Board gender diversity, firm performance and corporate financial distress risk: international evidence from tourism industry

PurposeThis paper examines contextual factors that affect the association between board gender diversity and firm performance.Design/methodology/approachThe authors use a global sample of listed firms in the tourism industry in 30 countries from 2015 to 2020.FindingsFirst, firm performance is positively associated with the proportion of female directors on a board. Second, the positive association between firm performance and the proportion of female directors on the board is higher in (1) countries with stronger shareholder rights, (2) countries with stronger securities law regulation stipulating disclosure of board diversity, (3) countries with stronger economic empowerment of women, and (4) during the COVID-19 crisis. Third, corporate financial distress risk is lower in firms with higher proportion of female directors on the board. Fourth, the negative association between corporate financial distress risk and the proportion of female directors on the board is more pronounced in (1) countries with stronger securities law regulations stipulating disclosure of board gender diversity, (2) countries with stronger economic empowerment of women, and (3) during the COVID-19 crisis.Originality/valueThe results indicate that contextual factors (comprising country-level corporate governance structures, economic empowerment of women and economic crisis) can affect the association between board gender diversity and firm performance.

Outdoor play of children with and without disabilities. Insights from the Covid-19 pandemic in Ireland and Italy

Several factors might affect outdoor play (individual and family aspects, neighbourhood environment, policy and socio-cultural factors). The Covid-19 lockdowns became a barrier to outdoor play and had a greater impact on children with disabilities. This study describes the outdoor activities and play and the contextual factors that affected them in 4- to 13-year-old children with and without disabilities. 1,667 parents answered an online questionnaire with both open-ended and close-ended questions during the first lockdown in Ireland and Italy in 2020. Parents perceived their children as being unable to play outside as they could before Covid-19. The built environment impacted children's access to outdoor spaces. A content analysis was run on the parents' responses to open-ended questions describing children's outdoor activities and play, and the contextual factors affecting them. Results showed that the active role of adults in organising routines, spaces and introducing changes, and the existing features of the outdoor built environment were crucial to support outdoor play. Comparing the contextual factors supporting outdoor play and activities of children with and without disabilities, the main difference concerned the type of role played by the adults. Some differences due to age, gender and nationality were also discussed. [ FROM AUTHOR] Copyright of European Journal of Special Needs Education is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Perceptions of and Attitudes toward COVID-19 Vaccination among Urban Slum Dwellers in Dhaka, Bangladesh

Vaccine hesitancy or low uptake was identified as a major threat to global health by the World Health Organization (WHO) in 2019. Vaccine hesitancy is context-specific and varies across time, place, and socioeconomic groups. In this study, we aimed to understand the perceptions of and attitudes toward COVID-19 vaccination through time among urban slum dwellers in Dhaka, Bangladesh. In-depth telephone interviews were conducted between October 2020 and January 2021 with 36 adults (25 females and 11 males) living in three urban slums of Dhaka City, Bangladesh. Follow-up interviews were undertaken in April and August 2021 to capture any shift in the participants' perceptions. Our findings show that for many there was an initial fear and confusion regarding the COVID-19 vaccine among people living in urban informal settlements;this confusion was soon reduced by the awareness efforts of government and non-government organizations. Women and young people were more interested in being vaccinated as they had had more exposure to the awareness sessions conducted by non-governmental organizations (NGOs) and on social media. However, people living in the slums still faced systemic barriers, such as complicated online vaccine registration and long queues, which led to low uptake of the vaccine despite their increased willingness to be vaccinated. This study highlights the importance of using sources such as NGO workers and television news to debunk myths, disseminate COVID-19 vaccine information, and support adherence to vaccination among urban slum dwellers. Our study underscores the importance of addressing systemic barriers blocking access and understanding community perceptions in order to develop effective communication strategies for vulnerable groups that will then improve the COVID-19 vaccine uptake.

Child Welfare Practice Improvement Efforts: A Descriptive Study of Capacity Building Services Received by Courts, States, and Tribes

The staff practices and organizational processes of child welfare agencies and courts influence families' experiences and outcomes. Capacity building services have been delivered to improve organizational performance and practices, but studies of their impact are hampered by a lack of data on specific features of services. This study describes services delivered by the Child Welfare Capacity Building Collaborative during 2017–2019 using data from the Collaborative's service and outcome tracking system. By supporting more rigorous study, these data can promote service improvements. These service data also provide a baseline that can be used to explore how services may change over time in response to federal legislation and social contextual factors such as the coronavirus pandemic.

