Yes / Understanding the factors that make it more or less likely that healthcare practitioners (HCPs) will perform certain patient safety behaviors is important in developing effective intervention strategies. A questionnaire to identify determinants of HCP patient safety behaviors does not currently exist. This study reports the development and initial validation of the Influences on Patient Safety Behaviors Questionnaire (IPSBQ) based on the Theoretical Domains Framework. Methods: Two hundred and thirty-three HCPs from three acute National Health Service Hospital Trusts in the United Kingdom completed the 34-item measure focusing on one specific patient safety behavior (using pH as the first line method for checking the position of a nasogastric tube). Confirmatory factor analysis (CFA) was undertaken to generate the model of best fit. Results: The final questionnaire consisted of 11 factors and 23 items, and CFA produced a reasonable fit: χ2 (175) = 345.7, p < 0.001; CMIN/DF = 1.98; GFI = 0.90 and RMSEA = 0.06, as well as adequate levels of discriminant validity, and internal consistency (r = 0.21 to 0.64). Conclusions: A reliable and valid theoretically underpinned measure of determinants of HCP patient safety behavior has been developed. The criterion validity of the measure is still unknown and further work is necessary to confirm the reliability and validity of this measure for other patient safety behaviors.

Background: In recent years, the issue of gender disparities in career progression has gained significant attention, particularly in male-dominated industries. Despite various initiatives aimed at promoting gender equality, women continue to face systemic and personal barriers that hinder their advancement. This study explores these challenges within the context of specific industries, highlighting how societal norms, corporate policies, and personal experiences can shape women's career trajectories.  Purpose: The primary aim of this research is to deepen our understanding of the factors influencing women's careerprogression by identifying the key barriers and opportunities to overcome it.  Method: The thesis was conducted in a qualitative approach. Semi-structured interviews were conducted with 6 femaleCEOs or managers aspiring to become one from 3 companies in Gironde, France.  Conclusion: The findings revealed a complex mix of structural and cultural factors that continue to limit women'scareer progression. Despite some progress, persistent issues such as gender-based discrimination, lack of supportivepolicies, and deeply rooted stereotypes remain significant obstacles. The study underscores the need for sustained efforts to overcome these barriers and foster a truly inclusive professional environment for all women.

The data surrounding barriers to student-athletes seeking mental health care are limited, but show that stigma is one of the most frequently reported barriers. Further, the effect of sharing demographic identities (i.e., race, gender) between a student-athlete and their mental health treatment provider has not been fully explored. The purpose of this study was to determine the frequency of reported barriers and facilitators to mental health as well as the importance of sport psychologist characteristics as a facilitator of mental health treatment. Participants consisted of student athletes from an NCAA Division I university, representing 11 sports. A series of two-way, repeated measures ANOVA analyses were conducted to determine within-subjects differences in overall reporting of barriers and facilitators, as well as between groups differences in race and gender. Significant differences were found in the rating of barriers and facilitators. Female student-athletes rated sharing a gender identity with their mental health treatment provider as more important than did male student-athletes. The findings of the study may aid athletic departments in developing targeted interventions to lower barriers and increase use of mental health resources to promote psychological well-being among student-athletes.

Herbaceous wind barriers are tall grasses or other non-woody plants established in narrow strips spaced across the field perpendicular to the prevailing wind direction. They are used on cropland to protect soils and crops from damaging effects of wind and wind-borne soil particles. They should also provide food and cover for wildlife. In Arizona, there is a need to identify herbaceous plants, commonly used for crops, which are effective in controlling soil erosion caused by wind on cropland. This trial was conducted at the Tucson Plant Materials Center and is composed of three hybrid grain sorghum (Sorghum bicolor (L.) Moench ssp. bicolor) types (‘SG-677’, ‘DS9300’, and ‘KS-735’), one forage sorghum (‘NK300’), one silage corn (Zea mays L.) type (‘N91-19’), and two grain corn types (‘Mexican June’ & ‘DX-93’). All sorghum types had good height, excellent retention of upright foliage, and excellent second year sprouting. It is apparent that sorghum can be a multi-year herbaceous wind barrier and when established will require minimal amounts of irrigation water to keep it growing and functioning as a multi-year herbaceous wind barrier. The two best performers for the sorghum varieties are ‘KS-735’ and ‘SG-677’. This information can be applied to the conservation practices such as Herbaceous Wind Barrier (603) and Cross-Wind Trap Strips (589C).

