Service Trust Research Articles

COMMUNITY EMPOWERMENT AND IT’S INFLUENCE ON IMPLEMENTATION OF WATER PROJECTS IN MACHAKOS COUNTY OF KENYA

Objective: This study focused on the extent to which Community empowerment influence Implementation of water projects in Machakos County of Kenya. Accessibility to safe water has been a great challenge not only in Machakos County but to the developing world. The purpose of this study was to establish Community empowerment influence on Implementation of water projects in Machakos County of Kenya. Theoretical Framework: The study was anchored on Pragmatic paradigm and used descriptive survey research design. The target population for this study was Machakos County water representatives both staff and Community. Research sample comprised of, Water Resources Users Association officials, Water Resource Management Authority employees, County Ministry of Water and Irrigation staff, Water Services Trust Fund staff and Tana Athi Water Services Agency Staff, giving a total target population of 572 individuals. Method: The sample size of the study was derived from the various strata’s by using Krejcie and Morgan Table for sample size determination which gave a sample size of 226 participants. The research instruments used included: questionnaires; Key informant Interviews, Focus Group discussions, observation, documents review and Interview guides. Data was analysed using descriptive statistics and inferential statistics. Quantitative data was analysed using frequencies, percentages, mean, standard deviation, composite mean and standard deviation. Qualitative data was analysed by content analysis. Research Implications: This Study is significant to policy makers, students, water agency managers and primary stakeholders in the research region. It was concluded that Community empowerment significantly influence implementation of water projects in Machakos County in Kenya.

Why COVID-19 Symptomatic Patients Did Not Seek Healthcare Service at the Early Phase of the Pandemic in Bangladesh: Evidence From a Cross-Sectional Study.

Objective The health-seeking behavior (HSB) of patients during an outbreak is crucial in mitigating the spread of disease. Poor HSB can increase mortality and make contact tracing more difficult. In this study, we aimed to examine the status of HSB among Bangladeshi educated individuals during the early phase of the COVID-19 pandemic when infection was spreading quickly, and social distancing measures were tightened across the country. Methods We conducted a cross-sectional survey online among Bangladeshi individuals using a virtual snowball sampling method to capture suspected COVID-19 patients who did not undergo COVID-19 diagnostic testing.Descriptive and inferential analyses were performed with statistical significance defined as p<0.05. Results The study consisted of 390 participants with 44.9% having a bachelor's degree, followed by 25.9% with a master's or PhD degree. Commonly reported symptoms among the participants included fever (77.7%), cough (50.5%), headache (46.2%), body pain (36.4%), sore throat (35.6%), anosmia (31.3%), anorexia (13.8%), diarrhea (11.4%), and dyspnea (11.3%). The most common reasons for not taking the COVID-19 test were limited testing facilities (48%), the risk of infection from the test center (46%), fear of social stigma (19%), considering COVID-19 infection as innocuous (18%), and fear of forced quarantine (5%). In regression analysis, participants who lived in rural areas were found to be 2.5 times more likely to buy medications from nearby pharmacies. Males were more likely to self-medicate, with male participants being 3.2 times more likely than female participants to consider COVID-19 infection as harmless (AOR: 3.2, CI: 1.28-7.98). Smokers were more likely to seek help from government hotlines and to use drugs at home. Respondents with higher monthly income were less likely to fear forced quarantine (AOR: 0.27, CI: 0.4-2.02) but more likely to consider the risk of infection at the test center (AOR: 1.75, CI: 0.88-3.49). Conclusion Our study highlights that non-compliance with public health guidelines by educated people during an epidemic indicates a general lack of health literacy and distrust in the healthcare system. Along with improved infrastructure, efforts to enhance public health risk communication and health literacy are necessary to rebuild public trust in the healthcare service.

University students’ accounts of police use of force: implications for trust in the police

ABSTRACT This empirical research explores the effect of police use of excessive force on university students’ trust in the police. Although the use of force by the police has continued to resonate in academic discourse, particularly from developed Western societies, the challenge is that there is a dearth of empirical research that precisely measures police use of excessive force among university students and how it shapes their trust in the police. The few existing studies were drawn from the general population survey, and they showed that the police in most African transitional societies tend to misuse their powers and are typically unaccountable to the public. From a survey data of participants delineated to a large public university in South Africa, this study specifically assessed the effect of direct experience of police abuse, vicarious experience of police abuse, experience of police corruption, and predatory policing on university students’ trust in the police. Findings confirmed, among others, that police use of excessive force (direct and vicarious experience of police abuse and predatory policing) significantly negatively affects students’ trust in the South African Police Service (SAPS). The implications of the findings for effective policing in the country are discussed.

