Search Results (18)

The implementation of construction 3D printing (3DP) offers a viable approach to enhancing productivity, optimizing material use, and advancing sustainability in infrastructure development, particularly in developing construction markets where economic constraints, labour reliance, and environmental challenges persist. This study proposes and empirically tests a theory-based framework to evaluate the perceived critical success factors (CSFs) shaping readiness for the adoption of 3DP within the Egyptian construction sector. The proposed framework is fundamentally grounded in the Technology–Organization–Environment (TOE) perspective, wherein Resource and Technology Optimization (RTO) and Innovation and Creativity in Design (ICD) constitute the technological dimension, Strategic Project Management (SPM) and Organizational Support (OS) represent the organizational dimension, and Stakeholder and Client Engagement (SCE), Sustainability and Environmental Initiatives (SEI), and Policy and Regulatory Considerations (PRC) define the environmental dimension. A total of 157 valid responses collected from construction professionals were analyzed using the Relative Importance Index (RII) and partial least squares structural equation modelling (PLS-SEM). Because construction 3DP remains at an early, pre-commercial stage of diffusion in Egypt, the survey captures professionals’ perceptions of adoption readiness rather than verified implementation performance. This sample exceeds the requirements of a priori statistical power analysis (n = 103 to detect medium effects with seven predictors at a power of 0.80 and α = 0.05) and the inverse-square-root criterion (n = 137), thereby providing adequate statistical power for the structural estimates. However, generalizability remains bounded by the purposive, single-country sample. The RII findings indicate that inaccurate budgeting and scheduling, limited managerial competence, shortages of skilled labour, cultural resistance, and inadequate awareness constitute the most significant barriers to adoption. The structural model accounted for 81.6% of the variance in 3DP adoption. Furthermore, all hypothesized relationships were positive and statistically significant, with 95% confidence intervals excluding zero; SPM (β = 0.4851), RTO (β = 0.4195), and SCE (β = 0.3343) were identified as the most influential determinants, followed by OS, ICD, SEI, and PRC. Discriminant validity was supported by both the Fornell–Larcker and heterotrait–monotrait (HTMT) criteria, and full collinearity diagnostics indicated no substantial common-method bias. The results reveal that successful 3DP adoption is determined not solely by technological preparedness, but also by effective alignment of managerial capabilities, resource optimization, stakeholder trust, sustainability orientation, and regulatory support. Beyond prior TOE- and SEM-based 3DP studies, which have largely examined technology acceptance in developed markets or tested aggregate constructs, this study advances the field by disaggregating the three TOE contexts into seven empirically tested CSF constructs, quantifying their relative influence, and providing the first empirically tested adoption framework of this kind for the Egyptian construction sector, grounded in perception survey data. The resulting framework can support the prospective implementation of sustainable construction technologies in infrastructure sectors in developing countries. Full article

Crisis management has evolved from a reactive organizational function into a strategic capability grounded in organizational learning, knowledge-based processes, and behavioral alignment, thereby enhancing institutional resilience in volatile environments. This study examines how organizational and financial determinants contribute to crisis management success in the United Arab Emirates (UAE). It integrates crisis management culture as a learning-oriented mediating capability. It incorporates a Theory of Planned Behavior (TPB)-based behavioral extension to explain how attitude, subjective norms, and perceived behavioral control shape intention toward crisis-related compliance. Using SPSS regression analysis and Partial Least Squares Structural Equation Modeling (PLS-SEM), the findings indicate that policies, procedures, and financial stability exert significant positive effects on crisis management success, whereas trained human resources show no direct significant impact. Crisis management culture emerges as a key mediating mechanism that enables knowledge integration, supports organizational learning processes, and translates structural preparedness into coordinated action. The TPB-based extension further shows that attitude, subjective norms, and perceived behavioral control significantly predict intention, and that intention is positively associated with crisis management success. The results suggest that effective crisis governance depends not only on formal structures and financial resources but also on learning-oriented cultures and behavioral mechanisms that transform institutional knowledge into coordinated crisis responses. Full article

