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Search Results (255)

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Keywords = institutional quality components

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39 pages, 2891 KB  
Article
Design and Implementation of an Integrated Framework for Smart City Land Administration and Heritage Protection
by Dan Alexandru Mitrea, Constantin Viorel Marian, Mihaela Iacob, Andrei Vasilateanu, Umit Cali and Cristian Alexandru Cazan
Heritage 2025, 8(12), 510; https://doi.org/10.3390/heritage8120510 - 4 Dec 2025
Abstract
Smart cities rely on digital infrastructures and utilize data-driven frameworks to enhance quality of life, optimizing public services by promoting transparency in urban and heritage management. Based on the ArchTerr project for archeological heritage protection, this study introduces an integrated framework uniting two [...] Read more.
Smart cities rely on digital infrastructures and utilize data-driven frameworks to enhance quality of life, optimizing public services by promoting transparency in urban and heritage management. Based on the ArchTerr project for archeological heritage protection, this study introduces an integrated framework uniting two components: GIS-based land mapping and blockchain-enabled document management. The system supports urban planning, land administration, and governance by combining spatial intelligence with secure data handling. The GIS module enables precise land mapping using geographic coordinates, facilitating spatial analysis, land use monitoring, and infrastructure planning. The document management system employs blockchain storage functionalities to ensure the immutability, transparency, and traceability of records such as land ownership documents, permits, and regulatory filings. Developed using the Design Science Research methodology, the framework translates abstract principles of data immutability and interoperability into a functional architecture that addresses persistent issues of fragmented datasets, insecure records, and limited institutional accountability and improves scalability, efficiency, and transparency in a variety of urban situations. We explored its implications for policy and governance, illustrating how interdisciplinary technology serves as a basis for transparent, accountable, and resilient urban management. This study advances theoretical understanding of how the convergence of spatial and trust-based technologies can foster geo-trusted governance and contribute to more transparent and resilient heritage management. Full article
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25 pages, 1613 KB  
Review
The Application of Remote Sensing to Improve Irrigation Accounting Systems: A Review
by Hakan Benli, Massimo Cassiano and Giacomo Giannoccaro
Water 2025, 17(23), 3430; https://doi.org/10.3390/w17233430 - 2 Dec 2025
Viewed by 147
Abstract
Water resources are increasingly scarce, with groundwater overexploitation causing major declines in quantity and quality. Effective water accounting is essential for sustainable management, which requires measuring irrigation water use despite limited metering. Traditional modeling approaches suffer from errors when there are narrow spatial [...] Read more.
Water resources are increasingly scarce, with groundwater overexploitation causing major declines in quantity and quality. Effective water accounting is essential for sustainable management, which requires measuring irrigation water use despite limited metering. Traditional modeling approaches suffer from errors when there are narrow spatial coverages. Digital agriculture and remote sensing offer alternatives by enabling large-scale, cost-effective, and near-real-time monitoring. However, issues of accuracy, methodological consistency, and integration with governance frameworks still restrict operational use. This review followed the PRISMA protocol, screening 1485 documents and selecting 79 studies on remote sensing for irrigation water accounting. A structured labeling process classified papers into Technological Readiness, Management Impact, Implementation Barriers, Policy Integration, and Innovation/Gaps. Findings show a strong focus on management benefits and technological innovation, while institutional and policy aspects remain limited. Although many studies addressed multiple themes, governance integration and real-world barriers were often overlooked. Research is concentrated in digitally advanced regions, with limited attention to water-scarce areas in the Global South. The review concludes that although remote sensing improves efficiency and data availability, adoption is challenged by institutional, regulatory, and methodological gaps. Interdisciplinary work, stronger validation, and stakeholder engagement are essential for transitioning these tools into operational components of integrated water management. Full article
(This article belongs to the Section Water Resources Management, Policy and Governance)
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19 pages, 577 KB  
Systematic Review
Palliative Care in Chronic Heart Failure: A Systematic Review of Its Impact on Symptoms, Quality of Life, and Decision-Making Process
by Tatiana Dramba, Andrei-Emilian Popa, Mihaela Poroch, Gema Bacoanu, Irina Mihaela Esanu, Elena Popa and Vladimir Poroch
Diseases 2025, 13(12), 389; https://doi.org/10.3390/diseases13120389 - 1 Dec 2025
Viewed by 264
Abstract
Background: Palliative care has emerged as a key component in the management of chronic heart failure, addressing persistent physical and psychosocial symptoms that often remain insufficiently controlled by conventional cardiology. This systematic review aimed to evaluate the impact of palliative care interventions on [...] Read more.