Evolution of global music trends: An exploratory and predictive approach based on Spotify data

Music listening choices are considered to be a factor capable of measuring people's emotions. Thanks to the explosion of streaming music applications in recent years, it is possible to describe listening trends of the global population based on emotional features. In this paper we have analysed the most popular songs from 52 countries on Spotify through their features of danceability, positivity and intensity. This analysis allows exploring how these song features reflect mood trends along with other contextual factors that may affect the population's listening behaviour, such as the weather or the influence of the COVID-19 pandemic. Finally, we have proposed a multivariate time series model to predict the preferred type of music in those countries based on their previous music listening patterns and the contextual factors. The results show some relevant behavioural changes in these patterns due to the effect of the pandemic. Furthermore, the resulting prediction model enables forecasting the type of music listened to in three different groups of countries in the next 4 months with an error around 1%. These results may help to better understand streaming music consumption in businesses related to the music and marketing industry. © 2022 Elsevier B.V.

Looking Forward to When it is Over: Reactions and Short-Term Coping Micro-Strategies of Polish Fruit and Vegetable Farmers during the Covid-19 Pandemic

The present paper focuses on farmers' strategies for coping with the shock caused by the outbreak of the pandemic of COVID-19. Using the concept of farm resilience, which underlines the role of capacity and abilities as well as different actions undertaken in difficult situations, this study proposes an analytical framework of farmers' coping short-term micro-strategies in relation to external crises, on the example of the COVID-19 pandemic. Taking into account academic literature, qualitative data gathered from fruit and vegetable producers in different regions in Poland and the information from sector experts, the paper outlines the varied consequences of the pandemic for farms, and also farmers' diverse reactions to them. The findings from this study suggests that the analysed farms' relative resilience to the crisis was achieved thanks to their available economic and social resources and the actions they undertook. The above-mentioned resources and activities were considered in the study primarily using the relational (process-based) approach, focusing on the ways of their creation, maintenance and adaptation. At the same time, the empirical material under analysis has shown that the adaptive measures adopted were short-term and did not respond to the farms' permanent problems, which the COVID-19 pandemic has exacerbated significantly. It is assumed that presented results and proposed framework of farmers' micro-strategies, which were taken during the pandemic, might be useful for future studies focusing on various external shocks as well as for research to be conducted in other CEE countries due to many common contextual factors that has shaped food practices and institutional arrangements.

How Family-Supportive Leadership Communication Enhances the Creativity of Work-From-Home Employees during the COVID-19 Pandemic

Adapting to the remote working environment has been one of the most visible challenges for many organizations during the COVID-19 pandemic. As employee creativity helps organizations' survival and resilience during times of crisis, this study aims to examine the role of leadership communication, family-supportive leadership communication in particular, in fostering creativity among work-from-home employees. The current study specifically focuses on the mediating processes in this relationship and the moderating role of employees' work-life segmentation preferences, using a survey of 449 employees who have worked from home during the COVID-19 outbreak. The results showed that employee-organization relationship (EOR) quality, positive affect, and work-life enrichment mediate the relationship between family-supportive leadership communication and employee creativity. The effects of family-supportive leadership communication on employees' positive affect and work-life enrichment were more prominent for those who prefer to segment their work and lives. This paper concludes with a discussion of the theoretical and practical implications of these findings for leadership in organizational communication.

Impact of COVID-19 on various areas of service operation in manufacturing companies: A pilot study

