Search Results (498)

The sustainable development of forest ecotourism relies on the effective stimulation of tourists’ environmentally responsible behavior, and the intervention of participatory art and aesthetics provides a new driving force for this process. Taking Xiqiaoshan National Forest Park (Nanhai Land Art Festival) as a case study, we propose an extended stimulus–organism–response (S-O-R) theoretical framework to reveal the psychological perception and transmission mechanism of participatory art and aesthetic experience in empowering the sustainable development of ecotourism. We used a hybrid approach combining PLS-SEM and artificial neural networks (ANNs) to analyze survey data from 596 Chinese tourists. The study found that sensory impressions driven by art and aesthetics significantly and positively influence tourists’ natural connections, perceived value, and ecotourism attitudes. These three constructs function as significant parallel mediators between sensory impressions and environmentally responsible behavior, while chain mediation effects are statistically significant but of small magnitude. The new environmental paradigm (NEP), conceptualized as an individual trait boundary condition, exhibits a significant negative moderating effect on the relationship between sensory impressions and connectedness to nature. ANN sensitivity analysis further complements the findings by demonstrating the prominent nonlinear predictive role of ecotourism attitudes in behavioral transformation. This study extends the application boundaries of the S-O-R theory to art-integrated ecotourism research, clarifies the internalization process of tourist experiences from sensory perception to behavioral enactment, and provides empirical evidence for forest tourism managers to optimize experience design and implement differentiated guidance strategies. Full article

Encoding and recalling spoken instructions play a key role in successful learning in the classroom. Previous research in adults suggests that, relative to simple verbal rehearsal, three forms of action-based encoding (i.e., motor imagery, action observation, or self-enactment) facilitate instruction recall to a similar extent. This study aimed to examine whether motor imagery, action observation, and self-enactment could improve memory for instructions in children and adolescents, and to compare the effectiveness of these strategies. In Experiment 1, children aged 8 and 9 years listened to instructional sequences that varied in length (2, 3 and 4 actions) while using one of the encoding techniques (i.e., motor imagery, action observation, self-enactment, or verbal rehearsal), followed by oral repetition or enacted recall. In Experiment 2, adolescents between age 12 and 14 were tested using a similar design except that the instructions were all four-action sequences. In Experiment 1, for both verbal and enacted recall, children’s memory performance in each of the three action-based encoding conditions was superior to the rehearsal condition, although the benefit from motor imagery was relatively smaller. In Experiment 2, adolescents displayed similar patterns as children, except that motor imagery yielded a stronger and more reliable advantage in this age group. The current findings suggest that, for both children and adolescents, encoding spoken instructions by imagining, observing, or performing the actions yields comparable mnemonic advantages, and thus provides practical ways for supporting and enhancing working memory in classroom environments. Full article

Background/Objectives: Effective clinical leadership is a critical driver of healthcare quality, patient safety, and organisational performance. However, evidence on the leadership competencies of healthcare professionals in formal management roles remains fragmented. It is dispersed across professional groups, healthcare contexts, and conceptual frameworks, limiting opportunities for synthesis and cumulative knowledge development. This systematic review examined three questions: how clinical managers perceive their leadership competency; what challenges they encounter in exercising leadership roles; and what development mechanisms the literature identifies. Methods: A systematic review was conducted following PRISMA 2020 guidelines and registered in PROSPERO (CRD420261305279). Four databases were searched: Ovid MEDLINE, CINAHL, EMCARE, and Web of Science from January 2010 to February 2026. Two reviewers independently screened studies; methodological quality was assessed using the Mixed Methods Appraisal Tool (MMAT). Reported competencies were mapped to the five domains of the Clinical Leadership Competency Framework (CLCF) using narrative integrative synthesis. Results: Forty-nine studies were included across quantitative, qualitative, and mixed-methods designs from 24 countries. Competencies in the Working with Others and Demonstrating Personal Qualities domains were reported as strengths across the largest number of included studies. Competencies in Managing Services, Improving Services, and Setting Direction were reported as areas of weakness or developmental need across multiple studies. Leadership challenges included inadequate preparation, role ambiguity, limited authority, and organisational constraints. Development needs spanned formal training, strategic competency building, mentoring, and sustained organisational support. Conclusions: Clinical leadership competency is unevenly distributed across CLCF domains. This pattern reflects not only individual developmental gaps but also the organisational and contextual conditions that shape how leadership is enacted in practice. The findings support a contextual-relational model of clinical leadership. Both individual capability and enabling organisational conditions must be addressed to strengthen leadership effectiveness across healthcare systems. Full article

