Simulation and Millennials—The Perfect Storm

Simulation in its various forms has developed extensively over the past 15 - 20 years for use in undergraduate nursing programs. The widespread integration of technology-based educational tools into nursing curricula is raising concerns that technology rather than sound philosophically-based pedagogy is informing nursing education. Some believe that educational soundness has been overtaken by a focus on technological prowess. The manikins used in this immersive classroom often breathe, blink, and even speak in response to lecturer-controlled commands. This research explores how Millennials as a generational cohort (18 - 30 years of age) interface with the teaching/learning platform of simulation. This action research study is unfolded in three distinct action cycles involving 161 undergraduate nursing students. Millennial characteristics of confidence, high achievement, team orientation, technology focus, feedback-saturated, and trophy-seeking traits make them especially adept in immersive simulation environment. If supported by appropriate philosophical underpinnings, simulation as a teaching/learning platform has the potential to become the preferred classroom for Millennial nursing students.

Exploring the Importance of Service Quality Attributes for Millennials at Boutique Budget Hotels

Millennials have a high spending power toward travel and therefore,the boutique budget hotel sector has been rapidly developing to attract this target market.However,there is not much information on what Millennials find important in service quality at these hotels,due to which it is pertinent for hoteliers to research and understand their behavior to cater to them accordingly.Therefore,this research investigates which service quality attributes Millennials find the most important in boutique budget hotels.This exploratory study reviews past literature and issuing questionnaire surveys for Millennials.This study explores the service quality dimensions within boutique budget hotels and how the dimensions further influence customer satisfaction and customer loyalty.The results obtained from the exploratory factor analysis revealed five dimensions of service quality,namely,hotel experience,staff experience,device experience,visual appeal perception,and wireless connection.Multiple regression analysis was also applied and showed that these five dimensions had a statistically significant positive influence on customer satisfaction and customer loyal.

Sustainability in Business:A Millennials’Perspective

The detrimental effect mankind has on the planet continues,with its ability to produce far more than it can be consumed,resulting in unmanageable effects to the earth.Achieving a performance advantage while not causing destructive effects is the new challenge.Consequently,considering the UN’s sustainable development goals(SDGs),this study investigated how environmental,social,and governance(ESG)factors could contribute to a better financial performance for multinational companies.Due to the ecological,economic,and social consequences of business,it has never been more important for society to lean towards sustainable practices.As new challenges emerge,new concepts of how to deal with them evolve,including the concept of“sustainable development”as a foundation to management-thinking and decision-making.Private businesses are a key component in achieving the UN’s desired sustainable view,as they can help to fill the$3tn annual investment gap expected to be needed across the next 15 years.As a generation,millennials have a critical role to play in achieving a sustainable future.Millennials are the next group of business-thinkers and decision-makers.Based on research conducted by this study,eight out of 10 London-based millennials acknowledged the private sector has a critical role in helping to achieve a sustainable future for all.However,fewer than three in 10 millennials actually believe that private businesses will take action,instead continuing to place their short-term profitability mindset ahead of sustainability.With a world population of 50%under the age of 30,and with millennials continuing to become more conscious of trends which affect the planet and their future,the expectation of businesses to act sustainably seems to be rising.This study confirmed a multitude of ways to increase business performance sustainably,such as driving sales by targeting consumers’increasing willingness to pay a premium for sustainable goods.A questionnaire supported this approach by confirming that nine out of 10 millennial Londoners acknowledged that action on climate change should be the responsibility of both individuals and private businesses.However,a smaller amount,only four out of 10 millennials surveyed,were willing to contribute by shifting their purchasing-behaviour,to more sustainable products,if prices were higher.Further to this,if a product was found to be unethical,the data collected showed 75%of millennials would take action by looking for a competitor or leaning towards an alternative(30%of those surveyed).Consequently,the results suggest millennials expect the private sector to step up and deliver sustainable products at competitive prices in order to truly help.

Patient Safety Culture Post Covid-19 Pandemic: In Perspective of Millennials Human Capital Issues

Background: Patient safety is the core task of any healthcare business. As medical harm caused by hospitalisation is still on the rise and patient safety culture is a struggle. We aim to determine the nature of patient safety culture in a private hospital and explore some unique human resource problems in Malaysia. Methods: In our case study, we use the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire to measure the 12 dimensions of patient safety culture. The survey received 281 respondents (76% response rate) from all the millennial frontline healthcare providers, including doctors, nurses and allied healthcare providers. The result of the survey was used as the basis to further explore the problems in this hospital. In-depth interviews, observation and document reviews were conducted in relation to human resource problems. This study used IBM SPSS 26 for Windows for statistical analysis and Atlas ti.8 for qualitative analysis of open comments. We used Interpretive Phenomenological Interpretation for analysis of data after triangulation. Results: The overall average positive response rate for the 12 patient safety culture dimensions of the HSOPSC survey was 64%. The result showed that the staff feels positively toward patient safety culture in this hospital. The dimension that received good performance is “Manager expectation”, “Management support for patient safety” and “Organisational learning”. The dimension with the poor performance was “Staffing”, “Frequency of error reporting”, “Teamwork across units”, and “Handoff and transitions”. The open comments indicated inadequate staffing and nursing retention issues. Interviews, observation and document reviews related to staffing reveal high turnover rates among millennial nurses, high overtime and on-call rates, chaotic units with procedures, doctors’ round, admission and discharges mainly in medical and surgical units causing distraction. Poor shared governance is the biggest challenges that need immediate attention post Covid-19 pandemic. Conclusions: The HSOPSC measurement gave valuable insights on patient safety culture in a private hospital in Malaysia. The overall perception of patient safety culture was satisfactory. The poor positive response rate for “Staffing” dimension and the open comments suggests a need for an urgent need for retention and human resource management strategies to prevent brain drain due to high turnover rates, especially among millennial nurses. The key factors causing dissatisfaction and brain drain among nurses are the lack of shared governance.

