Search Results (352)

Background: The role of cognitive load theory (CLT) in understanding effective pedagogy has received increased attention in the fields of education and psychology in recent years. A considerable amount of literature has been published on the CLT construct as foundational guidance for instructional design by focusing on managing cognitive load in working memory to enhance learning outcomes. However, recent neuroscientific findings and practical critiques suggest that CLT’s emphasis on content-focused instruction and cognitive efficiency may overlook the complexity of human learning. Methods: This conceptual paper synthesises evidence from cognitive science, developmental psychology, neuroscience, health sciences and educational research to examine the scope conditions and limitations of CLT when applied as a general framework for K–12 learning. One of the major theoretical issues identified is the lack of consideration for the broad set of interpersonal and self-management skills, creating potential limitations for real-world educational contexts, where social-emotional and self-regulatory abilities are as crucial as cognitive competencies. Results: As a result of the critique, this paper introduces the Neurodevelopmental Informed Holistic Learning and Development Framework as a neuroscience-informed construct that integrates cognitive, emotional, and interpersonal dimensions essential for effective learning. Conclusions: In recognising the limitations of CLT, the paper offers practitioners contemporary, neurodevelopmentally informed insights that extend beyond cognitive efficiency alone and better reflect the multidimensional nature of real-world learning. Full article

Set in the vocational education and training sector in England, this article draws attention to how top-down, centre–periphery approaches to curriculum design and development in vocational education fail for at least three reasons. First, they misconstrue the nature of knowledge. Second, they lead to perfunctory and fragmented approaches to curriculum design, coupled with mechanistic measures of quality and achievement, which often require little more than “one-off” and superficially assessed demonstrations of performance. Finally, they underplay the role and importance of the teacher as researcher and artist in putting the cultural resources of society to work in creative curriculum design and pedagogy. Teacher artistry is pivotal in animating and heightening the vitality of vocational curricula. It is through this artistry that teachers make theories, ideas and concepts in vocational subjects and disciplines accessible and meaningful to all learners in coherent ways in the contexts of their learning and their lives. The consequences of the epistemic faux pas underpinning centre-to-periphery models of curriculum design and development are highlighted in this article in vocational tutors’ accounts of experiences of problems and issues in curriculum design, development and assessment encountered in their practice. Participants in the research teach in a variety of vocational education settings, including Apprenticeships and Higher-Level Technical Education; English Language at General Certificate of Secondary Education (GCSE) level; Health and Social Care; Information and Communications Technology; Construction (Plumbing); Digital Production, Design and Development and High-Tech Precision Engineering. Data are analysed and reported through systematic, thematic analysis This article draws upon qualitative data derived from a study funded by the Education and Training Foundation (ETF) in England over a two-year period from 2021 to 2023. The research population consists of a group of eight practitioner–researchers working in three colleges of Further Education (FE) and one Industry Training Centre (ITC) in England. All of the teachers of vocational education reported here volunteered to participate in the study. Research methods include semi-structured interviews, analysis of critical incidents and case studies produced by practitioner–researchers from across the FE and Skills sector in England. Full article

Background and objective: Typical endpoints in cancer clinical trials focus on standardized efficacy endpoints, such as overall survival. Pain is not always assessed, although it is a highly prevalent and distressing aspect of patients’ cancer experience and plays a critical role in health-related quality of life. To inform future pain measurement strategies in oncology, this targeted literature review of pain-related qualitative publications in oncology aimed to characterize and explore the patient experience of pain, and its impact on how patients feel and function. Methods: A review of publications in MEDLINE, Embase and PsycINFO from 2018 to 2023 was conducted. Patient quotes or author descriptions/interpretations were extracted and analyzed with directed content analysis techniques, using ATLAS.ti v9. Data were synthesized to inform the development of a conceptual model. Results: Twenty-eight publications, with data from 534 patients across different oncology indications and geographies, were reviewed. Pain was triggered by disease symptoms and treatment, including surgical procedures, chemotherapy, and radiation. Pain was most often daily, severe, and chronic in nature. Characterizations of pain varied, but most often “sharp”/“stabbing”/“shooting” pain was described across different treatment stages. Pain had an extensive impact on emotional wellbeing, activities of daily living, physical, physiological and social functioning, sleep and work. Unmet needs included difficulty communicating pain needs to healthcare practitioners and fear/distrust of opioid pain medication. Conclusions: This research provides a patient-centric model conceptualizing the patient experience of cancer-related pain. The findings highlight the burden and all-encompassing impact of cancer-related pain, demonstrating the importance of assessing pain in oncology clinical trials. Full article