‘Analog horror’ is a subgenre of internet and media horror, beginning c.2015. Its texts use late 20th-century analogue technology as a locus of horror, both narratively and aesthetically, expressing contemporary technophobia and existential anxieties of the first quarter of the 21st century, using a deliberate and anarchic a-historicity to represent concerns surrounding techno-capitalism and its attendant ‘polycrisis’. This irreverent attitude to historical cause and effect, and technological progress, in subgenre texts such as “The Nixonverse” by creator Eve Casanas represents our modern-day conflict between the digital, techno-capitalist online world, and the corporeal crisis events affecting the real world. This diametric in analog horror expresses the central tenet of Mark Fisher’s concept of ‘capitalist realism’, the idea that capitalist ideology makes it appear that there are no viable alternatives to capitalism. In analog horror narratives, analogue–digital hybrid technologies channel techno-organic monster-figures, with the helplessness of the individual and/or groups to defeat these monstrosities being expressive of this capitalist realist impression that capitalism cannot be overcome, and its polycrisis avoided, enacting fantasies of societal destruction to alleviate this suspended state of anxious helplessness, in the tone of Freud’s ‘death drive’ wish fulfilment fantasies. Full article

Under the dual impact of new urbanization and rural population mobility, divorced rural women in China face severe challenges in obtaining collective membership qualification for land expropriation compensation. The newly enacted Rural Collective Economic Organization Law (RCEOL) contains ambiguous provisions, hindering effective implementation. This study asks: How can collective membership qualification for divorced rural women be determined based on pre-enactment court judgments to refine the law’s ambiguities? Adopting a qualitative design, data were collected from China Judgments Online. Through systematic keyword search, 238 court judgments were retrieved and analyzed using a three-level coding procedure (open, axial, selective). The theoretical framework draws on Amartya Sen’s capability approach. Three main findings are briefly summarized. First, a concrete determination scheme is proposed: the “stable rights-obligations relationship” is operationalized via collective medical insurance purchase and non-abandonment of contracted land; “basic livelihood security” emphasizes land’s security function without requiring primary income reliance; the “stable production-living relationship” criterion should be discarded. Second, the household registration (hukou) condition is becoming ambiguous, but such ambiguity reflects governance adaptation to complexity, moving toward “de-hukouization.” Third, legal ambiguity, while challenging, creates a flexible space for adaptive rural governance. This study contributes by introducing Sen’s capability approach into the analysis of divorced rural women’s membership qualification and providing empirical grounds for clarifying Article 11 of the RCEOL. Future research may observe changes in case volume and litigant testimonies after the law’s implementation to evaluate its real effects, further enriching the discussion on institution—agency interaction. Full article

Climate change has become a major macroeconomic challenge with profound implications for the real economy. This study examines the influence of perceived climate-related risks, proxied by news-based indices capturing media attention to global warming, natural disasters, US climate policy, and international climate summits, on US business activity across short- and long-term horizons. The methodological framework first employs principal component analysis to condense multiple explanatory variables into a single composite factor. A Fourier autoregressive distributed lag model is then adopted to estimate the effects of these forward-looking informational proxies over time. The results reveal marked heterogeneity across perceived climate-related risks and temporal horizons. Global warming news intensity constitutes a persistent impediment, exerting stronger and more durable effects on business activity. Natural disaster media coverage generates sharp short-term deterioration, although its influence fades over longer horizons. News-based transition-risk proxies exhibit a mixed pattern. US climate policy media coverage consistently dampens business conditions, whereas international climate summit coverage plays a comparatively modest role. Our findings underscore that a one-size-fits-all strategy is ineffective. Climate risk management should differentiate between persistent and transitory forces, recognizing that perceived risks may operate through expectations, uncertainty, and sentiment rather than realized damages or enacted policies alone. Full article

