Service Staff Research Articles

Customer satisfaction in retail services: a study with reference to Kottayam district in Kerala

Purpose: the main aim of this research paper is to ascertain the factors influencing the service quality of retail services in the study area and to identify the strategies of retail services leading to customer satisfaction of retail services as well as to measure the influence of demographic variables on the level of satisfaction of retail services. Method: the comprehensive framework for ascertaining customer satisfaction on service quality of retail services was subsequently accompanied by the collection of data through a structured questionnaire. The researcher used convenience sampling method and collected 384 responses and used confirmatory factor analysis, linear multiple regression analysis, structural equation model and one way analysis of variance. Findings: it is found that the customer satisfaction of retail services and their quality can be judged by the retail stores location and the relationship maintained by the employees. The customers expect the staff in the retail services have good knowledge about the products and to have empathy in dealing with their customers. The ambience of retail services outlets and their layout are the predominant factors offer best satisfaction to the customers. Practical Implications: the present research is focusing on the unaddressed issues to determine the factors of retail services empirically namely, the strategies of retailer services having their limitations of measurement and how can they be measured, the role of service quality on offering customer satisfaction through the retailer’s services and the demographic variables deciding the level of satisfaction of customers on retail services. Originality/Value: the quality of retail service comprises a healthy interaction between service seekers and service providers. The retailers strategies are to be designed in such a way the performance exceeds the expectations of customers and make them as the customers with high satisfaction and delighted and need to ascertain the factors responsible for customer satisfaction in retail services in retail sector, which is not much done by past researchers

Engagement of female staff in prehospital emergency medical services from the perspective of service recipients: development and psychometric testing of the scale

Engagement of female staff in prehospital emergency medical services from the perspective of service recipients: development and psychometric testing of the scale

Did the pandemic lead to a change in attitudes towards cCBT? A service evaluation looking at the impact of the pandemic on practitioner beliefs regarding the routine use of cCBT within an NHS Talking Therapies Service

Abstract Computerised CBT (cCBT) is an established and evidence-based treatment for depression and some anxiety disorders. This paper aimed to replicate the study of Meisel et al. (2018), to understand more about therapist beliefs regarding offering cCBT within a service-evaluation. Meisel et al. (2018) found that although most staff in an inner-city IAPT service were confident offering cCBT to clients, staff believed there was not a strong evidence-base, and training on cCBT was identified as a solution to low cCBT uptake. The unexpected COVID-19 pandemic provided an opportunity to collect additional data to understand the impact of significant societal changes and service delivery methods to see if this led to a change in attitudes towards cCBT as Wind et al. (2020) hypothesised. Data on staff beliefs about the provision of cCBT from one rural UK Talking Therapies service is presented across three time points: pre-COVID pandemic, post-COVID pandemic, and following additional cCBT training. Staff completed a survey at each time point, containing agree/disagree ratings and free-text questions, obtaining perspectives on cCBT including advantages, barriers/problems, and confidence. This paper reports staff opinions with commentary on how they have changed over time. Between time points 1 and 3, agreement with the statement ‘supporting clients using cCBT requires a high level of skill’ increased by 29%. Several beliefs did not change, despite moving towards more remote working in the pandemic, and training. Although the paper illustrates some changes in beliefs over time, it does not provide support for changes in therapist beliefs, with reasons for this examined. Key learning aims (1) Following reading this paper, the reader will understand changes in staff beliefs and attitudes towards cCBT that occurred between pre-pandemic and post-pandemic time points in one NHS Talking Therapies service. (2) The reader will also be aware of the beliefs that have not changed following both the pandemic and additional staff training on cCBT and will be able to consider why this might be and whether it may be generalisable across wider services. (3) The reader will be aware of potential interventions that could be introduced to try and address the ‘stubborn beliefs’ around cCBT that are not consistent with the evidence-base and may limit patient access to this option.

