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Clinician engagement in research has positive impacts for healthcare, but is often difficult for healthcare organisations to support in light of limited resources. This scoping review aimed to describe the literature on health service-administered strategies for increasing research engagement by medical practitioners.

Medline, EMBASE and Web of Science databases were searched from 2000 to 2021 and two independent reviewers screened each record for inclusion. Inclusion criteria were that studies sampled medically qualified clinicians; reported empirical data; investigated effectiveness of an intervention in improving research engagement and addressed interventions implemented by an individual health service/hospital.

Of the 11,084 unique records, 257 studies were included. Most (78.2%) studies were conducted in the USA, and were targeted at residents (63.0%). Outcomes were measured in a variety of ways, most commonly publication-related outcomes (77.4%), though many studies used more than one outcome measure (70.4%). Pre-post (38.8%) and post-only (28.7%) study designs were the most common, while those using a contemporaneous control group were uncommon (11.5%). The most commonly reported interventions included Resident Research Programs (RRPs), protected time, mentorship and education programs. Many articles did not report key information needed for data extraction (e.g. sample size).

This scoping review demonstrated that, despite a large volume of research, issues like poor reporting, infrequent use of robust study designs and heterogeneous outcome measures limited application. The most compelling available evidence pointed to RRPs, protected time and mentorship as effective interventions. Further high-quality evidence is needed to guide healthcare organisations on increasing medical research engagement.

This paper aims to investigate the moderated-mediation roles of perception of police response to crime and digital interclass coalition against crime between fear of terrorist attacks and psychological distress among residents of Tema Metropolis in Ghana.

A cluster sampling technique was used in the selection of 577 residents who answered questions on fear of terrorism, perception of police response to crime, digital interclass coalition against crime and psychological distress. The study used regression analysis to assess the hypothesized paths.

The findings show that digital interclass coalition against crime moderates the partially mediated relationship between perception of police response to crime and residents’ psychological distress.

The study is limited in scope by the generalization of its findings, as it was restricted to only residents of Tema Metropolis in the Greater Accra Region of Ghana.

This research is one of the first in criminal psychology to explore the relevance of police-public engagement in averting large-scale crime in an emerging economy.

Residents in under-resourced/high-Medicaid (85% or higher) nursing homes on average receive care from relatively lower quality providers and have worse health outcomes, which may increase the risk of higher COVID-19 incidence. This study aims to evaluate if having a culture that encourages employee empowerment results in better quality (lower COVID-19 deaths) in times of crisis, such as the current pandemic. The study combined primary survey data from 391 Directors of Nursing (response rate of 37%), with Centers for Medicare and Medicaid Services’ (CMS) Nursing Home COVID-19 Public File, LTCFocus, Area Health Resource File, and Nursing Home Compare. The dependent variable consisted of the number of COVID-19 death as of November 25, 2021. The independent variables consisted of Likert scale for employee empowerment (Cronbach alpha= 0.82). Control variables consisted of organizational factors (e.g., size, location, and ownership), as well as community factors (e.g., poverty, unemployment, and competition). The results indicated that one unit increase in employee empowerment was associated with 6% lower likelihood of having COVID-19 deaths. Nursing homes, particularly those under-resourced, face difficulty improving the quality of care due to financial constraints. However, the results suggest that adopting a culture that fosters employee empowerment may give nursing homes an edge in improving quality outcomes in crises.

High-quality nursing home (NH) care has long been a challenge within the United States. For decades, policymakers at the state and federal levels have adopted and implemented regulations to target critical components of NH care outcomes. Simultaneously, our delivery system continues to change the role of NHs in patient care. For example, more acute patients are cared for in NHs, and the Center for Medicare and Medicaid Services (CMS) has implemented value payment programs targeting NH settings. As a part of these growing pressures from the broader healthcare delivery system, the culture-change movement has emerged among NHs over the past two decades, prompting NHs to embody more person-centered care as well as promote settings which resemble someone's home, as opposed to institutionalized healthcare settings.

