The Impact of Community Learning During a Participatory Nursing Research Project.

BACKGROUND: Community learning is one approach to promote research competencies and to involve nurses and nursing students in research. This study examines the impact of community learning according to participants-both those inside and outside the community-in a joint nursing research project at a hospital. METHOD: A qualitative design was selected using a participatory approach. Data were collected through semistructured interviews, reflections, conversations, and patient input during 2 academic years. RESULTS: Thematic analysis showed 11 themes, which were organized into three clusters: realization, transformation, and influencing factors. Participants perceived changes in practice and described how their perspectives have changed on care, education, and research. Reconsiderations led to some new or revised strategies, and influencing factors were associated with the contemporary context, degree of involvement, and design/facilitation. CONCLUSION: The impact of community learning emerged and extended beyond community boundaries, and the indicated influencing factors must be taken into account. [J Contin Educ Nurs. 2023;54(3):131-144.].

Observational Behavior Assessment for Psychological Competencies in Police Officers: A Proposed Methodology for Instrument Development.

This paper proposes and showcases a methodology to develop an observational behavior assessment instrument to assess psychological competencies of police officers. We outline a step-by-step methodology for police organizations to measure and evaluate behavior in a meaningful way to assess these competencies. We illustrate the proposed methodology with a practical example. We posit that direct behavioral observation can be key in measuring the expression of psychological competence in practice, and that psychological competence in practice is what police organizations should care about. We hope this paper offers police organizations a methodology to perform scientifically informed observational behavior assessment of their police officers' psychological competencies and inspires additional research efforts into this important area.

Learning about stress from building, drilling and flying: a scoping review on team performance and stress in non-medical fields.

BACKGROUND: Teamwork is essential in healthcare, but team performance tends to deteriorate in stressful situations. Further development of training and education for healthcare teams requires a more complete understanding of team performance in stressful situations. We wanted to learn from others, by looking beyond the field of medicine, aiming to learn about a) sources of stress, b) effects of stress on team performance and c) concepts on dealing with stress. METHODS: A scoping literature review was undertaken. The three largest interdisciplinary databases outside of healthcare, Scopus, Web of Science and PsycINFO, were searched for articles published in English between 2008 and 2020. Eligible articles focused on team performance in stressful situations with outcome measures at a team level. Studies were selected, and data were extracted and analysed by at least two researchers. RESULTS: In total, 15 articles were included in the review (4 non-comparative, 6 multi- or mixed methods, 5 experimental studies). Three sources of stress were identified: performance pressure, role pressure and time pressure. Potential effects of stress on the team were: a narrow focus on task execution, unclear responsibilities within the team and diminished understanding of the situation. Communication, shared knowledge and situational awareness were identified as potentially helpful team processes. Cross training was suggested as a promising intervention to develop a shared mental model within a team. CONCLUSION: Stress can have a significant impact on team performance. Developing strategies to prevent and manage stress and its impact has the potential to significantly increase performance of teams in stressful situations. Further research into the development and use of team cognition in stress in healthcare teams is needed, in order to be able to integrate this 'team brain' in training and education with the specific goal of preparing professionals for team performance in stressful situations.

Training for the job: evaluation of a self-defence training programme for correctional officers.

We investigated to what extent correctional officers were able to apply skills from their self-defence training in reality-based scenarios. Performance of nine self-defence skills were tested in different scenarios at three moments: before starting the self-defence training programme (Pre-test), halfway through (Post-test 1), and after (Post-test 2). Repeated measures analyses showed that performance on skills improved after the self-defence training. For each skill, however, there was a considerable number of correctional officers (range 4-73%) that showed insufficient performance on Post-test 2, indicating that after training they were not able to properly apply their skills in reality-based scenarios. Reality-based scenarios may be used to achieve fidelity in assessment of self-defence skills of correctional officers. Practitioner summary: Self-defence training for correctional officers must be representative for the work field. By including reality-based scenarios in assessment, this study determined that correctional officers were not able to properly apply their learned skills in realistic contexts. Reality-based scenarios seem fit to detect discrepancies between training and the work field. Abbreviations: DJI: Dutch National Agency for Correctional Insitutes; ICC: Intraclass Correlation Coefficient.

The Effect of Blurred Perceptual Training on the Decision Making of Skilled Football Referees.

When judging ambiguous foul situations in football (soccer), referees must attune to the kinematic characteristics inherent in genuine fouls to ensure that they can (i) recognize when a foul has taken place, and (ii) discriminate the presence of deceptive intent on the part of the tackled player. The aim of this study was to determine whether perceptual training that removes superficial visual information would improve the decision-making performance of football referees. Two groups of skilled referees judged ambiguous foul situations on video before and after a training intervention that involved adjudicating foul situations. During the training phase, participants in a blurred-footage training group watched digitally altered, blurred videos that removed superficial visual information, whilst participants in a normal-footage control group viewed the same videos without blur (i.e., with the superficial information present). We hypothesized that blurred-training would train referees to ignore superficial visual information and instead focus on the basic kinematic movements that would better reveal the true nature of the inter-personal interaction. Consistent with this idea, training with blurred footage resulted in a positive change in response accuracy from pre to post-test when compared with normal-footage training. This improvement could not be explained on the basis of changes in response time or bias, but instead reflected a change in the sensitivity to genuine fouls. These findings provide a promising indication of the potential efficacy of blurred-footage training for referees to attune to the kinematic information that characterizes a foul. Blurred training might offer an innovative means of enhancing the decision-making performance of football referees via perceptual training.

