Direct Responsibility Research Articles

Responding to the literacy load of science in monocultural contexts:

Existing research about literacy within different subjects suggests that specialist language styles add an extra load to student learning. This has resulted in changes to centralized policy mandates in various jurisdictions, eliciting a variety of responses, including enthusiasm, agreement, compliance, neglect, subversion, and/or resistance. This mixed method study investigated whether 55 secondary school teachers from a culturally homogenous coastal region of Eastern Australia recognized literacy issues within science and their responses to such issues. There were three main findings. Firstly, only one third of participating mainstream science teachers accepted direct responsibility for helping their students deal with the literacy load of science, but most participating teachers recognized the literacy nature of more than half of the activities suggested to them. Secondly, participants teaching classes at several grade levels, and female participants, reported using a greater range of literacy activities in their science classes, and more clearly content-related activities were mentioned more frequently. Thirdly, participants who had completed a postgraduate teacher preparation program were more likely to express confidence in dealing with the literacy load of science and acceptance of responsibility for doing so. Time spent on literacy in teacher preparation programs appears to influence positive mainstream science teacher attitudes and practices in response to the literacy load of science. Study findings challenge conventional views of teacher recalcitrance, and they support the maintenance of policy and teacher preparation practices that encourage science teachers to respond productively to student literacy needs that have been identified by on-going research.

Climate change on the board: navigating directors’ duties

ABSTRACT A noteworthy trend within the surge in corporate climate litigation is the increasing focus on personal responsibility of corporate directors. In 2023, ClientEarth commenced a derivative claim against Shell and its directors in the English courts, arguing that those directors were in breach of their directors' duties under the Companies Act 2006. This article analyses the claimant's arguments, examines the basis upon which the court dismissed the claim and identifies the procedural challenges that are likely to be faced by future claimants in commencing similar claims. In light of the rising trend in shareholder activism, coupled with the ever-increasing regulatory requirements to strengthen corporate human rights and environmental performance, the article anticipates further attempts to bring derivative claims against directors for failing to take action to address climate change risks. It provides suggestions for the sorts of arguments that may have greater prospects of succeeding before the English courts.

Acute Care Nurses' Partnership With Patients to Recognise and Respond to Changes in Patients' Clinical States: AQualitative Study.

To explore and describe acute care nurses' partnership with patients to recognise and respond to changes in patients' clinical states. Acute care nurses' decisions to partner with patients to recognise deterioration in clinical states and to respond by activating a rapid response system improves patient outcomes. Acutely unwell patients can also experience clinical changes that include improvement and deterioration that does not trigger rapid response system activation over the course of hospitalisation from illness and treatment. How acute care nurses partner with patients in response to improvement and deterioration not triggering a rapid response system is not well-understood. An exploratory, descriptive study underpinned by Tanner's Clinical Judgement Model. Using purposive and quota sampling, 20 nurses with direct patient care responsibilities on one medical and one surgical ward in a large Australian hospital were recruited. Nonparticipant observations followed by semistructured interviews were conducted between January and May of 2021. Nurse-patient interactions were observed for 4 h, and verbally described and recorded. Semistructured interviews were recorded and explored nurses' reasoning behind decisions observed. Reflexive thematic analysis was used to analyse the data. Three themes were identified from the data: nurses checking in for changes; nurses forming judgements; and nurses partnering with patients to respond. Acute care nurses promoted subjective assessment based on patients' safety risks. Patients' participation in response to changes was prioritised based on acute care nurses' judgement of safety. Patients receive significant safety benefits when acute care nurses partner with patients in response to their experience of improvement and deterioration during acute illness. Further research should evaluate the sensitivity of subjective cues in patient assessment. Partnership with patients in assessment and management of improvement and deterioration improves the quality and safety of patient care. Assessment frameworks should equally prioritise the use of objective and subjective cues. Nursing education should promote the safety benefits of patient partnerships in responding to patient changes. Equator checklist COREQ. Data collected included description of patients' interactions with study participants.

