Trust Policy Research Articles

Factors Affecting Communicating Risk During Public Health Emergencies

Background: Risk communication during public health emergencies is a demanding and dynamic public policy process. In this paper, we provide an overview of risk communication during public health emergencies by discussing the theoretical foundations of risk perception. While communication is a complex art and a science that helps to facilitate daily life, it may also be misused, leading to a multitude of problems. Communication is essential in situations that involve threats to public health and safety. Methodology: An extensive literature review was performed, and various databases, including PubMed, Scopus, and Google Scholar, were consulted to identify relevant peer-reviewed articles. A two-stage analysis of the collected literature was then conducted: In the first stage, a comprehensive examination was carried out to identify and categorize the factors affecting risk communication, such as media effectiveness, public trust, and governmental policies. The second stage focused specifically on Saudi Arabia as a case study to analyze the unique cultural, social, and governmental factors that shape risk communication in public health emergencies within the country. Conclusion: Effective crisis management relies on open lines of communication; this is why risk communication is so important. Thus, it is essential to utilize the proper channels and sources and to ensure stakeholders' participation in the dissemination of information, since such information may contain sensitive details that might trigger widespread fears. Moreover, implementing a risk communication strategy that connects with and addresses people's concerns is essential for increasing public involvement in disaster planning and response, as well as for providing access to accurate and timely information about an impending crisis.

Strategies To Increase Public Acceptance Of Carbon Tax Policy In Indonesia Using Participatory And Educative Approaches

Climate change is a major threat to the global ecosystem and economy. One of the policies promoted to reduce greenhouse gas (GHG) emissions that are the main drivers of climate change is the carbon tax policy. However, the implementation of carbon tax in Indonesia is not simple and faces many challenges, including low public acceptance of the policy. The method used in compiling this article is a literature study approach to understand the concept, theory, and findings of previous research related to the implementation of carbon tax and the factors that influence the level of public acceptance. The results of the study indicate that if the Carbon Tax is to be accepted by the public, the Government must provide an opportunity for its citizens to provide opinions, build trust, and draft policies fairly and transparently. This needs to be done so that the Carbon Tax is not merely viewed as a fiscal instrument, but also as a form of shared commitment to a more sustainable future

Consumer Awareness and Perception of Life Insurance: A Descriptive Analysis of Influencing Factors

This study investigates consumer perceptions of life insurance, examining the factors that influence individuals' attitudes, preferences, and decision-making processes. Despite the critical role of life insurance in financial planning, many consumers remain hesitant or misinformed about its benefits. Key findings indicate that while awareness of life insurance has increased, misperceptions and distrust still hinder its adoption. The study also highlights the role of financial literacy, brand reputation, and advisory services in shaping positive consumer perceptions. These insights underscore the need for more targeted, transparent, and informative marketing strategies by insurers to address consumer concerns and improve the overall appeal of life insurance products. The paper concludes with recommendations for insurers to build trust and tailor policies to meet the specific needs of diverse consumer groups.

HPB SO48 - Evaluating the timeframe for the provision of laparoscopic cholecystectomy in acute cholecystitis patients at a regional hospital

Abstract Background Acute biliary disease comprised a substantial proportion of the general emergency surgical workload. AUGIS and NICE guidelines recommend early laparoscopic cholecystectomy (LC) in acute cholecystitis (AC) patients as it is associated with reduced readmission rates, healthcare costs and faster recovery without notable complication risks. According to the local trust policy, it advocates early LC to be performed within 72 hours of admission for AC patients. If this is not possible a delayed LC should be performed within 8 weeks of admission. Our aim is to examine variations in the provision of LC between current practice and local trust/ NICE guidelines. Method This is a retrospective audit looking at the total number of surgical patients diagnosed with AC between Jan and Dec 2023. The number of patients who had LC in 2023, unfit for surgery and did not consent for the procedure were also included. This data was obtained from electronic patient records (investigative reports, discharge letters, outpatient letters) and then collated on a Microsoft Excel sheet for analysis. Surgical patients who were not diagnosed with AC such as those with biliary pancreatitis, cholelithiasis or cholangitis but subsequently underwent LC were excluded. Results The number of AC patients who were fit and consented to surgical intervention in 2023 was 88. The total number of delayed procedures done was 75 (85.2%). The number of patients who had early LC within 1 week was 13 (14.8%). Of the 75 patients who had delayed LC, 19 (25.3%) patients had delayed LC within 8 weeks from the diagnosis date. The remaining 56 (74.7%) patients had delayed LC after 8 weeks. For patients who had delayed LC, the readmission rate within 6 months of their discharge while waiting for their operative dates was 29 (38.7%). Conclusion One-third of AC patients were readmitted while waiting for LC, some had complications of gallstone disease such as perforation/ gallstone ileus. Therefore, the early provision of LC is crucial in minimising the readmission and complication rates. This data was highlighted in a departmental meeting and teaching session for consultants and junior doctors. We plan to liaise with stakeholders and theatre managers in implementing further solutions to improve compliance where possible. One critical area is auditing the condition of surgical patients in order to be put on the hospital’s twice-weekly hot gallbladder list to consider prioritising AC patient surgical time.