Researchers have linked culture change to high-quality outcomes and the ability to adapt and respond to the ever-changing pressures brought on by changes in our regulatory and delivery system. Making enduring culture change within organizations has long been a challenge and focus in NHs. Despite research suggesting that culture-change initiatives that promote greater resident-centered care are associated with several desirable patient outcomes, their adoption and implementation by NHs are resource intensive, and research has shown that NHs with high percentages of low-income residents are especially challenged to adopt these initiatives.

This chapter takes a novel approach to examine factors that impact the adoption of culture-change initiatives by assessing knowledge management and the role of knowledge management activities in promoting the adoption of innovative care delivery models among under-resourced NHs throughout the United States. Using primary data from a survey of NH administrators, we conducted logistic regression models to assess the relationship between knowledge management and the adoption of a culture-change initiative as well as whether these relationships were moderated by leadership and staffing stability. Our study found that NHs were more likely to adopt a culture-change initiative when they had more robust knowledge management activities. Moreover, knowledge management activities were particularly effective at promoting adoption in NHs that struggle with leadership and nursing staff instability. Our findings support the notion that knowledge management activities can help NHs acquire and mobilize informational resources to support the adoption of care delivery innovations, thus highlighting opportunities to more effectively target efforts to stimulate the adoption and spread of these initiatives.

Utilizing data from the 2017 Chinese General Social Survey (CGSS2017), the paper aims to investigate the impact of information and communication technology (ICT) adoption on residents' self-rated health and reveals the mechanisms behind ICT.

In the study, ICT adoption is defined as a dummy variable, which takes the value of one if respondents adopt the computers or mobile phone. Meanwhile, respondents' perceptions on five categories of self-rated health are used to construct the dependent variable. Then, based on a fixed-effects regression model, the ordinary least squares (OLS) and ordered probit approaches are applied to estimate their association. Moreover, the two-stage least squares (2SLS) and instrumental variable (IV)-oprobit methods are used to tackle the potential endogeneity of ICT adoption. Finally, the heterogeneity across individuals and regions as well as the underlying mechanisms are discussed.

The results indicate that ICT adoption significantly improves residents' self-rated health, which confirms the health utility model with ICT adoption. The conclusion is robust after overcoming the endogeneity issues with IV. In addition, heterogeneity analysis shows that ICT adoption is more beneficial to the health of residents who are male, young, better educated and those who live in the rural areas and in central and western China. Furthermore, the study demonstrates that ICT adoption for searching health-related information and improving social capital are two crucial mechanisms underlying its health effects.

The findings of this research can help Chinese Government improve population health by issuing corresponding digital and health policies at the regional and individual level.

First, the study provides fresh microscopic evidence on health outcomes of ICT adoption based on data from the latest wave of CGSS2017. Second, individual and regional heterogeneity is extensively discussed in contrast to most related macro studies that consider average effects. Third, the study addresses underlying mechanisms that have not been thoroughly tested or studied primarily on a theoretical level.

Older people living in nursing homes have complex care needs and frequently need specialists’ advice and support that can be challenging to deliver in a rural setting. The aim of this paper is to describe a model of integrated care in a rural area supported by a nurse case manager.

A real-world evidence study of people living in Ribes de Freser nursing home, was conducted between specific timeframes in 2019 and 2022, comparing the casemix and outcomes of a traditional care model with the integrated interdisciplinary model.

The integrated care model led to a significant reduction in transfers to the emergency department, hospitalisations, outpatient medical visits and a reduction in the number of medicines. In addition, the number of residents receiving end-of-life care at the nursing home showed a substantial increase.

This case study contributes valuable evidence supporting the implementation of an integrated model of nurse case manager support in nursing homes, particularly in the rural contexts, where access to specialist medical staff may be limited. The findings highlight the potential benefits of person-centred integrated care for older adults, addressing their complex needs and improving end-of-life care in nursing home settings.

Building on the social leverage model (SLM), this study aims to examine the influence of event-related attributes on residents' perceived social impact of a major sport event, as mediated by event involvement. It also investigates the moderating effect of event rights holders' credibility on the relationship between event involvement and perceived social impact.

