Patient complaints in healthcare settings can provide feedback for monitoring and improving healthcare services. Behavioural responses to complaints (e.g., talking or apologising to a patient) can influence the trajectory of a complaint for instance, whether a complaint is escalated or not. We aimed to explore healthcare professional (HCP) and service user (patient and carer) views on complaints' management and the perceived factors influencing responses to complaints within a healthcare setting by applying behavioural frameworks. A qualitative study was conducted using online or phone-based interviews with eleven HCPs and seven patients or carers. All participants (N = 18) had experience responding to or submitting a formal complaint in secondary and tertiary public healthcare settings in the United Kingdom. The interviews were structured using the Capability-Opportunity-Motivation-Behaviour (COM-B) Model. We analysed the transcripts using inductive thematic analysis. Then, themes were deductively mapped onto the COM-B Model and the more granular Theoretical Domains Framework (TDF). Ten themes were generated from the analysis representing the influences on HCPs' responses to complaints from HCP and patient/carer perspectives. This included (with TDF/COM-B in brackets): 'Knowledge of complaint procedure' (Knowledge/Capability), 'Training and level of skill in complaints handling' (Skills/Capability), 'Regulation of emotions associated with complaints' (Behavioural regulation/Capability), 'Confidence in handling complaints' (Beliefs about capabilities/Motivation), 'Beliefs about the value of complaints' (Beliefs about consequences/Motivation) and 'Organisational culture regarding complaints' (Social influences/Opportunity). Staff highlighted strong support systems and open discussions as part of positive organisational cultures regarding complaints (Social influences/Opportunity), and a lack of certainty around when to treat issues raised by patients as a formal complaint or informal feedback (Knowledge/Capability). Our study findings highlight the importance of strong support systems and organisational openness to patient feedback. These findings can be used to design targeted interventions to support more effective responses and enhance patient-centred approaches to complaints management in healthcare settings. Patient and public involvement (PPI) was integral in this research. The NIHR PRU in Behavioural and Social Sciences had a dedicated PPI strategy group consisting of six external representatives from the patient and public community (Newcastle University, 2024). These six PPI members actively participated in shaping the research by reviewing and providing feedback on all questionnaire items before the data collection. They were actively involved in supporting participant recruitment by advertising this study on their PPI platform, The VoiceR,1 and through their online social networks. During the analysis stages of the research, preliminary findings were discussed with the PPI group to support 'sense checking' and interpretation of the results.

Adiabatic Compressed Air Energy Storage (ACAES) is an energy storage technology that has the potential to play an important role in the transition to a predominantly renewables-driven net-zero energy system. However, it has not yet achieved the performance necessary to be widely deployed. In this paper, we undertake an exergy analysis of isobaric and isochoric ACAES systems, tracking lost work through the components and exploring the influences of different design choices. We model three different configurations: (1) 3 compression and 3 expansion stages; (2) 4 compression and 2 expansion stages; (3) 2 compression and 4 expansion stages. Our results illustrate that isobaric systems are likely to have higher round trip efficiency and significantly higher energy density, at the cost of achieving isobaric storage. Exergy analysis reveals that most of the losses arise in the compressors, compressor aftercoolers and expanders. Losses in aftercoolers are exaggerated when compressors operate with high pressure ratios, emphasizing that choice of TES is a key system variable. With pressurised water as the coolant and TES fluid, it seems likely that the best system will have more compression than expansion stages. Increasing the number of compression stages decreases the off-design penalty when the system is isochoric.

In this age of AI dominating the digital panorama, the way we deal with, and procedure records has grown to be a sensitive circumstance. As individuals’ percentage sensitive non-public information and files over the net, a veil of uncertainty shrouds the adventure of those files, leaving us brooding about how inclined the device is to ability misused with the aid of malicious actors. This uncertainty extends to the protection of facts saved on our devices and how securely online provider companies manipulate our documents. Amid these issues, enterprise giants like Apple and Microsoft have taken proactive steps to deal with this issue. Notably, Apple, a brand recognised for its trustworthiness and successful products, has launched the latest marketing campaign squarely centred on improving privacy. Acknowledging the evolving panorama, they've committed to bolstering the security features of their gadgets. Yet, this begs the question of how different platforms are responding to privacy and security-demanding si

The trend of the future health care system is patient centred, and patients’ involvement is a key to success. ICT will play an important role in enabling and helping patients or citizens to manage and communicate on the individual’s health related issues. This includes private and confidential information. Trustworthiness is therefore one of the most vital aspects in such systems. This paper first presents the prototype structure of the health care system, and then discusses questions regarding the trustworthiness of the system.

