Staff Resources Research Articles

Essential Conditions for Partnership Collaboration within a School-Community Model of Wraparound Support

Children and youth often face barriers that hinder their ability to engage in school, such as poverty, family challenges, and maltreatment. For this reason, children require additional supports if they are to be set up for success in school and life. Collaborative school-community models of wraparound support have been demonstrated as effective approaches for supporting vulnerable children and families to foster positive outcomes. Such models rely on collaborative partnerships between schools and community agencies to coordinate services for children and families. Accordingly, there is a need to understand factors that influence this collaboration in school settings. This study explores partnership collaboration between school and community partners through the case of All in for Youth, a school-based wraparound model of support in western Canada. Focus groups of n = 79 partners across eight schools were analysed, guided by qualitative description methodology. Five essential conditions were identified for partnership collaboration, including value-based training, mutual recognition of expertise, school leadership, established and flexible communication channels, and appropriate staff resources. These conditions can be used to help inform the implementation of similar school-community models of support to foster collaborative partner processes and promote positive outcomes among children, youth, and families.

Needs-Assessment for an Artificial Intelligence-Based Chatbot for Pharmacists in HIV Care: Results from a Knowledge–Attitudes–Practices Survey

Background: Pharmacists need up-to-date knowledge and decision-making support in HIV care. We aim to develop MARVIN-Pharma, an adapted artificial intelligence-based chatbot initially for people with HIV, to assist pharmacists in considering evidence-based needs. Methods: From December 2022 to December 2023, an online needs-assessment survey evaluated Québec pharmacists’ knowledge, attitudes, involvement, and barriers relative to HIV care, alongside perceptions relevant to the usability of MARVIN-Pharma. Recruitment involved convenience and snowball sampling, targeting National HIV and Hepatitis Mentoring Program affiliates. Results: Forty-one pharmacists (28 community, 13 hospital-based) across 15 Québec municipalities participated. Participants perceived their HIV knowledge as moderate (M = 3.74/6). They held largely favorable attitudes towards providing HIV care (M = 4.02/6). They reported a “little” involvement in the delivery of HIV care services (M = 2.08/5), most often ART adherence counseling, refilling, and monitoring. The most common barriers reported to HIV care delivery were a lack of time, staff resources, clinical tools, and HIV information/training, with pharmacists at least somewhat agreeing that they experienced each (M ≥ 4.00/6). On average, MARVIN-Pharma’s acceptability and compatibility were in the ‘undecided’ range (M = 4.34, M = 4.13/7, respectively), while pharmacists agreed to their self-efficacy to use online health services (M = 5.6/7). Conclusion: MARVIN-Pharma might help address pharmacists’ knowledge gaps and barriers to HIV treatment and care, but pharmacist engagement in the chatbot’s development seems vital for its future uptake and usability.

Nurse Attrition: Content Analysis of Free-Text Responses From Two Military Nursing Practice Environment Surveys.

Staff nurse attrition negatively impacts readiness of the warfighter and the health and wellbeing of all beneficiaries of the Military Health System (MHS). To promote the retention of a robust nursing workforce, a complete understanding of nurses' perceptions regarding their intent to leave is necessary. The purpose of this study was to explore the free-text responses of 1,438 nurses working among military medical treatment facilities for factors influencing their intent to leave, as an indicator of potential turnover, or attrition. This study employed thematic analysis to investigate the qualitative responses from the 2016 and 2018 Military Nursing Practice Environment Surveys. The study was determined to be exempt from Institutional Review Board review through the Womack Army Medical Center's Human Research Protection Program. Findings indicate that leadership and management (n = 647), staffing (n = 353), career opportunities (n = 345), staff outcomes (n = 247), culture (n = 153), quality of care (n = 99), patient care barriers (n = 86), non-patient care activities (n = 79), lack of formal professional development (n = 75), and area or care environment (n = 67) were among the top factors influencing staff nurse intent to leave, respectively. Our findings support the evaluation of retention strategies using implementation science for nurses and nurse resource personnel (e.g., nursing assistants, technicians, medics, and corpsman) to ensure a robust nursing work force throughout the MHS. Staff nurses and resource personnel working among military treatment facilities and embedded in units supporting combat and humanitarian missions ensure access to care and health promotion of the warfighter and all MHS beneficiaries.

