Satisfaction Outcomes Research Articles

Building a Community of Practice for Computer Science Educators in Nigeria: Strategies, Challenges, and Outcomes

This study explores the development and impact of a community of practice (CoP) among computer science educators in Nigeria. With the increasing demand for effective computer science education, there is a critical need for collaborative networks that support professional growth and pedagogical innovation. This research employs a mixed-methods approach, involving surveys and interviews with educators across various regions of Nigeria, to assess the current state of collaboration, identify barriers, and evaluate the outcomes of participating in a CoP. The findings reveal significant improvements in teaching practices, professional satisfaction, and student outcomes. However, challenges such as resource limitations and geographical barriers persist. The study offers actionable recommendations for policymakers and educational institutions to foster and sustain these communities. The implications of this research underscore the potential of CoPs to transform computer science education in Nigeria.

Nurses' experiences and perceptions of running nurse-led clinics: A scoping review.

To explore what is known about nurses' experiences and perceptions of running nurse-led clinics. Nurse-led clinics were established to address health care needs. In collaboration with medical practitioners, advanced practice nurses may take a selected group of patients and manage their ongoing healthcare independently. Their experiences in running nurse-led clinics directly impact patient satisfaction and clinical outcomes. Scoping review of the peer-reviewed literature. Systematic search through CINAHL, Medline, PsycINFO and Web of Science databases from January 2010 to September 2023. This scoping review is guided by the updated methodological guidance for the conduct of scoping review from Joanna Briggs Institute. Of 2747 retrieved articles, 15 were included in this review. Synthesis of the findings revealed that nurses believed implementing nurse-led clinics was beneficial to themselves, patients, and healthcare systems. However, they faced challenges in running nurse-led clinics, including insufficient support, teamwork obstacles and lack of role recognition. Nurses need to be proactive in promoting their clinics and overcoming challenges. Healthcare organizations are responsible for creating a positive culture to support nurse-led services. Future research should focus on ways to increase global awareness of nurse-led clinics.

Demographic and Asthma-Related Characteristics of Asthmatics Using Pressurized Metered Dose Inhalers and Dry Powder Inhalers.

Background: Asthma controller medications can be delivered via pressurized metered dose inhaler (pMDI) or dry powder inhaler (DPI) devices. Objective: This study aimed to evaluate the frequency of exacerbations and satisfaction rate with device use in asthmatics using pMDIs or DPIs. Methods: A multicenter, cross-sectional study was conducted in adults who used pMDIs or DPIs with correct inhaler technique and good adherence for asthma treatment. Demographic and asthma-related characteristics of the subjects and data regarding device satisfaction were collected through a face-to-face interview in the outpatient clinic. Rates of pMDI and DPI users and the data were compared between the two groups. Results: The study included 338 patients (mean age: 48.6 ± 14.5 years, 253 [74.9%] women). Among participants, 96 (28.4%) were using pMDI and 242 (71.6%) were using DPI. The age of patients using pMDI were significantly lower compared with DPI users. No significant difference was observed in terms of device satisfaction and clinical outcomes of asthma between pMDI and DPI users with good inhaler technique and good adherence. Conclusion: More asthmatics use DPIs, however, pMDIs are used in younger asthmatic patients. No significant difference in terms of device satisfaction and clinical outcomes of asthma was observed between pMDI and DPI users.

Versatility of OnabotulinumtoxinA in Aesthetic Medicine.

OnabotulinumtoxinA is an injectable product that was introduced into medicine in the 1970s and has been the subject of thousands of clinical and nonclinical publications. To review the data related to the versatility of onabotulinumtoxinA in medical aesthetics. PubMed was searched to identify literature evaluating the effects of onabotulinumtoxinA, with preference given to randomized, placebo-controlled trials and safety meta-analyses. OnabotulinumtoxinA is effective and safe across multiple facial indications, racial and ethnic groups, age groups, genders, and facial line severities. Patient-reported outcomes have been prioritized in aesthetic clinical trials and indicate high patient satisfaction and appearance-related psychological outcomes. Integrated safety meta-analysis and immunogenicity analyses have documented acceptable adverse event rates and low immunogenicity of onabotulinumtoxinA. OnabotulinumtoxinA is a versatile aesthetic product supported by a strong literature base and positive physician and patient-reported outcomes that reflect a meaningful impact on patient's quality of life.

