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This study aims to explore the ethical challenges of managing the weight of psychiatric patients in the least restrictive manner in secure mental health settings and whether these could be considered as a source of moral distress for health practitioners, which may be linked to staff burnout and ultimately lead to suboptimal patient care.

A qualitative semi-structured interview study design was used to explore the understanding, views and experiences of six staff members working on two medium-secure wards in a UK mental health hospital using an opportunity sampling technique and Interpretative Phenomenological Analysis.

Analysis of semi-structured interviews revealed a multitude of moral events that evoked feelings of frustration, powerlessness and anxiety related to the management of obesity in the least restrictive way, which is indicative of moral distress.

Due to the small sample size and the qualitative nature of the research, the findings of this study are of explorative in nature. Further quantitative research would be required to establish a causative link between the ethical challenges associated with obesity management and staff’s moral distress.

Addressing the health-care professionals’ knowledge deficit on how to achieve the right balance in their duty of care through inclusion of bioethics into professional discussions and training could improve staff’s well-being and the organisation’s ethical climate.

To the best of the authors’ knowledge, this is the first qualitative work exploring the role of least restrictive practice in the challenges associated with health promotion within secure psychiatric settings, and the effect these challenges have on mental health staff.

As part of a new focus on a better balance of investment in innovation activities in developing countries, this study aims to understand the effects of technological attributes (technological complexity and type of technology) on manufacturing technology sourcing (whether firms choose either internal development or external sources).

Multiple-case studies were conducted in the Peruvian manufacturing sector.

The authors found that, across Peruvian manufacturing firms, they develop a certain manufacturing technology related to their capabilities. However, when the total cost of acquisition is lower than internal costs of developing technologies, they will choose external sources, regardless of their capabilities and complexity of the technology. In addition, analysis of the type of technology indicated that the pursuit of simultaneous exploration and exploitation occurs when firms use external sources rather than internal.

This study has the limitation that data have been collected years after the decision-making process; the results are based solely on the authors’ analysis using the case of Peruvian industry, and they do not track the impact on the performance of manufacturing technology decisions.

The findings have important implications for technology managers of South American manufacturing firms that are decision makers in the sourcing of new manufacturing technologies.

The results of this study provide literature with insights into technology sourcing strategy in developing countries and the importance of progress in transitioning to technological innovation and catchup.

Como parte de um novo foco em um melhor equilíbrio do investimento em atividades de inovação nos países em desenvolvimento, este estudo compreende os efeitos dos atributos tecnológicos (complexidade tecnológica e tipo de tecnologia) no suprimento de tecnologia de fabricação (se as empresas escolhem desenvolvimento interno ou fontes externas).

Estudos de casos múltiplos foram conduzidos no setor manufatureiro peruano.

Descobrimos que, em todas as empresas de fabricação peruanas, elas desenvolvem uma certa tecnologia de fabricação relacionada às suas capacidades. No entanto, quando o custo total de aquisição é menor do que os custos internos de desenvolvimento de tecnologias, eles escolhem fontes externas, independentemente de suas capacidades e complexidade da tecnologia. Além disso, a análise do tipo de tecnologia indicou que a busca da exploração e exploração simultâneas ocorre quando as empresas usam fontes externas em vez de internas.

Este estudo tem a limitação de que os dados foram coletados anos após o processo de tomada de decisão, os resultados são baseados exclusivamente em nossa análise usando o caso da indústria peruana e não acompanhamos o impacto sobre o desempenho das decisões de tecnologia de fabricação.

Os resultados deste estudo fornecem à literatura insights sobre a estratégia de fornecimento de tecnologia nos países em desenvolvimento e a importância do progresso na transição para a inovação tecnológica e o catch-up.

Sourcing de tecnologia, Tecnologia de fabricação, Peru

Como parte de un nuevo enfoque en un mejor equilibrio de la inversión en actividades de innovación en los países en desarrollo, este estudio comprende los efectos de los atributos tecnológicos (complejidad tecnológica y tipo de tecnología) en la fuente de tecnología de manufactura (ya sea que las empresas elijan desarrollo interno o fuentes externas).

Se realizaron estudios de casos múltiples en el sector manufacturero peruano.

Los resultados muestran que, en todas las empresas manufactureras peruanas, desarrollan una cierta tecnología de manufactura relacionada con sus capacidades. Sin embargo, cuando el costo total de adquisición es menor que el costo interno de desarrollar tecnologías, elegirán fuentes externas, independientemente de sus capacidades y la complejidad de la tecnología. Además, el análisis del tipo de tecnología indicó que la búsqueda simultánea de exploración y explotación ocurre cuando las empresas utilizan fuentes externas en lugar de internas.

Este estudio tiene la limitante de que los datos fueron recopilados luego del proceso de toma de decisiones, los resultados se basan únicamente en la industria peruana y no analizamos el impacto que tuvieron las decisiones recolectadas.

