Quality Of Service Provision Research Articles

Development of a Framework to Improve the Provision of Water, Sanitation, and Hygiene in Healthcare Facilities of Mwandi District in Western Province

Healthcare facilities (HCFs) require safe water, sanitation, hygiene, environmental cleaning, and waste management (WASH) in the provision of quality services to promote, restore, maintain, and improve health. However, the unavailability of studies on the challenges and opportunities of WASH services in HCFs of Mwandi District has limited the potential for improved health care and quality of life. Without proper elucidation, this has the potency to dissuade women from using HCFs for childbirth and healthcare, potentially increasing maternal mortality rates. To examine the challenges and opportunities in accessing safe WASH services in HCFs in Mwandi District, more of Qualitative techniques were utilized to gather data from 8 HCFs in Mwandi District. This involved initial observations employing the WASH Status Checklist, followed by focus group discussions with expectant mothers and 23 key informant interviews. Thematic analysis was used to analyse the data. The results showed that only half of the investigated facilities provided basic water services, hampered by water salinity issues. Even though most facilities had improved sanitation facilities, they, however, do not meet the basic sanitation standards. This was primarily due to issues such as corroded pipes, insufficient accessible toilets for people with disabilities, and the absence of menstrual hygiene facilities. Many facilities lacked gender-segregated staff facilities. Most of the facilities had functional hand hygiene facilities but also did not meet the basic standards due to a lack of soap for hand washing. A significant number encounter inefficiencies in cleaning protocols, and the majority face poor infrastructure conditions. The findings further revealed that these challenges stem from inadequate prioritization and funding for Water, Sanitation, and Hygiene (WASH) initiatives. The existing knowledge often concentrates on individual components, the findings stress the necessity for an integrated approach that collectively addresses water supply, sanitation, hygiene, and waste management. This holistic perspective can significantly contribute to the development of more effective guidelines and policies, offering a nuanced understanding of the interconnected nature of WASH components. Furthermore, the research sheds light on the pivotal role of localized political will, specifically highlighting the influence of Health Centre Advisory Committees (HAHC) in shaping governance at the community level, especially concerning WASH projects. The study offers a comprehensive overview of challenges and sustainability opportunities related to WASH services, crucial for their effective functioning. It emphasizes the necessity for heightened awareness and increased budget allocation for the sustainable maintenance of WASH services

Testing Construct Validity of the Clinical Supervision Scale in Intensive Care Units at Tertiary Care Hospitals in the Northeast of Thailand

Clinical supervision is the process by which supervisors treat their supervisees through interpersonal relationships to help supervisees develop their knowledge of the ability to perform clinical duties to provide quality service. However, from the literature review, it was found that a tool for assessing supervisors’ clinical supervision has not been clearly developed, especially in the context of the Intensive Care Unit (ICU), which requires close supervision and monitoring of nurses to provide the highest level of safety for patients. Therefore, the research objective was to analyze the construct validity of the clinical supervision scale in the care units of tertiary hospitals in Northeast Thailand. Methods Participants were 234 nurses in intensive care units at tertiary hospitals located in Northeast of Thailand. Data were collected using a questionnaire as perceived by registered nurses based on the framework of Proctor’s model using the 18-item Clinical Supervision Scale. Content validity was explored by seven experts, and the Cronbach’s alpha coefficient for reliability was .967. EFA was conducted to identify factors affecting the function of clinical supervision. CFA was used to ascertain the model fit. Results The EFA showed a three-factor clinical supervision and CFA. The results indicated that the hypothesis model of clinical supervision showed goodness of fit with empirical data throughout the sample (Chi-square = 103.501, df = 100, p-value = .385, CFI = .999, GFI = .955, AGFI= .923, RMSEA =.012). These results were within acceptable ranges, which indicated that the construct validity of the clinical supervision scale in the intensive care unit was consistent with Proctor’s functions: promoting professional accountability and quality control (normative function), skill and knowledge development (formative function), and providing support and personal well-being (restorative function).

A Comparative Study On Service Quality Between Public And Private Sector Banks With Reference To Coimbatore City

Service quality is the delivery of excellent or superior service relative to customer expectation. It is a focused evaluation that reflects the customer’s perception of the specific dimensions of service. Sometimes, as in the case of a pure service, Service quality may be the most critical determinant of customer satisfaction. Providing quality service would mean the art of identifying customer’s needs and excel in them.

