Women’s empowerment and food consumption:Evidence from female-headed households in Tanzania

Despite the growing recognition of women’s increasing role in the household and corresponding empowerment programs in sub-Saharan Africa,intensive research on the relationship between women’s influence and household food consumption is minimal.Using the most recent(2017-2018)national household survey data from Tanzania,this study examined the influence of women’s empowerment on household food consumption.First,we compared the monthly consumption of eight food categories between female-headed households(FHHs)and male-headed households(MHHs)using both descriptive statistics and the propensity score matching(PSM)method.Furthermore,we adopted the two-stage Linear Expenditure System and Almost Ideal Demand System model(LES-AIDS)to estimate income and price elasticities for the two household types.The results show that FHHs consume bread and cereals,fish,oils and fats,vegetables,and confectionery(sugar,jam,honey,chocolate,etc.)more than MHHs.Moreover,FHHs have a significantly higher income elasticity of demand for all food groups than MHHs.They are also more price elastic than MHHs in meat,fish,oils,fats,sugar,jam,honey,chocolate,etc.

Exploration of Curriculum Reform in the Context of Digital Empowerment:Taking the“Class Management”Course in the Primary Education Major of Higher Vocational Normal School as an Example

In the era of digital empowerment,the digital reform of higher vocational courses has become an inevitable trend.To explore professional curriculum reform,this study takes the“Class Management”course in the primary education major of higher vocational teachers as the research object,analyzes the importance of digital empowerment to curriculum reform,and discusses the teaching of the“Class Management”course new model and content reform plan.Digital technology empowering traditional courses is a new trend,which is both an opportunity and a challenge.This study aims to explore the application of digital technology in courses and provide certain guidelines for curriculum reform in the field of education.

Empowerment in chronic wound care——exploring the scope for patient contribution

Objective:In this study,we investigated the concept of empowerment in chronic wound care and propose to facilitate patient control by making use of degrees of freedom(DOF):that is,shaping of everyday wound care tasks initiated by patients and based on their wishes,mostly in terms of patients executing treatment steps,requesting or directing health care professionals to under take changes,or modifications of internal states.Methods:As a first step,we conducted a systematic literature search,followed by an inductive form of qualitative content analysis,which resulted in the identification of 5 dimensions as main elements of empowerment:education and shared decision making,adherence to self-care behaviors,responsibility and control,general call for empowerment,and DOF.However,the latter are noticeably absent in the literature.To investigate patients'freedom in shaping the wound care process,we conducted a second literature search.Results:A number of possibilities for patients to influence the wound care process could be identified,but experimental or clinical evidence about their effects is missing,their variety is limited,and they are only inadequately described.Conclusions:However,DOF should be an indispensable aspect of genuine empowerment,since they allow patients to occupy the role of the agent in the treatment process and give rise to the subjective experience of feeling empowered.Thus,in the third part,we develop a research proposal on how to investigate and include DOF in the clinical practice of wound care.Finally,limitations about implementations are discussed(e.g.,patients being reluctant to overcome their passive role,resulting in frustration for health care professionals).

Empowerment of Precise Ideological and Political Education in Higher Education with Educational Digitalization

The study explores how educational digitalization enables the precise development of ideological and political education in colleges and universities.Digital transformation enables colleges and universities to accurately define educational objectives,content strategies,effect evaluation,and process management,and realize the precision and intelligence of ideological and political education.The application of big data technology enhances the data-oriented thinking of teachers and students,promotes the accurate application of data,and improves the efficiency of ideological and political education.The research also prospected a new vision of the digital construction of ideological and political courses and clarified the theoretical and practical path of the implementation and evaluation mode of ideological and political courses under digital empowerment.Education digitalization enables precise ideological and political education,which is a key way to promote the innovative development of ideological and political education in colleges and universities and will strongly support the improvement of the overall quality of higher education and the training of excellent talents.

