Pilot Survey Research Articles

Regulation of mark-up on medicine prices in Zimbabwe: a pilot survey from 92 community pharmacies in the metropolitan area of Harare.

Medicine pricing in the community pharmacy sector in Zimbabwe significantly influences accessibility to health care. In this pilot survey, we investigated how community pharmacies in Zimbabwe apply various mark-up strategies to essential and non-essential medicines, and gathered community pharmacists' perspectives on mark-up regulation. Using an adapted methodology endorsed by the World Health Organization and Health Action International for studying medicine prices and availability, we conducted a quantitative cross-sectional pilot survey for 46 medicines (31 essential and 15 non-essential) identified using the Zimbabwe Essential Medicines List and classified according to the Vital, Essential, and Non-essential (VEN) tool. We conducted the pilot survey in 92 community pharmacies in the metropolitan area of Harare, Zimbabwe. We gathered a total of 92 responses from 167 distributed questionnaires. The most prevalent mark-up strategy was the cost-plus fixed percentage.The median mark-up for all medicines in the community pharmacies was 60% (interquartile range 50- 82%). We found a statistically significant difference in the median mark-up by essentiality of medicines (p < 0.001), essential medicines had a median mark-up price of 62% while non-essential medicines had a mark-up of 56%. Antipsychotics had the highest mark-up at 82%, while anti-neoplastic medicine had the lowest at 36%. Overall, 55% of the community pharmacists did not support mark-up regulation. Mark-up strategies varied across community pharmacies in the metropolitan area of Harare.Without mark-up regulation, essential medicines remain significantly expensive in Zimbabwe. We recommend mark-up regulation in Zimbabwe's community pharmacy sector and emphasize the effective use of multiple pricing strategies to reduce medicine prices. .

What motivates the choice to custom hire pest management spraying services?

This article presents a model of how farmers choose to custom hire for pest control. The decision-making process is illustrated through a discrete choice experiment conducted via a pilot survey of soybean growers in Michigan, Illinois, and Indiana. Farmers responded to a hypothetical pest infestation by choosing between custom operators, spraying on their own, or leaving the field to its fate. Among farmers who choose to spray, the mean willingness to pay for marginal increases in timeliness (as defined as the chance of late spraying) ranges from 37 to 52 cents per acre. We also find that farmers more averse to risk are more sensitive to custom operator timeliness and that farmers with better-developed social networks are less sensitive to the risk of delay. The results of this study can motivate future research into the drivers of on-farm decision-making, especially as it relates to custom hire behavior in pest control and other field operations. © 2024 The Author(s). Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.

Student perspectives on learning transfer from online postgraduate sonography courses to traineeships: A pilot survey

AbstractIntroductionThis survey aims to understand how postgraduate sonography students perceive to apply knowledge from online coursework to traineeships. It also explores the impact of students' age, gender, traineeship duration and geographic location on learning transfer. The ability to apply learnt knowledge is a key factor for student success in higher education and the workplace, yet it is an under‐researched topic.MethodThe Human Research Ethics Committee of an Australian university granted ethical approval. A pilot online survey was sent to 279 medical sonography students enrolled in an online postgraduate program. These students had an industry traineeship as a corequisite to online coursework. The survey was sent via email on Microsoft Forms from October to December 2023. Descriptive, Likert scale and free‐text data were analysed using Microsoft Excel, IBM SPSS Statistics (version 29) and Lumivero NVivo (version 14).ResultsThe response rate was 38% (n = 106). Most respondents agreed that they developed transfer skills from online courses. Practice questions, lectures and interactive sessions emerged as the key online learning activities that helped to facilitate knowledge transfer. With summative assessments, case studies enhanced knowledge transfer. No significant difference was seen in the transfer ability based on geographical location, age and gender.ConclusionIt is challenging for online educators to foster transfer skills to prepare safe, competent, job‐ready graduates. Our study has provided initial insights on enablers of online learning transfer to online educators on students' perspectives of how they see the relevance and how they apply knowledge from online courses to traineeships.

Language and parental satisfaction during inpatient stay: A pilot survey study in a quaternary pediatric hospital.