Heritage Education of Memory: Gamification to Raise Awareness of the Cultural Heritage of War

This study focused on the use of gamification, specifically the UrbanGame activity, to enhance heritage education related to the bombings of the Spanish Civil War in Alicante. The research aimed to evaluate the effectiveness of active methodologies in raising cultural heritage awareness among university students, particularly those in primary and secondary teacher training programs. The methods included the design and implementation of the UrbanGame, followed by surveys to collect quantitative and qualitative data on students’ perceptions, satisfaction, and learning outcomes. The results indicated that meaningful learning showed a positive trend towards content comprehension, and that motivation and concentration significantly influenced learning outcomes. Additionally, the UrbanGame activity promoted memory and cultural heritage by emotionally connecting students with local history, providing future teachers with innovative pedagogical tools for their teaching.

Revolutionizing Liver Transplantation: Transitioning to an Elective Procedure Through Ex Situ Normothermic Machine Perfusion - A Benefit Analysis.

To assess the impact of normothermic machine perfusion (NMP) on patients, medical teams, and costs by gathering global insights and exploring current limitations. NMP for ex situ liver graft perfusion is gaining increasing attention for its capability to extend graft preservation. It has the potential to transform liver transplantation (LT) from an urgent to a purely elective procedure, which could revolutionize LT logistics, reduce burden on patients and health care providers, and decrease costs. A 31-item survey was sent to international transplant directors to gather their NMP experiences and vision. In addition, we performed a systematic review on cost-analysis in LT and assessed studies on cost-benefit in converting urgent-to-elective procedures. We compared the costs of available NMPs and conducted a sensitivity analysis of NMP's cost benefits. Of 120 transplant programs contacted, 64 (53%) responded, spanning North America (31%), Europe (42%), Asia (22%), and South America (5%). Of the total, 60% had adopted NMP, with larger centers (>100 transplants/year) in North America and Europe more likely to use it. The main NMP systems were OrganOx-metra (39%), XVIVO (36%), and TransMedics-OCS (15%). Despite NMP adoption, 41% of centers still perform >50% of LTs at nights/weekends. Centers recognized NMP's benefits, including improved work satisfaction and patient outcomes, but faced challenges like high costs and machine complexity. 16% would invest $100,000 to 500'000, 33% would invest $50,000 to 100'000, 38% would invest $10,000 to 50'000, and 14% would invest <$10,000 in NMP. These results were strengthened by a cost analysis for NMP in emergency-to-elective LT transition. Accordingly, while liver perfusions with disposables up to $10,000 resulted in overall positive net balances, this effect was lost when disposables' cost amounted to >$40,000/organ. The adoption of NMP is hindered by high costs and operational complexity. Making LT elective through NMP could reduce costs and improve outcomes, but overcoming barriers requires national reimbursements and simplified, automated NMP systems for multiday preservation.

A qualitative exploration of nurses’ perspectives, experiences, and obstacles with shared governance

ABSTRACT This study explores the nurses’ experiences of shared governance in hospitals in Saudi Arabia to identify the factors that enhance and hinder nurses’ shared governance and nurses’ participation in decision-making processes. Through a qualitative descriptive research approach, the study utilized semi-structured interviews with 13 registered nurses selected via purposive sampling. Data were coded and condensed using thematic analysis. Three main themes were identified: participants’ perceptions about the concept of shared governance, factors influencing nurses’ participation in decision-making processes, and the consequences of shared governance. Participating nurses had a limited understanding of shared governance. Most were exposed to the concept of shared governance for the first time and could not comprehend or interpret it. The study found that nurses have limited knowledge of shared governance, but it is universally recognized that nurses’ involvement in decision-making is important. Implementing shared governance at the unit level has positive outcomes such as increased employee satisfaction, creativity, and trust in managers. The study highlights the influence of the work environment and the benefits of shared governance and inclusive leadership. Empowering nurses in decision-making can enhance engagement, job satisfaction, and patient outcomes.

Learners’ psychological needs in online learning environment for executive education: role of cognitive overload and learning self-efficacy

ABSTRACT The emergent transition from face-to-face to online teaching and training has swayed the design and operating model of executive education globally. Reports indicate that this change has adversely impacted the learners’ satisfaction with executive education programmes and desired learning outcomes. Scholars believe that learners’ learning outcomes in the online learning environment are driven primarily by the satisfaction and frustration of their universal psychological needs (UPN) (autonomy, competence, and relatedness). Using, the theoretical view of Self-Determination Theory and Cognitive Load Theory, this study examines, how cognitive overload and online learning self-efficacy affect the positive impact of behavioural engagement on executive learners’ UPNs and learning outcomes in an online learning environment. Through this combined theoretical lens, we studied the dynamics of behavioural engagement, UPN satisfaction (frustration), and learning outcome relationships from the viewpoint of resource misfit. Hypotheses for direct and indirect effects were empirically validated by surveying online learners enrolled in a premier business school executive education programme. The findings indicate that in an online learning environment, executive programme designers and educators should balance the availability of information, interaction and learning tools to help learners attain UPN satisfaction and ultimately achieve desired learning outcomes.