All manufacturers were affected by the COVID-19 pandemic. It can be assumed that producers were affected as much as the service operation field (based on company categories). This article aims to ascertain how COVID-19 affected various areas of service operations in manufacturing companies. So far, no literature is available identifying the impact of COVID-19 on various areas of service operations by current manufacturers. An electronic questionnaire was prepared and sent to the manufacturers. The questionnaire was completed by 88 respondents from four selected industrial areas. The findings show no statistically significant differences in the perception of the COVID-19 impact on various areas of service operations in manufacturing companies based on CZ-NACE, the number of employees, the type of customers and the type of services provided to products. However, in the area of the type of services, one statistically significant difference was found in the statement related to increasing interest in engaging in cooperation with suppliers in the field of smart services. Theoretical implication contributes to understanding the impact of COVID-19 on manufacturers in various areas of service operation. First, the research did not reveal any statistically significant difference in manufacturing companies sorted by their CZ-NACE, the number of employees and the predominant customers in the areas of service operations. It can be considered that the companies were hit by COVID-19 very similarly. Second, the research revealed statistically significant differences in the area of processing results according to the type of services, and in this case, only in the area of increasing interest in engaging in the cooperation with suppliers in the field of smart services. From a managerial viewpoint, this paper contributes to the field of impact of COVID-19 on areas of service operation in manufacturing companies. © 2022 L. Kaňovská and V. Vlčková.

Predictors of contact tracing app adoption: Integrating the UTAUT, HBM and contextual factors

Contact tracing apps (CTAs) have been introduced as a means to identify and isolate possible cases infected with COVID-19. Since the adoption rate determines the effectiveness of CTAs, it is important to examine what factors contribute to a higher CTA uptake. This study aimed to use an integrative approach to explain early CTA adoption, whereby three perspectives are distinguished: technology-related (derived from the Unified Theory of Acceptance and Use of Technology [UTAUT]), health-related (derived from the Health Belief Model [HBM]), and context-related. A survey was administered among a representative sample of the Dutch population (N = 1865). A hierarchical logistic regression analysis was performed in which the models were compared. Results showed that an integrative model including all three perspectives (i.e., UTAUT, HBM, and context-related variables) resulted in better model fit than any of the other models. All UTAUT variables were associated with CTA adoption in the expected directions. Regarding the HBM, self-efficacy, perceived barriers and perceived benefits were associated with CTA adoption in the expected directions. Several context-related variables, such as fear, were associated with CTA adoption. Our findings demonstrate that extending the UTAUT with preventive health-behavioral factors and contextual factors contribute to better understanding of CTA adoption.

The frequency of self-reported memory failures is influenced by everyday context across the lifespan: implications for neuropsychology research and clinical practice.

OBJECTIVE: To investigate the influence of contextual factors on self-reports of cognitive abilities, this study investigated whether the frequency of self-reported memory failures was affected by level of daily busyness (Busyness) and daily routines (Routine) and whether age moderated these relations. The influence of the COVID-19 pandemic on self-reported memory failures also was explored. Method: 902 community-dwelling participants (mean age= 56.98 years; sd= 18.96; range: 22-97 years) completed self-report questionnaires. Multiple linear regressions examined predictors of the frequency of retrospective (RM) and prospective memory (PM) failures and interactions with age. A pilot measure of the Influence of the Pandemic was added in secondary analyses. Results: Frequency of PM failures was significantly predicted by Age, Busyness, and Routine, such that people who were younger and those with busier and less routine activities reported more frequent PM failures. Frequency of RM failures was significantly predicted by Busyness, and the Age × Busyness and Age × Routine interactions. Busyness was associated with more frequent RM failures for people of all ages, but the effect was stronger for younger people. By contrast, more routine daily schedules were associated with fewer RM failures only for older people. PM/RM failures were predicted by the Influence of the Pandemic in exploratory analyses. Conclusions: Self-reports of cognitive abilities are influenced by contextual factors in adults of all ages. Contextual factors, including everyday task demands, daily routines, and acute stressors that disrupt daily activities, should be considered when interpreting self-reports of cognitive abilities in research and clinical practice settings.

