Cognitive factors in the explanation of the mismatch between confidence and competence in performing basic life support

Abstract

The main approach to rectifying the well documented poor basic life support (BLS) skills of doctors and nurses, based on a Skills Model, has met with only partial success. This study compares the utility of a Skills Model with one that incorporates a cognitive component in predicting BLS skills. Outcome-expectancy, self-efficacy, training and experience of BLS, and BLS ability were assessed in 53 trained nurses. Ability was unrelated to training or experience of BLS. Nurses who scored highest on the BLS skills assessment perceived the procedure as significantly more successful than those with lower scores. Self-efficacy was unrelated to ability, but was related to status: senior nurses were significantly more confident but no more competent in performing BLS than junior nurses. Nurses who had attended more arrests, while more confident, were no more competent than those who had attended fewer. Assessment of BLS skills reduced self-efficacy beliefs. A model for predicting the relationship between self-assessed ability and objectively assessed skill is outlined.     

The Effect of Self-awareness on the Identification of Goal-related Obstacles

When individuals strive towards personal goals, they may encounter obstacles that could compromise their goal progress and pose a challenge to self-regulation. Coping with obstacles first requires those obstacles to be identified. The purpose of the present studies was to apply an inter-individual approach to this important, but insufficiently studied self-regulatory aspect of goal striving. We therefore examined the role of self-awareness, that is, paying attention to one's own feelings, thoughts, and behaviours, for the identification of goal-related obstacles. We measured and manipulated self-awareness in two correlational and two experimental studies (one of them preregistered) and asked participants to identify obstacles to their goals. All studies confirmed the hypothesis that individuals with higher levels of dispositional and situational self-awareness identify more obstacles, both with regard to their idiosyncratic personal goals (Studies 1 and 2) and with regard to a goal in an assigned task during an experiment (Studies 3 and 4). The results indicate that self-awareness plays a crucial role for identifying obstacles. We discuss the implications of our findings for personality and self-regulation research.     

Comparative prevalence of isolated sleep paralysis in Kuwaiti, Sudanese, and American college students

A questionnaire measuring the incidence of isolated sleep paralysis was administered to 527 Kuwaiti, 762 Sudanese, and 649 American college students in what was the first study assessing the prevalence of isolated sleep paralysis in two Middle Eastern countries. Using the item "unable to move," 28.8% of Kuwaiti, 29.9% of Sudanese, and 24.5% of American participants reported experiencing the disorder at least once. When a second item, "pressure to the chest," was also used, the respective percentages were 19.2%, 20.7%, and 11.4%. With both criteria, the Kuwaiti and Sudanese had a significantly greater prevalence than did the American students. The Kuwaiti and Sudanese students did not differ significantly from each other in the percentage who reported the symptoms.     

Adolescent Friendship as a Dynamic System: Entropy and Deviance in the Etiology and Course of Male Antisocial Behavior

A dynamic systems framework was applied to understand the influence of friendship on antisocial behavior from childhood (age 9-10) through adulthood (age 24-25) for Oregon Youth Study males (N = 206). Boys were videotaped interacting with a friend at ages 14, 16, and 18, and deviant content and interpersonal processes were independently coded. Conditional dyadic interpersonal processes were studied as a communication system and summarized by an index of information entropy (F. Attneave, 1959). High entropy scores represent disorganized, unpredictable patterns of interaction, whereas low entropy scores reflect an organized dialogue. Conversations of early-onset antisocial boys and their best friends were less organized and included more deviant content than those of well-adjusted controls. Prediction analyses, however, revealed an interaction between entropy and deviant talk. Consistent with expectation, males with well-organized interactions (i.e., low entropy) but elevated levels of deviant content were most likely to continue antisocial behavior into adulthood. Findings suggest that individual risk for maladaptation may be amplified by early adolescent friendship dynamics organized around deviance.     

The Efficacy of Behavioral Couples Therapy and Emotionally Focused Therapy for Couple Distress

Twenty treatment outcome studies, 13 of which evaluated behavioral couples therapy (BCT) and seven of which evaluated emotionally focused therapy (EFT) were reviewed, leading to the following conclusions. BCT leads to short and long-term gains for moderate to severe couple distress. In the long term BCT probably leads to no better outcomes than its constituent components—behavioral exchange training and communication and problem solving skills training. Addition of a cognitive therapy component to BCT or the use of a variety of treatment formats does not improve the efficacy of BCT. Integrative couples therapy and insight-oriented marital therapy may be more effective than BCT, but studies supporting this conclusion require replication. EFT leads to short and long-term gains for mild to moderate couple distress. Addition of a cognitive therapy component to EFT does not enhance its efficacy. EFT may be more effective than problem solving therapy and less effective than integrated systemic therapy, but the two studies supporting this conclusion require replication.Michael Byrne, PhD, is a Clinical Psychologist, Midland Health Board, Ireland; Alan Carr, PhD, is Director of the Clinical Psychology Training Programme, Department of Psychology, Arts Building, University College Dublin, Belfield, Dublin 4, Ireland (alan.carr@ucd.ie). Marie Clark, PhD, is Lecturer, Department of Psychology, University of Surrey, United Kingdom.     

Consequences of organizational justice expectations in a selection system

This study examined several consequences of applicants' expectations of organizational justice at multiple stages in a selection process. The authors assessed the justice expectations of 1,832 job applicants prior to their participation in a testing process and examined how these expectations influenced their pretest attitudes and intentions as well as their perceptions of the testing process. Results revealed that applicants with higher expectations of justice reported higher levels of pretest motivation and more positive job acceptance and recommendation intentions. Justice expectations were also positively related to applicants' perceptions of justice in the testing process. Results provided some evidence that justice expectations have a moderating influence, such that justice perceptions have a greater influence on applicants' affective and cognitive states when expectations of justice are high. The theoretical and practical implications of these findings are discussed in the context of research on organizational justice and applicant perceptions.