Search Results (399)

Introduction: Nursing informatics aims to improve patient care through rapid access to patient data, systematic assessment, a reduction in clinical errors, evidence-based practice, cost-effectiveness, and improved patient outcomes and safety. Background: Despite being the largest workforce in healthcare, nurses are not being adequately prepared to use nursing informatics, and this has been attributed to poor digital literacy, limited professional development, and a lack of undergraduate informatics education. Objectives: This scoping review aims to review contemporary published literature on the benefits, barriers, and enablers for embedding nursing informatics into undergraduate nursing education with a focus on the Australian healthcare context. Methods: A scoping review was conducted using the PRISMA-ScR checklist and the JBI Manual for evidence synthesis in adherence with an a priori scoping review protocol. A comprehensive search of JBI, Cochrane, CINAHL, Ovid, ProQuest, PubMed, and Scopus databases was performed. Two reviewers independently screened the results via Covidence, with discrepancies resolved via a third reviewer. Results: Two searches were conducted for this scoping review. In the first search, a total of 3227 articles were identified through database searches, with an additional 76 articles identified through bibliographic and grey literature searches. Following duplicate removal and screening, 46 articles met the inclusion criteria. In the second search, a total of 1555 articles were identified, and after duplicate removal and screening, 16 articles met the inclusion criteria. Duplicate removal during the second search round included those articles identified in the first search. The combined searches resulted in a total of 62 sources for this review. Conclusions: Despite the early adoption of nursing informatics in Australia in the 1980s, barriers remain to effective nursing informatics engagement and proficiency, including a lack of understanding of nursing informatics, limited infrastructure and resources, inadequate digital literacy of students and faculty, and the evolving nature of nursing informatics. Definitions of nursing informatics and associated fields, development of university faculty competency, access to digital health technologies, competency standards, digital literacy of the student cohort, faculty digital proficiency, and leadership from professional nursing bodies are all viewed as integral foundations for the development of student competency in nursing informatics. Full article

Workplace weight stigma is a form of discrimination affecting equality, health, and careers, yet occupational research remains fragmented. This gender-sensitive systematic review synthesizes evidence on workplace weight stigma among adult workers and job applicants since 2000. Following PRISMA procedures, we searched psychological, medical, sociological, and economic databases, identifying 25 included studies examining work outcomes. The corpus includes experimental vignette and correspondence studies, surveys, and qualitative designs, predominantly from high-income Western countries. Higher body weight is consistently associated with disadvantages across the employment life cycle: reduced callbacks and hiring, lower wages and wage growth, fewer promotions, and negative performance evaluations. Penalties are systematically stronger for women; intersectional analyses remain rare. Weight-based teasing, unfair treatment, and stereotype threat are linked to poorer self-rated health, psychological distress, burnout, reduced work ability, lower job satisfaction and commitment, and stronger turnover intentions. Organizational-level evidence is indirect but suggests detrimental effects on engagement and citizenship behaviors. Findings support conceptualizing workplace weight stigma as both a psychosocial hazard and a structural driver of labor-market inequality, underscoring the need for size-inclusive HR practices, leadership, and occupational risk-prevention policies. Full article

This article examines how the early Pentecostal movement in Kerala created a liminal space for Dalits and women—groups historically marginalized by caste and patriarchy—to exercise spiritual agency and contest social hierarchies. Grounded in a Spirit-centered theology that emphasized charismatic openness and the democratization of spiritual gifts, early Pentecostalism disrupted conventional modes of authority and belonging. Drawing on Victor Turner’s theory of liminality, this study interprets this early period as a threshold moment wherein new forms of identity and communal life briefly emerged. While Pentecostalism offered a radically inclusive grammar of participation, its emancipatory potential was ultimately constrained by institutionalization and the reassertion of social norms. Nonetheless, within this fragile and contested space, Dalits and women found opportunities for voice, leadership, and embodied transformation rarely available in other ecclesial traditions. By recovering the theological and historical significance of this liminal journey, this article contributes to broader conversations on decolonial ecclesiology, Spirit-led resistance, and the ongoing tension between charisma and structure in Pentecostal movements. Full article

