Service Staff Research Articles

Curating salutogenic spaces in post-pandemic hybrid work environments: A photo-elicitation qualitative study

This article investigates the lived experience of hybrid working and the impact this has on knowledge workers’ psychosocial health and wellbeing. Specifically, we focus on how the workplace can promote or hinder wellbeing and how hybrid working is experienced after the pandemic. We draw on salutogenic theory – which considers the factors that support and enhance health and wellbeing – in the context of workplaces, to help us understand individual's experiences of hybrid working spaces. This draws attention to new critical insights into the relationship between workspaces and wellbeing. This article is based on empirical, visual data gathered from a case study of university academic and professional services staff, who were asked to take photographs of their hybrid working practices. Our findings highlight the paradox that individual curation of workspaces represents both personalisation and depersonalisation as employees seek to anchor self-identity and a sense of belonging to the workspace. We offer three contributions in this paper. First, little is known of the experiences of those attending hybrid work environments following the pandemic; therefore, our research contributes to this by using salutogenic theory to emphasise the importance of individuals having control over how they shape their environments to promote personal wellbeing. Second, we demonstrate how the use of visual methods to explore hybrid working highlights how individuals mobilise resources within their workspaces to develop a self-responsibility for health. Third, we highlight the importance of how organisations should recognise individual circumstances when developing hybrid working policies.

Analysis of the instrumental problem of doctor-patient relationship in doctor-patient communication

Doctor-patient communication requires mutual trust, mutual respect and mutual participation of both doctors and patients. However, the current consumer society makes the doctor-patient relationship a humanized service based on exchange, and the doctor-patient relationship becomes the medium of the consumption process. Technical medicine makes the doctor-patient relationship ignore the narrative of emotion and human nature, leading to the instrumentalization of the doctor-patient relationship. To realize the doctor-patient relationship by the tool-oriented tendency, we need to transform the medical staff service concept, strengthen medical humanities education, enhance the medical students’ belief of heal the wounded and rescue the dying, guard the sacred feeling of life and the sense of mission of protecting human health.

Nursing Services in Handling Tuberculosis Patients

Nursing Staff Services in Handling Tuberculosis Patients at the Darul Imarah Health Center, Aceh Besar District, due to the limited ability of human resources to carry out data collection actions so that it is not yet known in real terms about the examination and treatment that will be carried out. As for the formulation of the problem 1) How is the Service of Nursing Staff in Handling Tuberculosis (TB) Patients at the Darul Imarah Health Center, Aceh Besar District; 2) What are the Supporting and Inhibiting Factors for Nursing Services in Handling Tuberculosis (TB) Patients at the Darul Imarah Health Center in Aceh Besar District. While the objectives of the problem 1) To describe and analyze the Services of Nursing Staff in Handling Tuberculosis (TB) Patients at the Darul Imarah Health Center, Aceh Besar District; 2) To describe and analyze what are the Supporting and Inhibiting Factors for Nursing Services in Handling Tuberculosis (TB) Patients at the Darul Imarah Health Center, Aceh Besar District. Theoretical benefit, as an effort of researchers in transforming this research so that it becomes a contribution of thought to the development of studies to realize the systematic implementation of public policies with regard to a concept and/or theory that is developed through understanding, understanding in Nursing Services for Tuberculosis Patients at the Darul Imarah Health Center, Aceh Besar District. Practical Use. It is hoped that this research can serve as input as a basis for consideration in efforts to combat tuberculosis and resources for tuberculosis control at the Darul Imarah Health Center in Aceh Besar District. The research approach was carried out using a descriptive qualitative research approach, through research with benefits information using interview techniques, documentation, observations and conclusions were carried out to obtain Nursing Services for Tuberculosis Patients at the Darul Imarah Health Center, Aceh Besar District. This includes increasing the number of adequate nursing staff, increasing accessibility to training and education related to prevention, as well as increasing supervision and supervision of nursing staff for Tuberculosis Patients

Menjelajahi Nirwana Akademik Analisis Keberhasilan Universitas Muhammadiyah Jawa Timur dalam Memenangkan Hati Mahasiswa Melalui Kompetensi Staff Akademik, Keandalan Layanan dan Kilau Reputasi

This research aims to analyze the influence of the variables of Academic Staff Competence, Service Reliability, and University Reputation on Student Satisfaction in Muhammadiyah Universities in East Java using hypothesis testing method with the assistance of SPSS (Statistical Package for the Social Sciences) software. Data collected from 240 student respondents were analyzed to test the impact of these variables on student satisfaction. The SPSS analysis results show that all three variables, namely Academic Staff Competence, Service Reliability, and University Reputation, both simultaneously and partially, have a significant positive influence on student satisfaction. These findings have significant implications for higher education institutions, especially in designing strategies to improve service quality, develop academic staff competence, and enhance university reputation collectively.
 
