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Development and testing of the capacity of organisations for system practices scale
Full text linkBackground:
Systems change approaches are increasingly adopted in public health to address complex problems. It is important that measures of systems change be developed so that the effects of systems change on health outcomes can be evaluated. Organisational practices are potential levers for systems change. However, robust measures of organisational capacity to engage in these practices are lacking. Informed by the Theory of Systems Change, we developed and tested the Capacity of Organisations for System Practices (COSP) scale. The COSP scale comprises four inter-related system practices within organisations—adaptation, alignment, collaboration and evidence-driven action and learning.
Methods:
We applied a three-stage process: (1) Item generation; (2) Scale pre-testing; and (3) Structural analyses. Item response theory tests and semantic review, together with factor analytic techniques, were applied to refine the item set and determine the scale structure.
Results:
An initial pool of 97 items was generated and pre-tested with six content experts and four target audience representatives. Modifications resulted in 60 items. In total, 126 participants provided data for the structural analysis. A second-order hierarchical four-factor model fit the data better than the more basic correlated factor model (Δχ2 = 1.758, p = .415). The fit indices for the final 31-item model were acceptable (RMSEA = .084, TLI = .819).
Conclusions:
The COSP scale is ready for further testing to ensure construct validity, stability and utility
co-operation, training and leadership are key factors for successful management of postpartum haemorrhage
No full text[Extract] Births complicated with postpartum haemorrhage (PPH) are considered traumatic for the woman and the obstetric team, but in most cases are preventable emergencies. In this study, Elforse et al1 did a qualitative online survey to explore midwives’ experiences of postpartum haemorrhage of more than 1000 mL at birth. According to the authors, in Sweden, PPH treatment will initiate at >500 mL of blood loss as per the obstetric guidelines; however, it is not considered pathological when the blood loss is <1000 mL
The Protective Factors of Suicide in Agriculture: A Global Scoping Review
No full textIntroduction:
Each year, over 700,000 people die by suicide worldwide, and far more attempt and are impacted by the outcome. Agriculture is one of the most dangerous industries in which to work; it is also exposed to a lot of external stressors, such as climatic conditions, market forces (both input and output) and government regulation, as well as internal such as employment and of staff, multiple skills required and isolation. These stressors contribute to the higher rate of farm suicide cases. While there is growing evidence of the protective circumstances (factors) that protect against suicide and suicidality, more needs to be done in the agricultural sector.
Objective:
To review global literature and consolidate the current knowledge regarding protective factors against suicide and suicidality in agricultural communities and elucidate the implications of these findings.
Method:
A systematic scoping review following the Preferred Reporting Items for Systematic Scoping Reviews (PRISMA-Sc). A range of databases was searched for the terms “suicide*” or “suicidal behavior”, “suicide attempt”, or “suicidal ideation”, or “suicidality”, and “farm*” or ‘agricultural worker*’ or ‘rancher*’ and ‘protective factors’ or protect”. Paper included had to be peer reviewed in English, include people living, working in or with agriculture or lived in an agricultural area.
Results:
Fourteen studies met the study criteria, predominately (72%) from the United States of America and Australia. Four (29%) articles discussed individual coping mechanisms and self-reliance as protective factors against suicide and suicidality, while six (43%) described the influence of social support and perceived sense of belonging on suicide risk. Five (36%) papers examined the association between health-promoting and suicide-prevention initiatives as protective factors in agricultural communities.
Conclusion:
There is limited, however, growing literature about protective factors for the prevention of suicide in agriculture; however, it is skewed to high-income countries. This review demonstrates a link between the development of individual coping skills as a protective factor against suicide in agricultural communities, with a primary focus on farming occupations within this setting. Social support was found to help reduce suicide risk by increasing a sense of belonging. These need to be exploited to drive down suicide rates
Halal service quality: systematic review, conceptual model and future research
Full text linkPurpose: Service quality is an established research area in the services marketing literature and is an integral component in an Islamic economy driven by halal service sectors. Despite its importance and the rapidly changing service environment, there has yet to be a comprehensive study of service quality research across halal industries. The purpose of this study is to systematically review the existing literature on service quality in halal industries to provide a state-of-the-art understanding and identify opportunities in this research area.