“I Never Thought I’d See the Day That I Would Be Doing Things on Zoom”: Reimagining Day Care for Older People and Unpaid Carers in the Context of COVID‐19

This paper considers the role of collective forms of day care for older people and their carers during the enforced closure of services in 2020 due to COVID‐19. The study provides a unique opportunity to examine how the sector adapted to these unprecedented times. The paper draws on qualitative data collected from 8 case studies conducted in England, during which 120 interviews were held with older people, their carers, staff, and managers of services and local stakeholders. The findings demonstrate how day centres reimagined their services to meet the needs of older people and their carers in new and imaginative ways. They offer insights into the potential role day care centres could play in the new place‐based partnerships envisaged in recent legislation. The study provides an opportunity to consider the importance of day care services in the light of their enforced closure, providing a more nuanced understanding of day care provision. The impact of COVID‐19 on the social care sector meant that many day care centres were not fully operational and consequently the samples may not reflect the experiences of all centres.

КАДРОВОЕ ОБЕСПЕЧЕНИЕ АНЕСТЕЗИОЛОГО-РЕАНИМАЦИОННОЙ СЛУЖБЫ РОССИЙСКОЙ ФЕДЕРАЦИИ в 2018-2023 гг.

Significance. In 2023, in the structure of doctors (excluding dentists) of the Russian Federation, anesthesiologists-resuscitators together with obstetricians-gynecologists rank third (6.0% each) after therapists (11.2%) and pediatricians (9.0%). The share of nurse anesthesiologists accounted for 5.9% of the total number of nurses. In the structure of nurses, nurse anesthesiologists rank fourth after general ward (desk) nurses (27.6%), procedural nurses (8.3%), and senior nurses (7%). At the same time, some issues related to staffing of the anesthesiology and resuscitation service with qualified personnel, preservation of the current medical potential as the foundation of the service are yet to be solved: the issues of motivation of anesthesiologists-resuscitators and their personnel reserve to carry out their professional activities have not been sufficiently addressed; there are no unified approaches to plan staffing of regional anesthesiology and resuscitation services, including all stages of training, organizational approaches to maintain human resources of anesthesiologists-resuscitators at the level of medical organizations, as well as with due regard to modern features of the health system in the context of the unfavorable epidemiological situation have not been fully explored. Currently, given “the third age” of many doctors, the need to work in conditions of constantly developing medical technologies, increasing qualification requirements for specialists, the problem of personnel shortage remains relevant. The purpose of the study is to analyze staffing of the anesthesiology and resuscitation service of the Russian Federation in 2018-2023. Material and methods. Staffing of the anesthesiology and resuscitation service of the Russian Federation in 2018-2023 has been analyzed. Materials of the statistical collections of the Russian Research Institute of Health of the Ministry of Health of the Russian Federation, annual reporting forms of the Federal statistical observation form No.14 “Information on the activities of departments of a medical organization providing inpatient care” and No.30 “Information on a medical organization” have been analyzed. Research methods included the following ones: analytical and descriptive statistics. Results. In 2018-2023, in Russia in general, the number of anesthesiologists-resuscitators (individuals) and nurse anesthesiologist increased by only 4.6% and 3.6%, respectively. Staffing of the positions of anesthesiologists-resuscitators decreased from 88.0% in 2018 to 85.6% in 2023, with the rate of second employment adding up to 1.6 in 2023. In 2023, staffing of the positions of nurse anesthesiologists in Russia equalled to 88.5%. Over the period from 2018 to 2023, there was a tendency towards decreased staffing levels from 90.9% in 2018 to 88.5% in 2023. The rate of second employment among nurse anesthesiologists equaled to 1.3 in 2023. In dynamics over this period, there is a decrease in the share of anesthesiologists-resuscitators and nurse anesthesiologists of the highest category of qualification (from 38.7% and 40.6% in 2018 to 33.6% and 35.6% in 2023, respectively), specialists of the first qualification category (from 11.0% and 11.3% in 2018 to 9.4% and 8.4% in 2023 in 2018), and the second qualification category (from 7.1% and 7.1% in 2018 to 4.7% and 4.4% in 2023, respectively), necessitating the need to intensify measures aimed at improving qualification of working specialists and stimulating their activity to get certified. Conclusion. In 2018-2023, in dynamics, the number of anesthesiologists-resuscitators and nurse anesthesiologists in the Russian Federation increased by only 4.6% and 3.6%, respectively. At the same time, there was a decrease in staffing of the positions of anesthesiologists-resuscitators (from 88.0% in 2018 to 85.6% in 2023) and nurse anesthesiologists (from 90.9% in 2018 to 88.5% in 2023). In 2023, the rate of second employment among doctors and nurses equaled to 1.6 and 1.3, respectively. In a number of constituent entities of the Russian Federation, the rate of second employment among anesthesiologists-resuscitators exceeds 2.0, which does not contribute to high-quality performance. The study results indicate the need to increase the control figures for enrolment in clinical residency in the near future as well as the amount of state assignments for educational organizations that train specialists with secondary medical education; it is necessary to intensify measures aimed at improving skills of working specialists and encouraging employees to obtain a qualification category. There is a tendency towards the increase and complication of work, which requires a solution to preserve human resources and staffing of the anesthesiology and resuscitation service in modern conditions.