Real time patient scheduling orchestration for improving key performance indicators in a hospital emergency department

Healthcare systems worldwide are increasingly subject to in-depth analysis. Problems in healthcare systems are of concern to the general public. For example, overcrowding in emergency departments creates several issues including longer waiting times, more frequent medical errors, a longer length of stay and worsened performance indicators. Overcrowding situations reduce the availability of staff and material resources, and therefore deteriorate the quality of care. The main cause of the overcrowding in emergency departments is the permanent interferences between the scheduled patients, unscheduled patients and urgent and unscheduled patients arriving at the emergency department. The objective of the present study is to develop an innovative decision support system that minimizes these interferences, while taking into account the perturbations that can occur throughout the day. The research’s ultimate goal is to improve the performance indicators via two processes: the first is a memetic algorithm based on a four dimensional hypercube genetic algorithm and local search techniques, and the second is based on a multi-agent system which dynamically orchestrates the patient pathway (given by the scheduling algorithm). In order to test and validate our approach, experiments are designed with real data from the adult emergency department at Lille University Medical Center. Simulations showed that with our approach we were able to reduce the waiting time of patients by 28.12%.

Poisson-stopped sum Lévy-type processes with application to stochastic modeling of hospital arrivals

Patient arrivals at a hospital typically occur in clusters and the arrivals count data exhibits over-dispersion. To model these characteristics, the Lévy-type processes based on Poisson-stopped sum distributions are proposed as alternatives to the non-homogeneous Poisson process (NHPP), a popular model for hospital arrivals. The arrival rate for the NHPP is a deterministic function of time that does not account for arrivals in clusters while the genesis of Poisson-stopped sum distributions arises from modeling event clusters. Data on daily scheduled patient arrivals over 15-minute intervals collected from a Malaysian public hospital were used to illustrate the application of the Levy-type processes in healthcare management. It is shown that the proposed Lévy-type negative binomial and Lévy-type Thomas processes fit the data better than the NHPP. In addition, the Levy-type processes are computationally simpler and hence, it is envisaged that they will be potentially useful for implementation in staff scheduling and resource allocations.

A sophisticated approach to soil productivity detection using a convolutional neural network-based model

India is primarily an agricultural country where the quality of land is crucial for the livelihoods and well-being of its people. The agricultural sector plays a significant role in shaping the current state of the nation's economy. Therefore, it is essential to regularly evaluate our understanding of soil properties, such as its type, texture, color, and moisture content. Many developing countries lack sufficient knowledge and awareness about soil development. Understanding soil behavior helps farmers predict crop performance, monitor nutrient movement, and recognize soil limitations. Traditional methods for classifying soil in laboratories require significant time, staff, and financial resources. In this study, various image features, such as color, particle size, and texture, were randomly extracted and combined to predict soil fertility based on its sand, clay, and silt content using the AlexNet-CNN algorithm. We collected soil images using mobile cameras from regions such as Purulia, Hooghly, Bankura, and Burdwan to build a useful soil image dataset. The research focuses on categorizing productive and unproductive soil using convolutional neural network architectures, such as AlexNet and VGG16. Compared to previous studies, our proposed model showed better performance in terms of precision and recall. This study presents an efficient new convolutional neural network architecture for classifying soil images.

Impact of COVID-19 on Healthcare Professionals at a Midwestern Quaternary Academic Urban Health Center.