Design/methodology/approach: Guided by the Scientific Procedures and Rationales for Systematic Literature Reviews (SPAR-4-SLR) protocol and the theories, contexts, characteristics and methods (TCCM) framework, this paper reviews 78 journal articles from the Web of Science database which features service quality as an underpinning theory in the context of halal economies.
Findings: Findings indicate that since the first study in 2010, service quality research in halal industries has concentrated on consumers in the Islamic finance sector who are served primarily by human service agents. Most studies are focused on halal industries in Muslim countries. Several papers adopt the SERVQUAL model while others develop more novel service quality scales for halal industries. Culture, technology and faith-related factors are key drivers of halal service quality. While few papers study the antecedents and moderators of service quality in halal industries, religiosity was found to be a significant variable in several papers reviewed.
Practical implications: The global Islamic economy will continue to be driven by halal services. This review will provide managers with an appreciation of service quality across different halal industries. Researchers can use the results of this review to guide future studies and contribute toward the development of this research area.
Originality/value: To the best of the author’s knowledge, this paper is the first to comprehensively map the antecedents, dimensions, outcomes and moderators of service quality across halal industries and provides managers with a strategic understanding of service quality across the halal economy. This study develops a conceptual model and concludes with a research agenda to advance halal service quality research
Shaping the future: Satryo Brodjonegoro’s blueprint for education in Indonesia
Full text linkThe election of the new Indonesian Government heralds a new direction in higher education in Indonesia. Higher education is critical to Indonesia amidst significant global and national challenges, including globalisation, the uptake of advancing technologies, and climate change. This paper examines the potential role and leadership of Satryo Soemantri Brodjonegoro, the newly appointed Indonesian Minister for Higher Education, Science and Technology, can play in strengthening Indonesia’s resilience. As a prominent figure in academia and the education bureaucracy, Brodjonegoro’s work has significantly influenced the direction of Indonesia’s human capital development landscape. This review synthesises his academic publications, policy initiatives and strategic vision, which reveals a focus on driving innovation, enhancing research capacity, and promoting interdisciplinary collaboration within Indonesia's further education system. Central to Brodjonegoro’s thinking is that human capital is a catalyst for national development, and he is focused on preparing Indonesia for the demands of the Fourth Industrial Revolution. This paper also contextualises his work within global trends in Higher Education reform, exploring how his leadership aligns with international best practices and contributes to the broader discourse on education and technological advancement in developing economies. By critically analysing Brodjonegoro’s body of work and its practical implications, this review attempts to provide insights into his potential long-term impact on Indonesia's educational reform and it’s positioning as a knowledge-driven economy
Burden of unintentional drowning in China from 1990 to 2019 and exposure to water: Findings from the Global Burden of Disease 2019 study
Full text linkBackground: Drowning is an important contributor to the burden of deaths in China. Exposure to open water is a risk factor for drowning, but few studies quantify its impact on drowning. The purpose of this study was to provide an up-to-date analysis of unintentional drowning in China, including impact of exposure to open water. Methods: Chinese provincial data from the Global Burden of Disease Study 2019 were used to describe the burden of unintentional drowning in 33 provinces and changes from 1990 to 2019. Provincial outdoor open water resource data were used to explore the relationship between outdoor open water resources and drowning burden using K-median clustering analysis. Results: Between 1990 and 2019, the unintentional drowning incidence, mortality and disability adjusted life years (DALY) rates declined by 31.2%, 68.6% and 74.9%, respectively, with differences by age, sex and province. In 2019, the DALY rate for drowning was relatively higher in children under 20 year, the elderly over 80 years than other age groups and was relatively higher in men. There was no statistical difference in overall incidence rate by sex. Provincial differences in unintentional drowning burden show a positive relationship with the availability and size of outdoor open water. Conclusions: As expected availability of water increases drowning risk. There is a need to address drowning environmental risk especially among children and the elderly. Localised water safety plans which consider drowning burden and environmental risk factors are needed in China to ensure a sustained decline of unintentional drowning
Does artificial intelligence improve hospitality employees’ individual competitive productivity? A time-lagged moderated-mediation model involving job crafting and meaningful work