Challenges and strategies of shaping the Cross River State Public Library for quality service delivery in the 21st century

Public library is the people’s university and very essential in the provision of facilities, resources and services to meet the needs of citizenry in the 21st century. The study was carried out to investigate challenges and strategies of shaping the Cross River State Public Library for quality service delivery in the 21st century. The survey research design was adopted for the study. The population of the study consisted of 55 library personnel working in the Calabar, Cross River State Public Library. A total enumeration was adopted as the sampling technique. The instrument used to collect data for analysis was questionnaire. The research instrument was face validated in order to make it suitable for the study. Data were analysed using frequency, percentages, mean and standard deviation. The findings showed that Cross River State Public Library to be under funding, inadequate staffing, poor condition of services and staff development, among others; strategies that can be adopted towards shaping the Cross Rivers State Public Library for quality service delivery in the 21st century are significant improvement in the allocation of funds to public library, provision of 21st century facilities for services delivery, staff development programmes for staff, employment of qualified personnel to manage the public library, provision of good condition of service and prospects for staff, among others. This paper concludes that government, public library management and stakeholders should provide adequate budgetary allocations for employment of qualified personnel, staff development, subscription/procurement of current resources, provision and maintenance of technologies/facilities, functional library services to users in the 21st century in Cross River State, Nigeria. The paper recommended among others that government and public library management should improve and sustain quality service delivery of public library in Cross River State, Nigeria.

Reports of Swedish diplomats on the events of the First World War (based on the decryption of diplomatic correspondence)

The subject of the study is the decrypted telegrams of Swedish diplomatic missions sent to the Minister of Foreign Affairs of the Swedish Kingdom K. Wallenberg, intercepted by the special services of the General Staff of the Russian Army at the end of 1915-1916. Sweden, while remaining a formally neutral power, nevertheless not only closely followed the events on the fronts of the First World War, but also conducted active trade and provided transit services to both Germany and Russia, deriving huge economic benefits from this situation. The documents of this period mainly cover the events in the Balkans, where the allied forces of the Entente tried to deploy the so-called Salonika (Macedonian) front to help the Serbian army and to divert enemy forces from other fronts. Based on the methods of historicism and systematic research, the reports of diplomats who informed their leadership about the events around Thessaloniki, about the situation and actions of the allied forces and the troops of the Central Powers, about the further intentions of the opposing forces, about the fate of Serbia and Montenegro, express assessments and opinions on specific issues and the prospects for the development of the war. Since there were supporters of both the Entente and the Austro-German bloc in the Swedish elite, the following conclusions can be drawn from the documents under consideration. They allow us to assess the range of issues of the most interest to Swedish diplomats and the Swedish government, as well as the degree of their awareness, the quality of information sources and the level of understanding of the content of the events taking place. These documents are very important for clarifying Sweden's position during the First World War. Since there were supporters of both the Entente and the Austro-German bloc in the Swedish elite, it can be understood from the documents under consideration that during this period it became increasingly obvious to Swedish diplomats that despite all the difficulties, including in the Balkans, the preponderance of the Entente countries was more likely. Most of the analyzed archival materials are being introduced into scientific circulation for the first time.