Clinical trial of two-step photodynamic therapy for reduced pain in the treatment of precancerous squamous lesions (Actinic keratoses)

BackgroundPain associated with aminolevulinic acid photodynamic therapy (ALA-PDT) for the treatment of facial dermatoses results in low patient compliance. Two-step photodynamic therapy (two-step PDT) may improve comfort by optimizing light amplitude and exposure time. ObjectiveTo investigate the efficacy of two-step PDT in reducing the pain generated during the treatment of facial skin disorders. MethodsTwenty-six patients with AK were randomly divided into two groups; the experimental group was treated with two-step photodynamic therapy and the control group was treated with conventional photodynamic therapy. The pain intensity of the patients at different times was assessed using the pain numerical rating scale (NRS). ResultsA total of 26 patients completed three ALA-PDT treatments, 13 and 13 patients in each group, respectively. The mean NRS scores of patients in the experimental group (3.28±1.41, 3.33±1.43, 3.42±1.78) were lower than those of the control group (5.00±1.94, 5.09±1.86, 4.86±1.64) on each occasion. The incidence of certain adverse reactions was lower in the experimental group than in the control group. There was no difference between the two groups in terms of clinical outcome, recurrence rate and patient satisfaction. ConclusionTwo-step photodynamic therapy can reduce pain and the incidence of some adverse reactions, but does not affect clinical efficacy, recurrence rate and patient satisfaction.

Computerized Cognitive Training in the Older Workforce: Effects on Cognition, Life Satisfaction, and Productivity

Background: The accelerated aging of the world’s population will lead to an increase in the number of older people in the workforce. Computerized Cognitive Training (CCT) is effective in improving cognitive outcomes, but its benefits for older workers remain controversial. We investigate the real-world efficacy of CCT in the workplace, focusing on employees aged 50+ years from a public sector agency. Methods: Case managers (n = 82) were randomized to either an intervention group (24 40 min CCT sessions two times per week) or a waiting list passive control group. Cognitive ability, well-being, job satisfaction, and productivity outcome measures were collected and assessed before and after CCT or the comparable control wait time. Results: Participants undergoing CCT improved on a task of executive functioning (p = 0.04). There was a trend toward a change in work productivity after CCT (p = 0.09), with the control group showing a significant decrease (p = 0.02), while the intervention group remained stable. Conclusions: CCT during office hours has a positive effect on cognition and well-being without affecting productivity among white-collar office workers. CCT could be considered as an intervention to support the older workforce in managing the cognitive and behavioral challenges of changing workplace demands.

The prognosis of iatrogenic saphenous nerve injuries during hamstring tendon harvesting in anterior cruciate ligament reconstruction

PurposeThis study aims to evaluate the long-term outcomes of saphenous nerve (SN) injuries from hamstring tendon harvesting during ACL reconstruction, focusing on clinical results and patient satisfaction after at least two years. Additionally, it investigates the incidence, recovery patterns, and impact of these injuries on functional outcomes, daily activities, and ACL re-rupture rates immediately post-surgery and at final follow-up.Materials and methodsA retrospective review was conducted on patients who had undergone ACL reconstruction with hamstring tendon grafts at a single institution between January 2015 and January 2020. The incidence of SN injuries was assessed immediately after surgery and at final follow-up. Additionally, the recovery rate and time were evaluated, and the impact of these injuries on functional outcomes was measured using the Lysholm Knee Score (LKS) and patient-reported effects on daily activities.ResultsOf the 159 patients analyzed, iatrogenic SN injuries were initially observed in 87 (54.7%) patients post-ACLR. By the final follow-up, paresthesia had resolved in 36 (22.6%) patients within an average of 11.1 months. Persistent SN injuries were recorded in 51 (32.1%) patients, affecting various extents of the infrapatellar branch (IPBSN) and the sartorial branch (SBSN) of the saphenous nerve. Patients with persistent SN injuries experienced a significant impact on daily activities and had lower LKS scores compared to those without injuries or with recovered injuries. Furthermore, a higher re-rupture rate was associated with persistent SN injuries.ConclusionsThe study finds that SN injuries during hamstring graft harvesting for ACL reconstruction are common, with a significant portion of patients experiencing persistent sensory deficits for at least two years postoperatively. These injuries are observed to adversely affect patient satisfaction and functional outcomes and to increase the re-rupture rate.

