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This study aims to assess the spread of environmental literacy graduation requirements at public universities in the USA, and to highlight factors that mediate the adoption of this curriculum innovation.

The author analyzed the undergraduate general education curriculum requirements at all 549 public BA-granting higher education institutions in the USA between 2020 and 2022.

The study found that only 27 US public universities out of 540 have an environmental literacy graduation requirement, which represents 5% of universities and is substantially lower than previous estimates.

First, this study provides a more complete, more reliable and more current assessment of the graduation requirement’s presence at US tertiary institutions, and shows the number of universities that have implemented this innovation is lower than was estimated a decade ago. Second, it draws from the scholarship on the infusion of sustainability into the university curriculum to provide a comprehensive discussion of factors that mediate the pursuit and implementation of the graduation requirement. As well, it identifies factors that played a key role in one pertinent case.

In the UK signposting services can be developed as enhanced support for people with health and social care needs or service diversion to help primary and urgent care services manage their workload. This review considers these two conflicting purposes.

The review used a realist approach, initial searches to identify theory; we then selected 22 publications and extracted programme theories, from which we developed questions from three viewpoints: the service user, the front-line service provider and the commissioner. A rich sample of studies were found from purposive searching. To optimise the applicability of synthesis findings predominantly UK studies were included.

Users value signposting service that understand their needs, suggest a range of options and summarise potential actions. People with complex health and social care needs generally require extended time/input from signposting services. Front-line providers require initial and ongoing training, support/supervision, good knowledge of available services/resources and the ability to match users to them and a flexible response. Commissioned signposting services in England are diverse making evaluation difficult.

Meaningful evaluation of signposting services requires greater clarity around roles and service expectations. Signposting services alone fulfil the needs of a small number of users due to the unreconciled tension between efficient (transactional) service provision and effective (relational) service provision. This is underpinned by competing narratives of whether signposting represents diversion of inappropriate demand from primary care and other urgent care services or improved quality of care through a joined-up response encompassing health, social care and community/voluntary services.

The purpose of this paper is twofold: to explore the existing evidence around dementia services and interrogate the overarching UK policy development relating to service inclusion of black and minoritised groups. The paper will go on to identify the implications for the dementia wellness pathway and make recommendations regarding how services can be more inclusive.

This paper examines the policy/practice landscape around dementia care provision and observes if lessons can be learnt to improve health outcomes for people living with dementia from black and minoritised communities.

A review of dementia policy demonstrates how opportunities to improve the awareness, diagnosis and post-diagnostic support for minoritised communities are being missed. The outcomes of this mean that individuals are denied vital treatment and support, which could enhance quality of life and delay the progression of dementia.

The authors’ premise is that not meeting the dementia support needs of less-heard communities has negative financial as well as social and health-related outcomes and has wider resonance and implications for all stages of the dementia wellness pathway. Moreover, there is a legal responsibility for public services to provide culturally sensitive, responsive, appropriate and available care, to all people, without discrimination.

This paper offers a valuable review of policy and practice around dementia care in the UK and makes recommendations to improve health outcomes for people living with dementia from black and minoritised communities.

The purpose of this study is to comprehensively explore the impact of digitalization on healthcare supply chains (HcSCs). It seeks to understand how digital technologies enhance efficiency, transparency and responsiveness within these complex logistical systems. The study aims to provide a holistic view of the transformative potential of digitalization in the healthcare sector, with a particular focus on improving patient care and streamlining operational processes.

This research employs a systematic review methodology, carefully curating a selection of 45 relevant articles from 66 articles rigorously screened using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology to provide a holistic view. It follows established systematic review protocols, incorporating a meticulous search strategy and precise keyword selection. The chosen research design enables a comprehensive examination of the existing body of knowledge concerning digital platforms, real-time tracking technologies, transparency and responsiveness in the context of HcSCs.

The findings of this study emphasize the pivotal role of digital technologies in reshaping HcSCs. Digital platforms, real-time tracking systems and technological integrations substantially enhance efficiency, transparency and responsiveness. Data-driven decision-making, improved communication and agile responses to dynamic demands are key aspects. These findings underscore the transformative impact of digitalization on healthcare logistics, emphasizing the potential for streamlined operations, enhanced patient care and more efficient resource allocation.

Despite the systematic methodology, this study is subject to certain limitations. It relies on existing literature, which may not cover the most recent developments in the rapidly evolving field of digital HcSCs. Furthermore, the study may be influenced by publication bias. The implications suggest the need for continued research to explore emerging digital technologies and their effects on healthcare logistics, ensuring that supply chains remain agile and responsive.