Involvement in serious incident investigations: a qualitative documentary analysis of NHS trust policies in England

BackgroundThe considered shift from individual blame and sanctions towards a commitment to system-wide learning from incidents in healthcare has led to increased understanding of both the moral and epistemic importance of involving those affected. It is important to understand whether and how local policy describes and prompts involvement with a view to understanding the policy landscape for serious incident investigations in healthcare.This study aimed to explore the way in which involvement of those affected by serious incidents is represented in incident investigation policy documents across acute and mental health services in the English NHS, and to identify guidance for more effective construction of policy for meaningful involvement.MethodsWe conducted a documentary analysis of 43 local serious incident investigation policies to explore the way in which involvement in serious incident investigations is represented in policy documents across acute and mental health services in the NHS in England.ResultsThree headline findings were generated. First, we identified involvement as a concept was conspicuous by its absence in policy documents. Direct reference to support or involvement of those affected by serious incidents was lacking. Even where involvement and support were recognised as important, this was described as a passive process rather than there being moral or epistemic justification for more active contribution to learning. Second, learning from serious incidents was typically described as a high priority but the language used was unclear and ‘learning’ was more often positioned as construction of an arbitrary set of recommendations rather than a participatory process of deconstruction and reconstruction of specific systems and processes. Third, there was an emphasis placed on a just and open culture but paradoxically this was reinforced by expected compliance, positioning investigations as a tool through which action is governed rather than an opportunity to learn from and with the experiences and expertise of those affected.ConclusionsMore effective representation in policy of the moral and epistemic reasons for stakeholder involvement in serious incident investigations may lead to better understanding of its importance, thus increasing potential for organisational learning and reducing the potential for compounded harm. Moreover, understanding how structural elements of policy documents were central to the way in which the document is framed and received is significant for both local and national policy makers to enable more effective construction of healthcare policy documents to prompt meaningful action.

Leveraging Pharmacovigilance to Build Trust and Strengthen Health Policy

Leveraging Pharmacovigilance to Build Trust and Strengthen Health Policy

Eco-Frauds: The Ethics and Impact of Corporate Greenwashing

The evolving dynamics of the marketplace, coupled with concerns regarding the finite capacity to meet increasing demands, have led to the emergence of new phenomena and practices. These developments, while heralding significant changes in the perception and selection of products and services, also elicit substantial concerns. Greenwashing is defined as the strategic practice by which corporations create a misleading impression of their environmental initiatives. This paper examines the theoretical foundations and multifaceted nature of greenwashing, identifying key deceptive strategies such as hidden trade-offs, lack of verifiable evidence, vagueness, irrelevance, and false labels. It explores the motivations behind greenwashing, which often stem from the pressure to appear environmentally responsible without incurring the costs associated with genuine sustainability. The analysis underscores the broader implications of greenwashing, including its impact on consumer trust, corporate governance, and environmental policy. Additionally, the paper addresses the emerging issue of "machinewashing," wherein companies make exaggerated claims about the ethical aspects of their AI technologies. Furthermore, the concept of environmental vices is explored, illustrating how greenwashing perpetuates unethical behaviors and undermines authentic sustainability efforts. To address these practices, the study advocates for a comprehensive approach that includes stricter regulations, increased transparency, and greater engagement from civil society. By promoting genuine sustainability and holding corporations accountable, it is possible to restore consumer trust and support authentic environmental initiatives, thereby fostering a more sustainable and ethical commerce.

