Explanatory Sequential Mixed Methods Design Research Articles

Evaluating the impact of a year-long external mentorship pilot program in classical hematology.

Effective mentorship is a pivotal factor in shaping the career trajectory of trainees interested in classical hematology (CH), which is of critical importance due to the anticipated decline in the CH workforce. However, there is a lack of mentorship opportunities within CH compared with medical oncology. To address this need, a year-long external mentorship program was implemented through the American Society of Hematology (ASH) Medical Educators Institute (MEI). Thirty-five hematology/oncology (H/O) fellows interested in CH and 34 academically productive faculty mentors from different institutions across North America were paired in a meticulous process that considered individual interests, experiences, and background. Pairs were expected to meet virtually once a month. Participation in a scholarly project was optional. A mixed-methods sequential explanatory design was used to evaluate the program using mentee and mentor surveys, a mentee interview, and a mentee focus group. Thirty-three (94.2%) mentee-mentor pairs completed the program. Sixty-three percent of mentee respondents worked on a scholarly project with their mentor; several mentees earned publications, grants, and awards. Mentee perception that their assigned mentor was a good match was associated with a perceived positive impact on confidence (p=0.0423), career development (p=0.0423), and professional identity (p=0.0302). Furthermore, twenty-three (66%) mentees accepted CH faculty positions after fellowship. All mentor respondents believed that this program would increase retention in CH. This mentorship program demonstrates a productive, beneficial way of connecting mentees and mentors from different institutions to improve the careers of CH trainees, with the ultimate goal of increasing retention in CH.

Intents and Actualities of Health Optimizing Physical Education (HOPE) Curriculum Implementation: A Sequential Exploratory

This study explores the implementation of the Health Optimizing Physical Education (HOPE) curriculum in senior high schools in Pasay City, Philippines. Utilizing an exploratory sequential mixed-method design, the research first employed validated questionnaires to quantitatively assess the implementation of HOPE 1, 2, 3, and 4. Subsequently, Focus Group Discussions (FGDs) with teachers provided qualitative insights into the challenges and experiences during the curriculum's initial three years. The study involved 428 private school students, 412 public school students, 27 private school teachers, and 38 public school teachers. Quantitative findings indicated a moderate to limited extent of curriculum implementation, with significant differences between public and private schools for HOPE 1 and 2, but not for HOPE 3 and 4. Qualitative data highlighted challenges related to curriculum content, facilities, equipment, and teacher training. Recommendations include targeted workshops, Learning Action Cell sessions, collaboration with community resources, and initiatives like the Family Activity Challenge. These interventions aim to enhance the curriculum's effectiveness, promoting physical activity and health literacy among students.

Assessment of infrastructure, behaviours, and user satisfaction of guardian waiting shelters for secondary level hospitals in southern Malawi.

Guardian Waiting Shelters (GWSs) are an essential component of the Malawi's health care system as they serve as a temporary home for patient guardians while taking care of their relatives admitted to the hospital, and expectant mothers. Although GWSs play a crucial role in Malawi's healthcare system, past studies have primarily concentrated on maternity waiting homes, neglecting the role and importance of GWSs. The study examines GWS management structures and conditions, as well as guardian satisfaction and perception of health risks related to GWS use. In this explanatory sequential mixed methods design, we assessed 12 GWSs from southern region of Malawi. Qualitative data included interviews (n = 149) and focus group discussions with patient guardians (n = 72), interviews with GWS caretakers (n = 5), representatives from Hospital Management (n = 12) and Hospital Advisory Committees (n = 11). Lack of guidelines and standards for GWSs resulted in creating a customized facility checklist to quantitatively assess infrastructure present at GWSs (n = 12). Descriptive statistics and qualitative thematic analysis were utilized for data analysis, and a problem tree analysis was used to triangulate and summarize the findings. A total of 249 participants participated in the study. Each GWS had an average of 100 users daily, primarily adult females (71%). No one was accountable for GWS operation and maintenance due to the lack of a management hierarchy. GWS infrastructure conditions were poor, with inadequate functional sleeping rooms, insufficient access to water, sanitation and hygiene facilities. Notably, 50% of the GWSs lacked water access, and a quarter had non-functional toilets. Guardians felt unsafe and at risk of disease transmission when staying within GWS. Study findings highlight lack of clear, consistent GWS ownership as a root cause of challenges in GWSs. Clear policy and operational standards must be established for effective management and smooth functioning of GWSs.

