Search Results (5,693)

Background and Objectives: The COVID-19 pandemic placed substantial mental and physical burdens on healthcare workers, particularly nurses. In the post-pandemic period, sustained stress, elevated mental workload and disturbed sleep may continue to affect well-being and job performance. This study aimed to assess perceived stress levels, occupational stress, and sleep quality among Hungarian nurses, while identifying key demographic, occupational, and behavioral predictors. Materials and Methods: A cross-sectional, quantitative study was conducted from April to July 2022 among nurses employed in Hungarian general hospitals (N = 418). Data were collected via an online self-administered questionnaire. Stress and sleep quality were measured using the Perceived Stress Scale (PSS-14), Expanded Nursing Stress Scale (ENSS), and Groningen Sleep Quality Scale (GSQS). Statistical analysis included descriptive statistics, ANOVA, post hoc tests, t-tests, and Pearson’s correlation (p < 0.05). Results: The mean PSS-14 score was 27.82 (SD = 7.82), indicating moderate stress. Sleep quality was poor (mean GSQS = 7.29, SD = 4.28), with significant positive correlation with perceived stress (r = 0.442, p < 0.001). Low income, lower education, and high coffee or alcohol consumption, and multiple night shifts were significantly associated with higher stress and poorer sleep quality. Occupational stress and mental workload, as measured by ENSS, was highest in internal medicine (mean = 122.16, SD = 37.09; p = 0.033). The most burdensome ENSS subscale was “workload” (mean = 2.30, SD = 0.92), with “not enough staff to adequately cover the unit” identified as the most stressful item. Additional cognitive and emotional workload components included dealing with violent patients and a lack of emotional preparedness in supporting families. Conclusions: Post-COVID nurses in Hungary experience moderate stress and impaired sleep. Excessive workload, emotional demands, and shift patterns significantly contribute to psychological and cognitive strain. Institutional and policy-level interventions are needed to reduce occupational stress and promote workforce resilience. Full article

This paper explores how school culture and key organizational culture dimensions, power distance, humane orientation, performance orientation, and in-group collectivism, affect different types of conflict (task, relationship, and process) in primary schools in Serbia. It also examines how gender and teachers’ organizational commitment moderate these relationships. Data were obtained by surveying 380 respondents, all of whom were primary school teachers in Serbia. The participants were between 23 and 65 years old. Of the total sample, 19.47% were male, and 80.53% were female. The mean values ranged from 1.8046 to 4.9847, with standard deviations between 0.7699 and 1.4785. The research was conducted using a simple random sampling technique. Teachers were given questionnaires through Google Forms, which they completed online. Printed versions were also distributed and later entered into the database. The study was guided by two research questions and two hypotheses. Data analysis was performed using SPSS (Statistical Package for the Social Sciences). The findings reveal that the school culture dimension of teacher professionalism and goal setting (r = −0.297 **; β = −0.496) and the organizational culture dimension of humane orientation (r = −0.303 **; β = −0.198) have the most substantial negative effects on conflict, indicating their beneficial role in reducing it. In contrast, power distance shows a strong positive relationship with conflict, particularly with relationship conflict (r = 0.230 **; β = 0.201). Additionally, excessive emphasis on teacher collaboration and performance orientation appears to increase relationship conflict (β = 0.226; β = 0.261, respectively). Gender differences emerged: cultural dimensions were more effective in reducing conflict among women than men. Among male teachers, power distance had a stronger influence, significantly increasing task conflict (r = 0.303 **). The school culture and organizational culture dimensions significantly reduce the conflict dimensions in the case of high teacher commitment. The dimension power distance has a statistically significant and positive effect on conflicts when organizational commitment is high (r = 0.247 **). Therefore, school culture and organizational culture dimensions achieve stronger effects in committed women, while power distance achieves stronger effects in committed men. Full article

