1,776 research outputs found

    A Meta-Analysis of Human Factors Analysis and Classification System Causal Factors: Establishing Benchmarking Standards and Human Error Latent Failure Pathway Associations in Various Domains

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    Many models of accident investigation have been created and have served as the basis for other tools and techniques. One of the most prominent techniques, Reason\u27s Swiss Cheese Model (1990), is based on the idea of active and latent failures. Expanding on this idea, the Human Factors Analysis and Classification System (HFACS) was created with the idea to associate contributing factors and errors (Wiegmann & Shappell, 2003). While HFACS has been frequently applied in the field of aviation in literature, other industry types are under-represented. Seventeen data sources encompassing various industry types were collected and included in this dissertation analysis. While each industry type is unique, the human constituent is a shared element among industries. A multi-industry analysis will allow for common high-level human error patterns to emerge and for benchmarking standards to be created. It is also important to identify relationships between active errors and latent conditions without limiting data to one specific industry type while concurrently using a taxonomy that systemically identifies both active errors and latent conditions at all levels of an organization. Doing so could potentially allow for the shifting of intervention target areas from active errors to latent conditions and for assistance in identifying other potential errors and latent failures during investigation. As a result, four sets of benchmarking standards were established, and a decision support tool was created to assist in selecting the correct benchmarking standard set. Additionally, twelve adjacent tier causal factor associations and three additional non-adjacent tier causal factor associations were found to be significant. Due to the tiers\u27 ease of investigation and classification, most associations were between the preconditions for unsafe act tier and preconditions for unsafe act tier. Overall, this dissertation furthers the research field of HFACS and its application. Originating in Reason\u27s (1990) Swiss Cheese Model, the HFACS taxonomy aims to identify the holes in the Swiss cheese. This dissertation furthered progress in determining the size of the holes and the interactions among the holes. A company who has adopted the HFACS taxonomy should first classify its accident and near miss cases using the HFACS taxonomy. The company can then judge its findings against the benchmarking standards determined in Chapter Four. In order to enhance mitigations, association findings can help to identify other areas for mitigation or other areas, which may be affected by mitigation efforts

    Little Free Libraries: A Necessity or A Luxury?

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    “Little Free Libraries: A Necessity or A Luxury?” explores recent development in community driven and managed book collections housed in freely accessible ‘micro-libraries’— small, often outdoor housings for books, inspired by Tod Boll and Rick Brooks efforts. Little Free Libraries have spread across the North American continent and the world

    Exploring the experience of body self-compassion for young adult women who exercise

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    Self-compassion has recently been introduced to Western psychology literature and is defined as a kind, understanding, and nonjudgmental toward oneself (Neff, 2003a). While self-compassion has been conceptualized as a construct that is important to one’s overall sense of self, it might also be relevant to more specific self-attitudes, including one’s attitude toward the body. Body-related attitudes have received much attention from sport and exercise psychology researchers in kinesiology and it was anticipated that body self-compassion would be relevant to women who exercise, as women often exercise for body-related reasons. The purpose of this study was to explore the meaning of body self-compassion for young adult women who exercise and have experienced a change in their attitude toward their body over time; and to discover the essential structure of the women’s experiences. Five women between the ages of 23 and 28 years participated in this study. The women identified themselves as Caucasian and middle-class, were university students, and indicated that they exercised at least four times a week. Each woman participated in an individual interview in which she was asked to describe two instances where she experienced body self-compassion. The women’s interviews were analyzed using an empirical phenomenology method (Giorgi, 1985; Giorgi & Giorgi, 2003) to identify the components of the women’s stories that were essential to their experience of body self-compassion. A follow-up focus group discussion provided the women with the opportunity to offer feedback on the essential structures. Four essential structures emerged from these interviews: appreciating one’s unique body, taking ownership of one’s body, engaging in less social comparison, and body self-compassion as a dynamic process. A facilitating structure, the importance of others, also emerged. The findings of this study are generally consistent with Neff’s (2003a) conceptualization of self-compassion as they reflect Neff’s overall description of self-compassion without merely replicating the three components of self-compassion: self-kindness, common humanity, and mindfulness. The findings of this study provide support for the exploration of more specific domains of self-compassion, such as the body. This study also makes a significant contribution to the body image literature, which has been criticized for being pathology-oriented and for focusing mainly on appearance-related attitudes (Blood, 2005; Grogan, 2006). This study explored a positive body attitude and highlighted the women’s attitudes toward their physical capabilities in addition to their appearance. Further research is needed to develop the body self-compassion construct by exploring the generalizability of the essential structures that emerged in this study to broader populations

    The association between historical childhood sexual abuse and later parenting stress:a systematic review