Collaborating in future states—Contextual instability, paradigmatic remaking, and public policy

AbstractCollaboration is ubiquitous in public policy life, with its presence and profile determined by prevailing governance conditions. Commitments to globalisation and marketisation in the latter part of the 20th century marked the onset of an era defined by collaboration, between and across tiers and spheres of government, with non‐state actors, and through market and network instruments. Current contextual instability poses questions for dominant public policy paradigms and the existing collaborative settlement. This article explores the challenges presented in the current moment and how policymakers and scholars might navigate them. It focuses on how ideas about economics and security shape public policy, illustrating the paradigm‐shifting impact of economism and securitisation. It argues for the replacement of economism and securitisation by sustainability, sovereignty, and justice and demonstrates the latter's engagement with economics and security and their accounting for what have hitherto been ‘subaltern voices’ in public policy. It discusses the implications for collaboration in relation to future collective action problems, more diverse and disconnected ‘publics’, and a more congested and lower trust policy environment. It highlights the need for collaborative plasticity and pluralistic agency.Points for practitioners Public policymaking is shaped by dominant ideas about economics and security; ideas that become ‘taken for granted’ in policy practice. The prevailing ideas of economism and securitisation are being challenged by contextual changes, globally, regionally, and nationally. This creates space for new ideas to shape future public policy. Ideas of sustainability, sovereignty, and justice offer an alternative framework for public policymaking. These ideas can engage productively with economics and security, and they are also inclusive of a wider variety of ‘voices’ particularly those previously marginalised. Collaboration will remain integral to the success of public policy. However, it will need to adapt to new circumstances. This will include defining new purposes, reassessing its appropriateness, reshaping collaborative scope, scale, and form, and refining collaborative activities. A paradigmatic shift in public policy that highlights sustainability, sovereignty, and justice will require the active involvement of a plurality of actors enabled to contribute new knowledge and contest the status quo.

Effects of trust in government, counterterrorism policies, and counterterrorism laws on fear of cyberterrorism and fear of terrorism

ABSTRACT This study investigates the effects of trust in government, relational trust, counterterrorism policies, and counterterrorism laws on fear of cyberterrorism and fear of terrorism. The data were collected from randomly selected college students at a university in the United States (N = 353). The results of path analyses using structural equation modeling for both unmediated and mediated models indicated that trust in government was the only factor significantly reducing fear of both terrorism and cyberterrorism. Additionally, trust in government mediated the effects of relational trust, counterterrorism laws, and counterterrorism policies on fear of both terrorism and cyberterrorism. Furthermore, respondents were more fearful of cyberterrorism than terrorism. The results and limitations are discussed.

Trust and SME short-term financial policy. European evidence

PurposeDoes societal trust influence short-term financial management? Recent papers uncover the importance of societal trust for financial management in specific countries and large firms. Our paper aims to provide a comprehensive analysis of the impact of societal trust on short-term financial policies of SMEs, namely working capital management and cash holdings.Design/methodology/approachWe rely on a sample of 14,711 privately owned medium-sized manufacturing firms from 26 European countries with a sample period between 2014 and 2020. For estimation, we use pooled OLS and hierarchical linear models and control for several firm-specific and country-specific known determinants of short-term financial management. Moreover, our results are robust to the specific measurement of trust, financial constraints, and corruption.FindingsWe show a positive relationship between trust and working capital requirements investment and a negative relationship between trust and the level of cash holdings. Moreover, we show that trust attenuates the negative impact of being a financially constrained firm and the positive impact of national perceptions of corruption. Finally, in higher trustworthy environments, firms operate with relatively higher inventories and relatively lower trade credit granted and obtained.Research limitations/implicationsResults suggest that policies supporting societal trust may also foster business development and that when dealing with clients or suppliers from different trustworthy environments, firms may have to adapt their business models to incorporate trust differences between business environments.Originality/valueFirstly, the comprehensive analysis of the impact of trust on working capital management and cash holdings while controlling for different firm-level and country-level known determinants of short-term financial management. Secondly, it addresses a European sample of unquoted, medium-sized firms. Thirdly, it studies the combined effect of trust and financial constraints and trust and corruption.

