bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nurses’ attitude toward patients’ safety climate during COVID-19 pandemic: a cross-sectional study†
Authors: Nassehi Asra , Ghorbanzadeh Kobra , Moayedi Somaye , Jafari Javad , Mahmoodi Parvin , Jafari Mojtaba 
Published: March 2024

Abstract

Objective
Patient safety is a fundamental factor in improving the quality of care provided in hospitals. Therefore, it is considered a significant parameter by all healthcare organizations around the world. The present study was conducted to investigate the attitude of nurses toward the patient safety climate during the Coronavirus Disease 2019 (COVID-19) pandemic in the southeast of Iran.

Methods
This is a cross-sectional descriptive study. Among all the nurses working in one of the hospitals in the southeast of Iran, 171 nurses participated in the study through convenience sampling methods. The survey was conducted between June 1 and July 30, 2020. A 2-part questionnaire including demographic information and an assessment of nurses’ attitudes toward patients’ safety climate was used for data collection in 2021. The content validity of the scale is (0.77) and reliability was re-calculated and confirmed by the present study with Cronbach’s alpha (α = 0.9). Data were analyzed by SPSS 20 (IBM Corporation, Armonk, New York, United States) using descriptive and analytical statistical tests.

Results
The mean score of safety climates was 3.2 ± 5.20 (out of 5 scores). The results showed that among all dimensions of the safety climate, only the education dimension was statistically significant between males and females (P < 0.001). Also, there was a significant relationship between the overall average of the safety climate and its dimensions according to the people’s position only in the dimension of supervisors’ attitude (P < 0.01) and burnout (P < 0.01). Additionally, a significant correlation between the education level and the overall score of safety climate (P < 0.01), as well as the supervisor’s attitude dimension (P < 0.01), was observed.

Conclusions
The results showed that the safety climate was at a relatively favorable level. Considering the impact of nurses’ attitudes on the safety climate of patients, its improvement seems necessary. It is recommended to design training courses and educate nurses in order to promote a patients safety climate in hospitals.
Factors influencing discharge readiness among patients with mild-to-moderate ischemic stroke: a cross-sectional study
Authors: Wang Li-Fei , Samartkit Niphawan , Masingboon Khemaradee 
Published: March 2024

Abstract

Objective
To describe discharge readiness and determine whether self-efficacy, social support, and the quality of discharge teaching can predict discharge readiness among patients with mild-to-moderate ischemic stroke.

Methods
A total of 120 patients with mild-to-moderate ischemic stroke were recruited using simple random sampling. Five instruments, namely, the Demographic Data Questionnaire, the Chinese version of the Readiness for Hospital Discharge Scale (RHDS_C), the Self-Efficacy for Managing Chronic Disease 6-Item Scale (SES6), the Perceived Social Support Scale (PSSS), and the Quality of Discharge Teaching Scale (QDTS), were used for data collection. Descriptive statistics and standard multiple linear regression were used for data analysis.

Results
The mean score of discharge readiness among patients with mild-to-moderate ischemic stroke was at a moderate level (M = 7.6, SD = 0.92), and 75.8% of the participants felt ready for discharge. Standard multiple linear regression revealed that self-efficacy (β = 0.62, P < 0.001) and the quality of discharge teaching (β = 0.28, P < 0.001) were the influencing factors. However, social support could not predict discharge readiness significantly. All the factors combined explained 64.9% of the variance in discharge readiness.

Conclusions
Intervention programs aimed at improving self-efficacy and the quality of discharge teaching may be helpful in promoting discharge readiness in patients with mild-to-moderate ischemic stroke, especially in coping ability.
Relationship between sleep quality and blood pressure level in nurses performing shift work
Authors: Tsipkalo Antonina , Kozak Kateryna , Marushchak Mariya 
Published: March 2024

Abstract

Objective
The aim of the study was to evaluate the quality of sleep in nurses performing shift work in therapeutic and surgical departments and to establish possible relationships between level of blood pressure (BP) and quality of sleep.