Telework and public value creation: Evidence from Mexican public officials

This study examines the impact of telework on public value creation, drawing on data from a survey of 419 Mexican public officials and utilizing structural equation modeling (SEM) for analysis. The findings reveal a substantial positive effect between teleworking and public value creation, particularly in terms of service quality, operational effectiveness, and trust. These contributions underscore how telework can improve government efficiency and citizen satisfaction, as well as the need for telework policies adapted to government contexts. By highlighting the positive influence of telework on public value, the study underscores the significance of embracing remote work arrangements during crises and realize the full potential of this work method in critical situations. Policymakers can leverage these insights to inform their decisions and promote the sustained adoption of telework in the public sector.

Safety, resource use and nutritional content of home-blended diets in children who are gastrostomy fed: findings from ‘YourTube’ – a prospective cohort study

ObjectiveTo assess the risks, benefits and resource implications of using home-blended food in children with gastrostomy tubes compared with currently recommended formula feeds.DesignThis is a cohort study. Data were collected...

Exploring the Relationship Between E-Government, Transparency, and Citizen Trust in Government Services

This study investigates the relationship between e-government initiatives, transparency, and citizen trust in government services. By synthesizing existing literature and analyzing case studies from various countries, the research aims to understand how digital governance and transparency can influence public trust in governmental operations and services. E-government, which encompasses the use of digital platforms and technologies to deliver government services, is found to play a significant role in enhancing transparency and accessibility. The study reveals that e-government initiatives facilitate greater openness by providing citizens with easy access to information and services, thereby reducing opportunities for corruption and enhancing accountability. This increased transparency is shown to be crucial in fostering a more informed and engaged citizenry. Transparency in government is identified as a key factor in building citizen trust. The research highlights that when governments are open about their processes, decisions, and use of resources, citizens are more likely to perceive them as reliable and trustworthy. Transparency initiatives, such as open data platforms and online public consultations, allow for greater scrutiny and participation, which in turn can increase public confidence in government actions. Citizen trust in government services is essential for the effective functioning of a democratic society. The study indicates that trust is significantly influenced by the perceived transparency and accessibility of government services. When citizens trust that their government is transparent and accountable, they are more likely to engage with and utilize government services, leading to greater societal cohesion and cooperation. In conclusion, the interplay between e-government, transparency, and citizen trust is critical in shaping the effectiveness and credibility of government services. The study suggests that enhancing digital governance and transparency can lead to increased public trust and more effective government operations. Future research should explore the specific mechanisms through which e-government initiatives can further enhance transparency and trust in different socio-political contexts.

Health literacy and non-communicable disease knowledge of pregnant women and mothers in Tasmania: Qualitative exploration.

The World Health Organisation is prioritising health literacy development to address the growing burden of non-communicable diseases (NCDs). Empowering pregnant women and mothers through health literacy development may help to reduce the intergenerational impact of NCDs. However, significant gaps exist in understanding the health literacy needs of this priority population globally. This study aimed to qualitatively explore the health literacy strengths and challenges as well as NCDs knowledge and beliefs of pregnant women and mothers with young children (0-8 years) in Tasmania. Data were collected online using in-depth semi-structured interviews and analysed inductively using reflexive thematic analysis. Twenty women (mean age 35.5 years, standard deviation 5.13) participated. Four parent themes were generated from the data: perceived knowledge and awareness of NCDs and their causative factors; social determinants of health and the surrounding environment; social networks and peer support as health navigator; and trust in health services and social connections. These themes highlighted diverse factors that influenced the participant's access and use of health information and services and their engagement in healthy lifestyle practices and active health management. Participants demonstrated good knowledge and awareness about NCDs and associated risk factors but experienced numerous health literacy strengths and challenges which influenced their access to health care and engagement in healthy lifestyle practices. This study highlights the need to address the diverse health literacy needs of pregnant women and mothers through codesigning locally informed health literacy development strategies combined with the creation of enabling service environments to reduce the growing burden of NCDs.