Prevention of corruption in the acts of the national police of Ukraine: administrative and legal dimension

The relevance of the research lies in the fact that the existing issue of preventing corruption among police officers is not only a problem of the Ministry of Internal Affairs of Ukraine, but also a national issue, in particular. The purpose of the article is to analyze the typology of corruption in the bodies of the National Police of Ukraine. In the context of scientific intelligence, a number of general scientific and sectoral methods are applied, in particular, the method of analysis, synthesis, historical and logical, dialectical, historical and synergistic, systemic methods. It is noted that corruption in police bodies is a phenomenon that poses a risk not only to established members of the structural divisions of law enforcement agencies, but also to one that, in its individual content, exerts a negative influence on the breakdown of social relations, the breakdown of the state, which presents individual rights as such on the dominance of the doctrines of the rule of law, equality of all before the law, which are characteristic of a democratic legal state. The article states that the prevention of corruption in the ranks of law enforcement officers is a component of the state’s general anti-corruption policy, which correlates with the state’s intentions to prevent this negative phenomenon, includes its own strategy for the development of public and legal relations regarding the neutralization or localization of the actions of officials of the NP of Ukraine (factors ) corruption and consequential influence with the support of the congruence of the legal toolkit in order to achieve the set goal, which is established in the field of implementation of the tasks set before it by the National Police of Ukraine. At the same time, an important factor in preventing corruption offenses among police officers is the growth of their civic consciousness. Attention was drawn to the fact that corruption offenses among police officers are an extremely dangerous phenomenon, which, unfortunately, is characteristic of foreign police officers as well. It is noted that corruption can be overcome under circumstances when each police officer will feel a direct responsibility for the fulfillment of a common desire - the formation of a police that is actually independent from corruption. It is noted that a significant number of foreign countries managed to form a modern effective mechanism for preventing corruption offenses among police officers. Considering the European choice of our state, there is a definite need to develop and implement an innovative anti­corruption policy taking into account the positive factors of the existing international experience.

THE INFLUENCE OF RUSSIA (PERMANENT MEMBER OF THE UNITED NATIONS SECURITY COUNCIL) ON THE THREAT TO WORLD PEACE AND SECURITY-WITH SPECIAL FOCUS ON THE WESTERN BALKANS

The United Nations Organization is a global organization emerging from the aftermath of the Second World War, which, according to the Organization's Charter, its main purpose is the preservation of peace and security in the world; the development of friendly relations between nations; achieving international cooperation for solving economic, social, cultural humanitarian problems, etc. and the intention that the UN itself becomes a center for harmonizing actions to achieve common goals. The Security Council is the body that within the Organization has the main and direct responsibility for maintaining global peace and security. In the framework of the Security Council, the permanent members are the countries with the most political and diplomatic influence in the world, but at the same time they have the greatest responsibility for the implementation of the provisions of the UN Charter. The behavior of these states is of essential importance for world peace. Often the member states of the Security Council, due to their interests, not only do not adhere to the main principles when it comes to preventing any member state from jeopardizing stability and peace by protecting the interests of certain aggressor states, but it also happens that with provocation and direct participation in wars and armed conflicts endanger world peace. From the founding of the UN to today, the most blatant case of starting a very dangerous war conflict is Russia. Precisely because of this fact, in this paper the object of research will be Russia, which uses the position of a permanent member of the Security Council, not only for the protection of its political interests, but also by participating in armed conflicts and by declaring war on sovereign states. Since the end of the Second World War, and especially during the Cold War, but also after 2008, Russia has either participated in many armed conflicts or caused them. Objectively, within the framework of this research, it is impossible to include all cases, therefore we will focus only on the Russian influence and endangering peace in the Western Balkans. The paper deals with the indirect and direct Russian influence in some of the countries of the Western Balkans, emphasizing the concrete circumstances and characteristics of each country in particular. For this research, the professional literature, the most relevant international juridical act, the media that inform about actual events in Russia is a direct destabilizing factor, etc. The research relies mainly on the method of analysis of juridical acts, defense doctrines highlighted above, facts of real political events, diplomatic disputes and military conflicts. Based on the analyzed information, we come to the conclusion of research results, conclusions and suggestions for the future political, military, economic, development measures that should be taken by the international community, including NATO, EU, OSCE and other international organizations in which democratic and peacekeeping states adhere, with the aim of maintaining peace, stability and preventing Russia from extending its influence to a dominant size, since as an authoritarian state that it is, as a result, there would be various long-term wars and conflicts in the Western Balkans.

