Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

Article Types

Countries / Regions

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Search Results (268)

Search Parameters:
Keywords = pandemic stress perception

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
17 pages, 615 KB  
Article
Commitment Under Pressure: The Paradox of Post-Pandemic Workforce Recovery in Canadian Education
by Lesley Eblie Trudel and Laura Sokal
Educ. Sci. 2026, 16(1), 4; https://doi.org/10.3390/educsci16010004 - 19 Dec 2025
Abstract
This study examines how the education sector in one Canadian province has navigated post-pandemic recovery between 2023 and 2025, drawing on cross-sectional survey data from a convenience sample of sector employees in the 2023–2024 (n = 1411) and 2024–2025 (n = 742) [...] Read more.
This study examines how the education sector in one Canadian province has navigated post-pandemic recovery between 2023 and 2025, drawing on cross-sectional survey data from a convenience sample of sector employees in the 2023–2024 (n = 1411) and 2024–2025 (n = 742) school years. The findings revealed selective improvement over time, including increased organizational commitment among teachers and other education workforce members, alongside reduced perceptions of students’ academic, social, and behavioural needs. Teachers indicated no corresponding increases in their perceived frequency of meeting students’ needs, whereas other educator sector employees indicated improvement in this area. In contrast, no year-over-year differences were found in the education workforce members’ and teachers’ stress, coping, well-being or connectedness, and job search behaviours remained high, ranging from 14 to 43%. Guided by the Job Demands–Resources (JD-R) model, these findings suggest that post-pandemic recovery reflects the establishment of a new and complex baseline. The coexistence of improved commitment with persistent job strain signals a paradox of stability amid depletion. Qualitative responses reinforced this interpretation, revealing how educators adapt to ongoing organizational resource constraints and shifting student needs. Together, the findings extend JD-R-informed understandings of post-crisis workforce adaptation and identify implications for leadership and policy aimed at supporting organizational health and workforce sustainability. Full article
38 pages, 5637 KB  
Article
Perceptions and Use of Urban Green Spaces, Leading Pathways to Urban Resilience
by Angeliki T. Paraskevopoulou, Eleni Mougiakou and Chrysovalantis Malesios
Sustainability 2025, 17(22), 10093; https://doi.org/10.3390/su172210093 - 12 Nov 2025
Viewed by 944
Abstract
This study examined residents’ perceptions, preferences, and experiences of urban green spaces in four regional units of the Region of Attica—West Athens, Central Athens, South Athens, and Piraeus—demonstrating how demographic diversity, urban morphology, and external stressors—such as extreme heat and the COVID-19 pandemic—shape [...] Read more.
This study examined residents’ perceptions, preferences, and experiences of urban green spaces in four regional units of the Region of Attica—West Athens, Central Athens, South Athens, and Piraeus—demonstrating how demographic diversity, urban morphology, and external stressors—such as extreme heat and the COVID-19 pandemic—shape green space use. The results show that, while green spaces are essential for health, well-being, and social cohesion, their distribution is uneven, which limits their availability (27.3%) and access (21.8%) to residents. Main concerns expressed by residents when visiting green spaces and open green spaces are poor maintenance (50.7%), lack of security (36.7%), and socially irresponsible behaviour (e.g., littering, vandalism) (32.8%). Extreme heat emerged as a major constraint on outdoor activities, particularly affecting women and the elderly. Household-associated outdoor areas (balconies, courtyards, and verandas) were highly valued (59.8%), highlighting the role of private green spaces in dense urban environments. Major metropolitan parks were the most visited and valued by residents for providing contact with nature (23.0%) and benefiting from stress relief (54.0%) while practicing their favourite activity, though their use was limited during heatwaves (30.3% of the residents do not visit). Most activities during and after the COVID-19 pandemic were reported unchanged, though reported increases in walking (34.3%) and park visits (28.3%) demonstrate the importance of green spaces in fostering urban resilience. However, the reported lack of engagement in gardening (48.0%), indoor plant care (41.2%) and bird/wildlife watching (58.3%) suggest missed opportunities for ecological and cultural enrichment. Overall, the study underscores the urgent need for integrated planning strategies to improve accessibility, maintenance, and equity in green space provision. By aligning with the sustainable development goals, the four regional units of the Region of Attica can transform its green infrastructure into an inclusive, resilient system that supports public health, social inclusion, and climate adaptation. Full article
(This article belongs to the Section Sustainable Urban and Rural Development)
Show Figures

