Over the past three decades, occupational therapy literature has increasingly explored how new graduate occupational therapists transition into different areas of practice. However, limited evidence exists on the facilitators and barriers influencing new graduates' ability to work effectively in paediatric practice. In Australia, more new graduate occupational therapists are working with children and families, particularly in private settings that have expanded following the introduction of the National Disability Insurance Scheme (NDIS). In this context, understanding how new graduates develop competence is important for supporting effective practice in paediatric settings. The aim of this scoping review is to identify and synthesise the existing literature on the skills, attributes, facilitators, and barriers that influence new graduate occupational therapists' ability to work effectively with children and young people aged 0-18 years. This scoping review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and Joanna Briggs Institute guidance. Databases were systematically searched for studies describing occupational therapists with less than three years of experience working with children and young people. One reviewer screened all titles, with independent screening of an initial sample by a second reviewer to ensure consistent interpretation of the eligibility criteria. Data were extracted using a piloted tool, and included studies were independently appraised for evidence level and quality. Findings were synthesised using conventional content analysis. This scoping review had no consumer or community involvement. Of 3040 records identified, 13 met the inclusion criteria and were included in this scoping review. Four clusters were identified: (1) preparedness for the role; (2) setting or context matters; (3) support and continuing professional development; and (4) the new graduate experience. This scoping review provides a greater understanding of the experiences of new graduate occupational therapists working with children and families, and the workforce factors that enable or hinder effective practice and transition into paediatric roles. These findings are particularly relevant to contemporary Australian paediatric practice, where the introduction of the NDIS has influenced aspects of workforce and supervision structures. Findings also highlight priorities for education, supervision, and workforce planning to support new graduate occupational therapists working with children and families.

Abstract People may experience stress related to the demands and conditions of remote work. Remote work stress is a potential outcome of this experience, characterized by the psychological strain associated with working outside traditional office environments and assessed through the Remote Work Stress Scale (RWSS). In the current study, the RWSS was developed and validated for the first time in the cultural context of Türkiye. The study included remote employees from various sectors. The average age was 36 years ( SD = 8.33 years), with an average of 12 years of work experience ( SD = 8.51 years). Participants worked an average of 42 hr per week ( SD = 8.40 hr), including 22 hr ( SD = 14.78 hr) remotely. The reliability and validity of the measure were examined through exploratory and confirmatory factor analyses. The results supported a five‐factor structure and indicated an acceptable model fit. The scale also demonstrated high internal consistency and meaningful item–total correlations. It has been determined that remote work stress is a distinctive phenomenon, and the Remote Work Stress Scale is a valid and reliable tool for assessing stress related to remote work in Türkiye.

Burnout among ghanaian radiographers - A nationwide study.

Junior nurses in the intensive care units (ICU) may feel insufficiently prepared due to limited clinical competencies. They often encounter challenges in perceiving, predicting and responding to changes in patient conditions, which may impact patient safety and the quality of care. To explore how junior nurses working in the ICU experience and manage changes in patient conditions. A descriptive qualitative approach was utilised to conduct a study with 15 registered nurses with less than 2 years of experience working in ICU in China. Data were collected through semi-structured interviews and analysed using inductive thematic analysis. Three core themes emerged: (1) cognition of patient condition changes, (2) anticipation of patient deterioration and (3) recognition and response to patient deterioration. Participants primarily relied on organisational norms and personal experiences rather than the best available evidence in information acquisition, analysis and clinical decision-making. Our findings indicated that junior nurses may rely on personal experience and organisational norms when managing patient condition changes. They expressed a need for teamwork and collaborative learning, but they reported a lack of confidence in initiating it. These findings highlighted the need to support junior nurses from organisational and cultural perspectives to enhance their capabilities and improve the quality of managing patient condition changes. This study identified critical competency gaps in patient management among junior ICU nurses, underscoring the need to embed evidence-based protocols into informal learning processes to reduce safety risks and promote context-sensitive clinical decision-making.