Considering the significant volume of non-English speakers seeking medical care in the United States and the challenges they may encounter within the hospital environment, it is necessary to assess the satisfaction of non-English-speaking families during their hospital stays and to determine potential areas of improvement in order to optimize care. We aimed to evaluate and describe the satisfaction of Arabic-, Spanish-, and English-speaking families at a quaternary pediatric hospital. From the measures assessed, we sought to identify perceived strengths and weaknesses of the inpatient experience for families who spoke different languages. In doing so, we aimed to identify ways to improve the hospital experience for patients and their families. We created a 23-item satisfaction questionnaire that was vetted by the hospital's Global Services Department, professionally translated into Arabic and Spanish, and tested by native speakers. The survey contained questions pertaining to parent/guardian demographics, their experience with the hospital environment, and their care team or services. Using the questionnaire, we surveyed Arabic-, Spanish-, and English-speaking parents/guardians of post-procedural patients under 18 years of age in intensive care units (ICUs) and on inpatient floors. A total of 162 surveys were collected with roughly equal distribution across the three language groups (52 Arabic, 53 Spanish, 57 English). We found no statistically significant difference in satisfaction scores across the three language groups, nor across self-reported English-proficient and non-English-proficient Arabic and Spanish respondents. In addition, there was no statistically significant difference in satisfaction between parents/guardians in ICUs and those on inpatient floors. This pilot survey suggests that inclusivity and availability of interpretation resources play a role in successfully creating an environment where both English and non-English speakers are satisfied. Further development and validation of the survey instrument should be performed, along with testing at other institutions.

Assessing Willingness to Accept a Compensation for Evicted Land in Peri-urban Areas: A Contingent Valuation Method

Urban expansion in developing countries like Ethiopia is causing political turmoil in peri-urban areas due to inadequate compensation for evicted farmers because of the absence of a land market, which is prohibited by Ethiopia's land policy. This paper applies the contingent valuation method to measure the compensation value considered acceptable to those who are evicted from their farm land. The west Gojjam and Awi zones of Amhara region, Ethiopia are chosen for the case study based on 393 completed questionnaires. It has been demonstrated that a willingness to accept compensation is essential for maintaining sustainable livelihoods. The study applied single-bounded contingent valuation and double-bounded contingent valuation methods to estimate the mean willingness to accept compensation value. Based on the finding, double-bounded contingent valuation could be more optimal for the welfare of the evictees in detecting and correcting respondent’s bias due to its narrow confidence interval. Pilot survey was employed to ensure reliability and validity of the methods employed. Therefore, the optimal bid vector for multiplying the average land output preceding three years of eviction is 29.27. Additionally, variables such as initial bid, age, education, and total annual income significantly affect the willingness to accept compensation. The study recommends that federal and local governments should provide adequate compensation offers that prioritize the well-being of peri-urban communities during urban expansion programs, as farmers are losing their most valuable asset. This is crucial for sustainable living and poverty reduction among those who have been evicted.

Crossing Boundaries: Analysing Corruption Dynamics At Nigeria-Benin Border Points

This study explores the dynamics and characteristics of border corruption at five key crossing points along the Nigeria-Benin border: Seme, Ilara, Hunbe, Owode-Apa, and Idiroko. A pilot survey conducted in June 2023 informed the theoretical framework, followed by a comprehensive nine-week field study from August to October 2023, involving 1,032 participants, including traders, crossers, commuters, smugglers, migrants, motorists and local community members. Data collection methods included questionnaires, semi-structured interviews, and non-participatory observations, providing an in-depth understanding of participants' experiences with corruption. The findings reveal a significant gender disparity, with 63.37% of participants being male, and indicate that corruption predominantly involves traders (29.27%) and crossers (24.42%). A notable prevalence of smuggling (49.03%) and immigration-related corruption (22.10%) suggests systemic collusion between customs officers, immigration officers and clients across these borders. The study identifies seven primary causes of border corruption: weak accountability (78%), high tariffs and lack of transparency (73%), lack of probity (64%), administrative corruption and nepotism (61%), generational transfer of corruption (58%), low automation levels (53%), and informal social networks (51%). Furthermore, the research underscores the interplay between coercion and collusion, with officials often extorting bribes while allowing illicit activities to proceed unchecked. Notably, social networks play a crucial role in facilitating corrupt transactions, as traders frequently establish ongoing relationships with border agents to ensure smoother operations. The research highlights that both traders and officials benefit from these corrupt practices, undermining government efforts to regulate trade and manage border security. The study emphasizes the urgent need for comprehensive reforms to enhance transparency and accountability in border management processes, thereby addressing the entrenched corruption that undermines the integrity of cross-border activities in Nigeria

