10,119 research outputs found

    An Exploration of the Suitability of Pharmacy Education in Saudi Arabia to Prepare Graduates to Meet Healthcare Needs: a Mixed-Methods Study

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    The key role of pharmacists within the health system, particularly in optimising safe, responsible and effective use of medicines, underpins the demand for a highly skilled and competent workforce. Therefore, developing the capacity of pharmacists to attain and maintain essential competencies relevant to the population’s health needs is required to ensure a high standard of patient care, thereby helping to improve patient and population health. In Saudi Arabia, little evidence exists regarding the assessment of national educational programmes’ structure and outcomes. Moreover, no national competency framework exists for pharmacists in any sector or stage of practice. In the absence of such core quality elements to inform pharmacy education assessment and development, the extent to which pharmacy schools in Saudi Arabia prepare competent pharmacists to address societal needs from pharmacy services is unclear. Therefore, this study aimed to explore the extent to which pharmacy education can prepare competent pharmacists to address the healthcare needs for pharmacy practice in Saudi Arabia. An exploratory sequential mixed methods research design was used to address the aim of this study in three phases: individual interviews and focus groups were employed with a purposively selected sample of pharmacy policy makers, pharmacists and the public to explore societal healthcare needs and the roles required of pharmacists to meet those needs; a national online survey of pharmacists and an online nominal group consensus method of pharmacy experts were used to identify competencies considered essential to develop a profession-wide national foundation level competency framework; and a case study in which curriculum mapping of two purposively selected Doctor of Pharmacy (PharmD) curricula was used to assess the extent to which the current pharmacy programme in Saudi Arabia meets the identified competencies of the developed national competency framework. Based on qualitative and quantitative analyses of societal healthcare needs, pharmacists’ roles, core competencies and curricular contents within the local context of Saudi Arabia, findings showed that there is a mismatch between initial education and real practice needs and expectations. While the country’s current needs from pharmacists are to optimise health system capacity and increase access to primary care services and medicines expertise in community pharmacies, the study indicated local education is product-oriented with a focus of curricular content and experiential training opportunities in most schools on preparing future pharmacists for hospital pharmacy practice. The study also identified several gaps between current initial education programmes and the competencies required to practise the expected roles, suggesting that current initial education might not prepare the students sufficiently to provide the full range of quality pharmaceutical services as per the country’s pharmacy practice needs. The study provided a new understanding of graduates’ readiness to practise as per the country’s pharmacy practice needs, the quality of educational programmes and pharmacists' professional development opportunities in Saudi Arabia. Findings maybe used to inform the development of competency-based education and maximise graduates’ capacity to deliver and develop pharmaceutical services effectively to best meet societal healthcare needs in Saudi Arabia

    An empirical investigation of the relationship between integration, dynamic capabilities and performance in supply chains

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    This research aimed to develop an empirical understanding of the relationships between integration, dynamic capabilities and performance in the supply chain domain, based on which, two conceptual frameworks were constructed to advance the field. The core motivation for the research was that, at the stage of writing the thesis, the combined relationship between the three concepts had not yet been examined, although their interrelationships have been studied individually. To achieve this aim, deductive and inductive reasoning logics were utilised to guide the qualitative study, which was undertaken via multiple case studies to investigate lines of enquiry that would address the research questions formulated. This is consistent with the author’s philosophical adoption of the ontology of relativism and the epistemology of constructionism, which was considered appropriate to address the research questions. Empirical data and evidence were collected, and various triangulation techniques were employed to ensure their credibility. Some key features of grounded theory coding techniques were drawn upon for data coding and analysis, generating two levels of findings. These revealed that whilst integration and dynamic capabilities were crucial in improving performance, the performance also informed the former. This reflects a cyclical and iterative approach rather than one purely based on linearity. Adopting a holistic approach towards the relationship was key in producing complementary strategies that can deliver sustainable supply chain performance. The research makes theoretical, methodological and practical contributions to the field of supply chain management. The theoretical contribution includes the development of two emerging conceptual frameworks at the micro and macro levels. The former provides greater specificity, as it allows meta-analytic evaluation of the three concepts and their dimensions, providing a detailed insight into their correlations. The latter gives a holistic view of their relationships and how they are connected, reflecting a middle-range theory that bridges theory and practice. The methodological contribution lies in presenting models that address gaps associated with the inconsistent use of terminologies in philosophical assumptions, and lack of rigor in deploying case study research methods. In terms of its practical contribution, this research offers insights that practitioners could adopt to enhance their performance. They can do so without necessarily having to forgo certain desired outcomes using targeted integrative strategies and drawing on their dynamic capabilities