The Impact of Nurses Recognition, and Empowerment Related to Nurses Job Satisfaction at KFSH-D

Introduction: Nurses’ job satisfaction is referring to the level to which people feel that they are able to have an influence on their workplace. Nurse leaders should use a variety of empowerment strategies that are important to nurses’ job satisfaction. Meanwhile, meaningful recognition for nurses is considered a powerful tool to enhance nurses’ sense of self-efficacy especially facing an emotional challenge that may affect their wellbeing. Aim: The aim of the studies is to analyze the importance of nurses’ recognition, and empowerment towards nurses’ job satisfaction at KFSH-D. Method: This study takes the form of a quantitative research methodology, and descriptive-analytical technique. A questionnaire used to gather data from registered nurses employed at King Fahad Specialist Hospital-Dammam (KFSH-D) about the structural empowerment and nurses’ recognition program impact on their job satisfaction. Following the collection of data, the descriptive statistic used to describe the personal characteristics of the respondents, while inferential statistics used to determine the statistical relationship existing between independent variable job satisfaction and the structural empowerment and nurses’ recognition program among the registered nurses at KFSH-D as dependent variables. Recommendation: The researcher only focuses on the in-patient units, future studies, are recommended to focus on every dimension and category level of units. Apart from that, when looking into job satisfaction and empowerment, to be more specific, the researcher could investigate another dimension by comparing age, and clinical working experience which may provide a depth of understanding of the contribution perception of structural empowerment. Conclusion: The findings of the studies reveal recognition and empowerment are assets to make nurses stay and increase their level of job satisfaction and task assignments.

ChatGPT Fervor:The Empowerments,and Challenges of EST Translation Teaching with Natural Language Models

The development and widespread adoption of new technologies like ChatGPT have had a profound impact on education.This paper discusses how ChatGPT empowers the teaching and learning of technical English translation and sheds light on the negative effects and the challenges it brings.Furthermore,it presents strategies for technical English translation teaching assisted by ChatGPT.

走向重塑权能:empowerment含义的反思性诠释

Empowerment是源于西方社会工作学的概念。基于对追求标的物的不同理解,国内形成了关于empowerment的三种视角,即能力视角、权利视角和权力视角。这三个视角虽然相互分化,但却并不相互断裂,而是在领域、关系和主体等方面具有一定的联结性。从更深一层次看,empowerment中的能力、权利和权力是相互转化的,内含着权能辩证法。从统合角度看,empowerment其实是一个历史性的总体性概念,本质上是在社会转型的情境中,聚焦相对弱势者的发展问题,并通过建立在潜能本体基础之上的能力、权利和权力之间的权能辩证法,推动实现更加均衡、更加公平发展的过程。在此意义上,empowerment可以被理解为重塑权能。

Diabetes empowerment scores among type 2 diabetes mellitus patients and its correlated factors: A cross-sectional study in a primary care setting in Malaysia

BACKGROUND There are limited studies on diabetes empowerment among type 2 diabetes patients,particularly in the primary care setting.AIM To assess the diabetes empowerment scores and its correlated factors among type 2 diabetes patients in a primary care clinic in Malaysia.METHODS This is a cross sectional study involving 322 patients with type 2 diabetes mellitus(DM)followed up in a primary care clinic.Systematic sampling method was used for patient recruitment.The Diabetes Empowerment Scale(DES)questionnaire was used to measure patient empowerment.It consists of three domains:(1)Managing the psychosocial aspect of diabetes(9 items);(2)Assessing dissatisfaction and readiness to change(9 items);and(3)Setting and achieving diabetes goal(10 items).A score was considered high if it ranged from 100 to 140.Data analysis was performed using SPSS version 25 and multiple linear regressions was used to identify the predictors of total diabetes empowerment scores.RESULTS The median age of the study population was 55 years old.56%were male and the mean duration of diabetes was 4 years.The total median score of the DES was 110[interquartile range(IQR)=10].The median scores of the three subscales were 40 with(IQR=4)for"Managing the psychosocial aspect of diabetes";36 with(IQR=3)for"Assessing dissatisfaction and readiness to change";and 34 with(IQR=5)for"Setting and achieving diabetes goal".According to multiple linear regressions,factors that had significant correlation with higher empowerment scores among type 2 diabetes patients included an above secondary education level(P<0.001),diabetes education exposure(P=0.003),lack of ischemic heart disease(P=0.017),and lower glycated hemoglobin(HbA1c)levels(P<0.001).CONCLUSION Diabetes empowerment scores were high among type 2 diabetes patients in this study population.Predictors for high empowerment scores included above secondary education level,diabetes education exposure,lack of ischemic heart disease status and lower HbA1c.