Using salience and availability to promote sustainable and healthy food choices in hospital cafeterias

Sustainable diets can achieve considerable reductions in greenhouse gas emissions and improvements in human health, but changing dietary behavior remains a challenge. We assessed the impacts of two behavioral insights strategies on bridging the intention-action gap related to sustainable and healthy food choices amongst hospital cafeteria patrons. In a pilot survey of hospital staff (N = 1,165), 56% identified limited awareness and availability of sustainable food as barriers to purchasing, although 46% were extremely willing to try sustainable dishes. We examined increasing salience (Study 1), varying availability (Study 2a), and decreasing availability (Study 2b) on sustainable and healthy dish purchases in three hospital cafeterias. Each study ran for seven weeks from March to April, 2023. In total, 10,616 dishes were purchased. In Study 1, increasing salience was associated with significant uptake of sustainable and healthy dishes, but the effect disappeared once the salience intervention was removed. In Study 2a, increasing availability of sustainable dishes corresponded to a significant increase in purchases of sustainable dishes, while decreasing availability in Study 2b followed a downward trend in purchases, suggesting that availability drove dietary choices. We recommend hospitals consider these choice architecture interventions to support the adoption of sustainable and healthy diets.

Perspectives of psychiatrists on Mental Health Care Act, 2017: An in-depth pilot survey

ABSTRACT Background: The Mental Health Care Act, 2017 (MHCA, 17) was passed through both houses of the parliament. The Indian Psychiatric Society through its Patient’s Rights Task Force committee has been deliberating various rounds of discussion at levels of stakeholders, mental health professionals, and patients’ perspective. However, a scarce budget for mental health services, lack of trained mental health professionals, and poor infrastructure and logistics pose a challenge for this new act as still there is a lack of awareness of different provisions of MHCA at the administrative, judiciary, and public levels. Aim: The present study was undertaken to address the perspectives of psychiatrists related to MHCA,2017 its provisions. Materials and Methods: A self-administered questionnaire was designed to gather information on awareness about MHCA, 2017. The responses were collected from the member psychiatrists of Indian Psychiatric Society in a google form including the suggestions regarding amendments in MHCA, 2017. Results: 22.6% of participants were using MHCA in clinical practice completely, and 20.2% did not use it all. 52.4% stated that they are using it partly. Capacity assessment of the person suffering from mental illness was done by 52.4% of participants in day-to-day clinical practice. 35.7% denied assessing it. With respect to section 309 IPC, 31% were registering and managing suicide attempts as medico legal cases and 63.1% as non-MLC cases. 54.2% of the participants were not aware about medical insurance for mental health. The qualitative data suggest the act should be simplified including relaxation in provisions of minor, capacity assessment and ensure active functioning of various authorities. Conclusions: Amendments are required in MHCA, 2017 taking into cognizance the opinions from various practicing psychiatrists who are facing hurdles in routine clinical practice.

Measuring health-related quality of life in a Chinese Mainland adolescent population: psychometric properties of the Mandarin Chinese self-reported KIDSCREEN-27 and KIDSCREEN-10 index

