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The purpose of this paper is to investigate to what extent an engaging or authentic leadership style is related to higher levels of patient safety performance.

A survey and/or interview of 53 medical and dental staff on their perceptions of leadership style in their unit was conducted. Scores obtained from 51 responses were averaged for each question and overall performance was compared with unit specific hand hygiene (HH) compliance data. Interview material was transcribed and analysed independently by each member of the research team.

A modest negative relationship between this leadership style and hand hygiene compliance rates (r=0.37) was found. Interview data revealed that environmental factors, role modelling by the leader and education to counter false beliefs about hand hygiene and infection control may be more important determinants of patient safety performance in this regard than actual overall leadership style.

The sample was relatively small, other attributes of leaders were not investigated.

Leadership development for clinicians may need to focus on situational or adaptive capacity rather than a specific style. In the case of improving patient safety through increasing HH compliance, a more directive approach with clear statements backed up by role modelling appears likely to produce better rates.

Little is known about patient safety and clinical leadership. Much of the current focus is on developing transformational, authentic or engaging style. This study provides some evidence that it should not be used exclusively.

In recent years, business ethics has drawn increased interest from business and marketing practitioners as well as from academicians. Despite the repeated call in the literature for cross‐cultural research in this age of globalization, virtually no studies have examined the ethical beliefs and ideologies of foreign consumers and compared them to those of US consumers. Investigates the ethical beliefs, preferred ethical ideology and degree of Machiavellianism of US versus Egyptian consumers. Concludes that while US consumers appear generally less likely to accept various questionable consumer practices than Egyptian consumers, they are more likely to reject moral absolutes.

The research paper examines the complex relationship between gamification, student engagement and academic performance in educational environments. The study employed a structural equation model that highlights important connections among key constructs within the educational setting.

This research aims to explore the connection between gamification, student engagement and academic performance in educational settings. The study employs various statistical techniques such as factor analysis, Kaiser–Meyer–Olkin (KMO), Bartlett’s test, component transformation matrix, correlation and regression analysis, descriptive statistics, ANOVA, coefficients and coefficient correlations, residual statistics and confirmatory factor analysis (CFA) to analyze the data.

It was found that active participation by the instructor and good time management skills have a positive impact on student engagement levels (β = 0.380, p < 0.001; β = 0.433 and p < 0.001). However, peer interaction does not significantly predict student engagement (β = −0.068 and p = 0.352). Additionally, there is a positive correlation between student engagement and performance (β = 0.280 and p < 0.001).

The study highlights the importance of innovative design to fully utilize gamification. Future research should consider design, user characteristics and educational context. The findings can guide informed decisions about gamification in education, fostering motivation and learning objectives.

The study presents a reliable tool for assessing student engagement and performance in educational settings, demonstrating high Cronbach’s alpha and robust reliability. It identifies student engagement and time management as significant predictors of Global Learning Outcome. The findings can inform decisions on implementing gamification in educational settings, promoting intrinsic motivation and aligning with learning objectives.

The research highlights the transformative impact of gamification on educational practices, highlighting its potential to enhance student experiences, motivate, promote diversity and improve long-term academic performance, highlighting the trend of integrating technology into education.

In today’s ever-changing education landscape, it is essential to incorporate innovative techniques to keep students engaged and enthusiastic about learning. Gamification is one such approach that has become increasingly popular. It is a concept that takes inspiration from the immersive world of games to enhance the overall learning experience.

David Punter and Glennis Byron note how the Gothic novel has been divided into two categories: the ‘Male’ and ‘Female’ Gothic. Where the former emphasizes violence and ghosts, the latter focuses on female representation and the disavowal of the supernatural. The Hollywood Gothic films of the 1940s can be said to translate this aspect of the Female Gothic onto the cinema screen: Rebecca (1940), Gaslight (1944) and Secret Beyond the Door (1947) all feature narratives stressing the haunting nature of domestic spaces but there are no actual ghosts present. Robert Zemeckis’s What Lies Beneath (2000) breaks this convention. The film clearly draws on the Female Gothic lineage, situating Claire as a Gothic heroine, and yet there is an important difference: the supernatural is now an integral – and acknowledged – part of the story. This chapter explores this twenty-first century change, arguing that whilst the inclusion of the supernatural can be said to break with previous definitions of the Female Gothic, What Lies Beneath’s depiction of a ghost actually re-imagines and re-emphasizes the concerns at the centre of this tradition: the dramatization of marital and domestic experiences; an interrogation of feminine perception; and the reality of male violence against women.

There is increasing emphasis on caring for people with intellectual disabilities in the least restrictive, ideally community settings. Therefore, the purpose of this paper is to explore the risk factors considered by clinicians involved in discharging people from secure services.

The views of five senior clinicians were sought in semi structured interviews. Data were analysed thematically.

Themes related to risk assessment, risk management, and multidisciplinary and multiagency working. Illustrative quotes are used to evidence themes.

This study described the risk assessment and management factors considered during the discharge of patients from secure to community services, which are of direct relevance to multiple stakeholders post-Winterbourne.

Challenges when facilitating discharge were highlighted, such as ongoing risk management issues, or unexpected discharge from tribunals, and how these were addressed, via the development of extensive risk assessment and management processes, and interdisciplinary and interagency working.

In an adventure tourism context (i.e. sky diving, bungee jumping) the effect of the absence or presence of a travel companion; companion relative ability (i.e. perception of a companion’s possessed resources useful for the achievement of travel goals); and tourist gender on the impact of companion relative ability on tourists’ satisfaction and subjective well-being is examined. This paper aims to investigate the mediating role of satisfaction that combines companion relative ability, tourist gender, tourist satisfaction and subjective well-being.