COVID-19 INDUCED WHATSAPP PLATFORM FOR EFAL LEARNERS IN A MULTILINGUAL CONTEXT

The fame of the WhatsApp Group in the academic circle has raised the interest of researchers in investigating its potential benefit in the teaching and learning of English First Additional Language (EFAL) in a multilingual setting. This study seeks to investigate the opinions of the EFAL learners on the use of the WhatsApp platform as a learning tool in an EFAL context outside the classroom during the Covid-19-induced school holiday. This study was designed as a qualitative research project where only 30 EFAL learners in Grade 12 were used as participants. A focus group interview was used to collect data from the participants. In 6 groups of 5 each, they shared their opinions on the importance of WhatsApp as an online resource in an EFAL context. The results of the study revealed that WhatsApp is for just about anything therefore its presence and influence become inevitable in an academic context. The contaminating effect of the WhatsApp platform on EFAL learners writing, reading and speaking is now commonplace. However, EFAL teachers need to accept that texts of technologies are mutating into complex hybrid systems that will inevitably and justifiably make new demands on reading, speaking and writing, viewing, social exchange and communication. The study also highlights the socio-economic and contextual factors that complicate the relationships between EFAL teaching and technology. It becomes imperative for the relevant stakeholders to reconsider teacher professional development, which should not be a one-size-fits-all approach because EFAL teachers operate in different teaching and learning contexts.

A Methodological Approach to Use Contextual Factors for Epidemiological Studies on Chronic Exposure to Air Pollution and COVID-19 in Italy.

The large availability of both air pollution and COVID-19 data, and the simplicity to make geographical correlations between them, led to a proliferation of ecological studies relating the levels of pollution in administrative areas to COVID-19 incidence, mortality or lethality rates. However, the major drawback of these studies is the ecological fallacy that can lead to spurious associations. In this frame, an increasing concern has been addressed to clarify the possible role of contextual variables such as municipalities' characteristics (including urban, rural, semi-rural settings), those of the resident communities, the network of social relations, the mobility of people, and the responsiveness of the National Health Service (NHS), to better clarify the dynamics of the phenomenon. The objective of this paper is to identify and collect the municipalities' and community contextual factors and to synthesize their information content to produce suitable indicators in national environmental epidemiological studies, with specific emphasis on assessing the possible role of air pollution on the incidence and severity of the COVID-19 disease. A first step was to synthesize the content of spatial information, available at the municipal level, in a smaller set of "summary indexes" that can be more easily viewed and analyzed. For the 7903 Italian municipalities (1 January 2020-ISTAT), 44 variables were identified, collected, and grouped into five information dimensions a priori defined: (i) geographic characteristics of the municipality, (ii) demographic and anthropogenic characteristics, (iii) mobility, (iv) socio-economic-health area, and (v) healthcare offer (source: ISTAT, EUROSTAT or Ministry of Health, and further ad hoc elaborations (e.g., OpenStreetMaps)). Principal component analysis (PCA) was carried out for the five identified dimensions, with the aim of reducing the large number of initial variables into a smaller number of components, limiting as much as possible the loss of information content (variability). We also included in the analysis PM2.5, PM10 and NO2 population weighted exposure (PWE) values obtained using a four-stage approach based on the machine learning method, "random forest", which uses space-time predictors, satellite data, and air quality monitoring data estimated at the national level. Overall, the PCA made it possible to extract twelve components: three for the territorial characteristics dimension of the municipality (variance explained 72%), two for the demographic and anthropogenic characteristics dimension (variance explained 62%), three for the mobility dimension (variance explained 83%), two for the socio-economic-health sector (variance explained 58%) and two for the health offer dimension (variance explained 72%). All the components of the different dimensions are only marginally correlated with each other, demonstrating their potential ability to grasp different aspects of the spatial distribution of the COVID-19 pathology. This work provides a national repository of contextual variables at the municipality level collapsed into twelve informative factors suitable to be used in studies on the association between chronic exposure to air pollution and COVID-19 pathology, as well as for investigations on the role of air pollution on the health of the Italian population.

Europe’s Secessionist Movements and Covid-19

For three European states in particular, the Covid-19 pandemic has served to catalyze pre-existing territorial disputes. While the United Kingdom, Spain, and Belgium have all had very different responses to the pandemic, in all three cases the actions of central and regional government have put existing structures of regional autonomy under strain. In Spain, the pandemic response has become intertwined with the Catalan independence debate (especially in disputes between pro-independence parties), and elsewhere in the country it has cemented co-operative relationships between moderate nationalists and the statewide left. In Belgium, the pandemic has accentuated territorial disputes and further complicated government formation. And in the UK diverging responses to the pandemic have helped boost nationalist movements in the devolved nations;particularly the cause of the Scottish National Party (SNP) and their ambitions to create an independent Scottish state. While the year has been highly significant for secessionist movements in all three states, only in the UK does a decisive shift towards state-breakup seem to have occurred. The article argues that whether or not a secessionist movement benefits from the pandemic is highly contingent on contextual factors, including the performance of state-level governments in responding to the pandemic and the relative autonomy of regional governments during the response.