Donor knowledge and perceptions regarding donation-induced iron depletion and iron supplementation as a blood service policy.

Regular whole blood donations are associated with an increased risk of iron deficiency. Iron supplementation is an effective strategy to prevent donation-induced iron deficiency. However, research on donor perceptions towards such a policy is limited. Therefore, we aim to evaluate donors' knowledge on donation-induced iron depletion and their perceptions regarding iron supplementation as a blood service policy. Three thousand Dutch whole blood donors were invited to complete a survey assessing their knowledge of donation-induced iron depletion and attitudes and perceptions towards iron supplementation as a policy. Linear regression modelling was used to evaluate associations between explanatory variables and perceptions. In total, 1093 (77.1%) donors were included in the analysis. Donors had poor knowledge of current iron management policies, but a better understanding of iron metabolism and supplementation. Iron supplementation as a policy was perceived mainly positive by donors, and the majority were willing to use iron supplements if provided. Iron supplementation was not perceived as invasive or negatively affecting donors' motivation to continue donating. Additional iron monitoring, information and donor physician involvement were regarded as important conditions for implementation. Male sex, trust in the blood service, prior experience with iron supplements and openness towards dietary supplements were strongly positively associated with willingness to use iron supplementation. Donors' knowledge regarding donation-induced iron depletion is limited, but not associated with their perceptions regarding iron supplementation. Donors do not consider iron supplementation as invasive, deterring or demotivating, and a majority are willing to take supplements if offered.

A cloud-fog distributed trust service for wireless sensor networks

A cloud-fog distributed trust service for wireless sensor networks

Exploring Dietitians’ Perspectives Toward Current Practices and Services in Relation to Irritable Bowel Syndrome Management in Clinical Settings Across the United Kingdom: A Qualitative Study

BackgroundIrritable bowel syndrome (IBS) is a chronic and relapsing gastrointestinal condition that negatively impacts quality of life. Dietary triggers are common and dietary management is central to the IBS treatment pathway, and dietitians are the main education providers for patients. ObjectiveThe aim of this study was to explore dietitians’ perspectives on current practices and services in relation to IBS management in clinical settings across the United Kingdom. DesignQualitative semi-structured interviews were undertaken from May to October 2021 via videoconferencing software. Eligible participants were dietitians specializing in gastroenterology and working in National Health Service (NHS) Trusts in the United Kingdom. Interviews were audio recorded and transcribed following intelligent transcription. Template analysis guided by naïve realism and its underlying epistemological assumptions was used. Participants/settingDietitians (N = 13) working in various NHS Trusts across the United Kingdom with at least 1 year of clinical experience in IBS management were included. Qualitative data analysisTemplate analysis, a form of thematic analysis with hierarchical coding, was used to explore dietitians’ perspectives of IBS practices. ResultsParticipating dietitians were mostly female (92.3%), of White race (84.6%), working in various NHS Trusts across the United Kingdom, and had more than 5 years of clinical experience (69.2%). The following 3 main themes emerged: 1) dietetics services as part of IBS referral pathways; 2) practices in relation to dietetics services; and 3) patients’ expectations and feelings. Each main theme had subthemes to facilitate the description and interpretation of data. The increasing number of IBS referrals to dietitians and the need for accurate and timely IBS diagnosis and specialist dietitians were reported, along with the use of digital innovation to facilitate practice and access to dietetic care. The use of internet as a source of (mis)information by patients and the limited time available for educating patients were identified as potential barriers to dietetic practice. Dietitians follow a patient-centered approach to dietary counseling and recognize the negative implications of perceived IBS-related stigma by patients on their feelings and treatment expectations. ConclusionsThe study identified areas and practices that can facilitate access to dietetic services and patient-centered care in IBS management, as outlined in UK-based guidelines.

Treatment options for patients with pilonidal sinus disease: PITSTOP, a mixed-methods evaluation.