Los resultados de este estudio proporcionan información sobre la estrategia de abastecimiento de tecnología en los países en desarrollo y la importancia del progreso en la transición a la innovación tecnológica y la puesta al día.

Fuente de tecnología, Tecnología de fabricación, Perú

The purpose of this article is to present the results obtained from the investigations that have been carried out within the International Successful School Principalship Project (ISSPP) project in the Spanish for social justice.

Twelve case studies have been carried out within the three lines of research proposed by ISSPP: successful principals, underperforming principals and principal leadership identity. All but one school were in challenging contexts. The methodological approach followed is based on multiple perspective case studies using a mixture of qualitative methods (interviews, focus groups and observations).

Results show that successful principals not only believe in social justice through simple empathy with the concept of social justice, but also use strategies that combine transformational and instructional leadership processes and manage to reverse the bad situation of their disadvantaged schools, seeking excellence from equity. The leadership identity of successful principals is characterized to look to the future with hope, adopting a realistic utopian attitude to interpret their surrounding reality.

From the case studies carried out, valuable information is obtained, which helps to understand the possibilities of implementing the ISSPP successful school leadership model in heterogeneous and disadvantaged context for equity and social justice.

The term sustainable tourism has been in existence for many years, yet the concept is still lacking universal agreement in terms of definition, a situation reflected in the difficulties encountered in producing, particularly implementing and related policies. The broad range of issues involved with sustainable development makes integrated policy and governance difficult even in the more specific fields such as sustainable tourism. This chapter begins by reviewing the basic elements of sustainable tourism, its links with the parent subject of sustainable development, and the issues involved in applying the ‘triple bottom line’ concept to tourism. It then examines the relationship between policy formulation and application in the context of governance, and the links between governance and power at different levels. While one of the achievements of sustainable tourism has been its widespread acceptance and official adoption of the concept in many countries, regions and communities, this acceptance has not been translated very often into effective action, owing partly to the lack of integration between stakeholders and partly to the multiple viewpoints making up the tourism landscape which rarely achieve unanimity of policy issues. The chapter includes a discussion of case studies at different scales to illustrate the positive and negative results of the implementation of such policies and concludes with a general summation.

This paper aims to explore the intricate relationship among urban tourism, sustainability and the contributions of natural environments to the quality of life and convivial atmospheres in urban destinations. The purpose is to provide a comprehensive synthesis of existing knowledge, exploring the nuances of how natural environments impact the well-being of diverse demographic groups, both locals and visitors.

The study systematically reviews the literature using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) technique and uses the Scopus database. The search strategy incorporates key terms related to urban tourism, sustainability, quality of life and natural environments.

The findings of the systematic literature review provide insights into the current landscape of urban tourism, sustainability and the role of natural environments. The paper synthesizes existing knowledge, identifying trends, challenges and opportunities in leveraging natural environments for sustainable urban tourism.

Despite offering a thorough synthesis, this study has certain limitations. The scope is limited to articles published in English and available in the Scopus database, following the PRISMA guidelines. The implications of this research are significant, informing future studies and guiding urban tourism planning and policy development.

This research contributes to the existing literature by unraveling complexities in the interplay between natural environments, quality of life and convivial atmospheres in urban tourism. The emphasis on cross-cultural perspectives and the post-COVID-19 era adds originality, providing insights that can guide future research and practical applications in the field.

The evaluation of management systems is usually based on a series of assumptions which are never questioned. The purpose of this paper is to focus on two of these assumptions, in order to further develop a quantitative model to evaluate metrological management in companies, based on the ISO 10012:2003 standard.

First, the paper uses structural equations to identify the underlying relations between the different variables of the model and conclude that it follows the typical continuous improvement cycle formulated by Deming. And second, the paper processes the opinion of experts using analytic hierarchy process (AHP) techniques in order to prove that not all the variables included in the model are equally relevant in metrological management.

The first SME analysis validates the model itself and its integration with the other management schemes in the company, all based on the Deming cycle. The second AHP analysis leads to a reformulation of the model, assigning weights to the different variables and providing better guidelines for companies to improve their metrological management.

This constitutes a development of the management guidelines contained in the ISO 10012:2003 standard for metrological management, establishing the appropriate evaluation procedures.

This paper aims to propose a functional methodology to produce cranial prostheses in polymeric sheet. Within the scope of rapid prototyping technologies, the single-point incremental forming (SPIF) process is used to demonstrate its capabilities to perform customized medical parts.

The methodology starts processing a patient’s computerized axial tomography (CAT) and follows with a computer-aided design and manufacture (CAD/CAM) procedure, which finally permits the successful manufacturing of a customized prosthesis for a specific cranial area.