Methods
A total of 20 nurses of the therapeutic departments and 20 nurses of the surgical departments were enrolled in the study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). BP was measured according to the standard protocol using the Korotkoff method; a sphygmomanometer was used for this twice with an interval of 2 min between 10:00 a.m. and 10:30 a.m. The average value for the 2 indicators was calculated. The diagnosis of essential arterial hypertension (AH) was established according to the recommendations of the European Association of Cardiology and the European Association of Hypertension (2018).

Results
The overall assessment of the sleep quality of the nurses involved in shift work indicates poor sleep quality; this was true in respondents of both the surgical and therapeutic profiles. However, it was observed that the quality of sleep was significantly lower in nurses of the therapeutic departments. Moreover, poor sleep quality was associated with AH, which was diagnosed in 65% of the nurses of the therapeutic departments and 45% of the nurses of the surgical departments, that is, in almost all of the subjects. Herewith, in the nurses of the therapeutic departments, the level of systolic BP exceeded that of the nurses of the surgical departments.

Conclusions
Poor sleep quality is a significant risk factor for AH development and is relevant to nurses performing shift work. Additional clinical studies should be conducted to better understand the mechanisms underlying such adverse cardiometabolic outcomes associated with sleep disorders in the health-sector shift workers.
Education Policy of 3rd Generation Universities
Authors: Jafarov Sarkhan 
Published: March 2024

Background: One of the tasks of the education policy of any state is the spread of its influence in the international arena. Today, universities are striving to take and strengthen their positions in the world ranking systems, demonstrating the status and reputation of universities in the global market of educational services. This ranking serves as a guideline for future students and their parents when choosing a place to receive a prestigious education and in the formation of individual trajectories of vocational training.

Approach: There are several approaches in the world to determining the criteria for assessing a state's education policy. But despite the differences, they all document the growing role of modern universities in the development of society. In many respects, it is important both in terms of guaranteeing the sustainability of society and in terms of ensuring a breakthrough direction in its development. In contrast to recent times, this role has grown significantly. Due to the fairly conservative and limited social system in its function, such universities become a central link in the development of innovative economies and social spheres - the science that produces the socio-economic development of a particular region, Education, innovation centers, national or as well as global processes.

Results: It covers all areas of the university, from cooperation with students to financial and scientific activities. A prime example of such an association is the International Strategy Advisory Service (ISAS 2.0) of the International Association of Universities or Universities (IAU).

Conclusions: Around the world, states are trying to stimulate and support these processes. In many countries, this is facilitated by opposition from high-tech companies to the reduction of the final amount of independent basic and applied research, in favor of collaborating with universities on basic research projects.
As part of its innovative activities, University 3.0 is involved in supporting business activities, analysis and consultation by experts from local governments and local authorities, opening facilities, and infrastructure for citizens, monitoring regional development, services to citizens are provided for lifelong learning and support student entrepreneurship projects that take into account the interests of the community.
Identification and Preferences of Spa Industry in Bali
Authors: Oka Suryawardani I Gusti Ayu , Wiranatha Agung Suryawan , PETR Christine , Purbanto I Gusti Raka , Yudiastina I Gusti Bagus Arya 
Published: March 2024