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A study on the status of security and defense forces personnel was conducted. The etymological meanings of the terms "service member," "employee," and "staff member" were analyzed, as well as the perspectives of leading scholars on these terms. Based on this analysis, the author formulated proposals for regulating the status of security and defense forces personnel. Through the analysis of Ukraine's regulatory framework, the norms defining the legal status of service members, employees, and staff members were summarized. Further research directions were identified, aimed at examining the relationship between the statuses of personnel in the security and defense sectors of Ukraine, including "service member," "civil servant," and "employee."

Building knowledge and capacity for climate change risk management in the health sector: The case of Queensland

In 2019, the Queensland Department of Health and National Climate Change Adaptation Research Facility at Griffith University co-produced three resources to support Queensland Hospital and Health Service (HHS) staff to identify and manage present-day and future risks from climate change. The first resource is two templates to be completed in order to develop a risk management plan: the high-level Scan Cycle template, and the Detailed Cycle template for evaluation of serious risks requiring urgent action. Second, the Guidelines lead the user through the process. Third, an Almanac provides supporting information and links to additional resources. Together, these resources deliver a comprehensive set of tools, known as the ‘Guidance’, to support and guide HHS staff to address their climate change risks. A programme of training workshops was carried out throughout Queensland, taking staff from all HHS sectors through the templates and providing opportunity for in-depth discussion of their risks. Some gaps in the Guidance were identified in the workshops, for example the need to include humidity in the climate scenarios for Queensland’s subtropical and tropical environments, and to consider system-wide interdependencies when identifying effective adaptation strategies for the highly complex HHSs. Some barriers to effective utilisation of the Guidance include, for example its complexity balanced against the time available to staff. The Guidance is an effective tool to promote and guide adaptation action, but in itself is insufficient – it requires senior management support and financing, and possibly regulatory reporting requirements, in order to properly fulfil its role.

Healthcare professional and commissioners' perspectives on the factors facilitating and hindering the implementation of digital tools for self-management of long-term conditions within UK healthcare pathways.

Physical activity is important in the self-management of long-term conditions (LTCs). However, implementing physical activity into clinical practice is challenging, due to complex barriers including access to programmes, time pressures, and transport costs, for people with comorbidities, managing multiple responsibilities. Various digital tools exist to overcome these barriers and support wide-scale implementation to help people stay physically active. We explored the experiences, needs and preferences of healthcare professionals and commissioners, regarding the use of digital tools to support people with LTCs to self-manage using physical activity. This included barriers and facilitators to implementing digital tools to support people with LTCs in NHS settings. Semi-structured interviews were conducted (April 2021 to January 2022) in Wessex, southern England, UK. Purposive sampling was used to recruit general practitioners and healthcare professionals, and convenience sampling to recruit commissioners (n = 15). Transcripts were coded to develop conceptual themes allowing comparisons between and among perspectives, with the Normalisation Process Theory (NPT)'s four constructs used to aid interpretation. Results showed that most digital tools supporting physical activity for LTCs, are not well implemented clinically. Current digital tools were seen to lack condition-specificity, usability/acceptability evidence-base, and voluntary sector involvement (i.e., NPT: coherence or 'making sense'). Healthcare professionals and commissioners were unlikely to engage with use of digital tools unless they were integrated into health service IT systems and professional networks (i.e., NPT: cognitive participation), or adaptable to the digital literacy levels of service users and staff (i.e., NPT: collective action-needs for implementation). In practice, this meant being technically, easy to use and culturally accessible (i.e., NPT: collective action-promoting healthcare work). COVID-19 changed professional attitudes towards digital tools, in that they saw them being viable, feasible and critical options in a way they had not done before the pandemic. Implementation was also influenced by endorsement and trustworthiness enhancing the perception of them as secure and evidence-based (i.e., NPT: reflective monitoring). Our findings highlight that consideration must be given to ensuring that digital tools are accessible to both healthcare professionals and patients, have usability/acceptability, and are adaptable to specific LTCs. To promote clinical engagement, digital tools must be evidence-based, endorsed by professional networks, and integrated into existing health systems. Digital literacy of patients and professionals is also crucial for cross-service implementation.