Prior pandemic research has focused on physicians and nurses who provide direct patient care. Literature on the experiences of nonnurse/physician clinicians and nonclinical health care professionals is sparse. An observational, cross-sectional study was conducted over threetime points to examine the impact of COVID-19 on clinical and nonclinical healthcare professionals (n = 464). There were no significant differences in distress across survey waves, except for anger (p = .046). No significant differences in distress scores were found between job types. Multiple linear regression results varied. Both the threat and interrupted plans scores were significant predictors of distress. Resources available to healthcare providers (HCPs) were underutilized in all three waves. Healthcare professionals' distress increases with exposure. Integrating self-care resources for staff may mitigate the impact and maintain a healthy work environment. Occupational health providers should incorporate these findings when developing opportunities to address the needs of health care professionals in the workplace.

"Mind the Gap"-Differences between Documentation and Reality on Intensive Care Units: A Quantitative Observational Study.

Digitalization in medicine is steadily increasing. Complex treatments, scarce personnel resources and a high level of documentation are a constant burden on healthcare systems. The balancing between correct manual documentation in the digital records and limited staff resources is rarely successful. The aim of this study is to evaluate the adherence between documentation and lack of documentation in the treatment of critical care patients. For the evaluation, data from the hospital information system (HIS) of several intensive care units (ICU) were examined in conjunction with data collected from a checklist. All boluses of sedatives, analgesics and catecholamines were documented paper based across all shifts and all weekdays and compared with corresponding digital data from the HIS (2019-2022) of previous years. 939 complete digital patient records revealed a massive under-documentation of the medication administration compared to that applied according to the checklist. Only 12% of all administered catecholamines, 11% of α2-agonists, 33% of propofol, 92% of midazolam and 46% of opioids were found in the digital recordings. In comparison, the effect was more pronounced on weekdays compared to weekends. In addition, the highest documentation gap was found in the comparison of early shifts. Comparing neurosurgical vs. internal vs. anesthesiologic ICUs there was a highly significant difference between anesthesiologic ICUs compared with other disciplines (p < 0.0001). Our data shows that there is a remarkable documentation gap and incongruence in the area of applied boli. Automated documentation by connecting syringe pumps that enter data directly into the HIS can not only reduce the workload, but also lead to comprehensive and legally required documentation of all administered medication.

Snakes and Ladders: The experience of being referred to and seen by Child and Adolescent Mental Health Services

BackgroundReferral processes in Child and Adolescent Mental Health Services (CAMHS) have been reported as stressful and inadequate by young people and parents/carers, who struggle during waiting periods for the referral outcome decision. The Covid19 pandemic was an unprecedented time of distress for young people, parents/carers, and healthcare staff, with increased mental health challenges and stretched staff having to adapt modes of care, thus exacerbating difficulties for CAMHS. AimThis qualitative study aimed to capture the unique lived experiences of young people, parents/carers, and CAMHS staff during the referral process in the peak of the Covid19 pandemic. MethodsAs part of the STADIA trial, between 2020 and 2022, 109 semi-structured interviews across 8 NHS sites were conducted with young people (aged 16–17), parents/carers, and NHS staff including clinicians, commissioners, managers, and researchers embedded in clinical services. Interviews were analysed using thematic analysis. ResultsThree themes were elicited to express young people, staff, and parents/carer experiences of the referral process, CAMHS, and the impact of Covid19: 1) referral as a starting point; 2) changes to methods of appointment delivery and their effect on CAMHS experience; and 3) experiences and evaluation of services. ConclusionAlthough CAMHS was seen as the pinnacle of mental health support, there was dissatisfaction with waiting times, limited communication, unclear referral processes, and limited clinical capacity and resources for young people, parent/carers, and staff. Covid19 forced CAMHS into adapting to a hybrid model of care, increasing accessibility for young people, parents/carers and staff and highlighting areas for improvement. Secure and consistent support and increases in staff resources are essential to address challenges with CAMHS delivery and improve the experiences of young people, parent/carers, and staff.