 Keywords: Academic Staff Competence, Muhammadiyah Universities in East Java, University Reputation, Student Satisfaction, Service Reliability.

How Screen Readers Impact the Academic Works of College and Graduate Students with Visual Impairments

This study explored the effectiveness of screen readers on the academic life of higher education students with visual impairments, including reading, writing, access to the internet, exams, and general information for their courses. This study was designed as a qualitative study and applied a phenomenological approach in order to discuss the experiences of higher education students who use screen readers as assistive technology. One college student and six graduate students with visual impairments were interviewed in the United States. The findings revealed that higher education students with visual impairments benefitted from screen readers; however, they also noted some limitations: difficulties in accessing printed classroom materials, inaccessible digital content, and time lost due to technical issues. Students with visual impairments should be offered accessible documents such as electronic versions of classroom materials, accessible PDFs and websites, and software compatible with JAWS. Universities should provide accessibility training for lecturers who want to better serve students with visual impairments. University information technology services need to train their technical services staff about screen readers to provide 24/7 professional services for students with visual impairments.

Coffee culture unravelled: exploring the coffee shop experience model in the Vietnamese context

ABSTRACT Amidst the captivating realm of the coffee shop experience, this study contributes to its significance across various literature streams and diverse forms. More specifically, the study focuses on the concept of the ‘ideal coffee shop experience’ from the perspectives of consumers and coffee shop owners/managers in Vietnam, drawing upon the experience economy and experience co-creation literature. The investigation takes place in Vietnam, a country renowned for its coffee exports and thriving coffee shop industry. Through qualitative data collected via interviews and an online questionnaire, the study uncovers divergent preferences between the supply and demand sides regarding the coffee shop's physical environment, product quality and variety, service staff performance/traits, and location or parking availability. Building on these findings, the study proposes the ‘supplier and consumer coffee shop experience’ model, which offers a comprehensive understanding of coffee shop experiences and provides valuable insights for practitioners and researchers in the relevant fields.

PROSPECTS OF THE USE OF ARTIFICIAL INTELLIGENCE AND ROBOTIC SYSTEMS IN THE HOTEL AND RESTAURANT BUSINESS

Objective. The purpose of the article is to analyze the prospects for the use of robotic systems and artificial intelligence in the hotel and restaurant business, to provide recommendations for the introduction of innovative technologies in the hotel and restaurant business. Methods. When studying the prospects of using artificial intelligence technologies in the hotel and restaurant business, analyzing robotic systems, such empirical and theoretical research methods were used as: Observation — to determine the dynamics of the development of the hotel and restaurant industry and their trends to identify changes. Deduction — to identify factors affecting the prospect of using robotic systems and artificial intelligence in the service market. Analysis — determining the reasons for the influence of factors on the restaurant business market. Comparison — to determine the results of the influence of factors on the functioning of hotel and restaurant business establishments, the use of data of accommodation establishments by the number of rooms. The results. According to the analysis of the hotel and restaurant business, the key factors affecting its competitiveness and success, especially when using the latest technologies, have been determined. Hotels are implementing innovative technologies, including robotic systems and artificial intelligence, demonstrating high occupancy and attractiveness for modern generations. When conducting an analysis of hotel occupancy in Japan, the main theses were summarized: - Hotel Henn na Hotel Tokyo Ginza with artificial intelligence and robots at the reception showed the highest level of occupancy - 88.8%, which shows the high interest of guests in the latest technologies and automated service. - Other hotels that do not use innovation have a lower level of occupancy, which emphasizes the importance of technological development to maintain competitiveness. In order to use the latest technologies to improve the hotel and restaurant business, a comprehensive digital system was proposed, including voice recognition, artificial intelligence (using GPT algorithms), and a Smart Home system. This creates a comfortable environment for guests and facilitates the work of the service staff. The result is that the implementation of innovations can positively affect hotel occupancy and ensure guest satisfaction, especially generations Y and Z. It was determined that innovations such as robotic systems and artificial intelligence allow businesses to attract more customers, in particular, people who appreciate modern technology and comfort. The use of complex digital systems can improve the competitiveness and efficiency of the hotel and restaurant business. These results indicate the prospects of innovations in the field of hotel and restaurant business, and their implementation can become a key success factor in the modern market environment.