Increase in the functional capacity and quality of life among stroke patients by family caregiver empowerment program based on adaptation model

Purpose:The family caregiver's role is an important influence factor of patient's adaptation behaviour and quality of life after stroke.The purpose of this research was to identify the effect of caregiver empowerment program based on the adaptation model(CEP-BAM)on functional capacity and quality of life of patients after stroke.Methods:This research was a quasi-experimental research with a pre-and post-test control group design.The total participants who completed the research were 80 patients and their families,40 participants in the intervention group and 40 participants in the control group.We conducted home visits to perform the intervention.The measurement of functional capacity and quality of life performed four times(pre-test and three times post-test).Data analysis was performed using the repeated measurement ANOVA or general linear model repeated measure(GLM-RM).Results:This research proves a significant difference in functional capacity and quality of life between the two groups and between pre-test and sixth months after intervention(P<0.05).The quality of life of the intervention group in the sixth month after intervention was better than that of the control group(33.40±3.65 vs 30.60±2.78)with a significant difference(P<0.05).Conclusion:It is concluded that CEP-BAM effectively increased patients'functional capacity and quality of life after a stroke in the sixth month after intervention.

Abusive supervision and turnover intention: Mediating effects of psychological empowerment of nurses

Objective: This study aims to determine the mediating effects of psychological empowerment on abusive supervision and turnover intention as perceived by nurses to provide information to change the status of nurse turnover.Methods: A cross-sectional survey (a questionnaire examining perceptions of abusive supervision,measurement of psychological empowerment,and questionnaire for turnover intention) was used to collect data.A total of 1127 clinical nurses,who were recruited through convenience sampling,participated in the survey.Results: Nurses' average perceived abusive supervision,psychological empowerment,and turnover intention scores were 1.62 ± 0.95,3.24 ± 0.83,and 14.17 ± 3.78,respectively.Psychological empowerment was found to mediate the relationship between abusive supervision and turnover intention (P< 0.01).Turnover intention tends to be stronger and psychological empowerment reduced when nurse managers adopt an abusive leadership style.Conclusions: Nurses' psychological empowerment is an intermediary variable that predicts the relationship between abusive supervision and turnover intention.Nurse managers should manage abusive supervision to increase nurses' psychological empowerment and decrease turnover intention.

An empowerment evaluation framework for national scientific and technical information governance

‘Empowerment’is the result of pursuing special capabilities under a specific value orientation.The changes in related object capabilities triggered by scientific and technical information activities in the new environment are important to the national scientific and technical(S&T)information governance.Based on the empowerment theories and evaluation practices,this study attempts to construct an empowerment evaluation framework for national S&T information governance and takes the participatory technology assessment and Altmetrics methods as examples to demonstrate its advantages:1)The capability changes and development potential are regarded as important basis for evaluation;2)The multi-person participation and multi-indicator comprehensive evaluation method is conducive to the democratic and objective nature of science and technology information governance policy formulation.

Factors Influencing Nursing Students’ Empowerment: A Literature Review

Aim: The purpose of this literature review is to locate the available literature that addresses the factors influencing the nursing students’ empowerment. Background: Nursing students’ empowerment is an essential element to enhance the learning process. Nursing students’ learning experiences in the classroom and in the clinical placement play vital role in their empowerment. Data Source: A review of relevant literature using the following databases: CINAHL, ERIC & EBSCO. Methods: A literature review of, peer-reviewed research, Master/PhD dissertations full text and published on the listed databases between (2003-2019) was done. Results: A final review of 16 studies was included, quantitative and qualitative studies that discussed the factors that may affect nursing students’ empowerment were included in this review. Conclusion: Viewed articles revealed that nursing students’ empowerment may be affected by many factors. According to previous literature and according to the authors’ perspective, the retrieved articles categorized as followings: intrapersonal empowerment, learner orientation to learning, teaching-learning experiences, and the learning environment that influencing the learners’ empowerment.

