This research presents an innovative perspective on vocational education by merging the Instructional System Design (ISD) model with Innovation in Thailand Vocational Education and Training (InnoTVET) principles. Targeted at nursing students, the course aims to cultivate entrepreneurial skills while connecting vocational training with healthcare policy development. It aligns with global movements in Education for Sustainable Development (ESD), addressing the increasing demand for nurse entrepreneurs who can devise creative healthcare solutions within established policy frameworks. By employing mastery learning techniques alongside design thinking, the course effectively bridges theoretical concepts with practical applications. The mixed-methods study underlines relevant contribution in students’ entrepreneurial mindsets. Results from t-tests reveal the students’ ability to identify opportunities, engage in innovative thinking, and work within policy frameworks. Findings are supported by qualitative data, which demonstrate enhanced confidence, improved problem-solving capacities, and a deeper understanding of healthcare market dynamics. Although expert evaluation of student projects is scheduled for future iterations, the initial outcomes reinforce the course’s success. The course is structured into seven modules spanning 45 hours, featuring active learning components, five business-oriented assignments, and a final innovation project that integrates the curriculum’s core elements. This design ensures students develop both practical expertise and interdisciplinary insights critical to healthcare innovation. The integration of InnoTVET and ISD principles in nursing education sets a precedent for vocational education reform. This example of a successful nursepreneurship initiative provides a scalable model for enhancing vocational programs in diverse fields, fostering innovation and sustainability.

This study aims at exploring the direct impact of positive mental health through 6 factors on quality of life among students with disabilities and diabetes at Saudi universities, as well as the moderating impact of physical fitness on all direct relationships among all variables of the study. Employing a quantitative research methodology, using self-administered surveys distributed to a sample of students with disabilities and diabetes at numerous Saudi Arabian universities. 468 completed surveys were received and subjected to statistical analysis, using PLS-SEM, and the study uncovered significant positive direct relationships between all positive mental health sub factors and quality of life among students. Additionally, the study revealed that physical fitness acts as a moderator in all direct relationships These findings offer valuable insights for universities, in order to develop and implement psychological support and academic adjustments policies ensuring students have access to health and wellness programs, and engage local communities in the creation of policies that can help students with disabilities.

This study explored the competencies required for informal community leaders to effectively promote health within Thai communities, employing an exploratory sequential mixed-methods design. The qualitative phase, comprising in-depth interviews with thirteen community leaders, identified four critical domains of competency: basic health knowledge, communication skills, network building, and cultural awareness. These domains were subsequently validated through second-order confirmatory factor analysis, which confirmed their reliability and construct validity. The findings highlighted the pivotal role of these competencies in enabling community-led health promotion initiatives. This research provides a robust, evidence-based framework to inform the development of training programs, policy strategies, and targeted interventions aimed at enhancing health outcomes within Thai communities.

The COVID-19 pandemic had an adverse impact on the mental health of frontline workers including firefighters. To better understand this occurrence, this cross-sectional study evaluated the prevalence of depression, anxiety, and stress among 105 operational team and elite team firefighters in Kota Bharu, Kelantan State, Malaysia before and after the pandemic. The Depression, Anxiety and Stress Scale-21 (DASS-21), a validated self-reporting survey tool, was used to assess symptoms of depression, anxiety, and stress among the survey respondents. Findings revealed that firefighters had an increased level of anxiety and depression during the post-pandemic period compared to the pre-pandemic period. However, there was a decrease in the stress levels (20%) reported by study participants. Respondents belonging to the operational team had a higher reported level of depression, anxiety, and stress than those from the elite team. This may be attributed the operational team being more exposed to the risk of COVID-19 infection on account of their routine and more voluminous workload. The findings of this study suggest that firefighters, in general, are at an increased risk of mental health problems as a result of the COVID-19 pandemic. Knowing this, it is important to consider these findings when addressing the prevention and management of mental health among firefighters. This includes providing additional support and devoting more resources to those who are most at risk for experiencing symptoms of mental health such as firefighters performing functions aligned with that of an operational team.

This study aimed to assess the influence of awareness and health habituation techniques, student management activities, the role of stakeholders, and the character of healthy living on health independence. The method used in this study is quantitative with descriptive test analysis techniques, partial t statistics and F test. This research was conducted in elementary schools in East Java Province, consisting of 92 elementary schools in 5 regions at East Java. Samples were taken using purposive techniques, and the number of samples was 348 people, consisting of principals, teachers and students. The results found that awareness and health habituation techniques have a significant influence on the character of healthy life of students, student management activities have a significant influence on the character of healthy life, the role of stakeholders has a significant influence on the character of healthy life, awareness and health habituation technique have a significant influence on health independence, student management activities have a significant influence on health independence, the role of stakeholders has a significant influence on health independence, the character of healthy living has a significant effect on health independence, and student management activities and the role of stakeholders have a significant effect on the character of healthy life, and have a significant impact on health independence.

Climate change is causing serious impacts, especially in sub-Saharan Africa, where poverty rates could increase by 2050 if climate and development measures are not taken. The health consequences are diverse and include transmissible and non-transmissible diseases. The objective of this study is to analyze the strategies implemented in health facilities in the Greater Lomé health region to cope with the impacts of climate change. The survey was carried out in 23 health facilities in 2022. It was a descriptive cross-sectional study which was carried out from July to September 2022. Qualitative and quantitative approaches were used. Non-probability sampling method and purposive choice technique were used. Four techniques made it possible to collect the data, namely documentary analysis, survey, interview and observation. The collected data were processed with Excel software and exported to SPSS for analysis. In total, 112 people were surveyed out of 161 planned. According to the results, 52.68% of health facilities did not implement adaptation strategies, 47.32% used adaptive strategies depending on to their means. Strategies exist but at low percentages due to limited technical and financial resources and the insufficiency of innovative policies. These strategies need to be supported in order to make them more effective. The study provides a basis for adopting innovative strategies and encouraging financing for adaptation actions.