Research On the Current Problem and Marketing Strategy of Helen’s Market

The compound growth rate of China’s night and tavern economies has soared in recent years. Many of the famous pub chains have grown extraordinarily fast. The research theme of this paper caters to the general environment of the development of pubs. It analyzes Helens Pub’s marketing strategies and shortcomings and suggests reasonable suggestions. The main problems are the lack of personalized and attractive places to join the stadium and the lack of unified management and standardization of national franchise store staff services. In the face of these two problems, first of all, the research suggests strengthening the management training of personnel to maintain the professionalization of the business team and regularly sending people to evaluate, inspect, and guide the franchise stores in the country. The second point is to reflect personalized services in external marketing and display their unique style in indoor hardware decoration. Online marketing can be strengthened, interaction with customers can be increased, and a series of in-store games and activities can be launched to meet customers’ entertainment needs.

Measuring Lessons Learned from Durham Community Hub Model during COVID-19: A Support Solution for the Homeless and other Vulnerable Populations

Introduction/background: The COVID-19 pandemic significantly impacted the availability of community support and resources to vulnerable populations, including persons experiencing homeless within the Regional Municipality of Durham, Ontario, Canada. In response, the Region developed pilot community hubs to address escalating unmet housing, healthcare and support needs.
 Why did you do it? The community hub evaluation project is a community-based research co-created by a research team from Ontario Tech University and community stakeholders to measure the community hubs' effectiveness in addressing service users' unmet needs during the COVID-19 pandemic.
 Who is it for? The project is relevant to healthcare and social service policymakers and service providers, service users, researchers, and community organizers involved in researching, funding, designing and delivering healthcare and social services for vulnerable populations.
 Who did you involve and engage with? The project collaborators comprised a research team from Ontario Tech University and an advisory committee of community hub staff members and service users convened by the research team. All aspects of the project’s design and implementation, including creating the data collection tools, participant recruitment, data collection, data analysis and developing the knowledge translation products, were completed in collaboration with the research advisory committee that met monthly. Service users on the advisory committee were compensated for their time and contribution.
 What did you do? A mixed-methods research design was used to explore the experiences of the community hub service users, staff members and subject matter experts. Service users were recruited from the community hubs. Staff members were recruited through virtual staff meetings. Face-to-face surveys were administered to 75 service users at the community hubs. Staff online surveys were self-administered by 15 direct service staff. Virtual interviews were conducted with five community hub managerial staff and two subject matter experts. Quantitative data were calculated using the SPSS statistical software. Qualitative data were analyzed using thematic analysis.
 
 What results did you get? What impact did you have? The integrated service model was described as saving service users’ lives. Adequate, core funding is required for the sustainability of the community hubs. Results from the evaluation provided the regional government with data to help inform its strategic priorities for vulnerable populations.
 What is the learning for the international audience? The needs of vulnerable populations including persons experiencing homelessness are deep and entrenched. Community hubs integrate a range of healthcare and social support services, including the social determinants of health that respond to service users’ immediate and emerging needs.
 What are the next steps? Knowledge translation through conferences, symposiums, presentations at regional sector tables and peer-reviewed publications. Collaborating with the community hubs to utilize the research findings to support improvement in future service design and delivery.

Lessons on chronic care organisation during the COVID-19 pandemic in Cambodia, Slovenia, and Belgium. COVID as a magnifying glass on primary health care.

Introduction: Primary health care (PHC) systems worldwide have been challenged by the COVID-19 pandemic. Some patients couldn’t access care or services were not available.
 Background: Fuelled by different health systems, the impact on NCD care has been different in the three countries under research: Cambodia (a developing health system in a middle-income country), Slovenia (a centrally-steered health system in a high-income country), and Belgium (a publicly-funded privatised health system in a high-income country). As crises can uncover both the strengths and weaknesses of a PHC system, we can use them as an opportunity to pinpoint weak and strong areas and translate this knowledge into recommendations to strengthen the PHC system. This study aims to answer two research questions: ‘How has COVID-19 influenced NCD care within PHC?’ and ‘Under which circumstances does a crisis lead to health system strengthening in which types of countries?’.
 Methods: Interviews were conducted with 58 key stakeholders including policy makers or influencers, patient and provider representatives, researchers and primary care providers. These interviews were supplemented with document reviews. A qualitative thematic analysis was performed and results were discussed with the international research team. This study is part of the SCUBY project, funded by the EU Horizon 2020 programme.
 Results: COVID-19 had different impacts on key organizations in the three countries. In Belgium, general practitioners got overburdened with COVID-19 testing and accompanying administration, highlighting the chronic lack of auxiliary staff such as nurses or assistants. In Cambodia, some private PHC facilities, serving the majority of the patients with NCDS were closed by the owners to prevent transmission. This led to the increased burden of NCD on the public sector which has a duty to maintain essential services in the crisis circumstance. However, it pointed to the importance of strengthening the public sector for NCD care to cope with future crises. In Slovenia, the high COVID-19 burden in nursing homes revealed vulnerabilities in the long-term care system, such as lack of staff and fragmented service provision.
 