Objective: To assess gestational diabetes mellitus (GDM) awareness among women in the Northern Borders Province of Saudi Arabia and identify factors associated with knowledge levels. Methods: A cross-sectional study was conducted among 461 women using a structured, validated online questionnaire assessing demographics, medical history, and knowledge of GDM’s effects on maternal and neonatal outcomes. Associations between demographic factors and GDM awareness were analyzed using chi-square tests. Results: Most participants (98.5%) were Saudi nationals, with a mean age of 34.5 ± 10.0 years; 82.6% had university-level education. Overall, 42.3% demonstrated fair awareness of GDM, 34.3% had good awareness, and 23.4% had poor awareness. Knowledge of GDM’s maternal complications varied: 70% recognized the risk of emergency cesarean section, but only 8.2% were aware of increased preeclampsia risk. For neonatal outcomes, 58.4% identified high birth weight as a risk, while only 31.9% recognized the risk of congenital anomalies. Higher awareness was significantly associated with education level (p = 0.02), pregnancy status (p = 0.001), trimester (p = 0.002), and family history of relevant conditions (p = 0.04). Conclusion: Although many women showed fair-to-good awareness of GDM, notable gaps remain, especially regarding specific complications. Targeted educational interventions, particularly for less-educated and non-pregnant women, are recommended to improve GDM awareness and pregnancy outcomes. Full article

Background: This study stems from the perceived need to update skills and training in the process of educating healthcare professionals in light of the needs of individuals and their families. Objectives: This study aimed to assess the prevailing attitudes toward death and hospice care among medical students in China, providing a foundation for implementing hospice care and death education within these institutions. Methods: We conducted an online survey questionnaire with 568 medical students. Results: The results indicate that the overall attitude toward death was more inclined to accepting death neutrally. Gender, place of origin, educational background, willingness to care for terminally ill patients, experience in caring for terminally ill patients, and more will affect the attitude toward death of medical students. Compared to their rural counterparts, medical students in urban areas are more likely to view death as neutral. Instead of reducing fear, death and hospice education made people more likely to avoid situations. All five dimensions of death attitude exhibit a substantial positive connection with attitudes toward hospice care. In comparison to earlier research, medical students exhibit increasingly favorable attitudes regarding hospice care, and their overall perspective on death remains one of natural approval, suggesting that the integration of death and hospice care teaching is progressing effectively in mainland China. Conclusions: Simultaneously, it was discovered that numerous deficiencies required enhancement, including the need for timely feedback and optimization in hospice care instruction and death education, as well as insufficient attention and educational guidance regarding the individual differences and psychological conditions of medical personnel in the future. Full article

Background: T1D is generally associated with increased psychological burden, but evidence from Middle Eastern populations remains scarce. The present study assessed the gender differences in management, prevalence, and risk factors of perceived depression and anxiety among people with T1D in Saudi Arabia. Methods: A cross-sectional online survey was conducted among people withT1D across Saudi Arabia to collect demographic, clinical, and diabetes management data. Perceived depression and anxiety symptoms were assessed using a validated questionnaire. Multinomial logistic regression was used to identify risk factors of severe depression and anxiety. Results: Among 1073 PwT1D (303 males and 770 females), perceived depressive and anxiety symptoms were highly prevalent. Females had higher perceived anxiety compared with males (p = 0.003). Age- and BMI-adjusted regression analysis showed that, overall, higher income (p = 0.008), no neuropathy (p = 0.002), above-average benefit from the diabetes education clinic (p = 0.02), practicing carbohydrate counting (p = 0.002), and HbA1c < 7.0% (p = 0.01) were protective against perceived severe depression. Friends with T1D as the preferred education source (odds ratio [OR] = 2.8, p = 0.04) and a rejected request for continuous glucose monitoring (CGM) (OR = 1.88, p = 0.02) or insulin pump (OR = 2.8, p = 0.001) were significant risk factors. Perceived severe anxiety was associated with insulin pump rejection (OR = 2.4, p < 0.001) and self-reading as the preferred education source (OR = 2.0, p = 0.03). Being male (p = 0.02), no neuropathy (p = 0.01), practicing carbohydrate counting (p < 0.001), and HbA1c < 7.0% (p = 0.001) were protective. Conclusions: Symptoms of depression and anxiety are highly prevalent among people with T1D in Saudi Arabia, with females and socioeconomically disadvantaged individuals at greater risk. The findings highlight an urgent need for integrated mental health support within diabetes care and improved access to resources. Full article