The Mechanism of Phased Introduction of Compulsory Health Insurance and Assessment of its Financial Burden

The healthcare financing mechanisms and volumes don’t correspond with the development requirements of the sector. Any state, including RA, needs large-scale financial resources to ensure universal health coverage of the population, train the necessary number and quality of specialists, create centers equipped with the latest medical equipment, and provide quality services. Along with this, the spread of chronic diseases in the country, the aging of the population, and significant out-of-pocket costs require the introduction of a mandatory health insurance system. The main goal of the research is to define the mechanism of the phased implementation of compulsory health insurance and the calculation of the financial burden of each stage of that system, as well as the calculation of the per person annual insurance premium in case of introduction of compulsory health insurance in RA.

Kualitas Pelayanan dalam Pembuatan Surat Keterangan Kependudukan

This research aims to find out how much service quality is achieved in making population certificates in Mekarsari Village, Cikajang District, Garut Regency. In this research, the author uses the SERVQUAL (Service Quality) theory with 5 dimensions, namely tangible, reliability, responsiveness, assurance, and empathy. The method used is descriptive with a quantitative approach. The results of this research show that the quality of service in making population certificates in Mekarsari Village, Cikajang District, Garut Regency, based on the tangible dimension, is in the good category, while the dimensions of reliability, responsiveness, assurance and empathy are in the very good category. Overall, the results obtained from the average calculation for all SERQUAL dimensions were 3.10, which means it is in the very good category. In conclusion, all service activities in making population certificates in Mekarsari Village have been running very well and can provide quality services to the community because the service in making population certificates is quite simple, including the process, completeness and file requirements as well as the costs required. and the time required is also not long Keywords: Service Quality, Mekarsari Village Government, Population Certificate

Association rule mining algorithm implementation for e-commerce in the retail sector

The growth of online trading platforms and the development of market technology have forced businesses to take part in the analysis of client behavior. Therefore, this research aims to analyze customer behavior in the Kyrgyz Republic to enhance supplier's revenue, service quality, and customer satisfaction. This data was analyzed using the apriori algorithm. Results generated 118 rules which revealed strong connections between items and showed up to 61.06% relationship between the consumption of products, suggesting a connection among the considered items. Thus, the association rule highlights the significance of association rule mining in uncovering valuable insights within sales transaction data. These insights can inform targeted marketing efforts, inventory management, and the enhancement of customer experiences and optimize business strategies to meet customer preferences, ultimately fostering growth and competitiveness in the retail sector.

Research on Online Banking Quality Management Requirements

Abstract Due to the fierce competition in online banking, banks need to provide quality services, understand customer needs, and satisfy customers with the quality of services. Only then can the bank attract more customers for transactions and generate higher revenue. This study utilizes Importance Performance Analysis (IPA) to investigate customer satisfaction and emphasize service quality. It establishes priority service quality improvement items and employs the Kano model to assess the service quality of J online banking operators. Identify items for improving efficiency and service quality. The questionnaires for this study will be distributed from October 2023 to November 2023. Respondents will be customers of J online banking operators. A total of 65 questionnaires were distributed, and 56 valid questionnaires were recovered. Online banking operators must prioritize enhancing service quality and improving efficiency to maintain high standards and enhance competitiveness. JEL classification numbers: M10. Keywords: Online banking, IPA, Kano model, Service quality.

A Study on Contributing Factors of IT Outsourcing Satisfaction Financial Service Industry in Hong Kong

This paper aims to identify the critical success factors in Hong Kong Financial Service Industry IT outsourcing satisfaction and propose possible satisfaction rate boosts. A hybrid methodology (qualitative and quantitative) was adopted to analyze the variables and their relationship thoroughly. The six members focus group was formed to discuss IT outsourcing, and the survey was conducted to collect 447 valid responses for data analysis. The six critical success factors were Perceived Information Security Risk, Quality of Service Provider, Contract Management, Internal Contract Experience, Communication and Regulatory Policy, identified to support satisfaction of Hong Kong FSI IT outsourcing after conducting the analysis. Three recommendations are proposed to improve IT outsourcing satisfaction based on the findings of critical success factors: (1) A Build-up of Vendor Evaluation Framework, (2) Enhancement for Knowledge Management, and (3) Enhance Performance Monitoring. The snowball sampling method might have introduced biased information. In future research, a more extensive research scale would be required to understand the whole population, which would be more appropriate for the industry to understand the need and construct any policy. This paper is a holistic approach to identifying factors that affect Hong Kong FSI IT outsourcing satisfaction. In addition, practical recommendations were proposed to improve those factors, thereby increasing the satisfaction rate of IT outsourcing.