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    An individual’s own experiences of childhood and being parented are likely to be key determinants of their later parenting experiences. Childhood sexual abuse (CSA) is arguably the most toxic experience to occur in childhood and therefore may be particularly likely to impact on parenting stress in the context of parenting one’s own children. This paper aims to review studies investigating associations between earlier CSA and later parenting to determine the size and consistency of the effects, identify any mediators and moderators of the relationship, and assess the quality of the evidence base. PsycINFO, Academic Search Complete, CINAHL, MEDLINE, Web of Science, PubMed and PILOTS were searched from date of inception until 4th March 2016 and 14 studies met the inclusion criteria. Seven studies indicated a degree of direct association between experiencing CSA and later parenting stress, two studies found no association and five studies suggest that other variables such as locus of control and current stressors may affect the relationship between CSA and parenting stress. Additionally, 10 studies suggest an indirect relationship between CSA and parenting stress through current level of depression. Results suggest the existence of a relationship between CSA and parenting stress though this association is mostly mediated by other variables, including depression and other stressors. Clearer definitions of CSA and use of validated questionnaires are essential to progress this field of research

    Increasing access to CBT for psychosis patients: a feasibility, randomised controlled trial evaluating brief, targeted CBT for distressing voices delivered by assistant psychologists (GiVE2)

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    Background: The National Institute for Health and Care Excellence (NICE) recommends that Cognitive Behaviour Therapy for psychosis (CBTp) is offered to all patients with a psychosis diagnosis. However, only a minority of psychosis patients in England and Wales are offered CBTp. This is attributable, in part, to the resource-intensive nature of CBTp. One response to this problem has been the development of CBTp in brief formats that are targeted at a single symptom and the mechanisms that maintain distress. We have developed a brief form of CBTp for distressing voices and reported preliminary evidence for its effectiveness when delivered by highly trained therapists (clinical psychologists). This study will investigate the delivery of this intervention by a cost-effective workforce of assistant psychologists following a brief training and evaluate the acceptability and feasibility of conducting a future, definitive, randomised controlled trial (RCT). Methods: This is a feasibility study for a pragmatic, three-arm, parallel-group, superiority 1:1:1 RCT comparing a Guided self-help CBT intervention for voices and treatment as usual (GiVE) to Supportive Counselling and treatment as usual (SC) to treatment as usual alone (TAU), recruiting across two sites, with blinded post-treatment and follow-up assessments. A process evaluation will quantitatively and qualitatively explore stakeholder experience. Discussion: Expected outcomes will include an assessment of the feasibility of conducting a definitive RCT, and data to inform the calculation of its sample size. If evidence from a subsequent, fully powered RCT suggests that GiVE is clinically and cost-effective when delivered by briefly trained assistant psychologists, CBTp offered in these less resource-intensive forms has the potential to generate benefits for individual patients (reduced distress, enhanced recovery and enhanced quality of life), service-level patient benefit (increased access to evidence-based psychological therapies) and economic benefits to the NHS (in terms of the reduced use of mental health inpatient services). Trial registration: Current Controlled Trials, ISRCTN registration number: 16166070. Registered on 5 February 2019

    Therapeutic alliance in psychological therapy for people with recent onset psychosis who use cannabis

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    Background This paper examines the role of therapeutic alliance in predicting outcomes in a Randomised Controlled Trial of Motivational Interviewing and Cognitive Behavioural Therapy (MICBT) for problematic cannabis use in recent onset psychosis. Methods All clients were participating in a three arm pragmatic rater-blind randomised controlled trial of brief MICBT plus standard care compared with longer term MICBT plus standard care and standard care alone. Participants completed measures to assess clinical symptoms, global functioning and substance misuse at baseline, 4.5 months, 9 months and 18 months. Clients and therapists completed the Working Alliance Inventory approximately one month into therapy. Client alliance data was available for 35 participants randomised to therapy and therapist alliance data was available for 52 participants randomised to therapy. Results At baseline, poorer client-rated alliance was associated with more negative symptoms, poorer insight and greater cannabis use, whereas poorer therapist-rated alliance was only associated with amount of cannabis used per cannabis using day. Alliance ratings were also positively associated with amount of therapy: client-rated alliance was higher in the longer compared to the briefer therapy; therapist-rated alliance was associated with greater number of sessions attended (controlling for type of therapy) and therapy completion. In predicting outcome, client-rated alliance predicted total symptom scores and global functioning scores at follow-up. Neither client nor therapist alliance predicted changes in substance misuse at any time point. Conclusions Findings demonstrate that individuals with psychosis and substance misuse who form better alliances with their therapists gain greater benefits from therapy, at least in terms of improvements in global functioning
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