Cultivating a green innovation-oriented work climate exerts a positive effect on employees’ participation in green knowledge sharing and other co-creation behaviors. Previous studies analyzed the influential factors of green value co-creation from the perspective of green motivation and green dynamic capabilities, but there is a lack of research on the antecedents of green value co-creation from the perspective of green innovation climate. Therefore, based on the social information processing theory, this paper make an in-depth research on the impact mechanism of green innovation climate on employee green value co-creation, through perception of corporate social responsibility and employees’ sense of belonging. A questionnaire survey was conducted on Chinese enterprises implementing green innovation, and 337 valid questionnaires were collected. The effect mechanism of green innovation climate on employees’ green value co-creation was analyzed by the hierarchical regression analysis method. Process regression analysis was used to explore the moderating effect of inclusive leadership. The result of the research shows that green innovation climate has a significant relation to employees’ sense of belonging, perception of corporate social responsibility and employees’ sense of belonging. Perception of corporate social responsibility and employees’ sense of belonging have mediating effects on the relations between green innovation climate and employees’ green value co-creation. Inclusive leadership can moderate the relationship between perception of corporate social responsibility and employees’ green value co-creation. In theory, from the perspectives of green innovation climate and inclusive leadership, it further enriches the research on the driving factors of green value co-creation. In practice, It provides a theoretical reference for enterprises to utilize the strategy of green innovation climate and inclusive leadership to promote green value co-creation of enterprises effectively. Full article

This study investigates how gender-inclusive leadership and trade integration shape environmental sustainability in China, addressing a key gap in the literature where most prior work has focused on aggregate governance, finance, or growth without considering how gender representation in leadership and trade openness jointly relate to environmental outcomes. China provides a particularly relevant setting because it is both a leading global emitter and one of the world’s most trade-integrated and rapidly growing economies, so changes in leadership structures, financial deepening, and external openness can have sizable environmental consequences. Given the nonlinear and non-normal nature of the variables, the analysis relies on nonlinear econometric tools, specifically quantile-on-quantile ARDL and Quantile Granger Causality, applied to quarterly data from 1998Q1 to 2024Q4. The results show that the impact of gender-inclusive leadership on environmental sustainability is state-dependent, with improvements at lower environmental pressure but a predominantly negative long-run association at mid to upper quantiles, while financial development tends to support sustainability, and economic growth and trade openness are generally linked to lower sustainability across much of the quantile range. By narrowing the research gap on gender-inclusive leadership and explicitly motivating China as a critical case, this study offers context-specific evidence that can guide policies aimed at fostering inclusive leadership and greener finance while carefully managing the environmental consequences of rapid growth and deeper trade integration. Full article

This study examines how Empowering (EL), Responsible (RL), and Ethical Leadership (EtL) relate to employees’ perceptions of Decent Work (DW) in a Portuguese public university, using the Job Demands–Resources (JD-R) framework. DW, defined by dignity, equity, and security, was assessed across seven dimensions. A total of 226 faculty, researchers, and staff completed validated measures of EL, RL, EtL, and DW. Results showed moderate to strong positive correlations between leadership styles and DW, especially for Fundamental Principles and Values at Work (DW1), Fulfilling and Productive Work (DW3), and Health and Safety (DW7). EL displayed the strongest associations with fairness, inclusion, and psychological safety, while RL and EtL were more closely linked to accountability and ethical climate. Analyses by role and education revealed systematic asymmetries, with leaders and highly educated employees reporting more favorable experiences. High intercorrelations among leadership styles (r ≈ 0.87–0.90) suggest an integrated values-based leadership pattern. In contrast, weaker associations with structural dimensions such as workload and social protection highlight the limits of leadership influence on DW. These findings advance research on DW in higher education and underscore leadership development as a lever for institutional justice and well-being. Full article

The concept of intersectionality examines how multiple and interdependent forms of oppression manifest among marginalized social groups, considering their social markers. This study aims to analyze intersectionality in the labor market, with a critical focus on the interactions between race, gender, and class as structuring axes of inequality. An integrative literature review was conducted, encompassing an in-depth analysis of 140 articles addressing intersectionality in the labor context. The findings reveal a persistent conceptual fragmentation of intersectionality and a dilution of critical debates within labor market research. Empirical evidence consistently shows that women and racialized groups face enduring structural barriers, including wage gaps, occupational segregation, and limited access to leadership positions. Moreover, these inequalities are often obscured or reduced to superficial diversity and inclusion initiatives rather than being addressed as systemic issues. The study emphasizes the importance of committed and critical intersectional approaches to understanding and addressing systemic inequalities in the labor market, highlighting theoretical and epistemological gaps that must be addressed to advance emancipatory practices and policies that directly confront structural racism, patriarchy, and class-based exploitation. The study contributes theoretically by deepening the application of intersectionality in the labor market and by identifying conceptual and epistemological gaps in the literature. Empirically, it provides practical guidance for organizations to transform diversity initiatives into strategic and inclusive actions, integrating multiple social identities into management policies and practices. Full article

