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- Cardós-Alonso, María Carmen, et al.
(författare)
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Use of self-efficacy scale in mass casualty incidents during drill exercises
- 2024
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Ingår i: BMC Health Services Research. - : BioMed Central (BMC). - 1472-6963. ; 24:1
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Medical First Responders (MFRs) in the emergency department SUMMA 112 are tasked with handling the initial management of Mass Casualty Incidents (MCI) and building response capabilities. Training plays a crucial role in preparing these responders for effective disaster management. Yet, evaluating the impact of such training poses challenges since true competency can only be proven amid a major event. As a substitute gauge for training effectiveness, self-efficacy has been suggested.Objective: The purpose of this study is to employ a pre- and post-test assessment of changes in perceived self-efficacy among MFRs following an intervention focused on the initial management of MCI. It also aimed to evaluate a self-efficacy instrument for its validity and reliability in this type of training.Method: In this study, we used a pretest (time 1 = T1) – post-test (time 2 = T2) design to evaluate how self-efficacy changed after a training intervention with 201 MFRs in initial MCI management. ANOVA within-subjects and between subjects analyses were used. Results: The findings reveal a noteworthy change in self-efficacy before and after training among the 201 participants. This suggests that the training intervention positively affected participants’ perceived capabilities to handle complex situations like MCI.Conclusion: The results allow us to recommend a training program with theory components together with practical workshops and live, large-scale simulation exercises for the training of medical first responders in MCI, as it significantly increases their perception of the level of self-efficacy for developing competencies associated with disaster response.
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- Emsing, Mikael, 1980-
(författare)
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Conflict management & mental health among Swedish police officers & recruits
- 2022
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: An essential part of police work is handling people in distress, often related to some form of conflict that police officers are expected to handle in a professional manner. Thus, interpersonal and conflict management skills are essential for police officers. Further, police work has been hailed as one of the most complex and stressful jobs that one can have. While important progress has been made in relation to how the complex and stressful nature of police work affects the individual officers - less is known about the timing and onset of these effects. Similarly, while there is a growing body of research into police conflict management, more research is needed to deepen our understanding of police conflict management, not least in the Swedish context. The overall aim of the present thesis was to contribute to existing knowledge about police work by investigating conflict management and mental health among Swedish police recruits and officers.Materials and methods: The present thesis used a mixed-methods approach and is built on four sub-studies. Sub-study 1 examined the evidence base for current practices, methods, and training in conflict management by means of a scoping review. Sub-study 2 used semi-structured interviews to examine how police officers perceived conflict and conflict-management and their training within the subject. Results from sub-study 2 where also used increating items for the instrument developed in sub-study 4. Sub-study 3 used a quantitative design to examine the mental health status of Swedish police recruits using the SCL-90 questionnaire. Sub-study 4 documented the initial steps towards developing an instrument to measure conflict behaviors and attitudes to conflict management among police officers and evaluated the psychometric properties of this instrument.Results: A large proportion of the studies included in the scoping review were conducted in the US and manyfocused-on use of force. The results also indicate that a lack of available data, unified definitions and experimental as well as longitudinal research designs makes it difficult to draw causal conclusions regarding the effectiveness of training in conflict management. In the interviews, respondents described conflict largely in terms of interpersonal conflicts, and focused less on intrapersonal conflict. The complexity and importance of the role played by instructors during probationary training was also salient in their descriptions. As for mental health status, recruits overall reported scores that where similar to the general population. A small number of recruits (n = 15) reported scores that where above the patient mean of the Swedish general population in the corresponding age group. The intended factor structure of the instrument developed could not be operationalized in the instruments current form, but the instrument could still provide insights and provides a basis for further development of the instrument.Conclusions: To enhance our understanding on police conflict management, scholars and police departments should work together to agree upon unified definitions on key concepts related to this topic. More research using longitudinal and experimental designs are needed to further develop training interventions related to conflict management. While a small number of recruits reported scores above the Swedish patient mean, extant research has indicated that stigmas surrounding mental health among police could lead to unconstructive coping behaviors. Further research on mental health among not only Swedish police officers but also recruits, could focus on helpseeking-behaviors and stigmas related to mental health to provide valuable insights on the topic. The instrument developed within the present thesis needs further development but nonetheless represents a first step towards examining individual differences in relation to police conflict management behaviors and attitudes towards conflict.