Evaluating the international classification of functioning, disability and health (ICF) framework as a model of community participation for people with chronic health conditions and disabilities

Community participation is defined as an individual's engagement in meaningful life roles such as employment, parenting, education, recreation, interpersonal relation, religion, and healthy living (Iwanaga, Chen, et al., 2021). The ability to assume meaningful life roles and activities in the society is associated with better physical health, mental health, and life satisfaction. The coronavirus disease 2019 (COVID-19) pandemic has significant negative impacts on the disability community (Lund et al., 2020). COVID related challenges and stressors affecting people with chronic health conditions and disabilities include disruption of daily routines;financial difficulties;lack of access to healthcare, rehabilitation, and social services;unemployment;discrimination, physical inactivity;social isolation;and depression and anxiety. Helping people with disabilities gain control of their lives during and after the pandemic and assume meaningful life roles especially employment in the community may be more important than before.The purpose of the present study was to evaluate constructs of the World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF) as predictors of community participation. A convenient sample of 952 people with chronic health conditions and disabilities were recruited via Amazon Mechanical Turk (MTurk) to participate in this study. A hierarchical regression analysis was conducted to answer the research question. For demographic covariates, age, marital status, educational attainment, and low income were significant predictors of community participation. Older adults and individuals who receive disability benefits were negatively associated with community participation, while individuals who are married and individuals with higher levels of educational attainment were positively associated with community participation. For impairments, pain intensity, perceived stress, and depression were significant predictors of lower levels of community participation. However, pain, stress, and depression were no longer significant in the presence of functional disability indicating that the negative effect of impairment on community participation is accounted for by functional disability. For functional disability (i.e., social-cognitive functioning and activities of daily living functioning), limitations in social-cognitive functioning and activities of daily living (ADL) functioning were significant predictors of lower levels of community participation, with limitations in ADL a stronger predictor than limitations in social-cognitive functioning. For person-environmental contextual factors, hope, core self-evaluations, social support, and environmental supports were positive predictors of community participation. Predictors in the final regression model accounted for 48% of the variance in community participation scores (a large effect size). The results support the utility of the ICF as a model of community participation for people with chronic health conditions and disabilities. Importantly, findings of the present study underscored the significant negative effect of functional disability on community participation. To help people with disabilities assuming meaningful life roles including employment in the community, rehabilitation psychologists and counselors must work with physicians, physical therapists, occupational therapists, and assistive technology specialists to help clients maximize their physical health and functioning and provide psychosocial interventions to increase their personal strengths, social support, and mental health functioning. (PsycInfo Database Record (c) 2021 APA, all rights reserved)

COVID-19 Vaccine Hesitancy Among Chinese Population: A Large-Scale National Study.

Globally, vaccine hesitancy is a growing public health problem. It is detrimental to the consolidation of immunization program achievements and elimination of vaccine-targeted diseases. The objective of this study was to estimate the prevalence of COVID-19 vaccine hesitancy in China and explore its contributing factors. A national cross-sectional online survey among Chinese adults (≥18 years old) was conducted between August 6, 2021 and August 9 via a market research company. We collected sociodemographic information; lifestyle behavior; quality of life; the knowledge, awareness, and behavior of COVID-19; the knowledge, awareness, and behavior of COVID-19 vaccine; willingness of COVID-19 vaccination; accessibility of COVID-19 vaccination services; skepticism about COVID-19 and COVID-19 vaccine; doctor and vaccine developer scale; and so on. Odds ratios (OR) with 95% confidence intervals (CI) were used to estimate the associations by using logistic regression models. A total of 29,925 residents (48.64% men) were enrolled in our study with mean age of 30.99 years. We found an overall prevalence of COVID-19 vaccine hesitancy at 8.40% (95% CI, 8.09-8.72) in primary vaccination and 8.39% (95% CI, 8.07-8.70) in booster vaccination. In addition, after adjusting for potential confounders, we found that women, higher educational level, married residents, higher score of health condition, never smoked, increased washing hands, increased wearing mask, increased social distance, lower level of vaccine conspiracy beliefs, disease risks outweigh vaccine risk, higher level of convenient vaccination, and higher level of trust in doctor and developer were more willing to vaccinate than all others (all p < 0.05). Age, sex, educational level, marital status, chronic disease condition, smoking, healthy behaviors, the curability of COVID-19, the channel of accessing information of COVID-19 vaccine, endorsement of vaccine conspiracy beliefs, weigh risks of vaccination against risks of the disease, making a positive influence on the health of others around you, and lower trust in healthcare system may affect the variation of willingness to take a COVID-19 vaccine (all p < 0.05). The prevalence of COVID-19 vaccine hesitancy was modest in China, even with the slight resulting cascade of changing vaccination rates between the primary and booster vaccination. Urgent action to address vaccine hesitancy is needed in building trust in medical personnel and vaccine producers, promoting the convenience of vaccination services, and spreading reliable information of COVID-19 vaccination via the Internet and other media.