Figure 1

15 pages, 422 KB  
Article
Health Perceptions and Trust in Healthcare After COVID-19: An Exploratory Cross-Sectional Survey from Romania
by Réka Bodea, Alexandra Maria Buboacă, Lorand Iozsef Ferencz, Zoltán Ábrám and Toader Septimiu Voidăzan
Int. J. Environ. Res. Public Health 2025, 22(10), 1496; https://doi.org/10.3390/ijerph22101496 - 27 Sep 2025
Viewed by 682
Abstract
Background: This study is particularly relevant to the Romanian context, where relatively few empirical investigations have examined post-pandemic health perceptions and levels of trust in public institutions. The purpose of this study is to investigate the long-term impact of the COVID-19 pandemic on [...] Read more.
Background: This study is particularly relevant to the Romanian context, where relatively few empirical investigations have examined post-pandemic health perceptions and levels of trust in public institutions. The purpose of this study is to investigate the long-term impact of the COVID-19 pandemic on health perceptions and trust in the healthcare system by examining key socioeconomic and epidemiological factors. Methods: A cross-sectional online survey was conducted among Romanian adults (N = 423), between March and April 2025. Demographic data, lifestyle habits, mental health, and access to healthcare were assessed. Statistical analyses included both bivariate (chi-square test) and multivariable logistic regression models to identify independent associations. Results: 31.9% of participants reported increased stress and anxiety during the pandemic. Decreased trust in the healthcare system (75.6%) and a perceived reduction in life expectancy (74.3%) were also noted as a consequence of the COVID-19 pandemic. Perceived life expectancy decline was linked to lower education and inconsistent healthcare behavior. Conclusion: In our sample, the perception of decreased life expectancy reflects not only epidemiological realities but also emotional and social responses to crises. Individuals’ trust, behavior, and shared vision of the future have also been challenged during the COVID-19 pandemic. Full article
Show Figures

Figure 1

13 pages, 1022 KB  
Article
The Experience of Breastfeeding Women During the Pandemic in Romania
by Ruxandra-Gabriela Cigăran, Gheorghe Peltecu, Radu Botezatu and Nicolae Gică
Children 2025, 12(10), 1279; https://doi.org/10.3390/children12101279 - 23 Sep 2025
Viewed by 557
Abstract
Background: Evidence suggests that the uncertainty surrounding the COVID-19 pandemic and the associated changes have negatively influenced breastfeeding practices. Considering that breastfeeding women are already known to be more vulnerable in terms of emotional status, the aim of our study was to evaluate [...] Read more.
Background: Evidence suggests that the uncertainty surrounding the COVID-19 pandemic and the associated changes have negatively influenced breastfeeding practices. Considering that breastfeeding women are already known to be more vulnerable in terms of emotional status, the aim of our study was to evaluate the experiences and concerns of breastfeeding women in Romania during the pandemic. Also, we tried to identify the most effective measures for mitigating the negative impacts. Methods: A 46-item questionnaire was developed for data collection and it was shared on Facebook and Instagram, with networks of women who breastfed during the pandemic and with obstetric communities. Our cross-sectional survey recruited 261 Romanian breastfeeding women. Among general questions about basic demographic information and details about changes experienced during the COVID-19 pandemic, the survey included questions about their breastfeeding experiences during the pandemic, whether they had contracted SARS-CoV-2 while breastfeeding, their concerns, and their overall perceptions of the period. Results: In our study, we observed that women who breastfed during the pandemic—especially those who had contracted SARS-CoV-2—experienced significant fear that their newborns or children might become infected. These mothers also expressed deep concern for their own health and the wellbeing of their loved ones. The experience of contracting SARS-CoV-2 was a major source of psychological stress. Despite these challenges, the participants, especially women who contracted SARS-CoV2, reported a notably longer overall duration of breastfeeding and higher rates of exclusive breastfeeding. However, access to breastfeeding support during this period was generally limited. Conclusions: These findings highlight the negative impact of the pandemic on breastfeeding mothers and the adaptability of mothers under crisis conditions, emphasizing the need for improved support systems and targeted interventions to assist mothers during public health crises. Full article
(This article belongs to the Special Issue Recent Advances in Maternal and Fetal Health (2nd Edition))
Show Figures