Based on my more than four years of work experience in the pharmaceutical industry, I once regarded "compliance" as an external constraint rather than a core competitiveness. In the era of short videos, numerous peers have released content that skirts regulatory rules to drive traffic and achieve considerable profits. This situation made me somewhat eager for quick success and instant benefits, as I was overly eager to achieve better results and more career development opportunities. Consequently, pharmaceutical supervision laws and regulations such as Decree No.24 once became a straitjacket that hindered me from creating outstanding and influential promotional content. Later, when contemplating entrepreneurship, I realized this issue—what was a constraint for me could also be an opportunity from another perspective. Upon reflection, the particularity of the pharmaceutical industry (e.g., the stringent restrictions on publicity stipulated in the Advertising Law and the Drug Administration Law) is precisely the cornerstone for building user trust. Some practitioners have resorted to edge-ball practices, leading to market chaos and a decline in consumer trust. During a business trip for market research last year, I found that traditional pharmaceutical marketing models (e.g., offline promotion) are experiencing diminishing efficiency. These models have failed to fully embrace the digital trend, resulting in the loss of early traffic dividends. The number of in-store purchasers has decreased, and more young people choose to buy pharmaceutical products through online food delivery platforms.

Caregivers, particularly community-based rehabilitation (CBR) workers, play a crucial role in promoting oral health (OH) care for individuals with disabilities (IWDs). In this study, CBR workers are considered caregivers as they provide direct care and rehabilitation support to IWDs. Their OH knowledge and attitudes influence their ability to implement proper oral hygiene practices and advocate for better OH outcomes. This study aimed to assess the OH knowledge and attitudes of CBR workers in Malaysia, identifying gaps that could inform targeted training programs and policy improvements. A cross-sectional survey of 83 CBR workers employed a validated questionnaire to assess OH knowledge and attitudes towards OH care for IWDs. Descriptive statistics were used to summarise demographic variables, whereas associations between key factors (age, work experience, education level) and OH knowledge and attitudes were analysed using Chi-square tests and Pearson's correlation. Most participants were female (89.2%) and of Malay ethnicity, with the largest age group being 31-40 years old (32.5%). Although CBR workers exhibited good OH knowledge, their attitudes towards OH care were neutral. A significant association was found between years of work experience and OH knowledge (p < 0.001). Additionally, Pearson's correlation showed a positive correlation between attitude levels and education level (p = 0.002*). Although CBR workers demonstrated good OH knowledge, their neutral attitudes highlight the need for enhanced training programs. Developing structured training and comprehensive protocols could improve OH care delivery for IWDs and strengthen caregivers' effectiveness.

Introduction: The behaviour of patients plays a vital role in reducing the risk of needle-stick injuries. Uncooperative or agitated patients can make it challenging for healthcare workers to administer procedures safely, more difficult when the healthcare worker does not have enough experience to handle such. Hence, this study investigated the effects of patient behaviour and work experience in needle stick injuries among healthcare practitioners in tertiary hospitals, Rivers State. Materials and Methods: The study adopted descriptive correlational survey design with a population of 4,100 healthcare workers in the three functional tertiary health institutions in Rivers state (University of Port Harcourt Teaching Hospital, Rivers State University Teaching Hospital and Madonna University Teaching Hospital). A sample size of 879 was predicted using Cochran formula and a multi-stage sampling procedure. Pearson Products Moment Correlation was used to obtain a Reliability coefficient value of 0.82. Instrument for data collection was a structured questionnaire titled “Predictors of Needle-stick Injuries among Healthcare Workers Questionnaire” (PNIHWQ) and analyzed using statistical tools such as mean, percentage, frequency, standard deviation and logistic regression at 0.05 level of significance. Findings: The result of the study showed that, 7% of years of work experience predict needle-stick injury among healthcare workers in tertiary health institutions. The result indicated that years of work experience is about 7 times more likely to predict needle-stick injury among healthcare workers. The extent to which patient behaviour constituted a predictor of needle-stick injuries among healthcare workers in tertiary health institutions, Rivers State was high as the grand mean of 2.71 and 0.79 was greater than the criterion mean of 2.50. In addition, patient behaviour significantly predict needle-stick injuries among healthcare workers (F-value = 30.148, p&lt;0.05). Conclusion: It was concluded that needle-stick injury was predicted to a high extent by years of work experience and patient behaviour. the study recommended among others, that the managers of health institutions should establish safety inspection teams to evaluate adherence to safety protocols at all stages of medical practices to reduce incidence of NSI.