Narrative based online career group counseling program: an explanatory sequential design

AbstractThe aim of this study is to determine the effect of the Narrative Based Online Career Group Counseling Program on the career exploration, career and talent development self-efficacy, and career development of fourth grade primary school students. An explanatory sequential mixed-method design was used in the study. A 2 × 3 quasiexperimental design was used in the quantitative part, and a focus group interview was used in the qualitative part. The results showed that the program had a significant impact and could support career development in children. Thus, a career program with proven effectiveness that can be implemented in schools has been emerged.

Efficacy of Specialized Security Agencies in Curbing Cattle Rustling in Sotik and Borabu Sub-Counties in Kenya

Kenya has faced a wide scale threat of cattle rustling. The menace has been occurring mainly in counties populated by pastoralist groups including the Turkana, Samburu, Maasai, Pokot as well as Kipsigis and Kisii among others. People have been killed, their property lost; some mutilated, injured, and displaced. Security organizations such as the General Service Unit (GSU) and the Anti-Stock Theft Unit (ASTU) among others were mobilized to help curb the danger of cattle rustling yet it has continued to occur in Kenya including Sotik and Borabu Sub counties. The purpose of this study was thus to investigate how effective security agencies were in curbing cattle rustling in the counties of Bomet and Nyamira, Kenya. This study therefore investigated the effectiveness of specialized security agencies in curbing cattle rustling in the Sotik and Borabu Sub-Counties in Bomet and Nyamira Counties in Kenya. A sequential exploratory mixed methods design was used. The target population was all the residents of Sotik and Borabu Sub-Counties (18 years and above) who had information regarding the topic under discourse. They were 284,379 in number. A total of 156 respondents participated. The respondents were drawn through purposive sampling. A questionnaire was used to gather quantitative information while key informant interview guides were used to gather qualitative information from the respondents. The hypothesis was tested using Pearson’s Correlation Coefficient (r) at α =0.05 level of significance. The results obtained from the two sub-counties determined that the deployment of specialized security agencies had a statistically significant effect on curbing cattle rustling. This means that before the deployment of security agencies, the frequency of cattle rustling was relatively high as compared to the periods after their deployment. The reduction was therefore attributed to the constant pursuit and deployment of specialized units such as the ASTU, GSU and Administration Police in the region. The study recommends that the national government should expand the presence and activities of specialized security agencies in regions with a history of high cattle rustling rates, focusing on areas with the highest correlation between agency presence and rustling reduction. The government should also implement targeted training programs for specialized security personnel to equip them with the necessary skills and knowledge for addressing the unique challenges associated with cattle rustling.

A Sequential Explanatory: The Academic Risk-taking among Tenth Graders in Public Senior High School

ABSTRACT This sequential explanatory research aims to determine the academic risk-taking of tenth graders. The result of the study was the basis of the proposed intervention plan to improve their confidence, support, and motivation to take risks in their academics. A mixed-method sequential explanatory design was used, involving 103 tenth graders in one of the public schools in Cluster I Schools Division of Pampanga. The study revealed that fear of failure, lack of support and motivation, discouragement, judgment, and low self-esteem are why they are not taking risks in their academics. Moreover, the study discovered that this is why the participants struggle with their academic curriculum and have less interest in academics. It affects the participant's behaviour and the school's performance. Even though it is difficult to feel supported because of the environment that they have and how their relationships with the people around them actually work, the findings eventually shed light on the factors that contribute to the student's level of academic risk-taking. They need the support and motivation of their families and friends, encouragement to have high self-esteem and to be motivated to take risks without worrying about failure, and the willingness to take risks despite the difficulties that they may encounter so that they will achieve their goals of having good grades and boost their confidence to try new things beyond their capabilities. Therefore, the researchers made an intervention plan to address and improve the student's academic risk-taking behavior. Recommendations included providing better equipment, comprehensive trainings on crisis communication, news writing and cybersecurity, fostering organizational collaboration, and recruiting specialists. Finally, a Course Instructional Guide for Public Affairs Officers was developed and proposed for adoption and implementation to hone their effectiveness in promoting the PCG’s mission and functions.