Quality of care in mental health services: does patient engagement play a role?

PurposeThe mental healthcare is experiencing an ever-growing surge in understanding the consumer (e.g., patient) engagement paradox, aiming to vouch for the quality of care. Despite this surge, scant attention has been given in academia to conceptualize and empirically investigate this particular aspect. Thus, drawing on the Stimulus-Organism-Response (S-O-R) paradigm, the study explores how patients engage with healthcare service providers and how they perceive the quality of the healthcare services.Design/methodology/approachData were collected from 279 respondents, and the derived conceptual model was tested by using Smart PLS 3.2.7 and PROCESS. To complement the findings of partial least squares (PLS)-based structural equation modeling (SEM), the present study also applied fuzzy set qualitative comparative analysis (fsQCA) to identify the necessary and sufficient conditions to explore substitute conjunctive paths that emerge.FindingsFindings show that patients’ perceived intimacy (PI), cohesion and privacy enhance the quality of mental healthcare service providers. The results also suggest that patients’ PI, cohesion and privacy have indirect effects on the perceived quality of care (PQC) by the service providers through consumer engagement. The fsQCA results derive that the relationship among conditions leading to patients’ perception of the quality of care in regard to mental healthcare service providers is complex and is best reflected as multiple and conjectural causation configurations.Research limitations/implicationsThe findings from this research contribute to the advancement of studies on patients’ experiences by empirically examining the unique dynamics of interaction between consumers (patients) and mental healthcare service providers, thereby enriching both the literature on social interactions and the understanding of the consumer–provider relationship.Practical implicationsThe results of this study provide practical implications for mental healthcare service providers on how to combine the study variables to enhance the quality of care and satisfy more patients.Originality/valueA significant research gap has ascertained the inter-relationship between PI, cohesion, privacy, engagement and PQC from the perspective of mental healthcare service providers. This research is one of the primary studies from a managerial and methodological standpoint. The study contributes by combining symmetric and asymmetric statistical tools in service marketing and healthcare research. Furthermore, the application of fsQCA helps to understand the interactions that might not be immediately obvious through traditional symmetric methods.

Exploring Health Providers' Perspective Regarding the Needs of Adolescent Mothers During Breastfeeding: A Qualitative Study.

The prevalence of breastfeeding is less common among adolescent mothers than adult mothers. These mothers experience various issues during breastfeeding. The present study aimed to explore the normative needs of adolescent mothers during breastfeeding from health care providers' perspective. This qualitative content analysis study was conducted from October 2022 until June 2023. 14 health care providers who had worked in the field of breast milk were purposefully selected with maximum variation. Face-to-face semi-structured interviews were conducted and sampling continued until data saturation. Data analysis was performed using Graneheim and Lundman's method with MAXQDA software version 10. The main concepts obtained from the data were classified into one theme entitled, "comprehensive support", and seven categories including "need to correct wrong traditional beliefs", "educational and counseling needs", "providing quality services", "need for psychological support", "need for protective laws", "financial needs", and "the need for social network support". Adolescent mothers in Iran have various needs during breastfeeding, and they require the assistance of their families, healthcare providers, and the government to fulfill them. Therefore, it is also recommended that policymakers in the health system should design policies to accommodate the requirements of this group of mothers. In addition to policy development in the health system, the infrastructure required for policy and law to be executed should be considered.