The Role of Green Organizational Culture Based on Tri Hita Karana in Increasing Green Innovation and Sustainable Competitive Advantage Small and Medium Enterprises in Denpasar City

Small and Medium Enterprises (SMEs) in Denpasar City, in addition to having a positive impact on stakeholders and contributing to the national economy, are also often perceived by some people as parties responsible for various environmental damage phenomena including environmental pollution, air pollution and global warming. This study aims to develop and test a theoretical model that empirically examines how green organizational culture based on local wisdom in the Tri Hita Karana perspective influences sustainable competitive advantage in the context of SMEs. In addition, this study also statistically explores the research model and the mediating role of green innovation that has previously received little attention. This study uses a quantitative approach using a survey of 95 respondents. Data were collected from a convenient field survey using a closed questionnaire from SME actors related to the direct responsibility of business activities towards environmental aspects in the city of Denpasar Bali-Indonesia. A structural equation modeling approach was used to achieve the research objectives. The results showed that green organizational culture based on Tri Hita Karana is a significant predictor of sustainable competitive advantage in this study. Furthermore, the findings reveal that green innovation fully mediates the relationship between green organizational culture based on Tri Hita Karana and sustainable competitive advantage.

Relationship between Volunteerism and Empathy among Adolescents in Rwanda

Purpose: The aim of the study was to assess the relationship between volunteerism and empathy among adolescents in Rwanda. Materials and Methods: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries. Findings: The study indicated that engaging in volunteer activities enhances adolescents' empathy levels, as these experiences expose them to diverse social situations and perspectives. Adolescents who volunteer tend to develop a greater understanding and sensitivity towards the needs and emotions of others. This empathy growth is attributed to the direct interactions and responsibilities involved in volunteering, which foster emotional and cognitive empathy. Moreover, the sense of purpose and fulfillment derived from helping others further reinforces empathetic behaviors. Overall, volunteerism serves as a significant developmental tool in nurturing empathy among adolescents, promoting their social and emotional well-being. Implications to Theory, Practice and Policy: Social learning theory, empathy development theory and theory of planned behavior may be used to anchor future studies on assessing the relationship between volunteerism and empathy among adolescents in Rwanda. In practice, schools and community organizations should design volunteer programs that are both structured and reflective to maximize empathy development. Policymakers should prioritize integrating volunteerism into the educational curriculum as a key component of social-emotional learning.

Assessment of Community Pharmacists’ Knowledge and Perception of Pharmaceutical Care in South Africa: A Cross-sectional Survey

