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28 pages, 3339 KB  
Article
Uncorking Rural Potential: Wine Tourism and Local Development in Nemea, Greece
by Angelos Liontakis and Elona Bogdani
Economies 2025, 13(10), 287; https://doi.org/10.3390/economies13100287 - 1 Oct 2025
Viewed by 427
Abstract
This study investigates the economic role of wine tourism in Nemea, Greece, a prominent Protected Designation of Origin (PDO) wine-producing region. Employing a mixed-methods approach, the research combines interviews with local stakeholders and a structured post-wine-tasting visitor survey to assess wine tourism’s contribution [...] Read more.
This study investigates the economic role of wine tourism in Nemea, Greece, a prominent Protected Designation of Origin (PDO) wine-producing region. Employing a mixed-methods approach, the research combines interviews with local stakeholders and a structured post-wine-tasting visitor survey to assess wine tourism’s contribution to local development. A two-step multivariate analysis, incorporating Multiple Correspondence Analysis and Hierarchical Cluster Analysis, reveals five distinct visitor profiles differing in spending behaviour, familiarity with the destination, and engagement patterns. While high-spending visitors support winery revenues, their limited local integration reduces their broader developmental impact. Conversely, younger and repeat domestic visitors offer more dispersed economic benefits through overnight stays, gastronomy, and cultural participation. In addition, local stakeholders highlight the region’s viticultural identity and growing tourism interest as strengths but also note persistent weaknesses such as inadequate infrastructure, limited coordination, and underdeveloped visitor services. The study concludes that visitor segmentation offers actionable insights for enhancing wine tourism’s developmental role. Targeted strategies tailored to specific visitor types are essential for improving integration with the local economy. These findings contribute to ongoing discussions on how wine tourism can act as a lever for inclusive, sustainable rural development in traditional wine regions. Full article
(This article belongs to the Special Issue Economic Indicators Relating to Rural Development)
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24 pages, 345 KB  
Article
Sustainable Tourism: Factors Influencing Arab Tourists’ Intention to Revisit Turkish Destinations
by Abdulfattah Yaghi, Husam Aldean Yaghi and Murat Bayrak
Sustainability 2025, 17(11), 5194; https://doi.org/10.3390/su17115194 - 5 Jun 2025
Cited by 3 | Viewed by 2212
Abstract
This study explores the factors influencing Arab tourists’ intention to revisit Turkish destinations, contributing to the theoretical discourse on tourist behavior, destination loyalty, and sustainable tourism development. Over the past decade, Türkiye (Turkey) has experienced a steady increase in tourists, with Arab visitors [...] Read more.
This study explores the factors influencing Arab tourists’ intention to revisit Turkish destinations, contributing to the theoretical discourse on tourist behavior, destination loyalty, and sustainable tourism development. Over the past decade, Türkiye (Turkey) has experienced a steady increase in tourists, with Arab visitors forming a significant segment. This growing market segment presents unique opportunities and challenges that remain understudied in academic literature. Despite their prominence, limited research exists on Arab tourists’ behavior, needs, and experiences in Türkiye. This study employs a mixed-method approach, combining surveys and interviews conducted between July and December 2024. Data from 713 surveys and 14 interviews were analyzed, revealing that 72% of Arab tourists were satisfied with their current visit, 49% with previous visits, 57% indicated a strong intention to revisit, and 81% recommended Turkish destinations to others. The study identifies seven key dimensions of revisit intention through Exploratory Factor Analysis that collectively explain 79.841% of the variance in revisit intention. The regression analysis demonstrates how different factors contribute to revisit decisions, with overall satisfaction (β = 0.622), loyalty (β = 0.521), financial status (β = 0.507), behavior of staff and locals (β = 0.484), cultural and social appeal (β = 0.478), overall experiences (β = 0.329), educational level (β = 0.333), accessibility and convenience (β = 0.288), service quality (β = 0.216), and length of stay (β = 0.128) emerging as significant predictors. These findings underscore the complexity of the decision-making process, suggesting that no single theory can fully explain tourists’ behavior and the sustainability of their visits. The study recommends further exploration of the proposed model and investments in tourism staff training, particularly in foreign languages, to enhance service quality and encourage repeat visits. Addressing issues such as unprofessional behavior and language barriers can improve overall satisfaction and loyalty, increasing the likelihood of Arab tourists revisiting Türkiye. This research highlights the importance of sustainable tourism practices in fostering long-term economic and social benefits for Turkish destinations. Full article
15 pages, 1168 KB  
Article
Tourist Accommodation Choices in Nature-Based Destinations: The Case of Geotourism Destination Kras/Carso
by Dejan Paliska and Gorazd Sedmak
Tour. Hosp. 2025, 6(2), 52; https://doi.org/10.3390/tourhosp6020052 - 25 Mar 2025
Cited by 1 | Viewed by 1519
Abstract
This paper explores the relationship between accommodation choices and visitor interests, and characteristics in the emerging cross-border Karst Geopark, a geologically rich nature-based destination. It examines how demographics, interests, and activity preferences influence lodging decisions. Findings indicate that older visitors, women, and repeat [...] Read more.
