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An integrated care system identified quality improvement (QI) capacity as a gap in advancing their integrated quality care priorities and improvement efforts. Here we describe the design and implementation of a QI capacity building program that aimed to (1) build QI capacity amongst diverse integrated care system members and (2) apply QI principles to advance integrated quality care priorities.

The integrated care system leaders, including community members, partnered with the University of Toronto Centre for Quality Improvement and Patient Safety to co-design and deliver the QI capacity building program focused on improving cancer screening rates. An existing acute care capacity building program was adapted. Content included QI tools, data to identify and monitor QI priorities, equity considerations, and empowering participants as change agents.

Participants were satisfied with the content and delivery of the program. Some described using QI tools and strategies in practice following the workshop. Challenges to using the tools included the current pressures facing primary care and the health system, resources, and data availability.

This QI capacity building program was challenging but feasible. Clarifying the target audience, being attentive to co-design, acknowledging post-pandemic system challenges and proactively addressing variable knowledge and barriers to QI work in practice will inform future iterations of this program.

While many examples of QI education programs exist, the majority target a single healthcare sector. We describe a novel QI capacity building model that bridges healthcare sectors and includes patient partners and community members as teachers and participants.

The purpose of this study was to develop a multi-criteria-based scoring model to upgrade the work stress prevention checkpoints to a stress-management tool for estimating the risk score of the workplace’s stressors and prioritizing the control solutions.

A Panel of ten experts was formed and capitalized on Fuzzy Delphi, Fuzzy DEMATEL, and SWARA methods to discover the decision criteria, obtain the weights of the checkpoints’ dimensions, and develop the system to be used in an organization. The developed tool is finally applied in an organization as a case study.

Five criteria, namely Intellectual, Physical, Emotional, Behavioral, and Organizational reactions were found with respect to which the dimensions were prioritized. Generally, the heaviest weight belonged to “Job demand” by 0.13, followed by “Work-life balance and working times”, “Social support”, “Leadership and justice at work”, “Job control”, and “Job security” with weights of 0.118, 0.116, 0.114, 0.11, and 0.1, respectively. The “information and communication” had the lowest weight by 0.062.

It was found that multiple stress-related factors have different importance that can be considered in work-related stress (WRS) assessments. To this end, combining MCDM methods is a suitable approach to determine the factors’ importance coefficients.

This tool allows an organization to control work stress on the basis of one particular criterion or multiple criteria. The case study results showed that this tool makes the implementation of corrective measures much easier to manage based on the risk level of each dimension.

The study's main objective is to evaluate the morphological developments in the characteristics of the spatial configurations of the residential layouts in Kerman, Iran, in examining the impact on the level of visual privacy through the spectrum of permeability and wayfinding in space syntax analysis.

In this paper, plan graph analysis is used to measure the syntactic properties of seven topological residential architecture plans in Kerman, Iran, built from the 1970s to 2010s. The methodology involves the development of mathematical measurements to signify permeability and simulation of visibility graph analysis (VGA) to indicate wayfinding.

The findings reveal the residential layouts of Iranian houses tend to be less integrated over decades of design development from the 1970s to 2010s. Reduction in spatial integration corresponds to increase segregation allowing for enhanced visual privacy. The study underpins that, even with the constraints in the scale of the house and reduction in the number of nodes, as evident in the design of the modern residential layout, the efficient level of visual privacy is still achievable with regards to the standards demanded by the local culture.

The study examines the development in residential spatial configuration and building scale on visual privacy through a proposed methodology based on the level of permeability and wayfinding measured as a combined effect using the space syntax analysis and visual accessibility.

This paper aims to study forced convection in a double tube heat exchanger using nanofluids with constant and variable thermophysical properties.

The cold fluid was distilled water flowing in the annulus and the hot fluid was aluminum oxide/water nanofluid which flows in the inner tube. Thermal conductivity and viscosity were taken as variable thermophysical properties, and the results were compared against runs with constant values. Finite volume method was used for solving the governing equations. For distilled water, Re = 500 was used, while for nanofluid, nanoparticles volume fraction equal to 2.5-10 per cent and Re = 100-1,500 were used.

Heat transfer rate can be enhanced by increasing the volume fraction of nanoparticles and Reynolds number. Thermal efficiency is better with constant thermophysical characteristics and the average Nusselt number is better for variable characteristics.

Heat exchanger efficiency is evaluated by using distilled water and nanofluid bulk temperature, thermal efficiency and average and local Nusselt numbers for both variable and constant thermophysical characteristics.

The purpose of this paper is to study reading behavior in the digital environment based on demographic factors including faculty, degree and gender among higher education students of Isfahan University.

This study was survey descriptive using a researcher‐made questionnaire and data collection was accomplished using stratified random sampling method. The population of the study was the postgraduate students from seven faculties of Isfahan University. Different aspects of reading behavior were studied including the amount of reading of electronic resources, the style of reading electronic resources, the amount of annotating the electronic and print resources, the amount of printing out electronic documents for reading, and preference of reading medium.

The study showed that the amount of reading of electronic resources is highest in the students of technical and engineering subjects, while the amount of printing out of electronic documents is highest in the faculty of sciences. PhD students usually make use of scanning for reading electronic resources, whereas postgraduate students generally print out more electronic documents.

The findings of this study will help university authorities and digital libraries managers to provide better services to users and students.

With the advent of internet and computers, reading is not the same as in the past. Reading in the digital age has changed and this paper tries to give some insight about the reading behavior of students and their preferences and the differences based on faculty, degree and gender.