Research problem: The research revolved around the problem: What extrinsic barriers play a role in the promotion of the female educator and to what extent are these barriers experienced? Research objectives: Arising from the problem, the aim of the research firstly was to determine from the literature what the nature of extrinsic promotion barriers were within and outside the school. Secondly, to establish empirically the extent to which extrinsic barriers influenced the career promotion of female educators in secondary schools. Thirdly, to determine what the relation was between biographic variables and different extrinsic promotion barriers. Research Design: * Literature study - In the literature overview in Chapters 2 and 3 the different extrinsic promotion barriers to female educators were investigated. It transpired that the following aspects/factors in the literature occur as extrinsic promotion barriers, namely networks, mentorships, appointment procedures, organisation climate and the female educator’s career profile. These identified aspects/factors formed the basis for the compilation of a structured questionnaire. * Empirical investigation - A quantitative research approach in the post-positivistic paradigm was followed in this research. The data collection instrument was a structured questionnaire consisting of five constructs divided into 50 questions/items. The questionnaire was distributed to female educators on post level 2 and higher (n=365) of which a feedback response of (n=305; 83.6%) was obtained. This questionnaire was used to determine to what extent extrinsic barriers influence the career promotion of the female educator and to establish the relation between certain biographical variables and the different extrinsic promotion barriers. Cronbach Alpha coefficients, means, standard deviations (SD), rankings and frequencies, percentages of the responses to the questionnaire, hierarchic linear models and practical significance (d-values) were calculated. During the discussion of the results, descriptive statistics were used. Main findings: It was evident from the research that the respondents did not experience to a medium and to a large extent any aspect regarding networks, mentorship, appointment procedures, organizational culture and the educators’ career profile as extrinsic promotion barriers. Recommendations: Finally, recommendations were firstly made to the Department of Basic Education, secondly to the female educator and thirdly for further studies focussing on extrinsic promotion barriers to the female educator. Recommendations to the Department of Basic Education: * The DoBE has to provide and distribute policy documents about gender equility to members of the SGB and especialy female teachers. * The DoBE need to train the persons involved in the appointment process (SGB members and educating staff) to understand the policy documents and juridical framework of the appointment process and to apply it correctly. Such training could be considered as a prerequisite to be elected to the SGB. Recommendation to the female educator: * Female educators who hold promotion posts, and those that aspire for promotion posts, must be afforded the opportunity to indicate what they wish to be trained in. Recommendations for further research: * That research of a qualitative nature by means of interviews and focus group discussions should be undertaken on extrinsic promotion barriers found in this study and possible other extrinsic promotion barriers. Such research could be expanded by doing a mixed-methods investigation in two or three provinces. * It became evident from this research that the majority of female educators are heads of department (post level 2) and the minority of female educators fill posts on higher post levels (3 and 4). Research needs to be done on what extrinsic promotion barriers are obstructing female educators from being promoted to principal posts and vice-principal posts. / MEd (Education Management), North-West University, Potchefstroom Campus, 2014

Transient Ischemic Attack (TIA) is a prominent risk factor for subsequent stroke, and its associated morbidity, mortality, and health care costs. Studies have demonstrated up to 80% reductions in subsequent stroke rate with prompt, optimized protocols for rapid TIA evaluation and treatment. National Stroke Association (NSA) and American Heart Association (AHA) guidelines have recommended institution of protocols assuring timely completion of the recommended testing, and evaluation by a stroke expert within 48 hours. However, limited literature exists on the implementation of guideline-based care in rural regions, and the few studies related to TIA suggest that barriers including difficulty accessing services and poorly updated TIA knowledge amongst rural, non-neurologist providers exist despite national guidelines. Behavior change theories have suggested that evaluating factors hindering or motivating behavior change may aid in tailoring implementation of guideline-based practices. This descriptive study sought to understand ED health care providers' perceived barriers to implementation of NSA/AHA TIA guidelines in a rural state. All healthcare providers in each of the state's emergency departments were invited by email to complete an online anonymous survey assessing knowledge of present TIA guidelines and perceived barriers to implementation of these guidelines in their practice setting using a modified Barriers and Facilitators Assessment Instrument (BFAI). After completing the knowledge based questions, respondents were presented a brief educational overview of the guidelines to ensure adequate familiarity with the TIA guidelines to complete the BFAI. Thirty-nine respondents completed the survey. Twenty-seven worked at regional or academic medical centers, and 12 worked at critical access hospitals representing the more rural regions of the state. Consistent with prior work, the most notable finding of this study was a low awareness of the present TIA guidelines amongst ED providers, with none of the survey respondents correctly identifying all items consistent with the evaluation guidelines for TIA. In addition to a low awareness of the guidelines, a number of perceived barriers to implementation were identified, which may inform efforts at implementation, and/or offer a model for similar barrier assessment elsewhere.