During the Coronavirus disease 2019 (COVID-19) pandemic, smart technologies have been increasingly adopted in nursing education to reduce infection risk. However, the effectiveness and acceptance of smart glasses in clinical training remain unclear. This study aimed to identify factors influencing ratings of smart glasses and to examine rating correlations between paired nursing students and teachers following one-on-one training. We conducted a paired observational pilot study involving 30 nursing student–teacher pairs from Kaohsiung Armed Forces General Hospital, Taiwan, between November 2021 and December 2022. After completing clinical training using smart glasses, participants evaluated familiarity, satisfaction, time saving, and objectivity using a structured 5-point Likert-scale questionnaire. Group differences were analyzed using chi-square tests, independent t-tests, and 1-way ANOVA. Pearson correlation and linear regression analyses were performed to identify associated factors and inter-pair correlations. The results showed that teachers’ familiarity scores were significantly lower than students (P = .004). The higher time saving scores was significantly showed in teachers compared with students (P = .04). The satisfaction scores of students aged ≥24 years old were significantly lower than those of students aged <24 years old (P = .02). Teachers with ≥15 years of work experience had significantly lower familiarity scores than teachers with < 15 years of work experience (P = .03). Teachers with no experience using other smart technologies had significantly lower familiarity scores than teachers with experience using other smart technologies (P = .03). Among teachers, age (P = .01) and work experience (P = .04) were negatively correlated with familiarity scores. Finally, the familiarity (P = .03) and satisfaction scores (P = .02) of the paired students were positively correlated with the familiarity and satisfaction scores of the paired teachers. Smart glasses were less familiar to senior teachers and those without prior smart technology experience. Age and professional experience significantly influenced acceptance levels. Positive interdependence between paired students and teachers suggests that mutual adaptation may enhance smart technology implementation in clinical nursing education.

This study aimed to assess male barbers' knowledge, attitudes, and practices (KAP) in Herat City, Afghanistan, regarding HBV/HCV transmission and prevention. A cross-sectional survey using a structured, localized KAP questionnaire based on validated tools was conducted from April to June 2025, involving 283 practicing male barbers in Herat. Descriptive statistics summarized binary scores, while associations between KAP and sociodemographic factors were analyzed using chi-square or Fisher's exact tests, and logistic regression has also been applied (p < 0.05). Among 283 male barbers, good knowledge was higher among those aged 31-50 years (73.7%) compared with those aged 21-30 years (58.5%) and 18-20 years (48.5%) (p = 0.008), and among those with > 8 years of work experience (70.5%) compared with those with ≤ 8 years (45.8%) (p < 0.001). Good preventive practice was higher among barbers who had formal training (68.8%) compared with those without training (48.0%) (p < 0.001). In multivariable analysis, barbers with > 8 years of work experience had higher odds of good knowledge than those with ≤ 8 years (AOR = 2.74; 95% CI 1.40-5.35) (p = 0.003). For attitude, barbers with fair economic status had lower odds of a positive attitude compared with those with good economic status (AOR = 0.25; 95% CI 0.06-0.97) (p = 0.046), while those working > 12 h per day had higher odds of a positive attitude than those working ≤ 12 h (AOR = 1.98; 95% CI 1.11-3.51) (p = 0.020). For practice, barbers aged 21-30 years had lower odds of good practice than those aged 18-20 years (AOR = 0.32; 95% CI 0.16-0.66) (p = 0.002), barbers serving > 5 customers/day had lower odds of good practice than those serving ≤ 5 customers/day (AOR = 0.50; 95% CI 0.29-0.88) (p = 0.016), and barbers without formal training had lower odds of good practice than those with training (AOR = 0.50; 95% CI 0.29-0.89) (p = 0.017). Male barbers in Herat City demonstrate commendable hygiene practices but exhibit significant gaps in their knowledge and attitudes regarding HBV/HCV. These findings highlight the need for targeted education and vaccination programs, integrated into barber training, to improve preventive attitudes and reduce the risk of viral transmission. Public health interventions that incorporate barbers into hepatitis control strategies are essential for mitigating the spread of HBV/HCV in the community.