Wellness tourism allows a person to maintain their personal wellbeing, maintaining health and quality of life. People are more conscious of their wellness during the trip. Spa industry which is part of the wellness tourism are growing rapidly in Bali. The research aimed: i) to analyze characteristics of spa treatment in Bali and preferences of spa treatment by customers, ii) to identify products and services provided by traditional and Thalasso Spa in Bali. Research was conducted in Kuta, Seminyak, Canggu, Nusa Dua and Ubud as the center of spa treatment in Bali. Data was collected on January to April 2023 through interviewing 38 spa industries by using interview guides. Likert Scale was used to analyze the data in 1–5 scale. Data was analyzed by using qualitative approach. The results show that traditional spa treatments in Bali provide variety of products such as scrub, cream and lotion from herbs and natural ingredients from agriculture. Type of services available are traditional massage, aromatherapy, Thai massage, reflexology, hot stone massage and hot oil massage. Meanwhile, Thalasso is a therapy that is carried out using ingredients derived from the sea such as sea water, algae, seaweed, sand and sea mud and offers a wide range of spa treatments using technological spa equipment with excellent services. This therapy has only been found at the Grand Mirage Bali Resort since 1985 featuring an aqua medic pool with heated seaweed and sea water supported by 16 uniquely designed treatment rooms. The results also show that traditional massage is preferred by customers. Price competitiveness is one of the reasons why people choose traditional spa. Sense of traditional massage has also been preferred by customers.
Keywords: traditional massage, aromatherapy, oil massage, hot stone massage, Bali.
Information security in the Union State: the universal legal dimension
Authors: Duben Andrei  Kirillovich 
Published: March 2024

The subject of the study forms a set of legal norms of normative legal acts of the Russian Federation, the Republic of Belarus and the interstate association of the Union State of the Russian Federation and the Republic of Belarus, international treaties(agreements) regulating public relations in the field of information security, law enforcement practice, foreign experience of legal regulation, as well as provisions theoretical interdisciplinary research in this field. The object of the study is public relations related to the legal provision of information security in the Union State. The Russian Federation and the Republic of Belarus in the context of new challenges and threats, as well as digital transformation and geopolitical changes. The analysis indicates a certain experience of scientific research in this field. At the same time, in the context of significant changes in socio-economic and foreign policy conditions, new challenges and threats, multi-vector scientific research in the information and legal sphere is necessary. The methodological basis of this study is a system of modern general scientific and private law methods. The study of the formation, development, place and role of the legal provision of information security of the Union State of the Russian Federation and the Republic of Belarus was conducted using the following general scientific methods: analysis and synthesis, abstraction and modeling, generalization, description, etc. The main conclusions of this study were the following proposals, it is necessary to develop and approve the conceptual framework for the legal provision of information security for the development of regional interstate cooperation within the framework of the Union State of the Republic of Belarus and the Russian Federation. This is important for solving the tasks of ensuring national and international information security, implementing agreements within the framework of regional interstate associations and further forming a system of universal public law mechanisms for ensuring information security. At the same time, the strategic legal acts of the Union State in the field of information security are dynamic in nature due to changes in social and political relations, including at the international level. There is a growing tendency to perceive the information space not only as an area requiring the use of exclusively protective measures of influence, but also involving active offensive measures to the extent necessary to protect national interests.
Patient Preferences and Their Effects on Rehabilitation Outcomes: A Secondary Analysis of a Randomized Controlled Trial
Authors: Agger Nikolaj , Bøjstrup Jim Nørgaard , Christiansen David Høyrup 
Published: March 2024

OBJECTIVE: To assess the effect of aligning patients’ preferences with specific rehabilitation delivery modes on rehabilitation outcomes. DESIGN: A secondary analysis of a randomized controlled trial. METHODS: The study cohort comprised 208 patients referred for physiotherapy rehabilitation after nonsurgical or surgical interventions for rotator cuff injury, shoulder impingement, or acromioclavicular osteoarthritis. Participants were randomly assigned to 1 of 3 rehabilitation modalities: (1) group-based exercise, (2) individual exercise, or (3) home exercise. In this study, participants were categorized into 2 groups: “matched preference” and “unmatched preference.” The primary outcome measure was change in function, measured with the shortened Disabilities of the Arm, Shoulder and Hand (QuickDASH). Secondary outcome measures were change in pain, assessed using the Numeric Rating Scale (NRS), mental well-being measured with the World Health Organization Five Well-Being Index (WHO-5), health-related quality of life assessed using the EuroQol-5 Domain questionnaire (EQ-5D), fear avoidance assessed using the Örebro Musculoskeletal Pain Questionnaire (ÖMPQ), and overall treatment satisfaction. Outcomes were assessed at 3 and 6 months. RESULTS: The primary outcome measure, QuickDASH, showed no significant differences between groups at either 3 months (−3.0 [−8.2 to 2.3]) or 6 months (0.5 [−5.7 to 6.7]). Additionally, no significant differences were observed in the secondary outcome measures. CONCLUSION: Matching patients’ preferences for specific rehabilitation delivery modes did not seem to effect rehabilitation outcomes. J Orthop Sports Phys Ther 2024;54(6):408-416. Epub 26 March 2024. doi:10.2519/jospt.2024.12314
Exploring the Relationship between Insecure Attachment Styles and Social Anxiety in Undergraduate Students
Authors: Irfan Hooriya , Munir Maryam , Majeed Saima 
Published: March 2024

