Sustainable Training Research Articles

The surgical-interventional cleavage in cardiovascular medicine: A brazilian health care system analysis

This study aims to compare in-hospital mortality, costs, and length of stay between traditional cardiovascular surgery and interventional cardiology in SUS (2009–2023), evaluate temporal trends in technological substitution, and quantify long-term effects using risk-adjusted models. An ecological design analyzed aggregated data from 2,303,648 procedures. ARIMA models and negative binomial regression adjusted temporal trends and mortality risk. Results revealed accelerated technological substitution (-1.27% annual decline in surgeries; p < 0.001), with initial mortality advantage for interventional procedures (RR = 0.43; 95% CI: 0.11–0.76). However, synthetic projections showed benefit inversion by 2023 (+72.38 excess deaths), linked to an inverse learning curve for interventions (+0.83% mortality per 1% volume increase; p < 0.001). Cost savings (R$5,524/case) and shorter hospitalization (-5.07 days) coexisted with rising complexity in surgical cohorts, increasing baseline mortality risk by 0.59% annually (p < 0.001). The study concludes that technological substitution in SUS achieved economic efficiency but requires parallel investments in training and risk stratification for clinical sustainability.

Digital approaches in sustainable entrepreneurship training: Effects on student well-being and satisfaction

Digital approaches in sustainable entrepreneurship training: Effects on student well-being and satisfaction

Implementation of Ecological Sustainability Goals in Public Industrial Heritage Facilities in Europe

Industrial heritage tourism has been subject to increasing visitor interest, making Europe’s old factories, mines, and steelworks into attractive tourist installations. However, these facilities, like all other market players, impact the environment, and, therefore, their management should take into account achieving sustainable development goals. The purpose of this article is to identify key sustainability measures taken by public industrial heritage tourism facilities in Europe to protect the environment. This article discusses the results of a survey of administrators of public industrial heritage facilities in Europe. This research was carried out using the Computer Assisted Web Interview technique, sending a research questionnaire to facilities associated with the European Route of Industrial Heritage. The results indicate that these entities are taking numerous measures to implement environmental sustainability patterns, particularly in the areas of waste segregation, pollution and waste generation reduction, and low energy consumption in equipment purchases. Unfortunately, the survey shows that many of the stated actions are not being implemented, as only one in four managers has implemented a formal program related to the implementation of at least some sustainability principles or training conducted in this regard. Managers of industrial heritage sites also advocate for increased national and international cooperation between sites. The author also draws attention to the need to acquire green technologies and communicate the effects of these activities to stakeholders.

Transcultural Practices and Educational Inclusion: Design of a Neurodidactic Model of Sustainable Teacher Training

Objective: The objective of this study is to investigate transculturality, educational inclusion, neurodidactics, teacher training and sustainability in the context of modern education. Theoretical Framework: This article presents the main concepts and theories that support research on transculturality, inclusion and neuropedagogy. Method: Using a non-experimental, descriptive, explanatory and correlational design, 653 individuals were surveyed, including 132 practicing teachers and 521 university students of Primary Education. A validated Likert-type questionnaire was used to assess perceptions and attitudes towards these dimensions. Exploratory factor analysis and correlation tests revealed strong interrelations between the dimensions studied. A regression analysis identified neurodidactics as the most significant predictor of teacher training, followed by educational inclusion, sustainability and transculturality. Results and Discussion: The results suggest the need for a holistic approach to teacher training that integrates these key aspects. The design of a sustainable neurodidactic model of teacher training that incorporates transculturality and educational inclusion is proposed. This model would involve a curriculum based on neuroscience, the development of intercultural competences, inclusive pedagogical strategies, principles of sustainability, reflective practice, experiential learning and continuous professional development. Research Implications: The implementation of this model would require collaboration between educational institutions, policy makers and educators, as well as mechanisms for evaluation and continuous improvement. Originality/Value: The relevance and value of this research are evident in that it can change the vision on transculturalism and teaching practice.