The practical implications of this research are significant for HcSC managers with insights into digital technologies to enhance transparency and collaboration and improve resource visibility. The integration of data analytics can lead to more effective inventory management and demand forecasting. Blockchain (BC) technology can ensure transparent and secure transactions, fostering trust among stakeholders. For practitioners, this research offers actionable guidance for navigating the digital age, promoting operational efficiency and ensuring a consistent supply of essential medical products. Researchers can use these insights as a foundation for further exploration into the potential of digitalization in HcSCs.

The social implications of digitalization in HcSCs are far-reaching. They encompass improved patient care, as digital technologies enhance the efficiency, transparency and responsiveness of supply chains. This translates to better access to critical medical supplies, potentially reducing healthcare disparities and benefiting underserved populations. Enhanced patient safety is a significant social outcome, as transparent and secure transactions enabled by technologies like BC mitigate the risks associated with counterfeit medications. Furthermore, digitalization builds trust among stakeholders, promotes accountability and fosters resilient healthcare systems, which are capable of responding effectively to crises. It also has the potential to make healthcare more affordable, contributing to increased healthcare access and transparency in decision-making.

The originality and value of this study lie in its comprehensive synthesis of diverse findings related to digitalization in HcSCs. While prior studies have examined isolated facets of digital technology adoption, this research provides a comprehensive overview. It contributes to a deeper understanding of the transformative potential of digitalization within the healthcare sector, offering practical approaches to enhance patient care and streamline operations.

An appreciative inquiry process was collaboratively undertaken with an inner city local authority and personal advisors where systemic social work practice was embedded. The purpose of this study is to explore how systemic social work principles could be integrated into the support of young adults leaving the care system, especially when safeguarding concerns exist.

Three fortnightly, reflecting team-style, appreciative inquiry workshops explored the integration into practice of systemic concepts under the themes of safeguarding, uncertainty and new possibilities.

Within the contexts of the organisation, other agencies and the relationship, six paired themes emerged: learning and navigating; positioning and risk-taking; and feeling and engaging. Core systemic concepts, such as self-reflexivity and mutual influence, can enable personal advisers to use themselves and their relationship with care leavers as a context for change. Considering responses to risk from different family member positions may support holding greater levels of uncertainty. Seeing resilience as a process rather than a personal attribute enabled personal advisors to think about how they connected with care leavers through shared life experiences, fostering narratives of hopes and dreams where new possibilities abound.

Appreciative inquiry is generally seen as a defined model for implementing large organisational changes; this study comprised a small sample group, and the model’s application was less defined.

A gap exists in the extensive care leaver research, addressing safeguarding and working systemically. A conceptual model for practice is offered, with potential utility in developing further systemically informed training and supervision for practitioners. A less structured and more relationally engaged model for appreciative inquiry is presented.

Although a fashion subscription offers significant environmental benefits by transforming physical products into shared services, most customers are reluctant to adopt it. This hesitation, exacerbated by poor communication from brands that primarily emphasize its personal benefits, hinders its sustainable growth. This study aims to examine specifically which concerns increase hesitation, and the role of explicitly informing consumers about the service’s environmental benefits in mitigating the impact of consumer concerns on their hesitation.

Data were collected through an online experiment with more than a thousand U.S. adults nationwide and analyzed using a two-step analysis. First, theory-based causal modeling was conducted to examine the effects of consumer concerns on hesitation, accounting for ambivalence as a mediator and informed environmental benefits as a moderator. Second, machine learning was used to cross-validate the findings.

Results show that certain types of consumer concerns increase hesitation, significantly mediated by ambivalence, and confirm that informed environmental benefits mitigate the effects of some concerns on hesitation.

This study contributes to building on the hierarchy of effects theory by exploring negatively nuanced constructs – concerns, ambivalence and hesitation – beyond the traditional constructs representing the cognitive, affective and conative stages of consumer decision-making. Findings provide strategic guidance to brands on how to communicate the new service to consumers. Leveraging theory-based causal modeling with machine learning-based predictive modeling provides a novel methodological approach to explaining and predicting consumer hesitation toward new services.

The recognition of housing as an essential requirement in enhancing the quality of life of an individual has increasingly captivated scholars’ interest, particularly within the context of sustainability. However, the identification of suitable attributes of sustainable housing to be prioritized encountered challenges due to a lack of effective approach in addressing uncertainties and stakeholders’ interests. This study attempts to identify critical attributes of sustainable housing in rural areas and explore their interrelationships.