Contributing Factors to the Challenges of Patient Health Monitoring in Rural Healthcare Units: Basis for a Proposed Integrated Patient Management Portal

In the current era of abundant information, technological advancements have greatly impacted various fields particularly the healthcare sector. This research explores the difficulties encountered by rural healthcare facilities in Barangay Poblacion, Bacuag, Surigao del Norte, in monitoring patient health and suggests implementing a remote patient management platform to enhance healthcare delivery. Using a mixed-method approach, the study involved 37 participants, predominantly young females. The research identified key challenges such as limited access to healthcare facilities, a shortage of medical staff, communication issues, and insufficient healthcare resources. Although patient registration and monitoring of vital signs were relatively effective, challenges remained in scheduling appointments, availability of medical tests, and patient education. The overall positive perception of the current system (average weighted mean of 3.59) indicates room for improvement through the proposed remote patient management platform. This platform aims to improve real-time monitoring, data accuracy, and communication between patients and healthcare providers, thereby enhancing healthcare outcomes in rural areas

The TIPS family psychoeducational group work approach in first episode psychosis and related disorders: 25 years of experiences.

The aim of this paper is to present 25 years of clinical experience with family psychoeducation (FPE) work at Stavanger University Hospital in Norway, highlighting the lessons learned in overcoming implementation barriers in publicly funded specialized mental health care. This retrospective analysis reviews the integration and sustainability of FPE work within the hospital's standard treatment protocols for psychosis, tracing its origins from the Early Treatment and Intervention in Psychosis (TIPS) study (1997-2000) to its current application. The paper examines key strategies for successful implementation, including staff training and resource allocation, as emphasized by international research. Stavanger University Hospital has successfully implemented and maintained both multi- and single-family FPE approaches over the past 25 years. Initially part of the TIPS study, FPE has been integrated into routine clinical practice for treating psychosis and has recently been extended to families of patients with other severe mental disorders. The sustained success at Stavanger University Hospital is attributed to consistent staff training and the prioritization of sufficient resource allocation. The successful and sustainable integration of FPE at Stavanger University Hospital is relatively unique. International guidelines recommend FPE for psychosis, but its implementation remains inconsistent globally, despite over 50 years of supporting evidence. The hospital's experience underscores the critical role of continuous training and dedicated resources in embedding FPE into regular clinical practice. These findings suggest that addressing these areas can significantly enhance the uptake of FPE in other clinical settings. The 25-year experience at Stavanger University Hospital demonstrates that with appropriate training and resources, FPE can be successfully integrated and sustained within standard mental health care practices. This case study provides valuable insights for other institutions aiming to implement FPE and improve treatment outcomes for patients with severe mental disorders.

Stress, burnout and coping among nurses working on acute medical wards and in the community: A quantitative study.

Psychological distress can cause burnout, which affects mental and physical well-being. It is important to identify factors associated with psychological distress and physical discomfort and how nurses deal with these problems. The aim was to investigate distress, burnout and coping among community nurses (CN) and hospital nurses (HN). In this cross-sectional study, 409 nurses completed three questionnaires: Perceived Stress Scale (PSS), Copenhagen Burnout Inventory (CBI) and Ways of Coping (WOC). Participants younger than 40 demonstrated significantly more distress and burnout than those older than 40 years. Participants who had moderate and high distress on the PSS were significantly more at risk for experiencing personal, work-related and patient-related burnout. A significant positive correlation was found between distress and behavioural escape-avoidance, cognitive escape-avoidance and distancing. Significant positive correlations were also seen between all the subscales of the CBI and behavioural escape-avoidance, cognitive escape-avoidance and distancing. Positive significant correlation was also obtained between staff resources and distress and personal-related and work-related burnout. Negative correlation was demonstrated between staff resources and patient-related burnout. Participants with longer work experience were less likely to report moderate or high distress, and those who scored higher on personal burnout and behavioural escape-avoidance were more likely to have moderate or high distress. The results of this study call for increased attention to the younger generation in the nursing profession. The results also validate the need to investigate further the correlation between distress, burnout and coping and how these issues might influence each other among nurses working in the community and hospitals. Findings should be taken with precaution, they do not describe in detail what underlying factors contribute to distress and discomfort found in this study, they do, however, indicate certain coping strategies nurses use to deal with distress and burnout.