This paper explores the relationship between accommodation choices and visitor interests, and characteristics in the emerging cross-border Karst Geopark, a geologically rich nature-based destination. It examines how demographics, interests, and activity preferences influence lodging decisions. Findings indicate that older visitors, women, and repeat tourists favor agritourism, whereas first-time and cross-border travelers prefer private rooms for greater flexibility. Additionally, interests in geotourism and cycling significantly shape accommodation preferences. The study highlights the need for destination managers and accommodation providers to tailor offerings to visitor expectations, enhancing tourism benefits. Methodological limitations, including sample imbalance and overlooked external factors, are discussed, with recommendations for future research to refine predictive models and incorporate supply-side attributes. These insights provide valuable guidance for policymakers and tourism stakeholders in developing targeted, sustainable accommodation strategies. Full article
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17 pages, 646 KB  
Article
An IPA Analysis of Tourist Perception and Satisfaction with Nisville Jazz Festival Service Quality
by Marija Bratić, Danijel Pavlović, Sanja Kovačić, Tatjana Pivac, Anđelina Marić Stanković, Miroslav D. Vujičić and Željko Anđelković
Sustainability 2024, 16(22), 9616; https://doi.org/10.3390/su16229616 - 5 Nov 2024
Cited by 1 | Viewed by 3432
Abstract
This paper applies Importance-Performance Analysis (IPA) to investigate potential satisfaction or dissatisfaction with service quality at the internationally recognized Nisville Jazz Festival. The research was conducted using the Statistical Package for Social Sciences (SPSS) software version 20, including the Kolmogorov–Smirnov test, factor analysis, [...] Read more.
This paper applies Importance-Performance Analysis (IPA) to investigate potential satisfaction or dissatisfaction with service quality at the internationally recognized Nisville Jazz Festival. The research was conducted using the Statistical Package for Social Sciences (SPSS) software version 20, including the Kolmogorov–Smirnov test, factor analysis, one-way analysis of variance (ANOVA), and Principal Component Analysis (PCA) with Varimax rotation for data analysis. The study involved 250 festival attendees, focusing on their motivation and identification of both tangible and intangible attributes of the festival, with 227 providing valid responses to the survey questionnaire. The Service Quality Model (SERVQUAL) was used to identify quality factors. The results indicate that cultural content and hospitality are the most important factors significantly contributing to visitor satisfaction and positively influencing recommendations and repeat visits to the festival. Another important factor in the study is accessibility, while comfort, amenities, safety, and cleanliness require improvement to enhance the overall visitor experience. The findings provide concrete guidelines for the further development of the festival and the enhancement of the tourism offerings in Nis. Full article
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18 pages, 7741 KB  
Article
Implementation of a Gamification-Based Metaverse Exhibition: A Case Study of the Farewell Museum
by Joohun Lee, Jaehoon Bae and Yunkyung Bae
Sustainability 2024, 16(14), 6212; https://doi.org/10.3390/su16146212 - 20 Jul 2024
Cited by 6 | Viewed by 4031
Abstract
The increasing adoption of metaverse exhibitions aims to overcome the limitations of traditional offline exhibitions by enhancing accessibility and creating imaginative spaces without temporal and spatial constraints. This study explores how incorporating gamification into metaverse exhibitions can leverage the strengths of online and [...] Read more.