Background/Objectives: Homeless populations have higher rates of chronic illness and mortality than more advantaged peers but have low primary care engagement. Nurse-managed clinics emerged as a possible solution to increase healthcare access for marginalized populations. This paper presents a comprehensive evaluation of feasibility (conceptualized as patient recruitment and retention) and acceptability (conceptualized as patient satisfaction) of a nurse-managed primary care clinic tailored to people experiencing homelessness and poverty. Methods: This is a three-year retrospective chart review study of the clinic’s services, patient characteristics, and patient satisfaction. All adult patients for the three-year period were included (N = 514). Feasibility was measured by the number of unique patients seen and visits completed, ratio of completed to scheduled visits, and number of returning patients. Acceptability was measured by a 19-item Likert format (1–5) patient satisfaction survey. Patient characteristics were captured from intake forms. Results: Most patients were male, African American or White, and non-Hispanic. Regarding social determinants of health (SDOH), most patients did not have college education, were unemployed or unable to work, experienced homelessness, had no primary care provider, and no health insurance. Over three years, 1972 visits were scheduled and 1372 (69.6%) completed. A total of 514 patients were seen (37.5% of all visits), with 858 follow-up visits (62.5%). Returning patients (≥2 visits) totaled 59.1%. Yearly data shows steady growth in recruitment and retention. Patient satisfaction with facets of care (access, communication, interpersonal relations) was very high (Mrange = 4.63–4.69), including with Nurse Practitioner care, as was global satisfaction (M = 4.71; SD = 0.61; 76.3% very satisfied). Conclusions: Results indicate that a homeless-tailored nurse-managed clinic can recruit and retain homeless and working poor patients (feasibility), with high patient satisfaction with its services and staff (acceptability), independently of patient demographics or SDOH. Challenges related to retention deserve further study as well as the impact of services on the continuity of care, health, and well-being. Full article

This article argues that sustainability governance in small-scale regenerative aquaculture arises less from formal regulation than from the relational, ethical, and temporal labour of practitioners. Based on an ethnographic study of Câr-y-Môr, Wales’s first community-owned regenerative ocean farm, the research combines over 250 h of participant observation, 25 interviews, and document analysis with transdisciplinary humanities-informed sustainability science (THiSS). The study shows how technocratic environmentalism, reliant on auditing, reporting, and standardised procedures, often clashes with the shifting rhythms of tides, weather, and the embodied work of marine labour. Ethnography uniquely reveals the embodied knowledge, improvisation, and moral commitment through which practitioners continually remake governance, translating bureaucratic rules into ecologically and socially meaningful practice. The findings demonstrate that adaptive governance requires recognition of local and experiential expertise, proportionate regulatory frameworks, and protected spaces for experimentation and learning. Seen in this way, sustainability shifts from a fixed goal to a relational process. When governance learns from practice and care is recognised as a form of knowledge, it becomes more adaptive, situated, and responsive, revealing both the constraints of technocratic control and the possibilities of care-based policy and practice. Full article

While numerous researchers and practitioners view overtime as uniformly detrimental, growing evidence reveals complexity and overlooked benefits, particularly for social inclusion. This study focuses specifically on the impact of overtime work on social inclusion within the framework of Chinese culture and institutions, as well as the moderating effect of environmental factors. Drawing on extended-self theory, we propose that as overtime hours increase, the association between work hours and social inclusion becomes U-shaped. By contrast, this association may be moderated by environmental factors, such as work value. As expected, by conducting hierarchical regression analysis following Janssen’s three-step procedure, a sample (n = 529) of Chinese employees from the China Labor-Force Dynamics Survey (CLD) supported that the U-shaped relationship between overtime work and employees’ social inclusion. In addition, the curvilinear association between overtime work and social inclusion is significantly moderated by employees’ work values. The findings align with sustainability agendas that emphasize decent work, inclusion, and long-term employee well-being. Theoretical and practical implications are discussed. Full article