Sustainable Human Resource Training: A study of Scale Development and Validation

In the contemporary world, organizations are expected to introduce human resource management (HRM) practices which foster organizational sustainable development. The latter is based on the integration of environmental, social, and economic goals. Moreover, HRM practices should contribute to the common good. HR training has been found as a means to transfer sustainability theory into practice. However, to be called sustainable, HR training should not only promote employees’ sustainability-oriented behaviours but also be internally sustainable and contribute to common good. Such an approach has not been represented in previous research. Therefore, this study aims to develop a sustainable HR training construct. An exploratory sequential mixed method approach was adopted to develop and validate the measurement scale of sustainable HR training. Data were collected from employees working in different industries of Poland. This study established the second-order construct of sustainable HR training, which comprises equal training opportunities, long-term oriented training, integrated approach to training, focus on well-being, environmental-oriented training, and team building as its first-order dimensions. It also confirmed the nomological validity of the newly developed scale based on its relationship with a company’s sustainable performance. The current research enriched the sustainable HRM literature by offering a high-order sustainable HR training construct. Practitioners and policy makers may employ the designed scale in spurring HR training practices along with enhancing their sustainable performance.

Bridging the Gap: How Researcher–Teacher Collaboration Is Transforming Climate Change Education in Secondary Schools

The research presented here is based on the study of secondary school students’ conceptions of sustainability and climate change, as well as the barriers described in the literature on the insufficient involvement of teachers in education for sustainability. Based on the results of these analyses, a collaborative intervention carried out with secondary school teachers and their students was designed, implemented, and evaluated in order to respond to the shortcomings and needs of both in this context. The teachers involved participated in an itinerary based on research in didactics of science. As a first step for the intervention, the knowledge of sustainability referred to by pre-service and in-service teachers was studied. The results of the research show the need for more training in sustainability and climate change for secondary school teachers in order to be able to effectively include this content in the subjects they teach. On the other hand, it has been shown that the collaborative work carried out with secondary school teachers improves their willingness and motivation to deal with issues related to sustainability in the classroom, taking advantage of the numerous opportunities offered by the curriculum.

Elexacaftor, Tezacaftor and Ivacaftor: immediate efficacy evaluation using home spirometry

Following two weeks of application of the triple combination therapy of Elexacaftor (E), Tezacaftor (T), and Ivacaftor (I) known as ETI, substantial pulmonary improvement in patients with cystic fibrosis is well-documented. However, few detailed data are available on the action of this treatment over the course of these first 14 days. In this prospective study (NCT05599230), 20patients aged≥12years, all of them eligible for ETI, were recruited at the initiation of treatment. Home spirometry (MIR Spirobank®) was performed during the three days preceding the start of treatment and then daily for 14days, while a respiratory symptom score (RSS) was calculated and a log maintained concerning the events experienced by each patient. Mean age (±SD) of the 20patients was 29.4 (±11.1) years, mean FEV1 was 84.2% (±17.7), and the mean BMI z-score was 0.18 (±0.82). Thirteen of them were already on modulators. When compared to the average scores recorded for the three days preceding the start of treatment, FEV1 improvement became significant from the 6th day (D6). After having significantly worsened on D1 (P<0.05), the RSS improved from D6 onwards. The quality of home FEV1 measurements was high (grade A: 81.2%). Under ETI treatment, respiratory benefits were significant from D6. The side effects most commonly perceived by the patients occurred during the first four days of treatment. While daily monitoring of home spirometry could indeed be a valuable tool in follow-up of patients with cystic fibrosis, its administration requires suitable and sustained training.

Dynamic Neural Mechanisms Underlying Sustained Motor Training Post-Stroke: An fNIRS Investigation Employing Time-Varying ALFF and Functional Connectivity Analysis.