Background: Palliative care has emerged as a key component in the management of chronic heart failure, addressing persistent physical and psychosocial symptoms that often remain insufficiently controlled by conventional cardiology. This systematic review aimed to evaluate the impact of palliative care interventions on symptom burden, quality of life (QoL) and decision-making processes in adults with chronic heart failure. Methods: A systematic search of PubMed, Scopus and Web of Science identified studies published between January 2005 and February 2025. Eligible designs included randomized controlled trials, observational cohorts and qualitative studies. The review followed PRISMA 2020 guidelines. Methodological quality was assessed using the Cochrane Risk of Bias 2.0 (RoB 2.0), Risk of Bias in Non-Randomized Studies of Interventions (ROBINS-I) and Joanna Briggs Institute (JBI) appraisal tools. Due to heterogeneity in study designs and outcomes, a narrative synthesis was conducted. Results: Nineteen studies met the inclusion criteria. Palliative care interventions consistently reduced dyspnea, fatigue, anxiety and depression and were associated with improved functional status and QoL. Integrated palliative–cardiology programs were linked to fewer hospital readmissions, shorter hospital stays and increased documentation of advance care planning. However, methodological variability, small sample sizes and non-standardized outcome measures limited comparability across studies. Conclusions: The evidence supports the early incorporation of palliative care into routine management of chronic heart failure. Early, multidisciplinary and patient-centered approaches enhance clinical and psychosocial outcomes while improving healthcare efficiency and ensuring that care aligns with patients’ goals, values and quality-of-life priorities. Full article
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21 pages, 2606 KB  
Article
The Role of Institutional Quality in Chinese Outward Foreign Direct Investment and Domestic Investment’s Impact on Economic Stability
by Waqar Ameer, Aulia Luqman Aziz, Muhammad Ali, Mochammad Fahlevi and Arfendo Propheto
Economies 2025, 13(12), 344; https://doi.org/10.3390/economies13120344 - 26 Nov 2025
Viewed by 522
Abstract
Capital flow, integral to the global economy, is significantly influenced by business potential and institutional environments. As one of the world’s largest economies, China’s outflow plays a crucial role in the rapid development of its economy. This study examines domestic investment into public [...] Read more.
Capital flow, integral to the global economy, is significantly influenced by business potential and institutional environments. As one of the world’s largest economies, China’s outflow plays a crucial role in the rapid development of its economy. This study examines domestic investment into public and private components to avoid aggregation bias, whether China’s outward foreign direct investment (OFDI) serves as a substitute or complement to local investments, and how local institutional quality mediates this relationship. We employed Dynamic Autoregressive Distributed Lag model ARDL simulation methods for the period of 1996–2021 in order to control endogeneity, auto-correlation, cross-sectional bias, as well as heteroscedasticity issues, which normally arise in time-series datasets. Our findings reveal that OFDI has a dual impact on local economies. Firstly, OFDI has a generally positive effect on private and public investment, but this relationship is nonlinear. Furthermore, institutional quality significantly influences private investment more than public investment. Additionally, higher interest rates are shown to adversely affect both private and public investments by increasing borrowing costs. These results offer valuable insights for policymakers aiming to optimize investment flows and economic stability. Specifically, fostering institutional quality can amplify the positive spillovers of OFDI on private investment, while mitigating its crowding-out effects on public investment. Full article
(This article belongs to the Special Issue Studies on Factors Affecting Economic Growth)
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18 pages, 297 KB  
Article
Economic Growth, Green Competitiveness and Institutional Quality in Post-2004 EU States: Panel ARDL-PMG Analysis
by Vladimir Ristanović, Dinko Primorac and Ivona Huđek Kanižaj
Economies 2025, 13(12), 337; https://doi.org/10.3390/economies13120337 - 21 Nov 2025
Viewed by 228
Abstract
This paper investigates the determinants of economic growth in EU member states that joined the Union in 2004 and later, focusing on institutional quality, competitiveness, and the green transition. Three composite indices are constructed using principal component analysis (PCA) and incorporated into a [...] Read more.