The increasing adoption of metaverse exhibitions aims to overcome the limitations of traditional offline exhibitions by enhancing accessibility and creating imaginative spaces without temporal and spatial constraints. This study explores how incorporating gamification into metaverse exhibitions can leverage the strengths of online and offline experiences. By integrating metaverse elements and gamification, we designed an interactive metaverse space and evaluated its effectiveness through user feedback. Our findings indicate that guiding visitors to complete missions within the metaverse enhances their understanding of the offline exhibition narratives, thereby increasing their engagement with the exhibition themes. Furthermore, online experiences in the metaverse can stimulate interest in offline exhibitions, promoting visitor attendance. The metaverse space also encourages users to contribute personal stories to the exhibition content, fostering continuous content expansion. This approach strengthens the connection between online and offline exhibitions, increases visitor engagement, and promotes repeat visits, thereby addressing the limitations of traditional exhibitions. Additionally, metaverse exhibitions enhance the preservation and accessibility of cultural heritage through digital archiving, offering inclusive participation opportunities and promoting social sustainability. This study underscores the potential of metaverse exhibitions to evolve beyond technological innovation toward contributing to social sustainability. Full article
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17 pages, 1321 KB  
Article
Preference for Animals: A Comparison of First-Time and Repeat Visitors
by Yulei Guo and David Fennell
J. Zool. Bot. Gard. 2024, 5(1), 19-35; https://doi.org/10.3390/jzbg5010002 - 25 Dec 2023
Cited by 4 | Viewed by 2512
Abstract
Wildlife tourism is one of the strongest-performing sectors in the global tourism market. While tourists’ preferences for and affection towards animals are a cornerstone of the industry, a better understanding of how experiences, including animal–tourist encounters and visitation frequency, influence visitors’ animal preferences [...] Read more.
Wildlife tourism is one of the strongest-performing sectors in the global tourism market. While tourists’ preferences for and affection towards animals are a cornerstone of the industry, a better understanding of how experiences, including animal–tourist encounters and visitation frequency, influence visitors’ animal preferences is required. Through a comparison of preferences among first-time and repeat visitors of four species (giant panda “Ailuropoda melanoleuca”, red panda “Ailurus fulgens”, peafowl “Pavo cristatus”, and swan “Cygnus”), both before and after animal encounters at the Chengdu Research Base of Giant Panda Breeding (Panda Base), the results show that different species elicit varied and, at times, contrasting tourist preferences. As a result, animal preferences in wildlife tourism can vary based on different stages of visitation. Highlighting this dynamic relationship between animal preferences and visitation experiences is further elucidated through consumer learning theory and lively capital. The outcomes of this study contribute to a deeper grasp of human–animal interactions and have broader implications for the development of conservation programs in captive wildlife venues. Full article
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14 pages, 1853 KB  
Article
Blockchain Payment Services in the Hospitality Sector: The Mediating Role of Data Security on Utilisation Efficiency of the Customer
by Ankit Dhiraj, Sanjeev Kumar, Divya Rani, Simon Grima and Kiran Sood
Data 2023, 8(8), 123; https://doi.org/10.3390/data8080123 - 30 Jul 2023
Cited by 14 | Viewed by 4867
Abstract
Blockchain technology has the potential to completely transform the hospitality sector by offering a safe, open, and effective method of payment. Increased customer utilisation efficiency may result from this. This study looks into how blockchain payment methods affect hotel customers’ intentions to stay [...] Read more.
