with this theme, students also used metaphors of isolation and perceptions of a missing ‘us’ factor. There were few metaphors drawn from the language of information technology and/or digital presence, which seems to flag a domain of the postgraduate student experience that requires further development. The key takeaways from this paper are expanded information about digital presence in postgraduate student experience, as well as quality improvement recommendations for universities.

A Community of Inquiry approach to learning design in a community-engaged learning program

The Medicine in Context (MiC) program is the flagship community-engaged learning and teaching program at the Western Sydney University School of Medicine. MiC students attend placements at community organisations, General Practice clinics and face-to-face tutorials and lectures for two fiveweek blocks. Responding to students’ lack of engagement and preference for more flexible delivery modes, a blended learning approach using the Community of Inquiry framework to guide the design has been gradually introduced since 2014. The MiC webpage was revised to simplify access to key information and resources. Five lectures were transformed into online modules and one workshop was converted into a flipped classroom. Multi-media open educational resources were added to replace some reading materials. Online “Weekly Study Guide” scaffolds, paces and aligns students’ self-directed learning with MiC learning outcomes. Moving program evaluation and some assessments to an online platform enables more timely feedback. These developments have resulted in novel, engaging learning activities. Preliminary evaluation indicates students’ greater engagement with the MiC program and deeper levels of learning indicated by increased levels of reflection and the demonstration of MiC learning outcomes being satisfied.

ASIF: attention-based sentiment inquiry framework for profound product recommendations

ASIF: attention-based sentiment inquiry framework for profound product recommendations

Integrating ecosystem integrity and ES supply–demand process to explore ecological connectivity in Wuhan metropolitan area, China

Protecting ecosystem integrity and maintaining ecosystem service (ES) supply–demand process through ecological connectivity (EC) is crucial for achieving sustainable development of metropolitan area. Currently, EC research focuses more on the combination of protecting the ES supply and maintaining ecosystem integrity, and less on effectively meeting human needs. To bridge this gap, we integrated the theory of ES supply–demand process, connectivity research methods to form a demand-oriented EC research framework, and conducted empirical research on the Wuhan metropolitan area (WHA). Firstly, we evaluated the supply–demand matches status of the key four ESs; And then, from the aspects of flow quantity, flow direction, flow boundary, and allocation principles, the spatial process of ESs flow were decomposed, and the ecological sources that meet demand while supporting the ESs supply–demand process were identified; Finally, based on the comprehensive resistance surface, connected corridors and important strategic points that are crucial for ecological protection were extracted, and an EC network was constructed. The results were the following:(1) the supply and demand of the key ESs in the study area showed a significant spatial mismatch, especially for water conservation (WC) and carbon sequestration (CS); (2)55 ecological sources, 84 ecological corridors and 25 strategic points were identified, and a stable structurally EC network was constructed; (3) The ecological sources were also crucial for ESs supply while meeting human demand and supporting the spatial process of ESs supply–demand. This research is beneficial for deepening the understanding of the supply–demand status of ESs, and providing a support for ecological lands protection planning.

Effectiveness of a model-based inquiry instructional sequence in overcoming students’ teaching-learning difficulties on plant nutrition

ABSTRACT This work conveys the results of an iterative investigation conducted within the Design-Based Research framework. The primary objective was to develop and assess a Teaching-Learning Sequence (TLS) aimed at enhancing secondary students’ mental models about the traditionally challenging topic of plant nutrition. The design of this innovative TLS was guided by previous research and it was grounded in the Model-Based Inquiry approach as it allows to integrate scientific practices and models. To gauge the success of the TLS and contribute to the literature on the effective instruction of plant nutrition this study followed a pre–post quasi-experimental design. Thus, a preliminary (TLS1; N = 95) and a refined version (TLS2; N = 110) of the TLS were implemented and compared against a group studying through direct instruction (Control; N = 109). The analysis of the pre–post questionnaires yielded three main outcomes: (1) The results revealed that students undergoing the specifically designed TLSs attained mental models resembling the target curriculum model thereby proving their effectiveness over the control intervention. (2) The study identified salient TLS design elements (e.g. hands-on modelling, tracing matter and energy, etc.) that enriched students’ learning outcomes on the topic. (3) Finally, the findings unveiled inherent benefits of the Model-Based Inquiry approach.