Background Nationally, drug overdose deaths have increased 3-fold over the past two decades, and as of 2023 were significantly higher in Washington (WA) state. Medication for opioid use disorder (MOUD) reduces morbidity and mortality of opioid use; however, delivery often occurs in clinics with multilevel barriers to care. Mobile and street-based models are strategies for engaging individuals at high risk of an overdose by bringing MOUD directly to people who use drugs (PWUD) in the community. This study used the RE-AIM (Reach Effectiveness Adoption Implementation Maintenance) framework to systematically examine cross-programmatic care delivery and sustainability of mobile and street-based MOUD models in King County, WA. Methods We conducted semi-structured interviews with frontline providers and administrators between January-June 2025. Eligible programs provided MOUD in King County, WA, and delivered care using a mobile and/or street team model. Using team-based iterative coding, we developed initial codes deductively from REAIM and refined the codebook during consensus coding, allowing inductive codes to emerge. A qualitative descriptive methodology informed by RE-AIM was applied for thematic analysis. Results Participants (n = 21) were from 13 unique MOUD programs and were mostly female (57%), held a master's degree or higher (67%), and had an average of 7 years of work experience with opioid use disorder. Patients reached were often living unhoused with complex comorbidities and were identified through referrals, outreach, and co-location with social services. Effectiveness was often measured by funder-driven metrics that participants felt focused on clinical and process outcomes rather than accurately capturing patient well-being. Flexibility in training, staff roles, practice, and medication protocols was key to the adoption of MOUD in mobile and street environments. Implementation was facilitated by interdisciplinary teams, the combination of established mobile vans with targeted high-touch outreach, and holistic wraparound care. Programmatic maintenance depended on strong community partnerships and diverse funding streams. Sustainability hinged on program capacity meeting increasing demand and on transitioning clients to clinic care, so outreach efforts could continue to center on PWUD with the highest needs. Conclusions Programs can leverage these mechanisms to initiate and retain individuals at high risk of opioid overdose with MOUD services.

ABSTRACTPurposeTo assess views among different stakeholders around evidence needs during assessment of clinical effects across the medicinal product life cycle, with a focus on real‐world evidence (RWE) in regulatory and health technology assessor (HTA)/payer decision‐making.MethodsA cross‐sectional survey was distributed between November 2023–January 2024 to 1210 European regulators, HTAs, payers, and other stakeholders (i.e., industry, academia, healthcare professionals, and patient representatives). The survey included questions on their experience and views on evidence needs, which were analysed descriptively and with non‐parametric testing.Results191 respondents (110 regulators, 24 HTA/payers and 57 others) from 32 European countries completed the survey (response rate: 16%). Most respondents were between 41–60 years and 53% had > 10 years of work experience. Respondents were least confident in assessing evidence based on adjusted indirect comparisons and network meta‐analyses. Randomization and clinically relevant endpoints were considered most relevant in studies, while country‐specific data and patient preferences were considered least important. Respondents acknowledged that there are uncertainties on the clinical effect of medicinal products in the different stages of the medicinal product life cycle, but the views on the usefulness of RWE to address these uncertainties varied across stakeholder groups and life‐cycle stages. RWE was considered most likely to be accepted as supplementary evidence for orphan diseases and when randomized controlled trials (RCTs) are infeasible.ConclusionOur findings highlight opportunities and challenges in using RWE to reduce uncertainties in decision‐making around medicinal products. This may contribute to a dialogue on how and when to augment evidence from RCTs with RWE.