Global brands are increasingly establishing dedicated administrative departments to strengthen sustainability and resilience in their supply chains. However, overlooking these aspects at the supplier level can result in significant costs and systemic vulnerabilities. This study addresses this gap through four key contributions: First, we provide a comprehensive sustainability assessment by simultaneously considering economic, environmental, and social pillars along with resilience, operationalized through twenty-four sub-criteria. Second, we explicitly incorporate human judgment and uncertainty by modeling supplier evaluation with interval weights, capturing the ambiguity and subjectivity inherent in expert decision-making. Third, we propose a novel hybrid methodology, integrating lexicographic goal programming (LGP), the analytical hierarchy process (AHP), and two-stage logarithmic goal programming (TLGP) in a systematic framework. Finally, we validate the approach in real-world contexts through case studies in the electronics and unmanned aerial vehicle (UAV) industries. The results reveal notable differences in supplier rankings when comparing LGP and TLGP, highlighting the methodological implications of advanced goal programming in uncertain environments. Overall, this study advances supplier selection research by offering both a validated decision-support tool for practitioners and methodological insights for scholars working on sustainability and resilience under uncertainty. Full article

Financial fraud represents a critical global challenge with substantial economic and social consequences. This comprehensive review synthesizes the current knowledge on machine learning approaches for financial fraud detection, examining their effectiveness across diverse fraud scenarios. We analyze various fraud types, including credit card fraud, financial statement fraud, insurance fraud, and money laundering, along with their specific detection challenges. The review outlines supervised, unsupervised, and hybrid learning approaches, discussing their applications and performance in different fraud detection contexts. We examine commonly used datasets in fraud detection research and evaluate performance metrics for assessing these systems. The review is further grounded by two case studies applying supervised models to real-world banking data, illustrating the practical challenges of implementing fraud detection systems in operational environments. Through our analysis of the recent literature, we identify persistent challenges, including data imbalance, concept drift, and privacy concerns, while highlighting the emerging trends in deep learning and ensemble methods. This review provides valuable insights for researchers, financial institutions, and practitioners working to develop more effective, adaptive, and interpretable fraud detection systems capable of operating within real-world financial environments. Full article

Antimicrobial resistance (AMR) constitutes a major global health challenge, driven significantly by inappropriate antibiotic use in human medicine. Despite the existence of evidence-based guidelines, variability in antibiotic prescribing persists, influenced by psychosocial factors, diagnostic uncertainty, patient expectations, and local prescribing cultures. Outpatient care, the setting in which most antibiotics are prescribed, is particularly affected by such challenges. Traditional top-down interventions, such as national guidelines, often fail to achieve sustained behavioral change among prescribers. In this comprehensive review, we provide an overview of the psychological and behavioral factors influencing antimicrobial stewardship (AMS) implementation, as well as describe a bottom-up project working to meet these challenges: the “Antibiotic Therapy in Bielefeld” (AnTiB) initiative. AnTiB employs a cross-sectoral strategy aimed at developing rational prescribing culture by means of locally developed consensus guidelines, interdisciplinary collaboration, and regularly held trainings. By addressing both the organizational and psychological aspects of prescribing practices, AnTiB has facilitated a harmonization of antibiotic use across specialties and care interfaces at the local level. The initiative’s success has led to its expansion within Germany, including through the creation of the AMS-Network Westphalia Lippe and the development of AnTiB-based national pediatric recommendations. These projects are all grounded in social structures designed to strengthen the long-term establishment of AMS measures. Our efforts underscore the importance of considering local social norms, professional network, and real-world practice conditions in AMS interventions. Integrating behavioral and social science approaches into outpatient antimicrobial stewardship—exemplified by the practitioner-led AnTiB model—improves acceptability and alignment with stewardship principles; wider adoption will require local adaptation, routine outpatient resistance surveillance, structured evaluation, and sustainable support. Full article

