Staff Behavior Research Articles

IJCM_204A: A qualitative research to identify the barriers and facilitating factors in the utilization of healthcare services by a Particularly Vulnerable Tribal Group (PVTG) in Udupi District

Background: Udupi district hosts two major Particularly Vulnerable Tribal Groups (PVTG) namely Malaikudiya and Koraga. Koraga tribes are declining in number and deprived of availability of healthcare services and accessibility to healthcare facilities. There are a lot of barriers such as lack of awareness and social stigma amalgamate the existing conditions of Koraga tribes in Udupi district. Research studies pertaining to this problem has been seldom done. Objective: We aim to explore the barriers and facilitating factors in accessing healthcare services by a Particularly Vulnerable Tribal Group (PVTG) in Udupi district. Methodology: We conducted qualitative research through 8 in-depth interviews with AMOs from PHC and CHC, ITDP staff and NGO workers, and 3 focus group discussions with community health nurses, ASHA workers, and Koraga community leaders from Udupi district. We explored the major facilitators and barriers that influence the utilization of health care services by the PVTG. Results: On the beneficiaries’ point of view, lack of awareness, distance to health facilities, poor public transportation, perceived negative behavior of hospital staff, lack of infrastructure, unwelcoming neighbourhood approaches, and economic instability were the main barriers to utilizing healthcare facilities. On the stakeholders (providers) point of view, availability of healthcare facilities, government policies and schemes and NGO activities are the facilitating factors. Conclusion: Our study highlights the barriers to utilizing health facilities; these are not always driven by factors linked to the PVTG members’ socio- economic status but also depend significantly on the quality of the health services and other contextual factors. Although the government has made efforts to improve the rural healthcare system through national-level programs, our qualitative study shows that there are a number of barriers which lessens the effectiveness of the programs to enhance the utilization of healthcare facilities by the PVTG in the study area.

IJCM_226A: Bridging the Gap: Model Immunization Centers in Urban Bihar - A Study on Factors Shaping Community Acceptance and Utilization for Improved Immunization Coverage

Background: Despite significant strides in immunization coverage, Full Immunization coverage in urban areas of India lags behind rural regions, with Urban India recording 75.5% compared to 76.8% in rural areas. Additionally, the prevalence of zero-dose children is higher in Urban India (7.5%) compared to rural counterparts (6.3%). Urbanization introduces a complex dynamic marked by poverty, migration, and growing disparities in health access, social services, and economic resources that necessitate innovative strategies to address immunization inequities in urban settings. In this direction, the Government of Bihar in 2017 introduced the concept of Model Immunization Centers (MICs) to provide high-quality immunization services to urban poor and marginalized to improve coverage and build trust, confidence and motivation for public immunization services. Objectives: The primary objective of the study was to assess and identify the factors that shape the community’s acceptance and utilization of immunization services at MICs in Patna and Siwan. Methodology: A mixed-methods approach was employed, combining quantitative data analysis of immunization records and demographic information with qualitative assessments of community perceptions through in-depth interviews and focus group discussions. The study site i.e., Patna and Siwan Districts of Bihar was purposively selected. Results: The study found that the effectiveness of MICs was significantly influenced by family, community, and social norms. Additionally, MICs played a pivotal role in enhancing people’s trust, confidence, and motivation through the provision of a favourable environment, hygiene maintenance, the availability of free vaccines, reduced waiting times, and courteous staff behaviour. These factors have collectively led to improved immunization coverage, increased footfall, and improved rates of full immunization. Conclusion: The success of MIC in gaining people’s trust and confidence has been a driving force behind the increase in footfall coverage at session sites and high Full Immunization Coverage in Patna and Siwan

Patients’ Perceptions of Sound and Noise Dimensions in the Dental Clinic Soundscape