Motor dysfunction of the upper limbs following a stroke predominantly arises from abnormal motor patterning caused by the disrupted balance of inter-cortical communication within motor-associated cortical regions. Temporal analysis offers a more precise reflection of the cortical functional state in affected patients. This study employed fNIRS to capture hemodynamic responses among 20 stroke patients and 19 healthy controls in both resting and Baduanjin task state. Including computing the coefficient of variation of fractional amplitude of low-frequency fluctuations (fALFF) for each channel, alongside extracting dynamic state metrics. Findings indicate that, during sustained motor tasks, stroke patients exhibit a diminished fALFF variability in targeted cortical regions; these individuals display a higher prevalence of low-intensity states and a lower prevalence of high-intensity states during task execution. These dynamic state attributes are significantly associated with scores on the upper limb motor function scale (FMA-UE), thereby proposing a time-domain perspective for investigating the underlying mechanisms of stroke-induced motor dysfunction.

Meningkatkan Martabat Guru: Strategi Pengakuan dan Penghargaan Profesi Kependidikan di Era Digital

The digital era presents significant opportunities and challenges for the teaching profession, particularly in terms of recognition and appreciation for their contributions. Teachers are expected to adapt to technology to improve the quality of learning but often face obstacles such as lack of training, limited infrastructure, and non-inclusive reward systems. This article aims to explore the challenges faced by teachers in the digital era and propose strategies to enhance the dignity of the profession. The study was conducted through a literature review collected from academic databases such as Sinta and Google Scholar, covering the period 2018-2024, with a focus on sustainable technology training, holistic contribution-based reward systems, and cross-sector collaboration. Thematic analysis techniques were used to identify key themes such as the challenges of technology adaptation, unequal reward systems, and the humanistic roles of teachers. The results indicate that recognizing the humanistic roles of teachers, along with technological support and equitable rewards, is crucial for maintaining their dignity. This research provides concrete recommendations to support teacher professionalism in the digital era

Empowering Nurses for Effective Diagnostic Stewardship: An Initiative to Address Anti-Microbial Resistance

AimThis study aimed to evaluate nurses' baseline understanding of diagnostic stewardship (DS) principles and the impact of an educational intervention on their knowledge and practices. BackgroundAntimicrobial resistance (AMR), driven by inappropriate antibiotic use, is a critical global health threat. Effective antimicrobial stewardship (AMS) requires integrating DS to ensure accurate diagnoses through proper test requisition, specimen handling and timely reporting. However, understanding and implementation of DS remains poor in general, contributing to inappropriate antibiotic use. Nurses play a crucial role in DS, yet their potential is underused, highlighting the need for targeted educational interventions. DesignA quasi-experimental pre-post study conducted from September 2022 to March 2023. MethodsA gap analysis assessed nurses' baseline knowledge of DS informing the development of an online training program. In the intervention phase, pre-and post-assessments measured knowledge improvements after the intervention. ResultsIn phase 1, 310 out of 517 nurses completed the gap analysis, with an average score of 6.59 out of 20 (range: 2-13; median score: 6.5). In phase 2, 228 of 613 nurses completed both pre- and post-tests, showing a significant improvement in scores from 4.69 (median 5), in pre-test to 6.22 (median 6) in post-test. ConclusionThe educational intervention significantly enhanced nurses' knowledge of AMR, specimen selection, culture indications and collection techniques. Sustained training is vital to strengthen diagnostic practices, reduce inappropriate antimicrobial use and combat AMR.

A systematic review of green and sustainable chemistry training research with pedagogical content knowledge framework: current trends and future directions

This study reviewed the green and sustainable chemistry education (GSCE) research that provided training at the tertiary level from 2000 to 2024. The Web of Science and ERIC databases were screened using title and abstract review. In total, 49 studies were analysed. The analysis instrument has two main parts, namely, general characteristics of the training, which was formed in light of the GSCE literature (i.e., chemistry sub-disciplines, type of implementation, and context), and analysis of the training through the lens of pedagogical content knowledge (PCK) construct that is the commonly-used framework for the analysis of training regarding orientation to teaching GSCE, learner, curriculum, assessment, and instructional strategies utilised. Results showed that organic chemistry (n = 15) is the most emphasised branch of chemistry in the articles. Regarding the learner component, the studies were inadequate, and very few studies provided information about the misconceptions and difficulties that students may encounter while learning GSC. Regarding the curriculum component, among the green chemistry principles, ‘use of renewable feedstocks’ was the most emphasised, while the least emphasised ones were ‘reduce derivatives’ and ‘real-time pollution prevention’. Fourteen studies used subject-specific teaching strategies (e.g., cooperative teaching and project-based strategies). Although representations are not used in GSCE, most of the studies included laboratory studies (n = 31). Finally, regarding the assessment, very few studies focused on measuring students' skills (laboratory skills, discussion skills, etc.) and affective variables. In light of the findings, GSCE training should get more benefit from the literature on science/chemistry teaching strategies. Moreover, alternative assessment tools (e.g., rubrics and concept maps) should be utilized regarding the instruments utilized to assess the participants' GSC knowledge.