This research uses three situational experiments. A one-factor between-subjects experimental design was used for Study 1. Studies 2 and 3 used a one-factor between-subjects and a 2 × 3 factorial between-subjects design. Participants included tourists visiting a national park in China assigned to scenarios using an anonymous intercept approach and an online survey.

Having a companion with greater/comparable relative ability produces a greater effect on tourist satisfaction and subjective well-being than having a companion with lower relative ability. Furthermore, the perceived relative ability of a travel companion results in a stronger positive effect on tourist satisfaction and subjective well-being for female tourists. Meanwhile, satisfaction fully mediates the impact of the interaction between companion relative ability and tourist gender on subjective well-being.

The current research validates the companion effect on adventure tourists’ satisfaction and subjective well-being. An additional contribution is an investigation into the effect of companion relative ability. The study is the only one the authors are aware of that examines the moderating role of tourist gender on the effect of companion relative ability on tourist satisfaction and subjective well-being and identifies the mechanism that combines companion relative ability, tourist gender, tourist satisfaction and subjective well-being.

同伴效应对冒险旅游者满意度与主观幸福感的影响：性别的调节作用

本研究探讨了在冒险旅游情境下, 有旅游同伴和感知同伴相对能力对旅游者满意度和主观幸福感的影响。

研究1采用了单因子组间设计。研究2采用了一个单因子组间设计和一个2×3双因子组间设计。

与拥有一个相对能力较低的同伴相比, 拥有一个相对能力较高/相等的同伴对旅游满意度和主观幸福感的影响更大。此外, 旅游同伴相对能力感知对女性旅游者的满意度和主观幸福感有较强的正向影响。同时, 满意度完全中介同伴相对能力与旅游者性别之间的交互效应对主观幸福感的影响。

本研究验证了同伴效应对冒险旅游者满意度和主观幸福感的影响。另一个贡献是对同伴相对能力影响的研究。本研究是我们唯一所知：1）检验旅游者性别在同伴相对能力对旅游者满意度和主观幸福感影响中的调节作用; 2）考察联结了同伴相对能力、旅游者性别、旅游者满意度和主观幸福感的机制。

El efecto Peer de la satisfacción y el bienestar subjetivo de los turistas de aventura: el efecto moderador del género

Este estudio investigó la influencia de la capacidad relativa de los pares y la percepción de los pares en la satisfacción de los turistas y el bienestar subjetivo en el contexto del Turismo de aventura.

En el estudio 1 se utilizó un diseño experimental de un solo factor entre sujetos.El estudio 2 utilizó un diseño factorial único entre sujetos y 2 □ 3 entre sujetos.

En comparación con los pares con menor capacidad relativa, los pares con mayor capacidad relativa tienen un mayor impacto en la satisfacción de los turistas y el bienestar subjetivo.Además, la capacidad relativa percibida de las mujeres turistas hacia sus pares tiene un fuerte efecto positivo en la satisfacción de los turistas y el bienestar subjetivo.Al mismo tiempo, la satisfacción mediaba plenamente la influencia de la interacción entre la capacidad relativa de los pares y el género de los turistas en el bienestar subjetivo.

Este estudio verificó la influencia del efecto Peer en la satisfacción y el bienestar subjetivo de los turistas de aventura.Otra contribución es el estudio de los efectos de la competencia relativa entre pares.Este estudio es el único que conocemos: 1) investigar el efecto moderador del género de los turistas en la capacidad relativa de los pares sobre la satisfacción de los turistas y el bienestar subjetivo; 2) determinar el mecanismo de combinación de la capacidad relativa de los pares, el género de los turistas, la satisfacción de los turistas y El bienestar subjetivo.

The purpose of this paper is to examine the constituents of personal discretionary non-work activities and their influence on the work values ethic (WVE).

The constituents of personal discretionary non-work activities and their relationship to the WVE for 1,349 employees drawn from three manufacturing companies were surveyed. The data was used to test a measure of WVE, to develop a valid measure of personal discretionary non-work activities and to test a model of the relationship between personal discretionary non-work activities and a WVE.

Data obtained from the survey enabled the identification of a valid measure of personal discretionary non-work activities and the components that made up this measure. A measure of WVE was shown to be both valid and reliable, and a model of the relationship between personal discretionary non-work activities and WVE was tested.

A positive relationship between personal discretionary non-work activities and WVE was identified. However, the study was not designed to investigate motivations and such relationships should be the subject of future research.

Personal discretionary non-work activities were shown to be of importance for a major proportion of the study’s respondents and to contribute to the employees’ work ethic.

The study has extended the non-work and work literature and has identified a formative non-work measure that was able to be tested in an overall model.

A planet that can no longer sustain life is a frightening thought – and one that is often present in mass media messages. Therefore, this study aims to test the components of a classic fear appeal theory, the extended parallel process model (EPPM) and to determine how well its constructs predict sustainability behavioral intentions. This study also strove to uncover students’ motivations and attitudes that are not present in the EPPM.

An online survey of 779 college students was conducted.

Results reveal that both threat and efficacy are significant predictors of behavioral intention, consistent with the EPPM. However, an analysis of open-ended comments reveals that subjective normative influence and incentives also play a key role in students performing future sustainable behaviors.

These findings provide a framework to educators and message designers of sustainability groups on college campuses highlighting the importance of including multiple constructs in their messages to students. Threatening messages will not be enough to increase behavioral intentions. Fear inducing messages must be combined with messages to increase self- and response efficacy. Education is also not the only piece of the puzzle. Students state difficulty in performing some sustainable behaviors as a key barrier, indicating a need to incorporate infrastructure changes at campuses to facilitate greater ease among students to act sustainably.

This study tests the EPPM’s utility in helping to find the most effective ways to influence college students’ future behavioral intentions toward acting sustainably.