Blockchain technology has the potential to completely transform the hospitality sector by offering a safe, open, and effective method of payment. Increased customer utilisation efficiency may result from this. This study looks into how blockchain payment methods affect hotel customers’ intentions to stay loyal by devising four hypotheses. A questionnaire was specifically created and self-administered for this study as a data-gathering tool and distributed to hotel customers. The I.B.M. SPSS and Amos software packages were used to analyse the data of the 301 valid responses. Findings show that hospitality customers may use blockchain payment services if the customer is satisfied with the data security of this payment system. The study also highlighted that customer data security mediated the association between utilisation efficiency and blockchain payment systems. Blockchain payment services can affect visitors’ intentions to stay loyal by impacting data security and consumer happiness. Results suggest that blockchain payment systems can be useful for hospitality firms looking to increase client utilisation efficiency. Blockchain can simplify visitor booking and payment processes by providing a safe, open, and effective transacting method. This may result in a satisfying encounter that visitors are more inclined to recall and repeat. Full article
(This article belongs to the Special Issue Blockchain Applications in Data Management and Governance)
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16 pages, 1868 KB  
Article
Identifying, Monitoring, and Evaluating Sustainable Ecotourism Management Criteria and Indicators for Protected Areas in Türkiye: The Case of Camili Biosphere Reserve
by Inci Zeynep Aydin and Atakan Öztürk
Sustainability 2023, 15(4), 2933; https://doi.org/10.3390/su15042933 - 6 Feb 2023
Cited by 14 | Viewed by 3527
Abstract
Although many criteria and indicator sets have been developed for sustainable ecotourism management in many countries around the world, such a set of criteria and indicators has not been developed in Türkiye yet. The aim of this study was to develop sustainable ecotourism [...] Read more.
Although many criteria and indicator sets have been developed for sustainable ecotourism management in many countries around the world, such a set of criteria and indicators has not been developed in Türkiye yet. The aim of this study was to develop sustainable ecotourism management criteria and indicators specific to Türkiye’s social, economic, and ecological differences and to investigate the possibilities of using this developed set in the sustainable management of the Camili Biosphere Reserve Area. The set that consisted of 12 criteria and 68 indicators prepared based on WTO and UNWTO criteria and indicator sets was used as a starting point. Within the scope of the Delphi method, as a result of three stages of repeated questionnaires, a set of criteria and indicators consisting of 11 criteria and 101 indicators was reached, based on the suggestions and consensus of four expert groups. In the next step, the adaptation and prioritization of the national sustainable ecotourism management criteria and indicator set for the Camili Biosphere Reserve Area were realized using the Analytical Hierarchy Process method, depending on the opinions of four local expert groups. As a result, it was concluded that the ecotourism activities carried out in the Camili Biosphere Reserve received a total score of 95.4 and that the ecotourism activities in the area were positively sustainable, with an average of 69.1%. It was determined that ecotourism activities in the Camili Biosphere Reserve are positively sustainable in terms of “level of awareness and perception of the field”, “socio-economic benefits to the local people”, “local participation”, “financial structure”, “environmental education and practices“, and “visitor satisfaction” criteria. However, in order to ensure the sustainability of ecotourism activities both at the country level and at the local level, studies should be carried out with a participatory approach by establishing a balance between the expectations of the local people and the income obtained from ecotourism, by providing a central authority, and by making improvements in the financing structure. Full article
(This article belongs to the Special Issue Protected Areas and Their Contribution to Sustainable Development)
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23 pages, 894 KB  
Article
An Exploratory Study on the Motivations behind Visiting the Holocaust Museum of Porto
by José Magano, Jose A. Fraiz-Brea and Ângela Leite
Sustainability 2022, 14(24), 16780; https://doi.org/10.3390/su142416780 - 14 Dec 2022
Cited by 1 | Viewed by 2951
Abstract
This study aims to identify the reasons why people visit the Holocaust Museum of Porto (HMP) and if other variables (sociodemographic ones, visitors’ similarity with Jewish community members, their knowledge of dark tourism, and experience with other Holocaust-related destinations) also influence such motivators. [...] Read more.