Indonesia, as the world’s major palm oil producer, has promoted the Indonesian Sustainable Palm Oil (ISPO) certification to sustain its global industrial competitiveness and address growing international environmental pressures. Despite being formally introduced in 2011, smallholder participation in ISPO certification remains critically low. In response, the Indonesian government enacted a mandatory ISPO compliance policy, with a transitional phase, for smallholders. This study examines the behavioral predictors of ISPO adoption intention and readiness among two categories of oil palm smallholders in Riau Province, Indonesia: scheme smallholders, who cooperate with firms under nucleus partnership, and independent smallholders, who rely on open market channels with minimal institutional support. Data were collected from 300 smallholders and analyzed using Partial Least Squares Multi-Group Analysis (PLS-MGA), drawing on an extended Theory of Planned Behavior (TPB) framework that incorporates environmental awareness (EA) and collective membership participation (COL) as additional constructs. The findings show that behavioral intention is the influential predictor associated with ISPO adoption readiness across both groups (β = 0.376 for independent; β = 0.229 for scheme smallholders), while perceived behavioral control (PBC) significantly influences readiness among scheme smallholders (β = 0.344), but not among independent smallholders (β = 0.097), reflecting the structural capacity constraints faced by the independent group, particularly land legality. Environmental awareness positively shapes adoption intention among scheme smallholders (β = 0.126) but shows no significant effect among independent smallholders. Collective farmer group membership consistently enhances both adoption intention and readiness across both groups, emerging as the most universally actionable driver of ISPO compliance. These findings underscore the need for differentiated policy interventions, particularly targeted structural support for independent smallholders in terms of land legalization, certification subsidies, and field-based capacity building, to ensure equitable and effective implementation of mandatory ISPO certification. Full article

The objective of this research was to examine the effects of sexual and generalized harassment in the workplace on risk for all-cause mortality in a sample (n = 1745) originally drawn from a university workplace and followed over a 24-year period after baseline. Eleven timepoints of data on self-reported workplace harassment were collected between October 1996 and February 2021, at time intervals ranging from one year to 13 years, and linked to mortality data (n = 249 deaths) from the National Death Index through December 2021. We used proportional hazards modeling to examine the risk for all-cause mortality associated with workplace harassment (as measured by a modified version of the Sexual Experiences Questionnaire and the Generalized Workplace Harassment Questionnaire) occurring in the previous time period. We also examined differential risk by gender for White and Black study participants. In fully adjusted models, experiencing generalized harassment (GH) was associated with significantly increased hazard of mortality at the next time point for White women (HR = 1.03, p < 0.01). Experiencing sexual harassment (SH) was associated with a trend-level increase in the hazard of next-time-point mortality for Black women (HR = 1.05, p = 0.09). Neither SH nor GH was associated with increased hazard of mortality for men. Workplace interventions to address harassment, stronger enforcement of sexual harassment policy and law, and enactment of policy and law to prevent generalized harassment and bullying may contribute to the reduction of all-cause mortality among working women. Full article

It would be a critical omission to disregard the role of information dissemination in shaping public perception of sustainable forest management during Silesian Voivodeship’s transformation. Media exposure is often assumed to enhance environmental awareness, but complex internal mechanisms link information sources, public awareness, and ecosystem service valuation, especially in highly industrialized regions. This study investigates how discrete information sources (Media) are associated with public perceptions of forest ecosystem services (ES Perception) and investigates the mediating role enacted by Environmental Awareness (Awareness). Data were collected using a computer-assisted web interviewing (CAWI) survey conducted with a representative sample of 509 residents of Silesian Voivodeship in Poland. Path analysis (a form of structural equation modeling) was performed with 5000 bootstrap iterations to test the direct and indirect relationships within the Value–Awareness–Perception framework. The findings revealed a significant positive direct relationship between Media and ES Perception (β = 0.288, p < 0.001). However, a notable discrepancy emerged: media exposure showed a significant negative association with Awareness (β = −0.245, p < 0.001). Awareness was significantly and negatively linked to ES Perception (β = −0.229, p < 0.001), partially mediating the total effect. These results indicate a complex decoupling: while media consumption is associated with higher general service perception, it appears to be inversely related to functional Environmental Awareness regarding ecosystem threat. Full article