Analysis of Financial Managers' Perceptions of Corporate Sustainability in Indonesia's Sharia Banking Sector

This study analyzes the perceptions of financial managers regarding corporate sustainability within Indonesia's Sharia banking sector, with a focus on understanding their attitudes and insights into sustainable practices and their alignment with Islamic principles. Employing a qualitative approach, this research relies on literature review and library research methods to explore existing academic and industry sources on corporate sustainability and Sharia banking. By synthesizing insights from scholarly articles, regulatory guidelines, and case studies, the study identifies key themes in financial managers' perspectives on sustainability, including economic, social, and environmental dimensions, as well as the unique ethical considerations inherent to Islamic finance. Findings suggest that financial managers in Sharia banks increasingly recognize the importance of corporate sustainability, viewing it as integral not only to financial performance but also to fulfilling religious and ethical obligations. However, challenges such as limited regulatory frameworks, resource constraints, and balancing profit with sustainable objectives are noted. The study highlights the need for more structured guidelines and training to enhance managers' understanding of sustainable practices that comply with Sharia principles. This research contributes to the growing discourse on sustainability in Islamic finance and provides insights into the complexities of implementing corporate sustainability within the Indonesian Sharia banking landscape, offering implications for policy development, organizational training, and future research in sustainability within Sharia-compliant sectors.

Application of Virtual Reality, Artificial Intelligence, and Other Innovative Technologies in Healthcare Education (Nursing and Midwifery Specialties): Challenges and Strategies

This article focuses on enhancing the quality of training in nursing and midwifery specialties through the application of innovative technologies in education. The widespread integration of innovations into the education process creates expanding opportunities for the implementation of modern, sustainable, and technology-supported training methods. An innovative training system for nurses and midwives was developed and implemented over one academic year. The system incorporated educational video materials, serious games, problem-solving activities, and more. Additionally, the study explored the potential of leveraging artificial intelligence and virtual reality to enhance training effectiveness. Participants in the educational experiment were divided into an experimental group (who received additional training through innovative methods) and a control group (who underwent traditional training). Both groups underwent pre-tests and post-tests to evaluate their practical skills in injection techniques. The results demonstrated a significant improvement in the acquisition of patient care skills when modern interactive technologies were integrated into the training process. Statistical analysis confirmed the significance of the obtained results. This research provides foundational methodological guidelines for researchers, educators, and curriculum developers interested in incorporating innovative interactive technologies into healthcare education.

Sustainable Shipping Requires Sustainable Education and Training

The Blue Economy is a multi-layered economy in its content, although it only reflects the relation between the sea and business. Shipping plays an essential role in this economy, as it holds the largest market share. Sustainable shipping, however, requires the sustainability of a number of the components that make it up. One of the most important components is the training of marine personnel, and particularly the ship’s crew. Over the past two decades, the Lifelong Learning strategy has been firmly established in shipping, manifested through a variety of practices. In order to ensure the continuous and sustainable training of ship’s crews, the companies have introduced annual seminars, which aim to familiarize the officers with current business topics. This article analyzes the delivery methods and quality of training in six seminars conducted by four different shipping companies carried out in three different countries. The scientific method “interview” was used for gathering the necessary information for analysis of the strengths and weaknesses of this type of training, and the way it was conducted. A significant number of deck officers and engineers, participants in all seminars, were surveyed to create a clear picture of the quality of such education and training. Collected data were used for the analysis of the strengths, weaknesses, opportunities and threats (SWOT) associated with the surveyed fleet officer’s seminars. A comparative analysis of this type of postgraduate training was made, while taking in mind higher marine education and training. The article summarizes the authors’ experience of their sea service as Officers of the Watch and Masters on board of merchant vessels, as well as participants in postgraduate education and training. Conclusions for close cooperation between shipping companies and maritime educational institutions are made.

