Articles

1) Background: </b>Culture shock is a common experience by internationally educated nurses (IENs) working in foreign countries, characterized by disorientation and discomfort due to distinct norms, values, and rituals. <b>2) Aim</b><b>:</b><b> </b>this study explores culture shock in IENs and explores mitigation techniques to enhance understanding of challenges faced in foreign cultural contexts. <b>3) Method:</b> Using Concept Analysis by Walker and Avant (2019). <b>4</b><b>) Results</b><b>:</b> A total of 20 articles were reviewed. Four major attributes were identified: psychological and emotional impact, communication barriers, acculturation and quality of life, and organizational challenges<b>. 5) Conclusion:</b> This paper explores the challenges faced by nurses from foreign countries due to cultural adjustment and proposes solutions to minimize its effects. It is beneficial for nurses, healthcare organizations, and policymakers, aiming to improve patient care and health outcomes. <b>6) Implication for Practice</b><b>:</b> Addressing culture shock can promote a smooth transition, enhance nurses' experience, and improve their cultural competence. Providing tailored orientation and mentorship programs can help IENs feel supported and empowered, leading to increased job satisfaction, retention rates, and better patient outcomes.

Migrating enterprise policy systems to .NET Core is a key objective of digital transformation in the Insurance IT ecosystem. This change directly addresses strategic drivers: enabling adoption of cloud-first development, resisting market pressure for more flexible and usable enterprise solutions, and preparing for changing demands from regulation and compliance. Phases of operational benefit aligned with risk mitigation form the basis of the migration roadmap, with a strong focus on engaging all relevant stakeholders. Market pressure for a SEAMLESS user experience across ALL applications is a fundamental driver for Investment in digital transformation. Gaps remain in enterprise Operations, where Legislative and regulatory accountability Demand rigid and complex solutions that Liberty has not yet been able to provide. New risk-based capital requirements, Data-Sovereignty controls, Controls for sensitive Data in the Cloud, and new Audit requirements create a long list of challenges for the ecosystem that can no longer be Deferred. At the same time, Cross-organisational integration is becoming more important and integrating partners from the insurance supply-chain requires a much more flexible approach to development and Deployment. These factors combine to generate a credible case for accelerated digital investment with a focus on Migration to Cloud Platforms, with related Risk mitigation, Quality Improvements, and flexibility benefits that close Industry gaps.

Scalable architecture principles for data warehousing are introduced to support population health management and predictive analytics. These principles are validated through the design of an accompanying Data Pipeline that allows the integration of non-traditional data sources, the use of real-time data for descriptive analytics dashboards, and support for the generation of supervised Machine Learning models. Several analytical capabilities have been implemented to exemplify the practical application of the principles, including predictive models for Risk Stratification in health care. Optimal cost-effectiveness and performance considerations ensure the practical relevance of the architectural principles and associated Data Pipeline. In recent years, the availability of Low-Cost Data Storage services and the increasing popularity of Streaming technologies opened new possibilities for the storage and processing of Streaming data on a near-real-time basis. These technologies can help Developing Countries in tackling many relevant issues such as Urban Planning, Environmental Management, Migration Policies, etc. A multi-tier approach combining Cloud-based Storage with Data Warehousing and Data Mining technologies can offer an interesting architecture to exploit Big Data related to populations.

Key business objectives for digital infrastructure cloud adoption are often framed in terms of reducing cost, improving fault tolerance and resilience, simplifying scale, and enabling innovation. Given the critical nature of the financial sector, however, where timeliness and price can significantly determine an outcome, cloud migration in delivery environments demands greater throughput on the critical path and, in many enterprise-scale settings, forgoes hybrid complexity and multi-cloud risks. Nevertheless, slack in system designs does exist; financial institutions enable market functionality—trading, clearing/best execution—despite potentially being able to meet such sets with lower service levels than other verticals. A cloud multi-account structure for sensitive data, for example, naturally limits exposure when combined with observed risk. Fulfilling predictions of elasticity during periods of high demand usually requires support from a dedicated environment (or environments) located nearer to the operations. Components can consequently be allocated on a per-account basis or maintained as shared sink systems to which the dedicated streams write. The automation code can similarly be targeted for dedicated accounts, avoiding the resource constraints that beset such operations during industry events like emergency triage/contact desking.