Leveraging consumer chronic time pressure and time management to improve retail venue outcomes

PurposeConsumer choices are influenced by available resources, and time is increasingly recognised as a valuable and scarce resource. This study aims to assess the effect of chronic time pressure (CTP) on the desire to stay in retail venues (DTS), considering the mediating role of utilitarian and hedonic shopping motivations and the moderating role of time management (TM); and examine the role of DTS in enhancing the shopping outcomes of satisfaction, patronage intentions and positive word-of-mouth (WOM).Design/methodology/approachTwo survey-based studies were conducted, employing structural equation modelling (SEM) and Hayes’ PROCESS Model No. 1 to test the proposed model.FindingsThe findings indicate that CTP does not have a direct impact on shopping utilitarian motivations or DTS. However, it has a direct effect on hedonic motivations that mediate the path from CTP to DTS. In addition, TM positively moderates both paths from CTP and hedonic motivations to DTS. Finally, the results demonstrate that reinforcing shopper DTS leads to increased satisfaction, patronage intentions and positive WOM.Research limitations/implicationsBased on the findings, theoretical contributions and actionable managerial implications regarding how to leverage CTP and TM to enhance shopper engagement and retail venue outcomes are discussed.Originality/valueWhile prior research has often focused on situational time pressure, this study concentrates on CTP and examines the impact of perceived time constraints and feeling rushed on utilitarian and hedonic shopping motivations and DTS. Moreover, the study tests the moderating role of TM and provides evidence that DTS leads to other desirable shopping outcomes.

Examining Student Characteristics, Self-Regulated Learning Strategies, and Their Perceived Effects on Satisfaction and Academic Performance in MOOCs

The ultimate goals of education and training are the development of learners’ learning outcomes. The prospect of achieving high academic results should function as a driving force for students to be engaged in learning. Recognition of the factors affecting their learning satisfaction should facilitate their learning process, especially in online learning environments such as Massive Open Online Courses (MOOCs). The purpose of this study was to examine the interactions among students’ characteristics, their perceived values of self-regulated learning (SRL) strategies, satisfaction and academic performances. A mixed-methods design was employed to investigate the issue under exploration. The 227 surveyed responses were collected from English majors who had experience in MOOCs and were studying at a private university in Can Tho city in the Mekong Delta, Vietnam. Data from the survey was analysed with the Statistical Package for the Social Sciences (SPSS) 25 for the correlations between their characteristics and the quantitative variables, while Partial Least Squares Structural Equation Modelling (PLS-SEM) was performed to examine the perceived effects of self-regulated learning (SRL) strategies on their satisfaction and academic outcomes. Qualitative data was collected through open-ended survey questions and analysed based on thematic analysis guidelines. The results revealed that SRL strategies such as strategic planning, time management, environment structuring, and help-seeking positively influenced both student satisfaction and academic performance. Notably, the study identified flexible learning time, self-paced learning, and the ability to choose study locations as significant factors enhancing student satisfaction. Conversely, limited social interaction, poor internet connectivity, and low motivation were found to be demotivating factors. Additionally, the study highlighted the importance of gender and prior online learning experience in shaping students' satisfaction and performance in MOOCs. While gender showed no significant correlation with SRL strategies, satisfaction, or academic performance, prior experience in online learning environments, such as the number of completed MOOC courses, was significantly correlated with better academic outcomes. However, a weak negative correlation between students' academic years and their satisfaction was observed, suggesting that more advanced students might face increased academic pressure and higher expectations, leading to lower satisfaction levels. The research underscores the critical role of SRL strategies in facilitating effective learning in MOOCs, especially in the context of English major students who often lack direct interaction with instructors and peers. Training students in SRL strategies can help them better manage their learning processes, overcome challenges, and achieve their academic goals. This study contributes to the understanding of how student characteristics and SRL strategies affect learning in online environments and suggests practical implications for enhancing MOOC experiences. Future research should investigate additional SRL strategies and include a larger, more diverse sample to provide a more comprehensive understanding of their impact on student satisfaction and academic performance in MOOCs. Furthermore, exploring the specific challenges faced by different academic disciplines in MOOCs could offer more tailored solutions to improve online learning experiences.