The influence of COVID-19 pandemic on the mental health of pharmacists as frontline health care providers in Nepal

BackgroundDue to COVID-19, pharmacists have been exposed to a variety of dangers that have an impact on their mental health. The study highlights that impact of COVID-19 and work led to burnout among them. Thus, it is necessary to offer mental health services. AimsTo assess the impact of COVID-19 on the work of pharmacy professionals and ascertain the extent of the influence of burnout on mental health among pharmacists working as frontline health providers in Nepal. MethodsPharmacists from Province 2, 3, and 5 in Nepal participated in a self-administered questionnaire that assessed mental health and wellbeing and burnout using 16-item OLBI. Data was collected from January 2023–March 2023. Independent sample t-test, one-way ANOVA, Pearson's correlation, and linear regression were employed to identify any significant connections between burnout and mental health and wellbeing. ResultsOut of 243 participants, COVID-19 pandemic and work was found to have a negative impact on the mental health and wellbeing of a 33.7% of pharmacists. Participants reported having financial issues in 41.6% of cases and 9.5% considered leaving the profession and were concerned about the provision of service quality and making mistakes at work. A strong and meaningful positive relationship and linear regression were observed between exhaustion, disengagement, burnout, mental health and wellbeing. Pharmacists working part-time (p < 0.050) in hospital settings experienced burnout as a result of insufficient training, extended working hours, and stress both on and off the job. ConclusionsPharmacists are to prioritize a healthy work-life balance, which includes avoiding prolonged shifts >8 h, regular physical exercise and promote open communication among colleagues to address workplace concerns.

An Investigation of the Effect of Service Quality on Customer Satisfaction: A Case of Zanaco Bank

The key to surviving in a global market is to focus on quality of service to customers. Every organization should focus on providing quality service to its customers. ZANACO Bank has implemented several service quality features and systems such as: B. changing the interior design of bank buildings, investing in technologies and bringing services closer to customers through ZANACO express agents, mobile banking and opening new branches. Therefore, the study examined the impact of service quality on customer satisfaction using ZANACO Bank as an example. A survey of 397 customers of ZANACO Bank was conducted at the main branch in Lusaka. The study used descriptive and causal designs. The study analyzed the data by determining frequencies, percentages, and means, and the study used Spearman correlation analysis to determine the effect. The study found that the service quality attributes important to bank customers were prompt customer support, politeness of bank employees, accuracy of bank transactions, security of banking services, customer support, convenient business hours, reliability of banking services and affordability (cost) of services. The study found that banks' responsiveness, accuracy, reliability and empathy have a significant impact on customer satisfaction, while tangible attributes have little or no impact on customer satisfaction. Customer satisfaction had a strong positive effect on customer loyalty, with a correlation coefficient of 0.9264, statistically significant at a p-value of 0.0001. The study therefore recommended that: Banks should focus more on reliability, security, empathy and responsiveness to increase customer satisfaction; Offering incentives such as reducing bank fees; and the use of customer loyalty programs to remain competitive.

Access to continuous professional development for capacity building among nurses and midwives providing emergency obstetric and neonatal care in Rwanda

BackgroundNurses and midwives are at the forefront of the provision of Emergency Obstetric and Neonatal Care (EmONC) and Continuous Professional Development (CPD) is crucial to provide them with competencies they need to provide quality services. This research aimed to assess uptake and accessibility of midwives and nurses to CPD and determine their knowledge and skills gaps in key competencies of EmONC to inform the CPD programming.MethodsThe study applied a quantitative, cross-sectional, and descriptive research methodology. Using a random selection, forty (40) health facilities (HFs) were selected out of 445 HFs that performed at least 20 deliveries per month from July 1st, 2020 to June 30th, 2021 in Rwanda. Questionnaires were used to collect data on updates of CPD, knowledge on EmONC and delivery methods to accessCPD. Data was analyzed using IBM SPSS statistics 27 software.ResultsNurses and midwives are required by the Rwandan midwifery regulatory body to complete at least 60 CPD credits before license renewal. However, the study findings revealed that most health care providers (HCPs) have not been trained on EmONC after graduation from their formal education. Results indicated that HCPs who had acquired less than 60 CPD credits related to EmONC training were 79.9% overall, 56.3% in hospitals, 82.2% at health centres and 100% at the health post levels. This resulted in skills and knowledge gaps in management of Pre/Eclampsia, Postpartum Hemorrhage and essential newborn care. The most common method to access CPD credits included workshops (43.6%) and online training (34.5%). Majority of HCPs noted that it was difficult to achieve the required CPD credits (57.0%).ConclusionThe findings from this study revealed a low uptake of critical EmONC training by nurses and midwives in the form of CPD. The study suggests a need to integrate EmONC into the health workforce capacity building plan at all levels and to make such training systematic and available in multiple and easily accessible formats.Implication on nursing and midwifery policyFindings will inform the revision of policies and strategies to improve CPD towards accelerating capacity for the reduction of preventable maternal and perinatal deaths as well as reducing maternal disabilities in Rwanda.