Figure 1

12 pages, 269 KB  
Article
Predictors of Emotional Exhaustion and Depersonalization in Teachers After the COVID-19 Pandemic: Implications for Mental Health and Psychiatric Support in Spanish-Speaking Countries
by Sofia Catalina Arango-Lasprilla, Natalia Albaladejo-Blázquez, Bryan R. Christ, Oswaldo A. Moreno, Maria Camila Gomez Posada, Paul B. Perrin and Rosario Ferrer-Cascales
Psychiatry Int. 2025, 6(3), 101; https://doi.org/10.3390/psychiatryint6030101 - 21 Aug 2025
Viewed by 2646
Abstract
Burnout, characterized by emotional exhaustion and depersonalization, is increasingly recognized as a significant mental health concern with psychiatric implications. This cross-sectional study explored variables associated with current burnout levels among 2004 teachers in 19 Latin American countries and Spain, drawing on retrospective perceptions [...] Read more.
Burnout, characterized by emotional exhaustion and depersonalization, is increasingly recognized as a significant mental health concern with psychiatric implications. This cross-sectional study explored variables associated with current burnout levels among 2004 teachers in 19 Latin American countries and Spain, drawing on retrospective perceptions of COVID-19 pandemic-related changes in work conditions and student behavior. Using a comprehensive survey, researchers gathered demographic information, work-related characteristics, and burnout levels measured by the Maslach Burnout Inventory. Participants were recruited through social media platforms and teacher groups. Participants reported high emotional exhaustion, with 45.9% exceeding the clinical threshold. Moderate depersonalization levels were observed, with 30.2% scoring above the clinical cutoff. Hierarchical regressions indicated that emotional exhaustion was significantly predicted by individual (e.g., gender, age, socioeconomic status, pre-existing mental and chronic illnesses), school (e.g., school level, sector, and workload), and student factors (e.g., behavior and social adjustment problems), accounting for 17.4% of the variance. Depersonalization was similarly associated with individual (e.g., gender, age, education, and pre-existing mental illness), school (e.g., workload and school level), and student characteristics (e.g., educational, behavioral, and family adjustment problems), explaining 6.5% of the variance. These findings contribute to psychiatric and psychological research by identifying specific risk profiles for chronic stress syndromes in educators—an occupational group facing long-term psychological impacts from the COVID-19 crisis. This study underscores the need for interdisciplinary psychiatric approaches to diagnose and prevent burnout and promote teacher well-being through clinical and policy-level interventions. Full article
15 pages, 382 KB  
Article
Relationship Between Emotional Self-Regulation and the Perception of School Violence: Pilot Study in La Araucanía, Chile
by Flavio Muñoz-Troncoso and Enrique Riquelme-Mella
Societies 2025, 15(8), 221; https://doi.org/10.3390/soc15080221 - 11 Aug 2025
Viewed by 1833
Abstract
The increase in school violence, especially post-pandemic, has been widely addressed in various research studies. This pilot study, carried out in the Araucanía Region (Chile), aims to explore the relationship between negative emotional self-regulation of stress and perceptions of school violence. A cross-sectional [...] Read more.
The increase in school violence, especially post-pandemic, has been widely addressed in various research studies. This pilot study, carried out in the Araucanía Region (Chile), aims to explore the relationship between negative emotional self-regulation of stress and perceptions of school violence. A cross-sectional and descriptive methodology was used, with confirmatory factor analysis (CFA) to evaluate the validity of the scales applied, and a structural equation model (SEM) to analyze the influence of self-regulation on the perception of types of school violence. The participants were 239 students between the ages of 9 and 15 (M = 11.45; SD = 1.47). The results showed a positive and statistically significant relationship between negative stress self-regulation and the perception of school violence, indicating that those with a greater tendency to avoid negative emotions perceived or experienced more violence. The findings suggest that emotional self-regulation, particularly avoidance, can be a relevant factor in the perception and management of school violence, highlighting the importance of educational interventions and policies that promote adaptive emotional skills within the school context. Full article
Show Figures