BackgroundThe self-reported KIDSCREEN questionnaires are ideal for capturing children’s and adolescents’ health-related quality of life (HRQoL) and have gained worldwide popularity. Responding to demands for the concise nature of KIDSCREEN among Chinese Mainland researchers and practitioners, this study aimed to evaluate the psychometric properties of the Mandarin Chinese self-reported KIDSCREEN-27 (KS-27) and KIDSCREEN-10 index (KS-10), which are short versions of the self-reported KIDSCREEN-52 (KS-52).MethodsThis study reanalyzed the validation dataset of the Mandarin Chinese self-reported KS-52. The dataset originated from a cross-sectional survey conducted in Weifang City, the Chinese Mainland, from October to November 2016. Adolescents aged 11–17 years (N = 4385) were surveyed, and sub-samples (N = 841) were retested. Statistical analyses were conducted on the feasibility, item and dimension properties, reliability, and validity of the Mandarin Chinese self-reported KS-27 and KS-10.ResultsIndirect evidence from the Small Group Pilot Survey indicated that the Mandarin Chinese self-reported KS-27 and KS-10 can be completed on average in less than 12.33 mins. Their response rate exceeded 90% regardless of the unit- and item (dimension)-level. The psychometric properties of items and dimensions were likewise found to be satisfactory. Internal consistency was robust with inter-item and item-total correlations (0.173–0.873, 0.422–0.786), Cronbach’s alpha (0.786–0.881), Guttman’s lambda-2 and - 6 (0.807–0.889, 0.829–0.896), and McDonald’s omega (0.725–0.886). Test–retest reliability at both item- and dimension-level was excellent, with intraclass correlation coefficients (ICCs) of (0.590–0.696, 0.785–0.842); standard error of measurements (SEMs) of (0.352–0.635, 0.949–1.949). Confirmatory factor analysis (CFA) confirmed their five- and one-dimensional structures, albeit with slight modifications. Moreover, the multi-group confirmatory factor analysis (MG-CFA) substantiated their configural and metric invariance across gender and grade groups. Convergent validity was robust, with stronger correlations observed with comparable dimensions of the Mandarin Chinese self-reported PedsQL™ 4.0, while discriminant validity was evident with low correlations observed with less comparable dimensions. The known-group validity was mainly supported by medium to large effect sizes concerning differences in socioeconomic status (η2 = 0.07–0.17, Cohen’s d = 0.55–1.03) and mental health status (η2 = 0.09–0.40, Cohen’s d = 0.73–1.83). The Mandarin Chinese self-reported KS-52 served as the criterion; the ICCs between the Mandarin Chinese self-reported KS-27 and KS-10 and their comparable dimensions were stronger, indicating robust criterion validity.ConclusionsThe Mandarin Chinese self-reported KS-27 and KS-10 demonstrated excellent psychometric properties, indicating their good potential for measuring HRQoL for children and adolescents in the Chinese Mainland.

Mapping the Policy Alternatives for Rare Cancer

Abstract Issue This policy research addresses the issue of rare cancers in the European Union (EU). Rare cancers have an annual incidence rate of less than 6/100 000 and face challenges in diagnosis, clinical care, and research investment. Survival rates for rare cancers are lower compared to common cancer types, with significant variations among EU Member States. Description of the problem Policy frameworks for rare cancers are often fragmented and greatly vary across the EU. This study aims to develop a tool for assessing policy alternatives by reviewing existing national rare cancer policies, conducting interviews with experts, and analysing core stakeholders at the EU level. Results The main policy alternatives covered five domains: definition, registration, organisation of care, access to innovative therapies, and funding. Interviews revealed four policy options for each domain. Six core stakeholders were determined: patient organisations, healthcare professionals, researchers, industry, health legislators, and health authorities. A pilot policy assessment tool was developed on this basis. Lessons The pilot study coherently explored policy alternatives for rare cancers in the EU. Using these findings, policymakers and researchers can assess the impact of different policy options at a national level and contribute to the development of a unified EU policy framework for rare cancers. The pilot survey was also useful to collect input from the core stakeholders. Key messages • This study identifies key policy domains and feasible alternatives. A pilot preference assessment study based on these options can aid in EU policy development. • Navigating rare cancer policy complexities demands collaboration and innovation. Engaging stakeholders and exploring alternatives can forge a more effective EU framework for addressing rare cancers.