Full text linkArtificial intelligence (AI) continues to transform the hospitality industry. While adopting AI can lead to employee anxiety, less is known about how these affected employees can benefit and become more competitive. This study advances the challenge-hindrance framework in the AI context to investigate how employees respond to the advances of these technologies and the resulting changes in their competitive productivity. Data collected from 235 employees in the hospitality industry through a two-wave method was analysed using PLS-SEM. Findings indicate that although the advancement of AI leads to workplace anxiety, such innovation can trigger job crafting through the conservation of resources theory. These effects can positively impact competitiveness and productivity, particularly for employees who find their work meaningful. This study extends the challenge-hindrance framework and offers guidance for the hospitality industry to better integrate AI for service professionals to become more competitive and productive
Towards Robust Demographic Models: A Systematic Approach to 14C Data Aggregation and Analysis with Lessons from the Southern Levant
Full text linkThis study presents a robust seven-step framework for curating and analysing extensive radiocarbon (14C) datasets, optimised to construct accurate Summed Probability Distribution (SPD) models. Applied to a comprehensive dataset of 4,657 14C dates from 582 archaeological sites in the Southern Levant spanning the last 50,000 years, this framework systematically consolidates data by eliminating duplicates, refining archaeological periodisation, and integrating key environmental variables like phytogeographic zones and natural regions. Through meticulous 14C classification, outlier identification, and model assessment, the resulting dataset and models are refined, transparent, and adhere to FAIR principles for accessibility. This approach enhances the reliability of SPD models in studying ancient population trends and human-environment dynamics, offering a versatile tool adaptable to similar large-scale datasets across regions
Putting the mouth back in the body – the neglected area of dental and oral travel health
Full text linkThe lack of dental travel health care has been deplored for some time. Travel medicine’s remit is to prepare people for travel. People travel with their mouth firmly in their body, yet the mouth’s wellbeing does not rate a mention. This article represents the first exploration of a range of topics relevant to an until now neglected, yet potentially highly important, area of health care. A range of dental mishaps can occur while away from home, from simple toothache to accidents, serious emergencies, or restoration failures. Other problems originate in unwise behaviour, including holiday-inspired body modifications.
Unless there is pain, teeth are typically not thought about much. However, examining the practical side of dental hygiene during travels, several overlooked and perhaps surprising topics emerge that – through the travel lens – take on a different and important role: the oral microbiome, toothbrush hygiene, the toilet plume, and traveller diarrhoea. Based on this discussion, recommendations are made for clinical practice, education, and further research.
The historical chasm between dentistry and medicine, despite long-standing calls for change, does not seem to go away and impairs holistic high quality travel health care. Travel medicine can bypass this unproductive division. It has the unique opportunity to be the first medical specialty cooperating closely with dentists to bridge this gap by providing quality travel health care to travellers with all their body parts attached
Impact of interprofessional student led health clinics for patients, students and educators: a scoping review
Full text linkBackground: Although interprofessional student led health clinics have been implemented worldwide, the impact of this model await confirmation. Objectives: To conduct a critical analysis of the literature on interprofessional student led clinics, and the views of stakeholders on feasibility and the barriers and facilitators to implementation.
Design: A scoping review, evidence synthesis and quality appraisal were conducted using PRISMA Scr. Eight databases were searched from 2003 to 2023: Medline (Ovid), Embase (Ovid), CINAHL (EBSCO), Cochrane, Scopus, ERIC, Web of Science and Informit Health Collection. A qualitative descriptive approach was used to analyse data from patients, students and educators and inductive thematic analysis identified emergent themes.
Results: Fortysix studies were included from a yield of 3140 publications. A key theme to emerge was that patients perceived improvements in their health and wellbeing and valued gaining health information from student led clinics. Student experiences were mostly positive although some found it challenging to work in interprofessional teams and roles were not always clear. The clinics enabled students to improve communication skills and autonomy. Clinical educators reported that students benefited from experiential learning within an interprofessional context. The clinics were feasible, provided that sufficient funding, infrastructure, staff and resources were available. Barriers to implementation included lack of funding, excessive waiting times and non-aligned student timetables. Pre-clinic orientation and support from on-site clinical educators facilitated implementation.
Conclusions: Despite some challenges with implementing interprofessional student led clinics, they can have a positive impact on student learning and patient experiences