Climate change is one of the greatest challenges of our time, with direct implications for sustainable development, the physical and mental health of populations, and the functioning of health systems. Strengthening the resilience and sustainability of health systems through mitigation and adaptation strategies requires the active involvement of health professionals. This scoping review explores health professionals’ perceptions of climate change and its impacts on public health and health systems, as well as their operational preparedness and the barriers to adaptation. The literature review was conducted in three phases (20 December 2024, 20 January 2025, and 20 March 2025) using the Web of Science, Scopus, and PubMed databases, covering the period 2016–2025 and following PRISMA guidelines. Of the 1888 studies initially identified, 36 met the predefined inclusion and exclusion criteria. The findings showed that while health professionals recognize climate change as a current threat to public health and health systems, they are not adequately prepared to address its impacts. The main barriers to addressing climate change are related to a lack of information and awareness, inadequate training, limited time, lack of supportive leadership, failure to integrate sustainable practices into daily clinical practice and, above all, inadequate funding. Based on these findings, there is an urgent need to develop policies that promote the active participation of health professionals in the design and implementation of climate change mitigation and adaptation strategies. At the same time, there is a need to strengthen research activity through both synchronous and diachronic studies in order to gather information on the sustainability and resilience of health systems. Full article

The purpose of this systematic review was to synthesize the literature to better understand how the field researched principal preparation in relation to race and racism. Using a critical race theory methodological lens (CRM), we analyzed 36 studies of current candidates or recent graduates with an emphasis on the research design and methods. The research chosen for inclusion was (1) empirical, (2) focused on principal preparation programs in the U.S., (3) focused on preparing candidates around issues related to race and racism, and (4) published between 2012 and 2024. Literature was drawn from three major databases that include journals in the field of educational leadership, ERIC, ProQuest, and Education Full Text, in the summer of 2025. It is important to note that our literature search focusing on peer-reviewed articles poses a limitation in terms of the comprehensiveness of the sampled literature, thus excluding potentially important information sources. To analyze the studies, we created a scoring rubric to assess the degree to which each article addressed each CRM tenet. To assess risk of bias, each article was scored by two authors, and the third author also scored the article if the first two disagreed. Our findings show that focus on race and racism was present in most studies reviewed, and almost half centered on the experiences of candidates of color. However, most of the studies reviewed conformed to traditional research paradigms and methods, as illustrated by choices related to frameworks, methods, and data sources. We offer recommendations for researchers of principal preparation who are interested in more critical work related to race and racism, and we argue for increased opportunities for scholars to meet, discuss, and collaborate across institutions around how they are studying leadership preparation for racial equity. The review is registered through Open Science Framework. Full article

School leaders are central to addressing educational inequality by fostering inclusion and belonging within their school communities. In fast-growth educational environments where enrollment surges and demographic shifts outpace resource capacity, school leaders face complex challenges in developing inclusive structures and cultures for students with disabilities. In this qualitative case study, the authors examined how 18 principals across PreK-12 grade levels in three rapidly expanding Texas districts conceptualized and enacted inclusive leadership. Thematic analysis of semi-structured interviews and focus groups revealed that while principals believed all students are capable of learning, they defined inclusion philosophically but implemented pragmatically limited notions of inclusion shaped by their districts’ organizational structures and continuum of services approaches to special education. Findings illustrate that fast-growth contexts amplify tensions between compliance and care, as school leaders balance external accountability and resource constraints with efforts to cultivate school cultures grounded in empathy, relationships, safety, and belonging. The study presents a complicated picture of how principals navigate pragmatic constraints while pursuing inclusive practices for students receiving special education services. Inclusive educational leadership in fast-growth school environments is more likely to occur when leaders reframe inclusion not as placement, but as a shared commitment to recognizing every student’s capability within a responsive community. Full article

This exploratory study examines strategic communication in Galician start-ups led by women, with the aim of analysing reputation management mechanisms, the channels and tools used, and the challenges associated with building a differentiated identity in the entrepreneurial ecosystem. A qualitative approach was adopted, combining a focus group with nine female entrepreneurs, documentary analysis and case studies. The results show that this ecosystem is structured around three relevant dimensions: institutional support provided by universities, accelerators and pioneering programmes; territorial roots, as a strategic resource for legitimacy and differentiation; and personal narratives that link innovation with everyday experience and strengthen empathy with audiences. There is a notable progressive professionalisation of communication as an instrument for growth, risk governance and identity consolidation, in which digital platforms play a significant role. Horizontal leadership styles, based on transparency and empathy, are configured as reputational attributes where the status of women founders can generate differential advantages in visibility and credibility, but also challenges in masculinised environments. The discussion identifies three key challenges: overcoming reluctance to public exposure, strengthening peer support networks, and promoting inclusive and understandable language. The findings highlight strategic communication as a cross-cutting resource for business and social legitimacy and sustainability in Galician female entrepreneurship. Full article