Bakgrund. Sjuksköterskan/specialistsjuksköterskan har som ansvar att omvårdnaden bygger på forskningsresultat och beprövad erfarenhet. Ett antal studier visar att det är gynnande för patienten när forskningsresultat används i omvårdnaden. Sjuksköterskorna har dock svårigheter med att använda forskningsresultat även om de inser vikten av användandet. Syfte. Att se vilka hinder och möjligheter det finns för sjuksköterskor, arbetande på särskilda boenden för äldre, att använda forskningsresultat i sitt arbete. Metod. Beskrivande och jämförande design med kvantitativ ansats. Huvudresultat. Denna studie visar att det största hindret, för sjuksköterskor arbetande på SÄBO, i användningen av forskningsresultat är tidsbrist. De minsta hindren var att sjuksköterskan anser att forskning är relevant för deras arbete och att sjuksköterskorna ser värdet som forskningen har för den kliniska verksamheten. En signifikant skillnad kan ses beroende av ålder hur stora hinder man upplever i användandet av forskningsresultat, där yngre sjuksköterskor skattar högre hinder. Underlättande faktorer var en intresserad och positiv ledning, kollegor att diskutera forskning med samt att forskningsartiklar ska vara tydliga och enkla att förstå. Slutsats. För att ge sjuksköterskor större möjlighet till att använda av forskningsresultat i sitt arbete bör det ges tid till dem att göra detta. / Background. The nurse/specialist nurse has the responsibility that nursing is based on research results and proven experience. A number of studies show that it is beneficial for the patient when research results are used in nursing care. Nurses, however, have difficulty using research results even if they realize the importance of the use. Aim. To see what obstacles and opportunities there are for nurses, working in nursing homes, to use research results in their work. Method. Descriptive and comparative design with quantitative approach. Main results. This study shows that the biggest obstacle, for nurses working in nursing homes, in the use of research results, is the lack of time. The smallest obstacles were that the nurse considers that research is relevant to their work and that nurses see the value of research for the clinical activity. A significant difference can be seen depending on age how big barriers you experience in the use of research results, where younger nurses estimate higher barriers. Facilitating factors were an interested and positive management, colleagues to discuss research, and that research articles should be clear and easy to understand. Conclusion. In order to give nurses greater opportunity to use research results in their work, they should be given time to do this.

