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Antimicrobial resistance remains a pressing global challenge, driving efforts worldwide to reduce antibiotic consumption and mitigate its emergence and spread. The aim of this study was to describe how utilizing antibiotics for children under five years of age in the Democratic Republic of the Congo (DRC) is experienced by various healthcare providers. A phenomenographic approach was employed to analyse data from individual interviews with 14 healthcare workers of the Eastern DRC, including medical doctors, nurses and practicing pharmacists. Two overarching themes with their corresponding categories emerged: \"Factors influencing antibiotic use\" and \"Operating within a weak healthcare system\". Healthcare providers consistently described widespread self-medication practices in children, driven largely by financial constraints within the population. Although many providers recognized the risks associated with inappropriate antibiotic use, their decisions were heavily influenced by systemic limitations and community expectations. A major concern raised was the increasing failure of antibiotics in treatment. This study highlights the complex factors shaping antibiotic use and prescription practices in Eastern DRC, where healthcare workers operate within a fragmented healthcare system. Addressing antibiotic resistance in such settings requires coordinated local and global efforts focused on promoting responsible antibiotic use, strengthening healthcare infrastructure, providing continuous education, establishing national guidelines, and improving community awareness and access to quality care.

Background Design is essential to the engineering profession and plays a crucial role in preparation for future practice. Research investigating variations of how professional designers experience, give meaning to, and approach design can inform the ways we characterize, assess, and facilitate design learning. This may also have significant implications for preparing future engineering professionals to collaborate within and across disciplines. Purpose (Hypothesis) The goal of the study was to reveal and investigate critical differences in how designers from within and outside of engineering disciplines understand what it means to design, and how those understandings are evident in their approaches to and progression through design work. Design/Method A qualitative research approach called phenomenography was used to investigate critical variations in how individuals experience and understand design. Twenty practicing designers were interviewed regarding their design experiences, how they approach design, and the ways they understand design. Conclusions Six qualitatively distinct lenses on how individuals across disciplines experience and come to understand design emerged, comprising a phenomenographic “outcome space.” These include design as (1) evidencebased decision‐making, (2) organized translation, (3) personal synthesis, (4) intentional progression, (5) directed creative exploration, and (6) freedom. Theoretical implications include an understanding of how design skills and knowledge come together to form a design approach, while practical implications emphasize structuring variation‐based reflection, which can facilitate common ground as a result of recognizing differ “design lenses.”

Artificial intelligence (AI) education for K-12 students is an emerging necessity, owing to the rapid advancement and deployment of AI technologies. It is essential to take teachers’ perspectives into account when creating ecologically valid AI education programmes for K-12 settings. However, very few studies investigated teacher perception of AI education. Phenomenography is an empirical research method that was widely used to understand teacher’s interpretive understanding of new phenomenon, in this study, the teaching of AI in secondary school. Therefore, the present study investigated teachers’ conceptions of teaching AI using a phenomenographic approach. Twenty-eight in-service teachers from 17 secondary schools in Hong Kong were invited to participate in an interview after implementing an AI curriculum. Six categories of teacher conceptions were identified: (1) technology bridging, (2) knowledge delivery, (3) interest stimulation, (4) ethics establishment, (5) capability cultivation, and (6) intellectual development. The hierarchical relationships of the six concepts were organised as an outcome space. The space shows a range of surface to deep conceptions and offers an understanding of how teachers perceive AI education through their teaching experience. Two learning paths have been suggested for cultivating technical and non-technical teachers for teaching AI. These learning paths provide insights for teacher educators and policymakers to enhance teachers’ competence in teaching AI and promote general AI education for K-12 students.

What we hope for has a large impact on how we feel and behave. Research on the determinants and effects of a hopeful disposition is increasing in several academic fields, such as psychology, nursing and organizational studies. However, how hope is defined differs significantly between disciplines, leading to fragmentation in the insights that we can draw from this research. This systematic review aims to provide an extensive overview of the ascribed characteristics of the concept of hope in ten different academic fields. Using phenomenographic research methods, these characterizations are collected and categorized to offer a comprehensive conceptual framework of hope. The resulting framework comprises 7 themes and 41 sub-themes. We show how this framework can be used to obtain a fuller understanding of the concept of hope and of possible blind spots within specific research fields.