Background: Cultural, religious, and spiritual (CRS) needs are central to holistic palliative and end-of-life care (PEoLC), yet the confidence and perceived preparedness of community and voluntary sector staff in addressing them remain underexplored. As PEoLC increasingly occurs in community settings, understanding staff preparedness for culturally and spiritually sensitive care is vital. Objective: This service evaluation examined CRS perceived preparedness and confidence among staff across Leicester, Leicestershire, and Rutland (LLR), exploring perceived challenges and available resources. Methods: A modified Confidence and Perceived preparedness in the CRS Care Survey was distributed to healthcare, hospice, charity, and community staff (May–August 2025). Likert scale data (n = 39) were analysed descriptively; qualitative responses underwent thematic analysis using Braun and Clarke’s framework, which was co-produced with stakeholders. Results: Staff placed high importance on CRS needs (cultural M = 4.48, SD = 0.61; religious/spiritual M = 4.66, SD = 0.53) but reported lower confidence in the organisational capacity to meet them (M = 3.15 and M = 3.05). Qualitative survey findings showed that staff recognised CRS needs as central to holistic, individualised care, emphasising proactive assessment and avoiding assumptions. Barriers included fear of causing offence, organisational constraints, and challenges in supporting families, alongside concerns about unmet needs. Participants highlighted reliance on informal resources and a clear need for accessible, lived-experience-based training and practical guidance. A prototype CRS resource toolkit, including lived-experience videos and guidance for supporting Muslim patients, was co-developed and reviewed by healthcare, community, and public contributors. Conclusions: Staff commitment to CRS-sensitive PEoLC is strong, but practical tools and training are lacking. A virtual CRS toolkit could enhance confidence, communication, and culturally responsive care across multidisciplinary settings. Full article

This study explores the effectiveness of an AI-enabled career preparation platform in enhancing undergraduate students’ awareness of their career readiness and skill development. The research was conducted within a localized context at a comprehensive university in Singapore, introduced as part of a career-preparation exercise for internship exploration and selection, allowing students to self-assess their current competencies and identify gaps vis-à-vis industry requirements. Students first evaluate their perceived knowledge of their skills and the deficiencies they need to address. This platform leverages artificial intelligence to help students profile their skills and discover tailored internship opportunities. By uploading their resumes, students receive a personalized skills profile identifying their relevant competencies. The platform then suggests potential career roles and automatically shows skills for development. Using a retrospective pretest-posttest survey with Likert-scale responses, statistical tests revealed significant improvements across all measured areas. The platform was further assessed across two constructs with high internal consistency, reflecting strong user engagement and satisfaction. Lastly, we highlight the potential of AI-driven tools in supporting student career preparedness and offer insights for further platform improvements. The findings from this study are not assumed to generalize directly to other institutional, cultural, or national settings, but instead offer initial context-specific indications of how such tools may support students’ perceived skill awareness and career planning. Full article

Background: Spirituality and religious diversity are increasingly recognized as essential components of holistic nursing care in global healthcare systems. However, their integration into undergraduate nursing education remains heterogeneous and often insufficiently structured, creating a gap between professional values and students’ preparedness to address spiritual needs in culturally diverse clinical environments. This study aimed to explore nursing students’ perceptions, attitudes, and perceived competencies regarding spirituality, religion, and spiritual care. Methods: A descriptive exploratory survey was conducted on a sample of 69 third-year nursing students (69.6% female; majority aged ≤24 years) enrolled in two universities in Rome, Italy. Data were collected between May and July 2025 using the Nursing Care and Religious Diversity Scale (NCRDS), consisting of 31 items. Statistical analyses included descriptive statistics, internal reliability analyses, group comparisons, and multivariate regression models. Results: Students showed moderate levels of attention to patients’ spiritual needs (mean = 3.11, SD = 0.88) and integration of spirituality into care practice, while high importance was attributed to spiritual care skills. University education was perceived as only partially adequate. Multivariate analyses showed that students’ personal spirituality is positively associated with the assessment of spiritual needs and the perception of competence, while exposure to contexts characterized by greater religious diversity is associated with a lower perception of preparedness. Conclusions: The results highlight a discrepancy between professional values and perceived operational skills, suggesting the need to systematically integrate spirituality and religious diversity into nursing curricula. These findings highlight the need for a structured integration of spirituality and religious diversity into nursing curricula through targeted educational strategies in order to strengthen students’ competencies and promote truly holistic and person-centered care. Full article