Figure 1

23 pages, 396 KB  
Article
Navigating Hybrid Work: An Optimal Office–Remote Mix and the Manager–Employee Perception Gap in IT
by Milos Loncar, Jovanka Vukmirovic, Aleksandra Vukmirovic, Dragan Vukmirovic and Ratko Lasica
Sustainability 2025, 17(14), 6542; https://doi.org/10.3390/su17146542 - 17 Jul 2025
Cited by 1 | Viewed by 6297
Abstract
The transition to hybrid work has become a defining feature of the post-pandemic IT sector, yet organizations lack empirical benchmarks for balancing flexibility with performance and well-being. This study addresses this gap by identifying an optimal hybrid work structure and exposing systematic perception [...] Read more.
The transition to hybrid work has become a defining feature of the post-pandemic IT sector, yet organizations lack empirical benchmarks for balancing flexibility with performance and well-being. This study addresses this gap by identifying an optimal hybrid work structure and exposing systematic perception gaps between employees and managers. Grounded in Self-Determination Theory and the Job Demands–Resources model, our research analyses survey data from 1003 employees and 252 managers across 46 countries. The findings identify a hybrid “sweet spot” of 6–10 office days per month. Employees in this window report significantly higher perceived efficiency (Odds Ratio (OR) ≈ 2.12) and marginally lower office-related stress. Critically, the study uncovers a significant perception gap: contrary to the initial hypothesis, managers are nearly twice as likely as employees to rate hybrid work as most efficient (OR ≈ 1.95) and consistently evaluate remote-work resources more favourably (OR ≈ 2.64). This “supervisor-optimism bias” suggests a disconnect between policy design and frontline experience. The study concludes that while a light-to-moderate hybrid model offers clear benefits, organizations must actively address this perceptual divide and remedy resource shortages to realize the potential of hybrid work fully. This research provides data-driven guidelines for creating sustainable, high-performance work environments in the IT sector. Full article
Show Figures

Figure 1

19 pages, 644 KB  
Article
Motivations, Quality, and Loyalty: Keys to Sustainable Adventure Tourism in Natural Destinations
by Miguel Orden-Mejía, Mauricio Carvache-Franco, Olenka Palomino, Orly Carvache-Franco, Lidia Minchenkova, Aracelly Núñez-Naranjo, Aleksandra Minchenkova and Wilmer Carvache-Franco
Sustainability 2025, 17(13), 5789; https://doi.org/10.3390/su17135789 - 24 Jun 2025
Cited by 2 | Viewed by 2863
Abstract
This study examines the key factors that influence tourists’ perceptions of destination quality and loyalty in the context of adventure tourism in Santa Elena, Ecuador, an emerging destination in Latin America. A quantitative approach was used, with data collected through an online questionnaire [...] Read more.
This study examines the key factors that influence tourists’ perceptions of destination quality and loyalty in the context of adventure tourism in Santa Elena, Ecuador, an emerging destination in Latin America. A quantitative approach was used, with data collected through an online questionnaire completed by 318 participants. Structural equation modeling was conducted using SmartPLS 4 to examine the relationships between motivational constructs (intellectual curiosity, health assurance, stress relief, physical condition, and social connection), perceived destination quality, and loyalty. The findings reveal that health assurance (β = 0.395, p < 0.001), stress relief (β = 0.417, p < 0.001), and intellectual curiosity (β = 0.143, p = 0.010) significantly influence perceived destination quality, while social connection and physical condition did not show significant effects. Moreover, perceived destination quality strongly predicts tourist loyalty (β = 0.634, p < 0.001). The model explains 63.5% of the variance in destination quality and 48.1% of that in loyalty. These results highlight the importance of post-pandemic health concerns, emotional well-being, and intellectual engagement as drivers of satisfaction and loyalty in adventure tourism. While existing research has largely focused on motivations and quality perceptions in adventure tourism within developed regions, studies in post-pandemic settings across Latin America—especially using validated structural models—remain scarce. This study also contributes to filling a gap in the literature by analyzing post-pandemic tourist behavior in Latin America, an underexplored context in existing research on sustainable and adventure tourism. The findings offer theoretical contributions to the field of adventure tourism and practical recommendations for destination managers seeking to enhance their competitiveness and visitor retention in the post-pandemic context. Full article
(This article belongs to the Special Issue Sustainable Tourism Management and Marketing)
Show Figures