A Method for Synthesizing Qualitative Data Sources in the Co-Production of Postvention Guidelines for the NHS: A Worked Example

In this paper, we introduce a novel method for the synthesis of qualitative data and co-production in the development of evidence-based guidelines. The call for evidence-based practice in healthcare settings has been dominated by a focus on patient groups, overlooking the need for robust guidelines to inform the delivery of support or developmental interventions for staff members. We propose an eight-step method that brings together primary and secondary qualitative data with co-produced data. Data is synthesised at two of the eight stages. This method generates robust findings and recommendations which are well suited to informing written guidelines. We present our experience of implementing this method in the development of postvention guidelines for the support of National Health Service (NHS) staff following the death by suicide of a colleague. This worked example illustrates the application of the method to the generation of evidence-based, co-produced practice guidelines. We discuss the application of qualitative data and co-production in the development of fit for purpose guidelines, and the lack of transparent reporting of methods in existing guidelines. We recommend that guidelines should be underpinned by empirical evidence and developed in consultation with stakeholders and end-users, including those who will implement and those who will receive treatment or intervention. For transparency and to inform end-users, we conclude that written guidelines should always detail the methods employed in their production.

Population and contact tracer uptake of New Zealand's QR-code-based digital contact tracing app for COVID-19.

This study aimed to understand the population and contact tracer uptake of the quick response (QR)-code-based function of the New Zealand COVID Tracer App (NZCTA) used for digital contact tracing (DCT). We used a retrospective cohort of all COVID-19 cases between August 2020 and February 2022. Cases of Asian and other ethnicities were 2.6 times (adjusted relative risk (aRR) 2.58, 99 per cent confidence interval (95% CI) 2.18, 3.05) and 1.8 times (aRR 1.81, 95% CI 1.58, 2.06) more likely than Māori cases to generate a token during the Delta period, and this persisted during the Omicron period. Contact tracing organization also influenced location token generation with cases handled by National Case Investigation Service (NCIS) staff being 2.03 (95% CI 1.79, 2.30) times more likely to generate a token than cases managed by clinical staff at local Public Health Units (PHUs). Public uptake and participation in the location-based system independent of contact tracer uptake were estimated at 45%. The positive predictive value (PPV) of the QR code system was estimated to be close to nil for detecting close contacts but close to 100% for detecting casual contacts. Our paper shows that the QR-code-based function of the NZCTA likely made a negligible impact on the COVID-19 response in New Zealand (NZ) in relation to isolating potential close contacts of cases but likely was effective at identifying and notifying casual contacts.

Assessing Health Equity in Partnership with Children's Mental Health Organizations: Considerations Before the Implementation of Parenting Programs.

Understanding and addressing how an individual's social, political, economic, and cultural context affects their ability to achieve optimal health is essential to designing and implementing interventions. Before evaluating two parenting programs, in partnership with four children's mental health organizations, we used the Health Equity Impact Assessment tool (HEIA) to identify groups that may experience unintended health impacts, as well as generated mitigation strategies to address these impacts. HEIA activities included a review of the published literature, a review of organizational documents, key informant interviews with staff (n = 12) and other related community service providers (n = 7), and a geographic information systems analysis. All sources of evidence were considered and analyzed using reflective thematic analysis. Summary reports were shared with all partners. A range of groups were identified as at risk of experiencing unintended health impacts, including caregivers who are racialized, immigrants, Indigenous, living with mental health issues or addictions, dealing with intellectual challenges and/or low literacy levels, survivors of childhood trauma, single parent families, or families experiencing financial difficulties. Unintended health impacts were sorted into 6 main themes which fell under the overarching themes of accessibility of the programs and cultural appropriateness. Mitigation strategies as well as innovative strategies already being applied by participating organizations are discussed. Although this HEIA focused on parenting programs, the findings address equity issues applicable to the provision of a wide spectrum of children's mental health services.