    Energy Supplies in the Countries from the Visegrad Group

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    The purpose of this Special Issue was to collect and present research results and experiences on energy supply in the Visegrad Group countries. This research considers both macroeconomic and microeconomic aspects. It was important to determine how the V4 countries deal with energy management, how they have undergone or are undergoing energy transformation and in what direction they are heading. The articles concerned aspects of the energy balance in the V4 countries compared to the EU, including the production of renewable energy, as well as changes in its individual sectors (transport and food production). The energy efficiency of low-emission vehicles in public transport and goods deliveries are also discussed, as well as the energy efficiency of farms and energy storage facilities and the impact of the energy sector on the quality of the environment

    International Comparative Perspectives on Religion and Education

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    This book scrutinises religion in education in ten countries. It reveals much about the tension between religion and education in secular countries, and the blending between religion and education in religious countries, such as Iran and Malaysia, as well as secular countries such as the Netherlands. It also shows the important role the church currently plays in education in developing countries, such as Tanzania

    Church Personnel Perceptions of Disorderly Students: A Case Study of Misconduct in Child Ministry Programs

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    The problem: undisciplined children in church settings disrupt biblical teachings and provide the impetus for other children to act inappropriately. Therefore, discipline issues must be addressed. Christian teachers have a unique responsibility to establish high moral and ethical standards in their classrooms based on God’s Word, thus, student discipline issues must be addressed for the wellbeing of all concerned. The purpose of this Qualitative Case Study is to understand the student discipline issues experienced by teachers in child ministry programs and how they coped with these issues. Student discipline issues can be defined as incidents of disruptive behaviors exhibited by children while in attendance in child ministry classes. It is construed that control of student discipline and good classroom management practices are crucial for all who undertake the profession of teaching. Essentially, the classroom environment must be conducive for learning without unnecessary interruption, thus understanding the dilemmas experienced by child ministry teachers is paramount. The author of this study was guided by twenty research questions in the form of a questionnaire. The questionnaires were emailed to church leaders who then assumed the responsibility for identifying and selecting available participants via convenience sampling. Fifteen respondents, i.e., eleven females and four males were selected by church leaders. The latter then emailed the completed questionnaires to the researcher who analyzed the results. This was a Qualitative Case Study and data was analyzed via Content Analysis, i.e., reoccurring respondent words in the questionnaires were coded and categorized. Data was also analyzed by Descriptive Statistics. The findings of this study revealed that disruptive behaviors cited by respondents were as follows: (1) student talking, (2) student inattentiveness, (3) disabled students acting inappropriately as determined by respondents, and (4) student lacking discipline and failing to follow the rules. Additionally, it was found that boys caused more disruptions than girls and these disruptions were viewed by teachers as minor and infrequent. It was found that teachers used a myriad of coping strategies to mitigate student disruptive behavior to include the following: (1) expecting students to be respectful, (2) requesting intervention by middle management church leaders like Deacons, Team Leaders and Children Directors, and (3) one-on-one talks with disruptive students. It was determined that the latter was the primary coping strategy. It was also found that teachers rarely consulted with the senior church hierarchy to off-set student discipline issues. It is anticipated that this research will enhance awareness as to how students behave in church settings. Furthermore, it is also hoped that church leaders will incorporate a policy to assist teachers with student disruptive behaviors and to intervene as needed

    Vulnerability of the Nigerian coast and communities to climate change induced coastal erosion