The Impact of Continuous Labor Support on Cesarean Section Rates among Nulliparous Women: A Randomized Controlled Trial

Cesarean section (CS) rates are increasing globally, raising concerns about maternal and neonatal morbidity. Continuous labor support (CLS) has been shown to reduce CS rates in some settings, but its impact in Indonesia remains understudied. This study aimed to evaluate the effect of CLS on CS rates among nulliparous women in Purwakarta Regency, Indonesia. A randomized controlled trial was conducted at the Purwakarta Regional Hospital from January 2022 to December 2023. Eligible nulliparous women in labor were randomized to receive either CLS (n=210) from a trained midwife or standard care (n=205). The primary outcome was the rate of CS. Secondary outcomes included duration of labor, use of analgesia, maternal satisfaction, and neonatal outcomes. The CS rate was significantly lower in the CLS group (18.1%) compared to the standard care group (29.3%) (p=0.02). Women in the CLS group also reported higher satisfaction with their birth experience. No significant differences were found in other secondary outcomes. Continuous labor support provided by a trained midwife significantly reduces CS rates among nulliparous women in Purwakarta Regency, Indonesia. Implementing CLS as a routine practice may help address the rising CS rates and improve maternal birth experiences in this setting.

Surfactants and the importance of informed consent: Nurturing culturally competent care in healthcare settings.

Culturally competent healthcare improves patient satisfaction and clinical outcomes. Many drugs, dressings and implants have human or animal-derived content which may conflict with patients' religious beliefs, and may even have medicolegal implications. This cross-sectional study (anonymous web-based survey) was done to understand the informed consent process followed by paediatricians and neonatologists in India, their views regarding disclosure pertaining to the animal origin of exogenous surfactants to patients' families, and their willingness and ability to provide alternative surfactants based on parental preferences. A total of 114 neonatologists/paediatricians involved in neonatal care and using surfactants in their practice responded to the survey. Although 61(53.5%) neonatal care units stocked two or more brands of surfactant in their inventory, only 38(33.3%) units had both bovine and porcine preparations. Most (104, 91.2%) of the doctors always take parental consent before administering surfactants; but only a few (12,10.5%) said they always inform parents about its animal origin. None of the respondents offer parents a choice between bovine or porcine-origin surfactants, most (73, 64%) presuming that it would be irrelevant for the parents. However, many respondents (27, 23.7%) mentioned that they want to offer the choice to parents but are unable to do so because they do not stock both bovine and porcine preparations. Although most parents might agree to a life-saving medicine in emergency situations, this does not mean they do not want to be informed. Healthcare professionals should not have a dismissive attitude to parental belief systems. They must use the antenatal period to take the cultural/spiritual history and the necessary consent.

Learning interventions and training methods in health emergencies: A scoping review.

Keeping the health workforce and the public informed about the latest evolving health information during a health emergency is critical to preventing, detecting and responding to infectious disease outbreaks or other health emergencies. Having a well-informed, ready, willing, and skilled workforce and an informed public can help save lives, reduce diseases and suffering, and minimize socio-economic loss in affected communities and countries. Providing "just in time" support and opportunities for learning in health emergencies is much needed for capacity building. In this paper, 'learning intervention' refers to the provision of ad-hoc, focused, or personalized training sessions with the goal of preparing the health workers for emergencies or filling specific knowledge or skill gaps. We refer to 'training methods' as instructional design strategies used to teach someone the necessary knowledge and skills to perform a task. We conducted a scoping review to map and better understand what learning interventions and training methods have been used in different types of health emergencies and by whom. Studies were identified using six databases (Pubmed/Medline, Embase, Hinari, WorldCat, CABI and Web of Science) and by consulting with experts. Characteristics of studies were mapped and displayed and major topic areas were identified. Of the 319 records that were included, contexts most frequently covered were COVID-19, disasters in general, Ebola and wars. Four prominent topic areas were identified: 1) Knowledge acquisition, 2) Emergency plans, 3) Impact of the learning intervention, and 4) Training methods. Much of the evidence was based on observational methods with few trials, which likely reflects the unique context of each health emergency. Evolution of methods was apparent, particularly in virtual learning. Learning during health emergencies appeared to improve knowledge, general management of the situation, quality of life of both trainers and affected population, satisfaction and clinical outcomes. This is the first scoping review to map the evidence, which serves as a first step in developing urgently needed global guidance to further improve the quality and reach of learning interventions and training methods in this context.