Family empowerment and quality of life of parents raising children with Developmental Disabilities in 78 Japanese families

Objectives: The families of these children experience distress both at the time of diagnosis and afterward.A top priority is to understand family empowerment,family function,and family members' quality of life (QoL) and to effectively support these families in Japan.The objective of this study was to assess the actual conditions of families living with children having DDs and to explore the factors associated with family empowerment and parents' QoL.Methods: We surveyed ninety-three parents (78 mothers,15 fathers) from 78 families which lived with children with DDs in the capital region of Japan.We assessed two main outcomes using the Japanese versions of the following instruments: Family Empowerment Scale (FES),World Health Organization Quality of Life 26 (WHOQOL26),and other six outcomes.Correlation and multiple regression analyses were conducted.Results: No medication,cooperation with child rearing,assistance from a developmental support center,solved problems related to child rearing,and higher scores in Problem Solving contributed to higher FES scores.Higher WHOQOL26 scores were related to being a full-time housewife,higher self-esteem,no developmental support,a broad emotional support network,higher scores in Problem Solving and Role Function,and lower scores in Affective Reaction and General Function.Conclusions: We revealed that family empowerment and QoL of parents rearing children with DDs in Japan were affected by various subscales of family function and other family attributes.Effective interventions for improving family empowerment and QoL should be researched in the future.

Development of an empowerment model for burnout syndrome and quality of nursing work life in Indonesia

Objectives:This study aimed to develop an empowerment model for burnout syndrome and quality of nursing work life(QNWL).Methods:This study adopted a mixed-method cross-sectional approach.The variables included structural empowerment,psychological empowerment,burnout syndrome and QNWL.The population consisted of nurses who have civil servant status in one of the regional hospitals in Indonesia.The participants were recruited using multi-stage sampling measures with 134 respondents.Data were collected using questionnaires,which were then analysed using partial least squares.A focus group discussion was conducted with nurses,chief nurses and the hospital management to identify strategic issues and compile recommendations.Results:Structural empowerment influenced psychological empowerment(path coefficient=0.440;t=6.222)and QNWL(path coefficient=0.345;t=4.789).Psychological empowerment influenced burnout syndrome(path coefficient=-0.371;t=4.303),and burnout syndrome influenced QNWL(path coefficient=-0.320;t=5.102).Structural empowerment increased QNWL by 39.7%.Conclusion:The development of a structural empowerment model by using the indicators of resources,support and information directly influenced the psychological empowerment of the sample of nurses.As an indicator of meaning,psychological empowerment decreased burnout syndrome.In turn,burnout syndrome,as the indicator of personal achievement,could affect the QNWL.Structural empowerment directly influenced the QNWL,particularly within the workplace context.Further studies must be conducted to analyse the effects of empowerment,leadership styles and customer satisfaction.

Caregiver empowerment program based on the adaptation model increase stroke family caregiver outcome