There is no consensus on optimal management of pilonidal disease. Surgical practice is varied, and existing literature is mainly single-centre cohort studies of varied disease severity, interventions and outcome assessments. A prospective cohort study to determine: • disease severity and intervention relationship • most valued outcomes and treatment preference by patients • recommendations for policy and future research. Observational cohort study with nested mixed-methods case study. Discrete choice experiment. Clinician survey. Three-stage Delphi survey for patients and clinicians. Inter-rater reliability of classification system. Thirty-one National Health Service trusts. Patients aged > 16 years referred for elective surgical treatment of pilonidal disease. Surgery. Pain postoperative days 1 and 7, time to healing and return to normal activities, complications, recurrence. Outcomes compared between major and minor procedures using regression modelling, propensity score-based approaches and augmented inverse probability weighting to account for measured potential confounding features. Clinician survey: There was significant heterogeneity in surgeon practice preference. Limited training opportunities may impede efforts to improve practice. Cohort study: Over half of patients (60%; N = 667) had a major procedure. For these procedures, pain was greater on day 1 and day 7 (mean difference day 1 pain 1.58 points, 95% confidence interval 1.14 to 2.01 points, n = 536; mean difference day 7 pain 1.53 points, 95% confidence interval 1.12 to 1.95 points, n = 512). There were higher complication rates (adjusted risk difference 17.5%, 95% confidence interval 9.1 to 25.9%, n = 579), lower recurrence (adjusted risk difference -10.1%, 95% confidence interval -18.1 to -2.1%, n = 575), and longer time to healing (>34 days estimated difference) and time to return to normal activities (difference 25.9 days, 95% confidence interval 18.4 to 33.4 days). Mixed-methods analysis: Patient decision-making was influenced by prior experience of disease and anticipated recovery time. The burden involved in wound care and the gap between expected and actual time for recovery were the principal reasons given for decision regret. Discrete choice experiment: The strongest predictors of patient treatment choice were risk of infection/persistence (attribute importance 70%), and shorter recovery time (attribute importance 30%). Patients were willing to trade off these attributes. Those aged over 30 years had a higher risk tolerance (22.35-34.67%) for treatment failure if they could experience rapid recovery. There was no strong evidence that younger patients were willing to accept higher risk of treatment failure in exchange for a faster recovery. Patients were uniform in rejecting excision-and-leave-open because of the protracted nursing care it entailed. Wysocki classification analysis: There was acceptable inter-rater agreement (κ = 0.52, 95% confidence interval 0.42 to 0.61). Consensus exercise: Five research and practice priorities were identified. The top research priority was that a comparative trial should broadly group interventions. The top practice priority was that any interventions should be less disruptive than the disease itself. Incomplete recruitment and follow-up data were an issue, particularly given the multiple interventions. Assumptions were made regarding risk adjustment. Results suggest the burden of pilonidal surgery is greater than reported previously. This can be mitigated with better selection of intervention according to disease type and patient desired goals. Results indicate a framework for future higher-quality trials that stratify disease and utilise broad groupings of common interventions with development of a patient-centred core outcome set. This trial is registered as ISRCTN95551898. This award was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment programme (NIHR award ref: 17/17/02) and is published in full in Health Technology Assessment; Vol. 28, No. 33. See the NIHR Funding and Awards website for further award information.

NURTURING CUSTOMERS LOYALTY ON ISLAMIC BANK: THE ROLE OF SATISFACTION AND TRUST AS MEDIATION

Introduction: Customer loyalty is a fundamental point in relational marketing that must be maintained and maintained by service providers. The urgency of nurturing loyalty of customers is the goal of this research, namely by developing a framework of customer loyalty in shariah banks using the antecedents to be tested. Method: A total of 250 Indonesian Islamic bank customers in Central Java were used as respondents taken using a convenience sampling technique. The collected data were tested, and the data were analysed using SEM with the AMOS statistical software. Result: The finding of the study shows from the nine hypotheses, there are six hypotheses accepted and three hypotheses rejected. High intrinsic religiosity of customers will increase customer satisfaction, trust and loyalty. Meanwhile, extrinsic religiosity is only able to make customers believe in Islamic banks, but is unable to influence satisfaction and loyalty. Other findings show that customer loyalty is based on their trust in Islamic bank services but is not directly influenced by satisfaction. Conclusion and Suggestion: Meanwhile, customer trust in Islamic banks is formed because of their satisfaction with the service. Although satisfaction is not significant on loyalty, its impact can affect trust, and trust is the key to increasing loyalty. This study's findings offer a new perspective on Islamic bank marketing strategies. By promoting proper service, product development, and operational excellence, these strategies can help build customer trust.