Six dimensions and 54 criteria are proposed and validated using the expert linguistic preferences through the Fuzzy Delphi Method. The Fuzzy Decision-Making Trial Evaluation Laboratory is also applied to determine the interrelationship between those attributes.

The result demonstrates that economic benefits strongly impacted social implications for sustainable housing. The top criteria, including government participation, reduced life cycle cost, environmental protection and local authorities’ participation, are considered to assist housing stakeholders for better sustainable practices.

To the best of the authors’ knowledge, this is one of the first studies addressing the interrelationship among sustainable housing attributes through linguistic preferences in the context of rural areas.

This study investigates the impact of US political sanctions on innovation and fraudulent activities within Iranian businesses affected by sanctions. Additionally, it explores the moderating role of intellectual capital in the relationship between sanctions and innovation/fraud.

The study employs a difference-in-differences methodology to compare Iranian companies before and after sanctions. It analyzes 23 sanctioned companies from 2013 to 2023, matched with non-sanctioned counterparts.

The empirical findings reveal a modest negative association between sanctions and innovation, with no discernible connection between sanctions and fraudulent practices. Notably, the study uncovers a significant divergence in companies’ reactions to sanctions, contingent upon their intellectual capital. Companies with substantial intellectual capital witness notable improvements in innovation endeavors, while those lacking robust intellectual capital exhibit an uptick in fraudulent activities in response to sanctions. These findings are robust across various sensitivity analyses, underlining their reliability and validity.

The study underscores the pivotal role of intellectual capital in mitigating the adverse effects of sanctions on innovation. Consequently, policymakers and practitioners should prioritize investments in intellectual capital development, acknowledging its significance as a fundamental driver of organizational resilience and competitive advantage.

The findings contribute to the literature by revealing the nuanced effects of sanctions on innovation and fraudulent practices while highlighting the crucial role of intellectual capital. This enriches understanding of regulatory compliance, corporate behavior and the importance of intellectual capital in organizational resilience and ethical conduct.

Refugee entrepreneurship is increasingly viewed as a “silver bullet” being able to promote host countries’ economic performance and enable the successful integration of refugees. This study aims to identify the main determinants of entrepreneurial intentions of refugees in Portugal based on the underdog theory.

In this study, the authors scrutinize the entrepreneurial intentions of refugees living in Portugal, an overlooked context, using a purpose-built inquiry responded to by 41 refugees and resorting to fuzzy-set qualitative comparative analysis, complemented with partial least squares path modeling.

Some important results are worth highlighting: the entrepreneurial intentions of the respondent sample of refugees living in Portugal are high; the theoretical arguments underlying the underdog or challenge-based entrepreneurship theory are validated in the context of the respondent sample; and psychological related factors associated with the more standard explanations of entrepreneurial intentions constitute necessary conditions for high refugee entrepreneurial intentions.

Entrepreneurial intentions to launch a business have been discussed in the entrepreneurship literature vastly, but it has not yet received much attention when focusing on refugees, often identified as underdogs (potential) entrepreneurs. This study contributes to the literature by testing the challenge-based entrepreneurship theory to identify the primary factors influencing refugee entrepreneurial intentions.

Consumers often prefer sustainable goods and services but fail to follow through with purchases that reflect these espoused values. The green intention–outcome gap is studied in many contexts but has yet to inform deathcare decisions. Industry reports suggest that most Americans prefer sustainable deathcare options, yet unsustainable corpse dispositions dominate the market. The purpose of this paper is to understand how history informs this phenonea.

This study looks to the past – using historical narrative analysis of deathcare trends and influential intermediaries – to understand the future of sustainable deathcare and the prospective role that marketers can play in bridging the gap between decedents’ preferences and survivors’ purchase outcomes.

Historical ritualization, medicalization and commercialization have resulted in the monopolization of traditional deathcare services. Mortuary professionals remain unresponsive to consumer preferences for sustainable alternatives.

Socioeconomic shocks can allow humanity to reflect and transition from consumerism to sustainability. COVID-19 has led to greater awareness of self-mortality, and death has become less taboo. The slow market penetration of sustainable deathcare services suggests a lack of communication between a decedent and their survivors. Marketing scholars need to help marketing practitioners bridge the preference-outcome gap.

To the best of the authors’ knowledge, this study is amongst the first to examine how history informs the sustainable action–outcome gap for deathcare preferences in a post-COVID environment and the role that marketers can play in perpetuating change.