Background: Medicines are intended to cure, prevent, or diagnose diseases, alleviate signs, or symptoms, but improper use can cause patient morbidity and even mortality. Pharmacists assume direct responsibility for all the patient’s drug-related needs. Hence, pharmacists’ knowledge and attitudes regarding pharmaceutical care (PC) and their perceived barriers to PC provision are imperative to treatment success. The aim of the study was to explore community pharmacists’ knowledge and perception towards pharmaceutical care and identifying perceived barriers towards its implementation in South Africa. Methods: A quantitative study was undertaken, using a descriptive cross-sectional design. The data were collected by means of an online questionnaire completed by community pharmacists across South Africa. The data were analyzed using descriptive statistics, through Microsoft Excel and the Statistical Package for the Social Sciences (SPSS). Results: Out of 250 online questionnaires sent, a total of 181 responded, which delivered an 72.4% response rate. The vast majority (n=166; 91.7%) of the respondents were knowledgeable about PC though a few (n=15; 8.3%) of the respondents had a poor understanding of PC. A high number of respondents (n=173;95.5%) agreed that providing PC would increase the patients’ confidence in the pharmacy profession (n=173; 95.5%); and about 87.2% responded that all pharmacists should provide PC services. Lack of compensation for PC provision was perceived as the main barrier (83.9%). Conclusion: South African community pharmacists have good knowledge of PC, but a lack of remuneration and time were perceived as the main barriers to PC provision. Relevant stake holders like policymakers in pharmaceutical service, health care financial managers, and pharmacy managers should intervene to overcome these barriers.

Improvement of cardiological care in the context of large cities

ABSTRACT Objective The purpose of this study is to investigate the basic principles of improving cardiological care in a large city. The study also aims to assess the prospects for introducing key trends in improving this kind of care in modern cities in various time perspectives. Method The methodological approach involves systematic analysis of improving cardiological care in a large city, including statistical investigation of key aspects of care in various polyclinics in Almaty. Results The results obtained indicate the need for the development and practical implementation of the principles of improving cardiological care in large cities. There is also necessity to ensure the timely provision of necessary assistance to citizens when they detect various cardiovascular diseases. Conclusions The results obtained and the conclusions formulated on their basis are of practical importance for employees of medical institutions in large cities, whose direct professional responsibilities include providing cardiological care to patients. They are also significant for patients themselves who are interested in improving the level of cardiological care provided to them.

Human Resource Assessment and Sustainability : Investigating the Measurability of Human Activity

Sustainability, as a complex set of goals, has many possible interpretations and approaches the 17 Sustainable Development Goals (SDGs) set out in the document have 169 sub-goals, of which Goal 10 is "reduced inequalities". There are 10 sub-goals linked to this goal, the first of which is aimed at reducing income inequality. Employers have direct responsibility and considerable leeway to develop fair wage systems. For HR professionals, the practical implementation of this is a major task, and their knowledge can therefore be a key factor in achieving SDG 10. In our research, we sought to answer the question of what future HR professionals know about the accounting measurability of human performance and how they assess its monetary valuation. In our view, HR professionals who are aware of the issues of human performance measurement and recognize the fundamental problems can play a significant role in meeting SDG 10. In our primary research, we surveyed 448 undergraduate human resources students from early December 2022 to the end of January 2023 using an online questionnaire. The questionnaire contains closed and open questions in addition to demographic data. Our research shows that the value of human activity is not well expressed in monetary terms, which implies that wages and the value of work are not closely related.

The Regulations of the Supervisory Officer Personal Data Protection-Based Accountability Principle

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p>This study examines The Model of Regulations Supervisory Officer Personal Data Protection-Based Accountability Principle: Lessons from Sweden. This study is a qualitative approach by reviewing and analyzing legal aspects and comparing laws. Even though Indonesia has a personal data protection law, misuse of personal data is still excessive. Owing to accountability basis PDP supervision arrangements have not been properly implemented. Meanwhile, Sweden was chosen as a comparison country since it was one of the first countries to have a personal data protection law. The result shows that in Sweden, personal data is regulated in the General Data Protection Regulation and the personal data supervisor well implemented the principle of accountability therefore it worked effectively. Meanwhile in Indonesia, given that a data protection supervisor has not been established, Protection of personal data is still carried out by each agency appointed by law on a sectoral basis and it deemed less effective in providing personal data protection. Therefore, the personal data supervisor with a single rule and direct responsibility to the president is the perfect model for Indonesia.</p></td></tr></tbody></table></div>