The impact of advancing the standard of care in radiotherapy on operational treatment resources.

To demonstrate the impact of implementing hypofractionated prescription regimens and advanced treatment techniques on institutional operational hours and radiotherapy personnel resources in a multi-institutional setting. The study may be used to describe the impact of advancing the standard of care with modern radiotherapy techniques on patient and staff resources. This study uses radiation therapy data extracted from the radiotherapy information system from two tertiary care, university-affiliated cancer centers from 2012 to 2021. Across all patients in the analysis, the average fraction number for curative and palliative patients was reported each year in the decade. Also, the institutional operational treatment hours are reported for both centers. A sub-analysis for curative intent breast and lung radiotherapy patients was performed to contextualize the impact of changes to imaging, motion management, and treatment technique. From 2012 to 2021, Center 1 had 42214 patient plans and Center 2 had 43252 patient plans included in the analysis. Averaged over both centers across the decade, the average fraction number per patient decreased from 6.9 to 5.2 (25%) and 21.8 to 17.2 (21%) for palliative and curative patients, respectively. The operational treatment hours for both institutions increased from 8h 15 min to 9h 45 min (18%), despite a patient population increase of 45%. The clinical implementation of hypofractionated treatment regimens has successfully reduced the radiotherapy workload and operational treatment hours required to treat patients. This analysis describes the impact of changes to the standard of care on institutional resources.

Economic analysis and competition policy practice: A comparative empirical examination

This paper contributes to empirical studies of competition policy enforcement. The study applies an empirical approach to measure the extent of economic analysis (legal standard) applied by competition authorities in antitrust cases by leading developing countries, namely, Brazil, Russia, India, and South Africa (4 out of 5 BRICS countries). Using antitrust case-by-case information we explore the level, dynamics, and convergence of legal standards in antitrust investigations. The results indicate that the countries differ in the legal standard used, even on the same conduct type under investigation. On average, competition authorities in Brazil and India apply higher legal standards than those in Russia and South Africa. The ranking of legal standards by conduct groups differs as well, with vertical agreements and abuse of dominance cases having the highest levels. There is no evidence of an increasing trend or convergence in the legal standard in antitrust investigations, either between cases of the same conduct group or between countries investigated. This study also does not find unambiguous evidence on the effect of resources (funding and staff) on legal standards or on the consistency of case-specific analysis.

Organizational Readiness for Change Depends on Facility Complexity When Developing a National Stewardship Intervention