This study aims to decode the intellectual structure of organisational resilience (OR) and provide a comprehensive overview of its conceptual development, key intellectual shifts and emerging research directions. We apply bibliometric co-citation analysis using CiteSpace on the scientific production on OR indexed in the Web of Science—Social Sciences Citation Index. The analysis identifies clusters, turning points and citation bursts, enabling the mapping of the field’s main themes and intellectual foundations. The findings reveal eight major clusters of OR research, with distinctive yet interconnected areas: crisis management, disaster management, conceptualisation, supply chain management, influencing factors, strategy and planning, evaluation and community resilience. Key turning points and burst papers highlight the evolution of the field from conceptual foundations to strategic approaches shaped by global crises. The study advances theory by demonstrating how OR research is structured across clusters and by identifying conceptual gaps that require integration, which are addressed through a proposed research agenda. For scholars, it provides a roadmap to navigate the most influential works and theories, while for practitioners and policymakers, it highlights actionable directions to strengthen resilience in organisations facing volatile and uncertain environments. Full article

Adverse climate events are increasingly challenging the health and wellbeing of communities. The intersections of indigenous knowledge and sustainable development, through an eco-social work perspective, are least developed0 in sub-Saharan Africa (SSA). The challenging socio-ecological environment is compounded by limited infrastructure, which hinders the delivery of social services in remote communities. Drawing on cumulative research evidence and regional case studies across Africa, this conceptual article examines the key elements of an eco-social work paradigm and the potential challenges of its implementation. Drawing on intersectional approaches, this paper proposes practical strategies for integrating eco-social work dimensions into problem-solving to address the Sustainable Development Goals (SDGs), specifically Goal 1 (No Poverty) and Goal 13 (Climate Action). Social work practice should be anchored in an indigenous epistemology and research governance, informed by insights from higher education institutions, local communities, the context of practice, and partnerships with the state, to ensure regulatory oversight and inter-professional collaboration. Contextualised outcomes to build community-level resilience, and development practitioners who are up-skilled and able to conduct needs-led ecological assessments are essential. Such co-created interventions and collaborative strategies would effectively address poverty and climate change in vulnerable, remote communities. Further empirical research on the interpretation of indigenous knowledge and the role of eco-social workers within interprofessional collaboration is essential for formulating an indigenous epistemology and ecological wellbeing policy, thereby strengthening community-level resilience and sustainability. Full article

Disaster headlines often underscore devastation and loss while overlooking success stories where proactive disaster risk reduction (DRRM) measures have averted catastrophe, saved lives, and reduced economic damage. This study addresses the gap in documentation and analysis of DRRM success stories in Africa, particularly within the Southern African Development Community (SADC), arguing that the absence of such narratives hampers a shift from reactive to proactive disaster risk governance. The research aims to extract critical lessons from success stories for enhancing future preparedness and response frameworks. A qualitative research design was employed, integrating document analysis, expert interviews, field observations, and practitioner workshops. Data was triangulated from diverse sources, including national disaster management agency reports (e.g., South Africa’s NDMC, Botswana’s NDMO, Mozambique’s INGC), peer-reviewed literature, UNDRR reports, SADC policy documents, and first-hand experiences from the authors’ consultancy work in the African Union’s biennial DRRM reporting processes. Case studies examined include Mozambique’s response to Cyclone Idai in 2019, South Africa’s drought and flood risk governance (e.g., the 2023 floods in Eastern and Western Cape), and Malawi’s flood resilience programs. Findings reveal that successful DRRM outcomes are driven by a combination of anticipatory governance, community-based preparedness, integration of Indigenous Knowledge Systems (IKSs), and investment in infrastructure and ecosystem-based adaptation. These cases demonstrate that locally embedded, yet scientifically informed, interventions enhance resilience and reduce disaster impacts. The study underscores the relevance of theoretical frameworks such as resilience theory, narrative theory, and social learning in interpreting how success stories contribute to institutional memory and adaptive capacity. Policy recommendations emphasize the need for institutionalizing success-story documentation in national DRRM frameworks, scaling up community engagement in risk governance, and fostering regional knowledge-sharing platforms within the SADC. Furthermore, the paper advocates for making DRRM success stories more visible and actionable to transition toward more anticipatory, inclusive, and effective disaster risk management systems. Full article