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    Improving coastal resilience to climate change hazards requires understanding past shoreline changes. As the coastal population grows, evaluation and monitoring of shoreline changes are essential for planning and development. Population growth increases exposure to sea level rise and coastal hazards. Nigeria, where the study is situated, is among the top fifteen countries in the world for coastal population exposure to sea level rise. This study provided a novel lens in establishing a link between social factors and the intensifying coastal erosion along the Akwa Ibom State study coast. The mixed-method approach used in the study to assess the vulnerability of the Nigerian coast and communities to climate change-induced coastal erosion proved to be essential in gathering a wide range of data (physical, socio economic, participatory GIS maps and social learning) that contributed to a more robust and holistic assessment of coastal erosion, which is a complex issue due to the interplay between the human and natural environments. Remotely sensed data was used to examine the susceptibility and coastal evolution of Akwa Ibom State over 36 years (1984 -2020). Longer-term (1984- 2020) and short-term (2015-2020) shoreline change analyses were used to understand coastal erosion and accretion. From 1984-2020, the total average linear regression rate (LRR) was - 2.7+0.18m/yr and from 2015-2020, it was -3.94 +1.28m/yr, demonstrating an erosional trend along the study coast. Although the rate of erosion varies along the study coast, the linear regression rates (LRR) results show a predominant trend of erosion in both the short and longer term. According to the 2022 Intergovernmental Panel on Climate Change report, loss of land, loss of assets, community disruption and livelihood, loss of environmental resources, ecosystem, loss of life, or adverse health impact are all potential risks along the African coast due to climate change – this study shows that these risks are already occurring today. To quantify the anticipated future coastal erosion risk by 2040 along the study coast, the findings in this study show an overall average LRR of -2.73+ 0.99 m/yr which anticipates that coastal erosion will still be prevalent along the coast by 2040. And, given the current global climate change situation, should be expected to be much higher than the current forecasting. This study re-conceptualised the European Environmental Agency Driver-Pressure StateImpact-Response (DPSIR) model to show Hazard-Driver-Pressure-State-Impact ResponseObservation causal linkages to coastal erosion hazards. The results showed how human activities and environmental interactions have evolved through time, causing coastal erosion. Removal of vegetation cover/backstop for residential and agricultural purposes, indicate that human activities significantly contribute to the study area's susceptibility, rapid shoreline changes, and vulnerability to coastal erosion, in addition to oceanic and climate change drivers such as sea level rise and storminess. Risk perception of coastal erosion in the study area was analysed using the rhizoanalytic method proposed by Deleueze. The method demonstrates how connections and movements can be related and how data can be used to show multiplicity, mark and unmark ideas, rupture pre-conceptions and make new connections. This study shows that coastal erosion awareness is insufficient to build a long-term management plan and sustain coastal resilience. The Hino's conceptual model which provides in-depth understanding on planned retreat was used to illustrate migratory and planned retreat for the study coast where relocation has already occurred due to coastal erosion. The result fell within the Self-Reliance quadrant, indicating that people left the risk zone without government backing or retreat plans. Other coastal residents who have not relocated fell within the Hunkered Down quadrant, showing that they are willing to stay in the risk zone and cope with the threat unless the government/environmental agencies relocate them. This study shows that coastal resilience requires adaptive capacity and government support. However, multilevel governance has inhibited government-community dialogue and involvement, increasing coastal erosion vulnerability. The coastal vulnerability index to coastal erosion was calculated using the Analytical Hierarchy Process weightings. It revealed that 67.55% of the study coast falls within the high-very high vulnerability class while 32.45% is within the very low-low vulnerability class. This study developed and combined a risk perception index to coastal erosion (RPIerosion) and participatory GIS (PGIS) mapping into a novel coastal vulnerability index called the integrated coastal erosion vulnerability index (ICEVI). The case study evaluation in Akata, showed an improvement in the overall vulnerability assessment to reflect the real-world scenario, which was consistent with field data. This study demonstrated not only the presence and challenges of coastal erosion in the research area but also the relevance of involvement between the local stakeholders, government and environmental agencies. Thus, showing the potential for the perspectives of the inhabitants of these regions to inform the understanding of the resilience capacity of the people impacted, and importantly to inform future co-design and/or selection of effective adaptation methods, to better support coastal climate change resilience in these communities. Overall, the study provides a useful contribution to coastal erosion vulnerability assessments in data-scarce regions more broadly, where the mixed-methods approach used here can be applied elsewhere

    Role of hospitals in recovery from COVID-19: Reflections from hospital managers and frontliners in the Eastern Mediterranean Region on strengthening hospital resilience