Using a two-wave, time-lagged survey, data were collected from 220 residents of a Super Bowl host city. Hypotheses were tested using structural equation modeling (SEM).

High celebratory atmosphere, social camaraderie and social responsibility as perceived before the event were associated with residents' perceptions of the social impact of the Super Bowl. Moreover, the association between social camaraderie and perceived social impact was mediated by event involvement. When appraising the rights holder as credible, involved residents reported an increased level of perceived social impact.

This study contributes to research on the SLM by demonstrating its application among indirect participants of major sport events. Additionally, it suggests the imperative role of rights holders' credibility in promoting the perceived social impact among involved residents.

Using the Stimulus-Organism-Response (SOR) model as a theoretical guide, this study employed a conceptual model involving residents’ place attachment (S) to the destination in which they live and emotional solidarity with tourists (O) as precursors to their involvement in tourism (R). The purpose of this paper is threefold: To determine (1) whether residents’ place attachment explains their emotional solidarity with tourists, (2) if emotional solidarity is an effective predictor of residents’ involvement in tourism planning and development and (3) if emotional solidarity dimensions mediate the relationship between place attachment and involvement.

Data were collected from 378 permanent resident heads of households living in, or adjacent to, central Orlando, using a self-administered survey with a census-guided systematic sampling method. Data were subjected to tests of normality and common method bias, followed by a two-step confirmatory factor analysis and structural equation modeling.

Seven of the 11 proposed model hypotheses were supported, with moderate variances explained in each of the four outcome variables: welcoming nature (R² = 19.3%), emotional closeness (R² = 24.5%), sympathetic understanding (R² = 39.4%) and involvement (R² = 36.8%). Though both place identity and place dependence (as two dimensions of place attachment) were partial mediators, the former proved to be more pronounced.

This study employed non-economic measures—place attachment and emotional solidarity—in determining residents’ involvement in tourism within their community. Such an approach provides fresh insights into how such symbolic constructs can contribute to residents’ positive, actionable involvement in tourism. This research is one of the few that have incorporated emotional solidarity as a construct within the SOR model and the first to examine the indirect effects (through mediation) of emotional solidarity.

Building on Kavaratzis and Hatch’s (2013) identity-based place branding model, this paper aims to explore the spatial and social dimensions of the place brand identity formation process and how residents used social media to participate in the process of shaping a city brand during a crisis.

Adopting an interpretive and social constructionist approach, this study analyses a sample of 187 short videos created and posted by Wuhan residents on the social media app Douyin during a COVID-19 lockdown. The authors read the videos as cultural texts and analysed underlying social processes in the construction of place brand identity by residents.

This study develops an adapted conceptual model of place identity formation unfolding in four sub-processes: expressing, impressing, mirroring and reflecting, and each sub-process subsumes two dimensions: the social and the spatial. In addition, this study empirically describes how residents participated in place branding processes in two ways, namely, their construction of city brand identity via communicative practice and their exertion of changes to a city brand during a crisis. The model reveals how place brands emerge and can be transformed.

This paper amplifies Kavaratzis and Hatch's (2013) identity-based place branding model by testing it in an empirical study and highlighting the social and spatial dimensions. This paper contributes to research about participatory place branding by exploring how residents participated in the place branding process. This study analysed short videos on social media, a new communication format, rather than textual narratives dominating past studies.

This study aims to explore residents’ emotional responses to tourism development and how the anticipated loss or gain of resources from it affects their attitudes and actions. The study extends the conservation of resources (COR) theory by using the cognitive appraisal (CA) theory to explain why the residents of Al-Juhfa village in Saudi Arabia become stressed and experience negative emotions due to tourism development and how they respond and cope with it.

This study uses qualitative methods by applying purposive interviews to engage informants. Data were gathered from 38 residents of Al-Juhfa village, Saudi Arabia. A content analysis of the data collected was used.

Findings indicate that residents who perceived they might lose resources (land, houses, heritage, sociocultural and Islamic values and job and investment opportunities) due to tourism development had negative emotions and attitudes towards tourism development. This led a group of residents to resist development and not allow tourists to enter the village. Without tourism knowledge and skills, the residents are worried they may lose control of their resources. Religiosity was a factor that helped to cope with the negative emotions, and other coping actions included accepting displacement with compensation, allowing foreign workers to enter the village with conditions and accepting development with their involvement.

