Influential determinants of international students' satisfaction in higher education

It has been argued that international students’ satisfaction level is crucial in measuring HEIs performance in the globalized higher education market. However, as satisfaction level is hard to define because it is based on students’ perception and experience, there is a need for HEIs to continually investigate and identify the factors that contribute to students’ satisfaction. Hence, this study seeks to identify the influential determinants of international students’ satisfaction in higher education and to examine the relationships between perception, costs, reputation, lecturers’ expertise, learning environment, facilities and course structure towards international students’ satisfaction. A total of 281 international postgraduate students at public HEI in Malaysia participated in this study. Data of this study was to examine using the Multiple Regression Analysis. Results of the study revealed learning environment factor as the most influential determinant of international students’ satisfaction. Results also proved that except for costs and reputation, other service quality factors namely, perception, lecturers’ expertise, facilities, learning environment, and course structure were found to influence international students’ satisfaction significantly. This study provides insights to HEIs to better design their internationalization strategies and bridge the academic gap by highlighting the importance of continuously improving the learning environment in HEIs to increase international students’ satisfaction

Does servant leadership style induce positive organisational behaviors? a conceptual study of servant leadership, psychological capital, and intention to quit relationship

This study examined the impact of servant leadership, an employee and community focused leadership style on followers’ attitude and behaviour. Specifically, in this paper, we examine how servant leadership and psychological capital may enlighten our understanding of psychological mechanisms that affect follower behaviours. Servant leadership style as penned by Robert Greenleaf that servant leaders guide followers to adopt the behaviour of their leaders by putting others needs above their own. Psychological Capital, a form of positive organisational behaviour, gained much importance in recent years because of its usefulness in producing beneficial results for employees and the whole organisation. From emerging research on servant leadership and based on social exchange theory (SET), we proposed a model contending that servant leaders increase employees’ PsyCap which directly influences Employees’ intention to quit. As proposed, servant leadership will be negatively related to employees’ intention to quit and positively related to PsyCap. PsyCap will mediate the relationship between servant leadership and intention to quit

An intelligent approach for enhancing the Quality of Service in IoMT based on 5G

The concept and growth of superior individualized healthcare technologies are influenced in significant ways by the emerging areas of “Artificial Intelligence (AI) and the Internet of Things (IoT)”. Most people use wearable devices for mHealth, hence there are many potential applications for the “Internet of Medical Things (IoMT)”. Only 5G can provide the necessary support for smart medical devices to perform many different types of demanding computing activities. Today, heart disease was the major mortality on a global scale. For patients who need a greater accurate diagnosis and treatment, the advancement of medical innovation has created new obstacles. Although many studies have focused on diagnosing cardiac disease, the findings are often inaccurate and fail to fulfill patients' expectations of quality of service (QoS). So, this paper introduces a novel “feed-forward Bi-directional long-short term memory (FF-Bi-LSTM) algorithm to predict heart disease more accurately with enhanced QoS in IoMT based on 5G”. Linear discriminant analysis (LDA) and min-max normalization are employed, respectively, for preprocessing and feature extraction. The efficacy of the suggested approach is measured using several different metrics, including accuracy, precision, recall, and f1-score. The proposed method is also compared to certain existing techniques. These results show that the suggested strategy outperforms existing strategies in terms of improving QoS

Organizational effectiveness through transformational leadership and technology innovation: a systematic literature review and future research agenda

Taking an upper echelon theoretical perspective in public sector higher education, this systematic literature review had quadruple objectives. First, to identify the gap in the existing literature on transformational leadership (TL). Second, to suggest a comprehensive instrument for a higher-order construct of TL. Third, to propose a rigorous research framework for future empirical research, and fourth, to propose an appropriate research methodology for that empirical research. Using a systematic literature review approach, various databases were accessed to obtain current literature on the topic. Transformational leadership constructs were extensively explored for current concept developments and available measurement scales. A research model was proposed according to transformational leadership, and upper echelon theoretical frames and appropriate research methodology was recommended. The study found that the research on the TL, its antecedents, factors, and outcomes were still being developed. Various dimensions with different conflicting and complementing questionnaires and numerous instruments from the literature on TL construct have been identified. As a result, a research framework was proposed to conduct future research on transformational leadership and organisational effectiveness with a mediating role of technology innovation to fill the acknowledged gap. This study is among the first research to propose technology innovation in higher education context. Two of the newly launched techniques IPMA and CTA are recommended to enhance the robustness of any study involving technology innovation

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

The influence of psychological capital on job performance among nurses: intervening role of goal setting

This research aims to examine the factors affecting the performance of nurses working in the public healthcare sector hospitals. The nurses working in the health sector come across stress and workload in their respective organizations. The respondents of the study consisted of 417 nurses working in the public sector hospitals of Pakistan. A survey was carried out, for which a questionnaire was administered to the respondents. Analysis of the quantitative data of the study involved both the statistical package of social science (SPSS) version 25 and Smart-PLS version 3.0. The empirical results show that psychological capital and goal setting are significantly related to job performance. Results of the current research will help policy makers and managers raising the performance of nurses working in the Pakistan public healthcare sector

A socio-technical system perspective on sustainable organizational effectiveness: a PRISMA systematic review

Background. In fast paced era of 21st century, attaining and maintaining organizational effectiveness is a challenging task for the leaders and strategists. This systematic review intended to assess the modes of achieving effectiveness, from the existing literature across various disciplines and backgrounds. Methods. Relevant literature was identified from EBSCO, Web of Science, Scopus and ScienceDirect from their start to June 2019. Studies were selected on the basis of their relevance to organizational effectiveness and its determinants, especially in relation to sustainability in contemporary age. A sociotechnical system perspective was opted while reviewing and discussing the effectiveness studies. Results. We identified 614 studies, of which 59 studies (12 countries) were used for the study. The study found various antecedents, predictors, barriers and outcomes of a sustainable organizational effectiveness. The study highlighted sociotechnical perspective introducing the social and technical subsystems in an organization, keeping in view the needs of industrial revolution 4.0. It was suggested that a synergy between social and technical subsystem may result in sustainable organizational effectiveness, effectiveness in context of higher education institutions. Conclusions. A synergy between social and technical subsystems leads to sustainable organizational