O estabelecimento de regras, normas e padrões internacionais relacionados ao comércio de produtos geneticamente modificados é bastante complexo e envolve uma diversidade de interesses. Essa complexidade pode ser evidenciada pela demora em se definir a forma de operacionalizar o Protocolo de Cartagena sobre Biossegurança - PCB. O PCB estabelece normas e padrões para regulamentar o comércio transfronteiriço de organismos vivos modificados com o objetivo de proteger a biodiversidade. Ele afeta diretamente o mercado internacional de commodities agrícolas, podendo alterar a competitividade dos países. Nesse estudo, calcula-se que o PCB atinge 81,2% das exportações mundiais das principais lavouras GM da atualidade: soja, milho, algodão e canola. Nesse contexto, o Brasil ocupa uma posição peculiar, pois foi o único grande produtor mundial de commodities agrícolas que ratificou o acordo. O objetivo central desse trabalho foi verificar as implicações (em termos de custos) e os impactos potenciais da ratificação do PCB pelo Brasil e seus possíveis efeitos no mercado internacional. A análise centrou-se nas negociações referentes ao Artigo 18 do PCB, que define procedimentos para transporte, manuseio, embalagem e uso de OVMs e restringiu-se ao mercado de soja. Primeiramente, definiu-se uma base teórica para analisar os efeitos de barreiras regulatórias no comércio internacional e no mercado doméstico de exportadores e importadores. Verificou-se que esses efeitos são incertos e dependem da capacidade da medida em questão de resolver ou minimizar falhas de mercado. Posteriormente, calculou-se os custos adicionais de identificação de carregamentos contendo OVMs com base em propostas feitas pelos países-Partes durante as negociações: \'contém\' com fornecimento de uma lista de eventos, \'contém\' com quantificação de eventos, e adoção de um sistema de preservação de identidade. Para fins de comparação, esses cálculos não foram feitos apenas para o Brasil, mas se estenderam para a Argentina e EUA, principais competidores brasileiros no mercado de soja. Os números demonstraram que os custos adicionais de implementação do PCB são mais elevados no Brasil do que nos concorrentes e que essa diferença aumenta à medida que as exigências de identificação tornam-se mais rígidas. Por fim, para verificar o impacto desses custos no mercado internacional, utilizou-se o Equilibrium Displacement Model e definiram-se dois cenários. O Cenário 1 considerou que apenas o Brasil cumpriria as normas de identificação do PCB e o Cenário 2 considerou que Argentina e EUA também adotariam medidas equivalentes. Os resultados evidenciaram que ambas situações implicariam em perdas para o Brasil. Considerando todo o complexo, as perdas poderiam chegar a US$ 133 milhões no Cenário 1 e a US$ 329 milhões no Cenário 2. Apesar das exportações brasileiras de soja em grão terem diminuído nos dois casos, as vendas de farelo e óleo aumentaram no Cenário 1, o que indica um incentivo ao processamento. No Cenário 2, entretanto, apenas as exportações de óleo apresentam bons resultados. Com relação aos outros países, o Cenário 2 apresenta melhores resultados. Dessa forma, espera-se que Argentina e EUA também adotem medidas semelhantes às exigidas pelo PCB. / The development of international rules, norms and standards related to the trade of GM products is complex and involves a diversity of interests. This complexity can be verified by the tough negotiations aiming at establishing procedures to put the Cartagena Protocol on Biosafety - CPB in place. The CPB establishes norms and minimum standards to control the transboundary movements of Living Modified Organisms - LMOs in order to protect the biodiversity. It has a direct effect in the international agricultural commodities market and can even alter the countries\' competitiveness. This work estimates that 81.2% of the main GM crops (soybean, corn, canola and cotton) global exports are affected by the CPB. In this context, Brazil is in a peculiar position, as it was the only country among the biggest world agricultural commodities producers that has ratified the agreement. The main objective of this dissertation was to verify the implications (related to additional costs) and potential impacts of the CPB to Brazil and its possible outcomes for the international market. The analysis was restricted to the Protocol\'s Article 18 - which states the rules related to transport, handling, packing and use of LMOs - and to the soybean international market. First, a theoretical framework was defined in order to analyze the effects of regulatory barriers to the international trade and to the domestic markets of exporters and importers countries. Then, the necessary additional costs to identify the cargoes containing LMOs were calculated considering the main proposals submitted by CPB members during the negotiations: \'contains\' with a list of events, \'contains\' with quantification of events and the adoption of an identity preservation system. In order to compare the CPB effects on different countries, this procedure was not only applied to Brazil, but also to Argentina and the US, two important soybeans exporters that have not signed the agreement. The outcomes revealed that the compliance costs of the CPB requirements are greater in Brazil than its competitors and that this difference increases as the exigencies become stricter. Last, the potential impacts of these additional costs in the international market were estimated using the Equilibrium Displacement Model - EDM. Two scenarios were constructed: under Scenario 1 it was considered that only Brazil complied with CPB standards; under Scenario 2, Argentina and the US also adopted equivalent measures with those established by the Protocol. The results showed that Brazil would be harmed in both situations. Considering the whole soybean complex, the country could loose US$ 133 million under Scenario 1 and US$ 329 million under Scenario 2. Though Brazilian soybean exports decreased in both circumstances, it could be verified that there was a stimulus to meal and oil production in the country under the conditions settled in Scenario 1. In Scenario 2, however, the rise of exports concentrated only in the oil market. Regarding Argentina and the US, the Scenario 2 presented better results that Scenario 1. Therefore, it is almost certain that these countries will comply with CPB requirements. It implies that Brazil will incur in greater losses.

