Background: In an increasingly globalized world, public health is a challenge in the future of health systems. Nursing is a fundamental profession in health systems and the purpose of the study is to quantify the scientific production in global public health carried out by nursing to demonstrate its competence, capacity and specialization in this subject. Methods: A bibliometric study was carried out to understand the scientific production of public health nursing in WoS. A total of 17,545 documents were analyzed using Bibliometrix software in version 4.0.5. Results: A notable increase in production is observed over time, a sign of specialization and capacity. The theme focuses on three stages: hygiene and sanitation, infectious diseases and quality, prevention and non-communicable diseases coinciding with the real social needs of each moment. Most of the production is in English and produced by countries with developed economies. Nursing is aligned with current public health needs. Conclusions: Bibliometrics is a good method to quantify scientific production. The results show extensive scientific production in public health nursing, which translates into extensive knowledge of public health by nursing. There is a growth in production in accordance with time as well as an adaptation to the most current themes in accordance with population needs. Public health is an area of concern to countries and nursing can actively participate in studies, planning and leadership of health systems. Public health nursing should not be considered relegated to medicine but independent and of crucial importance to the “Onehealth” concept. Public, private and educational administrations must promote and support nursing research in public health, and it is not advisable to reduce the teaching load of global public health in nursing studies, in favor of the family and community environment.
This study aims to develop and validate a strategic model tailored to the unique challenges and contexts faced by micro, small, and medium-sized enterprises (MSMEs) in Ecuador, enhancing their operational efficiency and access to financing. Employing a quantitative approach, the research utilized a non-experimental, cross-sectional design to gather data from a sample of 358 companies. The study revealed that MSMEs are significantly hindered by limited access to financing, lack of managerial skills, and technological gaps. Despite these challenges, MSMEs demonstrated considerable adaptability and resilience, underscoring their critical role in the local economy. The strategic model proposed leverages Porter’s Diamond Model to identify and address the specific competitive and operational challenges encountered by these enterprises. Key findings include the necessity for enhanced financial literacy, simplified regulatory frameworks, and the integration of digital technologies to improve competitiveness. The proposed model focuses on strategic training, fostering innovation, and creating a more supportive financing environment. The implications of this study are profound, suggesting that policymakers and practitioners should streamline regulatory processes, enhance financial and technological support frameworks, and provide tailored training programs. These strategies are intended to bolster the sustainability and growth of MSMEs, contributing to broader economic development. This research contributes to the academic literature by providing empirical evidence on the challenges faced by MSMEs in developing economies and proposing a contextually adapted strategic model to mitigate these challenges, thereby enhancing their economic impact and sustainability.
A logistics service company in Batam faces challenges related to warehouse load fulfillment and sorting inaccuracies. This study aims to identify proposed efficiency improvements to the goods distribution system using the cross-docking method. The research method chosen is cross-docking, a technique that eliminates the storage process in the warehouse, thus saving time and cost. The research findings show significant benefits, especially in achieving zero inventory efficiency. Data processing and discussion revealed that efficiencies were apparent by increasing the sorting tables from 1 to 6, with an output of 90,000 kg during aircraft loading and unloading (compared to approximately 77,000 kilograms). This efficiency arises from the larger output of the sorting tables compared to the input, eliminating the need for warehousing and adding ten trucks. As a result, the shipment can be completed in one trip, with no goods stored in the warehouse. The analysis shows that implementing cross-docking in the company increases efficiency in distributing goods to forwarding partners.
Rural sub-Saharan Africa faces limited medical access, healthcare worker shortages, and inadequate health information systems. Mobile health (mHealth) technologies offer potential solutions but remain underdeveloped in these settings. This review aims to explore the sociocultural context of mHealth adoption in rural sub-Saharan Africa to support sustainable implementation. A comprehensive Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) search was conducted in databases like PubMed, MEDLINE, and African Journals Online, covering peer-reviewed literature from 2010 to 2024. Qualitative studies of mHealth interventions were included, with quality assessed via the Critical Appraisal Skills Program (CASP) checklist and data synthesized using a meta-ethnographic approach. Out of 892 studies, 38 met the inclusion criteria. Key findings include sociocultural factors like community trust influencing technology acceptance, local implementation strategies, user empowerment in health decisions, and innovative solutions for infrastructure issues. Challenges include privacy concerns, increased healthcare worker workload, and intervention sustainability. While mHealth can reduce healthcare barriers, success depends on sociocultural alignment and adaptability. Future interventions should prioritize community co-design, privacy protection, and sustainable, infrastructure-aware models.
This research presents an in-depth examination of the emotional effects of synchronous hybrid education on undergraduate university students at a pioneering private institution in educational innovation. The study had encompassed all courses that were delivered in a synchronous hybrid format, covering 16 courses and involving 241 students. Each student had been observed and recorded on two separate class sessions, with each recording lasting approximately 30 min. This comprehensive data collection had resulted in 409 recordings, each approximately 30 min in duration, translating to nearly an hour of observation per student across the classes, totaling close to 205 h of recordings. These recordings were subsequently processed using neuroscience software tools for advanced statistical analysis, effectively serving as a comprehensive survey of courses within this modality. The primary focus of the research was on the emotions experienced during both face-to-face and online classes and their subsequent influence on student behavior and well-being. The findings reveal higher emotional time ratios for positive emotions such as joy and surprise in face-to-face students. Notably, both groups exhibited comparable ratios for negative emotions like anger and sadness. The research underscores the emotional advantages of face-to-face interactions, which elicit stronger emotions, in contrast to online students who often feel detached and isolated.
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