Figure 1

22 pages, 1189 KB  
Article
Strengthening Early Childhood Protective Factors Through Safe and Supportive Classrooms: Findings from Jump Start + COVID Support
by Ruby Natale, Tara Kenworthy LaMarca, Yue Pan, Elizabeth Howe, Yaray Agosto, Rebecca J. Bulotsky-Shearer, Sara M. St. George, Tanha Rahman, Carolina Velasquez and Jason F. Jent
Children 2025, 12(7), 812; https://doi.org/10.3390/children12070812 - 20 Jun 2025
Cited by 2 | Viewed by 1425
Abstract
Background/Objectives: Early care and education programs promote children’s social–emotional development, predicting later school success. The COVID-19 pandemic worsened an existing youth mental health crisis and increased teacher stress. Therefore, we applied an infant and early childhood mental health consultation model, Jump Start Plus [...] Read more.
Background/Objectives: Early care and education programs promote children’s social–emotional development, predicting later school success. The COVID-19 pandemic worsened an existing youth mental health crisis and increased teacher stress. Therefore, we applied an infant and early childhood mental health consultation model, Jump Start Plus COVID Support (JS+CS), aiming to decrease behavioral problems in children post-pandemic. Methods: A cluster randomized controlled trial compared JS+CS to an active control, Healthy Caregivers–Healthy Children (HC2), at 30 ECE centers in low-income areas in South Florida. Participants were not blinded to group assignment. Teachers reported on children’s social–emotional development at baseline and post-intervention using the Devereux Early Childhood Assessment and Strengths and Difficulties Questionnaire. We assessed whether teacher stress, classroom practices, and self-efficacy mediated the relationship between JS+CS and child outcomes. We also explored whether baseline behavior problems moderated JS+CS effects on child protective factors, relative to HC2. Results: Direct group-by-time differences between JS+CS and HC2 were limited. However, JS+CS demonstrated significant within-group improvements in teacher-reported child protective factors, behavior support practices, and classroom safety practices. Classroom safety practices consistently mediated positive changes in child behaviors, including the DECA total protective factor score and subdomains of initiative and self-regulation. Additionally, teacher perceptions of behavior support mediated gains in child attachment. Conclusions: JS+CS shows promise in building protective systems around children through intentional support for teachers, underscoring the value of whole-child, whole-environment approaches in early intervention. Full article
Show Figures

Figure 1

20 pages, 2686 KB  
Article
Psychological Resilience and Perceived Invulnerability—Critical Factors in Assessing Perceived Risk Related to Travel and Tourism-Related Behaviors of Generation Z
by Simona Mălăescu
Tour. Hosp. 2025, 6(2), 90; https://doi.org/10.3390/tourhosp6020090 - 21 May 2025
Viewed by 1729
Abstract
Psychological theory often reminds us that the best predictor of an individual’s future behavior is their prior behavior. Then, the pandemic happened in 2020, and at least for travel behavior and tourism consumption, everything seemed to change, stressing the importance of re-evaluating predictors. [...] Read more.
Psychological theory often reminds us that the best predictor of an individual’s future behavior is their prior behavior. Then, the pandemic happened in 2020, and at least for travel behavior and tourism consumption, everything seemed to change, stressing the importance of re-evaluating predictors. In the present study, we aimed to compare the history of travel behavior and tourism consumption with the predicted travel behavior of students coming from Generation Z, along with intrapersonal characteristics influencing risk perception, like psychological resilience and perceived invulnerability. The findings revealed that the pandemic changed the attitude towards travel for tourism-related purposes in both positive and negative directions, restructuring the attitude towards travel for the majority and also revealing many new prospective travelers. Psychological resilience was a significant variable that differentiated the respondents who changed their attitude towards tourism from those who remained consistent in their non-travel behavior and students who planned to travel more during the pandemic. Although subsamples also differed in the mean value of perceived invulnerability, the variable did not prove statistically significant. Almost 50% of the students predicting that they will travel abroad for non-tourism-related purposes in the future year were students who had not traveled abroad before the pandemic. Full article
Show Figures