Introduction: The organizational readiness for change assessment survey (ORCA) is a tool to assess a site’s readiness for implementation and identify barriers to change. As the “Kicking CAUTI” antibiotic stewardship intervention rolled out on a national scale, we administered ORCA surveys to participating sites to capture baseline actionable information about differences among sites, to inform implementation. Methods: ORCA surveys were distributed by email to prescribing providers, nurses, pharmacists, infection preventionists, and quality managers at 40 participating VA Hospitals. VA hospital sites who submitted three or more surveys and their complexity level (measured as Level 1 (highest)-3) were included in the analysis. The highest complexity level facilities are those with the largest patient volume/risk, teaching and research, along with the largest number of physician specialists and contain at least five ICUs. Mean Likert scores were calculated for each of the 7 ORCA subscales on a scale of 1-5 (5 highest), and the mean of the 7 subscales was the overall ORCA score for a site. Non-parametric testing was performed comparing overall ORCA and each subscale based on complexity. Results: Among the participating sites, 30/40 (75%) completed at least three surveys, with a total of 202 surveys included for analysis, with 82% of surveys coming from higher complexity centers (Level 1). The highest ranked ORCA domain was the evidence subscale (measures perceived strength of evidence), mean 4.2, (SD 0.7). The lowest ranked ORCA domain across sites was resources (available to facilitate implementation), mean 3.3 (SD 0.9). Higher complexity centers had a significantly higher overall ORCA score than lower complexity centers (Level 1 or 2 vs. Level 3, p= 0.02). This difference was driven by the subscales evidence (p &lt; 0 .01), leadership (p =0.05), measurement (p= 0.06), and resources (p=0.07) all being higher in the higher complexity facilities (Figure 1). Two of the categories (leadership and measurement) pertain to an organization’s leaders ability to create an environment for change to occur as well as promoting team building. Conclusions: The lowest scoring ORCA domain across all sites was the respondents’ perception of resources (staff, training) available for achieving change. Perceived resources were also lower in lower complexity sites, implying that medical centers of lower complexity may have higher barriers when implementing an antimicrobial stewardship intervention. This finding highlights the benefit of a national stewardship campaign that provides support to lower complexity medical centers that may not otherwise receive targeted training and support for their efforts.Disclosure: Barbara Trautner: Stock: Abbvie--sold in December 2023; Abbott Laboratories--sold in December 2023; -Bristol Myers Squibb--sold in December 2023; Pfizer--sold in December 2023; Consultant--Phiogen--consultant. Contracted research through NIAID for STRIVE trial, currently testing Shionogi product; Contracted research--Peptilogics; Contracted research—Genentech

Scoping review: Technology‐based nursing interventions for urinary incontinence for individuals 65 years and older

AbstractTo review and summarize the available evidence on technology‐based nursing interventions for urinary incontinence. Scoping review. A review of english and German research articles published up to April 2024 examining nursing interventions in older people (&gt; = 65 years) was conducted. Studies were retrieved by searching the Medline electronic database via PubMed and CINAHL database. Eight studies met the inclusion criteria. The review followed the updated methodological guidance for the conduct of scoping reviews published in 2020. Eight studies and three different types of interventions based on digital technologies were identified: sensor‐based interventions, app‐based interventions and computer‐based digital expert systems. The interventions showed positive and no effects. The studies showed a high variety in terms of study designs, settings, measurement instruments, measured outcomes and were consequently not comparable. The current research density is too low to recommend interventions. Therefore, more high‐quality studies are needed. Studies should be designed to be comparable, if possible. The definition of a core outcome set is therefore indicated. There is a research gap that should be closed by high‐quality and comparable studies so that patients can benefit from evidence‐based incontinence care in the future. Defining core outcomes can help to better compare future studies. Technology‐based interventions should be investigated specifically for older people in the future as, in addition to the potential for improved incontinence care, they also have the potential to reduce the burden on caregivers and conserve staff resources. No patient or public contribution.

Management Strategy for the Development of Pesantren's Hidden Curriculum in Schools

The curriculum at SMPIQu Al-Bahjah Cirebon faces a challenge in integrating the formal, official curriculum with the non-formal pesantren (Islamic boarding school) curriculum. This disconnect has resulted in the pesantren curriculum becoming somewhat "hidden" or underrepresented. The core issue addressed in this research is how to design, implement, and evaluate the development of this hidden pesantren curriculum. Using a qualitative research method, the study draws from both primary and secondary data, collected through observation and interviews. The findings reveal a five-step approach to developing the hidden curriculum. Implementation is achieved through structured activities such as work meetings, scheduling academic activities, enhancing the management information system (SIM), improving teaching staff and student resources, strengthening students' morals, and increasing proficiency in foreign languages. The evaluation process includes supervision, regular meetings, audits, and reporting. The study concludes that effective curriculum development hinges on a morals and creed-based education, improved administrative and management systems, optimization of media as a development tool, and active participation in competitions and events. This research contributes to the formulation of strategies for developing the hidden pesantren curriculum, offering practical benefits for all stakeholders involved.