The formability of a series of polymeric sheets is determined and the most restrictive material among them is selected for the fabrication of a specific partial cranial prosthesis following the required geometry. The final strain state at the outer surface of the prosthesis is analysed, showing the high potential of SPIF in manufacturing individualized cranial prostheses from polymeric sheet.

This paper proposes a complete methodology to design and manufacture polymer customized cranial prostheses from patients’ CATs using the novel SPIF technology. This is an application of a new class of materials to the manufacturing of medical prostheses by SPIF, which to this purpose has been mainly making use of metallic materials so far. Despite the use of polymers to this application is still to be validated from a medical point of view, transparent prostheses can already be of great interest in medical or engineering schools for teaching and research purposes.

The purpose of this study is to determine the perception of graduates from teaching degree programs in Early Childhood and Primary Education carried out in Spain in accordance with the European Higher Education Area, who are currently working in classrooms, on their initial training in the educational treatment of diversity (ETD). In addition, potential differences were examined based on the teaching degree that was studied (Early Childhood or Primary).

This study used a mixed methodology including an ad hoc questionnaire and a semi-structured interview. Participants were 140 working teachers who had previously earned their degree in Early Childhood or Primary Education programs. Data analysis was carried out from an integrative perspective, using a basic descriptive focus and content analysis.

The results reveal that the new teachers considered that their initial training in the area of ETD was not as extensive as it should have been and as required by their daily teaching needs. They felt that they had acquired better education in the theoretical content as compared to the practical component. They mentioned a lack of training to attend to students entering the system at a later stage as well as for those with high intellectual abilities, noting that the initial training in ETD focused excessively on deficits and not enough on potentialities and other student diversities.

This study may be useful as it offers an improved adaptation to the reality of early education in ETD classrooms of future teachers, both for the competent education administrations and universities. It may also serve as a starting point to adjust the permanent training offer for teachers to their specific needs, making up for the deficiencies of their initial training.

This study explores the differences and similarities of work value profiles in samples of business students from four countries with markedly different cultures and labor markets.

We used multiple-group latent profile analysis (LPA) to explore the differences and similarities in work value profiles across cultures (n = 317 from Switzerland, n = 313 from Spain, n = 326 from the United States and n = 327 from China).

The latent profiles mostly show similarities across countries: the largest profiles are a want it all and a humble profile with overall high and intermediate levels in all work values. An overall low work value levels profile and one stressing high security and pay emerged in all countries except Switzerland. In the Swiss sample, two unique profiles emerged: the no status and freelancers profiles.

This study has implications for employee attraction, relations and career counseling with culturally diverse populations.

Studies on work values across cultures most often make direct comparisons between samples, which can lead to excessive emphasis on sometimes small differences. By first studying within-culture differences before comparing the results across cultures, we find that there may be more similarities than differences in work values across cultures and that cross-cultural differences may have often been overstated.

This study aims to describe and evaluate various visual and creative tools for supporting the in-depth biographical interview aimed at analyzing educational communities and their stakeholders.

Researching educational spaces today requires new ways of understanding, analyzing and studying. The complex characteristics, functions and realities demand research that responds to educational singularities. It is a matter of deeply understanding the educational phenomenon's peculiarities. For these purposes, instruments and research paradigms are needed to extract data and reach information saturation regarding the data obtained from the proposed objects of study. With this in mind, the following paper suggests reflecting on data collection tools that can complement the interview and biographical-narrative research approach. The authors highlight the use of photo-elucidation, the biogram-based timeline, the organigram and the flight of the geese, all of which are instruments endowed with a visual character that allows a deeper understanding of the object studied.

The main contribution of this paper is to unpack the uses and applications of four visual tools that support the interview technique. First, photo-elucidation is presented as a sensory strategy to stimulate the narrative during the dialogical exchange of the interview. Next, the timeline is described as a visual concretization of the traditional biogram widely used in educational research. Next, the authors unravel the uses of the organizational chart in educational research, which, due to its nature and utility, provides a glimpse of the organizational functioning of an institution and is particularly suitable for research in institutional frameworks. Finally, the tool known as the flight of the geese is presented. This tool is recommended for use in educational leadership and teamwork studies due to its simplicity and high representativeness of the hierarchy of roles and functions.

Researching educational spaces today requires new ways of understanding, analyzing and studying. The complex characteristics, functions, and realities demand research that responds to educational singularities. It is a matter of deeply understanding the educational phenomenon's peculiarities. For these purposes, instruments and research paradigms are needed to extract data and reach information saturation regarding the data obtained from the proposed objects of study. With this in mind, the following paper invites us to reflect on data collection tools that can complement the interview and biographical-narrative research approach. The authors highlight the use of photo-elucidation, the biogram-based timeline, the organigram, and the flight of the geese, all of which are instruments endowed with a visual character that allows a deeper understanding of the object studied.