Effects of reflex-based self-defence training on police performance in simulated high-pressure arrest situations.

We investigated the effects of reflex-based self-defence training on police performance in simulated high-pressure arrest situations. Police officers received this training as well as a regular police arrest and self-defence skills training (control training) in a crossover design. Officers' performance was tested on several variables in six reality-based scenarios before and after each training intervention. Results showed improved performance after the reflex-based training, while there was no such effect of the regular police training. Improved performance could be attributed to better communication, situational awareness (scanning area, alertness), assertiveness, resolution, proportionality, control and converting primary responses into tactical movements. As officers trained complete violent situations (and not just physical skills), they learned to use their actions before physical contact for de-escalation but also for anticipation on possible attacks. Furthermore, they learned to respond against attacks with skills based on their primary reflexes. The results of this study seem to suggest that reflex-based self-defence training better prepares officers for performing in high-pressure arrest situations than the current form of police arrest and self-defence skills training. Practitioner Summary: Police officers' performance in high-pressure arrest situations improved after a reflex-based self-defence training, while there was no such effect of a regular police training. As officers learned to anticipate on possible attacks and to respond with skills based on their primary reflexes, they were better able to perform effectively.

Dutch police officers' preparation and performance of their arrest and self-defence skills: a questionnaire study.

We investigated how Dutch police officers perceive their preparation for arrest and self-defence skills (ASDS) and their ability to manage violence on duty. Furthermore, we assessed whether additional experience (i.e., by having encountered violence on duty or by practicing martial arts) and self-perceived anxiety have an influence on these perceptions. Results of an online questionnaire (n = 922) showed that having additional experience was associated with self-perceived better performance. Officers who experience anxiety more often, on the other hand, reported more problems. Although most officers report sufficiently effective performance on duty, they, especially those with additional experience, feel that training frequency is too low and that the currently taught ASDS are only moderately usable (at least with the current amount of training). Based on the results, we suggest that increasing officers' ASDS experience, teaching officers to perform with high anxiety, or reconsidering the taught skills, may be necessary to further improve performance of police officers on duty.

Police arrest and self-defence skills: performance under anxiety of officers with and without additional experience in martial arts.

We investigated whether officers with additional martial arts training experience performed better in arrest and self-defence scenarios under low and high anxiety and were better able to maintain performance under high anxiety than officers who just rely on regular police training. We were especially interested to find out whether training once a week would already lead to better performance under high anxiety. Officers with additional experience in kickboxing or karate/jiu-jitsu (training several times per week), or krav maga (training once a week) and officers with no additional experience performed several arrest and self-defence skills under low and high anxiety. Results showed that officers with additional experience (also those who trained once a week) performed better under high anxiety than officers with no additional experience. Still, the additional experience did not prevent these participants from performing worse under high anxiety compared to low anxiety. Implications for training are discussed. Practitioner summary: Dutch police officers train their arrest and self-defence skills only four to six hours per year. Our results indicate that doing an additional martial arts training once a week may lead to better performance under anxiety, although it cannot prevent that performance decreases under high anxiety compared to low anxiety.

Foul or dive? Motor contributions to judging ambiguous foul situations in football.

Football (soccer) referees frequently face situations in which they have to distinguish dives and fouls. Yet, little is known about the contributing factors that characterise the ability to judge these ambiguous situations correctly. To this end, in the current article we tested the hypothesis that motor experience of observers contributes to the visual identification of deceptive actions. Thereto, we asked skilled football referees, skilled football players, wheelchair bounded football fans (thus with limited motor experience) and novices to judge whether potential tackle situations in football were either fouls or dives. Results revealed that the referees (accuracy 72.2%, s=6.2) and players (accuracy 72.0%, s=6.4) were better at discriminating fouls and dives than the fans (accuracy 61.1%, s=7.2) and the novices (accuracy 57.4%, s=7.0) (P < 0.001). The results seem to point to an added value of motor experience in detecting deceptive movements.

Effects of anxiety on the execution of police arrest and self-defense skills.

We investigated the effects of anxiety on the execution of police officers' arrest and self-defense skills. Police officers (n=13) performed three tasks in which they kicked, blocked, or restrained an opponent who attacked them with a rubber knife (low anxiety, LA) or a shock knife (high anxiety, HA) in a within-subject design. We analyzed performance (on a 5-point Likert scale), movement times, posture, and movement velocity and acceleration. Results revealed that performance was worse in the HA compared to the LA condition. Furthermore, analysis of full-body movement showed that under increased anxiety, police officers' performance contained characteristics of avoidance behavior, such as faster reactions (to reduce the time being exposed to the threat), leaning further backward (kick), and ducking down (block). In line with recent theoretical developments, it appears that under increased anxiety, police officers were less able to inhibit stimulus-driven processing (fear of getting hit) and enforce goal-directed processing (perform the skill as well as possible) leading to avoidance behavior and a decrease in performance.