An effective U-net model for diagnosing Covid-19 infection

Coronavirus disease 2019 (COVID-19) has become a pandemic all over the world and has spread rapidly. To distinguish between infected and non-infected areas, there is a critical need for segmentation methods that can identify infected areas from Chest Computed Tomography (CT) scans. In recent years, deep learning has become the most widely used approach for medical image segmentation, including the identification of infected areas in Chest CT scans. We propose an encoder-decoder based on the U-NET architecture for segmenting the MedSeg dataset, which contains lung CT scans. To study the effect of input dimensions on the model's output results, we gave CT images with dimensions of 224 × 224, 256 × 256, and 512 × 512 as inputs to the model. The results showed that 224 × 224 achieved higher results compared to 256 × 256 and 512 × 512, with a dicecoef of 81.36, accuracy of 87.65, sensitivity of 84.71, and specificity of 88.35. Additionally, the 224 × 224 input based on the proposed model achieved the highest number of correct answers compared to previous U-net methods. The proposed model can be applied as an effective screening tool to help primary service staff better refer suspected patients to specialists.

Determining the Impact of Hurricane Dorian and the Covid-19 Pandemic on Moral Distress in Emergency Medical Providers at the Rand Memorial Hospital: Moral distress in emergency medical personnel.

The aim of this work was to determine the impact of Moral Distress (MD) in emergency physicians, nurses, and emergency medical service staff at the Rand Memorial Hospital (RMH) in the Bahamas, and the impact of Hurricane Dorian and the COVID-19 pandemic on Moral Distress. A cross-sectional study utilizing a 3-part survey, which collected sociodemographic information, Hurricane Dorian and COVID-19 experiences, as well as responses to a validated modified Moral Distress Scale (MDS). Participants with 2 negatively impactful experiences from COVID-19 had statistically significantly increased MD compared to participants with only 1 negatively impactful experience (40.4 vs. 23.6, P = 0.014). Losing a loved one due to COVID-19 was associated with significantly decreased MD (B = - 0.42, 95% CI -19.70 to -0.88, P = 0.03). Losing a loved one due to Hurricane Dorian had a non-statistically significant trend towards higher MD scores (B = 0.34, 95% CI -1.23 to 28.75, P = 0.07). The emergency medical staff at the RMH reported having mild - moderate MD. This is one of the first studies to look at the impact of concurrent disasters on MD in emergency medical providers in the Bahamas.

Цифровізація та глобалізація системи адміністрування податків як драйвер інноваційного розвитку

The aim of the article is to identify the problems and prospects of digitization and globalization of services in the tax administration system as components of drivers of innovative development. It is substantiated that under the influence of military operations, internal and external factors, there has been a determination of awareness of the role of the digital economy as a tool for globalization, which defines the choice of such development priorities as investment and innovation cooperation and digitization of social relations at the macro and micro levels. The formation of the information society on the basis of digitization will ensure the subordination of economic growth to the qualitative parameters of social and economic development, because further progress will be determined not so much by the production of goods as by the expanded use of information in the context of digitization. The main problems of digitization and globalization of tax administration in Ukraine are identified and systematized. Among them, the main ones are: the ongoing war, unpredictable changes in government policy, and other risks of long-term digital technology projects; corruption; resistance to change on the part of government officials, employees of the State Tax Service and taxpayers; lack of information work on the benefits of digitization and globalization with taxpayers and the public, as well as specialized training among employees of the State Tax Service; shortage of qualified tax officers, as well as specialists in the field of digital technologies; concentration of taxation not on the identification of reserves for tax incentives, but on the collection of taxes; technological risks of malfunction or failure in new systems, especially in the early stages of their implementation; cybercrime risk; bureaucratic procedures and imperfection of legislation on digital technologies, personal data of citizens and the implementation of international legislation. It is proved that the vector of the strategy for solving the existing problems in tax administration should go through digitization, digitalization and computerization of relations between the State and citizens, taking into account the modern global experience of the developed countries of the world in this area. The strategic priorities that will ensure the development of digitization and globalization of tax administration are presented in a systematized form, which, in turn, will have a positive impact on the innovative development of the country as a whole. It is substantiated that the main ways to ensure the development of digitization and globalization of tax administration are: 1. Improvement of national legislation and implementation of international legislation on digitization and globalization of tax relations. 2. Integration of international standards of digital technologies and ensuring the safety and illegal non-distribution of personal data of citizens. 3. Fighting corruption at all levels of government while restarting the judiciary to protect rights and increase taxpayers’ confidence. 4. Formation of a comprehensible strategy and tactics for the development of digitization and globalization of tax administration, harmonious with systemic international trends. 5. Gradual reduction of the tax burden and creation of a system of computerized independent clear tax control. 6. Building public trust and support, as well as cooperation with international organizations and businesses. 7. Promoting the development of tax and digital culture among citizens, especially children. 8. Clear and balanced reform of the State Tax Service and other regulatory authorities to improve the tax system of Ukraine and ensure the stability of the country’s finances. 9. Formation and implementation of a set of tax incentives to expand business activity. 10. Anti-corruption measures and openness of the work of the State Tax Service. 11. Continuous training and development of the State Tax Service staff. 12. Providing conditions for digitization and digitalization of relations between the State and citizens. The presented problems and proposals of digitization and globalization of the tax administration system create the basis for further research in the direction of improving the methodology and organization of the tax system.