Understanding digital transformation challenges for online learning and teaching in higher education institutions: a review and research framework

PurposeThe widespread uptake of digital technology tools for online teaching and learning reached its peak during the nationwide lockdown triggered by the COVID-19 pandemic. It transformed the higher education institutions (HEIs) marketplace both in developed and developing countries. However, in this process of digital transformation, several HEIs, specifically from developing countries, faced major challenges. That threatened to affect their sustainability and performance. In this vein, this study conducts a bibliometric review to map the challenges during the COVID-19 pandemic and suggest strategies for HEIs to cope with post-pandemic situations in the future.Design/methodology/approachThis comprehensive review encompasses 343 papers published between 2020 and 2023, employing a systematic approach that combines bibliometrics and content analysis to thoroughly evaluate the articles.FindingsThe investigation revealed a lack of published work addressing the specific challenges faced by the faculty members affecting their well-being. The study underscores the importance of e-learning technology adoption for higher education sustainability by compelling both students and teachers to rely heavily on social media platforms to maintain social presence and facilitate remote learning. The reduced interpersonal interaction during the pandemic has had negative consequences for academic engagement and professional advancement for both educators and students.Practical implicationsThis has implications for policymakers and the management of HEIs, as it may prove useful in reenvisioning and redesigning future curricula. The paper concludes by developing a sustainable learning framework using a blended approach. Additionally, we also provide directions for future research to scholars.Originality/valueThis study has implications for policymakers and HEI management to rethink the delivery of future courses with a focus on education and institute sustainability. Finally, the research also proposes a hybrid learning framework for sustainability and forms a robust foundation for scholars in future research.

Facilitators of and Barriers to the Use of a Digital Self-Management Service for Diagnostic Testing: Focus Group Study With Potential Users.

Health care lags in digital transformation, despite the potential of technology to improve the well-being of individuals. The COVID-19 pandemic has accelerated the uptake of technology in health care and increased individuals' willingness to perform self-management using technology. A web-based service, Directlab Online, provides consumers with direct digital access to diagnostic test packages, which can digitally support the self-management of health. This study aims to identify the facilitators, barriers, and needs of Directlab Online, a self-management service for web-based access to diagnostic testing. A qualitative method was used from a potential user's perspective. The needs and future needs for, facilitators of, and barriers to the use of Directlab Online were evaluated. Semistructured focus group meetings were conducted in 2022. Two focus groups were focused on sexually transmitted infection test packages and 2 were focused on prevention test packages. Data analysis was performed according to the principles of the Framework Method. The Consolidated Framework for Implementation Research was used to categorize the facilitators and barriers. In total, 19 participants, with a mean age of 34.32 (SD 14.70) years, participated in the focus groups. Important barriers were a lack of privacy information, too much and difficult information, and a commercial appearance. Important facilitators were the right amount of information, the right kind of tests, and the involvement of a health care professional. The need for a service such as Directlab Online was to ensure its availability for users' health and to maintain their health. According to the participants, facilitators and barriers were comprehension of the information, the goal of the website, and the overall appearance of the service. Although the service was developed in cocreation with health care professionals and users, the needs did not align. The users preferred understandable and adequate, but not excessive, information. In addition, they preferred other types of tests to be available on the service. For future research, it would be beneficial to focus on cocreation between the involved medical professionals and users to develop, improve, and implement a service such as Directlab Online.

Navigating the intersection of dramaturgy and artistic research in contemporary theatre education

This paper discusses dramaturgy and artistic research’s evolving role in theatre education, focusing on the Master’s program in Theatre at Oslo National Academy of the Arts as a case study. Drawing inspiration from Richard Jochum’s ideas in “After Artistic Research,” the paper highlights the shift towards incorporating artistic research into the curriculum of art universities. However, it acknowledges the challenges in establishing a clear framework for artistic research within these institutions. The author argues that teaching and practising dramaturgy and artistic research in theatre academies have significant implications, marking a departure from traditional theatre education paradigms. The paper aims to contribute valuable insights and practical strategies to educators and practitioners involved in theatre education and artistic research, emphasising the importance of understanding and navigating the complexities of this evolving field.

Connecting unstably housed veterans living in rural areas to health care: Perspectives from Health Care Navigators.