This article draws on research in a Norwegian municipality to examine the affective aspects of teaching gifted students and to explore how systemic and cultural norms surrounding gifted education in Norway may shape teachers’ perceptions and practices. Teacher well-being is a concern for educational quality and sustainability, yet in gifted education, it is often overlooked. Giftedness refers to a high ability to learn faster, more complex or in greater depth than same-age peers when adequately supported. In Norway, teachers face contradictory signals concerning teaching the gifted: definitional ambiguity, limited training, strong egalitarian norms that make giftedness a contested category, and, at the same time, a strong principle of inclusive adapted education for all. Those combined may lead to ethical tensions that challenge teachers’ professional integrity and well-being. Such conditions can reduce teachers’ handlingsrom, meaning their space (room) for professional agency, within institutional, cultural, and policy frameworks. To investigate how such pressures shape teacher’s well-being, this study synthesises findings from four interrelated sub-studies conducted within a single research project on gifted education. Using a meta-ethnographic approach, we translated and integrated insights from the sub-studies to develop higher-order constructs not visible in the individual analyses. The synthesis identified three key dynamics: conceptual ambiguity, ethical strain under cross-pressure, and buffers as recalibrators of demands and resources. Together, these insights informed the Cross-Pressure Model for Teacher Well-being (CP-Well Model) developed in this study, which positions teacher integrity at the centre of professional well-being. We argue that teacher well-being in gifted education may depend less on individual resilience and more on systemic, cultural, and policy conditions. Addressing these cross-pressures requires structural change, supportive leadership, and sustained professional development to enable teachers to work with integrity. Full article

This study examines how major global hotel groups construct sustainability through corporate communication, assessing both the thematic content and the internal coherence of their Environmental-Social-Governance (ESG) narratives. The research question is How do international hotel corporations construct sustainability through their corporate communication and ESG reporting? The research applies qualitative content analysis of sustainability reports from ten international hotel corporations and a four-layer discursive coherence model (performance, operational, narrative, strategic), the study analyses 888 coded quotations and 205 sustainability-theme occurrences in ATLAS.ti version 25, a qualitative data-analysis software. Results show that while measurable, performance-based disclosures dominate—such as digital food-waste monitoring, emissions-intensity reductions, and responsible sourcing—symbolic language remains strategically deployed to reinforce identity, purpose, and legitimacy. Across the sector, sustainability discourse converges around four recurring pillars: environmental performance leadership, community resilience, responsible business governance, and inclusive economic empowerment. The study advances theoretical work on sustainability communication by conceptualizing discursive coherence as an indicator of organizational authenticity and offers actionable insights for enhancing credibility and stakeholder trust in corporate ESG reporting. Full article

Ageism remains a pervasive yet under-addressed form of workplace discrimination, affecting employees across age groups. This study, conducted within the framework of the EU-funded project SNAW–Say No to Ageism in the Workplace, presents findings from a cross-national survey in Germany, Romania, Ireland, Portugal, and Greece, with 511 participants including employees and employers. The survey examined five dimensions of workplace ageism (cognitive, emotional, behavioural, institutional, and outcome-related) through questions on stereotypes, experiences, organisational practices, and perceived impacts. Results indicate that age-based stereotypes are widely recognised, especially in Germany, Ireland, and Greece. Older workers were often portrayed as resistant to change or technologically outdated, while younger workers were described as inexperienced or unreliable. Despite some positive perceptions, these ambivalent views contribute to exclusionary dynamics. Employees consistently reported higher levels of ageism than employers, revealing a “perception gap”. Institutional responses were uneven: awareness of policies or initiatives promoting age diversity was low, and their effectiveness remained uncertain. Across countries, respondents linked ageism to reduced job satisfaction and productivity, though the perceived severity varied. The findings highlight ageism as a multifaceted challenge that undermines well-being and organisational performance. Counteracting it requires raising awareness, transparent communication, inclusive policies, and leadership engagement across Europe. Full article

This study examines the perceptions and experiences of Indigenous Kankuamo women in northern Colombia regarding their sexual and reproductive rights (SRR), exploring how cultural traditions and public policies shape their exercise. The main objective was to understand the tensions between ancestral values, community leadership, and internationally recognized rights. A mixed-methods approach (qualitative–quantitative) was employed, based on semi-structured interviews conducted with 30 women. The instrument included closed Likert-type questions and open-ended items addressing perceptions, cultural practices, access to health services, and government programs. Data were analyzed using descriptive statistics, Spearman correlations, and content analysis through thematic development. The findings revealed a strong correlation between trust in health services, accessibility, cultural compatibility, and the frequency of adolescent pregnancies. Divided perceptions regarding the role of community leaders were identified, along with a recurring demand for education and awareness-raising on sexuality and rights. Participants also noted limitations in state programs, mainly due to their limited cultural relevance. Kankuamo women face ongoing tensions between cultural preservation and sexual autonomy. Strengthening education, inclusive leadership, and policies with an ethnic and gender perspective is recommended to ensure the full exercise of their SRR. Full article