Figure 1

15 pages, 254 KB  
Article
Adolescent Sense of Coherence over a Four-Year Period and the Pandemic: Junior and Senior High School Students Enrolled Before and After the Pandemic Broke out in Japan
by Tomoko Omiya and Naoko Kumada Deguchi
Behav. Sci. 2025, 15(4), 504; https://doi.org/10.3390/bs15040504 - 9 Apr 2025
Cited by 1 | Viewed by 1122 | Correction
Abstract
Based on Antonovsky’s theory, we explored the importance of adolescent sense of coherence (SOC) in coping with stress and how it was affected by the pandemic. Using longitudinal data from junior and senior high school students in urban areas in Japan, we examined [...] Read more.
Based on Antonovsky’s theory, we explored the importance of adolescent sense of coherence (SOC) in coping with stress and how it was affected by the pandemic. Using longitudinal data from junior and senior high school students in urban areas in Japan, we examined the trends in SOC and factors related to SOC in students enrolled before and after the COVID-19 pandemic. With the cooperation of the Tokyo Metropolitan Secondary Education School, we surveyed 96 students who enrolled in 2018 (G1) and 144 students who enrolled in 2020 (G2). Four surveys were conducted for G1 and three for G2. Survey items included SOC, psychosomatic symptoms scale, Athens insomnia scale, school belonging scale, and stress experience scale. We followed the trends in SOC scores by gender and performed t-tests and multiple regression analysis. G2 had higher baseline SOC scores than G1, but the significant difference between the two groups disappeared by 2022. From 2019, comprehensibility and manageability significantly increased in G1 for girls, but meaningfulness decreased in G2 for both boys and girls. Multiple regression analysis showed no correlation between baseline SOC and SOC in 2022 in G1, which differed from G2, suggesting that the pandemic may have changed their perception of the world. Full article
17 pages, 303 KB  
Article
Perceptions of Students and Teachers Regarding Remote and Face-to-Face Assessments in the Evolving Higher Education Landscape
by Daniel Humberto Pozza, José Tiago Costa-Pereira and Isaura Tavares
Educ. Sci. 2025, 15(3), 360; https://doi.org/10.3390/educsci15030360 - 13 Mar 2025
Viewed by 2670
Abstract
In the post-pandemic era, characterized by rapid digital transformation, teaching and evaluation methods must evolve to meet the new reality, as students and educators continue to express concerns about fairness and integrity. The objective of this cross-sectional study was to evaluate the perceptions [...] Read more.
In the post-pandemic era, characterized by rapid digital transformation, teaching and evaluation methods must evolve to meet the new reality, as students and educators continue to express concerns about fairness and integrity. The objective of this cross-sectional study was to evaluate the perceptions of students and teachers on the introduction of remote assessments in the context of the evolving higher education landscape, which was significantly disrupted by the 2020 pandemic, but leaving methods and approaches that are still used. Data collection comprised a sample of 989 students and 266 teachers. The results demonstrated a current preference for face-to-face assessments, which were considered fairer and more equitable, with less dishonesty, stress, and time consumption. Dishonesty was the main concern related to remote assessments, both for students and teachers. Remote assessments were undervalued, likely due to the rapid adaptation that did not allow enough time for proper models to be developed. It is believed that improving remote and hybrid assessments will lead to a greater satisfaction and confidence among teachers and students. In