This research analysed the price negotiation strategies employed at Tasya Collection, a fashion businessspecializing in the sale of hijabs and women’s accessories. The negotiation process between sellers and buyersis the primary focus, as many customers have complained about prices being higher than those found in onlineshops, as well as a lack of flexibility in bargaining. This study employs a descriptive qualitative method, withdata collected through direct observation and the author’s four years of work experience at the shop. Thefindings indicate that current price negotiation strategies remain limited, with a maximum discount of only Rp5,000, regardless of customer loyalty or purchase volume. This strategy is considered ineffective in maintainingcustomer satisfaction and enhancing the shop’s competitiveness. Therefore, it is recommended that the shopowner adopt a more flexible and responsive negotiation approach to better meet consumer needs.Keywords: price negotiation, sales strategy, customer satisfaction, fashion shop, Tasya Collection

Objective: We examined caregivers’ awareness of the revised social welfare facility evaluation indicators, oral health awareness, attitudes, oral health practice, and educational needs following the 2024 inclusion of oral care as a mandatory evaluation item in South Korea. Methods: A cross-sectional survey was conducted among 47 staff members working in social welfare facilities in Siheung City. Data were analyzed using descriptive statistics, Kruskal–Wallis tests, and Spearman’s correlation analysis, with a significance threshold of p&lt;0.05. Results: While caregivers showed relatively high levels of oral health awareness, 62.5% of them had received no formal oral health education. The most common barriers to participation were lack of time(28.1%) and manpower(12.4%). The most important educational topics were denture care(26.1%), tooth brushing instruction(18.3%), and dry mouth management. Preferred educational methods were face-to-face lectures and on-site coaching. Oral health awareness correlated positively with good oral health practices and attitudes. In contrast, years of work experience showed a significant negative correlation with oral health attitude (r=–0.410, p&lt;0.01). Conclusions: Although awareness is high, education and practices are insufficient. Structured education programs, institutional support, and regular professional interventions are essential for effective maintenance of oral care standards in social welfare facilities.

Purpose The flexible assertive community treatment (FACT) model has rapidly gained ground in Norwegian mental health services. The interprofessional team aims to support all service users’ needs and work in a recovery-oriented way. The involvement of service users in shaping the services they need has been debated. This study aims to examine how the professionals in FACT teams facilitate user involvement. Design/methodology/approach Qualitative interviews were conducted with 24 professionals from three teams in urban areas of Norway. All participants had more than one year of experience working in FACT teams. Reflexive thematic analysis was applied. Findings This study identified three strategies for service user involvement used by professionals in FACT teams. First, professionals exercised discretion and improvised, forgoing strict adherence to professional norms grounded in experience. Second, they worked on balancing the power asymmetry between service users and professionals. Third, they navigated the system to achieve service users’ goals. Research limitations/implications Only professionals in FACT teams were interviewed in this study. Further research is needed on how service users experience the facilitation and negotiation of user involvement. Originality/value This study demonstrates important strategies that FACT professionals use to facilitate and negotiate user involvement in recovery-oriented practices.

This study explored the lived experiences of Community Health Practitioners(CHPs) regarding their perceptions of job competency within a changing community healthcare environment and examined how they construct and expand their professional roles. A qualitative study employing a phenomenological approach was conducted using a Focus Group Interview(FGI). Six CHPs with more than three years of work experience participated in one focus group session. Data were collected through open-ended questions to facilitate in-depth discussion and interactive reflection among participants. The data generated from group interaction were analyzed using Colaizzi’s phenomenological method to identify essential meanings and thematic structures. A total of 198 significant statements were extracted, from which 32 formulated meanings were derived. These were organized into 16 themes and ultimately integrated into five theme clusters: (1) re-recognized value of job roles through practice, (2) practical efforts to compensate for limited clinical experience, (3) gratitude awareness formed through everyday practice, (4) perceived limitations of professional medical knowledge in field settings, and (5) newly recognized competencies in response to environmental changes. The findings indicate that CHPs are not merely healthcare providers but active professionals who continuously reconstruct their roles in response to community needs. Job competency emerged as a dynamic and evolving process shaped through field experience and reflective practice. These results highlight the need for practice-based competency education programs and provide foundational evidence for competency-based curriculum development and policy support to strengthen professional capacity.