Strategi Efektif dalam Pelatihan dan Pengembangan Sumber Daya Manusia di Lembaga Pendidikan

Training and development of human resources (HR) in educational institutions are crucial for enhancing the quality of education and educators’ ability to face increasingly complex teaching challenges. This study aims to analyze effective strategies for HR training and development in educational settings, using a Systematic Literature Review (SLR) approach. This method was used to identify, evaluate, and summarize key findings from relevant studies on HR training and development in the education sector. The results indicate that competency-based training, the use of technology in learning, and collaborative learning are strategies that have proven effective in improving educators’ performance. However, challenges such as resource limitations, infrastructure, and managerial support pose barriers that need to be addressed to maximize training effectiveness. These findings provide valuable insights for educational institutions in designing more sustainable and relevant training programs in line with evolving educational demands.

Urban agriculture as an evolved sustainable urban livelihood: evidence from Kampala city, Uganda

BackgroundFor centuries, urban agriculture has been a vital livelihood strategy of urban households in developing countries. Previous studies looked at urban agriculture at a point in time as an urban livelihood for the urban poor that struggle with eking out a living, without the current dynamism, which attracts the non-poor into the practice. Having become an integral part of the urban economy, the study objective was to use poultry farming, to explore the role of urban agriculture as an evolved and dynamic urban livelihood that attracts the non-poor.MethodsThe study was conducted in Kampala, Uganda’s capital city. The unit of analysis were urban farming households. Data were collected through four (4) Focus Group Discussions (FGDs), sixteen (16) key informants and twenty (20) In-Depth Interviews (IDIs) using purposive sampling techniques. Data were collected for a period of two (2) months using unstructured research instruments, triangulated and thematically analysed.ResultsOur results indicate that; urban agriculture is an evolving urban activity. This evolution and continuities were driven by the merits of urban agriculture (food, jobs and income) to urban dwellers. Urban agriculture also contributed to the economic inclusion of women and the urban poor. There was household resource logic in practicing urban agriculture, especially in the private sector, where jobs were scarce. In view of these innovations, the urban authorities were supporting urban farmers with demonstrations and certified inputs for farmers in Kampala and beyond. To further develop urban agriculture, it is recommended that farmers organize themselves into viable groups to further realize corporate advantages such as better resource access such as affordable financing, access to better inputs and linkages with various institutions and stakeholders in production, value addition, policy and marketing for better returns and sustainable farming practices.ConclusionsThese findings if used in perspective by planners and regional managers have utility for the anchoring of urban agriculture in the urbanisation agenda for Uganda and beyond. It is envisaged that, stakeholders can draw useful actions relating to sustainable urban food production (consumer food shed), waste management, incomes, job creation, training, research and innovations in urban areas.

Transactional leadership for implementing a green campus: Driving sustainable change through effective leadership strategies

This paper explores the role of transactional leadership in implementing green campus initiatives, as long as the strategy, challenge and limitations. As higher education institutions face growing pressure to adopt sustainable practices, effective leadership is paramount. Qualitative research with a case study approach was used to answer research questions. The data in this research is in the form of interviews and documentation at Islamic state universities in Indonesia with the best green campus. Transactional leadership, focusing on clear objectives, rewards, and performance-based management, offers a structured approach to achieving campus environmental sustainability. This paper examines how transactional leadership can be utilized to drive the adoption of green policies, engage stakeholders, and achieve measurable environmental outcomes. One of the key strengths of transactional leadership in green campus initiatives is its ability to provide structure and clarity. Stakeholder participation in green campus initiatives can be encouraged by transactional leadership's emphasis on incentives and rewards. The implementation of green campus projects is greatly aided by transactional leadership, which offers structure, direction, and motivation through rewards and incentives. Higher education institutions must have certain strategies: leadership and vision, stakeholder engangement and collaboration, sustainable education and training, as long as monitoring and evaluation to succeed green campus. However, there are several challenges and limitations to implementing a green campus, such as: budgetary limitaions, infrastructure and technological constraints, cultural and behavioral opposition, complexity and multidisciplinary collaboration, measurement and accountability, managing conflicting priorities, policy and regulatory challenges.