Strategi pengembangan bisnis Tour dan Travel pada PT. Tiwikrama Tour Indonesia

Tiwikrama Tour Indonesia is a company that deals with tour and travel transportation. PT. Tiwikrama Tour Indonesia has the following strengths: 1. Strategic location in the city center with good accessibility; 2. Consumer trust in car, tour, and travel services and weaknesses 1. Limited physical facilities and human resources (HR) that limit service capacity; 2. Lack of effective promotion and marketing to increase company visibility. 3. Operational opening hours, 3. Price cuts, 4. Unclear information media and Opportunities: 1. Utilizing technological advances as a tool for marketing and consumer rentals; 2. Increasing tourism sector in the city of Bandung, 3. Addition of vehicle units in demand from consumers, 4. Gaining trust from customers and threats that arise: 1. The emergence of many competitors, such as Tour and Travel, 2. More attractive offers related to promos and discounts by other companies exist, 3. Increasing rental prices. By using the Business Model Canvas method PT. Tiwikrama Tour Indonesia is expected to improve its business strategy to be more innovative and flexible to continue to follow trends and expand the market. Therefore, it is likely that this research will significantly contribute to PT's growth. Tiwikrama Tour Indonesia. The strategic steps that must be taken immediately are 1. providing the types of vehicles often rented by consumers, 2. Carrying out regular service or checks to provide security and comfort for consumers, 3. Social-Media such as Instagram, TikTok, and other websites are used as marketing media. 4. Designing applications to make it easier for consumers to rent.

Emerging Trends in Cloud Security: Zero Trust and SASE

Abstract: A lot has changed in the world of IT since cloud computing came along. Now, businesses can use shared tools and services whenever they need to. The old security models that were based on perimeters no longer work to protect cloud settings. This change has also made businesses more vulnerable in new ways. This article talks about two new security trends in the cloud: zero trust and secure access service edge (SASE). The idea behind zero trust security is that you shouldn't trust anyone or anything by default. Based on the principle of least privilege, every request for entry has to be checked out and given the goahead. SASE, on the other hand, is a cloud-based architecture that combines WAN and network security features to make it easy and safe to access cloud services. The article tells the truth about these technologies and how they will grow. It also talks about what they can do for businesses and how they will affect their security

Improving Lecturer Performance Through Strengthening Service Leadership, Empowerment, Achievement Motivation, And Trust in Muhammadiyah Tangerang University Lecturers

Improving Lecturer Performance Through Strengthening Service Leadership, Empowerment, Achievement Motivation, And Trust in Muhammadiyah Tangerang University Lecturers

The Influence Of Service Quality And Trust On The Acceptors Loyalty Of Through Consumer Satisfaction As A Mediation Variable In The National Population And Family Planning Board (Bkkbn) Tanggamus District

Acceptor Loyaltyin research This as variable dependent , whether loyalty consumer after quality services provided by the district BKKBN Tanggamus give impact positive to BKKBN 's performance own research carried out For know service quality, consumer trustin a way Partial influential direct to Acceptor Loyalty, service qualityand consumer trustin a way Partial influential to variable mediation ie satisfaction customers , loyalty consumers , service qualityand trust consumers who are mediated by satisfaction consumer in a way Partial mediate or in a way No direct to Acceptor Loyalty. Research carried out use method perposive random sampling with amount sample of 220 respondents with SEM method using tool analysis namely Amos. Findings empirical results obtained is Service qualityinfluential positive and significant to Acceptor Loyaltyat Regency BKKBN Tanggamus . Consumer trustInfluential positive and significant to Acceptor Loyalty. Service qualityinfluential positive and significant to satisfaction consumer Consumer trustinfluential positive and n significant to papacy customer . Satisfaction consumer influential positive and significant to Acceptor Loyalty. Service qualityinfluential positive and significant to Acceptor Loyaltythrough satisfaction consumer as variable mediation Consumer trustInfluential positive and significant to Acceptor Loyaltythrough satisfaction consumer as variable mediation.