Purpose: This study aims to investigate the correlation between Avoidant and Anxious Attachment Styles and Social Anxiety, contributing to a deeper understanding of these interconnected factors among undergraduate students.
Methodology: Convenient Sampling was used to recruit 350 participants aged 18-26 from Forman Christian College (FCCU) in Lahore, Pakistan. The study administered the Revised Adult Attachment Scale (R-AAS) for close relationships and the Social Anxiety Scale (SAS). Data analysis was conducted using SPSS v.20, with Pearson’s Correlation Coefficient, Simple Linear Regression, and Independent Sample t-Test applied.
Findings: A statistically significant positive correlation was found between Anxious Attachment Style and Social Anxiety. Anxious Attachment Style was revealed to positively predict 19% variance in Social Anxiety with p value <.001. A significant gender difference was found among Social Anxiety and Anxious Attachment Style, but none among Avoidant Attachment Style.
Implications: Practical implications include tailored clinical interventions and support groups for holistic treatment. Recognizing attachment styles can improve intimate relationships. Gender differences in social anxiety suggest women may need gender-sensitive therapy to address social challenges in education and careers.
Unleashing the Value of Repurchase Intentions of Customers: Undeniable Truth about a Journey of Continuous Growth for Firms
Authors: Khan Faheem Ahmad , Siddiqi Arslan Ahmad , Iqbal Mazhar , Adeel Muhammad 
Published: March 2024

Purpose: Even though there is an immense level of research related to the impact of product quality and service quality on consumers’ purchase intentions the role of satisfaction as the mediator between perceived product qualities, affective commitment, and repurchase intentions has not been cross-examined in previous literature. To understand how this mediating mechanism affects repurchase intentions, we advanced a conceptual model.
Design/Methodology/Approach: This study employed a quantitative research approach. Data were obtained using the convenience sampling method from a sample of 400 respondents. Statistical Package for the Social Sciences (SPSS) version 22.0 and Analysis of Moment Structure (AMOS) version 22.0 were used for the data analysis.
Findings: Results show that the relationship between perceived product quality, affective commitment, and repurchase intentions is partially mediated by customers’ satisfaction.
Implications/Originality/Value: understanding the underlying process of repurchase intentions of customers. The study is one of the exceptional efforts to provide evidence regarding the role of customer satisfaction as a mediating variable between independent and dependent variables.
Well-being of Women Entrepreneurs in Pakistan: A Conceptual Review of Challenges and Opportunities
Authors: Masood Fazeelat , Masood Erum 
Published: March 2024