Match running performance in Brazilian professional soccer players: comparisons between successful and unsuccessful teams.

BACKGROUND: This study aimed to compare the match running performance between bottom- and top-ranked teams in professional soccer players over the 2020 season of the Brazilian National 2nd Division League. In addition, this study verified the independent and interactive effects of playing position and contextual factors on running outputs between these teams. METHODS: Forty-eight professional male outfield soccer players participated in this study (top-ranked team, n = 24; bottom-ranked team, n = 24). The distance- and accelerometry-based measures were recorded during 69 matches using a global positioning system (10 Hz) integrated with an accelerometer (400 Hz). RESULTS: The top-ranked team covered greater total distance [median (interquartile range); 10,330.0 m (1430.0)] and high-acceleration [97.0 m (32.0)] than the bottom-ranked team, in home and away matches [p < 0.05, effect size (ES) = small]. The midfielders of the top-ranked team covered higher total distance, high-speed running (> 18 km h-1), high acceleration (≥ 3 m s-2), high-deceleration (≤ -3 m s-2), and performed more sprints [(> 25 km h-1) compared to midfielders of the bottom-ranked team (p < 0.05, η2 = small-moderate]. The matches against top-level opponents required high values of high-acceleration and number of sprints only for the top-ranked team (p < 0.05, ES = small). Independent analysis showed that match outcome (loss vs. draw vs. win) was not influenced by running performance for both bottom- and top-ranked teams (p > 0.05; η2 = small). However, the top-ranked team covered greater total distance, high-acceleration/deceleration than bottom-ranked team in loss matches (p < 0.05, η2 = small). CONCLUSIONS: These findings should be considered when the coaches and practitioners interpret the match running outputs and when evaluating the effects of training intervention on these performance indicators.

A Systematic Review and Correlational Meta-Analysis of Factors Associated With Resilience of Normally Aging, Community-Living Older Adults.

BACKGROUND AND OBJECTIVES: Global policy emphasizes the need to promote healthy aging through supporting inclusivity, safety, and functional independence. Research indicates that efforts to enhance resilience can contribute to meeting these objectives. We employed a meta-analytical approach to examine evidence on resilience in community-living older adults. RESEARCH DESIGN AND METHODS: We searched electronic databases until January 13, 2020 for observational studies investigating factors associated with resilience in this population. Articles had to provide quantitative data based on standardized assessment and include samples where mean participants' age and lower 95% confidence interval were more than 55 years. We included 49 studies reported in 43 articles and completed 38 independent meta-analyses, 27 for personal and 11 for contextual factors associated with resilience. RESULTS: A range of personal and contextual factors were significantly associated with resilience, with effects sizes predominantly small to moderate (0.1 < r < 0.49). Factors reflecting psychological and physical well-being and access to/quality of social support were associated with higher resilience. Factors indicative of poorer psychological well-being and social challenges were associated with lower resilience. Longitudinal evidence was limited. The level of between-study heterogeneity was substantial to considerable. Where relevant analysis was possible, the identified publication bias was also considerable. DISCUSSION AND IMPLICATIONS: The quality of the available evidence, as well as issues related to measurement of resilience, indicates the need for further work relative to its conceptualization and assessment. The presented findings have important clinical implications, particularly within the context of the coronavirus disease 2019 impact on resilience in older adults.