In the area of dental healthcare services, where patients and professionals deal with multiple auditory stimuli, this cross-sectional study reports on the various dynamics of sound preferences, noise obstacles, and the profound impact of music on anxiety reduction within dental office settings. The sample comprises 134 dental patients, primarily females (56.7%), with varying age groups, education levels, and therapy durations in the university clinics of the Department of Dentistry, National and Kapodistrian University of Athens, and four private dental offices at the metropolitan area of Athens, Greece. Notably, 92.5% of the participants reported no hearing loss, and 56.7% exhibited some level of noise sensitivity. This study reveals a moderate to good perceived health status (M = 3.84, SD = 0.95) among participants, with low perceived noise disturbance in university dental clinics. Preferences for instrumental music, foreign pop, and classical music are prominent during waiting times. Potential irritations include impersonal treatment (44%) and staff behavior (41.8%). Correlations and predictors indicate associations between age, gender, educational status, music preferences, and noise disturbances. Findings aim to optimize eco-soundscapes in dental offices, contributing to enhanced patient well-being. The research underscores the potential of music interventions to alleviate dental anxiety and improve the overall dental experience and quality care.

Implementation Outcomes for the SLUMBER Sleep Improvement Program in Long-Term Care

ObjectivesTo describe the implementation of a mentored staff-delivered sleep program in nursing facilities. DesignModified stepped-wedge unit-level intervention. Setting and ParticipantsThis program was implemented in 2 New York City nursing facilities, with partial implementation (due to COVID-19) in a third facility. MethodsExpert mentors provided staff webinars, in-person workshops, and weekly sleep pearls via text messaging. We used the integrated Promoting Action on Research Implementation in Health Services (i-PARiHS) framework as a post hoc approach to describe key elements of the SLUMBER implementation. We measured staff participation in unit-level procedures and noted their commentary during unit workshops. ResultsWe completed SLUMBER within 5 units across 2 facilities and held 15 leadership meetings before and during program implementation. Sessions on each unit included 3 virtual webinar presentations and 4 in-person workshops for each nursing shift, held over a period of 3 to 4 months. Staff attendance averaged >3 sessions per individual staff member. Approximately 65% of staff present on each unit participated in any given session. Text messaging was useful for engagement, educational reinforcement, and encouraging attendance. We elevated staff as experts in the care of their residents as a strategy for staff engagement and behavior change and solicited challenging cases from staff during workshops to provide strategies to address resident behavior and encourage adoption when successful. Conclusions and ImplicationsEngaging staff, leadership, residents, and family of nursing facilities in implementing a multicomponent sleep quality improvement program is feasible for improving nursing facilities’ sleep environment. The program required gaining trust at multiple levels through presence and empathy, and reinforcement mechanisms (primarily text messages). To improve scalability, SLUMBER could evolve from an interdisciplinary investigator-based approach to internal coaches in a train-the-trainer model to effectively and sustainably implement this program to improve sleep quality for facility residents.

Racism and the uneven geography of welfare sanctioning in England

AbstractThis paper presents the first spatial analysis of racial disparities in the UK welfare sanction regime. As part of their austerity programme, the UK government tightened the conditionality of welfare programmes and intensified the use of financial penalties against welfare claimants who failed to demonstrate compliance with these conditions. Analysing Jobseeker's Allowance (JSA) data from the Department of Work and Pensions (DWP) and the Office for National Statistics between 2012 and 2019 we draw attention to the spatially uneven and highly racialised geography of welfare sanctions in England. Claimants from racially minoritised backgrounds are consistently more likely to be referred for a sanction by Jobcentre caseworkers and receive an adverse decision at the hands of institutional decision‐makers. Within this, however, there are important scalar and spatial differences that warrant critical attention. In rural England, the risk of being sanctioned is substantially higher for all groups, but especially for Mixed heritage and Black/Black British claimants who in some areas are over twice as likely to be sanctioned as their White counterparts. Since ethnicity data have not been published for Universal Credit sanction decisions, the presented evidence offers critical insight into the potential persistence of racial injustice in applying welfare sanctions. We identify ‘hotspots’ of racism in the sanction regime, most of which are in rural areas, before offering three interpretative frameworks through which spatial and racial disparities might be explained. Any suggestion that such disparities simply derive from the behaviour of DWP staff fails to adequately account for deeply entrenched histories of welfare racism, rural racism and the role of welfare sanctioning in dynamics of racial capitalism: that is, disciplining and impoverishing racialised populations in ways that generate conditions for capital accumulation. By contributing new empirical and theoretical insights to the often neglected study of rural austerity and welfare, the paper calls for scholarship to investigate the variegations of welfare, austerity and racial capitalism in diverse rural contexts.