THE BALD TRUTH——ADD HAIR LOSS TO THE STRESSES FACING MILLENNIALS

Several weeks after starting his job with tech company Tencent,247-year-old Mr.Guo identified a problem:He was losing his hair.He now fears becoming as bald as colleagues who are decades his senior.

Why Does FGOALS-gl Reproduce a Weak Medieval Warm Period But a Reasonable Little Ice Age and 20th Century Warming?

To understand the strengths and limitations of a low-resolution version of Flexible Global Ocean Atmosphere-Land-Sea-ice （FGOALS-gl） to simulate the climate of the last millennium, the energy balance, climate sensitivity and absorption feedback of the model are analyzed. Simulation of last-millennium climate was carried out by driving the model with natural （solar radiation and volcanic eruptions） and anthropogenic （greenhouse gases and aerosols） forcing agents. The model feedback factors for （model sensitivity to） different forcings were calculated. The results show that the system feedback factor is about 2.5 （W m-2） K-1 in the pre-industrial period, while 1.9 （W m-2） K-1 in the industrial era. Thus, the model＇s sensitivity to natural forcing is weak, which explains why it reproduces a weak Medieval Warm Period. The relatively reasonable simulation of the Little Ice Age is caused by both the specified radiative forcing and unforced linear cold drift. The model sensitivity in the industrial era is higher than that of the pre-industrial period. A negative net cloud radiative feedback operates during whole-millennial simulation and reduces the model＇s sensitivity to specified forcing. The negative net cloud radiative forcing feedback under natural forcing in the period prior to 1850 is due to the underestimation （overestimation） of the response of cloudiness （in-cloud water path）. In the industrial era, the strong tropospheric temperature response enlarges the effective radius of ice clouds and reduces the fractional ice content within cloud, resulting in a weak negative net cloud feedback in the industrial period. The water vapor feedback in the industrial era is also stronger than that in the pre-industrial period. Both are in favor of higher model sensitivity and thus a reasonable simulation of the 20th century global warming.

How Perceived Benefits and Barriers Affect Millennial Professionals’ Online Security Behaviors

Over the past decade, there has been an increase in cybersecurity breaches through identity theft, hacking, phishing attacks, and the use of malware such as viruses, worms, or trojans. The breaches have triggered an increase in investment in information security in organizations. As technology continues to improve, the risks of having cybersecurity incidents also increase. Cybersecurity firms reported that in 2016, there were 1209 total breaches with 1.1 billion identities exposed. Most experts agree that human vulnerability is a significant factor in cybersecurity. Most issues related to advanced threats come from human nature and ignorance. For the study, the researcher examined the relationship between Millennial professionals’ perceptions of cybersecurity risks and users’ online security behaviors. The study focused on two elements of perception which are perceived benefits and perceived barriers. The researcher administered a survey to 109 participants randomly selected among Survey Monkey audience members. The Spearman’s correlation test performed supported the analysis of the strength of the relationship and the level of significance between each of the independent variables and the dependent variable. The results from the statistical test provided enough evidence to reject each of the null hypothesis tested in this study. There were significant correlations between each of the independent variables, Perceived Benefits (PBE) and Perceived Barriers (PBA) and the dependent variable Online Security Behaviors (OSB).

Influence of Gender, Race and Generation on College Students’ Exercise Motivation Levels: A Generational Comparison

The purpose of this study was to investigate exercise motivation of a Generation Z sample and to compare exercise motivation between Generation Z and Y. College students from Generation Z (N = 1,457) and Y (N = 2,199) completed the exercise motivation inventory. A two time-point cross sectional quasi-experimental design was implemented for this study. The strongest exercise motivators for Generation Z college students were strength/endurance, ill-health avoidance, and positive health. Generation Z participants scored statistically significantly higher across all subscales of the EMI-2 (exercise motivation inventory-2) when compared to Generation Y. Understanding generational differences in exercise motivation can help in tailoring effective physical activity interventions.