This paper investigates the determinants of economic growth in EU member states that joined the Union in 2004 and later, focusing on institutional quality, competitiveness, and the green transition. Three composite indices are constructed using principal component analysis (PCA) and incorporated into a panel ARDL-PMG model, complemented by robustness checks with fixed-effects and system-GMM estimators. The results highlight competitiveness as the most robust driver of growth across specifications, while institutional quality emerges as an enabling factor, particularly under dynamic specifications that account for endogeneity. The green transition shows significant long-run benefits, although its short-run effects are weaker, reflecting the gradual payoff of environmental investments. Policy implications emphasize the importance of strengthening institutional frameworks, fostering innovation and productivity, and sustaining commitments to the green transition as pillars of sustainable convergence. The findings enrich the literature on EU integration and provide evidence-based insights for aligning cohesion policy and the European Green Deal with growth objectives. Full article
(This article belongs to the Section Growth, and Natural Resources (Environment + Agriculture))
46 pages, 2732 KB  
Article
Geography of Higher Education Institutions (HEIs) and Regional Innovation: Empirical Evidence and Policy Design
by Domenico Marino, Raffaele Trapasso and Leonardo Lombardelli
Sustainability 2025, 17(22), 10371; https://doi.org/10.3390/su172210371 - 19 Nov 2025
Viewed by 258
Abstract
This paper aims to assess the contribution of higher education institutions (HEIs) to the innovation performances in EU regions. Empirical evidence shows that HEIs are a necessary but not sufficient component of regional innovation systems, contribute to the performance of their regional community [...] Read more.
This paper aims to assess the contribution of higher education institutions (HEIs) to the innovation performances in EU regions. Empirical evidence shows that HEIs are a necessary but not sufficient component of regional innovation systems, contribute to the performance of their regional community and make regional innovation policies more efficient. Due to the increasing focus on HEIs as drivers of regional innovation, this paper discusses the need for a holistic approach that operates from the perspective of higher education policy that involves removing barriers to collaboration, innovation and entrepreneurship and creates synergies with other policy areas, such as innovation and regional development. We therefore ask (i) how the presence, quality and connectedness of HEIs map onto regional innovation outcomes and (ii) under which conditions their effects are amplified. Using an EU-wide regional dataset (EIS indicators, patents, co-publications, R&D and human capital) we estimate PLSR/PCR models to address multicollinearity and reveal latent drivers. Findings confirm that HEIs raise performance when embedded in strong R&D and policy environments; on their own, effects are limited. We classify regions into practical archetypes (leaders, over-performers, under-performers) to guide place-sensitive strategies. Policy implications include removing collaboration barriers, incentivizing university–industry–public co-creation, and aligning higher education with innovation and regional development through multi-level governance. Robustness checks support the stability of results across specifications. Full article
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17 pages, 357 KB  
Review
Components and Effectiveness of Adult Inpatient Psychiatric Rehabilitation Programs: A Scoping Review
by Panagiota Giannios, Fanie Chainey, Catherine Degré, Stéphanie Borduas Pagé and Alexandre Hudon
Healthcare 2025, 13(22), 2971; https://doi.org/10.3390/healthcare13222971 - 19 Nov 2025
Viewed by 707
Abstract
Background/Objectives: Inpatient psychiatric rehabilitation plays a critical role in the recovery of adults with serious mental illness (SMI), offering structured, supportive care to improve functioning and community integration. Despite its clinical relevance, there is considerable heterogeneity in how these programs are structured, [...] Read more.