Critical Analysis of Status of Counter-Terrorism Strategies in Manda, Lamu County, Kenya: A Multifaceted Examination of HUMINT and SIGINT

This paper presents a critical analysis of counter-terrorism strategies in Kenya, with a specific focus on the multifaceted examination of Human Intelligence (HUMINT) and Signals Intelligence (SIGINT). The study employed a sequential explanatory mixed-methods research design integrates both qualitative and quantitative approaches to provide a thorough understanding of Kenya's efforts to combat terrorism. The target population of this study encompassed participants involved in counter-terrorism activities in Kenya. This included officers in security agencies such as the National Intelligence Service and the Kenya Defense Forces which formed our target population. A total of 93 officers participated. The respondents were drawn through purposive sampling. By addressing multiple levels of involvement, the paper provides a holistic view of counter-terrorism strategies and their impact. Quantitative data was collected through surveys administered to a representative sample of security personnel in the NIS and KDF. Qualitative data on the other hand was collected through interviews. Semi-structured interviews were done with key informants, such as heads of the National Intelligence Service and Kenya Defense Forces helped capture the nuanced perspectives on HUMINT and SIGINT. STATA and Statistical Package for Social Scences (SPSS) Software were used to analyze quantitative data from the survey. The statistical significance between the average expectations and average perceptions in both security agencies was analyzed using two-sample t-tests. Additionally, the significance of the gaps between the agencies was assessed with Hotelling’s T-squared test at a 5% significance level. Pearson’s correlation coefficients were also used to determine the strength and direction of the relationship between the independent variable (s) and the dependent variable. The study generally found that the indicators of the HUMINT strategy were effective in countering terrorism except for source penetration. Further, the study determined that all indicators of SIGINT strategy were ineffective in countering terrorism except for interception of communication and timely warnings.

Exploring the nexus of industry dynamism, climate risk exposure and mental health and well-being of owners of small and micro-sized suppliers: implications for sustainable supply chain management

PurposeAlthough climate change-related risks affect all stakeholders along the supply chain, the potential impact on small and micro-sized suppliers is incredibly excessive. The corresponding toll of these climate risk threats on the mental health and well-being of owners of small and micro-sized suppliers can adversely affect their participation in sustainability efforts, ultimately impacting the firm's performance. This often-overlooked dynamic forms the core of our research. We probe into two pivotal aspects: how industry dynamism and climate risk affect the mental health and well-being of owners of small and micro-sized suppliers and how, in turn, dictate involvement and, consequently, supply chain sustainability performance. This is further nuanced by the moderating role of the abusive behavior of buyers.Design/methodology/approachOur study is built on resource dependency theory and the supporting empirical evidence is fortified by a mixed-methods sequential explanatory design. This study comprises three phases. In the first phase, our experiment examines the effect of industry dynamism and climate risk exposure on sustainable supply chain management performance. Hypotheses H1a and H1b are tested in the first phase. The second phase involves using a survey and structural equation modeling to test the comprehensiveness of the model. Here, the relationship between industry dynamism, climate risk exposure, mental health and well-being of owners of small and micro-sized supplier firms, supplier involvement and sustainable supply chain management (H2–H7) is tested in the second phase. In the third phase, we adopt a qualitative approach to verify and provide descriptive explanations of phase two findings.FindingsOur findings underscore the significance of small and micro-sized suppliers in sustainability, offering invaluable insights for both theoretical understanding and practical implementation. Our study highlights that buyers must allocate sufficient resources to support small and micro-sized supplier firms and collaborate closely to address climate change and its impacts.Practical implicationsThe key takeaway from this study is that buyer firms should consider SDG 3, which focuses on the good health and well-being of their employees and the mental health and well-being of owners of small and micro-sized suppliers in their upstream supply chain. This approach enhances sustainability performance in supply chains.Originality/valueThis is one of the first studies that shows that industry dynamism and climate risk exposure can negatively impact small and micro-sized suppliers in the presence of a contextual element, i.e. abusive behavior of buyers, and ultimately, it negatively impacts sustainable supply chain performance dimensions.