The experiences of ethical conflict among critical care professionals in China: A qualitative study.

Ethical conflict is embedded in healthcare and is common in critical care setting. However, there is a paucity of research on the nature of ethical conflict in China. Ethical conflict has cultural and context sensitivity. Therefore, evidence is needed from different backgrounds to help discuss this issue across borders. This study aimed to qualitatively identify the experience of ethical conflict in critical care professionals in China. From December 2021 to February 2022, we performed semi-structured, face-to-face interviews with 21 critical care professionals from five intensive care units in a tertiary general hospital in China. A thematic analysis approach was used to analyse the data. Five themes and 14 sub-themes emerged from the data. Critical care professionals probably felt unable to navigate uncertainty, torn by family issues, outraged by unprofessional behaviours of medical staff, being trapped in a socioeconomic dilemma when having experience of ethical conflict. In addition, they also perceived that they could turn struggle into growth. The experience of ethical conflict in critical care professionals involved a mixture of feelings. This study builds a comprehensive understanding of how ethical conflict affected their perceptions of themselves and their profession and provides implications to develop effective coping strategies. The identification of critical care professionals' experience of ethical conflict would help identify what might trigger the ethical issues and what would be the potential target to optimize in critical practice.

E-Finance: What Factors Affect Financial Staff's Motivation to Utilize It?

Purpose: The objective of this study is to investigate the factors that influence the intention of financial staff in the SKPDs of Malang City government to adopt e-finance. This study combines elements from the Technology Acceptance Model (TAM) and the Theory of Planned Behavior (TPB) found in previous research. Methodology/approach: The survey method was utilized, with a sample of 155 respondents consisting of auditors employed in the financial department of Malang City's government. Data analysis was conducted using Partial Least Square (PLS) method. Findings: The study's results indicate that constructs like perceived ease of use, perceived usefulness, attitude, subjective norm, and perceived behavioral control have a positive impact on behavioral intention. Additionally, behavioral intention positively correlates with the actual behavior of financial staff using e-finance. Practical and Theoretical contribution/Originality: The study underscores the significance for e-finance providers and management to consider perceived ease of use, perceived usefulness, attitude, subjective norm, perceived behavioral control, behavioral intention, and the actual behavior of users. Research Limitation: The researcher acknowledges specific limitations inherent in this study. These constraints pertain to the dissemination of questionnaires to respondents. The researcher encountered restrictions related to regulatory boundaries that define the scope and openness of the research.

Staff responses to management control systems changes in an Australian university

PurposeThis study aims to examine staff responses to management control systems (MCS) changes in an Australian university. Through the analysis of the category of staff responses, it aims to understand the perception gaps among the staff at different levels of the university.Design/methodology/approachUsing a case study approach on an Australian university, data was collected from interviews with staff across three hierarchical levels to explore their behavioural responses.FindingsThis study finds that staff at all levels largely complied with MCS changes due to institutional enforcement. Top management emphasised aligning with government policies and funding, often using manipulation and compartmentalisation tactics in implementing the new MCS. Mid-level managers generally favour research strategies but feel excluded from decision-making and have limited influence over funding. They adopted a balancing tactic within a compromise strategy. Meanwhile, operating-level academics had mixed experiences, feeling largely powerless in influencing MCS while also showing instances of self-motivated compliance. Overall, the study reveals varying responses across different hierarchical levels, highlighting the complexities of MCS changes in staff behaviour and attitudes.Research limitations/implicationsThe insights from this study can guide university administrators and policymakers in understanding the intricate variations in staff reactions to institutional changes. By recognising the factors that drive compliance and defiance, institutions can better navigate and implement changes in MCS.Originality/valueThis research offers a unique perspective on the behavioural side of MCS changes in higher education. By focusing on varied hierarchical levels within a university, the study provides a granular understanding of individual responses, enriching the existing literature on MCS transitions in academia.