A recent systematic review of tailoring teacher autonomy through personality insights

Providing teachers autonomy that aligns with their personalities can foster a greater sense of ownership and commitment to their work, increasing student engagement and academic achievement. The relationship between teacher personality and professional autonomy in education is crucial for pedagogical effectiveness, job satisfaction, and student outcomes. Nonetheless, a gap persists in the current literature, underscoring a lack of thorough understanding of how personality influences educators' autonomy experiences. This systematic review tackles the need for a comprehensive understanding of various aspects of teacher autonomy and teacher personality insights. The primary objective of this systematic review is to explore and assess the literature on teacher autonomy through personality insights. Note that the flow of the study is based on the PRISMA framework. By analyzing a comprehensive selection using advanced searching approaches on Scopus and Web of Science (WoS) databases (n = 30), the final primary data was examined using mixed methods from the recent articles in the year of 2023. Expert scholars decided to develop four themes, which are [1] Autonomy Support and Academic Performance, [2] Teacher Well-being and Turnover, [3] Motivation and Teaching Style, and [4] Cross-cultural Perspectives on Autonomy. Therefore, future studies ought to investigate how different personalities affect teacher satisfaction, classroom dynamics, and student learning results to improve professional development and provide useful insights for educational policymakers and practitioners.

Leveraging social media for resident training in developing countries: A case study of Libya.

Social media platforms have emerged as invaluable tools for remote training in resource-constrained countries. This study presents the development, implementation, and preliminary assessment of a remote intensive care unit (ICU) training program conducted in Libya utilizing social media platforms. This educational initiative was based on the Checklist for Early Recognition and Treatment of Acute Illness and iNjury (CERTAIN) program, targeting Libyan resident physicians. The initiative comprised a series of live-streamed pulmonary/critical care lectures and asynchronous discussion of clinical cases via a private messaging chat. Participant engagement, satisfaction, and learning outcomes were evaluated using social media analytics and surveys. A total of 323 learners joined the Libyan ICU training program chat group, and two tele-education sessions were broadcast, accumulating a total of 749 views. The majority (72.6%) of learners had graduated from medical school within the past five years and were in residency training. Clinical cases and learning materials were shared through 2,991 messages in the chat group. Learners' objective and subjective clinical knowledge improved after each tele-education session, and 88% of survey respondents rated the remote ICU training program as excellent. This study highlights the potential of using widely available social media platforms for remote ICU education in resource-limited settings.

Focus groups in the metaverse: shared virtual spaces for patients, clinicians, and researchers

Patient focus groups can be invaluable for facilitating user-centered design of medical devices and new technologies, effectively capturing the richness and depth of patient experiences to help thoroughly assess feasibility, tolerance, and usability. While the metaverse holds promise for healthcare applications, its use in patient focus groups remains unexplored. In this Perspective we discuss the potential of the metaverse for conducting focus groups with patients. The theme of the focus group was the design and development of a therapeutic virtual reality application for patients with chronic low back pain. We carried out a pilot study comparing a focus group in a shared virtual space versus a physical location. This experience was positively received by patients, researchers, and clinicians, suggesting the metaverse is a viable medium for conducting these meetings and has potential advantages for remotely located participants, opening the doors for future expansion beyond focus groups to encompass all kinds of patient support and information groups. This approach fosters patient-centered healthcare by helping to facilitate patient voices directly into the design process, which may help lead to improved healthcare delivery, patient satisfaction, and treatment outcomes.

Placing a child's or partner's needs above my own: Impacts on a couple's sexual relationship

AbstractParent couples often struggle to maintain satisfying sex lives perhaps because partners have different priorities to balance including the self, their relationship with each other, and their relationships with their children. Given that parents are increasingly involved in supporting adult children, it is important to examine how prioritization of other's needs over one's own shapes a couple's sexual relationship. In a sample of 179 parent couples with university student children living at home, we examined whether prioritizing one's partner's (i.e., partner‐centrism) and/or their child's (i.e., child‐centrism) needs above one's own were associated with couples' sexual relationship outcomes (sexual desire, satisfaction, and frequency). The results showed that higher partner‐centrism was positively associated with sexual satisfaction for both men and women. Having a partner who prioritized them and not their child was beneficial for men's sexual relationship. In contrast, it was important for highly child‐centric women that their partner was also child‐centric. The findings highlight the importance of examining the ways in which parents prioritize their own and other family members' needs when working with couples. It may be especially beneficial for men's outcomes when they feel prioritized and for women when they feel that their partner shares their goal to prioritize children.