Multidimensional Adult and Child Poverty in India—Establishing Consensus About Socially Perceived Necessities for a New Measure of Poverty

This article describes the use of the Consensual Approach to poverty measurement in a pilot survey conducted in Telangana state in 2020/21. Respondents were asked about whether a series of items and activities, ranging from two pairs of all-weather shoes to attending important social functions were essential for adults and children and whether they had them or could take part. Households that answered negatively were then asked why. Following the approach pioneered by Mack and Lansley, households whose lack was enforced were identified as deprived. We found high levels of endorsement for a wide range of items such as three meals a day, school uniforms and equipment, health facilities and transport access as well as the ability to afford clothing, social activities and savings. We also found similar levels of consensus over a wide range of necessities across religion, location, caste and education. The results underscore the importance of dimensions and specific deprivations that are not entirely captured by existing monetary and multidimensional poverty approaches used in India. This reinforces the call for child-centric methodologies such as United Nations International Children’s Emergency Fund (UNICEF’s) Multiple Overlapping Deprivation Analysis (MODA), which distinguish between age groups and their evolving needs. Our results also suggest that simply relying on existing Demographic and Health Survey (DHS) and Multiple Indicator Cluster Surveys (MICS) surveys leads to underestimation of the extent to which widely endorsed needs are satisfied. Furthermore, our findings challenge policymakers to consider expanding the measurement of poverty to include the public’s perception of necessities, which will enrich the index with culturally specific and socially validated indicators.

Prevalence of food-related misbeliefs among postoperative patients at a tertiary care health center: a pilot survey and future directions

Background: Effective postoperative recovery is significantly influenced by nutrition, yet pervasive food-related misbeliefs can impede this process. This is particularly prevalent in regions with high rates of medical misinformation and cultural dietary restrictions. Methods: A survey was conducted with 917 postoperative patients at a tertiary care center in India from July 2019 to December 2019. A structured questionnaire was used to identify prevalent dietary misconceptions and their potential impact on wound healing. Results: The survey revealed that 18.9% of patients harboured detrimental food-related misbeliefs, with the majority avoiding high-protein foods such as meat and dairy due to unfounded fears of adverse effects on wound healing. Conclusions: The findings highlight a critical need for targeted educational interventions to correct these misbeliefs and promote nutritional practices that support recovery. Given the scope of this issue, further research is recommended to explore the broader implications of dietary misconceptions on post-surgical outcomes across different regions and cultures.

Eco-Sustainability in Hospital Pharmacy: A Pilot Survey on 'Going Green'.

Purpose: Between 2009 and 2015, the Canadian health care system was estimated to be responsible for 4.6% of national carbon emissions. Determine awareness of and describe eco-initiatives that the department of pharmacy can implement to aim to reduce the carbon footprint in hospital pharmacy in an effort to 'go green'. Methods: In a quality improvement initiative, pharmacy employees (i.e. pharmacists and pharmacy technicians) completed a cross-sectional survey designed to gauge willingness to 'go green' at work, to identify actionable areas of waste, and to assess commuting practices. Results: A total of 15 respondents completed the survey conducted March 14th -April 7th, 2022. Most respondents (73%) were willing to engage in more sustainable practices at work. The main barriers to implementing green practices at work were 'too time consuming' (20%), 'adds too much complexity' (20%), and 'cost' (16%). For commuting, 60% indicated the primary mode of transportation as 'personal vehicle', where 'subsidized transit' and was listed as the greatest incentive that could encourage a greener commute. The three largest areas of waste cited were 'single use plastic' (36%), 'limited of awareness of green practices' (15%), and 'lights left on in empty rooms' (12%). Conclusions: Pharmacy staff shared willingness to engage in more sustainable 'go green' practices but raised challenges to do so. With the knowledge that Canada has the second most climate intensive health system, there is a need for future research to describe how hospital pharmacies can contribute strategically to 'go green', advancing with implementing low carbon sustainable pharmacy practices.