“Beyond Stereotypes”: Investigating the Roles and Motivations of Girls in Cybercriminal Networks in Ibadan Metropolis, Oyo State, Nigeria

This study investigates the involvement of girls in cybercriminal networks within Ibadan Metropolis, Oyo State, Nigeria. It examines their roles, motivations, and the socio-economic implications. The study is anchored on the Structural Strain and Sex Role theories. Utilizing an explanatory sequential mixed-methods design of the quantitative and qualitative data collection procedure, the respondents were purposively sampled. Findings of the research revealed that although girls' participation in cybercrime is relatively lower compared to boys, their roles are nonetheless significant and multifaceted, encompassing activities such as romance scams, phishing, online fraud, identity theft, and cyber-enabled financial crimes. Additionally, girls provide psychological support to their male counterparts, often engaging in domestic chores and serving as "sex tools," which facilitates the smooth operation of these networks. The findings indicate that motivations for girls' involvement in cybercrime include economic vulnerability, peer influence, poverty, access to Western education and technology, and the anonymity of the internet. The socio-economic implications were discovered to be profound, disrupting educational paths of girls, inflicting psychological damage, and perpetuating cycles of poverty and social instability. The study concludes that cybercriminal networks have devastating consequences on girls and thus, it was proposed that targeted interventions focusing on education, mental health support, and socio-economic empowerment are crucial in mitigating the risks and providing alternative pathways for at-risk girls.

The acceptance of the potential use of social robots for children with autism spectrum disorder by Indonesian occupational therapists: a mixed methods study

Purpose Social robots have shown positive effects in treating children with autism spectrum disorder. The development of social robots in Indonesia has enabled their potential use in occupational therapy. This study aimed to investigate the factors influencing the acceptance of the potential use of social robots by Indonesian occupational therapists in clinical practice. Methods This study employed a mixed methods explanatory sequential design. An adapted unified theory of acceptance and use of technology model was utilised for the quantitative phase. The questionnaire explored the acceptance of social robots. The data were analysed using structural equation modelling. In the qualitative phase, semi-structured interviews with reflexive thematic analysis were conducted. The second phase aimed to explain the reasons behind the quantitative results and factors related to the acceptance of social robots in therapy. Results Occupational therapists showed high interest in using social robots in their sessions, as indicated by the significant positive relationship between performance expectancy and potential use. Three influential factors affecting acceptance emerged in the qualitative phase: occupational therapists’ characteristics and competencies, social robots and occupational therapy interventions, and environmental influence. Conclusions Indonesian occupational therapists have shown interest in using social robots. However, there are challenges regarding the practical application of social robots concerning individual differences in the factors that influence acceptance.

Improving Argument-Based Explanation Writing in Inclusive High School Science Class for Students with and without Exceptionalities

ABSTRACT There have been many calls for the development of discipline-specific argument writing interventions to integrate science-specific and general literacy standards and goals. Yet, adolescents with and without exceptionalities struggle to meet existing writing demands. This explanatory sequential mixed methods design draws from the strengths of multiple baseline design and integrates rich qualitative data, from a student perspective, to better understand the elements that contribute to effective discipline-specific writing instruction. The study examined the effects of implementing Self-Regulated Strategy Development (SRSD) through a writing-to-learn sensemaking framework adapting the DEFEND strategy to improve students’ written argument-based explanations across inclusive science classrooms and focus learners with exceptionalities. A ninth-grade science teacher delivered science and writing instruction and collected quick writes before, during, and after SRSD implementation. Results indicated that students’ argument-based explanations improved in discipline-specific components (i.e. claim, evidence, reasoning, knowledge) and general components (i.e. organization and writing quality). Students discussed the challenges of using their developing knowledge to write argument-based explanations using the DEFEND strategy, with particular difficulties in expressing reasoning and an appropriate counterclaim. Issues of feasibility and usability are discussed.

Leadership in the Modern Academe: Knowledge Management and Curriculum Delivery in Multigenerational Professional Learning Communities

This study was conducted to look into the different perceptions and assessments of multigenerational professional learning communities as regards to knowledge management and curriculum delivery among their school leaders. The study follows a sequential explanatory mixed methods design. The study was done in two phases. In the first phase, a survey was conducted to gather quantitative data to assess the extent of knowledge management and the level of observance of curriculum delivery in multigenerational professional learning communities among their school leaders. A test of difference was then carried out to see if there is a difference between the perceptions multigenerational professional learning communities as regards to knowledge management and curriculum delivery. The result showed that there is no significant difference between the assessments of multigenerational professional learning communities. In the second phase, interviews were conducted to gather qualitative data and then themes were exposed. The qualitative results build on the initial quantitative results wherein the quantitative results inform the secondary qualitative results. The respondents of the study were the 14 Baby Boomer teachers, 61 generation Xs and 65 millennial teachers from the elementary schools in East 2. The co-researchers of the study were 2 teachers from each generations. In conclusion, this thesis has exposed that there is no difference in the assessment of multigenerational professional learning communities as regards to knowledge management and curriculum delivery among school leaders. Their perspectives also the same quantitatively and qualitatively. Meanwhile, the themes that emerged after gathering the data were: Principals’ Own Knowledge Management, Principals’ Personal Curriculum Delivery Initiatives, Generational Edge as to Experience, Technology, Discipline, Flexibility, Willingness to Learn and Exposure, and lastly, Positive Reaction to Principals’ Leadership. For the output of the study, a compendium of best practices for knowledge management and curriculum delivery was provided in the study for the school leaders to further enhance their capabilities in leading the modern academe in multigenerational professional learning communities.