Objective:Post-stroke disability and psychosocial disorders cause burdens for the families of stroke patients,including physical and financial burdens.The physical and psychological health of family caregivers determines the quality of care they provide to patients.The purpose of this study was to identify the effectiveness of the Caregiver Empowerment Program Based on the Adaptation Model(CEP-BAM)in increasing the family caregiver’s coping ability against various problems and reducing their burden while caring for the stroke patient.Methods:This research was a quasi-experimental study with pre-and post-test control group design.The intervention group received CEP-BAM,while the control group received a conventional intervention in the form of a discharge planning program for family caregivers in the hospital.The samples were caregivers who care for and facilitate the recovery of stroke patients during their convalescence at home.We selected the samples from the population using the stratified random sampling method.The number of samples completed in the study was 40 in the intervention group and 40 in the control group.Measurement of outcome variables(coping and caregiver burden)was carried out 4 times including pre-test before the intervention,post-test 1 at 4 months after the intervention,post-test 2 at 5 months after the intervention,and post-test 3 at 6 months after the intervention.Results:There were significant differences in caregiver’s coping(P=0.016)and caregiver’s burden(P=0.009)in measurements between the two groups.Conclusions:The CEP-BAM interventions were effective in increasing adaptive coping strategies and reducing the burden of caregivers 4 months and continuing 6 months after the intervention.

Family empowerment and associated factors in Japanese families raising a child with severe motor and intellectual disabilities

Objectives:Family caregivers raising children with severe motor and intellectual disabilities(SMID)experience the enormous burden of care.The concept of family empowerment is one of the important assessment indexes of family nursing from the perspective of providing comprehensive support for these families.The objective of this study was to identify the factors associated with the empowerment of families raising a child with SMID in Japan.Methods:We conducted a nationwide questionnaire survey involving 1659 primary caregivers raising a child with SMID through 89 special schools.We assessed the main outcomes using the Family Empowerment Scale(FES).We then conducted a multiple linear regression analysis to reveal the factors associated with family empowerment.Results:In total,1362 primary caregivers were included in our study.Our results show that factors contributing to high FES scores are higher age of the primary caregiver,higher education,greater recognition of regional support,lower childcare burden,higher utilization of home visit services,higher usage of a childcare institution,higher household income,and stronger family bonding.Conclusion:Healthcare professionals should carefully assess the state of family empowerment of the primary caregivers who are younger and those who have low education,low household income,high childcare burden,and fragile bonding with the family.Second,they should encourage such families to use regional support resources for childcare.That is,policy makers should consider ways to promote home visits and institutional services for the care of children with SMID,aiming especially for the provision of well-coordinated care and services.

Transitioning from paternalism to empowerment of farmers in lowincome countries: Farming components to systems

Reasons for the initiation of farming systems/participatory approaches in non-Green Revolution（i.e., in more heterogeneous and less favourable production environments） areas in low-income countries is followed by a discussion of their evolution.Four phases are described along, with a brief description of some of the significant methods in which farmer participation has been sought, accessed and evaluated.They enabled/facilitated the evolutionary process.Although, over the last 40 years there has been a progress in making small-scale farmers much more visible in driving the agricultural research/development agenda through using the four basic stages embodied in the farming systems approach（i.e., descriptive, diagnosis, testing/evaluation and finally dissemination）, much still needs to be done.This leads on to a discussion as to some of the barriers still inhibiting true farmer empowerment and why further, such empowerment is imperative, if the agricultural challenges of this century are to be addressed successfully, namely substantially increasing agricultural productivity in an ecologically sustainable manner.Given the heterogeneity of the production environments and that many identified improvements are likely to be incremental rather than revolutionary in nature, this will require farmers＇ intimate involvement in their identification, evaluation and dissemination.Discussion in the paper recognizes that there is increasing globalization/commercialization of agriculture and is predicated on the need to consider the whole farmer-research-development continuum involving multiple stakeholders（i.e., farmers, scientists, extension workers, input/output service providers and policymakers）.Such a continuum has been explicitly recognized in the operational plans for the recently reformed international agricultural research（i.e., CGIAR） system.The paper concludes with a short discussion on the potential role of formal modelling.