by Fung Kin-piu, Ernest, Wong Yun-tak, Ted. / Thesis (M.B.A.)--Chinese University of Hong Kong, 1990. / Bibliography: leaf 40. / ABSTRACT --- p.ii / TABLE OF CONTENTS --- p.iii / LIST OF TABLES --- p.iv / PREFACE --- p.v / Chapter I. --- INTRODUCTION --- p.1 / Literature Review --- p.2 / Early and Late Market Entry Decisions --- p.5 / The Hong Kong Situation --- p.5 / Chapter II. --- RESEARCH METHODOLOGY --- p.7 / Statement of Objectives --- p.7 / Research Design --- p.7 / Data Collection Method --- p.9 / Sampling --- p.10 / Chapter III. --- DATA ANALYSIS --- p.12 / Method of Analysis --- p.12 / Results --- p.14 / Distribution of Relative Weights in the sample --- p.14 / Result for H1 --- p.15 / Result for H2 --- p.15 / Result for H3 --- p.17 / Chapter IV. --- LIMITATIONS --- p.18 / Biases in Design Process --- p.18 / Biases in Data Collection --- p.19 / Biases in Data Analysis --- p.20 / Chapter V. --- CONCLUSIONS AND DISCUSSION --- p.23 / Identification of Entry Barriers --- p.23 / Importance of Market Entry Barriers --- p.23 / Managerial Implications --- p.24 / APPENDIX --- p.28 / BIBLIOGRAPHY --- p.40

O estabelecimento de regras, normas e padrões internacionais relacionados ao comércio de produtos geneticamente modificados é bastante complexo e envolve uma diversidade de interesses. Essa complexidade pode ser evidenciada pela demora em se definir a forma de operacionalizar o Protocolo de Cartagena sobre Biossegurança - PCB. O PCB estabelece normas e padrões para regulamentar o comércio transfronteiriço de organismos vivos modificados com o objetivo de proteger a biodiversidade. Ele afeta diretamente o mercado internacional de commodities agrícolas, podendo alterar a competitividade dos países. Nesse estudo, calcula-se que o PCB atinge 81,2% das exportações mundiais das principais lavouras GM da atualidade: soja, milho, algodão e canola. Nesse contexto, o Brasil ocupa uma posição peculiar, pois foi o único grande produtor mundial de commodities agrícolas que ratificou o acordo. O objetivo central desse trabalho foi verificar as implicações (em termos de custos) e os impactos potenciais da ratificação do PCB pelo Brasil e seus possíveis efeitos no mercado internacional. A análise centrou-se nas negociações referentes ao Artigo 18 do PCB, que define procedimentos para transporte, manuseio, embalagem e uso de OVMs e restringiu-se ao mercado de soja. Primeiramente, definiu-se uma base teórica para analisar os efeitos de barreiras regulatórias no comércio internacional e no mercado doméstico de exportadores e importadores. Verificou-se que esses efeitos são incertos e dependem da capacidade da medida em questão de resolver ou minimizar falhas de mercado. Posteriormente, calculou-se os custos adicionais de identificação de carregamentos contendo OVMs com base em propostas feitas pelos países-Partes durante as negociações: \'contém\' com fornecimento de uma lista de eventos, \'contém\' com quantificação de eventos, e adoção de um sistema de preservação de identidade. Para fins de comparação, esses cálculos não foram feitos apenas para o Brasil, mas se estenderam para a Argentina e EUA, principais competidores brasileiros no mercado de soja. Os números demonstraram que os custos adicionais de implementação do PCB são mais elevados no Brasil do que nos concorrentes e que essa diferença aumenta à medida que as exigências de identificação tornam-se mais rígidas. Por fim, para verificar o impacto desses custos no mercado internacional, utilizou-se o Equilibrium Displacement Model e definiram-se dois cenários. O Cenário 1 considerou que apenas o Brasil cumpriria as normas de identificação do PCB e o Cenário 2 considerou que Argentina e EUA também adotariam medidas equivalentes. Os resultados evidenciaram que ambas situações implicariam em perdas