Consumer shift behavior from conventional to Islamic banking: decision-making analysis through AHP

PurposeThis study aims to investigate the comparative importance of factors influencing the customer shift behavior from conventional to Islamic banking for consumer finance in Pakistan.Design/methodology/approachFirst, a comprehensive analysis of the existing literature was conducted to identify a broad range of factors related to customer shift behavior. Through an expert sampling, 14 essential factors were chosen for further investigation. Second, a questionnaire was developed using the analytical hierarchy process (AHP). This questionnaire was then distributed among customers who had previously been using conventional banking services but had made a shift toward Islamic banking. The purpose of this questionnaire was to gather data and insights regarding their motivations and decision-making process behind the shift, and a sample 215 customers are taken in the study.FindingsThe results of AHP depicts that the religiosity is a most important factor influencing customers to shift from conventional to Islamic banking, and the second most important factor is pricing. The other subsequent important factors are reputation of the bank, marketing and promotion, service quality, behavior of banks staff, Shariah compliance, management, convenience, fastness and charges/fees. Whereas documentation, ambiance and recommendation are found least important factors to patronize Islamic banking.Practical implicationsThe study recommends Islamic banks to create awareness, concentrating on religious factor to have a greater impact on growth of Islamic banking and shrinking of conventional banking. Further, it suggests Islamic banks to apply Shariah-recommended approach of doing business, to help community in best possible way and to launch differentiated marketing techniques to attract customers. It also proposes regulatory authorities to provide facilitation to Islamic banking business by providing level playing field similar to conventional banking, tax equality and conversion of public financing from conventional banking to Islamic banking.Originality/valueThe originality of this study lies in its comprehensive analysis of factors influencing consumer shift behavior from conventional to Islamic banking in the context of consumer finance in Pakistan. By using the AHP, the study provides a structured approach to understanding the relative importance of these factors. This is the uniqueness of the paper that it applies the AHP for the analysis. Furthermore, the study offers practical implications for Islamic banks and regulatory authorities to effectively address and capitalize on this consumer shift trend.

When we go to ask for help, they don't understand how to help us: Understanding how youth with childhood histories of conduct problems link sexuality and gender to school‐based service use

AbstractGender and, to a lesser extent, sexual identity, are relevant factors in understanding variance in the prevalence, consequences, and treatment of conduct problems. The current study uses thematic analysis to explore how youth with early‐onset conduct problems and extensive histories of school‐based service use perceive gender and sexuality as impacting their service use experiences. Qualitative analysis of interviews with 41 youth (17–21 years old; 53.7% women) yielded themes pertaining to gender, sexual identity, and discrimination in service use contexts. Identified themes included homophobia in service use and adjacent school contexts, stereotypes around masculinity and femininity as conditioning peer and school staff's behavior, and salience of sexuality across developmental stages and historical timeframes. Results suggest that increased school staff training and school‐based interventions be implemented to support gender and sexual diversity, both within services for conduct problems and more broadly in school contexts. In particular, the current findings highlight homophobia as a factor limiting boys' access to mental health services.