The Impact of Servant Leadership on Proactive Service Behavior: a Moderated Mediation Model

As the implementers of government policies, junior civil servants bear the responsibility of providing services to the public. Whether they can put themselves in the people’s shoes and show more active service consciousness directly reflects the government’s management ability and the realization of service-oriented government goals. Although proactive service behavior has been studied, it has not been brought into the field of government administration. Hence, from the perspective of servant leadership, this study attempts to introduce proactive service behavior (PSB) into the field of government administration, and discusses the promotion strategies of junior civil servants’ PSB in China. Through the statistical analysis of 416 junior civil servants collected in the two stages, this study verifies that servant leadership has a significant positive impact on public service motivation and PSB of junior civil servants. Public service motivation (PSM) can partially mediate the promotion effect of servant leadership on junior civil servants’ PSB. Role identity can positively moderate the relationship between servant leadership and junior civil servants’ PSM, and then affect their PSB. Therefore, this study suggests that leading cadres should integrate servant leadership into daily life, take the lead in providing quality services to their subordinates, and then inspire more proactive service to the masses.

The Effect of Handover Training on Nurses' Communication Skills at Pembinaan Kesejahteraan Umat Muhammadiyah Surakarta

&lt;p&gt;&lt;em&gt;Patient admissions help nurses identify service areas to improve patient safety Patient admissions help nurses identify service areas to improve patient safety. Effective communication between nurses and patients is very important in providing quality services. Inaccurate information can have a serious impact on patients, incidents are caused by poor communication, less than optimal communication. The aim of this research was to determine the effect of consideration training on nurses' communication skills in the inpatient room at the Surakarta Muhammadiyah Ummah Welfare Development Hospital. This research uses a preexperimental research method with one group pretest-posttest. The research sample was nurses who worked in inpatient rooms. Sampling was taken through purposive sampling, with the inclusion criteria of nurses with 1 year of work experience. The instruments used were a consideration and acceptance questionnaire adopted from Payne as well as a consideration and acceptance implementation checklist quoted from Parke &amp;amp; Mishkin. Data analysis used the Paired Sample-T test with a significance level of 5%, CI-95% confidence interval. The analysis results indicate that there is no significant difference in communication skills before and after the training (p=0.083). Handover training activities have no effect on nurses' communication skills, and they do not significantly improve the quality of nurses' communication abilities in the inpatient ward. Several things that can be recommended include a commitment to carry out considerations in the form of policies, direction and evaluation of the implementation of considerations, for the sake of continuity of nursing care which has an impact on increasing nurses' communication skills in implementing patient safety as well as adding samples to ensure sample representation in further research and optimize patient admission training by providing strict sanctions for nurses who do not carry out patient admission procedures&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Keywords: Communication, Handover, Nursing, Skills, Training&lt;/em&gt;&lt;/strong&gt;&lt;/p&gt;

РАЗВИТИЕ ТЕХНОЛОГИЙ ЦИФРОВОЙ ЭКОНОМИКИ КАК НАПРАВЛЕНИЕ ПОВЫШЕНИЯ УРОВНЯ ЭКОНОМИЧЕСКОЙ БЕЗОПАСНОСТИ РОССИИ В СФЕРЕ ГОСЗАКУПОК