Background/Objectives: Inpatient psychiatric rehabilitation plays a critical role in the recovery of adults with serious mental illness (SMI), offering structured, supportive care to improve functioning and community integration. Despite its clinical relevance, there is considerable heterogeneity in how these programs are structured, delivered, and evaluated. This scoping review aimed to map the core components and reported outcomes of adult inpatient psychiatric rehabilitation programs and to identify elements associated with program effectiveness. Methods: A scoping review was conducted according to PRISMA-ScR guidelines. Four electronic databases (MEDLINE, Web of Science, PsycINFO, and Google Scholar) were systematically searched for articles published between inception and 2024. Studies were eligible if they described inpatient psychiatric rehabilitation programs for adults and reported on clinical, functional, or system-level outcomes. Data extraction included program characteristics, intervention components, effectiveness indicators, and study limitations. A qualitative thematic synthesis was conducted, and methodological quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. Results: Fifteen studies met the inclusion criteria. Core rehabilitation components included structured psychosocial interventions (e.g., CBT, psychoeducation), vocational and occupational support, recovery-oriented goal setting, and transitional care planning. Most programs demonstrated positive outcomes, including reduced readmissions, improved functional and psychosocial functioning, and enhanced quality of life. Effectiveness appeared to be influenced by the duration of rehabilitation, multidisciplinary team involvement, and continuity of care post-discharge. However, outcome measures varied considerably, and few studies used standardized assessment tools or included long-term follow-up. Conclusions: This review highlights common features of effective inpatient psychiatric rehabilitation programs and underscores the need for standardized outcome measures, implementation fidelity assessments, and longitudinal research. Findings can guide service planning, inform policy development, and support recovery-oriented inpatient care. Full article
(This article belongs to the Section Mental Health and Psychosocial Well-being)
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23 pages, 947 KB  
Article
An Integrated Competency-Based Framework for Employability and the Sustainability of Higher Education
by Eva Juliana Maya Ortiz
Sustainability 2025, 17(22), 10340; https://doi.org/10.3390/su172210340 - 19 Nov 2025
Viewed by 627
Abstract
The rapid advancement of emerging technologies is reshaping industries, widening skills gaps, and increasing the demand for technology talent. Limited university–industry collaboration further constrains the alignment between educational outcomes and labor market needs. This study proposes an Integrated Competency-Based Framework for Employability and [...] Read more.
The rapid advancement of emerging technologies is reshaping industries, widening skills gaps, and increasing the demand for technology talent. Limited university–industry collaboration further constrains the alignment between educational outcomes and labor market needs. This study proposes an Integrated Competency-Based Framework for Employability and the Sustainability of Higher Education, focusing on institutional and knowledge sustainability. The Framework integrates a Competency Map that establishes a university–industry shared language and a Digital Platform that facilitates actor interactions, strengthening the characterization, visibility, and connection of student talent and industry opportunities through digital portfolios. The research followed a two-phase approach: design and pilot implementation. During the pilot, the core components of the Framework were developed, and its initial feasibility and potential relevance were assessed through a survey, a workshop, and semi-structured interviews with students, professors, and industry stakeholders. The findings suggest that the Framework may enhance student employability, access to industry opportunities and talent identification, and strengthen institutional processes that support teaching, curriculum development, academic quality enhancement, and accreditation, thus highlighting the potential contribution of the Framework to institutional, knowledge, and socio-economic sustainability. The study makes theoretical, empirical, and practical contributions by advancing competency-based education for employability and the sustainability of higher education. Full article
(This article belongs to the Section Sustainable Education and Approaches)
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16 pages, 584 KB  
Review
Nursing Practice Environment in the Armed Forces: Scoping Review
by Mafalda Inácio, Maria Carvalho, Ana Paulino, Patrícia Costa, Ana Rita Figueiredo, Elisabete Nunes, Paulo Cruchinho and Pedro Lucas
Nurs. Rep. 2025, 15(11), 394; https://doi.org/10.3390/nursrep15110394 - 7 Nov 2025
Viewed by 505
Abstract
Background: The nursing practice environment is a critical determinant of healthcare quality, patient safety, and nurse well-being. Military healthcare settings present unique challenges, including rigid hierarchical structures, deployment rotations, and resource constraints, which may significantly affect the nursing practice. This scoping review mapped [...] Read more.