The limitations of the current study are that the data were gathered for the duration of the COVID-19 outbreak when residents were highly anxious and still feeling fear; these feelings could have influenced the responses. Secondly, the data were collected through hardcopy surveys using close- and open-ended questions. Therefore, these data might be limited, as the topic and questions were politicaly sensitive, and the informants might not have completely expressed their feelings, giving diplomatic answers instead. Therefore, the research should be repeated in different contexts with qualitative data using face-to-face techniques.

Firstly, the residents are concerned about losing their resources, such as land, houses and heritage. The development cannot be fully successful without the involvement and support of the local community. Therefore, the government should help them remain in their village by offering them official permission (sukuk) to retain their land and houses. Secondly, the government can open new residential areas and build homes for the residents within the current village, especially as the village has only a few people. Residential areas, such as a compound with complete services, can be designed as part of the tourist attractions in Al-Juhfa.

The two theories of COR and CA were developed in the western context and used in tourism studies separately in other contexts, especially CA. However, as far as the authors’ concern, this is the first study to use the two theories in one study to explore residents’ emotions towards tourism development. Both theories explained the process of residents’ emotions towards tourism impact and the negative emotional reactions to perceived threats and resultant stress and how residents cope with these emotions. Nevertheless, in the context of Al-Juhfa as a conservative community, these two theories are not the only factors that explain the residents’ emotional response and attitude, instated that the residents’ religiosity and their belief in Allah is also an important determinant that explains their emotions and attitude towards tourism’s impact on their village and community.

本研究通过目的性访谈采用了定性研究方法。数据来自沙特阿拉伯 Al-Juhfa 村的 38 位居民。对收集的数据进行了内容分析。

这项研究探讨了居民对旅游发展的情感反应, 以及旅游资源的预期损失或收益如何影响他们的态度和行动。该研究扩展了资源保护（COR）理论, 通过使用认知评估（CA）理论来解释为什么沙特这个村庄的居民会因旅游业发展而感到有压力和体验负面情绪, 以及他们如何反应和应对。

研究结果表明, 那些认为可能因旅游业发展而失去资源（土地、房屋、遗产、社会文化和伊斯兰价值观以及工作和投资机会）的居民对旅游业发展有负面情绪和态度。这导致一群居民抵制发展, 不允许游客进入村庄。没有旅游相关的知识和技能, 居民担心他们可能会失去对资源的控制。宗教信仰是帮助应对负面情绪的一个因素, 其他应对措施包括接受搬迁补偿, 允许外国工人有条件进入村庄, 以及接受他们参与旅游业的发展。

本研究的局限性在于, 数据是在新冠肺炎疫情爆发期间收集的, 当时居民高度焦虑, 仍然感到恐惧; 这些感觉可能会影响调研反应。其次, 数据是通过使用封闭式和开放式问题的纸质调查收集的。因此, 这些数据可能有局限性。此外, 由于话题和问题带有政治敏感性, 而被访人可能没有完全表达自己的感受, 而是给出了外交答案, 因此, 今后应使用面对面技术在不同的背景下使用定性数据来重复研究。

首先, 居民担心失去土地、房屋和遗产等资源。如果没有当地社区的参与和支持, 旅游发展就不可能完全成功。因此, 政府应该通过向他们提供保留土地和房屋的官方许可（sukuk）来帮助他们留在村里。第二, 政府可以在现有村庄内开辟新的住宅区, 为居民建造住房, 特别是因为该村庄只有少数人。可以将住宅区, 例如服务功能完善的建筑物, 设计为 Al Juhfa 旅游景点的一部分。