Background/Objectives: COVID-19 vaccine resistance was detrimental to herd immunity and worsened COVID-19 morbidity and mortality during outbreaks. Despite more evidence showing reactionary behavior among residents exposed to vaccine mandates, little research has been conducted on the effects of state proof-of-vaccine (POV) mandate bans in the United States (US). We sought to investigate the causal effects of POV mandate bans, overall and stratified by policy passage via executive order or state legislature, on first-dose COVID-19 vaccinations. Methods: In the contiguous US, 21 states enacted POV mandate bans from 8 February 2021–25 October 2021. Using a geographic regression discontinuity design, we selected treatment and control counties within 150 miles of the POV mandate ban state border. The resulting sample was 4612 county-observations and 2466 unique counties. We conducted two-way fixed-effects estimation to compare changes in weekly, first-dose COVID-19 vaccinations among individuals <65 years old before and after POV mandate ban enactment between treatment and control counties. Results: Among executive order POV mandate ban counties, we saw an additional increase in weekly, first-dose COVID-19 vaccinations following POV mandate ban enactment when compared to controls. There was an additional 38.2% increase in Weeks 1–2, 40.6% in Weeks 3–4, 41.3% in Weeks 5–6, and 43.9% in Weeks 7–8. Conclusions: While seemingly counterintuitive, these findings follow Psychological Reactance Theory. Once the perceived threat to freedom was removed, reactance to COVID-19 vaccinations declined and constituents received the COVID-19 vaccine of their own volition. Future public health efforts should consider potential reactance to mandatory policies and tailor efforts to community values. Full article

This paper reports on research examining how teachers of color operationalize transformative leadership through their enactment of culturally relevant teacher leadership. in four midwestern urban schools. The authors have documented the ways in which these teacher leaders: (a) frame their purpose in terms of effecting deep and equitable change; (b) disrupt deficit perspectives by challenging and reframing racialized low expectations; (c) articulate a focus on education as emancipatory, emphasizing student learning opportunities as well as community development and uplift; (d) balance the need to critique and disrupt problematic practices while respecting and supporting teachers, and encouraging change; and (e) demonstrate moral courage in the face of increasingly oppressive political environments. Drawing from a larger study on the development of culturally relevant instructional leadership data included observations, three-part long-form interviews, and relevant documents. The results document how participants enacted transformative leadership through their efforts to develop and advocate for culturally competent, academically rigorous, and critically conscious pedagogy through structural changes in their buildings and among the teachers in their charge. The discussion accounts for how transformative teacher leaders navigate (or leverage) obstacles and supports to influence organizational processes from their various positions. Full article

Background/Objectives: Nutritional management is a core component of care for patients with chronic kidney disease (CKD), and nephrology nurses play a key role in education and clinical monitoring. However, how nurses develop and enact nutritional competence in daily practice remains insufficiently explored. This study aimed to explore nephrology nurses’ perceptions and experiences of nutritional management in CKD care. Methods: A qualitative descriptive study was conducted through semi-structured interviews with 22 nephrology nurses. Data were analyzed using thematic analysis according to Braun and Clarke. Methodological rigor was ensured following trustworthiness criteria, and reporting adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. Results: The thematic analysis of the interviews identified six main themes: (1) Professional identity and nutritional competence, largely developed through clinical experience rather than structured education. (2) Interprofessional collaboration, perceived as essential but inconsistently implemented. (3) Nutritional education in practice, embedded in daily care and tailored to individual needs. (4) Experiential learning through self-directed nutrition updating. (5) Patient-related challenges, including adherence issues, generational differences, and cultural/educational barriers. (6) Nutritional assessment and decision-making, grounded in routine clinical monitoring and personalized judgment. Participants also highlighted the potential of decision-support tools to enhance personalized nutritional management. Conclusions: Strengthening structured nutritional training, improving interprofessional integration, and implementing shared protocols may enhance the consistency, quality, and safety of nutritional care for patients with CKD, supporting more effective translation of evidence into clinical practice. Full article