. In the context of a sharp decline in the country’s budget revenues and an increase in its expenses, it is very important to organize the effective use of available resources, including financial ones. Therefore, it is very important to organize a system for regulating the use of budget funds through the system of organizing public procurement. Many enterprises consider this sector of activity economically profitable for themselves, since public procurement is associated with the provision of quality services in the healthcare sector, the agricultural sector and the social sphere, is a motivator of innovative development, a lever to combat environmental pollution, and also provides a factor in sustainable development. Starting in 2020, government procurement was transferred to electronic format. In a study conducted by the Institute of State and Municipal Management of the National Research University Higher School of Economics, which was published on December 20, 2021, an anonymous survey revealed that most representatives of business structures participating in public procurement encounter corruption during the competitive procedures. Based on the results of the analysis, it was revealed that open competition in electronic form and procurement from a single supplier (performer, contractor) are the most susceptible to corruption. And the best from the point of view of anti-corruption is an electronic auction, since it takes place in real time, which creates public control over the auction. As a result of the research, directions for openness and accessibility of information on public procurement for all interested parties, automation of the process of selecting a winner in a limited time without the influence of the customer with the participation of artificial intelligence were proposed. This will help increase the level of economic security of Russia in the field of public procurement.

Адміністративні послуги в структурі функціонування органів місцевого самоврядування: деякі аспекти правової регламентації

The development of technical capabilities and digitalization of state processes have brought the field of administrative services by local self-government bodies to a new qualitative level of ensuring the implementation of the principles of openness and transparency in the public service. However, currently gaps in the legal framework in the field of provision of administrative services by local self-government bodies create gaps in the process of identifying administrative services by characteristics and unifying them by types, which creates difficulties in the activities of local self-government bodies and state power in general. Administrative, economic and political changes taking place in our country today bring a lot of new things to the activities of local self-government bodies. This requires improvement of administrative processes in the state and local self-government bodies. Thus, the state must provide quality services taking into account the needs of the population and the development of society as a whole. In other words, proper conditions should be created aimed at the full realization by citizens of their rights and freedoms. In this context, the provision of administrative services by local self-government bodies is of particular importance. One of the most promising steps in improving the exercise of powers by local self-government bodies is the implementation of the doctrine of public services in general and administrative services in particular. Recognizing a person, his life and health, honor and dignity as the highest social value requires a rethinking of the role of local self-government bodies and a radical change in relations between the authorities and citizens. Despite the significant number of publications in the outlined field, the problem of providing administrative services by local self-government bodies remains relevant and requires the search for ways to qualitatively implement the performance of their functions by the said bodies.

REVIEW AND INTEGRATION OF MENTAL HEALTH AND SUBSTANCE USE SERVICES IN PUBLIC HEALTH INITIATIVES

The intersection of mental health and substance use presents a complex challenge for public health initiatives globally. This review delves into the critical review and integration of mental health and substance use services within public health frameworks. Understanding the intricate relationship between mental health disorders and substance abuse is pivotal in designing effective interventions and policies. The review examines existing literature, policies, and programs aimed at addressing mental health and substance use disorders within public health initiatives. It highlights the interconnectedness of these issues and the need for integrated approaches that consider the biopsychosocial aspects of individuals' well-being. Furthermore, it explores the prevalence of comorbidity and the implications it poses for treatment outcomes and resource allocation. Integration of mental health and substance use services into public health initiatives involves the collaboration of various stakeholders, including healthcare providers, policymakers, community organizations, and individuals with lived experiences. Strategies such as co-location of services, cross-training of professionals, and implementation of evidence-based practices are essential for fostering synergy and enhancing service delivery. Moreover, the review discusses the importance of destigmatizing mental health and substance use disorders to facilitate help-seeking behavior and access to care. Public awareness campaigns and educational initiatives play a crucial role in challenging misconceptions and promoting a culture of acceptance and support. This review underscores the significance of reviewing and integrating mental health and substance use services within public health initiatives. It advocates for a holistic approach that addresses the complex needs of individuals while striving for equity, accessibility, and quality in service provision.&#x0D; Keywords: Mental Health, Healthcare, Public Health, Services, Cross-training, Review.

Implementing and Evaluating a National Integrated Digital Registry and Clinical Decision Support System in Early Intervention in Psychosis Services (Early Psychosis Informatics Into Care): Co-Designed Protocol.