Today, digital transformation is a major factor that determines the renewal and strategic expansion of higher education institutions. It is not only about the use of technology in classrooms but the whole paradigm of universities organizing learning, research, and societal interaction. This study explores how universities perceive and implement digital change, what factors influence these changes, and what barriers prevent them from moving forward. This research explores both the theory and the real-world application of digital transformation in higher education with an emphasis on creating a national model of a digital university in Kazakhstan. This research adopts a qualitative design and is grounded in well-founded theory principles. A wide range of academic publications from 2020 to 2025 have been reviewed, and key studies were deeply analyzed with the help of Atlas.ti25, which facilitated the identification of recurring themes and conceptual relationships in the higher education sector. The results reveal that successful digital transformation depends on the balancing of the four interrelated factors that are articulated in this study. Among those are empathetic leadership, a trustworthy digital infrastructure, innovative teaching and learning methods, and the continuous development of employee qualifications. The universities that were able to implement digital transformation more thoroughly are usually the ones showing strategic consistency, internal collaboration, and the sustained investment in human and technological resources. However, at the same time, numerous institutions confront financial constraints, weak infrastructure, and faculty members’ varying levels of digital preparedness. To the problems mentioned above, this research offers a Digital University Model which sees the university as a changing ecosystem that merges institutional, technological, pedagogical, and cultural processes into one structure of ongoing innovation. This study continues the discussions on digital transformation in higher education in a clear and accessible manner. The authors explain how digitalization influences the development of universities and colleges, offering valuable guidance for institutional leaders and decision makers. In addition, this article presents concrete and practical recommendations that can support educational institutions in advancing their digital maturity. Full article

Background/Objectives: High turnover and staff shortages in nursing pose challenges to professional integration and compromised patient safety. Structured onboarding programs are considered key strategies to enhance adaptation, reduce clinical errors, and promote retention. This study aimed to evaluate the impact of a structured onboarding program compared with the standard routine on early professional adaptation, safety culture, and satisfaction among newly hired nurses and nursing assistants. Methods: A prospective quasi-experimental study was conducted between 2022 and 2024 in three private hospitals in Madrid. A total of 200 newly hired health professionals (128 nurses and 72 assistants) were assigned alternately to either the intervention group (structured onboarding program) or the control group (usual routine). The intervention comprised three consecutive days of guided training with mentorship, simulation-based learning, and digital tool instruction. Adaptation was assessed with the validated GAML scale, and satisfaction was measured through a Likert survey one month later. Statistical analyses included Mann–Whitney U, Chi-squared tests, and linear regression. Results: The intervention group achieved significantly higher scores across all competency domains for both nurses and nursing assistants, with overall medians of 25 [22–27] and 22 [20–23.25], respectively, compared with notably lower values in the control groups (p < 0.001). The greatest improvements were observed in digital tool management, clinical protocol knowledge, problem-solving and decision-making, and patient safety practices, demonstrating the strong impact of the structured onboarding program. In terms of satisfaction, participants in the intervention group also reported higher ratings for the clarity and completeness of information, particularly regarding hospital structure, service-specific orientation, and occupational risk prevention. However, global satisfaction differences were more pronounced among nurses than nursing assistants. Conclusions: The structured onboarding program demonstrated substantial benefits in professional adaptation, safety culture, and perceived preparedness of newly hired staff. These findings support integrating standardized onboarding plans as part of hospital quality and safety strategies, requiring sustained leadership and resource investment for long-term success. Full article

This phenomenological study investigates how individuals from diverse marginalized backgrounds in Portland, Oregon, perceive barriers and facilitators related to disaster management, response, and recovery, specifically in the case of an earthquake. Drawing on semi-structured interviews with 45 participants, the study explores how social, cultural, and structural factors shape perceived barriers and facilitators related to disaster preparedness among historically marginalized communities. Reflexive thematic analysis and independent coding were used to identify key patterns in the data. Four key themes emerged from the analysis: (1) Disaster events could exacerbate existing service gaps for specific groups. (2) The privilege of mobility creates unequal access to emergency services. (3) Delays in recovery efforts disproportionately impact vulnerable populations. (4) Persistent concerns exist around the inclusiveness and trust in disaster management. These findings suggest that disaster planning must account for systemic social barriers in addition to infrastructure needs, to ensure equitable access to resources for all. The study highlights the value of participatory, community-informed strategies that can reduce vulnerabilities and foster trust. By illustrating the intersection of disaster preparedness with systemic inequality, the research contributes to broader discussions of urban resilience and offers insights to inform more inclusive emergency planning in high-risk urban environments. Full article

