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The purpose of this study was to develop a model of skilful surfing to aid understanding of how best to seek health information, online and offline, during pregnancy.

This study used an observational, descriptive design, using a purpose written questionnaire, factor analysis and structural equation modelling.

Analysis resulted in the factor loading of five components: online health information seeking behaviour, normalisation, offline support, trust and data saturation. These components were included as latent variables in an SEM to evaluate the credibility, and subsequently confirm the viability of the theory of skilful surfing.

To the authors' knowledge, this study is the first of its kind to successfully model and define what it is to skilfully surf health information online whilst pregnant, with empirical and theoretical underpinnings.

The article aims to present the results of adapting the team boosting behaviors (TBB) scale to Polish cultural conditions and validating it.

The research methodology consisted of three steps. In the first step, I translated the TBB scale into Polish using a rigorous back-translation method. Next, to assess content validity, nine domain experts reviewed the initial version of the instrument for clarity and relevance. Finally, I applied the scale to a sample of 532 team members and underwent thorough psychometric testing to assess construct validity. I employed structural equation modeling (SEM) with the partial least squares (PLS) factor-based algorithm technique for confirmatory factor analysis to assess the scale’s reliability and validity.

After development, the Polish version of the TBB scale kept its three sub-scale structures. However, the validation process led to a slight reduction in the number of test items compared to the original scale.

The findings imply that the Polish version of the scale is a valid and reliable tool for assessing TBB. However, I recommend additional studies to confirm this instrument’s structure.

The results confirmed the reliability and relevance of the tool for measuring TBBs in Polish cultural conditions. The tool provides the basis for implementing further research with the TBB construct in Poland and internationally.

This study sought to understand the physical, educational and operational needs faced by healthcare workers (HCWs) (including physicians, nurses and allied health workers) during the COVID-19 pandemic.

A descriptive cross-sectional design was undertaken. HCWs working in hospitals, health centers, testing and quarantine areas in the Kingdom of Bahrain were invited to complete the online survey questionnaire developed by authors containing three domains: physical, educational, and perceived knowledge, and operational needs.

A convenient sample (N = 627) of volunteered participants responded to the online survey. The biggest challenges that HCWs were exposed to are physical needs (experiencing dry hands, difficulty breathing while on a mask, feeling hot and sweaty, and less fluid and food intake) which were reported as the higher level, followed by operational needs (limited communication due to Personal Protective Equipment - PPE - use, longer working hours, and preparation time to get ready for duty). Other challenges pertained to education and knowledge (the presence of multiple sources of information confused them during the care practices). Females faced more challenges than males, and Bahraini HCWs handled challenges more than non-Bahrainis. A negative relationship was found between age and years of experience with the challenges of the HCWs.

During the COVID-19 pandemic, health systems face rapidly increasing demands. HCWs face several challenges while providing patient care, particularly physical needs. This study provides adequate data for healthcare administrators to maintain a safe working environment during pandemics.

This article aims to clarify the concepts used to understand, analyze and improve a patient’s progress through a health service system. A patient pathway describes plans and intentions. Within it, we distinguish between the clinical pathway of decisions and interventions and the care pathway of supportive activities. As a patient pathway is implemented, it turns into a patient journey of what is done, what happens to a patient’s medical condition and what is experienced and felt. We introduce “patient journey disruption” (PJD) as a concept describing the events that need to be prevented from happening to accomplish integrated, coordinated and seamless care.

The method used in this paper is concept analysis. First, an expert steering group worked to refine the concept of PJDs; second, an analysis of similar concepts from related fields was done to root the concept into existing theories, and third, semi-structured interviews with professionals and patients were done to test the concept of PJDs in the home care context.

PJDs are agency-based harmful events in the execution of the care pathway that deviate the patient journey from what can be reasonably expected. PJDs are management failures, which is why they should be studied by healthcare operations management (HOM) and service science scholars with the intention to find ways to prevent them from happening.

This study has limitations, including presenting conceptual ideas and preliminary results that are only indicative.

We believe that the introduction of the concept of PJDs into the literature provides a new, systematic way of approaching the different shortcomings in our healthcare production systems. Moreover, by systematically identifying different PJDs, interventions can be designed and targeted more appropriately.

Managerial challenges regarding healthcare processes have been studied but have not been well defined. The concept of PJDs is an original, well-thought-out definition.

The primary objective of this paper is to show a systematic and methodological approach for the digitalization of critical clinical pathways (CPs) within the healthcare domain.

The methodology entails the integration of service design (SD) and action research (AR) methodologies, characterized by iterative phases that systematically alternate between action and reflective processes, fostering cycles of change and learning. Within this framework, stakeholders are engaged through semi-structured interviews, while the existing and envisioned processes are delineated and represented using BPMN 2.0. These methodological steps emphasize the development of an autonomous, patient-centric web application alongside the implementation of an adaptable and patient-oriented scheduling system. Also, business processes simulation is employed to measure key performance indicators of processes and test for potential improvements. This method is implemented in the context of the CP addressing transient loss of consciousness (TLOC), within a publicly funded hospital setting.