This study aimed to elucidate the association of the difficulty in judging the ability of older adults with dementia to continue living at home alone, with care management information and interdisciplinary collaboration. A cross-sectional questionnaire survey was conducted with 1104 care managers (CMs) working at home-based care management facilities in Japan that cater to older adults with dementia living in communities. The items surveyed were attributes, background, difficulty in determining whether they can continue living at home, everyday life and environment, cognitive symptoms, mental and physical conditions, interactions, need for an adult guardianship system, and degree of implementation of interdisciplinary collaboration, all pertaining to the older adults with dementia living alone and cared for by the CMs. Binomial logistic regression analysis was performed with the presence or absence of difficulty in judging clients’ ability to continue living at home as the dependent variable, and attributes, background, and other information on the older adults with dementia, and interdisciplinary collaboration as independent variables. Regarding the 1104 participants, 72.1% were women, mean age was 51.2 years, mean years of work experience as CMs was 9.8 years, mean number of cases of older adults with dementia handled per year was 15.9, and 40.9% had experience as a Chief CM. Among the participants, 89.0% reported difficulty in judging the ability of an older adult to continue living at home alone. Based on the logistic regression analysis, insufficient collection of information on oral function (odds ratio [OR] 2.091, 95% confidence interval [CI]: 1.341–3.259) and necessity of adult guardianship systems (OR 1.551, 95% CI: 1.036–2.324), and the absence of experience of working as Chief CM (OR 1.511, 95% CI: 1.027–2.221) were found to be significantly associated with difficulty in making a judgement. We believe that to decide whether an older person with dementia can continue living at home alone, it is likely useful for CMs to grasp the state of oral function, consider protection of their rights, understand the support system in the community, and gain experience in interdisciplinary collaboration.

This study aims to estimate the prevalence and associated factors of anxiety, depression and stress symptoms among doctors working in hospitals with COVID-19 treatment units in the Anuradhapura district, Sri Lanka. Cross-sectional descriptive study. Hospitals with COVID-19 treatment units in Anuradhapura district, Sri Lanka. This study was conducted during the third wave of the pandemic in Sri Lanka in 2021. The study included all the doctors working in hospitals with COVID-19 treatment units in Anuradhapura. The Depression Anxiety and Stress Scale-21 was used to assess the prevalence of anxiety, depression and stress. Logistic regression analysis was performed to identify factors associated with anxiety, depression and stress symptoms. Doctors working in hospitals with COVID treatment units in Anuradhapura, Sri Lanka. None. Anxiety, depression and stress symptoms. Among the 385 participants, 52% (n=201) were male, with a mean age of 36.1 years (SD 7.2). The majority were married (76%, n=291). Nearly 50% had less than 5 years of work experience. Prevalence of anxiety, depression and stress was 38% (95% CI 32.8% to 42.7%), 34% (95% CI 30.1% to 39.8%) and 21% (95% CI 16.6% to 24.9%), respectively. Lack of professional fulfilment, excessive workload, lack of psychological support, being a junior staff member, inadequate guidance, lack of occupational safety equipment, working in a COVID unit, having young children, being quarantined during the pandemic and having a history of psychiatric illness were associated with anxiety, depression and stress symptoms. This study revealed that nearly half of doctors working in hospitals with COVID-19 treatment units experienced symptoms of anxiety, depression or stress, which may have a negative impact on healthcare service delivery, particularly during crises such as the COVID-19 pandemic.

BACKGROUNDNursing care for patients undergoing percutaneous nephrolithotomy (PNL) is a crucial step in reducing complications and promoting recovery. Infection control procedures are vital tools for preventing most complications. Proper nursing education and training for managing these patients can provide sufficient protection against urinary tract infections and related issues, such as secondary hemorrhage and hospital readmission.AIMTo evaluate nurses’ performance after receiving nursing instructions regarding the infection control measures for patients with PNL.METHODSA quasi-experimental research design (pretest-posttest) was employed. The study was conducted at Assiut University Urology Hospital, Assiut University, Egypt. The participant nurses worked in units providing healthcare for patients who underwent PNL and received focused nursing instructions on infection control measures. The tools used included a structured questionnaire assessing their knowledge of PNL healthcare and a nurses’ practice observation checklist. The researchers completed these tools before and after the nurses received focused education on infection control measures. The focused education was provided through an illustrated booklet. The local ethics committee approved this study.RESULTSThis study comprised 30 nurses, including 19 females (63.3%). Of these, 46.7% were in the 20-25 age group, 90% had a high educational level, and 50% had less than 5 years of work experience. Significant differences were observed between pre- and post-test scores in overall performance (P = 0.001), total preoperative scores (P = 0.001), immediate postoperative scores (P = 0.006), infection control measures (P = 0.001), and respiratory hygiene practices (P = 0.001). In the pretest, 16.7% of the nurses demonstrated adequate practice levels of infection control measures for patients undergoing PNL, compared to 100% in the posttest (P = 0.001). No significant relationships were found between nurses’ practice levels and their demographic variables (P > 0.050).CONCLUSIONThe nurses’ performance improved significantly after receiving focused nursing instructions on infection control measures for patients with PNL. Nurses should participate in ongoing training programs on infection control procedures.

