Management of Quality, Satisfaction, and Loyalty of Rural Destinations

Tourism is a major global industry that, in its heyday, has become significantly concerned with quality and related themes, satisfaction and loyalty. This chapter aims to identify the factors that influence the quality of a rural destination and the associated visitor satisfaction and loyalty. These factors in turn have an impact on destination management, but also other stakeholders such as tourism entrepreneurs in the destination or residents. In 2020, tourism has undergone significant changes due to the pandemic caused by the SARS-CoV-2 virus. For instance, travel abroad was regulated through government regulations, which caused an increase in demand for rural tourism. As the author's research has shown, some quality factors have undergone significant changes. Even the quality management to achieve visitor satisfaction and loyalty has proven to be very important, especially in the sense that by gaining loyalty at this specific time, it can ensure that visitor numbers are maintained even after the pandemic period when the return of and high growth in overseas travel is expected.

The motivation of the Chinese post-90s generation for travelling abroad

<p>There is well-documented research on tourism motivation in tourism literature. But till now, there is limited research of tourist motivation on Chinese youth travel group, who is so-called the Chinese post-90s generation. They are unique compared to other generations in China and has gradually been a group that received great public attention. Their thoughts and behaviours are bearing the brand of the Chinese era and also showing the characteristics of the modern Chinese generation. Therefore, this study based on the Chinese social background investigates Chinese youth tourists’ motivation for travelling abroad, focusing on the Chinese post-90s generation. In this study, a questionnaire survey was conducted among Chinese post-90s generation who came from major cities in China and had at least one or more overseas experiences. The research finds that the important motivational factors influencing the Chinese post-90s generation’s overseas travel include: self-development and relationship; novelty; escape and relaxation. Besides, this research finds that social variables which reflect China’s social changes have significant impacts on the Chinese youth tourists’ overseas travel motivation. These findings not only complement the deficiencies of the existing research on the tourist motivation of Chinese travellers but also provide important reference about Chinese youth tourism for tourism marketers and stakeholders who will deal with this potential tourism market.</p>

The motivation of the Chinese post-90s generation for travelling abroad

<p>There is well-documented research on tourism motivation in tourism literature. But till now, there is limited research of tourist motivation on Chinese youth travel group, who is so-called the Chinese post-90s generation. They are unique compared to other generations in China and has gradually been a group that received great public attention. Their thoughts and behaviours are bearing the brand of the Chinese era and also showing the characteristics of the modern Chinese generation. Therefore, this study based on the Chinese social background investigates Chinese youth tourists’ motivation for travelling abroad, focusing on the Chinese post-90s generation. In this study, a questionnaire survey was conducted among Chinese post-90s generation who came from major cities in China and had at least one or more overseas experiences. The research finds that the important motivational factors influencing the Chinese post-90s generation’s overseas travel include: self-development and relationship; novelty; escape and relaxation. Besides, this research finds that social variables which reflect China’s social changes have significant impacts on the Chinese youth tourists’ overseas travel motivation. These findings not only complement the deficiencies of the existing research on the tourist motivation of Chinese travellers but also provide important reference about Chinese youth tourism for tourism marketers and stakeholders who will deal with this potential tourism market.</p>

Beyond the Wards: Exploring the personal accounts of three New Zealand nurses during the Great War in Egypt

<p>Drawing upon the primary accounts of three Great War nurses – Mildred Salt, Louisa Higginson and Daphne Rowena Commons – who all served in the Mediterranean and Middle East, this thesis explores the theme of identity – gender identity, colonial identity and ‘tourist identity’. I argue that the nurses’ writing challenges the popular perception of nursing as a traumatic loss of innocence, which has been largely drawn from published works of volunteer nurses rather than professionals. The three nurses in this thesis spent very little time, if any, documenting what they witnessed in the wards. Their entries dispute the romantic notions presented in popular literature or propaganda posters used throughout the empire, which presented the nurses as young, innocent and beautiful and standing at the bedside of a wounded soldier. The first chapter examines the nurses’ identity as tourists. Overseas travel was a new experience for these nurses, and their experiences of the ‘Home’ culture of London and the exoticism of Egypt feature frequently in their diary entries and letters. Their responses were diverse, but common themes emerge. Many of the tensions the nurses experienced stemmed from their unusual position in the empire as women voters with a pioneering heritage. The second chapter will examine the two perceptions of ‘colonial’ – the positive and negative perception. The former was used by the British as a means of putting New Zealand nurses in their place. The latter formed when the nurses were treating New Zealand patients in hospital, acting as a physical and mental connection to home. The third chapter asks how the greater autonomy women possessed, due to their colonial lifestyle, influenced the nurses’ campaign for their right to serve overseas. The fourth, and final, chapter will explore how the nurses negotiated the traditional notions of womanhood whilst in the masculine environment of war. Not only did they face opposition from some military officials who believed war was no place for women, they observed and critiqued the behaviour of other women. Through exploring the diaries and letters of three New Zealand nurses, this thesis provides a more complex view of the experiences of almost 600 New Zealand professional nurses who were stationed overseas during the war.</p>