University’s Information Policy in a Mediatized Reality: Youth as the Main Target Audience

One of the key challenges faced by Russian higher education institutions is the lack of effective long-term strategies for communicating their research, educational activities, and student development efforts to various target audiences such as scholars, students, prospective applicants, regulatory authorities, and international groups. This study aims to uncover the principles and key features of universities’ information policies targeted at youth in Russia. The paper presents findings based on data obtained from a series of in-depth interviews (n = 17) with student representatives, vice-rectors, and department heads specializing in youth communication policy and pedagogical activities at Russian universities. Additionally, the study includes empirical data from a pilot survey conducted among students across four federal districts (n = 150). In the final section, the paper offers a set of key recommendations to enhance the effectiveness of media communication efforts with youth audiences.

Project managers’ competencies in the era of digitalization: the case of the construction industry

PurposeWith emerging technologies rapidly changing work processes, it is important to understand the skills and characteristics project managers (PMs) need to effectively manage projects in the digital era. This study determines the underlying competencies needed for digitalization among PMs in the construction industry. The study also identified the most significant competencies needed by PMs in the era of digitalization.Design/methodology/approachThe methodology adopted for the research study was quantitative. It was founded on a thorough review of pertinent literature, which went through a pilot survey study from six project management experts in the construction industry. Based on the comment and feedback, a questionnaire survey was developed and distributed to participants through a convenience sampling technique. The data retrieved were from 100 professional PMs out of 130 questionnaires distributed in the Ghanaian construction industry. Data collected were analyzed using fuzzy synthetic evaluation (FSE).FindingsBased on FSE, the three competency parameters (knowledge, skills, personal characteristics) generated significant indices indicating that all three competencies are significant among construction PMs in the digitalization era. Under the knowledge competency parameter, six sub-competencies comprising a total of 12 variables were identified. For skills, seven sub-competencies consisting of 23 variables were identified. Regarding personal attributes, six sub-competencies with 17 variables were highlighted. Under knowledge, technical knowledge was found to be the most important with an index of 4.212. For skills, leadership skills were rated highest with an index of 4.240. Regarding personal attributes, social or interpersonal skills were deemed most critical with an index of 4.199.Practical implicationsThe results provide guidance to both industry and academic stakeholders. For PMs and their employers, the study highlights priority areas for competency development and training related to the era of digitalization. It also informs educational institutions on how to structure project management curricula to best prepare students for jobs of the future. This study gives more insight into the competencies that need more attention for PMs in the digitalization era. As a result, firms that adopt the identified competency will benefit from implementing digitalization in project delivery.Originality/valueThis study makes an original contribution as one of the first to empirically investigate the competencies required of construction PMs in the construction industry in the digitalization era. By focusing on the developing country context of Ghana, the study extends knowledge to an under-researched region and market. It provides a foundation for future comparative research across diverse global contexts.

The eROSITA Final Equatorial Depth Survey (eFEDS). The hard X-ray selected sample

During its calibration and performance verification phase, the eROSITA instrument aboard the Spectrum-RG satellite performed a uniform wide-area X-ray survey of approximately 140 deg2, known as the eROSITA Final Equatorial Depth Survey (eFEDS). The primary aim of eFEDS is to demonstrate the scientific performance to be expected at the end of the eight--pass eROSITA all--sky survey. This survey will provide the first focussed image of the whole sky in the hard X-ray ($&gt;2$ keV) bandpass. The expected source population in this energy range is thus of great interest, particularly for AGN studies. We used a 2.3--5 keV selection to construct a sample of 246 point-like hard X-ray sources for further study and characterisation. These sources are classified as either extragalactic ($ 90$ &lt;!PCT!&gt;) or Galactic ($ 10$ &lt;!PCT!&gt;), with the former consisting overwhelmingly of AGN and the latter active stars. We concentrated our further analysis on the extragalactic AGN sample, describing their X-ray and multi-wavelength properties and comparing them to the eFEDS main AGN sample selected in the softer 0.2--2.3 keV band. The eROSITA hard band selects a subsample of sources that is a factor of more than ten brighter than the eFEDS main sample. The AGN within the hard population reach up to $z=3.2$ but on the whole, they are relatively nearby, with median $z$=0.34 compared to $z$=0.94 for the main sample. The hard survey probes typical luminosities in the range $ X = 43-46$. The X-ray spectral analysis shows significant intrinsic absorption (with $ H &gt;21$) in $ 20$ &lt;!PCT!&gt; of the sources, with a hard X-ray power law continuum with mean $&lt; which is typical of AGN, but slightly harder than the soft-selected eROSITA sample. Around $10$ &lt;!PCT!&gt; of the hard sample show a significant `soft excess' component. The sampled black hole mass distribution in the eFEDS broad-line AGN population is consistent with that of the deeper COSMOS survey that probes a higher redshift population. On the other hand, the Eddington ratios appear systematically lower, which is consistent with the idea that the decline in SMBH activity since $z 1$ is due to a reduction in the typical accretion rate, rather than a shift towards activity in lower-mass black holes. The eFEDS hard sample provides a preview of what can be expected from the eRASS final survey in terms of data quality. This pilot survey indicates the power of eROSITA to shed new light on the demographics and evolution of AGN, and the potential for discovery of new and rare populations.