Peran Etika Bisnis Terhadap Kepercayaan Konsumen

Business ethics is a business approach to conducting operations that covers all aspects of society, business and the public. Business ethics in an organization can influence the values, norms, and behavior of leaders and staff. Consumer trust is the confidence that consumers have in a product, service, or brand. This belief has an important role in influencing consumers' decisions to buy, reuse, and recommend certain products and services. CSR is a business initiative to consider the concerns of many stakeholders, including the environment, society, workers, and customers. The purpose of this research is to find out how important company ethics is in building consumer trust. This research uses a qualitative descriptive analysis method and data is obtained from literature studies, several books, references on the internet, and journals that examine similar research to support research on "The Role of Business Ethics in Building Consumer Trust". This research shows that a company's most morally responsible practices influence customer trust. This study highlights how urgent it is to see how the most morally responsible corporate practices influence customer trust. Sharia marketing strategies have a significant effect on consumer satisfaction and their trust in certain products and services. This research shows that the role of business ethics has a significant influence in building consumer trust.

Peningkatan Kualitas Layanan Staff Commercial Melalui Evaluasi Kerja

PT Angkasa Pura manages all airport services and airport related services. One division that has an important role is Airport Commercial. Airport commercial is part of a division of PT. Angkasa Pura I which has the responsibility to provide services and facilities that enhance customer experience and create additional revenue for the airport. To improve the quality of these services, PT Angkasa Pura I needs to evaluate the work of staff, especially in this airport commercial division. PT Angkasa Pura I conducts routine work evaluations to maintain and improve the quality of services provided to consumers. Suggestions that can be given to PT Angkasa Pura I are to continue to carry out routine work evaluations, carry out training and development programs, pay attention to and appreciate the positive attitudes and behavior of staff through programs, and pay attention to infrastructure and facilities to support optimal service.

Impact of Implementation of NABH Standards on Patient Experience and Feedback about Hospital Services

Background: Health care is one of the most important service industry where quality standards need to be maintained for patient treatment and satisfaction. National accreditation boards for hospitals and health care providers (NABH) standards focus on quality, infection control and patient safety. The impact of these standards on patient feedback about hospital services needs to be studied.Objective: To observe the impact of NABH standards on patient feedback and experiences and patient satisfaction.Methods: Patient feedback and experience data collected by Quality department of the hospital for the months of October 2018 (before implementation of NABH standards) was compared with data of October 2023 (5 years of implementation of NABH standards) and the data was analysed using statistical tools. The data was analysed and compared separately for Outpatient department (OPD) and In Patient department (IPD) patients.Results: The data was collected through questionnaire from 400 patients and their relatives (for less than 18 years age patients) each for both months. There was improvement in feedback and experiences for all elements of the questionnaire for both OPD and IPD patients, more significantly for staff behaviour and communication skills of staff. The feedback and experiences for IPD patients were more satisfactory than OPD patients in our study.Conclusion: NABH standards implementation has a positive impact on patient feedback and experiences leading to greater patient satisfaction. IPD patients are more satisfied with hospital services as compared to OPD patients.International Journal of Human and Health Sciences Vol. 08 No. 01 Jan’24 Page: 44-48

How Wearing a Hotel Uniform Impacts Service Staff Behaviors and Attitudes: A Perspective on Chinese Cultural Values

ABSTRACT This study explored how wearing a uniform impacts hotel employees’ service behaviors and attitudes in the context of Chinese cultural values. This study employed a qualitative research method. Twenty interviews were conducted and content analysis was used for data evaluation. It was found that Chinese hotel practitioners distinguished between differences in uniform diversification (color, style, and material) and how they understood the need for uniform apparel in the workplace. Importantly, this study established a meaningful connection between wearing uniforms and Chinese cultural values. This study provides valuable insights into the body of knowledge on Asian hospitality paradigms.

Communication skills-based training about medication switch encounters: pharmacy staff and patients' experiences.