Background: The nursing practice environment is a critical determinant of healthcare quality, patient safety, and nurse well-being. Military healthcare settings present unique challenges, including rigid hierarchical structures, deployment rotations, and resource constraints, which may significantly affect the nursing practice. This scoping review mapped the available scientific evidence on the nursing practice environment in military healthcare institutions and identified its influencing factors. Methods: Following JBI methodology, a scoping review was conducted according to the PCC framework: nurses (Population), the nursing practice environment (Concept), and military healthcare settings (Context). Papers in English, Portuguese, or Spanish were included without date restrictions. Searches were performed in 4 databases (September 2025) and data selections were conducted independently by two reviewers. Results: Eleven studies (2010–2025), mainly from the United States, met the inclusion criteria. Thematic analysis revealed three main components influencing the nursing practice environment: structural (leadership, professional development, staffing), relational (collaboration, conflict management), and outcome-related (well-being, retention, patient safety). Favourable environments were associated with higher satisfaction, retention, and reduced burnout. Conversely, unfavorable environments, often influenced by rank hierarchy, deployment rotations, and organizational rigidity, were linked to turnover intention, moral distress, and compromised patient outcomes. Conclusions: Evidence from the included studies indicates that adaptive leadership, interprofessional collaboration, professional development and staffing adequacy are recurrent factors associated with nurses’ satisfaction, retention, and perceived quality of care. Hierarchy structures, deployments, and mobility also appear to influence the specific characteristics of military nursing practice environments. Full article
(This article belongs to the Special Issue Nursing Management in Clinical Settings)
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27 pages, 659 KB  
Article
From Quality Infrastructure to Sustainability: A 14-Step Roadmap for Voluntary Conformity Assessment in Brazil and Beyond
by Rodrigo Leão Mianes, Afonso Reguly and Carla Schwengber ten Caten
Sustainability 2025, 17(21), 9783; https://doi.org/10.3390/su17219783 - 3 Nov 2025
Viewed by 460
Abstract
Quality Infrastructure (QI) underpins safe, sustainable, and competitive markets through metrology, standardization, accreditation, conformity assessment, and market surveillance. While mandatory schemes address immediate safety concerns, voluntary conformity assessments offer strategic advantages for emerging technologies by enabling market differentiation, regulatory anticipation, and gradual adaptation [...] Read more.
Quality Infrastructure (QI) underpins safe, sustainable, and competitive markets through metrology, standardization, accreditation, conformity assessment, and market surveillance. While mandatory schemes address immediate safety concerns, voluntary conformity assessments offer strategic advantages for emerging technologies by enabling market differentiation, regulatory anticipation, and gradual adaptation without compliance burdens. Focusing on Brazil’s National Institute of Metrology, Quality, and Technology (Inmetro), this study addresses operational gaps in implementing voluntary schemes under the modernized regulatory framework introduced by Inmetro’s Ordinance No. 30/2022. Using electric mobility to illustrate sustainability pathways, we show how voluntary assessments can operationalize and enable measurement of environmental and social co-benefits. Our five-stage qualitative methodology integrated documentary analysis of Brazilian regulations; comparative examination of approaches in the European Union, the United States, and South Korea; development of a 14-step methodological roadmap aligned with ISO/IEC standards; expert validation through a structured questionnaire with twelve specialists from government, industry, academia, and certification bodies; and systematic consolidation of feedback. The roadmap provides operational guidance on product definition, technical requirements, certification processes, and continuous improvement, with optional modules for advanced technologies and ESG criteria. Expert validation confirmed viability while identifying barriers (costs, laboratory capacity, cultural limitations) and enablers (fiscal incentives, procurement recognition). When applied to electric mobility, voluntary battery certification enhances safety and performance, charging infrastructure assessment improves reliability, and component schemes enable circular economy principles, directly supporting the Sustainable Development Goals. We conclude that strategically designed voluntary conformity schemes can accelerate regulatory convergence, strengthen competitiveness, and contribute to sustainability outcomes in modernizing economies. Full article
(This article belongs to the Collection Sustainable Public Administration)
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30 pages, 6204 KB  
Article
Technological Assessment of Bread with the Addition of Cyperus esculentus L. Accessions Flour Grown in the Kuban–Azov Plain
by Nina G. Kon’kova, Valentina I. Khoreva, Vitaliy S. Popov, Tamara V. Yakusheva, Ilya A. Kibkalo, Leonid L. Malyshev, Alla E. Solovyеva and Tatiana V. Shelenga
Foods 2025, 14(21), 3680; https://doi.org/10.3390/foods14213680 - 28 Oct 2025
Viewed by 481
Abstract
Due to increased interest in new functional food products, 20 accessions of chufa tubers from the collection of the N.I. Vavilov Institute of Plant Industry, grown in the Kuban–Azov Plain in 2022, as well as bread samples made from mixed flour (70% whole-grain [...] Read more.