Enhancing learners’ sense of belonging in online threaded discussions

Many different factors influence students’ sense of belonging in an online learning. One area of the learning experience in which a sense of “belonging” is critical is in online asynchronous discussions, and the degree to which students feel that their contributions to those discussions are valued. Unfortunately, the structure of threaded discussions is inherently limiting. It restricts learner engagement by only allowing students to reply to an individual note. This hampers students’ ability to discuss relationships between ideas from multiple participants, hindering synthesis and comprehensive understanding. This mixed methods explanatory sequential design research study examines the use of an innovative linking tool that allows students to create a rich set of linkages between notes. Findings suggest that students appreciated the linking tool as it facilitated idea integration and enhanced the flow and organization of discussions. Notes containing links were more extensive, written at a higher level, and received more peer recognition than notes without links. The linking tool created more connected and less repetitive discussions, while also increasing the amount of recognition students received for their notes. Despite the additional effort required, students continued to create links, motivated by the tool’s ability to organize ideas and the social recognition received.

Influence of personality traits on generation Z consumers' click-through intentions towards personalized advertisements: A mixed-methods study

Personalized social media advertisements (PSMAs) are developed by using consumers' personal information like names, demographic details, location, past buying history, and lifestyle interests to quickly grab consumers' attention within the cluttered space of digital advertisements. Generation Z consumers are highly connected to social media. Hence, this study attempts to understand how Generation Z consumers with different personality traits perceive personalized advertisements (PAs) on Facebook, and subsequently, how their perceived personalization influences their intention to click on PAs based on perceived usefulness and privacy concerns associated with those advertisements. The theoretical underpinning of this research is based on the self-congruency theory and privacy-calculus theory. An explanatory sequential mixed-methods design has been adopted, where a quantitative analysis (Study 1) is followed by a qualitative approach (Study 2). For Study 1, responses were collected from 324 Generation Z consumers through a structured questionnaire and the data was analyzed using the structural equation modeling technique to measure relationships among the constructs. Further, in Study 2, in-depth interviews were conducted with 15 Generation Z consumers, a purposively selected subset of informants from Study 1, to explore the potential causes of those relationships observed in Study 1. It has been found from the study that consumers' perception of PSMAs varies based on their personality traits. Consumers with dominant extraversion, conscientiousness, and neurotic personality traits perceive PSMAs positively whereas the openness to experience and agreeableness dominant consumers perceive those negatively. Positive perception of PSMAs among consumers increases the perceived usefulness of communications and subsequently improves the click-through intentions of the consumers. Generation Z Consumers' perception of PSMAs does not have any influence on their privacy concerns. Consumers’ high privacy concerns reduce the click-through intention rate toward PSMAs. The study will help digital marketing managers to strategically deliver PSMAs, thereby enhancing the efficiency of their advertisements.

Effectiveness of Middle School STEM Career Education for STEM Knowledge, Efficacy, and Interest

The purpose of this study was to test STEM career interventions through a theoretically integrated STEM Career Education (SCE) Module. The effectiveness of SC education was tested on STEM Career (SC) interests, self-efficacy, and knowledge of students from two middle schools. The sample included middle school students from two private schools (N=33) in Islamabad, Pakistan. By using a mixed-method sequential explanatory research design, quantitative data were obtained before and after the intervention while qualitative focus group discussions were conducted post-intervention. A significant increase in SC interest, self-efficacy, and knowledge after participating in the SCs Program is reported, even after statistically controlling key variables. The training seems to be more effective for those with low SC knowledge. Findings indicate a need for robust interventions to target math self-efficacy. Results provide further directions for effective STEM interventions. By pinpointing limitations and future directions, this pilot study contributes to STEM education in Pakistan and provides a model of CE for other countries.