This study examines the challenges that general education teachers face in implementing inclusive education for students with intellectual disabilities in Qatar. Employing a mixed-methods approach, quantitative data were collected from 255 teachers via a structured questionnaire, complemented by qualitative insights from semi-structured interviews with five participants. The findings indicate that teachers encounter moderate to high levels of difficulty, particularly in areas related to the school environment and the availability of educational resources. Significant demographic differences were observed, with male teachers and those working in primary schools reporting greater perceived barriers. Thematic analysis revealed six key factors influencing teachers’ perceptions: student diversity, instructional practices, teacher preparedness, school culture and environment, family and community involvement, and logistical challenges. Despite national policy support for inclusive education, the study reveals ongoing deficits in teacher training, institutional backing, and resource provision. These findings underscore the complex intersection of individual, institutional, and societal factors shaping inclusive education efforts. The study offers valuable insights for localizing inclusive education efforts in Qatar and similar contexts, with implications for educators, policymakers, and educational leaders committed to fostering equitable learning environments. Full article

Background/Objectives: The legalization of recreational cannabis in Germany in 2024 has increased the relevance of cannabis use in maternal healthcare. Although prenatal cannabis exposure is associated with potential risks to fetal development, the topic remains underrepresented in midwifery research and education. Germany, midwives play a key role in prenatal care. This study investigates midwives’ self-rated knowledge, perceived risks, and the frequency of screening and counseling on cannabis use during pregnancy. Methods: This study presents a secondary analysis of cross-sectional survey data collected from midwives and physicians in Germany (N = 284) between May and October 2024. Statistical analyses included descriptive statistics, Wilcoxon signed-rank tests, chi-square tests, Spearman’s rank correlations, and multiple linear regression models. Results: Midwives rated their knowledge about cannabis-related risks during pregnancy as moderate. While most reported that substance use was addressed in initial training, only continuing education and older age were associated with higher self-rated knowledge. Knowledge was positively correlated with risk perception and communication frequency. Overall, risk perception was high—particularly regarding fetal outcomes—though cannabis was perceived as less harmful than alcohol and addressed less often. Fewer than half of the midwives routinely screened for cannabis use, and only 22% always provided counseling. Conclusions: To strengthen midwives’ preparedness, both the integration of cannabis-specific content into initial training and the expansion of continuing education may be beneficial. Clear, evidence-based, and non-stigmatizing communication strategies are essential to support maternal and fetal health in a changing legal and cultural landscape. Full article

Background: Duchenne muscular dystrophy (DMD) is a genetic disorder characterized by progressive muscle weakness, a decline in quality of life, and premature mortality. This study aims to evaluate the perceived quality of healthcare and the experience of DMD patients and their caregivers in Mexico, comparing governmental and non-profit healthcare institutions using a newly designed assessment instrument. Methods: In a cross-sectional study, data were gathered from 91 participants through an online self-administered questionnaire informed by the Donabedian model and six dimensions of healthcare quality. Results: Analysis revealed two key mediating factors: perceived quality of healthcare and patient experience. The Mann–Whitney U test showed that non-profit organizations were perceived to provide superior quality care in both aspects (p < 0.05), notably regarding healthcare professionals’ preparedness and other domains of quality. However, the patient-centered care domain indicated that the importance of quality domains may vary according to cultural and social contexts. In Mexico, the humanistic approach of healthcare professionals appeared to compensate for shortcomings in timely diagnosis and other quality domains. This emphasizes the necessity for enhanced patient education and healthcare evaluation, and it highlights that patient satisfaction does not always correlate with high-quality healthcare. The developed instrument can further aid in understanding the experiences of DMD patients across different countries and cultures. Full article