Due to increased interest in new functional food products, 20 accessions of chufa tubers from the collection of the N.I. Vavilov Institute of Plant Industry, grown in the Kuban–Azov Plain in 2022, as well as bread samples made from mixed flour (70% whole-grain wheat flour, 30% chufa tuber flour) were studied. Biochemical, farinographic, and baking evaluations were carried out. Differences between the properties of dough with the addition of flour from various accessions of chufa tubers were recorded. According to the results of comparative, dispersion, and principal component analysis, all biochemical indicators (oil, fiber, sum of phenolic substances, antioxidant activity) of chufa tuber flour and bread with added chufa flour surpassed control samples (whole-grain wheat flour and wheat bread), with the exception of protein and starch content. Viscoamylographic, farinographic sedimentation, and baking quality evaluations indicated that the dough made from mixed flour was stronger than the control (dough from whole-grain wheat flour), more resistant to kneading, and had a lower degree of liquefaction. In terms of organoleptic properties, differences were also identified, and the accessions that enhance the taste of mixed bread were selected. Therefore, a preliminary conclusion can be drawn that chufa tubers grown in the conditions of the Kuban–Azov Plain with high rheological properties and high sedimentation values of the mixed dough can be recommended for improving the baking properties not only of wheat but also of other bread cereals. Chufa is also a promising crop in the manufacture of functional food products in the Krasnodar region and for the food industry in general as a potential thickener. Full article
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15 pages, 1120 KB  
Article
Greenhouse Gas Emissions and Mitigation Strategies in Universities Under ISO 14064-1: Lessons for Global Higher Education Sustainability
by Shu-Yao Tsai, Mei-Ching Wang, Shun-Pei Yao, Gregory J. Tsay and Chun-Ping Lin
Sustainability 2025, 17(21), 9462; https://doi.org/10.3390/su17219462 - 24 Oct 2025
Viewed by 759
Abstract
In alignment with the United Nations’ Sustainable Development Goals (SDGs) and the global pursuit of net-zero emissions, higher education institutions (HEIs) are increasingly expected to demonstrate robust climate accountability and effective decarbonization strategies. This three-year longitudinal study presents a comprehensive assessment of greenhouse [...] Read more.
In alignment with the United Nations’ Sustainable Development Goals (SDGs) and the global pursuit of net-zero emissions, higher education institutions (HEIs) are increasingly expected to demonstrate robust climate accountability and effective decarbonization strategies. This three-year longitudinal study presents a comprehensive assessment of greenhouse gas (GHG) emissions at a higher education institution, employing the ISO 14064-1:2018 framework to strengthen inventory design, boundary delineation, and data governance protocols. Findings indicate that purchased electricity constitutes the largest share; however, fugitive refrigerant leakage and Scope 3 activities—particularly commuting and business travel—represent substantial and often underestimated components of the institution’s carbon footprint. Methodological refinements, including the incorporation of updated emission factors coefficients and enhanced data verification, have revealed the sensitivity of GHG inventories to both policy reforms and behavioral changes, as well as institutional policy reforms. The study also demonstrates that targeted refrigerant management and low-carbon mobility initiatives can generate measurable mitigation effects, even under conditions of expanding campus activity. Beyond the institution-specific results, this research proposes a replicable framework that integrates ISO 14064-1 compliance with data quality assurance and digital verification tools. This framework provides HEIs globally with a structured pathway to enhance reporting credibility, develop evidence-based mitigation strategies, and accelerate progress toward carbon neutrality. These insights underline the strategic role of universities in advancing sector-wide climate leadership and contributing to sustainable development transitions. Full article
(This article belongs to the Special Issue Sustainability Management Strategies and Practices—2nd Edition)
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11 pages, 206 KB  
Article
Barriers and Facilitators to Patient Education Among Nurses in Multicultural Hospital Settings: A Cross-Sectional Study
by Hawazen Omar Rawas, Jennifer de Beer, Siti Awa Abu Bakar, Sarah Almutairi, Nehal Jaafari, Hawazen Hazzazi, Asma Alzahrani, Raghad Alghumuy, Najwa Hadadi, Sarah Alfahimi, Samar Alharbi, Elham Yahya Alzubaidi, Ahmad Rajeh Saifan and Nabeel Al-Yateem
Nurs. Rep. 2025, 15(10), 371; https://doi.org/10.3390/nursrep15100371 - 17 Oct 2025
Viewed by 1171
Abstract
Background: Patient education (PE) is an essential component of quality healthcare and chronic disease management. However, effective implementation often faces patient-, nurse-, and organization-related barriers. This is particularly relevant in multicultural healthcare settings such as Saudi Arabia, where a highly diverse nursing workforce [...] Read more.