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    BackgroundCOVID-19 highlighted the critical role that hospitals play throughout the prolonged response and continuous recovery stages of the pandemic. Yet, there is limited evidence related to hospitals in the recovery stage, particularly capturing the perspectives of hospital managers and frontliners in resource-restrained and humanitarian settings.ObjectiveThis paper aims to capture the perspectives of hospital managers and frontliners across the Eastern Mediterranean Region on (1) the role of hospitals in recovering from COVID-19, (2) Hospitals' expectations from public health institutions to enable recovery from COVID-19, (3) the Evaluation of hospital resilience before and through COVID-19, and (4) lessons to strengthen hospital resilience throughout the COVID-19 recovery.MethodsA multi-methods approach, triangulating a scoping review with qualitative findings from 64 semi-structured key-informant interviews and survey responses (n = 252), was used to gain a deeper context-specific understanding. Purposeful sampling with maximum diversity supported by snowballing was used and continued until reaching data saturation. Thematic analysis was conducted using MAXQDA and simple descriptive analysis using Microsoft Excel.FindingsIn recovering from COVID-19, hospital managers noted hospitals' role in health education, risk reduction, and services continuity and expected human resource management, financial and material resource mobilization, better leadership and coordination, and technical support through the provision of updated clinical evidence-based information from their public health institutions. Qualitative findings also indicated that hospital managers attributed considerable changes in hospitals' resilience capacities to the pandemic and suggested that strengthening hospitals' resilience required resilient staff, sustainable finance, and adaptive leadership and management.ConclusionHospitals are the backbone of health systems and a main point of contact for communities during emergencies; strengthening their resilience throughout the various stages of recovery is critical. Hospitals cannot be resilient in silos but rather require an integrated-whole-of-society-approach, inclusive of communities and other health systems actors

    Navigating the Context: Implementing Inquiry in the Middle School Social Studies Classroom

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    Abstract Despite over a century of advocacy by social studies scholars and professionals and the development of curricular resources to promote inquiry-based learning (IBL) in K-12 social studies, inquiry is not a defining element of the K-12 social studies classroom (Saye, 2017). Teachers face significant barriers to the use of inquiry-based learning. In particular, contextual barriers such as curriculum breadth, high-stakes testing, and lack of context-specific resources are indicated (e.g., Konopack et al., 1994; Martell, 2020; Voet & Wever, 2016). However, recent research presents applications of IBL in K-12 social studies classrooms, which suggests the potential to overcome barriers. This qualitative case study explored teachers’ practices to address contextual barriers to implement inquiry in middle school (6th-8th) social studies. This study aimed to identify and describe these exemplary practices to inform professional development and learning focused on increasing the use of IBL in social studies classrooms. The study was limited to contextual barriers and potentially transferable practices. The findings reveal that teachers’ backgrounds and experiences informed their practices, contextual barriers were dynamic, and teachers’ practices addressing contextual barriers related to their knowledge of students, and long-term instructional planning, collaboration, scaffolding, and facilitation skills. Recommendations are offered for professional development and learning

    Unified System on Chip RESTAPI Service (USOCRS)

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    Abstract. This thesis investigates the development of a Unified System on Chip RESTAPI Service (USOCRS) to enhance the efficiency and effectiveness of SOC verification reporting. The research aims to overcome the challenges associated with the transfer, utilization, and interpretation of SoC verification reports by creating a unified platform that integrates various tools and technologies. The research methodology used in this study follows a design science approach. A thorough literature review was conducted to explore existing approaches and technologies related to SOC verification reporting, automation, data visualization, and API development. The review revealed gaps in the current state of the field, providing a basis for further investigation. Using the insights gained from the literature review, a system design and implementation plan were developed. This plan makes use of cutting-edge technologies such as FASTAPI, SQL and NoSQL databases, Azure Active Directory for authentication, and Cloud services. The Verification Toolbox was employed to validate SoC reports based on the organization’s standards. The system went through manual testing, and user satisfaction was evaluated to ensure its functionality and usability. The results of this study demonstrate the successful design and implementation of the USOCRS, offering SOC engineers a unified and secure platform for uploading, validating, storing, and retrieving verification reports. The USOCRS facilitates seamless communication between users and the API, granting easy access to vital information including successes, failures, and test coverage derived from submitted SoC verification reports. By automating and standardizing the SOC verification reporting process, the USOCRS eliminates manual and repetitive tasks usually done by developers, thereby enhancing productivity, and establishing a robust and reliable framework for report storage and retrieval. Through the integration of diverse tools and technologies, the USOCRS presents a comprehensive solution that adheres to the required specifications of the SOC schema used within the organization. Furthermore, the USOCRS significantly improves the efficiency and effectiveness of SOC verification reporting. It facilitates the submission process, reduces latency through optimized data storage, and enables meaningful extraction and analysis of report data
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