Non-medical medication switches can lead to difficult conversations. To support pharmacy staff, a communication training has been developed based on two strategies: 'positive message framing' to emphasize positive elements of the message and 'breaking bad news model' to break the news immediately and address emotions. To assess how patients and trained pharmacy staff experience the application of communication strategies for non-medical medication switch conversations and which are barriers and facilitators for the application. The Kirkpatrick training evaluation model, level 3 'behavior', including barriers and facilitators and 4 'results' was used. Trained pharmacy staff registered switch conversation characteristics and asked patients to complete a questionnaire. Semi-structured interviews with trained pharmacy staff members were conducted. Quantitative data were analyzed descriptively and interview data were analyzed thematically. Of the 39 trained pharmacy staff members, 21 registered characteristics of 71 conversations and 13 were interviewed; 31 patients completed questionnaires. Level 3: trained pharmacy staff self-reported they applied aspects of the strategies, though indicated this was not yet a standard process. Interviewees indicated signs of increased patient contact and job satisfaction. Time, face-to-face conversations and colleague support were facilitators. Level 4: pharmacy staff members were satisfied with most switch conversations (89%), particularly with addressing emotions (74%). Patients were (very) positive (77%) about the communication, particularly about clear explanations about the switch. Pharmacy staff's learned behavior includes being able to apply aspects of the strategies. The training results show first signs of better patient-pharmacy staff relationships and increased job satisfaction.

Escaping iatrogenic harm: A journey into mental health service avoidance.

WHAT IS KNOWN ON THE SUBJECT?: Little is known about how mental health services can cause harm in ways other than medication, talking therapies, diagnosis and detention under the Mental Health Act. The outcomes of people who avoid seeking help from mental health services due to previous experiences of harm are not well known. WHAT THIS ARTICLE ADDS TO EXISTING KNOWLEDGE?: I provide a first-person perspective of experiences of harm within mental health services, how this impacted my care, the long-term effects of the harm on my well-being and my ongoing experiences of avoiding mental health services. WHAT ARE THE IMPLICATIONS FOR MENTAL HEALTH NURSING?: Healthcare professionals should be aware of the multitude of ways service provision can harm patients, and how, unknown to professionals, patients may create an internal understanding of how to best navigate harmful service environments. Healthcare professionals should have a deeper understanding of the reasons why people may choose not to engage with mental health services, and what impact this may have on them. ABSTRACT: The recent announcement of the first ever statutory public inquiry into a UK mental health service indicates a growing recognition of iatrogenic harm in mental healthcare. Despite the potential for harm across all services and practices, restrictive practices, psychotherapy, diagnosis and psychiatric medications are often the only areas of mental healthcare given significant attention. While the topic is widely discussed in survivor communities, accounts of harm caused by the everyday workings of services, including team cultures, administrative processes and staff-patient interactions, are missing from academic literature. In this article, I describe my 10-year journey through mental health services, and how everyday practices, cultures and staff behaviour deeply impacted my ability to receive appropriate care, replicated previously traumatic environments, and damaged my mental health. Taking steps to protect myself from further harm, I self-discharged and am currently living as a 'service-avoider'. The ongoing implications of this decision and the long-term impacts of harm are discussed.

Job Satisfaction and Organizational Citizenship Behaviour of Academic Staff in Federal Polytechnic, Oko, Anambra State, Nigeria

The pattern in which work is structured plays a significant role in deciding how motivated, satisfied and committed an employee will be. The workers at the polytechnic are not left out of this continuous and repetitive approach in carrying out their daily routines. The study was centred on examining the relationship between job satisfaction and organizational citizenship behaviour, with a view to proffering strategies to Nigerian polytechnics on the acceptability and adoptability of job satisfaction initiative. The specific objectives are to examine the relationships between employees’ skill variety and employees’ altruism, and employees’ commitment and employees’ conscientiousness. The study was anchored on Job Characteristics Theory. The study adopted the descriptive survey research design. The population comprises 120 academic staff of the School of Business Studies in Federal Polytechnic, Oko. Data were collected through the use of a five-point likert style questionnaire. With the aid of IBM SPSS version 25, Spearman correlation was employed to test the hypotheses, while One sample test model was applied to determine the level of significance between the independent and dependent variables. From the test of hypotheses, the first finding of the study revealed that skill variety had a significant positive relationship with employees’ altruism (t-value of 66.715 and p-value = 0.000** at 0.05 level of significance and low positive value of r = 0.338), and the second test revealed that employee commitment had a significant positive relationship with employees’ conscientiousness (t-value of 65.591 and p-value of 0.000** at 0.05 level of significance and a moderate positive correlation value of r = 0.638) of the polytechnic. The study recommended that the management of the polytechnic should invest in training programmes for their employees to improve their skill variety on their job for sustainable organizational citizenship behavior, and reward employees who possess the act of conscientiousness in the workplace so as to increase their commitment to the organizations.