COR和CA的两个理论是在西方背景下发展起来的, 并分别用于其他背景下的旅游研究, 尤其是CA。然而, 对我们而言, 这是首次将两个理论用于一项研究中, 以探讨居民对旅游发展的情绪。这两种理论都解释了居民对旅游影响的情绪过程, 以及对感知到的威胁和由此产生的压力的负面情绪反应, 以及居民如何应对这些情绪。尽管如此, 在 Al Juhfa 作为一个保守社区的背景下, 这两种理论并不是解释居民情绪反应和态度的唯一因素, 居民的宗教信仰和对真主的信仰也是解释他们对旅游业对村庄和社区影响的情绪和态度的重要决定因素。

Este estudio utiliza métodos cualitativos a partir de entrevistas dirigidas a residentes. Se recogieron datos de 38 individuos del municipio de Al-Juhfa (Arabia Saudí). Se utilizó un análisis de contenido de los datos recogidos.

Esta investigación explora las respuestas emocionales de los residentes ante el desarrollo del turismo y cómo la pérdida o ganancia de recursos prevista afecta a sus actitudes y acciones. El estudio amplía la teoría de la conservación de recursos (COR) utilizando la teoría de la valoración cognitiva (CA) para explicar por qué los residentes de este municipio de Arabia Saudí se estresan y experimentan emociones negativas debido al desarrollo turístico y cómo responden y lo afrontan.

Los resultados indican que los residentes que percibían que podían perder recursos (tierras, casas, patrimonio, valores socioculturales e islámicos y oportunidades de empleo e inversión) debido al desarrollo turístico tenían emociones y actitudes negativas hacia el desarrollo turístico. Esto llevó a un grupo de residentes a resistirse al desarrollo y a no permitir la entrada de turistas en el pueblo. Sin conocimientos y habilidades turísticas, los residentes temen perder el control de sus recursos. La religiosidad fue un factor que ayudó a sobrellevar las emociones negativas, y otras acciones de afrontamiento incluyeron aceptar el desplazamiento con compensación, permitir la entrada de trabajadores extranjeros al pueblo con condiciones y aceptar el desarrollo con su participación.

Las limitaciones del presente estudio son que los datos se recopilaron durante el brote de COVID-19, cuando los residentes estaban muy ansiosos y seguían sintiendo miedo; estos sentimientos podrían haber influido en las respuestas. En segundo lugar, los datos se recopilaron mediante encuestas impresas con preguntas cerradas y abiertas. Por tanto, estos datos podrían ser limitados, ya que el tema y las preguntas eran políticamente sensibles y los informantes podrían no haber expresado completamente sus sentimientos, dando en su lugar respuestas diplomáticas. En consecuencia, la investigación debería repetirse en contextos diferentes con datos cualitativos utilizando técnicas cara a cara.

En primer lugar, a los residentes les preocupa perder sus recursos, como terrenos, viviendas y patrimonio. El desarrollo no puede tener éxito sin la participación y el apoyo de la comunidad local. Por ello, el gobierno debe ayudarles a permanecer en su pueblo ofreciéndoles un permiso oficial (sukuk) para conservar sus tierras y casas. En segundo lugar, el gobierno puede abrir nuevas zonas residenciales y construir viviendas para los residentes dentro de la aldea actual, sobre todo teniendo en cuenta que la aldea tiene pocos habitantes. Las zonas residenciales, como un complejo con servicios completos, pueden diseñarse como parte de las atracciones turísticas de Al-Juhfa.

Las dos teorías de COR y CA se desarrollaron en el contexto occidental y se utilizaron en estudios turísticos por separado en otros contextos, especialmente en CA. Sin embargo, en esta investigación, éste es el primer estudio que utiliza las dos teorías en un estudio para explorar las emociones de los residentes hacia el desarrollo turístico. Ambas teorías explican el proceso de las emociones de los residentes hacia el impacto del turismo y las reacciones emocionales negativas a las amenazas percibidas y el estrés resultante y cómo los residentes hacen frente a estas emociones. Sin embargo, en el contexto de Al-Juhfa como comunidad conservadora, estas dos teorías no son los únicos factores que explican la respuesta emocional y la actitud de los residentes, ya que la religiosidad de los residentes y su creencia en Alá es también un determinante importante que explica sus emociones y actitud hacia el impacto del turismo en su pueblo y comunidad.