Organizational Climate Related to Patient-Perpetrated Sexual Harassment: VA Primary Care Provider Perceptions.

Patient-perpetrated sexual harassment toward health care providers is common and adversely affects provider well-being, workforce outcomes, and patient care. Organizational climate for sexual harassment-shared perceptions about an organization's practices, policies, and procedures-is one of the strongest predictors of harassment prevalence. We conducted a pilot survey assessing provider perceptions of the Veterans Health Administration (VA)'s climate related to patient-perpetrated sexual harassment. Responding providers completed a survey assessing: (1) experiences with patient-perpetrated sexual harassment, (2) beliefs about VA's responses to patient-perpetrated sexual harassment of staff, and (3) perceptions of VA's organizational climate related to sexual harassment for each of 4 perpetrator-target pairings (patient-perpetrated harassment of staff, patient-perpetrated harassment of patients, staff-perpetrated harassment of staff, and staff-perpetrated harassment of patients). Respondents included 105 primary care providers (staff physicians, nurse practitioners, and physician assistants) at 15 facilities in the VA Women's Health Practice-Based Research Network. Seventy-one percent of responding providers reported experiencing patient-perpetrated sexual harassment in the past 6 months. Respondent perceptions of VA's responses to patient-perpetrated harassment of staff were mixed (eg, indicating that VA creates an environment where harassment is safe to discuss but that it fails to offer adequate guidance for responding to harassment). Respondents rated organizational climate related to patient-perpetrated harassment of staff as significantly more negative compared with climate related to other perpetrator-target pairings. Future work with representative samples is needed to corroborate these findings, which have potential ramifications for VA's ongoing efforts to create a safe, inclusive environment of care.

A study into the themes of quality management: early findings from a global research project and agenda for future research

PurposeQuality management (QM) plays a pivotal role in driving organisational efforts to enhance operational efficiency and customer satisfaction. This study aims to explore the most important themes in QM over the past three decades, identifying and analysing the top ten key themes that have shaped the field during this period. This study, involving leading academics and industry practitioners, lays the groundwork for a three-to-four-year exploration of the most influential QM themes worldwide.Design/methodology/approachThe authors conducted a comprehensive review of QM literature over the last three decades from top specialist journals on QM. This is followed by conducting a global pilot survey with leading academics and practitioners to pinpoint the top ten dominant themes of QM for organisations to leverage in gaining and maintaining a competitive edge.FindingsThe top ten themes of QM, as identified by authors through input from academics and practitioners worldwide, offer valuable insights for companies of all sizes and sectors. These themes serve as a guide for the successful and sustainable implementation of QM practices and continuous improvement strategies.Research limitations/implicationsDespite a limited sample size, the initial findings provide a glimpse into critical themes. Over the next three years, as the study progresses, we anticipate potential changes in the results. Notably, the comparison of themes between manufacturing and services as well as large and small enterprises, remains unexplored in the current investigation.Originality/valueThe authors of this study assert that their research will pave the way for future themes in the digitalization era. Moreover, this research stands out as one of the most exhaustive examinations from both academic and practitioner viewpoints, offering a unique perspective not commonly found in existing literature.