To understand existing care practices and policies, and potential enhancements, to improve the effectiveness of the US Department of Veterans Affairs (VA) Supportive Services for Veteran Families (SSVF) Health Care Navigators (HCN) in linking Veterans experiencing housing instability in rural areas with health care services. We used primary data collected during semistructured interviews with HCNs (n = 21) serving rural areas across the United States during Spring 2022. We applied the Consolidated Framework for Implementation Research (CFIR) 2009 and the Social Ecological Model (SEM) to the collection and analysis of qualitative data to understand how HCNs administer services within SSVF and the larger community. We used rapid qualitative methods to summarize and analyze data. Templated matrix summaries identified facilitators and barriers to linking Veterans with health care services and policy and practice implications. Using CFIR 2009, we identified contextual factors affecting successful implementation of HCN services within SSVF; we offer a crosswalk between CFIR 2009 and the version updated in 2022. Framing facilitators and barriers within the SEM provided insight into whether implementation strategies should be addressed at a community, interpersonal, or intrapersonal level within the SEM. Facilitators included sufficient knowledge, training, and mentorship opportunities for HCNs and their capacity to collaborate within their organization and with other community-based organizations. Barriers included lack of local technology and housing resources, inadequate understanding of Veterans' service eligibilities and pathways to access those services, and deficient collaboration with the VA. Understanding facilitators and barriers experienced by HCN when linking unstably housed Veterans in rural areas with health care services can inform future strategies, including policy changes such as increased training to support HCNs' understanding of eligibility, benefits, and entitlements as well as improving communication and collaboration between VA and community partners.

Leveraging Distributed Systems for Fault-Tolerant Cloud Computing: A Review of Strategies and Frameworks

Ensuring system availability and reliability is crucial in the quickly developing field of cloud computing. The importance of fault tolerance in cloud infrastructure systems grows as organizations become more reliant on it to support their critical operations. The purpose of this article is to investigate the intricate realm of cloud computing and distributed systems. Specifically, the paper will investigate the numerous forms of cloud computing, fault tolerance methods, and frameworks that enable cloud services to be robust and durable. Cloud computing has transformed the way in which organizations and individuals access and administer computing resources. The paper discusses several deployment options, including public, private, hybrid, and multi-cloud environments, which provide organizations with the advantages of flexibility, scalability, and cost-effectiveness. The inherent flexibility of cloud computing renders it well-suited for a diverse range of applications, spanning from the hosting of websites to the execution of intricate data analytics processes. Generally, cloud computing encounters substantial obstacles, including the need of maintaining uninterrupted service in the face of hardware failures, network outages, or software errors, despite its tremendous benefits. The critical importance of fault tolerance in this particular situation cannot be overstated, as it plays a pivotal role in maintaining the dependability and availability of the system. The primary objective of this study is to examine the utilization of distributed systems as a means to augment fault tolerance within the realm of cloud computing and distributed systems. Distributed systems offer an optimal approach for addressing difficulties related to fault tolerance, owing to its intrinsic capability to divide workloads and data over several nodes. This approach utilizes redundancy, replication, and the ability to recover seamlessly from disturbances, hence enhancing the resilience and resource efficiency of cloud services. This research reviews novel techniques and frameworks that utilize distributed systems to create fault-tolerant cloud computing architectures, emphasizing their substantial influence on the cloud computing domain. In conclusion, this research report includes a comparative analysis table that encompasses twenty preceding works.

A framework for the integration of development and evolution: The forgotten legacy of James Meadows Rendel

The historical challenges to bridge the gaps between developmental biology and population or statistical genetics under the explanatory dominance of the Modern Evolutionary Synthesis during the 20th century have been thoroughly documented. However, although several attempts to integrate these fields have been made, most have been deemed unsuccessful. As an example of those efforts, in this paper I discuss the work of James Meadows Rendel, a student of J. B. S. Haldane and disciple of Conrad Hal Waddington. I present his largely forgotten or unrecognized, but innovative, ideas about canalization and the role of development in phylogeny as a valuable piece to connect these fields that could still have important ramifications for today's evolutionary biology. In fact, it is expected that the legacy of J. M. Rendel will be rediscovered, and more importantly, incorporated and extended by future researchers, in light of the growth of evolutionary developmental biology in the last decades. What is more, this case offers a chance to critically revisit standard historiographies about the dichotomy between developmental and population genetics research frameworks in 20th century biology.