the era of artificial intelligence and accelerated advancements in educational technology, this article exposed the limitations and advantages of remote assessment, suggested improvements, and highlighted the gap in perceptions on that evaluation between students and teachers. The findings underscore the need to reimagine traditional pedagogy to accommodate diverse learning preferences, integrate emerging technologies, and develop the skills needed for the rapidly evolving world. New teaching methodologies that help to foster critical thinking are crucial for improving student learning and initiating a necessary paradigm shift in evaluation methods to effectively prevent cheating. Full article
23 pages, 715 KB  
Article
SMART Multi-Criteria Decision Analysis (MCDA)—One of the Keys to Future Pandemic Strategies
by Gianina-Valentina Băcescu Ene, Mirela-Anca Stoia, Cristian Cojocaru and Doina Adina Todea
J. Clin. Med. 2025, 14(6), 1943; https://doi.org/10.3390/jcm14061943 - 13 Mar 2025
Cited by 6 | Viewed by 4789
Abstract
Background/Objectives: The COVID-19 pandemic underscored the need for adaptive public health strategies and effective decision-making tools to optimize clinical responses and policy measures based on regional contexts. This study aims to identify key criteria for developing a patient-centered strategy to enhance the resilience [...] Read more.
Background/Objectives: The COVID-19 pandemic underscored the need for adaptive public health strategies and effective decision-making tools to optimize clinical responses and policy measures based on regional contexts. This study aims to identify key criteria for developing a patient-centered strategy to enhance the resilience of Romania’s healthcare system during the pandemic. Methods: This research introduces a Multi-Criteria Decision Analysis (MCDA) model using the Simple Multiple Attribute Assessment Technique (SMART) to integrate quantitative and qualitative data, providing decision-makers with a structured tool for improving healthcare resilience. A survey of 412 Romanian healthcare professionals identified critical risks and opportunities. The study followed a two-phase approach: first, analyzing expert perceptions to determine key challenges; second, applying a mixed-methods evaluation to prioritize resilience-building strategies. Results: Four main challenges emerged: (1) healthcare workforce shortages causing excessive workload and stress, (2) poor communication and systemic inefficiencies limiting patient access, (3) weak crisis management due to delayed control measures, and (4) regulatory gaps leading to fragmented responses. Proposed solutions included workforce training, improved communication, telemedicine integration, increased financial support, and a unified legal framework. The SMART method facilitated the structured prioritization of these measures, with long-term system sustainability emerging as the most effective strategy for preventing future crises. Conclusions: This study demonstrates the value of integrating MCDA into healthcare decision-making, offering a scalable model for policymakers to enhance crisis response and resource allocation. By incorporating expert insights and patient needs, the proposed framework strengthens healthcare system preparedness, contributing to informed, patient-centered decision-making and long-term resilience. Ultimately, our findings not only contribute to the existing literature but may also open new directions to facilitate informed, patient-centered decision making, thereby strengthening the resilience of healthcare systems in crisis situations. Full article
(This article belongs to the Special Issue Chronic Lung Conditions: Integrative Approaches to Long-Term Care)
Show Figures