Adoption and Impact of Fungus-Resistant Grape Varieties within German Viticulture: A Comprehensive Mixed-Methods Study with Producers

The reduction of phytosanitary treatments in viticulture is widely demanded by policymakers and consumers. An important solution is the use of resistant grapes, which can cut plant protection applications by up to 80%. Although this is a significant improvement, viticulture is mainly carried out with traditional grapes. Therefore, the aim of this paper is to identify the factors that encourage the cultivation of fungus-resistant grape varieties (FRGV), as well as the challenges and opportunities in marketing. Our study used an exploratory sequential mixed-methods model design. In the first step, data were collected through 48 in-depth interviews and analyzed. Based on the qualitative results, a survey of 422 producers was conducted. The quantitative research results were segmented by company size and production type to provide a deeper understanding. The main drivers for cultivation are the ecological benefits resulting from the reduction of pesticide use, with organic producers particularly motivated by sustainability goals. Smaller producers are driven by the opportunity to introduce a new wine style, whereas larger producers are more cautious and focus on cost savings. The cultivation of resistant grape varieties is restricted by a large number of varieties, lack of experience, and unfavorable characteristics from initial generations of resistant grapes. A low level of grape variety prominence and customer awareness, as well as unattractive variety names, negatively affect producer acceptance. To facilitate higher market acceptance, it is important to offer attractive grape varieties, directly communicate them to consumers, and provide information about the sustainable effects.

To Improve Motivational Barriers to Retention in High Resolution Anoscopy, Patients and Providers Recommend Social and Environmental Changes: A Sequential Explanatory Mixed-Methods Pilot Study in a Federally Qualified Health Center.

Loss to follow-up (LTFU) in high-resolution anoscopy (HRA) programs jeopardizes the procedure's potential to help prevent anal cancer. We explored quality improvement factors to understand how to address this LTFU. Using the transtheoretical COM-B Model (Capability, Opportunity, Motivation, and Behavior) and a sequential explanatory mixed-methods design, we surveyed and interviewed 13 patients who remained engaged in HIV care but who delayed their HRA monitoring or treatment visits in the same community clinic, and 6 HRA clinicians and medical assistants. Analyses involved descriptive statistics and rapid qualitative analysis. Patients were racially, ethnically, and economically representative of the LTFU population, and were generally experienced with HRA (Mean HRA visits = 4.6, SD = 2.8, mdn = 3). Providers were experienced clinicians and medical assistants (Mean years providing HRA = 6.0, SD = 2.2). Analyses revealed two primary, related barriers: (A) motivational barriers such as physical pain, discomfort, embarrassment, and anxiety; which were largely borne from (B) opportunity barriers such as difficulties with scheduling, inconsistent after-care (particularly for pain and discomfort), anxiety-inducing exam rooms and equipment, and internalized and anticipated stigma. Capability barriers, such as limited health literacy about HRA, were less common and, like motivational barriers, linked to opportunity barriers. Participants recommended potential facilitators, including easier scheduling, standardization of pain management and after-care services, and examination room modifications to reduce anxiety. To retain HRA patients in community settings, interventions should address social and physical opportunity barriers that strongly determine motivational and capability barriers. Improving convenience, standardizing pain management, and introducing stigma interventions specific to HRA, could alleviate both motivational and capability barriers.

Stakeholders’ participation in decreasing wildfire risk in the context of natural resource management in the Podpoľanie region of Slovakia