 In relation to health system strengthening opportunities, the current crisis also provides a unique chance to move forward in the three countries. In Cambodia, the successful vaccination campaign renewed trust in the public health sector, whereas in Slovenia new investments in the health care sector were announced. In Belgium, the Minister of Health planned to reform the financing system and to strengthen primary care.
 Conclusions: The COVID pandemic caused disruption of care in all three countries. However, it also creates important chances to accelerate the scale-up of high-quality care for all patients with NCDs. When taking the time to analyse how COVID-19 impacted the health care system we can boost it faster than before.

Childhood, Adolescence and the Early Years of Military Service of M.N. Muravyov: 1796–1820

The article deals with the fi rst period of life and activity of the outstanding state and military fi gure Mikhail Muravyov. The author describes the beginning of his scientifi c activity, his participation in the Patriotic War of 1812 and in the formation of higher military education and the General Staff service in the Russian Empire.

What does it mean to be working class? Exploring the definition of a social class identity through the eyes of working-class professional services and administrative staff in Russell Group universities

What it means to have a working-class identity in the UK today is constantly under tension and debate. From socio-economic proxies used by large organisations as determinants of disadvantage to POLAR data, self identification and other metrics, academic literature has largely disagreed how to measure working class as an identity over the last 20 years. This paper draws on the findings from two parts of an EdD thesis which looked to understand the experiences of working-class professional services staff in UK Higher Education. Here, it presents the findings of the literature review which discovered the multiple ways in which working class identities are determined for the purposes of research recruitment in academic papers. In the subsequent part of this paper, empirical data from interviews with working class staff in UK Higher Education looks at the facets which participants considered defined them as having a working-class identity. Moving away from traditional conceptualisation of a working-class identity as solely connected to the means of production, it suggests that a working-class identity is inherently connected to many factors in 2023, predominantly to economic disadvantage but also by occupation, social mobility discourse, and access to goods technology and entertainment. Furthermore, it finds that there are implicit features of a working-class identity shared across the study which include access to facilitating networks, narratives of luck, and being underappreciated and undervalued. This interplay between the convergence of habitus and lived experience suggests that working-class people in UK universities are subject to a lamination of field, an intersection of multiple temporalities

Virtual reality relaxation for mental health staff in complex care services: A feasibility and acceptability study

ObjectiveVirtual reality (VR) relaxation has been implemented in workplaces for staff wellbeing. However, little is known about potential benefits for mental health staff who work in challenging settings who can experience high stress levels and poor wellbeing. MethodsThis study evaluated implementation of a single-session VR relaxation intervention for staff in complex care mental health settings. Pre- and post-VR visual analogue scales (VAS) explored the effect of VR on wellbeing. Post-VR, VAS on helpfulness and immersiveness were recorded, participants planned a behavioural activity to explore the real-world application of VR relaxation, and narrative feedback was collected. ResultsParticipants (N = 22) were mostly of Black ethnicity, in their early forties, and just over half were female. There was an even mix of outpatient and inpatient staff from various professions. Most were nurses, occupational therapists, or doctors. Post-VR, for the total sample, there were significant increases in relaxation, happiness, connectedness to nature (all d>1.00 and p<0.00); and decreases in stress, anxiety (both d>1.00 and p<0.00) and sadness (d = 0.53, p = 0.02). There was no significant effect of sadness for outpatient staff, whereas inpatient staff experienced a significant decrease post-VR (d = 68, p = 0.03). Mean helpfulness and immersiveness ratings were high. All participants planned a behavioural activity, and 15 participants (68 %) carried it out. Participants found the VR intervention to be relaxing, soothing, exciting and an immersive respite from work. ConclusionThe positive findings indicate potential for wider implementation of VR-based wellbeing interventions in mental health settings and other workplaces where staff experience high stress levels.