Figure 1

13 pages, 224 KB  
Article
Animal-Assisted Interventions in Paediatric Hospitals: An Investigation of Italian Healthcare Personnel Attitudes
by Cinzia Correale, Sofia Orlando, Marta Borgi, Simonetta Gentile and Simona Cappelletti
Children 2025, 12(3), 352; https://doi.org/10.3390/children12030352 - 11 Mar 2025
Cited by 1 | Viewed by 1707
Abstract
Background: Evidence of the beneficial effects of animal-assisted interventions (AAI) on patients admitted to paediatric hospitals is growing. However, there is still little information about healthcare professionals’ knowledge of and attitudes towards AAI, both as a complement to medical treatments and as a [...] Read more.
Background: Evidence of the beneficial effects of animal-assisted interventions (AAI) on patients admitted to paediatric hospitals is growing. However, there is still little information about healthcare professionals’ knowledge of and attitudes towards AAI, both as a complement to medical treatments and as a tool for improving the workplace environment. The present study explores the perspectives of Italian paediatric hospital staff after the onset of the COVID-19 pandemic. Methods: An online questionnaire was developed and distributed to paediatric hospital personnel across Italy. The questionnaire addressed topics including AAI’ impact on the hospital environment, their role as a resource for patients and families, their effect on staff well-being, and the perception of the feasibility of AAI implementation in hospitals. Data were analysed descriptively and qualitatively. Results: A total of 44 respondents took part in the survey. Most respondents agreed that AAI could improve hospital environments and serve as a valuable resource for patients and families. However, results were more mixed about the effects of AAI on staff well-being and the feasibility of their implementation. Qualitative analysis identified recurring themes including the positive impact of AAI on emotions/general well-being, improved compliance and treatment outcomes, and reduced stress and distress. Concerns included organisational/logistical challenges, hygiene issues, and potential impact on staff workload. Notably, most participants felt that the COVID-19 pandemic had not affected their perception of AAI safety. Conclusions: Most respondents viewed AAI favourably and supported their implementation as a means of benefiting patients and caregivers. Concerns mainly related to organisational and logistical barriers highlight areas that require further exploration in future research. Full article
(This article belongs to the Section Global Pediatric Health)
25 pages, 1474 KB  
Article
Determinants of Behavioral Intention and Compliance Behavior Among Transportation Network Vehicle Service Drivers During the COVID-19 Pandemic
by Ma. Janice J. Gumasing
COVID 2025, 5(3), 38; https://doi.org/10.3390/covid5030038 - 8 Mar 2025
Cited by 1 | Viewed by 2156
Abstract
This study examines the factors influencing the behavioral intention and compliance behavior of Transportation Network Vehicle Service (TNVS) drivers during the COVID-19 pandemic. Grounded in the Theory of Planned Behavior (TPB) and the Health Belief Model (HBM), the study integrates psychological, environmental, and [...] Read more.
This study examines the factors influencing the behavioral intention and compliance behavior of Transportation Network Vehicle Service (TNVS) drivers during the COVID-19 pandemic. Grounded in the Theory of Planned Behavior (TPB) and the Health Belief Model (HBM), the study integrates psychological, environmental, and organizational factors to explain TNVS drivers’ adherence to safety protocols. Data were collected from 342 TNVS drivers in the National Capital Region (NCR) and CALABARZON through a structured survey. Structural Equation Modeling (SEM) was employed to analyze the relationships among variables and assess the determinants of compliance behavior. The results indicate that attitude toward compliance (β = 0.453, p < 0.001), risk perception (β = 0.289, p = 0.001), availability of personal protective equipment (PPE) (β = 0.341, p < 0.001), passenger compliance (β = 0.293, p = 0.002), company policies (β = 0.336, p = 0.001), and organizational support systems (β = 0.433, p < 0.001) significantly influence behavioral intention. In turn, behavioral intention strongly predicts compliance behavior (β = 0.643, p < 0.001), confirming its mediating role in linking influencing factors to actual adherence. However, stress and fatigue (β = 0.131, p = 0.211), ride conditions (β = 0.198, p = 0.241), and communication and training (β = 0.211, p = 0.058) showed non-significant relationships, suggesting that their direct effects on behavioral intention are limited. The model explains 69.1% of the variance in compliance behavior, demonstrating its robustness. These findings highlight the importance of fostering positive attitudes, ensuring adequate resource availability, and reinforcing organizational support to improve TNVS drivers’ compliance with safety measures. Practical recommendations include implementing educational campaigns, ensuring PPE access, strengthening company policies, and promoting passenger adherence to safety protocols. The study contributes to the broader understanding of health behavior in the ride-hailing sector, offering actionable insights for policymakers, ride-hailing platforms, and public health authorities. Future research should explore additional contextual factors, gender-based differences, and regional variations, as well as assess long-term compliance behaviors beyond the pandemic context. Full article
(This article belongs to the Section COVID Public Health and Epidemiology)
Show Figures

Figure 1

Back to TopTop