Early intervention in psychosis (EIP) services are nationally mandated in England to provide multidisciplinary care to people experiencing first-episode psychosis, which disproportionately affects deprived and ethnic minority youth. Quality of service provision varies by region, and people from historically underserved populations have unequal access. In other disease areas, including stroke and dementia, national digital registries coupled with clinical decision support systems (CDSSs) have revolutionized the delivery of equitable, evidence-based interventions to transform patient outcomes and reduce population-level disparities in care. Given psychosis is ranked the third most burdensome mental health condition by the World Health Organization, it is essential that we achieve the same parity of health improvements. This paper reports the protocol for the program development phase of this study, in which we aimed to co-design and produce an evidence-based, stakeholder-informed framework for the building, implementation, piloting, and evaluation of a national integrated digital registry and CDSS for psychosis, known as EPICare (Early Psychosis Informatics into Care). We conducted 3 concurrent work packages, with reciprocal knowledge exchange between each. In work package 1, using a participatory co-design framework, key stakeholders (clinicians, academics, policy makers, and patient and public contributors) engaged in 4 workshops to review, refine, and identify a core set of essential and desirable measures and features of the EPICare registry and CDSS. Using a modified Delphi approach, we then developed a consensus of data priorities. In work package 2, we collaborated with National Health Service (NHS) informatics teams to identify relevant data currently captured in electronic health records, understand data retrieval methods, and design the software architecture and data model to inform future implementation. In work package 3, observations of stakeholder workshops and individual interviews with representative stakeholders (n=10) were subject to interpretative qualitative analysis, guided by normalization process theory, to identify factors likely to influence the adoption and implementation of EPICare into routine practice. Stage 1 of the EPICare study took place between December 2021 and September 2022. The next steps include stage 2 building, piloting, implementation, and evaluation of EPICare in 5 demonstrator NHS Trusts serving underserved and diverse populations with substantial need for EIP care in England. If successful, this will be followed by stage 3, in which we will seek NHS adoption of EPICare for rollout to all EIP services in England. By establishing a multistakeholder network and engaging them in an iterative co-design process, we have identified essential and desirable elements of the EPICare registry and CDSS; proactively identified and minimized potential challenges and barriers to uptake and implementation; and addressed key questions related to informatics architecture, infrastructure, governance, and integration in diverse NHS Trusts, enabling us to proceed with the building, piloting, implementation, and evaluation of EPICare. DERR1-10.2196/50177.

Social care institutions workers of the far eastern federal district awareness on HIV-infection and its significance in providing quality services and lowering self-perceived HIV risk

Objective of the research: to reveal level of awareness and stigmatizing factors that influence service provision, to disclose self-perceived HIV risk of social care workers and a necessity of planning events targeted at increasing their competence concerning the issues of HIV-infection. Materials and methods: by the means of a structured questionnaire, a sociological research was conducted among 386 specialists of social care institutions of 6 constituent entities of the Far Eastern Federal district. Mean age of survey participants was 41.5 years, work experience – 11.2 years. Sociological (survey) and analytical research methods were utilized in the study. Results: HIV/AIDS epidemic is one of main medical and social issues of modern days. Specialists of social care institutions will inevitably meet with people living with HIV during their practice. Their insufficient awareness about HIV transmission route, stigmatization of people living with HIV cause fear and reluctance to work with such recipients of the service. Respondents rated their knowledge on the issue of HIV-infection as satisfactory in 74.7%. All participants were well aware of main routs of HIV transmission however, mother-to-child transmission was known only by 66.1% of respondents. A certain lack of knowl­edge was revealed regarding self-perceived HIV risk as well as anxiety regarding working with HIV-infected clients and high rate of alert when working with HIV-positive colleagues. However, up to 25.7% of respondents expressed their readiness to help people living with HIV. Using condoms, disposable medical instruments and personal hygiene items as well as avoiding intravenous drug use were selected by survey participants as measures of HIV-infection prevention. Conclusion: the results of the research indicate insufficient level of awareness on the issue, because of which a con­clusion can be made that there is a certain degree of stigmatization of clients living with HIV receiving social services, as well as existence of self-perceived occupational vulnerability to HIV among social workers. This reveals a necessity of further surveillance over social workers’ knowledge to define priority topics in order to increase their professional competence on the issue of HIV-infection as well as expediency of holding training seminars for specialists of social care institutions contributing to development of their practical skills in work with HIV-positive clients.