This approach had been crossed subject area, involved with PG and UG students at CSEE of HEI, School of Art, private companies, NHS, and so on; including Copilot, Canvas, ChatGPT, Midjourney, DiscoDisuffsion, Med-PaLM, Bard etc. on Information Retrieval. As an updated generalised Information Retrieval experient, most of the work were emphases on information data effective collection and security storage effectively. We were focused on the positive impact on UK HEI Education and Pedagogic Research. Further development will be on data analysis and shown the updated results. Furthermore, to suggest a Teaching & Learing strategy, and suggestion to serve both HEI and the non-HEI users in our society in the world

Integrated care demands a workforce that is confident, capable and compassionate. This is dependent on a willingness to work inter-professionally and understand the roles, standards and values of other professional groups. However, there are few examples of integrated care initiatives within higher education that aim to build the knowledge and skills required to support effective integrated, people-centred care. While satisfying, working in the helping professions is emotionally challenging and for students’ these challenges are often underestimated. Some students struggle through their studies with many failing to complete and others drop out in the early years of their careers. Understanding what supports students to thrive in their professional roles is essential to retention of a highly skilled integrated workforce. To address this challenge, this paper outlines a conceptual framework designed to promote a pedagogical environment focused on creating the conditions for integrated working. The framework is

Introduction Although burnout is perhaps the most frequently reported work-related correlate of attachment insecurity, the role of mitigating variables in that link is less well researched. Objective The paper investigates the mediational role of workplace bullying and perceived social support in the link between attachment insecurity and burnout. It was hypothesised that insecurely attached employees would develop burnout via three pathways: (a) by becoming the victims of workplace bullying, (b) by perceiving relatively low support from managers and colleagues due to their attachment insecurity, and (c) by perceiving lower support from managers and colleagues due to them having been bullied. Method Two hundred and twenty-two employees from various completed the following questionnaires: Experiences in Close Relationships Questionnaire – Revised, Revised Negative Acts Questionnaire, Social Support Scale, Maslach Burnout Inventory – General Survey. Results SEM analysis suggested that the two models tested had

The experience from this project in an ethnically diverse socially disadvantaged community in England showed the power of co-production in fostering inclusivity, engagement, shared understanding and a fair balance of power while developing solutions to tackle maternal health inequalities. While co-production approaches are helpful in ensuring that women from ethnically diverse and socially disadvantaged backgrounds have a voice in their care to maximise positive health outcomes for themselves and their babies, the project demonstrated that the success of the approach depends on a number of factors both in the underlying ethos and the methodology.

Background Growth faltering is a significant public health issue among infants aged <6 months (m). Supplemental milk is commonly used for infants with growth faltering, with variations in type and duration. We synthesized qualitative evidence on stakeholder perspectives about equity, feasibility, and acceptability of the type and duration of supplemental milk for infants aged <6m with growth faltering. Methods We conducted a comprehensive search of six electronic databases in addition to manual searches to identify all qualitative studies published during January 2000-June 2022. Identified articles were screened in two stages against an inclusion criteria with titles and abstract screened first followed by full-text screening. Included studies were quality appraised using the Critical Appraisal Skills Programme checklist. The primary outcome was equity, feasibility, and acceptability of various supplemental milk for infants <6mwith growth faltering. Results Eighteen studies, reporting perspectives of mothers, fathers, grandmothers and healthcare providers were included. Studies were conducted in North America (9), Africa (5) and Asia (3) and South Australia (1). Donor human milk (DHM) (13) and infant formula(9) were the main supplementary milk reported followed by cow/goat milk (2). Key sub-themes derived were: education/awareness, socio-economic status (SES), race and religion, practicality, availability of resources, sustainability, cost, affective attitude, perceived effectiveness and ethicality. Maternal/caregiver SES was a key sub-theme across all three supplemental milk feeds, acting either as a barrier or facilitator for uptake. Conclusions DHM and infant formula were the most commonly reported supplemental feed for infants aged <6m with growth faltering. Maternal/care giver factors were perceived as key to ensure equity, feasibility, and acceptability with respect to type and duration of supplemental milk for infants aged <6m with growth faltering. Key messages • Stakeholders perceived donor human milk and infant formula as main supplemental milk for infants aged <6 months with growth faltering. • Maternal/care giver factors are key to ensure equity, feasibility, and acceptability of supplemental milk for infants aged <6 months with growth faltering.

Although India's organ donation rate is less than 1 per million population, significant disparities exist between the regions and centres within the country, leading to varying consent rates among different organ donation centres. Therefore, this study aimed to understand the experience of transplant coordinators and their barriers and facilitators in the deceased organ donation process across various organ donation centres in India. A phenomenological study using interviews was conducted among fourteen transplant coordinators purposefully recruited from public and private organ donation centres in India, with experience between six years and more than a decade. Audio recordings were transcribed and analysed using framework analysis. Five themes were identified namely: (1) supportive management policies, (2) infrastructure for the deceased organ donation process, (3) delays in the processing time, (4) active involvement in the identification process, and (5) explaining the concept of brain death. The study id