Search Results (579)

As the largest exporter in the global solid tire market, Sri Lanka’s natural rubber supply chain plays a critical role in global production, yet its social dimension remains largely unaddressed. Our study aims to assess the social performance of a Sri Lankan natural rubber supply chain in solid tire manufacturing using social life cycle assessment (S-LCA) in a cradle-to-gate approach. Study adapts “More Good and Less Bad” method which captures both positive and negative social impacts, addressing traditional S-LCAs’ focus on negative impacts solely. It applies to updated methodological sheets to distinguish “good” and “bad” social conditions across subcategories based on baseline compliance. Social impacts were quantified using a Social Performance Index (SPI), calculated by multiplying social performance levels by working hours at the organizational level, comprising SPI_good for good social impacts and SPI_bad for bad social impacts. Data was collected through stakeholder interviews, with working hours calculated using a “working hour model”. Results showed mixed social performance across 39 subcategories, identifying six social hotspots: promoting social responsibility (27.67% less bad, 72.32% more good), wealth distribution (26.87% less bad, 73.13% more good), commitment to sustainability issues (100% less bad), social benefits (100% less bad), safe and healthy living conditions (100% less bad), and hours of work (88.74% less bad, 11.26% more good). Full article

The UK’s net-zero by 2050 commitment necessitates urgent housing sector decarbonisation, as residential buildings contribute approximately 17% of national emissions. Post-1950 construction prioritised speed over efficiency, creating energy-deficient housing stock that challenges climate objectives. Current retrofit policies focus primarily on technological solutions—insulation and heating upgrades—while neglecting broader sustainability considerations. This research advocates systematically integrating Circular Economy (CE) principles into residential retrofit practices. CE approaches emphasise material circularity, waste minimisation, adaptive design, and a lifecycle assessment, delivering superior environmental and economic outcomes compared to conventional methods. The investigation employs mixed-methods research combining a systematic literature analysis, policy review, stakeholder engagement, and a retrofit implementation evaluation across diverse UK contexts. Key barriers identified include regulatory constraints, workforce capability gaps, and supply chain fragmentation, alongside critical transition enablers. An evidence-based decision-making framework emerges from this analysis, aligning retrofit interventions with CE principles. This framework guides policymakers, industry professionals, and researchers in the development of strategies that simultaneously improve energy-efficiency, maximise material reuse, reduce embodied emissions, and enhance environmental and economic sustainability. The findings advance a holistic, systems-oriented approach, positioning housing as a pivotal catalyst in the UK’s transition toward a circular, low-carbon built environment, moving beyond isolated technological fixes toward a comprehensive sustainability transformation. Full article

This paper examines the 14-year journey of the Mongolian National University of Medical Sciences (MNUMS) in achieving and sustaining international accreditation for its undergraduate medical program. Beginning in 2010, MNUMS undertook a series of institutional reforms that culminated in full accreditation in 2016 and re-accreditation in 2024 by an international agency recognized by the European Network for Quality Assurance in Higher Education (ENQA). Drawing on institutional self-assessment reports, evaluator feedback, and stakeholder consultations, this case study explores how the accreditation process functioned as a catalyst for educational reform and quality enhancement. The findings reveal major transformations in curriculum design, assessment systems, and institutional governance. MNUMS adopted the European Credit Transfer and Accumulation System (ECTS), introduced outcome-based education and Entrustable Professional Activities (EPAs), expanded its Clinical Skills Center, and implemented a compulsory undergraduate research project. Additionally, the creation of an integrated Bachelor–Master pathway and strengthened international partnerships further advanced the university’s alignment with global medical education standards. This case illustrates how international accreditation can drive systemic improvement in medical education within developing-country contexts. The MNUMS experience highlights the value of sustained institutional commitment, responsiveness to external evaluation, and the strategic use of accreditation as a framework for continuous innovation and global integration. Full article