ЗЕМЕЛЬНІ ПРАВОПОРУШЕННЯ: РОЗМЕЖУВАННЯ КРИМІНАЛЬНОЇ, АДМІНІСТРАТИВНОЇ І ДИСЦИПЛІНАРНОЇ ВІДПОВІДАЛЬНОСТІ

The constitutional principles of a democratic and legal state guide the development of Ukraine in the direction of people’s rule and a legal state. Therefore, the subsystem of legal norms regulating homogeneous relations in the sphere of public and state maintenance of law and order acquires special importance for the materialization of formal and declarative norms about a democratic and legal state. Therefore, it is relevant to substantiate the need to separate the rules (norms) of public (public) order and disciplinary responsibility for their violation from the branches of administrative legislation into a separate branch according to the postulates of law. It is appropriate that the state regulation of behavior in public (public) places should be set out in the Code of Public Order. And the norms regulating responsibility for land, forest, air, etc. misdemeanors were transferred to the basic codes regulating legal relations in the relevant spheres of socio-economic life. At the same time, the primary task is to update and reform legislation based on the postulates and axioms of legal theories. The formation and development of civil society, organized into a democratic, social, legal state, in accordance with the principle of popular sovereignty, leads to changes in the very essence of delictological legal relations, a return to the postulates of legal theory (in the context of revived natural law). The separation of prescriptions and sanctioned customs of public order into an independent branch of law by including public rules regulating this order in its institutions forms a system of norms of public legal order. The proposed differentiation and systematization of legal responsibility is the basis for bringing the legal system into compliance with the axioms of the theory of law (jurisprudence) based on the postulates of Roman civil law. This will contribute to the improvement of both public order, in particular, and the development of civil society institutions, democracy, and the establishment of the rule of law in general. As well as the humanization of legal responsibility, the spread of educational and psychological measures of social (moral) responsibility, the strengthening of the discipline of social coexistence, the education of citizens’ self-discipline as a component of individual legal awareness. The transfer of norms regarding the responsibility for land offenses of private law officials and citizens to the basic land code will allow to systematize and separate the norms regarding the direct administrative responsibility of public law officials (state authorities, local self-government bodies) for illegal actions (inaction), land offenses in the field of management. Key words: legal responsibility, criminal offense, administrative offense, land offenses, land offenses in the field of management, public order, public misdemeanor.

"Unnatural resources?": parallels and distinctions between the Newfoundland Genome and traditional resource sectors.

Newfoundland and Labrador (NL) has a long history of resource development, exploitation, and frequent mismanagement. Even before joining the Canadian confederation in 1949, industries such as mining, fishing, and forestry had significantly shaped the province. Recently, a new "resource" has been recognized: NL's genetic data, often described as a "genetic gold mine" and "the new oil." These analogies reflect the perception of genetic data as a valuable resource, resonating in a province historically reliant on resource extraction. Since the early 2000s, NL's genetic data has been recognized as a unique asset, prompting provincial reports on its management. Renewed interest has emerged with a local biotechnology company aiming to leverage NL's unique genetic architecture. This paper examines the implications of conceptualizing genetic information as a resource, exploring how this fits within existing resource development frameworks and policies, and considering its potential to shape policies for managing the benefits and burdens of genetic data exploitation. I conclude that while the NL genome is not a natural resource in the traditional sense, the province nevertheless needs to take more direct responsibility for its development and to ensure that any potential benefits from exploiting it are shared with the population.

Leverage points for establishing clinical decision-maker as a vital component of pharmacists’ professional identity

This commentary explores how a change in the professional identity of pharmacists from medicines supplier to clinical decision-maker might take place. Three leverage points are identified that support this change. The first leverage point involves workplace culture. Pharmacists require workplaces that support them to assume direct responsibility for drug therapy decisions that may not have traditionally been part of pharmacy practice. The second leverage point involves terminology. Pharmacists need to be able to name and describe the process they use when making decisions about drug therapy. The third leverage point encompasses pharmacy education. Future pharmacists require a foundation that enables them to mobilize their knowledge and skills about drug therapy to act as clinical decision-makers with patients that require complex care. By acting on multiple leverage points, advocates for change in the pharmacy profession can assist pharmacists to establish themselves as decision-makers about drug therapy, shift their professional identity, and reformulate their view of the profession.