Factors affecting adoption of green procurement in the health sector: A qualitative review of Zimbabwe's health sector

Green procurement is one of the major topical issues that have become increasingly popular worldwide as the world embraces sustainability. Zimbabwe is one of the countries in the world that is struggling to adopt the use of green procurement in the health sector. Some identified factors affecting such adoption are lack of technology and infrastructure, training and awareness especially of the procurement officers and those in charge of the sector, policy and regulatory framework, limited supply chain, economic pressures and stakeholder engagement. The study’s objective was toidentify and analyse factors affecting the adaptation of green procurement practices in Zimbabwe’s health sector. The study used qualitative secondary data, and three key documents were analysed in the ATLAS. ti 24. Themes were created and results confirmed the challenges faced by adopting green procurement in the health sector in Zimbabwe. The study found that economic challenges, policy and regulatory framework shortfall, limited supply chain management, lack of stakeholder engagement, technology and infrastructure shortfalls and failure to have training and awareness regarding green procurement. Policymakers should encourage collaborations and partnerships between government and industry can facilitate the sharing of knowledge, best practices and resources. Zimbabwe as a signatory to the Abuja Declaration of 2001, the country can revert to this agreement and meet the suggested 15% of the total country budget set aside only for the health sector to support the adoption of green procurement. The study recommends that the government make use of the monitoring and evaluation systems that will influence policymakers in support of green procurement. The study recommended that the government should enact policies that support sustainable procurement and training should be carried out as Zimbabwe is one of the countries that signed the Sustainable Development Goals especially goal number 3.

Training on antibacterial liquid soap making from nipah leaf extract to support SDGs-3 good health and well being

Wori Village, located in the buffer zone of the Likupang Tourism Special Economic Zone (KEK), requires development of both its natural and human resources. Natural resource optimization can be achieved through diversification, specifically by producing liquid soap from the nipah plant. Human resource development necessitates increased public awareness of skin health and personal hygiene. This Community Service aimed to educate the Wori Village community on personal hygiene and provide a practical solution for reducing skin diseases through the use of antibacterial liquid soap. The methodology comprised socialization, training, technology application, mentoring, evaluation, and plans for program sustainability. The resulting NIPALS soap met quality standards, exhibiting a pH of 7. Evaluation demonstrated a 96.7% increase in participants' knowledge of personal hygiene and soap-making (pre-test vs. post-test). Furthermore, 95.5% of participants expressed satisfaction with the soap (4.5% considered it average). Positive user experiences included a 97% absence of itching, 76.7% reporting a tightening effect, and 70% noting moisturization. These results, supported by positive hedonic test results, confirm the successful production of liquid soap by the participants.

Health professionals’ continuing education attitudes and experiences in food and nutrition sustainability

Abstract Further training opportunities in food and nutrition sustainability are considered to be generally lacking in Malta. The main aims of this descriptive pilot study were therefore to identify health professionals’ past continuing education (CE) behaviours and to provide insights for the future development of post-qualification training in food and sustainability subject areas. A cross-sectional study design was employed through the use of an anonymised survey which was disseminated online, targeting health professionals who were currently practicing in Malta. 84 respondents from various health professions returned the survey. Most had not received any previous post-qualification training in food and nutrition sustainability. Improved knowledge and competencies were listed as the main advantages for CE, with lack of time, or funding, perceived as the main challenges. This study confirms the lack of post-qualification training opportunities in food sustainability for local health professionals. Further exploratory research is encouraged to understand specifically the needs related to workplaces, benefitting professionals as well as patients, whilst incorporating ways to strengthen sustainability literacy and improving affordable and accessible further training programmes for health professionals. These lessons for practice can be extended for use within wider international settings.