Promoting responsive care and early learning practices among caregivers of children 0-23 months in the Kyrgyz Republic: findings from integrating a counselling intervention with nutrition services.

To assess changes in caregiver practices for young children after integrating the Responsive Care and Early Learning (RCEL) Addendum package into nutrition services after 10 months of implementation. We measured changes in RCEL practices through a pre- and post-intervention assessment comprising a household survey and observations. To implement the intervention, we trained health service staff and community volunteers to deliver RCEL counselling to caregivers of children 0-23 months of age through existing community and facility-level platforms. Jalal-Abad and Batken regions in the Kyrgyz Republic. Caregivers of children aged 0-23 months at baseline. We found statistically significant increases in RCEL practices, availability of early learning opportunities in the home, decreases in parenting stress and improvements in complementary feeding practices after the intervention implementation period. Findings show that delivery of RCEL counselling using the RCEL Addendum was associated with improved responsive care practices and early learning opportunities. We also found that integration of RCEL with infant and young child feeding counselling did not disrupt nutrition service delivery or negatively affect complementary feeding outcomes, but rather suggest synergistic benefits. Given the importance of providing holistic care to support optimal early childhood development, these findings provide new evidence on how to strengthen the delivery of nurturing care services in the Kyrgyz Republic.

Публичные библиотеки зарубежных стран: уроки пандемии

The article provides analysis of foreign countries public libraries response to COVID-19 pandemic. Best practices in key areas of their performance are determined. Main accents are placed on managing personnel, technical services staff operations, acquisitions and electronic collection development, expanding services to the greater community, collaboration with other community agencies: national, academic, special libraries, publishing houses. Public libraries activity during pandemic period helps personnel to rethink and interpret differently the value of information and communications technologies in everyday library performance. Digital inequality is considered as the main barrier for designing and updating library services for communities. COVID-19 affected the performance of public libraries in foreign countries, help to conceptualize their role and professional skills of library specialists in the context of digital transformations. The necessity for working out crisis management issues in the context of digital environment in public libraries is emphasized.

Development and evaluation of a de-escalation training intervention in adult acute and forensic units: the EDITION systematic review and feasibility trial.

Development and evaluation of a de-escalation training intervention in adult acute and forensic units: the EDITION systematic review and feasibility trial.

Moving Together, Apart: Impacts of Travel Restrictions on a UK-Egypt Collaboration in Health Profession Education.

University College London (UCL) and Newgiza University (NGU) have been in an academic collaboration since 2016 to establish undergraduate healthcare programmes in Egypt with an underlying ethos of capacity building and co-development. We explored impacts of pandemic-related travel restrictions on staff across both organisations. We conducted 30 semi-structured interviews with academic and professional services staff from UCL and NGU schools of medicine, dentistry, and pharmacy. Data were jointly coded using reflexive thematic analysis and categorised according to the American Council on Education's Comprehensive Internationalisation Framework. Nine themes were identified, which related to each of the six components of the framework. In addition to mobility, participants' experiences also spread across the other five components (institutional commitment, leadership, curriculum, faculty support, and partnerships). Successful adaptations were made and staff felt able to 'keep the show on the road'. However, staff remained keen to keep in-person engagement a priority when possible, especially for quality management site visits. Travel restrictions can have widespread impacts on all aspects of international collaborations. In this well-established relationship, there was sufficient resilience to withstand these impacts and, many positive unintended consequences emerged. A hybrid engagement model should be prioritised in future partnerships.