Корпоративная социальная ответственность высших учебных заведений в условиях конкуренции

The article substantiates the relevance of forming an idea of corporate social responsibility of Russian universities as a condition for effective interaction of stakeholders in the higher education space. The research conducted within the framework of the article is aimed at determining the relationship between responsibility, social responsibility and corporate social responsibility of a university in a competitive environment. It is substantiated that in the field of higher education there is such a phenomenon as corporate social responsibility. The nature of corporate social responsibility of universities in the higher education space is determined by the position of the parties to mutual responsibility and the conditions that determine its nature. The article is the first to analyze the elements of corporate social responsibility of universities to stakeholders, such as students, teachers, employers, and the state. It has been revealed that the responsible fulfillment by the university of its direct responsibilities to stakeholders who meet mutual obligations to the university leads to mutually beneficial cooperation. The article proves that corporate social responsibility acts as one of the factors of university competitiveness.

Pharmacist-prescriber collaborative models of care for opioid use disorder: an overview of recent research.

Collaborative models of care where pharmacists work alongside physicians have been developed for a range of physical health conditions, with benefits including improved patient outcomes and increased access to ongoing care. Opioid agonist treatment (methadone and buprenorphine) is a clinically effective and cost-effective treatment for opioid use disorder that is under-utilized in many countries due to a shortage of prescribers. In recent years, there has been increased interest in the development of collaborative models that utilize pharmacists to overcome barriers to treatment. In this article, we present a narrative review to synthesise recent work in this rapidly developing area. Two key aspects of opioid agonist treatment were identified: Collaborative models have utilized pharmacists to facilitate buprenorphine induction, and collaborative models provide increased capacity for delivering ongoing care in a variety of settings and patient groups where prescriber access is limited. Pharmacists have undertaken direct patient care responsibilities with varying degrees of autonomy, with benefits including a reduction in prescriber workload, and improvements in treatment retention and continuity of care. Collaborative models in which pharmacists are responsible for buprenorphine induction and ongoing management with methadone and buprenorphine have been shown to reduce demands on prescribers while improving or maintaining patient outcomes, and appear feasible and acceptable in a wide range of outpatient settings.

Is the response to antihypertensive drugs heterogeneous? Rationale for personalized approach.

Arterial hypertension represents the most important cardiovascular risk factor with a direct responsibility for a large share of cardiovascular mortality and morbidity in the world. Despite the wide availability of antihypertensive therapies with documented effectiveness, blood pressure control still remains largely unsatisfactory in large segments of the population. Guidelines for the management of arterial hypertension suggest the preferential use of five classes of drugs-angiotensin-converting enzyme inhibitors, angiotensin II type I receptor inhibitors, calcium channel blockers, thiazide/thiazide-like diuretics, and beta-blockers-recommending the use of combination therapy, preferably in pre-established combinations, for the majority of hypertensive patients. The evidence of a non-negligible heterogeneity in the response to different antihypertensive drugs in different patients suggests the opportunity for personalization of treatment. The notable phenotypic heterogeneity of the population of hypertensive patients in terms of genetic structure, behavioural aspects, exposure to environmental factors, and disease history imposes the need to consider all the potential determinants of the response to a specific pharmacological treatment. The progressive digitalization of healthcare systems is making enormous quantities of data available for machine learning systems which will allow the development of management algorithms for truly personalized antihypertensive therapy in the near future.