“Giving the People Who Use the Service a Voice”: Student Experiences of University Disability Services

Disabled students are systematically disadvantaged compared to their non-disabled peers and Disability Services can provide important access to accommodations and support. Such services are not, however, without issues. The present study investigates student experiences with University Disability Services in order to identify shared barriers to inclusion and recommendations for practice. Individual semi-structured online interviews were conducted with twelve female students. Each student discussed their engagement with Disability Services as an undergraduate or postgraduate student, and each student disclosed a long-term, nonvisible condition. A thematic analysis was used to identify three themes. These were (1) Identity and Legitimacy (Identification as Disabled, Perceived Legitimacy, The Importance of Evidence), (2) Knowledge and Understanding (Knowledge of Specific Conditions, Knowledge of Disability Services, Disability Services Staff Knowledge and Understanding, Peer Knowledge and Understanding), and (3) Independence and Support (Desire for Autonomy, The Importance of Self-Advocacy, Additional Support). The findings highlight shared barriers to support experienced by students with different diagnoses who engage with University Disability Services. A range of recommendations are provided to improve Disability Services provision (e.g., universities are advised to review the language used to advertise Disability Services).

ENHANCED SUPPORT FOR CHINESE AND KOREAN AMERICAN DEMENTIA CAREGIVERS: INSIGHT FROM SERVICE PROVIDERS

Abstract As members of two large Asian immigrant populations in the U.S., Korean and Chinese American family caregivers of persons with dementia (PWD) have unique challenges impacted by their cultural background. Many of them prefer to and are relying on social services providers who speak the same language as they do for support and assistance. As part of the project to inform the cultural adaptation of NYU Caregiver Intervention-Enhanced Support (NYUCI-ES) program for Chinese and Korean American caregivers with multiple chronic conditions, we explored the perspectives of 13 Chinese and 12 Korean services providers (physicians and social service staff). During focus group discussions, services providers shared their perspectives on care challenges facing these populations, including challenges in initiating advanced care planning, family conflict in decision making and caregiving, insufficient community resources, staffing shortage associated with the pandemic and some care aides’ stigmatic beliefs about providing dementia care. We identified nuances in the following aspects: utilization of home health aides’ help, attitudes towards diagnosis and education, approaches to selfcare, preferences for engagement settings, trust-building, and family involvement. For instance, Korean services providers highlighted Korean caregivers’ strong preference for home health aides of the same gender as PWD and having individual rather than group session to learn about dementia. What we found from services providers largely echoed our findings from family caregivers but also provided unique insights from their work experiences. These findings will inform cultural adaptation of the content of the NYUCI to improve its applicability to Chinese and Korean American caregivers.

WE CAN WORK IT OUT: NURSING HOME SOCIAL WORK AND CONFLICT MEDIATION

Abstract Drawing from a nationally representative survey of social service directors (N=922), this presentation will provide an overview of nursing home staffing trends and describe the ways in which social service staff routinely interact with residents, families, and staff. Social workers are involved in many aspects of care, including the admissions process, planning and providing care, care transitions, and general supportive services. As members of the interdisciplinary team, social workers advocate for resident rights, and support decision-making and care planning in times of family crisis and high conflict situations. Summary statistics will be presented to identify the directors’ frustrations with the role – including their perceptions of major barriers to care, and draw attention to the changes that would improve job satisfaction (e.g., higher salary/wage, 51%; lower staff turnover among direct care staff, 47%; and more time to focus on the social and emotional concerns of residents, 45%). The presentation will conclude with an overview of directors’ interest in training topics that may help to mediate conflicts among residents, families, and staff. Specifically, we will share how prepared directors feel to train other staff in conflict-resolution skills (e.g., working with the resident/family and team to balance resident self-determination with the nursing home’s responsibility to minimize risk), and the use of an ethical framework to guide action.

A Customer Experience Study Based on Vienna Hotel Data

With rapid economic development, there is also an increasing demand for consumer experience. Therefore, we need to make changes to the hotel’s customer service based on a study of customer experience theory. This will help improve customer satisfaction and enhance the hotel’s competitiveness. Based on the theory of customer experience, this study aims to investigate the customer service at the Vienna Hotel. The service status of each department will be assessed through a questionnaire survey. By analyzing the data and identifying the problems in the customer service at the Vienna Hotel, appropriate solution strategies will be proposed. Hebi Vienna Hotel needs improvement in staff service ability and quality, hardware facilities and equipment, management mechanisms, and personalized service. Therefore, the hotel needs to improve its infrastructure, train its employees to enhance their service skills, innovate personalized services to improve the quality of customer service, and enhance customer satisfaction and the check-in experience.