Prospects of Interdisciplinary Research into the Problem of Resource Mobilization of Academic Staff

Introduction. Mobilization of the resource potential of academic staff is a key task of university management. The development of management approaches to its solution should be preceded by a comprehensive study of both the academic staff resources and management practices. The possibilities of research are provided by an interdisciplinary theoretical and methodological framework. The purpose of the article is to substantiate the possibilities of developing interdisciplinary foundations for the study of the mobilization of the academic staff resource potential and the prospects for empirical study. Materials and Methods. The theoretico-methodological nature of the article required the use of methods for generalizing and systematizing the provisions of interdisciplinary and disciplinary approaches and theories that have been developed by social and humanitarian science. The main directions for the exploration of the problem of academic staff resource potential in modern socio-humanitarian knowledge have been identified through the method of systematic analysis of literature. Results. The main result of the research is the substantiation of the theoretical and methodological framework for an interdisciplinary study of the mobilization of the academic staff resources. This justification is based on the “revision” of theoretical and methodological provisions of theories of education. The basic interdisciplinary theories are the theories of adult continuing education, professional development and education, non-cognitive human capital, social networks, scientific and educational knowledge. Community-based, resource-based, institutional, normative, and communicative approaches are in demand. The provisions of these theories and approaches are adapted to the subject of the study. An important result of the research is the substantiation of the interdisciplinary synthesis in the practices of university management. Discussion and Conclusion. The prospects for using the interdisciplinary framework in an empirical study dealing with evaluation and activation of academic staff resources are shown. The practical significance of the results lies in the development of a model of mobilization management of the academic staff resources.

German language support in Austria: feasibility, effectiveness and legitimacy from the perspective of public administration

Education systems around the world have been grappling with the task of including multilingual students. To achieve this objective, multilingual students in Austria have been receiving parallel instruction in segregated classrooms since the 2018/19 school year. These measures have been the subject of criticism, particularly in terms of their practical feasibility due to limited space and staff resources, as well as their effectiveness in terms of students’ academic, linguistic, and socio-emotional development and their fundamental normative value (i.e. legitimacy). To add a new perspective, this study employs qualitative data to clarify public administration employees’ stances on the perceived feasibility, effectiveness, and legitimacy of German language support measures. The results of a reflexive thematic analysis reveal that most participants hold negative perceptions of perceived feasibility, particularly concerning spatial and personnel resources as well as class composition. Findings also indicate that participants convey a critical outlook on the effectiveness of the German language support measures in terms of students’ general academic progress and socio-emotional development. Interestingly, the findings suggest that, despite clear negative assessments, there exist conflicting and indecisive views pertaining to perceived legitimacy. The results presented in this study hold significant implications for research efforts that prioritize language and diversity considerations.

Enhancing Hospital Efficiency and Patient Care: Real-Time Tracking and Data-Driven Dispatch in Patient Transport

Inefficient patient transport in hospitals often leads to delays, overworked staff, and suboptimal resource utilization, ultimately impacting patient care. Existing dispatch management algorithms are often evaluated in simulation environments, raising concerns about their real-world applicability. This study presents a real-world experiment that bridges the gap between theoretical dispatch algorithms and real-world implementation. It applies process capability analysis at Taichung Veterans General Hospital in Taichung, Taiwan, and utilizes IoT for real-time tracking of staff and medical devices to address challenges associated with manual dispatch processes. Experimental data collected from the hospital underwent statistical evaluation between January 2021 and December 2021. The results of our experiment, which compared the use of traditional dispatch methods with the Beacon dispatch method, found that traditional dispatch had an overtime delay of 41.0%; in comparison, the Beacon dispatch method had an overtime delay of 26.5%. These findings demonstrate the transformative potential of this solution for not only hospital operations but also for improving service quality across the healthcare industry in the context of smart hospitals.