The food industry stands as one of the most vital manufacturing sectors globally, with an ever-increasing reliance on digitalization and technology-driven processes. However, this advancement comes with an inherent risk of cyberattacks, encompassing data breaches and system disruptions, which can severely impact production and disrupt the entire food supply chain. Consequently, such cyberthreats can lead to consumer fear and mistrust, potentially tarnishing a company’s brand image. Additionally, the sector is becoming the focus of cyberthreat actors owing to the current crisis in Ukraine, revealing the severity of the rippling effects of these disruptions. This research aims to delve into the current perception of cyberthreats within the food industry, emphasizing the importance of cybersecurity and analyzing the measures taken by stakeholders to mitigate the risks associated with cyberattacks. The findings reveal that although the food industry acknowledges the potential threats posed by inadequate cybersecurity measures, these risks are perceived as insignificant due to the unique nature of the industry. Moreover, an extensive literature review highlights that the food industry places great emphasis on adopting innovative information technologies to enhance operational efficiency and cost-effectiveness. However, it remains vulnerable to cyberattacks, necessitating continuous employee education and training to strengthen the security landscape. This holistic approach fosters a seamless, reliable, and sustainable growth environment for the industry. By analyzing the existing challenges and requirements, this study underscores the need for proactive measures to safeguard the food industry against cyberthreats. It emphasizes the significance of implementing robust cybersecurity protocols and cultivating a culture of awareness and preparedness within organizations. Furthermore, the research emphasizes the importance of employee education and training, equipping them with the necessary knowledge and skills to identify and mitigate potential cyber risks. In conclusion, while cognizant of the risks posed by cyberattacks, the food industry must prioritize cybersecurity measures to protect its production and supply chain. Enhancing the security environment through ongoing employee education and training is crucial for fostering consumer trust and enabling seamless growth within the industry. By adopting a proactive approach to cybersecurity, the food industry can ensure the sustainability and reliability of its operations in the face of evolving cyberthreats. Full article

By 2050, one in five Americans will be 65 years and older. The growing proportion of older adults in the U.S. population has implications for many aspects of health including disaster preparedness. This study assessed correlates of disaster preparedness among community-dwelling minority older adults and explored unique differences for African American and Hispanic older adults. An electronic survey was disseminated to older minority adults 55+, between November 2020 and January 2021 (n = 522). An empirical framework was used to contextualize 12 disaster-related activities into survival and planning actions. Multivariate logistic regression models were stratified by race/ethnicity to examine the correlates of survival and planning actions in African American and Hispanic older adults, separately. We found that approximately 6 in 10 older minority adults did not perceive themselves to be disaster prepared. Medicare coverage was positively associated with survival and planning actions. Income level and prior experience with disaster were related to survival actions in the African American population. In conclusion, recognizing the gaps in disaster-preparedness in elderly minority communities can inform culturally sensitive interventions to improve disaster preparedness and recovery. Full article

In this study, we present the results of an assessment of an initiative that seeks to transcend the application of digital information in the higher education sector by recommending an integrative approach that quantifies both the flow of digital information and tutors’ quality impacts concerning technology acceptance model (TAM) constructs and the perceived experience of digital information in education (DIE). There is a mounting evidence that the educational institutions that prioritize the perceived experience and the quality of the tutors do not, generally, take into account the limited exposure to digital information and technologies. Data gathered from a survey of 485 college students were used to evaluate the model and hypotheses. The findings show that users’ perceptions of the value of DIE may depend on several extrinsic conditions that improve their experiences of learning and teaching. The user’s traits, such as technological preparedness, are vital in determining perceived ease of use. In some cultures, the superior quality of the tutor may further increase perceptions of the technology’s perceived usefulness. The intention to adopt technology may also be highly influenced by other variables such as information flow. Therefore, academic institutions must reevaluate the usefulness of digital information technology as a tool for improving educational sections. This research limited its focus to educational environments in which DIE has a significant impact on the teaching and learning setting. Future works may concentrate on health or monetary organizations. Full article

The livelihood sustainability of the Rohingya refugees relocated in Bhashan Char, Bangladesh, has been questioned by various international stakeholders due to the remoteness and perceived vulnerabilities of the island. The Bangladesh government, a few international organizations, and some non-government organizations are working on developing livelihood opportunities in there. But there is scarce study about the livelihood opportunities and challenges of the Rohingyas living there. This study explores the vulnerabilities and livelihood opportunities of Rohingyas in Bhashan Char so as to help increase their resilience. The vulnerabilities include natural, geographical, and climatic shocks and stresses (e.g., cyclone, floods, storm surge, sea-level rise, geographical position). However, there are ample opportunities for their livelihood development, despite some challenges which can be overcome with concerted efforts. The opportunities include intensification and extensification of livelihood activities, such as modern agriculture, fish farming, livestock rearing, small business, handicraft, fishing net mending, crab fattening, biofloc aquaculture, and fish cage culture, but turning these opportunities into reality requires sufficient investment and internationally positive attitude. Better shelter, better disaster preparedness, cultural practices, education, and skill development can increase their capacity to bounce back, absorb shocks, and make them more resilient. National and international humanitarian organizations should plan to enhance the resilience of the Rohingya communities living in Bhashan Char and the island itself so that they can sustain in the long run, even after their anticipated repatriation to Myanmar. Full article