The methodology integrating SD and AR enables the detection of pivotal bottlenecks within diagnostic CPs and proposes optimal corrective measures to ensure uninterrupted patient care, all the while advancing the digitalization of diagnostic CP management. This study contributes to theoretical discussions by emphasizing the criticality of process optimization, the transformative potential of digitalization in healthcare and the paramount importance of user-centric design principles, and offers valuable insights into healthcare management implications.

The study’s relevance lies in its ability to enhance healthcare practices without necessitating disruptive and resource-intensive process overhauls. This pragmatic approach aligns with the imperative for healthcare organizations to improve their operations efficiently and cost-effectively, making the study’s findings relevant.

The study aims to explore the validity of the modern renewable energy-environmental Kuznets curve (REKC) while considering the relevance of financial development in the consumption of modern renewable energy in East Africa Community (EAC). Modern renewable energy in this study includes all other forms of renewable energy except traditional use of biomass. The authors controlled for the effects of urbanization, governance, foreign direct investment (FDI) and trade openness.

Panel data of the five EAC countries of Burundi, Kenya, Rwanda, Tanzania and Uganda for the period 1996–2019 were used. The analysis relied on the use of the autoregressive distributed lag–pooled mean group (ARDL-PMG) model, and the data were sourced from the World Development Indicators (WDI), World Governance Indicators (WGI) and International Energy Agency (IEA).

The REKC hypothesis is supported for modern renewable energy consumption in the EAC region. Financial development positively and significantly affects modern renewable energy consumption, whereas urbanization, FDI and trade openness reduce modern renewable energy consumption. Governance is insignificant.

The concept of the REKC, although explored in other contexts such as aggregate renewable energy and in other regions, has not been used to explain the consumption of modern renewable energy in the EAC.

Double flow-focusing nozzles (DFFNs) form a coaxial flow of primary liquid with micro-crystalline samples, surrounded by secondary liquid and focusing gas. This paper aims to develop an experimentally validated numerical model and assess the performance of micro-jets from a DFFN as a function of various operating parameters for the water–ethanol–helium system, revealing the jet's stability, diameter, length and velocity.

The physical model is formulated in the mixture-continuum formulation, which includes coupled mass, momentum and species transport equations. The model is numerically formulated within the finite volume method–volume of fluid approach and implemented in OpenFOAM to allow for a non-linear variation of the fluid's material properties as a function of the mixture concentration. The numerical results are compared with the experimental data.

A sensitivity study of jets with Reynolds numbers between 12 and 60, Weber numbers between 4 and 120 and capillary numbers between 0.2 and 2.0 was performed. It was observed that jet diameters and lengths get larger with increased primary and secondary fluid flow rates. Increasing gas flow rates produces thinner, shorter and faster jets. Previously considered pre-mixed and linear mixing models substantially differ from the accurate representation of the water–ethanol mixing dynamics in DFFNs. The authors demonstrated that Jouyban–Acree mixing model fits the experimental data much better.

The mixing of primary and secondary liquids in the jet produced by DFFN is numerically modelled for the first time. This study provides novel insights into mixing dynamics in such micro-jets, which can be used to improve the design of DFFNs.

Competition in the modern, knowledge-based economy is utterly pendant on innovation, rendering it indispensable in virtually every organisation. Knowledge workers, therefore, must remain vigilant, spanning novel ways to innovate. Given the relevance of innovation orientation (IO) in knowledge work, it is imperative to possess an extensive understanding of the concept. Therefore, this study aims to develop and validate a measurement scale to gauge employees’ IO.

Considering that the instruments now in existence exhibit insufficiency for measuring knowledge workers’ IO in its entirety, the mixed-method approach used in this study draws on both qualitative and quantitative findings across various studies, to address this problem. This study has been organised into five stages: item generation, scale purification, scale refinement, nomological validation and generalizability.

This study establishes and verifies a second-order, reflective–reflective IO measure founded on multiple samples, encompassing the dimensions of creative orientation, learning orientation, first-mover orientation, trust orientation and agility orientation. The resultant IO scale serves as a robust and reliable tool that is capable of being leveraged to explain, assess and enhance IO for knowledge workers.

The rigorous methodology used in this scale development procedure serves as a benchmark for prospective scale development methodologists. From a managerial stance, this study serves managers/leaders concerning how to foster an innovation-oriented work environment to uncover employees’ hidden innovators. Organisations can leverage this study to discover, cultivate and capitalise on knowledge workers’ IO.

Although there exists an abundance of research on IO viewed from an institutional standpoint, research centred on the IO of knowledge workers is scarce. To bridge this gap, this study has developed and validated a scale for measuring knowledge workers’ IO.