Healthcare professionals' perceptions of hypnotherapy in cancer care: Development and validation of a survey

Background and purposeHypnotherapy has shown promise in cancer care for alleviating pain, managing nausea, reducing anxiety and fatigue, and improving overall quality of life. Despite its potential benefits, there remains a significant gap between evidence and clinical practice. One way to bridge this gap is to assess healthcare professionals' perceptions and address them accordingly. While survey tools assessing perceptions in healthcare exist, they often are outdated, lack contemporary focus and specificity to complementary therapies like hypnotherapy, particularly in the context of cancer care. This study aimed to develop, psychometrically evaluate, and pilot a survey designed to assess Australian healthcare professionals' (psychologists, counselors, medical practitioners, and nurses) perceptions of hypnotherapy in cancer care. Materials and methodsA cross-sectional survey was developed to assess healthcare professionals' perceptions of hypnosis/hypnotherapy in cancer care. The survey, informed by a comprehensive literature review, consisted of three sections: (1) demographics, 2) interest, experience and knowledge of hypnosis, and (3) attitudes towards its integration in cancer care. Instrument validation involved an expert panel (n = 5) review for content validity and a pilot study with 89 healthcare professionals for reliability. Internal consistency was measured using Cronbach's alpha and factor analysis. ResultsPsychometric analysis demonstrated high internal consistency with a Cronbach's alpha of 0.850. Factor analysis revealed two distinct factors: perceived benefits of hypnotherapy in cancer care (explaining 49.23 % of variance) and concerns/misconceptions about hypnosis (explaining 19.50 % of variance). These factors showed strong item loadings (0.692–0.889 and 0.529-0.850, respectively) and a moderate correlation (r = 0.464). The survey tool proved feasible and applicable with a high completion rate among participants. The survey pilot results highlighted significant knowledge gaps and varying levels of acceptance of hypnotherapy, underscoring the necessity for targeted education and training initiatives. Despite these gaps, there was a notable interest in learning more about hypnotherapy's potential benefits in cancer care. However, limitations to sample diversity and generalizability should be noted, as the vast majority of respondents were female nurses. ConclusionA novel survey tool to evaluate healthcare professionals' perceptions of hypnotherapy in cancer care was developed and tested for its validity and reliability. Results of this study revealed significant knowledge gaps and varied acceptance levels by healthcare professionals to using hypnotherapy in cancer care. We identified respondents have a strong interest in hypnotherapy's potential benefits, highlighting the need for targeted education and suggesting a promising foundation for its future integration into holistic and patient-centered cancer care.

FINANCIAL INCLUSION AND PERFORMANCE OF TOP 100 SMALL AND MEDIUM ENTERPRISES IN KENYA

Access to services such as credit, insurance, and savings enables SMEs to invest in growth, innovation, and operational efficiency. SMEs leveraging financial inclusion can enhance their revenue generation, cash flow management, and overall profitability. The study sought to find out what impact finance inclusion has had on the performance of Kenya's top 100 SMEs. This study was guided by finance intermediation theories, technology acceptance theory, TAM signal theory and pecking order theory. The study1was carried1out on the basis of a descriptive research design. The target population consisted of top 100 medium size enterprises in Kenya as shown in the annual survey carried out by KPMG and nation media group in the years 2020. Respondents ware financial officers from Kenya's top 100 mid-sized companies. Stratified sampling was used to interview respondents based on company category. Respondents were selected using a purposeful selection process. Data1was collected using structured questionnaire. A pilot survey was conducted with 10 respondents, but the final survey did not include these respondents. Validity of research instruments was measured using content validity. The study examined the effects of micro savings, micro credit, micro insurance, and digital banking on the performance of Kenya's top 100 SMEs, revealing that tailored financial products significantly enhance operational efficiency and growth. Findings indicated that micro savings improve financial stability, while flexible repayment options for micro credit support sustainable business practices. Additionally, awareness and customized solutions for micro insurance products were found to bolster risk management among SMEs. Digital banking was highlighted as a critical enabler of faster transactions and better cash flow management. The conclusions suggest that targeted financial services and educational initiatives are vital for empowering SMEs to optimize their performance. Recommendations include developing customized financial products, enhancing digital banking infrastructure, and providing financial literacy training to improve overall business resilience and sustainability.