Basketball is a sport whose regulations require quick and complex refereeing decisions. Since the inception of sports, research on sports judgment and refereeing has been consistently present in the scientific literature. However, decision-making and the psycho-emotional factors that influence it remain somewhat unexplored in studies. The decision-making of the basketball referee has been analyzed using the DMQ II questionnaire. To achieve this, 58 referees from the Spanish Basketball Federation collaborated, comprising 45 men and 13 women, all between the ages of 18 and 38 (M = 26.5, SD = 5.5). Participants completed the 31-question DMQ II questionnaire online, yielding results with significant differences based on age and gender about stress in decision-making. A modification of the referee’s teaching methodology that includes psychological strategies is proposed both in the initiation course and throughout the refereeing career. The findings highlight the need for mental health support systems for referees, particularly addressing stress management in young and female officials. This aligns with global efforts to safeguard psychological well-being in sports professionals. Full article

Background/Objectives: Research has shown that those who experience childhood sexual abuse (CSA) are at increased risk of subsequent sexual revictimization. Multiple sexual victimizations can lead to higher rates of depression, anxiety, trauma, and suicidality. Prior research has yielded varying definitions of revictimization, including only accounting for revictimization that occurred in adulthood or multiple CSA episodes by the same perpetrator, or it has broadly assessed maltreatment without a specific focus on CSA. This study examined mental health outcomes in survivors of CSA who experienced sexual revictimization in childhood from a different perpetrator, comparing their mental health outcomes (i.e., depression, suicidal ideation, post-traumatic stress disorder (PSTD), hopelessness, guilt, and shame) to those who reported CSA by one perpetrator. Methods: Adult survivors of CSA (n = 627) completed an online survey describing their CSA experience, whether they experienced CSA by one or multiple perpetrators in childhood, and a series of mental health questionnaires. Results: Almost half of the sample reported CSA by more than one perpetrator in childhood (n = 267; 42.58%). Survivors who reported multiple CSA perpetrators reported significantly higher levels of depression, suicidal thoughts, PTSD, hopelessness, shame, and some facets of guilt in adulthood compared to those who reported CSA by a single perpetrator. Conclusions: Experiencing CSA by multiple perpetrators in childhood may lead to more negative mental health outcomes in adulthood. The findings emphasize the importance of early identification and intervention for individuals who experienced CSA. Full article

Background/Objectives: Sustainability discussions are increasingly highlighting the environmental and health impacts of meat production and consumption. The study aimed to analyze how meat attachment influences the intention to reduce meat consumption among young adults, considering the moderating role of environmental attitude. Methods: An online survey was conducted from 27 April to 1 May 2022, among young Korean adults in their 20s, and 1478 responses were collected. The survey questionnaire assessed the participants’ (1) meat attachment (hedonism, affinity, entitlement, and dependence), (2) environmental attitude, (3) intention to reduce meat consumption, and (4) socio-demographics. Hierarchical multiple regressions were performed to explore the associations between meat attachment and the intention to reduce meat consumption, controlling for the participants’ socio-demographic characteristics. The moderating effect of environmental attitude on the associations was assessed using the PROCESS macro. Results: The results showed that, among the four subscales of meat attachment, affinity (β = 0.103, p < 0.001) and dependence (β = −0.201, p < 0.001) significantly predicted the intention to reduce meat consumption. In contrast, hedonism (β = −0.007, p = 0.831) and entitlement (β = 0.019, p = 0.509) exhibited no significant associations. Additionally, environmental attitude significantly moderated the associations between both affinity (interaction β = 0.135, p = 0.001) and dependence (interaction β = −0.159, p < 0.001) and the intention to reduce meat consumption. Conclusions: Overall, this study suggests that addressing meat dependence and affinity could be crucial for encouraging a reduction in meat consumption. Additionally, raising environmental attitude among younger adults may be needed before encouraging meat reductions. Given the limited research conducted in Asian contexts, this study offers a valuable foundation for the development of future educational interventions targeting sustainability concerns associated with meat consumption. Full article