Waiting in Pain II: An Updated Analysis of the Multidisciplinary Staffing Levels and Clinical Activity in Australian Specialist Persistent Pain Services

This study provides an update on multidisciplinary staffing and clinical activity in Australian specialist persistent pain services. Of the 109 services identified, 57 responded, met inclusion criteria and completed a study-specific questionnaire detailing service characteristics, staff resources, and clinical activities. Where possible, data were compared between the ‘Waiting in Pain’ (WIP) investigations (WIP-I: Dec’08–Jan’10, WIP-II: Jul’16–Feb’18). WIP-II found more pain services (Level 1 centres, rural services) and more full-time equivalent (FTE) staffing (overall, psychiatry, psychology, occupational therapy) than WIP-I. Although Level 1 centres employed more FTE staff (overall, medical) than Level 2 clinics, staffing was comparable when considered relative to clinical activity and this was stable over time for most disciplines. Clinical activity in metropolitan and rural services also remained stable, as did rural service staffing (type, FTE), suggesting that newer clinics replicated existing models. WIP-II highlighted greater diversity in group structures than WIP-I and an associated mean .02FTE allied health staff/patient seen (WIP-I = .03 FTE). Staffing (amounts, types) did not change significantly over time when considered relative to clinical activity, supporting the conclusion that these are workable clinical structures. However, changes in group format (duration, staffing) suggest a shift towards lower-intensity programmes that require less allied health staffing to deliver. PerspectiveThis article presents updated data regarding multidisciplinary staffing profiles, clinical activity, and group programme structures within Australian specialist persistent pain services and examines changes since the original investigation. As the only published staffing profile for multidisciplinary pain services, this project provides critical information to inform service (re)design and care delivery.

Working with the police service and homeless services in North West England to reduce alcohol harms: A feasibility study of a tailored Blue Light approach

IntroductionDeaths caused by alcohol are increasing in England and 80 % of people with alcohol use disorders (AUDs) are not in treatment. The Blue Light approach (Alcohol Change UK) is an initiative to support people with AUDs who are not in treatment. This study aimed to tailor the Blue Light approach (combined with alcohol identification and alcohol brief interventions [ABI] training) for police officers and homeless service staff in North West England, and to qualitatively evaluate the feasibility and acceptability of the training. MethodsThe Blue Light approach was tailored using co-production activities, based on Transdisciplinary Action Research. Full-day and half-day training sessions were delivered to the police (full-day N = 14, half-day N = 54) and homeless service staff (full-day N = 11, half-day N = 32), in local police stations and online (four half-day sessions). Semi-structured interviews (N = 23) were conducted to evaluate implementation and integration, analysing the qualitative data in line with Normalisation Process Theory. ResultsFour themes were identified, each with two to three sub-themes, reflecting: (i) the importance of training for working practice, (ii) implementation of the interventions, (iii) changes to relationships within and between organizations, and (iv) recommendations for further changes to the training. Differences in findings across the organizations (police versus homeless services) and by training type attended (full-day versus half-day, in-person versus online) are presented. ConclusionsThere is evidence to suggest that the training has provided worthwhile knowledge and intervention techniques that can become embedded into working practices. Nevertheless, structural barriers were apparent, primarily within the police service, with clear disparities between recognising the value of the training and what is achievable in practice, given the competing demands.

Deploying artificial intelligence software in an NHS trust: a how-to guide for clinicians.

Over the past 10 years, artificial intelligence (AI) has become one of the fastest-growing sectors in healthcare. There are now numerous new technologies designed to cut costs and improve diagnoses and treatment pathways. However, there is significant scepticism amongst National Health Service (NHS) staff regarding the usefulness of AI and it's cost to the NHS. This has likely resulted in underuse and slow adoption of software that may revolutionize our healthcare system and ensure its continued survival and effectiveness. Several governing bodies have put forward guidance on the safe and effective adoption of AI tools, but this rarely covers the reality of selecting and deploying new software. This article set out clear guidance on the practicalities and pitfalls of deploying digital solutions in healthcare, using the example of a deep learning algorithm designed to improve the accuracy of chest X-ray (CXR) interpretation in the emergency department.