Beyond the Wards: Exploring the personal accounts of three New Zealand nurses during the Great War in Egypt

<p>Drawing upon the primary accounts of three Great War nurses – Mildred Salt, Louisa Higginson and Daphne Rowena Commons – who all served in the Mediterranean and Middle East, this thesis explores the theme of identity – gender identity, colonial identity and ‘tourist identity’. I argue that the nurses’ writing challenges the popular perception of nursing as a traumatic loss of innocence, which has been largely drawn from published works of volunteer nurses rather than professionals. The three nurses in this thesis spent very little time, if any, documenting what they witnessed in the wards. Their entries dispute the romantic notions presented in popular literature or propaganda posters used throughout the empire, which presented the nurses as young, innocent and beautiful and standing at the bedside of a wounded soldier. The first chapter examines the nurses’ identity as tourists. Overseas travel was a new experience for these nurses, and their experiences of the ‘Home’ culture of London and the exoticism of Egypt feature frequently in their diary entries and letters. Their responses were diverse, but common themes emerge. Many of the tensions the nurses experienced stemmed from their unusual position in the empire as women voters with a pioneering heritage. The second chapter will examine the two perceptions of ‘colonial’ – the positive and negative perception. The former was used by the British as a means of putting New Zealand nurses in their place. The latter formed when the nurses were treating New Zealand patients in hospital, acting as a physical and mental connection to home. The third chapter asks how the greater autonomy women possessed, due to their colonial lifestyle, influenced the nurses’ campaign for their right to serve overseas. The fourth, and final, chapter will explore how the nurses negotiated the traditional notions of womanhood whilst in the masculine environment of war. Not only did they face opposition from some military officials who believed war was no place for women, they observed and critiqued the behaviour of other women. Through exploring the diaries and letters of three New Zealand nurses, this thesis provides a more complex view of the experiences of almost 600 New Zealand professional nurses who were stationed overseas during the war.</p>

Tourism as a Career in Malaysia: Stakeholders' Perceptions

<p>This thesis examines the perceptions of tourism as a graduate career from the view of key stakeholders of tourism - the government, industry, educators and students. It aims to understand what key tourism stakeholders in Malaysia do in promoting tourism as a graduate career, and how students perceive tourism as a career option. The literature suggests that the issue of perceptions of tourism as a career be investigated from the perspective of key stakeholders. Hence, a stakeholder-inclusive approach in tourism human resource development is suggested as a measure to address the skilled labour shortage in tourism and the needs of various stakeholders. An analytical framework has been developed in this thesis to illustrate the relationships and gaps amongst stakeholders and how they view tourism as a graduate career in Malaysia. A total of 11 semi-structured interviews were conducted with senior officials from relevant Ministries, industry bodies, a major employer, and directors of tourism management programs at two public universities and two polytechnics in Malaysia. In addition to that, a questionnaire survey was conducted with 193 final year students of tourism management programs at the same tertiary institutions. The qualitative data was coded into prominent themes while the quantitative data was analyzed using SPSS. This thesis found that the shortage of skilled labour is one of the issues faced by the stakeholders, due to the industry offering low level positions. The government believes that current policies in promoting tourism careers to students were adequate but the industry and educators feel that government does not provide adequate information about career paths in tourism for students. This thesis also discovered that students have generally positive perceptions of tourism as a career. Variables like level of education, willingness to choose a tourism program and overseas travel experience are significant, while the size of the employer, work experience in tourism, and the roles of family and friends working in tourism do not have an influence on students' career-related decisions. All stakeholders play a role in promoting tourism as a career to students but some measures have also been suggested to promote it more effectively.</p>

Tourism as a Career in Malaysia: Stakeholders' Perceptions

<p>This thesis examines the perceptions of tourism as a graduate career from the view of key stakeholders of tourism - the government, industry, educators and students. It aims to understand what key tourism stakeholders in Malaysia do in promoting tourism as a graduate career, and how students perceive tourism as a career option. The literature suggests that the issue of perceptions of tourism as a career be investigated from the perspective of key stakeholders. Hence, a stakeholder-inclusive approach in tourism human resource development is suggested as a measure to address the skilled labour shortage in tourism and the needs of various stakeholders. An analytical framework has been developed in this thesis to illustrate the relationships and gaps amongst stakeholders and how they view tourism as a graduate career in Malaysia. A total of 11 semi-structured interviews were conducted with senior officials from relevant Ministries, industry bodies, a major employer, and directors of tourism management programs at two public universities and two polytechnics in Malaysia. In addition to that, a questionnaire survey was conducted with 193 final year students of tourism management programs at the same tertiary institutions. The qualitative data was coded into prominent themes while the quantitative data was analyzed using SPSS. This thesis found that the shortage of skilled labour is one of the issues faced by the stakeholders, due to the industry offering low level positions. The government believes that current policies in promoting tourism careers to students were adequate but the industry and educators feel that government does not provide adequate information about career paths in tourism for students. This thesis also discovered that students have generally positive perceptions of tourism as a career. Variables like level of education, willingness to choose a tourism program and overseas travel experience are significant, while the size of the employer, work experience in tourism, and the roles of family and friends working in tourism do not have an influence on students' career-related decisions. All stakeholders play a role in promoting tourism as a career to students but some measures have also been suggested to promote it more effectively.</p>