Implementing daily chlorhexidine gluconate (CHG) bathing in VA settings: The human factors engineering to prevent resistant organisms (HERO) project.

BACKGROUND: Daily use of chlorhexidine gluconate (CHG) has been shown to reduce risk of healthcare-associated infections. We aimed to assess moving CHG bathing into routine practice using a human factors approach. We evaluated implementation in non-intensive care unit (ICU) settings in the Veterans Health Administration. METHODS: Our multiple case study approach included non-ICU units from 4 Veterans Health Administration settings. Guided by the Systems Engineering Initiative for Patient Safety, we conducted focus groups and interviews to capture barriers and facilitators to daily CHG bathing. We measured compliance using observations and skin CHG concentrations. RESULTS: Barriers to daily CHG include time, concern of increasing antibiotic resistance, workflow and product concerns. Facilitators include engagement of champions and unit shared responsibility. We found shortfalls in patient education, hand hygiene and CHG use on tubes and drains. CHG skin concentration levels were highest among patients from spinal cord injury units. These units applied antiseptic using 2% CHG impregnated wipes vs 4% CHG solution/soap. DISCUSSION: Non-ICUs implementing CHG bathing must consider human factors and work system barriers to ensure uptake and sustained practice change. CONCLUSIONS: Well-planned rollouts and a unit culture promoting shared responsibility are key to compliance with daily CHG bathing. Successful implementation requires attention to staff education and measurement of compliance.

Factors Influencing Adjustment to Remote Work: Employees' Initial Responses to the COVID-19 Pandemic.

The COVID-19 crisis has disrupted when, where, and how employees work. Drawing on a sample of 5452 Finnish employees, this study explores the factors associated with employees' abrupt adjustment to remote work. Specifically, this study examines structural factors (i.e., work independence and the clarity of job criteria), relational factors (i.e., interpersonal trust and social isolation), contextual factors of work (i.e., change in work location and perceived disruption), and communication dynamics (i.e., organizational communication quality and communication technology use (CTU)) as mechanisms underlying adjustment to remote work. The findings demonstrate that structural and contextual factors are important predictors of adjustment and that these relationships are moderated by communication quality and CTU. Contrary to previous research, trust in peers and supervisors does not support adjustment to remote work. We discuss the implications of these findings for practice during and beyond times of crisis.

The development of the Therapeutic Group Context Questionnaire: Reliability and validity measures based on telehealth Group-based Pain Management Programs.

INTRODUCTION: In 2016, the Centers for Disease Control and Prevention analyzed the National Health Interview Survey data and found that the occurrence of chronic pain and high-impact chronic pain in the USA was 20.4% and 8%, respectively. Group-based Pain Management Programs have been viewed as significant treatments aiding patients with self-management of chronic pain. The onset of coronavirus disease 2019 (COVID-19) at the beginning of 2020, widely eliminated the in-person Group-based Pain Management Programs. The exploration of therapeutic contextual factors such as the therapeutic alliance and group dynamics in telehealth Group-based Pain Management Programs appears warranted for which reason the Therapeutic Group Context Questionnaire was developed. METHODS: The therapeutic alliance and group dynamics items in the Therapeutic Group Context Questionnaire were developed from an extensive literature review and underwent examination of content validity, internal consistency, reliability, and validity through telehealth Group-based Pain Management Programs. RESULTS: Content validity of the Therapeutic Group Context Questionnaire was established in five separate stages and the psychometrics of the Therapeutic Group Context Questionnaire was found to be very good with high internal consistency and reliability (r = 0.85-0.97) and the ability of the Therapeutic Group Context Questionnaire to differentiate between high and low scorers on the SF-36 emotional well-being measure. DISCUSSION: The examination of therapeutic contextual factors via telehealth Group-based Pain Management Programs using the Therapeutic Group Context Questionnaire appears possible in view of the very good psychometric properties described above. Investigation of therapeutic contextual factors through the Therapeutic Group Context Questionnaire may provide greater insight into the role that these factors may have in telehealth programs and their impact on pain outcomes. Future investigation of the Therapeutic Group Context Questionnaire in non-telehealth Group-based Pain Management Programs, as well as, other disorders being addressed via telehealth appears warranted.