This study investigates how stakeholder pressures (SSTPR) prompt SMEs to perform green innovation (GRNI) activities by grounding the analysis exclusively in stakeholder theory. It employs a survey questionnaire to gather information from 141 top- and mid-level executives working in various SME manufacturing firms (listed in DSE, CSE, foreign SMEs) in Bangladesh. The structural equation modeling (SEM) technique is used to analyze data and test hypotheses. The study’s findings reveal that SSTPR, both primary and secondary, have a significant positive impact on the firm’s degree of GRNI. Moreover, it has also been found that environmental commitment (ENVC) has a positive moderating effect on the relation between stakeholder influences and GRNI. On the other hand, environmental ethics (ENVE) has a partial mediation impact on this relationship. The results shed light on the crucial role of stakeholder influence, ENVC, and ENVE in promoting GRNI behavior. These findings will fill knowledge gaps on the factors that drive SMEs’ investments in GRNIs with insightful implications for regulators, managers, and policymakers. This study also assists Bangladesh’s sustainable agenda by bolstering green and sustainable innovation activities. Full article

Postpartum depression (PPD) affects up to 15% of mothers, yet access to preventive psychological interventions during pregnancy remains limited. Acceptance and Commitment Therapy (ACT) has demonstrated efficacy in promoting psychological flexibility and preventing mental distress. Nevertheless, no studies have yet evaluated its use for the prevention of PPD through a chatbot-based digital intervention. The present study describes the development and preliminary evaluation of an ACT-based chatbot intervention (REA) to support women during late pregnancy and the early postpartum period. Nineteen participants interacted with the low-fidelity REA prototype, explored its features, completed two questionnaires, and then participated in semi-structured interviews. Quantitative data were analysed using the Wilcoxon signed-rank test; qualitative data were analysed using thematic analysis. Quantitative analysis revealed significantly elevated scores for the majority of variables, including empathy and listening, fluency, lexicon, clarity, engagement, functionality, aesthetics, information, and perceived impact. The interview findings demonstrated a notable level of appreciation for the intervention. The participants described the chatbot as engaging and supportive, highlighting a smooth interaction flow, content-appropriate language, and messages of suitable length. The REA prototype demonstrated high acceptability, usability, and perceived usefulness among a diverse range of stakeholders, thus supporting its potential as a scalable, stigma-reducing tool for the prevention of PPD. Subsequent research endeavours will focus on refining the chatbot’s personalisation features and conducting comprehensive clinical trials to evaluate its efficacy. Full article

Tuberculosis (TB) remains a public health threat in low- and middle-income countries (LMICs) of the World Health Organization (WHO) Eastern Mediterranean Region (EMR), driven by a combination of social determinants including undernutrition, fragile health systems, conflict-related disruptions, human mobility and displacement, sub-optimal programmatic implementation, and insufficient domestic investment. These programmatic and governance constraints operate within a broader geopolitical context marked by conflict, sanctions, protracted crises, and large-scale displacement, which further limit countries’ ability to deliver uninterrupted TB services. In 2023, the region’s TB incidence was estimated at 116 per 100,000 population, with Pakistan alone accounting for about 73% of the regional burden. Despite a multitude of efforts, progress in reducing the TB burden in the EMR remains slow, with high case detection and treatment coverage gaps, low uptake of TB preventive treatment (TPT), underutilization of WHO-recommended rapid diagnostics, and only 25% of drug-resistant TB (DR-TB) cases initiated on treatment. Vulnerable populations, including internally displaced persons, migrants, refugees, prisoners, and returnees, continue to face major access barriers, and cross-border TB collaboration remains limited. This commentary reasons that the slow pace of TB burden reduction in the region is not only a biomedical or resource issue but also a reflection of structural and governance shortcomings. It proposes a ten-point strategic vision focused on building a sustainable ecosystem, enhancing primary healthcare systems, adopting people-centered and rights-based approaches, leveraging artificial intelligence, and gradually reducing dependency on external donors where feasible. However, in highly fragile settings such as Yemen or Somalia, domestic financing remains limited, and sustained external support will continue to be indispensable. The commentary calls for stronger national leadership, inclusive stakeholder engagement, and increased domestic financing to deliver integrated and resilient TB services. Ending TB in the EMR is within reach, but it requires boldly committed, coordinated, and country-led action. Full article