Building trust in cybernetic payment network: Insights from an emerging economy

This study investigates customers' trust and behavioural intentions regarding the use of cybernetic payment network services in an emerging country, focusing on perceived quality, system quality, and perceived image. Data from 324 respondents in Bangladesh were collected via a self-administered Google survey form distributed through email, WhatsApp, and Messenger using purposive sampling. The SmartPLS-4 software was used to assess construct validity and hypothesized path coefficients. Results indicate that perceived quality, system quality, and image significantly influence perceived trust in cybernetic payment network services. Additionally, perceived trust and system quality positively impact behavioural intention to use these services. Furthermore, perceived trust mediates the relationship between behavioural intention and system quality, perceived quality, and image. The study underscores the importance for cybernetic payment network service providers to enhance perceived quality, system quality, and perceived image to foster trust and promote adoption. It highlights the pivotal role of trust in driving customers' intention to adopt these services, urging providers to prioritize efforts in building trust among users. This study contributes to the limited literature on the impact of perceived quality, system quality, and perceived image on customers' inclination to use cybernetic payment network services, offering valuable insights for bank managers and policymakers to formulate effective strategies for sustaining innovation and enhancing adoption rates.

Can compassionate leadership of senior hospital leaders help retain trainee doctors?

BackgroundHigh burnout and low retention rates among trainee doctors threaten the future viability of the UK medical workforce. This study empirically examined factors that can sustain trainee doctors.MethodA total of...

Successfully initiating an escalation of care in acute ward settings-A qualitative observational study.

To address knowledge gaps by (i) developing a theoretical understanding of escalation and (ii) identifying escalation success factors. Non-participant observations were used to examine deteriorating patient escalation events. Escalation event data were collected by a researcher who shadowed clinical staff, between February 16th 2021 and March 17th 2022 from two National Health Service Trusts. Events were analysed using Framework Analysis. Escalation tasks were mapped using a Hierarchical Task Analysis diagram and data presented as percentages, frequency and 95% CI. A total of 38 observation sessions were conducted, totaling 105 h, during which 151 escalation events were captured. Half of these were not early warning score-initiated and resulted from bleeding, infection, or chest pain. Four communication phenotypes were observed in the escalation events. The most common was Outcome Focused Escalation, where the referrer expected specific outcomes like blood cultures or antibiotic prescriptions. Informative Escalations were often used when a triggering patient's condition was of low clinical concern and ranked as the second most frequent escalation communication type. General Concern Escalations occurred when the referrer did not have predetermined expectations. Spontaneous Interaction Escalations were the least frequently observed, occurring opportunistically in communal workspaces. Half of the events were non-triggering escalations and understanding these can inform the design of systems to support staff better to undertake them. Escalation is not homogenous and differing escalation communication phenotypes exist. Informative Escalations represent an organizational requirement to report triggering warning scores and a targeted reduction of these may be organizationally advantageous. Increasing the frequency of Spontaneous Escalations, through hospital designs, may also be beneficial. Our work highlights that a significant proportion of escalation workload occurs without a triggering early warning score and there is scope to better support these with designed systems. Further examination of reducing Informative and increasing Spontaneous Escalations is also warranted. Extensive PPIE was completed throughout the lifecycle of this study. PPIE members validated the research questions and overarching aims of the overall study. PPIE members contributed to the design of the study reviewed documents and the final data generated.

EnCloud: Aspect‐oriented trusted service migration on SGX‐enabled cloud VM

AbstractThis paper presents enCloud, a new aspect‐oriented trusted service migration with SGX‐enabled cloud VM. Addressing the challenge of reconciling end‐to‐end security with VM migration, enCloud incorporates two key aspects: (1) end‐to‐end security for enclave context migration, and (2) VM abstraction for conventional VM context migration. This paper provides a practical guideline with applicable APIs for trusted service migration. In a case study, enCloud demonstrates effective trusted DB service migration on a cloud VM, achieving end‐to‐end security with minimal trust boundaries. The framework supports pre‐copy live VM migration to minimize service downtime. This paper contributes a concise and practical solution in the form of the enCloud framework for secure service migration.