An Audit of Whether Patients on the General Adult Inpatient Wards and the PICU in Mersey Care NHS Foundation Trust Who Are Prescribed High Dose Antipsychotic Therapy Are Being Monitored as per Trust Policy

An Audit of Whether Patients on the General Adult Inpatient Wards and the PICU in Mersey Care NHS Foundation Trust Who Are Prescribed High Dose Antipsychotic Therapy Are Being Monitored as per Trust Policy

A trust management solution for 5G-based future generation Internet of Vehicles

In recent years, 5G Internet-of-Vehicles (IoV) related standards have drawn attention in both academia and industry for supporting an efficient and reliable communication among vehicles in the network. However, notice that 5G-IoV related issues are defined as critical in both real and cyber space environments, as malfunctioning in such systems could cause traffic paralysis, serious accidents, and privacy leaks. Therefore, in order to overcome these challenges, a trusted and ideal framework is proposed using Dempster–Shafer Theory (DST), which is combined with a recommender mechanism in order to identify several DDoS threats. The major trust elements in order to identify the legitimacy of a node include frequency statistics, trust factor, residual energy, and trust policy. The proposed trusted mechanism is designed to provide an improved and efficient security solution by avoiding intruders which attempt to disrupt a 5G-IoV network. The proposed mechanism is further analyzed against several security measures, and validated using traditional security schemes in IoV environments.

NDN Security: Cryptographic Approaches for Safeguarding Content-Centric Networking against Threats

The future of the internet demands innovative approaches to communication paradigms and security mechanisms. Named Data Networking (NDN) introduces a ground breaking data-centric communication paradigm, shifting the focus from host-centric networking to efficient content retrieval. This novel framework relies on the dynamic interplay of Interest and Data packets to enable seamless content dissemination and caching. NDN's security framework, built upon digital keys, certificates, and trust policies, ensures the integrity and confidentiality of data transactions within its ecosystem. Cryptographic keys exchanged in real-time through Interest and Data packets, forming the bedrock of secure interactions within NDN. This dynamic key exchange mechanism bolsters security and facilitates controlled data generation. Certificates play a pivotal role in establishing trust, solidifying the connection between names and public keys, while trust policies align with application-defined guidelines to govern key-data entity associations. This paper delves into the security challenges that NDN effectively addresses. By investigating vulnerabilities and assessing the susceptibility of common attacks, it underscores the resolute defense mechanisms inherent in the NDN framework. The inherently anonymous and non-identifying nature of NDN renders eavesdropping and traffic analysis infeasible, bolstering confidentiality. Digital signatures provide robust data integrity, thwarting any attempts at unauthorized modification. The comprehensive data signing mechanism effectively prevents masquerade attacks, and the integration of unique naming and nonce in Interest packets averts replay attacks. In essence, this research not only sheds light on the essential security components of NDN but also illuminates how this paradigm addresses a multitude of security challenges. NDN's forward-thinking content-centric approach and its robust security mechanisms hold the potential to reshape networking paradigms. As we look to the future of the internet, NDN stands as a promising contender for advancing secure, efficient, and transformative networking models.

Exploring The Impact of Positive Behaviour Support Plans on Adult Acute Mental Health Staff Practice