Background: Poor mental health is a major contributor to absenteeism and turnover among nurses. Psychological flexibility may act as a protective factor for work-related well-being. This early-phase feasibility study explored the delivery of an online adaptation of Acceptance and Commitment Therapy (ACT) training for UK nursing professionals. Methods: A self-guided, 4-week online adaptation of an ACT training course was delivered via Moodle. Measures of professional quality of life, work engagement, and work-related psychological flexibility were collected at baseline and post-intervention (6 weeks). Feasibility outcomes included recruitment, retention, intervention adherence, and user engagement, assessed through platform usage statistics and user experience feedback. Results: A total of 43 participants enrolled in this single-group pre–post feasibility study. Recruitment targets were met, and completion of baseline measures was high. Engagement with course content was acceptable for an early-stage digital intervention. Among the well-being outcomes, work engagement showed the clearest indication of potential measure responsiveness. Retention was acceptable for the post-intervention survey but low for the usability survey and follow-up interview, limiting further exploration of engagement drivers. Conclusions: This study supports the feasibility of delivering online ACT training to nursing professionals. Key areas for refinement were identified, including closer integration with existing workplace communication and professional development systems, ongoing stakeholder involvement across study phases, and workplace-embedded engagement mechanisms to improve retention. Future research should further explore how workplace context influences intervention acceptability in larger feasibility trials. Full article

As sustainability becomes central to tourism, tourists are no longer passive consumers but active stakeholders who influence organizational behavior. This study investigates how green consumer behavior (GCB) shapes expectations for employee green competencies and organizational sustainability strategy (OSS). Data were collected through a structured survey of 326 domestic tourists in Albania. Green skills expectation (GSE) was modeled as a latent construct derived from two observed variables: green loyalty and brand image, and willingness to support sustainability. Statistical analyses included exploratory factor analysis (EFA), K-means clustering and structural equation modeling (SEM). GCB significantly predicted both OSS and GSE, confirming that green tourists influence how organizations structure and communicate their sustainability practices. Cluster analysis identified two consumer profiles: committed eco-tourists and green-adaptive tourists. This study advances current understanding of how tourists act as external agents of internal organizational change. It extends the theoretical discourse on green marketing and sustainable workforce development by positioning tourist expectations as a driver of human resource transformation. The findings offer meaningful implications for tourism operators, educators and policymakers seeking to align employee training and service delivery with the demands of sustainability-oriented travelers. In this way, the study bridges the gap between consumer behavior and workforce development, contributing to a more integrated approach to sustainable tourism. Full article

Reintroduction has been recognized as a vital approach to protecting and restoring wild populations of rare and endangered species. Although numerous reintroduction programs have been launched worldwide, in-depth studies on population establishment, dynamics, distribution patterns, and challenges remain limited. The Milu (Elaphurus davidianus), endemic to China and once declared Extinct in the Wild by the IUCN, has become one of the most successful examples of global endangered species reintroduction since the initiation of its recovery program in 1985. Focusing on the reintroduction project in the Poyang Lake basin—China’s largest freshwater lake—this study analyzed 14 years of monitoring data to examine the processes of population re-establishment, demographic trends, and spatiotemporal distribution of the species, while also identifying major ongoing challenges. Findings reveal the following: (1) the acclimatization process was essential for 10 individuals first reintroduced in 2013, and then 30 individuals joined to the growing population, followed by the largest-scale release of 47 in 2018, which finally led to eight consecutive years of natural reproduction, with a theoretically estimated population of 89 individuals until August 2025; (2) among 1697 individual sightings in 238 monitoring events, 952 records can be distinguished between male and female individuals (sex ratio = 1:1.63), yielding a mean herd size of 7.28 ± 0.68 individuals per sighting event—although numbers rose slightly in 2024, a declining trend was observed from 2019 to 2023 (from 11.26 to 5.13); (3) the Milu have expanded their range across eastern Poyang Lake, demonstrating a behavioral patterns of migrating out of the lake zone during flood seasons and returning in dry season; (4) the restoration of the Milu population is a systematic endeavor, in which government support and the participation of conservation professionals, scientists, volunteers, media, and the public are critical factors; and (5) ongoing threats such as human disturbance (e.g., habitat degradation) and climate change continue to jeopardize long-term population viability. This study offers important scientific insights into the recovery of endangered wildlife globally and underscores the essential role of governmental commitment, long-term monitoring, and multi-stakeholder collaboration in species reintroduction efforts. Full article