The health belief model and phishing: determinants of preventative security behaviors

Abstract Email is frequently the attack vector of choice for hackers and is a large concern for campus IT organizations. This paper attempts to gain insight into what drives the email security behaviors of students, faculty, and staff at one midwestern public, master’s granting university. The survey relies on the health belief model as its theoretical basis and measures eight constructs including email security behavior, perceived barriers to practice, self-efficacy, cues to action, prior security experience, perceived vulnerability, perceived benefits, and perceived severity. Barriers to practice, self-efficacy, vulnerability, benefits, and prior experience variables were found to be significant determinants of self-reported email security behaviors. Additional discussion of results based on subgroups of the respondents and interaction models is included in this paper. The findings of this study may help shed light on how universities can better prepare students, faculty, and staff to handle this critical information security concern. Given the makeup of the subject population, some findings may be applicable to businesses beyond academic institutions.

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In the recent period, in the theoretical and practical approaches to management, corporate culture has been emphasized, which is a socio-economic category and is one of the key factors in the efficiency of university activity and the satisfaction of spiritual and social needs and demands. It is directly related to the realization of the necessity and usefulness of the joint work of the university staff. Corporate or organizational culture is the atmosphere prevailing in the internal environment of a university with any management structure, the presence of which dictates completely new approaches to management, the creation of working conditions for staff, and the and the assessment of new behavioral and interpersonal qualities and requirements of staff. It is a set of behavioral models, the acquisition of which contributes to the university’s adaptation to the external environment and the formation of internal integration. The article examines the impact of corporate culture on the confrontational behavior of university staff, which is an integral part of any university. Such elements of corporate culture as managers’ management approaches, leadership style, and the presence of values, norms, and rules of the majority of employees are of the utmost importance in preventing and solving behavioral deviations among university staff. The article discusses the impact and importance of structural and operational features of corporate or organizational culture in the context of managing the conflictual behavior of university staff.

Application of a feedforward control-based intervention for preventing hypothermia in trauma patients in a pre-hospital emergency setting.

To investigate the efficacy of a feedforward control-based intervention strategy for preventing hypothermia among trauma patients during pre-hospital emergency care. We conducted a retrospective analysis comparing trauma patients treated before and after implementing the intervention, with 40 cases in each group. All patients received emergency care from the Fuzhou Emergency Center on the scene. Multivariate analysis was used to explore the risk factors for hypothermia. The effective rate, incidence of adverse reactions, quality of body temperature management, medical staff's knowledge, attitudes, and behaviors regarding mild hypothermia prevention, coagulation function, treatment time at various stages, prognosis score, and treatment situation were compared between the two groups. The adverse reactions, intervention methods, and degree of cognitive improvement were influencing factors for hypothermia. The effective rate (92.50%) in the feedforward control group was higher than that in the non-feedforward control group (65.00%), with a lower incidence of adverse reactions (2.50%). The temperature management quality score of the feedforward control group (6.23±0.62) was higher. The feedforward control group achieved a higher quality score for temperature management (6.23±0.62) and exhibited a greater understanding of hypothermia prevention among trauma patients (P<0.05). Compared to the non-feedforward control group, the feedforward control group showed improved coagulation function, better performance in treatment time at each node, and higher prognosis scores. The intervention model based on feedforward control can effectively improve the standard of pre-hospital emergency care and prevent the incidence of hypothermia in trauma patients.