This paper reports on a phenomenographic study investigating former grade 12 STEM students’ conceptions of online learning during COVID-19 pandemic. Purposive sampling was employed in selecting participants who were enrolled in a private school in Laguna, Philippines that formally implemented a fully online learning setup for SY 2020-2021. By using semi-structured interviews, results conveyed an outcome space comprised of nine (9) core categories of description: 1) online learning marred with unfavorable sentiments, 2) online learning plagued by technical barriers, 3) online learning accentuated the use of online tools, 4) online learning provided aberrational learning experiences, 5) online learning hampered by the learning environment, 6) online learning adversely affected students’ well-being, 7) online learning reaffirmed the importance of social interactions, 8) online learning exhibited unsatisfactory perceptions to teaching, and 9) online learning exhibited dissatisfaction towards institutional support. Within each core category, a variety of subcategories fulfilled the anatomy of experience and describing the complexity of the relation between STEM students and online learning during COVID-19 pandemic. Analysis of all core categories of description revealed a generally unfavorable and unenthusiastic view of online learning during COVID-19 Pandemic, with ‘online learning provided aberrational learning experiences’ as the most prominent core category of description, emphasizing how the deviation from the normal setup adversely affected their learning experiences. Findings revealed in this study can be beneficial in formulating future policy changes and bases of interventions to improve the conduct of online learning and provide a more effective pandemic response in the educational system.

Background Design is a central and distinguishing activity of engineering and one of the core criteria for evaluating and accrediting engineering programs. Design is also a subject area that poses many challenges for faculty, and incorporating human‐centered design approaches—approaches in which designers have as a focus the people they are designing for—poses additional challenges. Human‐centered approaches to design contribute to innovations in engineering design and have been shown to increase productivity, improve quality, reduce errors, improve acceptance of new products, and reduce development costs. In today's globally competitive economy, it is more important than ever to develop effective design skills within the undergraduate years. Purpose (Hypothesis) Before effective design learning experiences to develop the skills needed for human‐centered design can be created, an understanding of the ways in which students understand and experience human‐centered design is needed. This study addresses this need by investigating the qualitatively different ways in which students experience human‐centered design. Design/Method A phenomenographic framework was used to guide the methodology of the study while the literature and research on human‐centered design informed the construction of the study and provided ways to interpret the data and situate the findings. Thirty‐three student designers from a variety of academic contexts were interviewed using a semi‐structured, open‐ended approach in which they discussed concrete experiences “designing for others,” and reflections and meanings associated with those experiences. Results Analysis of the data yielded seven qualitatively different ways in which the students experienced humancentered design; these seven categories of description formed a two‐dimensional outcome space. Five of the categories were nested hierarchically. From less comprehensive to more comprehensive, those categories included: Human‐centered design as “User as Information Source Input to Linear Process,” “Keep Users' Needs in Mind,” “Design in Context,” “Commitment” and “Empathic Design.” Two categories represented ways of experiencing human‐centered design that were distinct: design was not humancentered, but “Technology‐Centered” and human‐centered design was not design, but “Service.” Conclusion This study found that i) students' understanding of the user and ii) their ability to integrate that into their designs are related in the development of more comprehensive ways of experiencing human‐centered design, and a conception of both aspects is needed. Furthermore, critical or immersive experiences involving real clients and users were important in allowing the students to experience human‐centered design in more comprehensive ways.