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- Frögéli, Elin, et al.
(författare)
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The Importance of Effective Organizational Socialization for Preventing Stress, Strain, and Early Career Burnout : An Intensive Longitudinal Study of New Professionals
- 2022
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Ingår i: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1661-7827 .- 1660-4601. ; 19:12, s. 7356-7356
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Tidskriftsartikel (refereegranskat)abstract
- Burnout was originally conceptualized based on experiences of new professionals. Role clarity, task mastery, and social acceptance are recognized as key resources enabling new professionals’ management of the challenges of the new profession. However, relations between these resources and stress, strain, and burnout have not yet been thoroughly investigated at professional entry. Increased understanding of these relations could have implications for strategies to prevent burnout. The aim of the study was to investigate within- and between-individual effects over the first months and relations to burnout at one-year post-entry. Data (n = 322) was collected weekly over the first 13 weeks and again 9 months later. Relationships were modelled using a multilevel regression model and correlation analysis. Results showed that on weeks when participants experienced higher role clarity, task mastery, and social acceptance, they reported significantly less stress, and that participants who experienced higher levels of the resources in general, reported significantly less strain. Levels of the resources at three months were related to symptoms of burnout at 12 months. The study findings provide support of the role of task mastery, role clarity, and social acceptance as resources buffering the impact of demands at professional entry on experiences of stress, strain, and burnout.
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- Granholm Valmari, Elin, 1983-, et al.
(författare)
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Designing the Police sustainability and wellness instrument
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Police officers’ lifestyles, and what they need for a sustainable lifestyle, are rarely addressed within police health research. The reason is partly that no specific tool exists to detect the conditions for living a sustainable and healthy lifestyle within this profession. Thus, the study aims to describe the initial steps and process during the development stage, towards creating an instrument targeting conditions for a sustainable and healthy lifestyle of police officers.Several steps were taken during the initial development stages of the instrument. Firstly, the construct ‘conditions for a sustainable and healthy lifestyle of police officers’ was defined by identifying theoretical dimensionality and operationalizing the construct using two focus groups. One focus group included seven occupational therapists skilled in occupational therapy and -science. The other focus group included four persons with knowledge of police officers’ health or work conditions. Secondly, items were identified, selected, and developed, and a draft of items was tested during cognitive interviews, to assess response processes with 28 police officers. Ultimately, the instrument used a content validity approach with nine occupational therapists. A total of 48 persons were enrolled in the study.In summary, our study provides transparency during the initial developmental stage of an instrument with the working name Police Sustainability and Wellness Instrument (PSWI), including its theoretical model and dimensions. The instrument requires additional validation testing, aiming to establish its suitability as a screening tool for the construct, and feasibility testing for its applicability in facilitating self-reflection.
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- Hansson, Jonas, 1971-, et al.