Addressing Burnout: A Narrative Medicine Curriculum for Millennial Medical Students

Medical school is a stressful time for physicians in training and correlates with an increase in rates of burnout.In addition to typical stressors,millennial students in particular may face additional challenges as studies suggest they tend to learn differently than their older counterparts.Teaching medical students’techniques to address burnout,and developing curriculum that addresses social media in medicine,may help students build skills to mitigate burnout during their future careers.Medical educators at the Stritch School of Medicine created a narrative medicine elective for students in their clinical years with this philosophy in mind.Evaluation of the curriculum from pre-and post-elective surveys showed that the elective was effective in addressing symptoms of burnout,specifically emotional exhaustion and depersonalization,and improved student comfort with social media as a medical professional.

Orienting a new generation of nurses: Expectations of the millennial new graduate

Generational diversity provides a unique quandary for nursing leaders and educators to enlist, orient, and retain nurses. Millennials are the largest cohort since the Baby Boomers and the age group from which the nursing profession will build its future workforce. This study examined the experiences of the new graduate nurse of the millennial generation as they navigate orientation in an acute care setting. Using a Web-based survey to conduct the study allowed nurses from across the country to participate while providing easy access to the study questions. Analysis of the data through qualitative content analysis demonstrated a dominate theme of seeking structure while expecting an individualized orientation. The survey also revealed the importance of the preceptor and manager in the perceived success of this generation’s transition and a need to assimilate into the professional role of RN. Recognizing that there is a need to promote a more individualized orientation with improved mentoring for novice nurses and their preceptors is evident and challenges nursing leaders and educators to rethink current practices to retain new nurses. Established roles within the hospital and individual nursing units are changing and traditional strategies for recruitment and retention no longer apply. A structured orientation can facilitate the transition from new graduate to professional nurse and assist in the retention of qualified nurses and ultimately safe patient care.

Threat Perceptions, Avoidance Motivation and Security Behaviors Correlations

As the economy increases its dependence on the internet to increase efficiency and productivity in all aspects of society, close attention has been directed to solve the challenges related to internet security. Despite the large amount of resource invested so far in this area, cybersecurity challenges are still great as the media frequently report new cyber breaches. Although researchers acknowledge that great progress has been made in protecting digital assets, cybercriminals are still successful in their operations which are no longer limited to government entities and corporations but also individual computer users. To improve users’ security posture, the researcher examined the relationship between Millennials’ perceptions of cybersecurity threat, users’ online security behaviors and avoidance motivation. The study focused on three constructs which are Perceived Threat (PTH), Online Security Behaviors (OSB) and Avoidance Motivation (AMO). The researcher administered a survey to 109 participants randomly selected in the United States. The Spearman’s correlation test performed supported the analysis of the strength of the relationship and the level of significance between the independent variable and the dependent variables. The results from the statistical test provided enough evidence to fail to reject the null hypothesis related to relationships between PTH and OSB and to reject the null hypothesis regarding the relationship between PTH and AMO.

Relationship mapping of consumer buying behavior antecedents of secondhand clothing with fuzzy DEMATEL

This paper aims to identify the antecedents of buying behavior for secondhand clothing among millennials,as well as to determine their underlying causal relationships.Upon a comprehensive literature search,a total of 18 antecedents were found,and these are categorized into three motives,namely,economic,hedonic and recreational,and critical.As a case study in the Philippines,a focus group discussion among experts who are active millennial secondhand clothing users and buyers were tasked to identify the antecedents they have experienced and further confirm those extracted from the literature.To establish the causal relationships of these antecedents,categorize them into net causes or net effects,and address the vagueness associated with the decision-making process,a fuzzy DEMATEL method is used.Results reveal that avoidance of conventional channels proves to be the antecedent providing the highest impact among all other antecedents.Uniqueness,high quality,and fashion trend found to be the antecedents with the highest impacts received,making them the major net effects.Findings from this work hope to provide a framework among practitioners that would lead to a better understanding of millennials’buying behavior for secondhand clothing.

Climatic changes on millennial time scales--Evidence from a high-resolution loess record

Studies on a high resolution loess section in Huining County reveal that the behavior of climate shows high instability during the last glaciation. Results reflect that climate in Loess Plateau oscillates on millennial time scales during the last glacial period. These can be teleconnected with the records of Dansgaard-Oeschger cycles and Heinrich events in high latitudes. Results also demonstrate that variations in the intensity of wind regime on the Loess Plateau have a close correlation with the changes of global ice sheets volume. All these suggest that two-level fordngs may drive climate changes in central Asia. The first level is the volume changes of ice sheets and the second level with short time scales is superimposed upon the first level on a nearly global scale.

Asian Monsoon variations on orbital to millennial timescales

With the support of the National Natural Science Foundation of China and Ministry of Science and Technology of China,a team of international researchers led by Prof.Cheng Hai（程海）at the Institute of Global Environmental Change,Xi’an Jiaotong University,have extended the Chinese cave δ18O record

Millennial Trends in Chinese Fashion

Fashion trends of spring and summer 2000 ※Comfort, Casual & Sporty ※Cherishing the Memory of Past Times ※A Mix of Various Local Cultures ※Architectural Style—Deconstructionism ※The Age of Outer