Background Most construction mishaps were caused by scaffolding incidents despite implementing various safety measures, and the association with human factors like fatigue has been widely reported. This study aims to identify all high-risk task sequences involved during the erection of the most commonly used scaffold; the deviation from the standard protocol led to a substandard fatigue state, followed by content validation using the Fuzzy Delphi Method. Methods Qualitative exploration was conducted via focal group discussions (FGDs) involving 30 certified experts. The findings generated from FGDs were further validated by utilising the Fuzzy Delphi Method (FDM) by consulting 19 experts with extensive practical experience and leadership roles in scaffolding safety. Results The FGDs identified a total of 7 constructs and 50 items for task sequences involved in the tubular scaffold erection, namely construct Instruction (3 items), Preparation (3 items), Foundation (10 items), First Lift (8 items), Working Platform (7 items), Guardrails (5 items) and Second Lift (14 items). In the FDM validation process, the experts' consensus for each construct was fulfilled with a threshold value (d) ≤ 0.2; thus, all constructs were accepted. Experts' consensus for all items achieved an expert agreement of 75 % and above. Items ranking was conducted using average fuzzy numbers. The highest average fuzzy number documented was 0.8, while the lowest was 0.588. None of the items with the lowest ranking was discarded as all items perfectly fulfilled the second prerequisite and obtained excellent experts’ agreement. Conclusions The tool generated will help guide the development of a protocol for scaffolding safety management.

Purpose: University academicians are struggling to engage in teaching, supervision, research and publication. The purpose of this paper is to determine how academicians cope with the various burdens of academia work stressors to overcome burnout. Design/methodology/approach: A cross-sectional study was conducted from January to July 2017. In total, 327 research university academicians were selected using a proportional stratified randomized sampling. Validated measures were used to collect data on perceived work stressors (teaching, research, interpersonal conflicts and career development), coping strategies (adaptive and maladaptive coping) and perceived burnout (emotional exhaustion (EE), depersonalization and personal accomplishment (PA)). The data were gathered via computer assisted self-interviewing (CASI). The research statistical model was tested by two-steps of assessment replicating covariance-based structural equation modeling (CB-SEM) with bootstrapping procedure to generalize the sample to the hypothesized model. Findings: Overall data fit the hypothesized model well (CMIN/df=1.788, GFI=0.833, CFI=0.921, TLI=0.916, RMSEA=0.047) with various degree of explanatory value for EE, depersonalization and PA were 60, 49 and 22 percent, respectively. Academicians were resilient against the burden of teaching. However, they did adopt coping mechanisms to overcome research challenges and interpersonal conflicts. The effects of research and interpersonal conflicts on tri-dimensional burnout mediated by maladaptive coping (f 2effect size=0.37) had a larger effect than interpersonal conflicts toward burnout mediated by adaptive coping (f 2 effect size=0.02). Practical implications: Academicians adopt maladaptive coping for research and interpersonal conflicts to suppress burnout. An integrative approach at both organization and individual levels is crucial to enhance appropriate coping mechanism to curb with burnout among the academicians of a research university. Originality/value: This is the first study in Malaysia which uniquely estimate the effects of academician’s work stressors toward burnout with introducing coping strategies as mediators toward work stressors and burnout relationship which has been analyzed via CB-SEM.

The construction industry is recognized as one of the most hazardous industries globally due to the dynamic on site activities and labour-intensive characteristics. The construction tasks are physically and cognitively demanding therefore the construction workers are prone to work fatigue which compromises safety performance. The evaluation of fit for duty, or fitness for work (FFW) aims to determine if workers are at risk of adverse impacts of ill-health, injury or accidents. This systematic review aimed to critically summarize up-to-date measures and evaluation tools that were employed to monitor work fitness or fatigue specifically among construction workers. Adhering with the PRISMA protocol, three databases were searched from the inception to 2022, with a total combination of 37 keywords, concluding to the selection of 20 relevant articles. The Mixed Method Appraisal Tool (MMAT) was used as the guide for the study appraisal. A total of 20 articles were reviewed, published from 2008–2022. Majority of the studies employed experimental design. The review identified the subjective evaluation scales and objective measurement tool. The subjective self-response questionnaires can be categorized into single dimension or multidimension covering both physical and mental fitness; whereas the objective measurement tool can be categorized into physiological metrics, physical and cognitive performance measure. The available scientific evidence has raised the relevant issues for on-site practicality and potentially guide the formulation of evidence-based guidelines for the FFW assessment in the construction industry.

There is a growing trend in complementary and alternative medicine (CAM) usage among the population with medical conditions. However, there is hesitancy for medical practitioners to integrate its application with the current treatment modality, despite governance by the authority. Hence, our objective is to systematically evaluate the healthcare perception towards integrating CAM in their practices. We systematically searched three large and renowned databases i.e., Scopus, Web of Science and PubMed, regarding “Perception on Integrating CAM Usage in Patient's Treatment among Healthcare Practitioners” from 2016 until 2020. At least two independent reviewers comprehensively screened and extracted the data from the accepted articles. A total of 15 studies were included in the final qualitative synthesis following a strict and rigorous assessment checked using MMAT 2018 checklist. The studies included providing the richness of information due to the qualitative nature of the study design. There were three main domains extracted i.e. knowledge, attitude, and perspective of the healthcare practitioner towards CAM integration. Limited knowledge of CAM among healthcare providers may be the possible main reason for non-supportive attitude and negative perspective on CAM. However, those who showed an inclination towards CAM were found to be more open and ready to learn about CAM if it provides benefits to the patients. There is a heterogeneity of perception towards CAM integration from healthcare providers' point of view. A proactive and systematic CAM literacy awareness program may help to improve their understanding and possibly gain more trust in its application