The restoration of waterways is increasingly understood as an endeavor that could (and should) be beneficial for both ecosystems and people. Researchers have already explored several ways that restoration can mediate in favor of environmental justice goals, while simultaneously acknowledging the dangers of green gentrification. This paper extends the inquiries about waterway restoration and environmental justice to include a focus on one of society’s most frequently marginalized groups, unhoused people. Working inductively, we conduct a scoping study that examines published studies, news stories, and examples from the field that explore the intersection among waterway restoration and environmental justice, in the context of the interests of unhoused people. We argue that further work on the topic is necessary, and it should include both systematic investigations as well as design guidance material; this exploration represents the first step in outlining the direction of that work. Follow-on studies will center on clarifying the social dynamics in play, including identifying contested policy narratives, describing the regulatory context of the existing cases, definition(s) of what constitutes unhoused/homeless, and what impacts they have on decision-making. The future research we anticipate will develop information and propose strategies that can be used by practitioners including planners and landscape architects, in the process of organizing project work, to help advance environmental justice and human rights goals. Full article

Pacific youth in Aotearoa New Zealand are culturally diverse and deeply rooted in their families and communities. Despite facing socioeconomic inequities, systemic barriers, and limited decision-making opportunities, they maintain a positive perception of health and actively contribute to collective wellbeing. This paper explores the strengths of Pacific youth and how these can be harnessed to mobilise community wellbeing and transformative change. Using Pacific research methodologies—lalaga (weaving) and talanoa—we integrate findings from three key sources: the Talavou o le Moana Pacific Youth19 Report (quantitative data from 1130 Pacific youth), the Pacific Youth Home and Family Brief (open-text responses on family life), and insights from a panel of Pacific policy, research, and community experts presented in a webinar. These resources were reviewed and woven together by a team of three Pacific practitioners and one New Zealand European researcher, all with backgrounds in youth health, social work, and Pacific education. The lalaga reveals Pacific youth’s collective strength, cultural identity, and deep sense of responsibility. Their resilience and leadership, even amid adversity, highlight the urgent need for culturally grounded, youth-led, and community-responsive approaches. Empowering Pacific youth as agents of change is essential for fostering holistic wellbeing and transformative futures. Full article

Rural tourism influences rural communities, yet its growth often leads to substantial land use changes, creating both opportunities and tensions. Despite this, a comprehensive overview of the literature examining their intersection is absent. To address this gap, this study employed a bibliometric analysis of 497 documents from the Web of Science database spanning 1994 to 2025. Methods included major publication trend analysis, keyword co-occurrence analysis, and co-citation analysis to uncover publication trends, dominant themes, and intellectual structure. Results indicate a rapidly expanding, interdisciplinary field characterized by strong international collaboration and a focus on sustainability, environmental planning, and integrated land management. Key thematic clusters include geospatial tools, environmental stewardship, urbanization impacts, social dimensions, and economic assessment of rural landscapes. The intellectual foundations are rooted in spatial planning, ecosystem services, socio-economic impacts, and ecotourism’s conservation goals. Gaps identified include lack of synthesis studies, underrepresentation of qualitative methods, insufficient policy-implementation research, and underrepresentation of European and intra-Global South collaborations. The study calls for future works to address these gaps through interdisciplinary approaches, longitudinal monitoring, and expanded regional collaborations. By mapping the field’s evolution, this study provides a foundational reference for researchers, policymakers, and practitioners seeking to balance tourism development with sustainable land use in rural areas. Full article