This study explores the relationship between digital human resource management (HRM) practices, organizational culture, and employees’ perceived digital competence within Greek organizations. While digitalization has become a central priority in human resource management (HRM), there is still limited understanding of how cultural context shapes the effectiveness of digital HR interventions. Using a quantitative approach, data were collected via an online questionnaire from 257 employees across various sectors. The research employed the method of Partial Least Squares Structural Equation Modeling (PLS-SEM) and Multi-Group Analysis (MGA) to examine the structural relationships between digital HRM practices—such as e-learning, onboarding, and performance management—and digital competence, taking into account different organizational culture profiles. The results show that digital HRM practices have a positive, but modest, impact on employees’ digital skills, with e-learning emerging as the most influential factor. Importantly, the effect of HRM practices varies significantly according to the cultural environment: supportive and innovative cultures foster stronger development of digital competence compared to hierarchical settings. The findings underline the necessity for organizations to adapt digital HR strategies to their specific cultural context and not to rely solely on technological solutions. This research contributes to the growing literature by demonstrating the interplay between technology and culture in shaping employees’ digital capabilities and suggests that a balanced focus on both is essential for successful digital transformation. Full article

This study examines climate anxiety and perceptions regarding the future among Generation Z youth living in a Mediterranean region vulnerable to climate-related natural disasters. It also explores their perceptions of the content and effectiveness of environmental education. A quantitative survey based on an online questionnaire was conducted with 93 undergraduate students and future environmental education teachers in Greece. We investigated their ecological emotions, thoughts about the future, and their ideas on the orientation of environmental education content. The results reveal (a) a high level of climate anxiety among participants, (b) pessimistic ideas about the future, and (c) the need for a holistic pedagogical approach to environmental education theory and praxis. Full article

Background and Objectives: Borderline personality disorder (BPD) is a complex psychiatric condition characterized by emotional instability, impulsivity, a fluctuating self-image, and persistent difficulties in maintaining close interpersonal relationships. Among university students, these traits may be associated with social adjustment and academic functioning difficulties. The present study aimed to examine the prevalence of borderline traits within a Romanian student population and to investigate the associations between these traits and interpersonal difficulties encountered in family life, romantic relationships, and academic environments. Materials and Methods: This cross-sectional study included a total of 151 undergraduate students enrolled in higher education institutions across Romania. Data were gathered through an online questionnaire available between March and May 2025. The instrument comprised items addressing socio-demographic characteristics, diagnostic criteria for borderline personality traits according to the DSM, as well as self-reported social behaviour patterns. Statistical analysis was performed using GraphPad Prism 9, version 9.3.1 for Windows, employing Fisher’s exact test and the odds ratio (OR), with a significance threshold set at p < 0.05. Results: Most participants reported experiencing affective instability (71.5%) and distorted self-image (58.9%). Fear of abandonment was present in 29.4% of the respondents, while impulsivity was identified in 37.7%. Borderline personality traits were significantly associated with a range of social difficulties, including relational anxiety, outbursts of anger, peer conflicts, social withdrawal, and dissociative symptoms. Individuals who exhibited impulsivity, self-injurious behaviours, or dissociative episodes demonstrated a markedly increased risk of social dysfunction, with odds ratios ranging from 3 to 10 (p < 0.0001). Conclusions: The findings reveal a high prevalence of borderline traits within the analysed sample, along with statistically significant associations with social and emotional difficulties. These results underscore the importance of implementing psychological screening programs in universities, as well as early intervention strategies focused on the mental well-being of young adults. Establishing a supportive academic environment and fostering collaboration between faculty members and mental health professionals may play a key role in preventing symptom escalation and in promoting healthy personal and relational development. Full article

The hospitality sector plays a crucial role in the tourism industry, undergoing a transformation driven by the intersection of service innovation and environmental practices. Competitiveness in this sector requires adaptation to market demands, with a focus on service innovation and environmental sustainability. This research aims to analyze the relationship between service innovation, environmental practices, and sustainable competitive advantage in Brazilian hospitality establishments. A quantitative and descriptive approach was applied to 300 individuals who stayed in Brazil. Data collection was conducted through an online questionnaire, utilizing the Snowball Sampling technique. The data collection was between 15 February and 20 June 2024. Data analysis was performed using Structural Equation Modeling, which enabled the examination of multiple variables and the verification of hypothetical relationships. The research results validated the hypotheses tested, demonstrating that service innovation and environmental practices have a positive influence on sustainable competitive advantage in hospitality establishments. An important finding in the research refers to the correlation between these constructs, which highlights the importance of integrated strategies that consider innovation and environmental sustainability as key elements for organizational success in the hospitality sector. With its theoretical contribution, this research developed a framework for analyzing the relationships between the constructs. Full article