Children are already learning at birth, and they develop and learn at a rapid pace in their early years. This provides a critical foundation for lifelong progress, and the adults who provide for the care and the education of young children bear a great responsibility for their health, development, and learning. Despite the fact that they share the same objective - to nurture young children and secure their future success - the various practitioners who contribute to the care and the education of children from birth through age 8 are not acknowledged as a workforce unified by the common knowledge and competencies needed to do their jobs well. Transforming the Workforce for Children Birth Through Age 8 explores the science of child development, particularly looking at implications for the professionals who work with children. This report examines the current capacities and practices of the workforce, the settings in which they work, the policies and infrastructure that set qualifications and provide professional learning, and the government agencies and other funders who support and oversee these systems. This book then makes recommendations to improve the quality of professional practice and the practice environment for care and education professionals. These detailed recommendations create a blueprint for action that builds on a unifying foundation of child development and early learning, shared knowledge and competencies for care and education professionals, and principles for effective professional learning. Young children thrive and learn best when they have secure, positive relationships with adults who are knowledgeable about how to support their development and learning and are responsive to their individual progress. Transforming the Workforce for Children Birth Through Age 8 offers guidance on system changes to improve the quality of professional practice, specific actions to improve professional learning systems and workforce development, and research to continue to build the knowledge base in ways that will directly advance and inform future actions. The recommendations of this book provide an opportunity to improve the quality of the care and the education that children receive, and ultimately improve outcomes for children.

In this qualitative study, we research what constitutes the relationships between conceptions of quality and value associated with higher education as experienced by prospective employers of business graduates. Quality and value in higher education are often linked though the relationship is unclear. Employers are an important and under-researched stakeholder group on the demand side of higher education. Data are generated by interviewing prospective employers of business graduates from a UK university. Interviews are analysed using a phenomenographic method to determine the qualitatively different ways in which actors make sense of the relationships between quality and value. Understanding prospective employers' conceptions of the relationships is important given the competitive pressures on universities and businesses. The research reinforces the experiential and idiosyncratic relationships between quality and value in higher education. Three conceptions of what constitutes quality and value in higher education are discussed: (a) quality is an antecedent of value; (b) quality is simple while value is complex; and (c) quality is internal to HE while value is created in the customer domain. The research outcomes provide important insights for researchers and practitioners through clearer understanding of how quality and value are related for this important stakeholder group. [Author abstract]

Despite there being many models for how spiritual care should be provided, the way nurses actually provide spiritual care often differs from these models. Based on the premise that the way a person enacts their work role is related to how they understand that role, this study aims to describe the qualitatively different ways that nurses understand their spiritual care role. A convenience sample of 66 American nurses completed an anonymous, online questionnaire about what spiritual care means for them and what they generally do to provide spiritual care. Their responses were analyzed phenomenographically. Four qualitatively different ways of understanding emerged: active management of the patient's experience, responsive facilitation of patient's wishes, accompaniment on the patient's dying journey, and empowering co-action with the patient. Each understanding was found to demonstrate a specific combination of 5 attributes that described the spiritual care role: nurse directivity, the cues used for spiritual assessment, and the nurse's perception of intimacy, the patient, and the task. The findings of this study may explain why nurses vary in their spiritual care role and can be used to assess and develop competence in spiritual care.

There is a large amount of research that indicates that the use of 3DMP in STEM education improves students’ knowledge, motivation, and participation in the learning process. Nevertheless, despite the existing attempts to market 3DMP in education, its adoption in schools remains low. A number of studies with teachers in secondary schools and colleges indicate that teachers’ perceptions of 3DMP are one of the key factors for its successful use. However, to our best knowledge, there is no research that examined STEM upper primary school teachers’ perception on 3DMP. Through phenomenographic approach, this study is seeking to address the existing gaps. Four conceptions of 3DMP teaching emerged: (1) 3DMP as tools for classroom modernization; (2) 3DMP technical and software characteristics’ impact on implementation; (3) 3DMP as a tool for learning and improvement in teaching; (4) 3DMP and students’ professional orientation, teachers’ professional development. These four categories are connected by five key aspects of variation: impact on students, impact on teachers, classroom activity management, authenticity, subject-curriculum matters. The results of our study indicate that the mathematics and science teachers have a more sophisticated opinion on 3DMP than teachers of technical education, engineering, and informatics who mostly require additional training when it comes to using 3DMP in STEM education. Comparatively, science and mathematics teachers need support with implementation of software and 3D printers as a technical tool. Considering that this study’s teachers were early adopters of 3DMP, any future research should explore conceptions of experienced users.