The purpose of this paper is to introduce an innovative data envelopment analysis (DEA) model entitled “Non‐binary Arithmetic Operator Dual‐role” (NAOD) under free disposability assumption for selecting the refrigerated containers in cold chain management (CCM).

In classical DEA models, it is assumed that all of input and output variables play a certain role. However, in some cases, some variables play both input and output roles, simultaneously. These variables in DEA are called “dual‐role” factors. This study introduces a new approach to deal with these factors in the process of evaluating a set of homogeneous refrigerated containers, which is based on Free Disposal Hull (FDH) (one of the DEA models). However, in previous dual‐role models, this variable is considered as a binary variable. In this paper, a partial role for dual‐role factors is considered.

The main findings of this paper are: for the first time, the NAOD model is developed for the container selection problem in the context of CCM and the dual‐role factors are considered for the container selection problem. The NAOD model determines partial role of dual‐role factors and can consider multiple dual‐role factors. For the first time, the container selection problem is solved by an FDH model. The result of NAOD model is validated by genetic algorithm.

The paper makes a sufficient contribution to the practice of operations research. It is the first study which applies advanced DEA models for selecting the containers in the context of the CCM. To the best of the authors' knowledge, there is no other reference that deals with container selection in the context of CCM in the presence of dual‐role factors.

This study aims to examine the impact of transformational leadership on leadership effectiveness and the mediating effect of emotional skills in this relationship.

The study used quantitative methodology, collecting data from 350 respondents from the Lebanese context. The data were analysed using AMOS for structural equation modelling.

Results indicated that transformational leadership positively impacts leadership effectiveness, and this relationship is partially mediated by emotional skills. Specifically, adaptability, assertiveness and relationship management partially mediate the relationship of transformational leadership to leadership effectiveness. The findings suggest that leaders who possess emotional skills, especially those related to adaptability, assertiveness and relationship management, can be more effective in their roles by inspiring and motivating their followers through transformational leadership.

The study relies on self-reported data, which can introduce potential biases such as social desirability bias and subjectivity. The study uses a cross-sectional design, which hinders establishing causal relationships or examining changes over time.

This study highlights the significance of transformational leadership on leadership effectiveness and its potential benefits on emotional skills as a mediator in this relationship.

The research is unique and provides potential contribution to the Lebanese context.

The purpose of the current study is to explore complicated structural relationships among the variables of tourists’ perceptions of quality and the value of a sport tourist destination and their satisfaction level and loyalty that are vital for successful destination marketing and management.

A survey was used to collect data from a sample of 570 sport tourists who traveled to Nowshahr and Chalous cities in Iran during September 2012. These data were gathered by convenience sampling method and analyzed using a structural equation model (SEM).

The results of the SEM revealed that tourists’ perceived quality and perceived value have a significant impact on their satisfaction. Further, tourists’ satisfaction had a positive and significant effect on the level of their loyalty.

Findings of the current study contribute to a better perception of behavioral mechanisms and incentives and provide an acceptable basis to improve tourism industry in both regional and national levels.

This is the first such study of the Iranian sports sector.

This study aims to compare the social support among patients with schizophrenia or methamphetamine dependency with healthy individuals.

Using convince sampling, the authors recruited 80 patients (schizophrenia, n = 40; methamphetamine dependency, n = 40) and their companions (healthy individuals, n = 40) who were referred to a psychiatric hospital in a cross-sectional study in Sari, Iran. In in-person interviews, the authors collected data on demographic characteristics and measured social support using a standardized questionnaire.

The three groups were similar regarding age and marital status, but different in gender distribution (p = 0.001). The average social support score was 58.0 in the schizophrenia group and 42.3 in the methamphetamine-dependent group, both significantly lower than 63.6 in the healthy group (p = 0.001). The social support scores in schizophrenia and methamphetamine-dependent groups were significantly lower than those in the healthy group across all subgroups of gender (p < 0.04), age (p < 0.05) and marital status (p < 0.001). The methamphetamine-dependent group had the lowest score overall and across all demographic groups and social support subdomains.

This study had two main limitations. First, the study samples were from one city and one hospital in the north of Iran and so may not be generalizable to other population and settings. Second, the authors did not study the causes or predictors of low social support like social stigma which should be studied in future studies.

Despite the limitations, this study found low social support for people diagnosed with schizophrenia or methamphetamine dependency. Intervention to increase social support for them, especially for those with substance use, is required.

The purpose of this paper is to identify the best interactions between sales promotion and advertisement plans as the resources of the brand attachment and its consequences in durable and fast-moving consumer goods.

The mixed methods research in the form of qualitative approach, using a phenomenological method and quantitative approach, using three experimental studies of factorial design types and a structural equation modeling method, have been used in this research.

The fit of plans to achieve the brand attachment is similar in both product categories. The financial gift, with the ability of liquidity and variety of shopping, fits with the advertisement messages at a high construal level and high argument strength. However, the financial gift, with the ability of purchase from particular stores, fits with the advertisement messages at the low construal level and high argument strength. Moreover, in both product categories, the brand attachment leads to the emotional and cognitive consequences.

This research provides experimental support with actual experiences to create a fit in marketing communication plans in order to achieve a lasting and strong relationship. Therefore, this paper offers a valuable insight relating to financial gifts and advertisement messages and their effects on consumers’ behavior. It can also be used by other managers and researchers to assess their communication options.