This study aims to identify the reasons why people visit the Holocaust Museum of Porto (HMP) and if other variables (sociodemographic ones, visitors’ similarity with Jewish community members, their knowledge of dark tourism, and experience with other Holocaust-related destinations) also influence such motivators. A quantitative analytical, observational and case-control study was conducted based on a survey of 488 respondents who completed a self-administered questionnaire at the HMP. Statistical data analysis included descriptive statistics, an exploratory factor analysis, a confirmatory factor analysis, convergent validity (through composite reliability and average variance extracted), and discriminant validity (through square roots of the AVE values). The findings reveal that visitors are drawn by factors such as novelty and knowledge-seeking and that the motives for visiting the museum differ according to their sociodemographic characteristics, visitors’ similarity with members of the Jewish community, and their knowledge of dark tourism and experience with other Holocaust-related destinations. Sociodemographic variables, previous practices related to the Holocaust and similarity have an impact on the drivers behind visiting dark places. These results contribute to dark tourism literature with an improved understanding of tourist behavior toward Holocaust memorial museums. In addition to filling a gap, it provides a comprehensive insight into the specific motivators behind visiting the HMP, possibly allowing this museum to better design tourist experiences, thus increasing the potential to attract more visitors and keep alive the memory of such atrocities that cannot be repeated. Full article
(This article belongs to the Special Issue Culture, Tourism and Leisure Behavior)
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30 pages, 1700 KB  
Article
Behavioural Changes in Zoo Animals during the COVID-19 Pandemic: A Long-Term, Multi Species Comparison
by Naomi Frost, Anne Carter, Martin Vernon, Sarah Armstrong, Naomi Davies Walsh, Michael Colwill, Lorna Turner-Jepson, Samantha J. Ward and Ellen Williams
J. Zool. Bot. Gard. 2022, 3(4), 586-615; https://doi.org/10.3390/jzbg3040044 - 15 Nov 2022
Cited by 10 | Viewed by 6534
Abstract
Visitors are a prominent feature of the zoo environment and lives of zoo animals. The COVID-19 pandemic led to repeated and extended closure periods for zoos worldwide. This unique period in zoological history enabled the opportunity to investigate the consistency of behavioural responses [...] Read more.
Visitors are a prominent feature of the zoo environment and lives of zoo animals. The COVID-19 pandemic led to repeated and extended closure periods for zoos worldwide. This unique period in zoological history enabled the opportunity to investigate the consistency of behavioural responses of zoo animals to closures and subsequent reopenings. Bennett’s wallabies (Notamacropus rufogriseus), meerkats (Suricata suricatta), macaws (red and green: Ara chloropterus; blue and yellow: Ara ararauna; military: Ara militaris) and rabbits (Oryctolagus cuniculus domesticus) held at four zoological collections in the United Kingdom were studied during COVID-19 closures and subsequent reopening periods. Facilities were closed for three time periods during 2020 and 2021: March–June/July 2020; November–December 2020; January–April/May 2021. Behavioural data were captured during closures (maximum n = 3) and reopening periods (maximum n = 3) during five-min scans using instantaneous scan sampling with a one-minute inter-scan interval. General linear models (GLMs) and general linear mixed models (GLMMs) were used to investigate the relationship between observed behaviours and open/closed periods. Changes were observed in behaviour between open and closure periods in all species, and in some instances changes were also observed over time, with animals responding differently to different closure and reopening periods. However, no overt positive or negative impacts of the closures or reopening periods were identified for these species. The study species may have different relationships with zoo visitors, but no clear differences were seen across the species studied. The unique opportunity to study animals over a long period of time during repeated closure periods enabled a greater understanding of the impact of zoo visitors on animals. As with other work in this sphere, these data support the adaptability of zoo animals to zoo visitors. This work contributes to the growing field of research undertaken during the COVID-19 periods and enhances our understanding of the impact that these zoological closures had on a wider body of species in a number of facilities. Full article
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15 pages, 517 KB  
Review
Tourism as a Tool in Nature-Based Mental Health: Progress and Prospects Post-Pandemic
by Ralf C. Buckley and Mary-Ann Cooper
Int. J. Environ. Res. Public Health 2022, 19(20), 13112; https://doi.org/10.3390/ijerph192013112 - 12 Oct 2022
Cited by 42 | Viewed by 9303
Abstract
The healthcare sector recognises the role of nature in mental health. The tourism sector is equipped to take people to national parks. The conservation sector gains support from visitors. Theoretical frameworks for mental health benefits from nature tourism include: tourism destinations and activities; [...] Read more.