Background: Patient education (PE) is an essential component of quality healthcare and chronic disease management. However, effective implementation often faces patient-, nurse-, and organization-related barriers. This is particularly relevant in multicultural healthcare settings such as Saudi Arabia, where a highly diverse nursing workforce may influence PE practices. Aim: To examine the barriers and facilitators influencing patient education practices among nurses working in multiple hospitals in Saudi Arabia. Methods: A descriptive cross-sectional study was conducted among 289 registered nurses recruited through convenience sampling from various hospitals in Saudi Arabia. Data were collected using a validated self-administered questionnaire consisting of demographic items and structured scales assessing PE barriers and facilitators. Descriptive statistics were used to analyze the data. Results: Language differences (64.3%) and cultural barriers (59.2%) were the most commonly reported patient-related obstacles. Among nurse-related barriers, staff shortages (72.4%), heavy workload (72.0%), and time constraints (59.9%) were prominent. Organizational barriers included limited educational resources (39.4%) and unsupportive environments (35.6%). Key facilitators identified by nurses included availability of policies and procedures (63.6%), provision of PE training (63.7%), and integration of PE into clinical workflow and nurse appraisals. Conclusions: Despite strong professional support for PE, multiple barriers hinder its implementation in Saudi hospitals. Addressing these challenges requires institutional strategies such as workforce reinforcement, policy integration, and resource allocation. Future efforts should also include integrating patient perspectives, developing culturally tailored education resources, and evaluating the impact of targeted interventions to strengthen PE delivery in diverse hospital settings. Full article
17 pages, 321 KB  
Article
Bridging the Green Infrastructure Gap: Determinants of Renewable Energy PPP Financing in Emerging and Developing Economies
by Justice Mundonde and Patricia Lindelwa Makoni
Sustainability 2025, 17(20), 9072; https://doi.org/10.3390/su17209072 - 13 Oct 2025
Viewed by 1019
Abstract
This study analyses the factors influencing renewable energy infrastructure public–private partnership (PPP) financing, using data from 28 countries covering the period from 1996 to 2024. A composite institutional quality index was constructed using Principal Component Analysis (PCA). The analysis employs a panel econometric [...] Read more.
This study analyses the factors influencing renewable energy infrastructure public–private partnership (PPP) financing, using data from 28 countries covering the period from 1996 to 2024. A composite institutional quality index was constructed using Principal Component Analysis (PCA). The analysis employs a panel econometric framework: the autoregressive distributed lag (ARDL) model to capture short- and long-term dynamics. The results highlight the significance of the time dimension on renewable energy PPP financing. In the short term, none of the predictor variables are significant, reflecting the inherently long-term character of renewable energy PPP investments. However, in the long term, gross domestic product per capita, inflation dynamics, efficiency in energy transmission, and institutional quality are identified as key determinants of renewable energy investment. The findings suggest that strengthening sector-specific regulatory frameworks and improving various aspects of institutional quality as defined by the World Governance Indicators can be important to attract private capital in energy PPPs. These institutional reforms, complemented by growth-oriented macroeconomic policies, would contribute to making renewable energy markets more attractive while reducing exposure to macroeconomic and institutional risks. Full article
(This article belongs to the Special Issue Energy and Environment: Policy, Economics and Modeling)
16 pages, 364 KB  
Article
Challenges in Developing Research-Based Teacher Education in Kazakhstan
by Gulfiya Kuchumova and Dinara Mukhamejanova
Educ. Sci. 2025, 15(10), 1339; https://doi.org/10.3390/educsci15101339 - 9 Oct 2025
Cited by 1 | Viewed by 927
Abstract
Pre-service research training is widely recognized as a crucial component of teacher education, preparing teachers who are critical, reflective, and inquiry-driven. Aligning with this global trend, Kazakhstan has also adopted a research turn in teacher education to enhance the quality of schooling. This [...] Read more.
Pre-service research training is widely recognized as a crucial component of teacher education, preparing teachers who are critical, reflective, and inquiry-driven. Aligning with this global trend, Kazakhstan has also adopted a research turn in teacher education to enhance the quality of schooling. This research examined the gap between policy intervention and institutional practices by exploring the barriers and challenges Kazakhstani universities encounter in implementing research-based teacher education. The study employed a qualitative multiple-case study research design. 45 academic staff and administration working at four teacher training universities were interviewed. Drawing on social practice theory, our study revealed that meaningful and sustainable implementation of research-based teacher education in Kazakhstan is hindered by a range of factors categorized into three intersubjective spaces: semantic, material, and social. We argue that the true transformation of teacher education into a more research-based field is impossible without concurrent remodeling of the arrangements that shape it. Full article
(This article belongs to the Section Teacher Education)
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