Giving travel advice in the uncertain age of COVID-19

As restrictions ease and more people holiday overseas, the importance of providing accurate travel health advice increases. Jacqueline Spinks and colleagues provide an overview of current guidance The COVID-19 pandemic has led to a dramatic drop in people travelling to other countries for pleasure; however, now that restrictions across the UK are easing, more people are seeking a break and a long-awaited holiday overseas. Practice nurses are uniquely placed to provide travel advice not just in relation to COVID-19 requirements and restrictions, but also to remind travellers of the importance of being prepared for all other communicable diseases and travel-related hazards. This article aims to provide a summary of the latest and up to date information in England (links to guidance covering the Devolved Administrations of Scotland, Wales and Northern Ireland are found in Box 1 ) and covers a summary of COVID-19, current guidance on travel during the pandemic, information about pre-planning for overseas travel, return from travel and information about being identified as a contact during travel, general travel advice; and ends with links to the most relevant guidance and information available.

Clinical Characteristics of Patients with Coronavirus Disease 2019 (COVID-19) in a Teaching Hospital in Malaysia

Introduction: Information on the clinical characteristics of local patients with confirmed COVID-19 is limited. This study aims to report the clinical characteristics of 147 patients admitted and receiving treatment at a teaching hospital. Methodology: Patients’ socio-demographic and epidemiological data, clinical features, laboratory findings and clinical outcomes were extracted using a data sheet. Results: The median patient age was 25 [interquartile range (IQR)] 20–44) years, and most of patients were male (68.7%) and of Malaysian nationality (88.4%). Almost half of the patients were from a case cluster related to a religious event (48.3%) and 12.9% had a history of overseas travel. A total of 33.3% of patients were not related to any case cluster, i.e. sporadic cases. Radiological investigation showed that 13.6% of the patients had chest X-ray changes and all laboratory parameters were within the normal ranges. Sixty-six patients (44.9%) experienced symptoms. The most common symptoms were rhinitis (66.7%), followed by fever (19.7%) and cough (15.2%). Age, gender, case cluster, comorbidity status, haemoglobin, albumin, total protein, bilirubin total and alkaline phosphatase level were associated with symptomatic status. Conclusions: In this single-centre study, COVID-19 infection led not only to case clusters, but also to sporadic infections, with patients being either symptomatic or asymptomatic. These sporadic cases and asymptomatic patients may hamper effective contact tracing, leading to rapid human-to-human transmission in our population. Future studies on the prevalence and clinical significance of asymptomatic and presymptomatic COVID-19 patients would pre-emptively address issues on further containment of the pandemic.

Bacteraemia, antimicrobial susceptibility and treatment among Campylobacter-associated hospitalisations in the Australian Capital Territory: a review

Background Campylobacter spp. cause mostly self-limiting enterocolitis, although a significant proportion of cases require hospitalisation highlighting potential for severe disease. Among people admitted, blood culture specimens are frequently collected and antibiotic treatment is initiated. We sought to understand clinical and host factors associated with bacteraemia, antibiotic treatment and isolate non-susceptibility among Campylobacter-associated hospitalisations. Methods Using linked hospital microbiology and administrative data we identified and reviewed Campylobacter-associated hospitalisations between 2004 and 2013. We calculated population-level incidence for Campylobacter bacteraemia and used logistic regression to examine factors associated with bacteraemia, antibiotic treatment and isolate non-susceptibility among Campylobacter-associated hospitalisations. Results Among 685 Campylobacter-associated hospitalisations, we identified 25 admissions for bacteraemia, an estimated incidence of 0.71 cases per 100,000 population per year. Around half of hospitalisations (333/685) had blood culturing performed. Factors associated with bacteraemia included underlying liver disease (aOR 48.89, 95% CI 7.03–340.22, p < 0.001), Haematology unit admission (aOR 14.67, 95% CI 2.99–72.07, p = 0.001) and age 70–79 years (aOR 4.93, 95% CI 1.57–15.49). Approximately one-third (219/685) of admissions received antibiotics with treatment rates increasing significantly over time (p < 0.05). Factors associated with antibiotic treatment included Gastroenterology unit admission (aOR 3.75, 95% CI 1.95–7.20, p < 0.001), having blood cultures taken (aOR 2.76, 95% CI 1.79–4.26, p < 0.001) and age 40–49 years (aOR 2.34, 95% CI 1.14–4.79, p = 0.02). Non-susceptibility of isolates to standard antimicrobials increased significantly over time (p = 0.01) and was associated with overseas travel (aOR 11.80 95% CI 3.18–43.83, p < 0.001) and negatively associated with tachycardia (aOR 0.48, 95%CI 0.26–0.88, p = 0.02), suggesting a healthy traveller effect. Conclusions Campylobacter infections result in considerable hospital burden. Among those admitted to hospital, an interplay of factors involving clinical presentation, presence of underlying comorbidities, complications and increasing age influence how a case is investigated and managed.