IntroductionThere is a national movement to reduce restrictive interventions due to the harm and distress they can cause which has been reflected in NHS trust policies and practices. NHS trust policies state that all in-patients who may require restrictive interventions must have a Positive Behaviour Support Plan (PBSP) based on a functional analysis of what drives and triggers their behaviour. A PBSP is intended to facilitate understanding and help manage behaviours that challenge by teaching new skills and ways to communicate a person’s needs. Previous research on the use of PBSPs on adult acute mental health wards is limited but research on PICU wards has shown PBSPs have not been implemented into mental health care as intended.Objectives Trust policies identify that PBSPs should be implemented to reduce the use of restrictive interventions. However, it is unknown whether PBSPs are being used as part of routine practice on the acute mental health ward. The degree to which staff are aware of patients PBSPs and how they use them to guide their practice is unclear. The service evaluation aims to understand the perspectives, attitudes, and experiences of staff who are responsible for using and implementing PBSPs on the ward. The evaluation aims to investigate how PBSP informs practice and to identify the barriers and facilitators to implementing PBSPs on the ward.MethodsA volunteer sample of clinical staff members (including Doctors, Nurses, Psychotherapists, Occupational Therapists, and Clinical Support Workers) who are responsible for implementing PBSPs on an acute mental health ward in the East of England took part in a focus group which lasted up to an hour. There were four focus groups with between two and four participants per group. A total of thirteen staff members participated in the focus groups. The focus groups lasted up to one hour and were guided by a topic guide. Two members of the project team facilitated the group. Focus groups were audio recorded.ResultsThematic synthesis will be the overarching approach used to synthesise the qualitative data from the focus groups. The audio recordings will be transcribed. Analysis will be conducted on a within-case basis prior to cross-case analysis aimed to identify common themes. Two evaluators will work together to code, analyse, and synthesise the extracted data.ConclusionsBased on the results, training may be developed to improve the understanding and implementation of the PBSPs on the ward. The findings may also result in changes to the way PBSPs are used. The results will be presented to the trust chief executives and used to inform how to best support individuals who may be at risk of requiring restrictive interventions.Disclosure of InterestNone Declared

A Systematic Survey on 5G and 6G Security Considerations, Challenges, Trends, and Research Areas

With the rapid rollout and growing adoption of 3GPP 5thGeneration (5G) cellular services, including in critical infrastructure sectors, it is important to review security mechanisms, risks, and potential vulnerabilities within this vital technology. Numerous security capabilities need to work together to ensure and maintain a sufficiently secure 5G environment that places user privacy and security at the forefront. Confidentiality, integrity, and availability are all pillars of a privacy and security framework that define major aspects of 5G operations. They are incorporated and considered in the design of the 5G standard by the 3rd Generation Partnership Project (3GPP) with the goal of providing a highly reliable network operation for all. Through a comprehensive review, we aim to analyze the ever-evolving landscape of 5G, including any potential attack vectors and proposed measures to mitigate or prevent these threats. This paper presents a comprehensive survey of the state-of-the-art research that has been conducted in recent years regarding 5G systems, focusing on the main components in a systematic approach: the Core Network (CN), Radio Access Network (RAN), and User Equipment (UE). Additionally, we investigate the utilization of 5G in time-dependent, ultra-confidential, and private communications built around a Zero Trust approach. In today’s world, where everything is more connected than ever, Zero Trust policies and architectures can be highly valuable in operations containing sensitive data. Realizing a Zero Trust Architecture entails continuous verification of all devices, users, and requests, regardless of their location within the network, and grants permission only to authorized entities. Finally, developments and proposed methods of new 5G and future 6G security approaches, such as Blockchain technology, post-quantum cryptography (PQC), and Artificial Intelligence (AI) schemes, are also discussed to understand better the full landscape of current and future research within this telecommunications domain.

Understanding students’ adoption of the ChatGPT chatbot in higher education: the role of anthropomorphism, trust, design novelty and institutional policy

ABSTRACT The present research aims to highlight the underlying factors that drive students’ adoption of the ChatGPT chatbot in higher education. This study extends the meta-UTAUT framework by including additional exogenous factors of anthropomorphism, trust, design novelty, and institutional policy. Empirical examination with Structural Equation Modelling among 355 students in Dutch higher education institutions revealed attitude and behavioural intention as significant positive predictors of students’ ChatGPT use behaviour. Institutional policy negatively moderated the effect of behavioural intention on use behaviour. Behavioural intention was significantly and positively influenced by attitude, performance expectancy, social influence, and facilitating conditions. Anthropomorphism, design novelty, trust, performance expectancy, and effort expectancy were unveiled as significant positive antecedents of attitude. The central theoretical contributions of this research include investigating students’ use behaviour instead of behavioural intention, establishing attitude as a core construct, underlining additional antecedents of attitude, and highlighting the importance of institutional policy. The present study contributes to prior research on technology adoption, especially in the area of artificial intelligence in education. The findings yield valuable insights for chatbot designers, product managers, and higher education policy writers.