This article analyses the Italian Legislative Delegation Bill of 4 September 2025 (DDL 2025), which proposes the recontextualization of healthcare liability through the introduction of Article 590-septies into the Italian Criminal Code (c.p.) and the amendment of Article 590-sexies c.p. and of Articles 5 and 7 of the Gelli-Bianco Act (Law No. 24/2017). The study examines the extent to which the reform, if enacted, would produce a shift of criminal negligence liability from the individual frontline clinician towards the apex management figures of healthcare organizations—at both the corporate and hospital levels—and under what conditions such a shift would be compatible with the constitutional principle of personal criminal responsibility (Art. 27 Const.) and with the evidentiary criteria for criminally relevant omission. Adopting a doctrinal and jurisprudential analysis approach, the study formulates a falsifiable hypothesis, accompanied by four ex post verifiability indicators observable over a five-year time horizon following the possible entry into force of the provision. The analysis demonstrates how the DDL 2025 would recontextualize the notion of culpa—encompassing imperizia (lack of skill), negligenza (negligence), and imprudenza (imprudence), functionally comparable to forms of criminal negligence in common law systems—by linking fault assessment to contextual factors such as organizational deficiencies and resource scarcity. This approach would adopt a deflationary framework, establishing a distinction between avoidable human error and errors caused by systemic dysfunctions and foreshadowing a potential shift of liability towards apex management, who are required to ensure organizational models adequate to patient safety. This orientation, far from constituting a doctrinal novelty, would formalize ex lege a trajectory already established in civil and criminal case law of the Court of Cassation (Cass. No. 6386/2023, “Travaglino”), further intersecting with the administrative liability regime for organizations under Legislative Decree 231/2001. Significant interpretive challenges remain, related to the application of criminal liability criteria to the omissive conduct of healthcare managers, as well as to the contrasting international evidence on the behavioural effectiveness of medical liability reforms. The redefinition of top-management liability would therefore be configured not merely as a tool for the protection of the individual professional but as a derived constitutional guarantee of the right to health and the safety of care, pursued through formalized risk governance, the integration of incident reporting and organizational audit systems, the transition towards Enterprise Risk Management models, and the traceability of apex decision-making processes. Examples drawn from other European jurisdictions illustrate the heterogeneity of legal approaches to medical fault and frame the Italian proposal as a context-specific solution that nonetheless could contribute to the international debate on institutional and organizational accountability for patient safety. Full article

The persistently high prevalence of gender-based violence and harassment (GBVH) in higher education institutions is a well established phenomenon, as is the inadequacy of institutional responses and the silencing of those who aim or attempt to report it. Drawing on Ahmed’s concept of ‘non-performativity’, ‘institutional speech acts that do not bring into effect what they name’, this paper argues that the non-performativity of anti-bullying and harassment policy is an exercise of power, consistent with Agócs concept of institutionalised resistance. Reporting misconduct is intentionally transformational, but seen as a threat to powerful organisational actors, who exercise institutional power to enact procedures in such a way that victim-survivors are unvoiced and tricked into ‘reluctant acquiescence’ with adverse consequences on their personal and occupational health. We employ documentary analysis to critique policies and procedures for GBVH in Irish universities, and specifically how institutional power is exercised through policy documents. The analysis is based on ten pseudonymised universities, rendering a sample size of 23 documents, pertaining to GBVH for staff. We find that the tone and language employed in policies, and the way in which the informal and formal approaches in anti-bullying and harassment policies frame the problem, serve the interests of the institution. Confidentiality clauses, the framing of the problem as an individualistic, incident-based problem, to be resolved case-by-case, and quasi-legal processes facilitate non-performativity, preserving institutional power and the status quo. From a public health perspective such inertia undermines efforts to prevent harm and promote workplace wellbeing. Meaningful reform will require that HEIs employ alternative tools capable of unsettling these entrenched institutional arrangements and to adopt alternative, proactive tools that prioritise accountability, transparency, prevention and health gain. We suggest new tools in the form of victim-centred, trauma-informed, remediation- and restorative-based approaches. Full article

As multilingual, transnational TESOL teacher educators, we recognize the transformative potential of translanguaging in preparing teachers for culturally and linguistically diverse classrooms in the United States. In response, we have intentionally integrated translanguaging into our teacher education courses, striving for curricular reform and ideological shifts within TESOL preparation. This collaborative self-study examines our experiences as we navigate the theoretical, pedagogical, and institutional complexities of promoting translanguaging in higher education. Through structured reflections and analysis of teaching artifacts, we identified three key themes. First, engaging with translanguaging prompted ideological reorientations, allowing us to critically reflect on our linguistic identities and challenge deeply rooted monolingual ideologies. Second, our efforts to implement translanguaging revealed pedagogical tensions—particularly in moving beyond viewing it as scaffolding and in addressing the translanguaging and code-switching debate—which required adaptive strategies. Third, collaborative dialogue served as a catalyst for professional growth, fostering a community of practice that enabled us to refine our approaches and advocate for translanguaging more effectively. This study contributes to TESOL teacher education by offering insights into the lived experiences of teacher educators, highlighting key challenges and possibilities in translanguaging integration, and underscoring the need for sustained professional learning communities to support faculty and teachers in enacting translanguaging in diverse educational contexts. Full article