The effect of empowerment education on depression level and laboratory indicators of patients treated with hemodialysis:a meta-analysis

Objective:The objective of this study was to evaluate the effect of empowerment education on depression level and laboratory indicators of patients treated with hemodialysis.Methods:We searched databases including Cochrane Library,Web of Science,Embase,PubMed,Chinese Biomedical Literature Database(CBM),Chinese Academic Journals Full-text Database(CNKI),VIP,and Wanfang.We included all the researches about the application of empowerment education in patients treated with hemodialysis.We used RevMan 5.3 to analyze the data after assessing the quality of researches.Results:We included 10 studies eventually.The results of meta-analysis showed that the self-efficacy[MD=1.10,95%confidence interval(CI;0.71,1.48),P<0.01],depression[MD=-6.94,95%CI(-8.53,-5.34),P<0.01],serum creatinine[Scr;MD=-116.46,95%CI(-171.90,-61.03),P<0.01],albumin[Alb;MD=2.93,95%CI(2.00,3.86),P<0.01],and blood urea nitrogen[BUN;MD=-0.95,95%CI(-1.89,-0.01),P=0.05]in the empowerment education group had significantly statistical difference compared with those in the usual education group.However,there was no significant difference in hemoglobin[Hb;MD=3.03,95%CI(-0.64,6.70),P=0.11]between two groups.Conclusions:Empowerment education can improve the self-efficacy in patients treated with hemodialysis,relieve depression,and improve Scr,Alb,and BUN.However,there is no significant improvement in Hb;it needs further exploration in clinical practice.

Empowerment according to Persons with Severe Mental Illness: Development of the Netherlands Empowerment List and Its Psychometric Properties

Objectives. It is unclear whether and to what extent purportedly empowering practices in mental health care, like rehabilitation programs, recovery-supporting mental health care environments and peer-run services, contribute to the process of empowerment. Several American empowerment questionnaires have been developed in recent years, facilitating the measurement of empowerment outcomes. Given likely major transatlantic cultural differences in a value-sensitive concept such as empowerment, this article describes the development of the Netherlands Empowerment List (NEL) and its psychometric properties. Methods. Patients in Dutch mental health services provided meaning to the empowerment concept from which the NEL was derived. Based on 531 completed questionnaires, analyses in agreement with COSMIN criteria examined aspects of internal consistency, content validity, structural validity, convergent validity, discriminant validity, reproducibility and responsiveness of the NEL. Results. The NEL is a 40-item self-report questionnaire with six subscales: Social support, Professional help, Connectedness, Confidence and purpose, Self-management and Caring community. Internal consistency (Cronbach’s alpha = 0.94), aspects of validity, reproducibility (intraclass correlation = 0.79) and responsiveness were good. Correlation with existing scales was the highest for the Mental Health Confidence Scale (r = 0.78) and the lowest for the Boston Empowerment Scale (r = 0.61). Conclusion. The NEL appears to be a suitable instrument to capture the dimension of empowerment in European mental health settings.

Empirical Study on the Empowerment of Families Raising Children with Severe Motor and Intellectual Disabilities in Japan: The Association with Positive Feelings towards Child Rearing

Background: “Children with severe motor and intellectual disabilities” refers to children with markedly limited activity due to severe overlapping of physical and intellectual disabilities. The physical and mental burden placed on families raising severely disabled children, particularly the primary caregivers, is great in home settings. For families to effectively utilize services and over-come child rearing problems, the families themselves need the “strength” to cooperate with others for the purpose of raising a severely disabled child. The ultimate goal of family support is to enable such families to achieve satisfaction and self-growth in child rearing. Methods: We used a questionnaire to survey 75 primary caregivers to empirically elucidate the empowerment and positive feelings towards child rearing of families raising children with severe motor and intellectual disabilities and the related factors. The t-test and Spearman’s rank correlation coefficient were used to examine the association with bivariates. A multiple regression analysis was conducted for empowerment and positive feelings. Results: Results revealed that life events, livelihood, awareness of social support and the child’s sleep problems were factors related to empowerment. Of these, awareness of social support from outside of the family was found to contribute the most to empowerment. Furthermore, improvement and maintenance of positive feelings towards child rearing reaffirmed the existence of empowerment in addition to reducing negative feelings towards child rearing and ensuring social support. Conclusions: Raising children with severe motor and intellectual disabilities requires specialist knowledge and skills. Support from professionals to empower the entire family is therefore important in order to strengthen positive feelings towards child rearing.