This research focuses on teaching–learning behavior in the online environment under crisis conditions, such as those caused by COVID-19. Data were collected from 427 participants from Central and Eastern Europe and North and Central Asia. An integrative mixed method design was used, combining components of both qualitative and quantitative research. The research method used was the inquiry based on a semi-structured questionnaire, which combined closed items with open-ended and semi-structured interviews. The quantitative results revealed significant differences between professors and students regarding the self-reported adaptability level, creativity, need for help in online teaching–learning, and collaboration with colleagues for solving problems in the online teaching–learning medium. The opinions of professors do not differ from those of students regarding the advantages, disadvantages, vulnerable areas, and aspects of online education. Thematic analysis, used to analyze the qualitative data, emphasized the participants’ perceptions of online teaching–learning efficiency in crises. Based on the results, it was concluded that the aspects that need to become a priority in online education concern mainly the didactic quality of the learning experience.

Contemporary society, through its challenges, exerts a powerful pressure on its members. Thus, today, more than ever, the student is directly responsible and accountable for its performance, adjusting to the rapidly changing school environment. The competence of self-regulated learning is a key element in trying to be successful students. The present paper comes to find an answer to which aspects of motivation and self-regulation of learning are involved in obtaining the academic performance for the secondary school students in Romania. This study includes 270 secondary school students, aged between 12 and 14 years. Research methods used in this investigation are two surveys based on questionnaires and study of documents. The instruments used were the Academic Self-Regulation Questionnaire and Motivational Strategies for Learning Questionnaire. It was concluded that the competence of self-regulated learning has a strong impact on the level of attainment achieved by students, enhancing the relationship between motivation and performance.

Improving the informed consent process in clinical research is of constant concern to regulatory authorities in the field and presents a challenge for both the specialists and patients involved. Informed consent is a process that should adequately match the complexity of clinical research. In analyzing the behaviour of 68 patients during the informed consent process related to the clinical research performed at Neomed Clinical Center in Brasov, we found that many patients do not ask any questions (35.3%). From those who do, part of the questions (20,6%) referred to general aspects (addressed the form but not the gist) of the clinical trial, some (72,8%) referred to specific aspects of the clinical trial they will attend and others (6,6%) unrelated to the clinical trial. These results suggest a lack of interest, awareness, and understanding of the information presented in the informed consent form. The possible underlying causes of this attitude and its bureaucratic, ethic, and legal implications are discussed.

Global health ethics is a relatively new term that is used to conceptualize the process of applying moral value to health issues that are typically characterized by a global level effect or require action coordinated at a global level. It is important to acknowledge that this account of global health ethics takes a predominantly geographic approach and may infer that the subject relates primarily to macro-level health phenomena. However, global health ethics could alternatively be thought of as another branch of health ethics. It may then relate to specific topics in themselves, which might also include micro-level health phenomena. In its broadest sense, global health ethics is a normative project that is best characterized by the challenge of developing common values and universal norms for responding to global health threats. Consequently, many subjects fall within its scope. Whilst several accounts of global health ethics have been conceptualized in the literature, a concise demarcation of the paradigm is still needed. Through means of a literature review, this paper presents a two-part introduction to global health ethics. First, the framework of ‘borrowed’ ethics that currently form the core of global health ethics is discussed in relation to two essential ethical considerations: 1) what is the moral significance of health and 2) what is the moral significance of boundaries? Second, a selection of exemplar ethical topics is presented to illustrate the range of topics within global health ethics.

BackgroundThe main objective of this cross sectional study was to assess the psychometric properties of a new research instrument. The secondary aim was to analyze patients’ levels of dissatisfaction with the professionalism of medical staff.MethodsA social survey questionnaire was created and administered online. The instrument consisted of two scales: the 30-item patient dissatisfaction scale and the 10 items institutional scale. In this article, we assessed only the patient dissatisfaction scale. The research population includes 1838 subjects. The statistical procedures used were descriptive statistics, Pearson’s correlation, and factorial analyses with the SPSS.19 software. The internal consistency of the instrument was determined using the Cronbach’s alpha coefficient. We used a principal component analysis to investigate the factorial validity of the scale.ResultsThe patients’ scale of dissatisfaction obtained an alpha Cronbach score of 0.81. Three latent factors corresponding to three dimensions of dissatisfaction emerged from the data: medical staff’s ability to communicate, medical staff’s hygiene, as well as sanitary and privacy conditions within the hospital. The first factor explained 43.47% of the variance in patient dissatisfaction, the second factor explained 10.24%, and the third factor explained 7.59%; overall, the three factors explained 61.30% of the total variance.ConclusionThe Romanian healthcare system has an organization and management structure which has shown few changes since the communist period. Our study indicates that although more than 25 years have passed since the political regime changed in Romania and the introduction of a different system of social care, there have been no corresponding changes in the medical staff’s mentality or in the way that patients are approached. The present assessment of patient dissatisfaction is not a strictly theoretical exercise; it also represents a valuable instrument for healthcare system management.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2412-z) contains supplementary material, which is available to authorized users.