HR directors in India: navigating institutional incoherence for HRM stability and change

PurposeThis paper aims to explore the strategic and evolving role of human resource management (HRM) directors within the context of underdeveloped institutional arrangements. The study focuses on India and conducts a comparative analysis of the roles of HRM directors in both multinational enterprises (MNEs) and domestic firms.Design/methodology/approachSurvey-based data from the HRM directors of 252 enterprises were gathered for the comparative analysis, including both multinational and domestic enterprises.FindingsHRM directors in MNEs lack the proficiency required to effectively fulfil their strategic role. In addition, there has been a notable shift in the responsibilities of HRM directors in MNEs, with increased emphasis on labour movements and trade union negotiations, as opposed to traditional human resource (HR) activities. This shift suggests that the role of HRM in MNEs operating in India has been influenced by local isomorphic forces, rather than following a “pendulum swing” between home and host country institutional pressures. The prevalence of informality in the Indian institutional arrangements may act as a strong counterforce to integrating the strategic agency of MNEs' home country HRM directors into the organizational structure. Despite facing resistance from the local institutional context, HRM directors in MNEs are responding with a pushback, prioritizing labour movements and trade union negotiations over core HRM activities.Research limitations/implicationsThe study highlights the broader implications for theory and practice, shedding light on the challenges faced by HRM directors in navigating incoherent institutional arrangements. It emphasizes the need for a deeper understanding of local forces in shaping HRM practices within multinational settings.Originality/valueWe contribute to the comparative HRM literature by elaborating on power struggles that HRM directors face amid the dichotomies of formal power and authority that are encoded in the organizational structure versus culturally contingent power that can be accrued from engaging in informality. We also highlight their engagement in prolonged institutional mediation and change, which serves as a compensatory mechanism for the institutional shortfalls they encounter within the context of emerging markets.

Algorithm for Providing Geriatric and Gerontological Care based on International Experience

The relevance of the stated topic of this research is conditioned upon the numerous problems of providing medical care to elderly people who suffer from chronic diseases characteristic of various disability groups, accompanied by a complete or partial loss of the ability to self-care, as a result of which there is a steady trend towards an increase in mortality among people of these age groups. The purpose of this research is to study the features of constructing an algorithm for providing geriatric and gerontological care in the Republic of Kazakhstan, considering the international experience accumulated in this field. The basis of the methodological approach in this study is a combination of a systematic analysis of the accumulated international experience in the field of geriatric and gerontological care, with an analytical study of the actual possibilities of constructing an algorithm for providing assistance based on this international experience. The main results obtained in the course of this study are the definition of the main stages of the algorithm for providing geriatric and gerontological care, and the definition of the main age groups of patients, more than other categories in need of this kind of assistance, formulated on the basis of accumulated international experience in this area. The results of this research work, including the conclusions formulated on their basis, have significant practical significance for disabled elderly people in need of medical care, and for social and medical service workers whose direct professional responsibilities include providing medical care to elderly people.

The Effect Analysis of Organizational Citizenship Behavior on Employee Performance

The behavior expected by companies today extends beyond in-role behavior (according to job descriptions) to include extra-role behavior. The behaviors described above, exceeding the prescribed role descriptions within a company, are referred to as Organizational Citizenship Behavior or OCB. This research aims to investigate the influence of OCB dimensions, consisting of altruism, conscientiousness, civic virtue, courtesy, and sportsmanship, on employee performance, so that we can make sure is it really important to be a super loyal employee who works extra miles to the company, or it actually has nothing to do with the performance and only burdens employees without adding self-value. This research employs a quantitative approach with the primary data collection method being a Likert scale questionnaire, with employee performance as the dependent variable and 5 dimensions of Organizational Citizenship Behavior (OCB) as independent variables. The results indicate that all independent variables of OCB have a significant positive impact on employee performance, except for Conscientiousness, which does not influence employee performance. The overall illustration of the research findings suggests that when employees exhibit OCB or behavior that is willing to exert extra effort beyond the job description, their performance will also improve. This indicates that the positive contributions made by employees beyond their direct responsibilities can contribute to an overall performance enhancement.