Participatory Guarantee Systems (PGS) have emerged in Latin America as an alternative to conventional market-driven certification, offering a community-based framework to validate sustainable agricultural and social practices. Rooted in collective responsibility and dialogue between producers, consumers, non-governmental organizations (NGOs) and state institutions, PGS aim to empower smallholders by reducing certification costs and strengthening agroecological transitions. This review examines their development across diverse Latin American contexts, highlighting both their innovative potential and the persistent challenges that limit their scalability and formal recognition. A literature-based approach combined with a stakeholder analysis was employed, integrating case studies from Brazil, Peru, Mexico, Bolivia, and other countries. To systematize findings, SWOT (Strengths, Weaknesses, Opportunities, Threats) and TOWS (Threats, Opportunities, Weaknesses, Strengths) frameworks were applied, assessing strengths and weaknesses from the perspective of producers and consumers and formulating strategies to enhance resilience and legitimacy. Results show that PGS foster social capital, technical learning, and access to local markets; however, they are constrained by high time commitments, reliance on voluntary labour, uneven participation, and limited consumer awareness. The analysis indicates that the most promising pathway is a combination of growth strategies, including leveraging short supply chains, community-based fairs, and digital platforms, with recovery strategies centred on consumer education and producer capacity building. More conservative strategies remain crucial in specific contexts: redistributing workloads, introducing compensation for administrative tasks, and strengthening conflict mediation can help preserve system viability when engagement or resources are scarce. Defence strategies, aimed at reinforcing autonomy and reducing dependence on external actors, are better conceived as long-term goals under current conditions. Full article

Corporate Social Responsibility (CSR) is a critical pillar of sustainable business, yet powerful market forces often influence its adoption. This study investigates the complex interplay between market concentration—specifically, a firm’s reliance on major customers—and its commitment to CSR in the unique context of an emerging market. Drawing on stakeholder, agency, and resource dependence theories, we argue that high customer concentration (CC) creates a power asymmetry, pressuring firms to prioritise the short-term financial demands of key buyers over long-term societal investments. Analysing a decade of data from the Tehran Stock Exchange, our findings confirm that CC significantly erodes CSR engagement. More intriguingly, we challenge the conventional view of institutional investors as uniform champions of sustainability. Instead, we find that their moderating role is contingent upon certain conditions. Under extreme customer dependence, institutional ownership may paradoxically exacerbate the negative impact on CSR, potentially due to heightened pressure for short-term financial performance. This research contributes to the literature on sustainable business administration by demonstrating that governance mechanisms do not operate in a vacuum but are shaped by underlying market structures. For policymakers and managers, our results underscore the need for strengthened governance and incentives that safeguard sustainability commitments against the pressures of concentrated buyer power, particularly in emerging economies. The study underlines that achieving sustainability goals requires a nuanced understanding of the market environments in which firms operate. Full article

University Dual Training is constructed at the intersection of academic and professional spheres, shaping a complex and multifaceted educational model. The aim of this study is to analyze the media representation of University Dual Training within the Spanish higher education landscape. The analysis focused on news articles published in the digital press of Spanish universities between 2021 and 2025. Following the methodological principles of a systematic review, a total of 81 news items (comprising 747 lexical segments) were identified and categorized 60 from 25 public universities and 21 from 7 private institutions. Data analysis, supported by the MAXQDA 24 software, enabled the identification of trends in the use of keywords, temporal evolution, and prevailing themes, along with the degree of relevance attributed to this training modality. The findings reveal an institutional tendency in media dissemination centred on promoting University Dual Training as a pathway for educational innovation, highlighting experiences and collaborations with companies, and projecting a discourse in which universities present themselves as committed to this modality. The study concludes that digital university newspapers convey the relevance and impact of University Dual Training as a modality that brings together diverse stakeholders, creating a space of collaboration and shared responsibility that strengthens student training and employability. Full article

