Children First

Abstract

Investigations and prosecutions involving murdered and physically abused children are among the most serious and most complex faced by law enforcement professionals. These cases are complicated on legal, factual, medical, and scientific levels. Oftentimes, the evidence against the suspected perpetrator is solely circumstantial. Many of the problems inherent in these investigations can be overcome by prioritizing these cases. The local prosecutor's office can take the lead in ensuring justice by direct participation in the investigative phase and by ensuring continuity in the prosecution. In this article, I outline a model to ensure that this happens.     

Stress,Coping, and Emotions on the World Stage: The Experience of Participating in a Major Soccer Tournament Penalty Shootout

This study was designed to capture the first-hand experiences of stressors, coping, and emotions that elite professional soccer players have during a major soccer penalty shootout. Eight players who each took part in an important European Championships penalty shootout were interviewed. The results showed that the experience of stressors, coping, and emotions changed extensively throughout the event. Moreover, the participants experienced a series of different stressors, some of which were specific to the penalty shootout, and they employed a variety of coping strategies. Anxiety was the most common emotion. Practitioners can use these results to help design valid simulation protocols.     

Are Older Adults More Dependent on Visual Information in Regulating Self-Motion Than Younger Adults?

Older adults look at the ground more while they are walking than younger adults do. In the present study, the effect of blocking that exproprioceptive visual information on the walking pattern of older adults was investigated. The first 0.75 m of the floor in front of healthy young adults (n = 10, mean age = 26.0 years) and 2 groups of older adults (n = 10, mean age 65.7 years; and n = 9, mean age = 75.9 years) was occluded. The dependent variables were step velocity, step length, and step frequency. The effect of the manipulation on those kinematic variables increased with age. The older adults had a significant increase in velocity and step length. The possible use of optic flow information from the ground to regulate the velocity of self-motion is discussed.     

Evaluating Differences in Cognitive Appraisal and Coping Over Stages of a Transaction

We evaluated appraisal of and coping with a college examination over three stages of the transaction for 138 American undergraduate students. The transactional process approach allowed for the identification of differences in the magnitude and direction of appraisal and coping between adjacent stages and stages separated by an intervening stage. Repeated measures tests revealed that differences in appraisal and coping could occur between all pairs of stages, suggesting that, in research limited to investigating changes between adjacent stages only, the concept of a transactional process may be attenuated and important changes overlooked as the process of a stressful encounter unfolds.     

Containment in theory and practice

Abstract

This article selects the term ‘containment’ as a vehicle for an exploration of multi-professional work and communication in the general practice setting. The term was selected because of its widespread use by and relevance to the different professionals who work in general practice. It is sufficiently elastic to be applied to one-to-one work between patients and GPs, counsellors, nurses or complementary therapists, and to a multi-professional teamwork process.

The exploration of the concept in use at Marylebone Health Centre is complicated by the multi-professional nature of the team and then-wide range of belief systems and language groups. In the process of exploring the term, members of the team had to cope with their discovery that it was being used in contradictory ways. They decided that a new and more grounded definition in shared and ordinary (nonprofessional) language was needed, if the term were to become a vehicle for inter-professional collaboration and if unhelpful, anti-task social defences were to be minimised.     

虚拟团队中交互记忆系统理论研究现状述评

交互记忆系统(Transactive Memory System,TMS),团队成员在交流的过程中形成的一种合作性分工系统,简单来说就是团队成员对于“谁知道什么”的一种共同认知.通过TMS,团队成员能够协调彼此的专长从而提高团队知识整合和共享水平.文章回顾了TMS和虚拟团队的相关概念,重点从虚拟团队中TMS的形成、效用以及虚拟性与TMS的关系三个角度对虚拟团队中TMS的相关研究进行了归纳,最后指出未来不仅需要深入研究团队输入、输出和调节因素的影响,还需考虑到不同的信息技术的影响以及研究方法和范围的完善.     

Challenges to the four-channel model of flow: Primary assumption of flow support the moderate challenging control channel

Flow theory postulates that the psychological state of flow emerging when one engages in activities where skill level and challenge are both high, results in ‘optimal’ subjective experiences relative to other psychological states, and is intrinsically motivated. The experience sampling method was used on a sample of college students to compare daily activities associated with flow (high skill, high challenge) to the psychological state of control (high skill, moderate challenge) in relation to the subjective experiences of enjoyment, happiness, intrinsic motivation, and cognitive involvement. Contrary to flow theory, enjoyment, happiness, and intrinsic motivation were characteristic of activities associated with being in ‘control,’ as opposed to flow. Flow activities were associated with being cognitively involved in the task at hand. We believe such theoretically important findings have been masked when using the original four-channel model of flow, but are clarified with use of the revised experience fluctuation model.     

Reflective team in caring for people living with dementia: a base for care improvement

A reflective team (RT) is a team of professional carers who reflect on a specific caring issue under the direction of an RT leader. The goal for the reflective process is to accomplish care improvement based on research and proven experience, and the first step is to reflect upon the competence that already exists in the context in which RT takes place. This study aims to bring previous unarticulated competence in caring for people living with dementia to the surface after it has been reflected during RT sessions. Ten assistant nurses who work closely with patients who have dementia and attend RT sessions on a regular basis were interviewed about their competence for caring for people living with dementia. Using a phenomenographic analysis, two qualitatively separate categories emerged: general caring skills and dementia-specific caring skills. It was concluded that specific skills in caring for people living with dementia build in caring skills and that tacit knowledge can be explicit and be expressed when it has been reflected in RT.     

Reflective team and process-oriented supervision – a case study on differences

To meet the Swedish healthcare legislation’s requirements for evidence-based care, a work model for reflection has been developed, called a reflective team (RT). Because this RT model can be perceived as either a competitor of or a complement to caring supervision, this case study aims to explore what distinguishes these two in psychiatric care. Five members of one RT who are psychiatric nurses with previous experiences in caring supervision were interviewed. The transcribed interviews were analysed according to phenomenography. The findings reveal three qualitatively separated categories, which describe differences in focus, competencies, and relationships between confirmation and demands. It is concluded that an RT by no means replaces supervision. Instead, both can contribute to care improvement by complementing each other and increasing the professionalism of psychiatric nurses.     

Évolution permanente des outils et procédures de travail au bloc opératoire : la nécessaire formation au travail en équipe en simulation médicale comme réponse organisationnelle

Currently medical and paramedical studies in France are organised separately. Nurses, doctors and specialists are trained separately with specific programs. Organization and public health policy are in permanent evolution. These changes confront caregivers to insecurity during their daily jobs. In this context, interprofessional cooperation is needed. Medical simulation mannequin are used to train caregivers to technical and non-technical activities in safe environment for students as well as for the patients. It allows teachers to analyse the way the students planned, attempted or carried out their actions, and to study the emotional aspects of stressful work in operating room. We will expose the co-construction, use, evaluation and enhancement of such practices in terms of professional team training.