The purpose of this study is to explore the extent to which self-esteem, depression, anxiety, and stress experienced during childhood may contribute to the development of disordered eating behaviors in adulthood. The existing literature indicates that disordered eating habits are positively associated with symptoms of anxiety, stress, depression, and low self-esteem. However, most research focuses on the concurrent relationships among these variables rather than examining whether low self-esteem and poor mental health in childhood can influence the emergence of disordered eating behaviors later in life. An online quantitative survey was conducted using questionnaires completed by 135 participants aged between 30 and 70 years. The results revealed that low self-esteem and high levels of depression, anxiety, and stress during childhood were associated with increased disordered eating behaviors in adulthood. These findings suggest that negative self-perceptions and poor mental health in childhood have lasting effects that extend into adulthood. This knowledge can be valuable for psychologists, mental health professionals, parents, and schools in designing intervention programs aimed at enhancing children’s and adolescents’ self-esteem, promoting good mental health, and fostering healthy eating habits. Full article

Background/Objectives: Missed nursing care (MNC), defined as any omitted or delayed aspect of required patient care, is a global concern affecting both patient outcomes and nurse well-being. In Saudi Arabia, few studies have examined its relationship with job satisfaction. This study assessed the prevalence of MNC, job satisfaction, and their association among nurses in government hospitals. Methods: A correlational, cross-sectional study was conducted between February and May 2025 in government hospitals across Albahah, Hail, and Almadina. A total of 366 registered nurses participated. Data were collected via a structured online questionnaire including demographic information, the Missed Nursing Care Scale, and the Minnesota Satisfaction Questionnaire (MSQ). Data were analyzed using descriptive statistics, Spearman’s correlation, and regression analysis. Results: Basic care activities such as mouth care, bathing, and meal assistance were the most frequently missed tasks, mainly due to staffing shortages and high patient loads. The median MSQ score was 60 (44–71 Interquartile Range), reflecting moderate job satisfaction. A significant negative correlation was observed between MNC and job satisfaction (r = −0.267, p < 0.001), indicating that increased missed care was associated with lower satisfaction levels. Conclusions: The findings highlight the urgent need for healthcare administrators and policymakers to implement strategies to improve staffing levels and work environments. Addressing these organizational factors is essential to reducing missed nursing care, enhancing nurse job satisfaction, and ultimately improving patient safety and care quality in Saudi government hospitals. Full article

Background/Objectives: Artificial intelligence (AI) has been utilised in urological conditions such as urolithiasis, urogynaecology and uro-oncology. The aim of this study is to examine the attitudes and beliefs about AI technology amongst urology healthcare providers. Methods: A structured online questionnaire, created from a modified Delphi method with a panel of urologists and urology surgical trainees, was delivered through the Urological Asia Association’s annual congress. The questionnaire, with 25 items of mixed type responses (five-point Likert scale, nominal-polytomous and open-ended), acquired data regarding demographics, perception and attitudes towards general usage of AI in urological care. Results: A total of 464 respondents from 47 different countries were collected. The results showed that 83.4% of participants believed AI will improve efficiency and 18.8% believed they are knowledgeable in AI technology, with ordinal logistic regression showing both urology specialists and trainees are more likely to agree to these responses. Overall, 51.5% believed AI adoption will not replace clinical practice, and regression analysis found those with previous AI training are more likely to agree to this response. We found AI is commonly used in research, patient education and administrative tasks and identified key enablers as regulatory approval, AI clinical effectiveness and access to AI training. Conclusions: Overall attitudes and beliefs towards the use of AI in urology is positive and encouraging. AI training and education and regulatory reform needs to be addressed to allow integration of AI into clinical practice. A limitation of the study lies in its generalisability to global settings due to the demographics of the respondents. Full article