IntroductionAdverse transfusion reactions (ATRs) can threaten patient safety. Healthcare professionals (HPs) play crucial roles in the prevention and management of ATRs. Although ATRs occur in 0.2–0.6% of transfusions in China, no study has examined the knowledge, attitude, and practice (KAP) toward them. Therefore, the aim of this study was to investigate the KAP of HPs toward ATRs.MethodsThis multicenter cross-sectional study was conducted between October and December 2023 and included HPs from 146 medical institutions enrolled through WeChat professional groups using convenience sampling. An investigator-developed web-based questionnaire (Cronbach’s α=0.82) was used to collect participants’ demographic characteristics and their KAP towards ATRs. Bloom’s cutoffs were used to categorize KAP dimension scores. Multivariable logistic regression analysis was performed, including the factors statistically significant in the univariable analyses.ResultsThe study included 327 (40.93%) nurses, 253 (31.66%) physicians, and 219 (27.41%) transfusion specialists. Among the participants, 598 (74.84%) were females, 238 (29.79%) held a master’s degree or higher, 389 (48.69%) possessed over 10 years of work experience. The knowledge and attitude scores were 11.78±1.78 (possible range: 0–14) and 50.43±4.74 (possible range: 11–55). The practice scores (possible range: 0–50) were evaluated for nurses, physicians, and transfusion specialists respectively, and the mean scores were 49.22±2.79, 47.60±5.09, and 44.35±14.13. Multivariate analysis showed that having a master’s degree or above (OR=1.480, 95% CI: 1.079–2.027, P=0.015) was independently associated with knowledge. The knowledge (OR=1.280, 95% CI: 1.159–1.423, P=0.001), department (OR=1.731–1.763, 95% CI: 1.120–2.696, P<0.050), and the understanding of ATRs (OR=1.122, 95% CI: 1.035–1.218, P=0.006) were independently associated with attitude.ConclusionThe surveyed Chinese healthcare professionals HPs displayed good KAP regarding ATRs. However, specific knowledge gaps were identified, particularly concerning bacterial contamination risks and delayed reactions. While attitudes and self-reported practices were largely positive, targeted educational interventions are recommended to address these identified knowledge deficits and reinforce best practices.

Purpose Sustainability and spirituality are interrelated concepts that hold immense importance in today’s world. The purpose of this study is to explore the influence of spirituality (and its dimensions) on sustainability in the educational sector, in addition to examining the role of socio-demographic factors. Design/methodology/approach A quantitative research design was employed using a structured questionnaire. The data were analysed through independent t-tests, analysis of variance, correlation analysis and structural equation modelling (SEM) to assess relationships between socio-demographic factors, workspace spirituality and sustainability. Findings The study found no significant differences in sustainability levels across gender, age or years of work experience. However, significant differences in workspace spirituality were observed between males and females, and across different age groups and experience levels. Positive correlations were found between workspace spirituality and dimensions such as compassion, transcendence and meaningful work, while mindfulness showed a negative correlation. SEM results further indicated that compassion and meaningful work positively influence sustainability, while mindfulness negatively affects it. Transcendence, however, showed no significant impact. Research limitations/implications The study highlights the deep interconnection between spirituality and sustainability and how socio-demographic factors shape this relationship. It provides insights for educational institutions to foster spiritually enriching environments that not only enhance academic outcomes but also promote ethical awareness, personal growth and environmental responsibility. Originality/value This research uniquely bridges gaps between spirituality, sustainability and employee demographics, offering practical implications for creating spiritually fulfilling and sustainable workspaces in the educational sector.