para o Brasil. Considerando todo o complexo, as perdas poderiam chegar a US$ 133 milhões no Cenário 1 e a US$ 329 milhões no Cenário 2. Apesar das exportações brasileiras de soja em grão terem diminuído nos dois casos, as vendas de farelo e óleo aumentaram no Cenário 1, o que indica um incentivo ao processamento. No Cenário 2, entretanto, apenas as exportações de óleo apresentam bons resultados. Com relação aos outros países, o Cenário 2 apresenta melhores resultados. Dessa forma, espera-se que Argentina e EUA também adotem medidas semelhantes às exigidas pelo PCB. / The development of international rules, norms and standards related to the trade of GM products is complex and involves a diversity of interests. This complexity can be verified by the tough negotiations aiming at establishing procedures to put the Cartagena Protocol on Biosafety - CPB in place. The CPB establishes norms and minimum standards to control the transboundary movements of Living Modified Organisms - LMOs in order to protect the biodiversity. It has a direct effect in the international agricultural commodities market and can even alter the countries\' competitiveness. This work estimates that 81.2% of the main GM crops (soybean, corn, canola and cotton) global exports are affected by the CPB. In this context, Brazil is in a peculiar position, as it was the only country among the biggest world agricultural commodities producers that has ratified the agreement. The main objective of this dissertation was to verify the implications (related to additional costs) and potential impacts of the CPB to Brazil and its possible outcomes for the international market. The analysis was restricted to the Protocol\'s Article 18 - which states the rules related to transport, handling, packing and use of LMOs - and to the soybean international market. First, a theoretical framework was defined in order to analyze the effects of regulatory barriers to the international trade and to the domestic markets of exporters and importers countries. Then, the necessary additional costs to identify the cargoes containing LMOs were calculated considering the main proposals submitted by CPB members during the negotiations: \'contains\' with a list of events, \'contains\' with quantification of events and the adoption of an identity preservation system. In order to compare the CPB effects on different countries, this procedure was not only applied to Brazil, but also to Argentina and the US, two important soybeans exporters that have not signed the agreement. The outcomes revealed that the compliance costs of the CPB requirements are greater in Brazil than its competitors and that this difference increases as the exigencies become stricter. Last, the potential impacts of these additional costs in the international market were estimated using the Equilibrium Displacement Model - EDM. Two scenarios were constructed: under Scenario 1 it was considered that only Brazil complied with CPB standards; under Scenario 2, Argentina and the US also adopted equivalent measures with those established by the Protocol. The results showed that Brazil would be harmed in both situations. Considering the whole soybean complex, the country could loose US$ 133 million under Scenario 1 and US$ 329 million under Scenario 2. Though Brazilian soybean exports decreased in both circumstances, it could be verified that there was a stimulus to meal and oil production in the country under the conditions settled in Scenario 1. In Scenario 2, however, the rise of exports concentrated only in the oil market. Regarding Argentina and the US, the Scenario 2 presented better results that Scenario 1. Therefore, it is almost certain that these countries will comply with CPB requirements. It implies that Brazil will incur in greater losses.