Purpose: The economic significance of women's entrepreneurship is globally recognized; yet, the pace of women's entrepreneurial activities is slow. The lowering share of women's participation in the entrepreneurial population has been attributed to many reasons but for health. Women entrepreneurs’ health and well-being are important, yet widely neglected notions in research and practice. Especially, in Pakistani patriarchal society women are expected to work (self-employed or organizationally employed) with disproportionate family and work responsibilities.
Design/Methodology/Approach: The study provides a conceptual review of key challenges faced by women entrepreneurs. To serve this purpose, relevant literature was selected and reviewed following a four-step procedure.
Findings: In fulfilling their traditional roles of house-maker and the need to support family, the mental and physical health of women entrepreneurs is compromised. Findings of this study reveal that role expectation, stress overload, work-life conflict, fear of harassment, and workaholism are among the key factors that challenge the well-being of women entrepreneurs. However, family support, societal approval of their business, and work engagement may serve as an opportunity to improve women entrepreneurs’ well-being.
Implications/Originality/Value: The study sheds light on key challenges faced by women entrepreneurs in a developing country context and suggests avenues for further research.
Causality Assessment of Bankers’ Perceptions and Bank Specific Indicators on the Non-Performing Loans: An Empirical Analysis of the Commercial Banks of Pakistan
Authors: Zill-i-Jannat  , Muhammad Abbas  , Rasheed Rabia 
Published: March 2024

Objective: Non-performing loans have become a chronic problem in the banking industry of Pakistan over the last few decades. In this aspect, the study assessed the causal impact of Banks’ specific factors and bankers’ perceptions on non-performing loans.
Methodology: The study is based on the data collected from 170 bankers of ten Commercial Banks of Pakistan. From bankers’ perspective, the study reported that the manager’s capability, the society’s orientation, interest waiver, and lenient credit terms have a negative impact on non-performing loans.
Findings: In the light of finding the study suggests that the banks need to strengthen their internal control system and accountability arrangement for selecting genuine borrowers. Besides, the banks need to address moral hazard i.e. the borrowed funds are being used for the intended purpose.
Implications: The study concludes that the banks may formulate an effective loan policy and revamp procedures within different phases of the “loan cycle”.
Tri Hita Karana as a Bali Tourism Communication Strategy in Preserving Tourism Cultural Destinations
Authors: Misnan  , Sukma Agus Hitopa 
Published: March 2024

Objective:The aim of this research is to point out that Tri Hita Karana as a Bali tourism communication strategy in preserving tourism cultural destinations. The research background is the dilemmatic phenomenon of the development of the Bali tourism industry, which tends to lead to popular tourism, namely a tourism industry that is oriented towards pragmatic profits by building popular facilities, so that sacred areas that actually become increasingly differentiated.
Methodology: The research paradigm is constructivism, so the main theory used is Berger and Luckmann's social construction of reality. This type of research is descriptive qualitative, completed by Barthes’s concept of semiotics.
Results:The result shows that Tri Hita Karana is the most strategic message used for Bali tourism communication management. Overcoming the freedom of foreign cultures and the domination of infrastructure development that does not favor aspects of Balinese differentiation and the insight of Tri Hita Karana is a crisis for destinations that rely on profane means. Therefore, so that Bali is not trapped in the pragmatism of populist culture, the philosophy of Tri Hita Karana must be used as a marketing movement and management of the Bali tourism industry. The research findings are: at first, the concept of Balinese tourism communication as a result of the synthesis of message construction that Bali is open, but elements of transcendentalism must still be understood and implemented by any tourist. Second, the transformation of Bali's tourism industry policies that are more in favor of capitalism, so that the commitment to cultural tourism is unable to keep up with the rate of mass tourism. Third, policy implementation, which has not fully accepted the practical aspects of Tri Hita Karana, cultural tourism orientation, rural nuances and the maintenance of sacred areas.
Implication:The implications of the research are: 1) the role of the Tri Hita Karana insight strategy as a shining culture, must be used as a guideline for the development of tourism infrastructure and superstructure, as well as the harmonization of Balinese people's life patterns. 2) Tourism communication in conveying Tri Hita Karana's insight, the communicators who must be involved are customary stakeholders and the government, using the universal Tri Hita Karana language, while the communicators are tourists and investors, using popular tourism as a cultural crisis message.