Identification of Key Areas for Ecological Conservation and Restoration based on Multi-source Data and Remote Sensing Time Series Analysis

Abstract. Ecological conservation and restoration of national land space is an important aspect for implementing the national ecological civilization strategy, and an important measure for establishing the national ecological security pattern and coordinating the systematic management of mountains, water, forests, fields, lakes, grass and sand. The identification of key areas for ecological conservation and restoration is a precondition to spatially and temporally laying out ecological conservation and restoration planning, which is crucial for the ecological conservation and restoration of national land space. Therefore, this paper considers Henan Province as the study area and carries the research and practice of identifying key areas for ecological conservation and restoration by integrating multi-source data and remote sensing time series analysis. Firstly, based on the Google Earth Engine (GEE) cloud platform and MOD13A1 data, the Mann-Kendall method is used to analyze the trend of time series NDVI in the study area from 2011 to 2020. Secondly, based on multi-source data such as meteorological, soil, topographic, net primary production (NPP), etc., an ecosystem health analysis and assessment based on ecosystem service trade-off and synergy is used to select ecological source. Finally, based on the results of time series NDVI analysis and ecological source selection, fusion analysis is used to identify key areas for ecological conservation and restoration. The results show that this proposed research framework not only considers the “static” ecosystem services and ecosystem health attributes, but also measures the “dynamic” ecosystem change trends. It can effectively identify key areas for ecological conservation and restoration in national space. The results of the study can provide technical support for the background survey, problem identification, planning and engineering layout of ecological conservation and restoration in the national land space.

New Thoughts on Research Framework for Integrating Leader Voice-Taking Behavior: A Literature Review Based Study

Objective: The purpose of this study is to conduct a relatively comprehensive literature review with leader voice-taking behavior as the core dimension in order to construct a logical quantitative research framework for studying organizational innovation in the hospitality industry. Theoretical Framework: The framework can be used to guide the optimization of management processes in Chinese hospitality industry, especially in response to corporate innovation problems caused by leaders who do not pay attention to the voices of their front-line employees (FLEs). Method: This study used a theoretical integration of a conventional review of literature textual research, drawing on persuasion theory, social information processing theory, and affective event theory to explain a model of leader voice-taking behavior. Results and Discussion: The findings of this paper more systematically integrates the logical relationships between the dimensions related to leader voice-taking behavior, including message factors (promotive voice, prohibitive voice, issue importance, voice directness), source factors (employee’s voice efficacy, value congruence, employee loyalty, employee expertise) and context factors (diversity, LMX) as predictable antecedents of leader voice-taking behavior. On the other hand, FOCC and affective factors (positive emotions, relational energy) are potentially mediating the relationship between leader discourse behavior and service innovation in FLEs. Research Implications: This study provides theoretical support for leadership-employee related behavioral theories, emphasizes the role of voice-taking behavior in corporate innovation, and is instructive for quantitative analysis of Chinese hospitality industry related to this type of research. Originality/Value: This study contributes to the literature review by leader voice-taking behavior. This is academically capable of guiding other related research and has a strong academic value.

Local Knowledge Conservation Based on Indigenous Tourism Village

In the current era of globalization, there are many new cultures have emerged from the outside and are spread in all aspects of life. This can be worrying about the condition of local wisdom in several areas of traditional villages in Indonesia, which, with the development of technology in the era of globalization, is feared to have an impact on the behavior of people who are increasingly abandoning local wisdom. The purpose of this paper is not only commercial, but also to preserve the local culture so that it is not degraded by the changing times in the era of globalization. The method used in this research is a literature case study in the form of traditional tourism villages in Indonesia, such as Cirendeu Traditional Village, Ngadas Traditional Village, Tenganan Traditional Village, Kemiren Traditional Village, and Naga Traditional Village. The results of this study reveal how important the role of tourism villages is. These villages serve as the main activity center for local residents who already have a deep understanding of local wisdom values, where they can support each other and apply these traditional teachings in their daily activities, following in the footsteps of their predecessors. In the framework of further research, it is recommended to look for ways to improve accessibility, both in terms of the ease of reaching tourism village locations and communicating with the local government. This action has the potential to have a greater positive impact on the development and sustainability of these traditional tourism villages while allowing more people to interact with its rich culture. Keywords: globalization, local knowledge, traditional villages