The healthcare sector recognises the role of nature in mental health. The tourism sector is equipped to take people to national parks. The conservation sector gains support from visitors. Theoretical frameworks for mental health benefits from nature tourism include: tourism destinations and activities; tourist personalities and life histories; sensory and emotional components of tourist experiences; and intensity and duration of memories. Mental health deteriorated worldwide during the COVID-19 pandemic. Recovery of global economic productivity requires immediate, accessible, affordable mental health measures at national scales, and nature-based approaches provide the best option. Different countries have adopted a variety of public, private, or voluntary mechanisms. Some focus on design of activities, others on provision of facilities. Costs and implementation depend on key research questions: marginal benefits of nature tour guides or psychologists compared to self-guided nature experiences; comparisons between repeated brief visits and one-off nature holidays; effects of biodiversity, flagship species, and scenic or wilderness quality; and differences between individuals, depending on personalities, life histories, and mental health status and symptoms. Full article
(This article belongs to the Special Issue Tourism and Wellbeing)
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18 pages, 4513 KB  
Article
Agent-Based Modelling in Visitor Management of Protected Areas
by Kamila Štekerová, Josef Zelenka and Milan Kořínek
Sustainability 2022, 14(19), 12490; https://doi.org/10.3390/su141912490 - 30 Sep 2022
Cited by 4 | Viewed by 4631
Abstract
The research was motivated by the growing importance of visitor management in protected areas, which can be based on knowledge management, system modelling of processes and phenomena, and a deeper knowledge of the experience of visitors in connection with the concept of psychological [...] Read more.
The research was motivated by the growing importance of visitor management in protected areas, which can be based on knowledge management, system modelling of processes and phenomena, and a deeper knowledge of the experience of visitors in connection with the concept of psychological carrying capacity. The work builds on previous publications and research by the authors, focused on the optimization of tourism impacts, visitor management and the development of the theory and applicability of the concept of carrying capacity. It emphasizes the overview analysis of the possibilities of using agent-based modelling and visualization of visitor flows in protected areas. The analysis of suitable sources was based on the PRISMA method, which showed the main research directions for the use of the agent-based approach in visitor management. For the practical application of modelling, the NetLogo environment was chosen, in which the visitor flows of the model area were simulated. The visitor attendance was evaluated in relation to the psychological carrying capacity. Subsequently, visitor management measures were implemented in the model, and repeated simulations of visitor attendance, based on monitored flows, were run for a specific location around Oheb Castle (the Železné hory/Iron Mountains, Bohemia). The main result is the innovative use of agent-based modelling in visitor management in the context of visitor experience, visitor satisfaction and psychological carrying capacity. The contribution of the presented research is also the proposal of future research directions for more accurate use of psychological carrying capacity in visitor management. Full article
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12 pages, 556 KB  
Article
What Safety and Security Measures Really Matter in the Post-COVID Recovery of the Hospitality Industry? An Analysis of the Visitor’s Intention to Return in Spain
by Pilar Jiménez-Medina, José Miguel Navarro-Azorín, Clara Cubillas-Para and Andrés Artal-Tur
Tour. Hosp. 2022, 3(3), 606-617; https://doi.org/10.3390/tourhosp3030037 - 1 Jul 2022
Cited by 7 | Viewed by 5304
Abstract
In times of COVID-19, trust in safety and security measures in the hospitality industry has become a key variable for destination management and recovery; but what are the main measures that should be applied to ensure visitors’ confidence? This paper seeks to understand [...] Read more.