The European Union (EU)’s commitment to promoting social, economic, and environmental sustainability in the agri-food system prompts this study to recognize young farmers as essential stakeholders in maintaining agricultural productivity and a steady supply of healthy food. It addresses their under-representation in practice and research, as Romania transitions to a greener agricultural model, particularly regarding fertilizer use. Data were collected in 2025 targeting Romanian farmers aged up to 45 years. The research mapped fertilizer usage practices and perceptions, awareness of environmental measures, and access to EU subsidies, utilizing descriptive and inferential statistics. More precisely, this aims at identifying those behavioral determinants influencing fertilizer reduction among young Romanian farmers, with a focus on sustainability, food safety, and security implications. The findings reveal that while young Romanian farmers show potential for adopting sustainable practices, their chemical fertilizer usage is complex, as 21% reported reductions, 49% maintained, and 30% increased their use of chemical fertilizers. Despite their awareness of environmental impacts, their practices are often misaligned with the sustainability objectives of the EU and the Farm to Fork Strategy, highlighting the intersection of education, policy support, and broader agricultural realities necessary to achieve a more resilient and sustainable food system in Romania and beyond. The results are intended to inform targeted policy interventions and capacity-building programs that can better align young farmers’ actions with EU sustainability goals. Full article

Agricultural systems are complex social–ecological systems shaped by interactions among diverse stakeholders including governments, enterprises, farmers, consumers, and financial institutions. To examine policy-driven sustainability transitions, this study focuses on three principal actors—government regulatory agencies, agricultural enterprises, and farmers—whose strategic interactions critically determine transition outcomes. The aim is to drive agricultural systems toward sustainability in China. This study develops a three-party evolutionary game model involving the government, enterprises, and farmers to explore how policy-driven incentives influence sustainable development practices. The model incorporates both static and dynamic reward–punishment mechanisms, calibrated with empirical data, to examine behavioral dynamics across stakeholders. The results indicate that fluctuations in enterprise and government engagement contribute to instability in agricultural sustainability transitions. While static reward mechanisms mitigate peak fluctuations, they are insufficient to fully stabilize enterprise commitment, with actors oscillating between sustainable and conventional agricultural practices. Linear dynamic reward mechanisms offer partial stabilization but lack the capacity to maintain long-run Nash equilibrium. In contrast, nonlinear dynamic mechanisms effectively align stakeholder incentives, fostering a stable and enduring shift toward sustainable agricultural systems. This study underscores the importance of tailored dynamic strategies to build resilient agricultural systems with integrated sustainability objectives. Full article

Introduction: A considerable body of evidence shows significant racial inequities in health and health care, affecting access, care and treatment for patients, as well as the wellbeing of employees. Many hospitals and health care organizations have committed to anti-racist change within their systems. Still, there is limited systematic knowledge regarding organizational anti-racist practices, the conditions under which they can be implemented successfully and their effectiveness. This research aims to identify anti-racist practices within health care organizations with a special focus on three areas: (1) increasing workforce diversity, (2) reducing racial health disparities and (3) responding to discriminatory behavior. Moreover, the role of different stakeholders in implementing anti-racist change will be analyzed, as well as the challenges organizations have encountered and strategies they have utilized to implement change. Methods: Primary (n = 11) and secondary qualitative data (n = 26) were used to gain insights from anti-racism diversity experts and health equity officers within organizations across the US in the beginning of 2024. A qualitative content analysis was used to identify anti-racist practices in organizations. Results: Findings reveal a broad range of anti-racist practices in use across these organizations. These practices include (1) collecting patient and staff data, (2) actively normalizing and implementing anti-racist work standards and guidelines, (3) developing organizational policies and tools to address racism, (4) creating accountability procedures for addressing racist behavior and (5) building safe and culturally appropriate spaces for racialized communities. By embedding a structural anti-racist lens across these organizations, stakeholders acknowledge their role in (past) harms and commit to addressing disparities in health care and creating a vision for health equity. Conclusion: The identification of anti-racist practices makes solutions visible to a broader audience and identifies the potential influence and responsibility each stakeholder in health care has to address racism. In order to apply these practices to other health care organizations, there is a need to rigorously evaluate the interventions and analyze their effectiveness. Full article