Key MessageAs the number and extent of wildfires are increasing due to climate change and human impacts, the demand for effective risk reduction strategies is growing. Due to limited resources or management capabilities in Slovakia, appropriate multistakeholder participation could help decrease the risk of wildfires while continuing to implement the principles of sustainable forest management. Thus, we recommend improving relationships with responsible stakeholders and increasing their knowledge.ContextAlthough the frequency of wildfires has declined in Slovakia, the total burned area per year and the average burned area per fire have increased rapidly, mainly due to traditional land management and increasing numbers of natural disasters resulting from climate change.AimThe objective of this study is to assess the participation and management of stakeholders in the region of Podpoľanie, which is the region of Slovakia that is most prone to wildfires. In particular, this study investigates the questions of who is accountable, in what networks, and with regard to what issues with the goal of enhancing efforts to combat wildfires.MethodsThis single-country case study features an exploratory sequential mixed-methods design. While stakeholders’ participation was explored via face-to-face interviews and interest-influence matrices, stakeholders’ prioritization was assessed via an online survey and the quantitative mapping of stakeholders’ involvement, power, interest, and knowledge.ResultsWe separately identified primary stakeholders (e.g., fire departments and state-owned forest enterprises) and secondary stakeholders (e.g., municipalities and community members). Tasks related to efforts to combat wildfires were largely in compliance with legal regulations and other mandates. Nonetheless, some stakeholders (e.g., governmental organizations involved in nature protection or nonstate forest owners and the associated enterprises) lacked the knowledge, experience, or responsibility necessary to perform these tasks.ConclusionThese stakeholders should be informed and monitored closely to achieve outcomes that can benefit a variety of stakeholders. We recommend a plan that involves improving the relationships among primary and secondary stakeholders, increasing their knowledge, and promoting effective participation to decrease the risk of wildfires in the region.

Multiethnic Perspectives of Shared Decision-Making in Hypertension: A Mixed-Methods Study.

Shared decision-making (SDM) has the potential to improve hypertension care quality and equity. However, research lacks diverse representation and evidence about how race and ethnicity affect SDM. Therefore, this study aims to explore SDM in the context of hypertension management. Explanatory sequential mixed-methods design was used. Quantitative data were sourced at baseline and 12-month follow up from RICH LIFE (Reducing Inequities in Care of Hypertension: Lifestyle Improvement for Everyone) participants (n=1212) with hypertension. Qualitative data were collected from semistructured individual interviews, at 12-month follow-up, with participants (n=36) selected based on their SDM scores and blood pressure outcome. Patients were cross- categorized based on high or low SDM scores and systolic blood pressure reduction of ≥10 or <10 mm Hg. Multinomial logistic regression analysis showed that predictors of SDM scores and blood pressure outcome were race and ethnicity (relative risk ratio [RRR], 1.64; P=0.029), age (RRR, 1.03; P=0.002), educational level (RRR, 1.87; P=0.016), patient activation (RRR, 0.98; P<0.001; RRR, 0.99; P=0.039), and hypertension knowledge (RRR, 2.2; P<0.001; and RRR, 1.57; P=0.045). Qualitative and mixed-methods findings highlight that provider-patient communication and relationship influenced SDM, being emphasized both as facilitators and barriers. Other facilitators were patients' understanding of hypertension; clinicians' interest in the patient, and clinicians' personality and attitudes; and barriers included perceived lack of compassion, relationship hierarchy, and time constraints. Participants with different SDM scores and blood pressure outcomes varied in determinants of decision and descriptions of contextual factors influencing SDM. Results provide actionable information, are novel, and expand our understanding of factors influencing SDM in hypertension.

Understanding the capacity development of faculty development programs: a sequential explanatory mixed methods study

BackgroundFaculty development programs can bring about both individual and organizational capacity development by enhancing individuals’ attitudes, values, and skillsto enable them to implement organizational change. Understanding how faculty development programs produce capacity development, and the influencing factors, requires further understanding. This study aimed to explore the perceptions of the participants of a faculty development program about the capacity development features of the program and the influencing factors.MethodsA sequential explanatory mixed methods design was used. Faculty members were surveyed about their perspectives on capacity development of faculty development. Subsequently, 22 interviews were conducted with the respondents to deepem understanding of the survey results. Interview transcripts underwent conventional content analysis.ResultsA total of 203 completed the questionnaire. Most of the faculty highly agreed that the faculty development programs had produced capacity development. The combined data identified (a) “quality of faculty development programs”, underscoring the significance of robust and comprehensive initiatives, (b) “development in instruction”, emphasizing the importance of continuous improvement in pedagogical approaches (c) “development in professionalism”, highlighting the necessity for cultivating a culture of professionalism among faculty members, (d) “development in attitude towards education”, emphasizing the role of mindset in fostering effective teaching practices, and (e) “supporting faculty development programs”, with fostering organizational growth and innovation. Important barriers and facilitators of the capacity development process included several organizational, interpersonal, and individual factors.ConclusionThe study identified specific features of the capacity development process in the context of a faculty development program and highlighted the importance of these programs in producing changes in both individuals and within the wider organizational system. Several factors that enabled and constrained the capacity development process were also identified. The findings of the study can inform future implementation of faculty development programs for capacity development.