In times of COVID-19, trust in safety and security measures in the hospitality industry has become a key variable for destination management and recovery; but what are the main measures that should be applied to ensure visitors’ confidence? This paper seeks to understand and identify the main tools proving efficient in ensuring the return of visitors. With this aim, the perception of tourists visiting the Region of Murcia (Spain) during 2021 is analyzed. Main results state that the adoption of anti-COVID measures by establishments positively influences user’s satisfaction and their intention to repeat. Moreover, disinfection and hygienic measures along with capacity restrictions are identified as the preferred measures. Visitors were also asked about how new technology measures recently developed by the industry could influence their intention to return. Results show that those aimed at monitoring air quality and cleaning and disinfection of spaces are crucial. These findings contribute relevant recommendations for the hospitality industry and destination managers in a post-COVID horizon. Full article
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16 pages, 2439 KB  
Article
Free PoC Testing for SARS-CoV-2 in Germany: Factors Expanding Access to Various Communities in a Medium-Sized City
by Anna Kristina Witte, Janina Grosch, Beate Conrady, Lena Schomakers and Marcus Grohmann
Int. J. Environ. Res. Public Health 2022, 19(8), 4721; https://doi.org/10.3390/ijerph19084721 - 13 Apr 2022
Cited by 2 | Viewed by 2408
Abstract
During the third wave of the COVID-19 (coronavirus disease 2019) pandemic in Germany, free SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) point-of-care (PoC) antigen tests were offered to citizens at least once a week to prevent spreading by asymptomatic infected individuals. This study [...] Read more.
During the third wave of the COVID-19 (coronavirus disease 2019) pandemic in Germany, free SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) point-of-care (PoC) antigen tests were offered to citizens at least once a week to prevent spreading by asymptomatic infected individuals. This study investigated user groups, timing, frequency, and test center locations in a typical medium-sized European city. We analyzed 27,369 pseudonymized datasets from eight centers over 12 weeks. Those were evaluated according to age, residence, appointment, and potential repeated test occurrence. The centers were visited by different groups; some centers were preferred by a predominantly younger demographic, whereas a mobile option attracted an older age group by reaching districts with few other testing possibilities. Elderly individuals were tested more spontaneously than younger individuals, and a test center at a ‘park and ride’ had more spontaneous visitors from outside of the city compared to other test locations. Only a small proportion of less than 4% came for testing more than five times. To preferably address many people for voluntary antigen testing, it is crucial to offer different test opportunities accounting for individual behavioral patterns, despite this requiring more complex and costly design than conventional forms. Full article
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17 pages, 400 KB  
Article
Effects of Integrated Workplace Violence Management Intervention on Occupational Coping Self-Efficacy, Goal Commitment, Attitudes, and Confidence in Emergency Department Nurses: A Cluster-Randomized Controlled Trial
by Yang-Chin Chang, Mei-Chi Hsu and Wen-Chen Ouyang
Int. J. Environ. Res. Public Health 2022, 19(5), 2835; https://doi.org/10.3390/ijerph19052835 - 28 Feb 2022
Cited by 32 | Viewed by 10911
Abstract
Patient and visitor violence (PVV), the most prevalent source of workplace violence, is largely ignored, underreported, and a persistent problem in emergency departments. It is associated with physical injuries, psychological distress, and occupational stress in nurses. A randomized controlled trial was conducted in [...] Read more.
Patient and visitor violence (PVV), the most prevalent source of workplace violence, is largely ignored, underreported, and a persistent problem in emergency departments. It is associated with physical injuries, psychological distress, and occupational stress in nurses. A randomized controlled trial was conducted in Taiwan from January to December 2020. This study aimed to test the efficacy of an integrated Workplace Violence Prevention and Management Training Program on PVV in 75 emergency department (ED) nurses from a hospital. Cluster sampling was used because the policy of subdivision strategy was enforced during the COVID-19 pandemic. ED nurses received either the intervention or 1-hour in-service class. Data were collected from questionnaires. Data were analyzed mainly by the repeated measure analysis of variance and generalized estimating equations. The intervention had positive effects on developing stronger goal commitment, improving occupational coping self-efficacy, increasing confidence in ability to deal with violent situations, and modifying attitudes toward the causes and management of PVV in ED nurses (p < 0.05). The marginal R2 of the generalized estimating equation model for goal commitment, occupational coping self-efficacy, confidence, attitudes toward aggression in ED and aggressive behavior variables was high as 0.54 (p < 0.001), 0.45 (p < 0.001), 0.58 (p < 0.001), 0.29 (p < 0.05), and 0.72 (p < 0.001), respectively. These study models could effectively predict changes in the mean values. The benefit was driven by the effect of the intervention in ED nurses. Thus, the intervention, when applied in conjunction with routine in-service class, could exert synergistic improvements on outcomes measured in nurses. Full article
(This article belongs to the Special Issue Violence in the Workplace)
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