Trust and monetary policy

AbstractWe analyze how trust affects the transmission of negative demand and supply shocks using a behavioral macroeconomic model. We define trust to have two dimensions: trust in the central bank's inflation target and trust in the central bank's capacity to stabilize the business cycle. We find, first, that when large negative shocks occur, the subsequent trajectories taken by output gap and inflation typically coalesce around a good and a bad trajectory. Second, these good and bad trajectories are correlated with movements in trust. In the bad trajectories, trust collapses, and in the good trajectories, it is not affected. This feature is stronger when a negative supply shock occurs than in the case of a negative demand shock. Third, initial conditions, in particular the initial state of inflation and output expectations, matter. Unfavorable initial expectations drive the economy into a bad trajectory, and favorable initial expectations produce good trajectories. Fourth, we analyze the sensitivity of our results with respect to the size of the shocks. Fifth, we derive implications of our results for our capacity of making forecasts about the effects of large demand and supply shocks.

Political trust and climate policy choice: evidence from a conjoint experiment

AbstractWhy do citizens support or reject climate change mitigation policies? This is not an easy choice: citizens need to support the government in making these decisions, accept potentially radical behavior change, and have altruism across borders and for future generations. A substantial literature argues that political trust facilitates citizen support for these complex policy decisions by mitigating the cost and uncertainty that policies impose on individuals and buttressing support for government intervention. We test whether this is the case with a pre-registered conjoint experiment fielded in Germany in which we vary fundamental aspects of policy design that are related to the cost, uncertainty, and implementation of climate change policies. Contrary to strong theoretical expectations and previous work, we find no difference between those with low and high trust on their support for different policy attributes, assuaging the concern that low and declining trust inhibits climate policymaking.

경찰의 인권보호 정책에 대한 시민인식

Police organizations have been attempting to change to human rights-friendly police by reorganizing the human rights-related legal system. However, questions still remain as to how much citizens are experiencing such changes and whether they are highly receptive to the police's human rights policy. Therefore, this study attempted to analyze citizens' perceptions of the police's human rights protection policy and what variables affect their perceptions. Specifically, the effect of the experience of human rights violations through the media, police trust, and human rights policy awareness on citizens' perceptions of the police's human rights protection policy was empirically analyzed. To this end, an online survey was conducted on a sample of 800 people proportionally allocated by gender, age, and region. As a result of the analysis, the average of the questions on the relationship between police activities and human rights was all over 3.4. In addition, citizens recognized that the life safety function was most related to human rights protection activities. Citizens highly recognized the necessity of the criminal management system and the victim assessment report. As a result of regression analysis, it was confirmed that the experience of human rights violations through the media, trust in the police, and awareness of the human rights policy had a statistically significant effect on the Citizens' perception of the police's human rights protection policies.

FedAAA-SDN: Federated Authentication, Authorization and Accounting in SDN controllers

Modern technology advancements such as Software Defined Networking (SDN) have been employed in distinct scenarios such as cloud computing and wireless networks, and have made network administration simpler since it gives greater flexibility in centralizing the configurations of a network and its data. Several SDN controllers have started to offer Authorization, Authentication, and Accounting (AAA) services to improve user management and security, including support for OAuth2.0. However, basic authentication schemes using the tuple username and password are not considered secure nowadays (prone to brute force attacks), or the use of basic tokens in OAuth 2.0 is propitious to security vulnerabilities not meeting the security requirements in current and future use cases dealing with authentication. Therefore, the main objective of this work is the design and evaluation of the FedAAA-SDN framework enabling authentication, authorization, and accounting mechanisms in SDN controllers controlling different types of networks. In particular, the FedAAA-SDN framework enables federated authentication and authorization processes for network functions by enabling the conveyance of identity and authentication information across heterogeneous domains/networks, allowing also network operators to enforce authorization policies for network functions in wired and wireless networks. A FedAAA-SDN proof of concept is implemented with OpenDaylight as the SDN controller, OpenID Connect as the authentication and authorization mechanism, and Keycloak as the OpenID Provider. FedAAA-SDN also includes the concept of trust levels and trust policies that rely on the context information of a user’s device and associated connected access networks. The implementation of the FedAAA-SDN framework proof of concept involves modifications in the OpenDaylight AAA filter component to secure all the interactions with the several network applications/subcomponents of the OpenDaylight SDN controller. STRIDE security analysis demonstrates that the FedAAA-SDN framework is able to reduce the number of threats.