(författare)
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The Norwegian police’s use of conducted energy weapons : a scientific evaluation of the CEW trial 2019–2020
- 2021
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- BACKGROUND: From an international perspective, recent years have seen an increase in the use of conducted energy weapons (CEWs), which are used to control potentially dangerous and uncooperative people. In 2019 the Norwegian National Police Directorate launched a two-year trial of CEWs in daily police work.AIM: The purpose of the current study was to evaluate the National Police Directorate’s CEW trial and to explore the public’s perceptions of police use of CEWs.METHODS: The evaluation was designed as a cohort study with a participant and a control group. Quantitative and qualitative data were collected. Measurements before, during, and towards the end of the trial activity were carried out. Two groups of police officers answered the survey: those who were part of the trial activities with CEWs and those who were not part of the trial activities. To deepen our understanding, we conducted in-depth interviews with police officers who had experience with CEWs. To examine legitimacy aspects from a citizen perspective, we conducted a survey with citizens on three occasions. We also conducted individual interviews with citizens and representatives of interest groups to deepen and complement the survey results.RESULTS: The current study found that CEWs are mainly used against individuals who are mentally unstable and exhibit aggressive and dangerous behaviour. The findings showed that CEWs fill the gap between pepper spray or batons and firearms and complement other forcible means. The findings from the interviews showed that the officers could resolve the situations before the introduction of CEWs, but with CEWs they could do so with less intrusive force and a lower risk of injury. According to the interviews, the officers felt safer mostly because CEWs gave them the opportunity to intervene without discharging their firearms. The survey revealed no significant differences between the study and control groups or between different timepoints regarding threats to the police or injuries for the police or the counterpart, while the findings from the interviews showed that the police officers perceived a CEW-related decrease in the risk of injuries for both the police and their counterparts. Informants were unanimous that CEWs were effective, but that there were factors to be aware of when using CEWs, such as thick clothes and a moving target. More than 90% of CEW situations during the two-year trial involved male officers, and among subjects exposed to CEWs from the police, fewer than 10% were women. The citizen survey results indicate that citizens believe police officers can be trusted with decisions related to the use of force. The survey also showed that citizens who had received some information on CEWs were significantly more positive towards CEWs than those who had no information. Further, the group with information on CEWs also stated that they would feel more secure if police in their vicinity were equipped with CEWs. CONCLUSIONS: CEWs do not seem to affect the Norwegian police’s total use of force. However, CEWs can decrease the use of other forcible means, especially pepper spray. The findings indicate that CEWs can replace the use of firearms under certain circumstances, although they do not replace firearms as a means of force. CEWs do not seem to affect injuries among police officers and counterparts, although findings from the police interviews indicate a lower risk of major injuries and lethal force. The introduction of CEWs does not seem to have a substantial effect on public perceptions of the police and public confidence in the police. Members of the public trust that the police are well-trained and competent in making decisions regarding the use of CEWs.
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- Holmquist, Sofie, 1987-
(författare)
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Analyzing self-report data : assessing basic psychological needs in education and at work
- 2022
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aims of this thesis were 1) to investigate how to measure and model basic psychological needs in higher education and work contexts, specifically in Swedish-speaking populations, and 2) to analyze the psychometric properties of basic psychological needs self-report instruments.The thesis consists of four studies and a summary. The main concepts studied were the basic psychological needs for autonomy, competence, and relatedness, as conceptualized in the Self- Determination Theory (SDT).The first study identified subgroups of early career psychologists characterized by their ratings on self- efficacy, psychological flexibility, and basic psychological need satisfaction. The results show that the groups differed in self-rated health, well-being, and intention to leave their profession. Higher basic psychological need satisfaction, self-efficacy, and psychological flexibility were associated with better self-rated health and well-being.The second study was an extensive psychometric evaluation of the need satisfaction and frustration scale (NSFS) in a large sample of Swedish workers. The analyses supported measurement invariance longitudinally and for gender, as well as the nomological validity of the scale. The dimensionality analyses supported a six-dimensional structure of the NSFS that takes small cross-loadings into account in an exploratory structural equation modeling representation. However, poor discrimination between need satisfaction and need frustration was present for some items.The third study translated a revised Swedish version of the NSFS, adapted to the educational domain, and validated it in a sample of Swedish university students. Dimensionality analyses supported using the NSFS as a three-dimensional measure of students' need for autonomy, need for competence, and need for relatedness. In support of nomological validity, each need uniquely contributed to predicting perceived stress and academic burnout. However, unexpectedly, autonomy did not provide incremental value beyond competence and relatedness in predicting life satisfaction and academic engagement.The fourth study translated and adapted the basic psychological need satisfaction and frustration scale (BPNSFS) to Swedish and the educational domain (BPNSFS-ED). This study also investigated the coherence between the BPNSFS-ED and the NSFS. Factor analyses showed support for using the scale as a six- dimensional measure of students' needs satisfaction and need frustration. The coherence between the BPNSFS-ED and the NSFS was moderate, and the BPNSFS-ED appears to be a more SDT coherent measure of students’ basic psychological needs.The main contribution of this thesis was providing researchers with a validated self-report instrument to assess basic psychological needs in Swedish education. The results also highlight challenges with measuring and modeling basic psychological needs and question whether items from well-used basic needs self-rating scales properly tap into the concept of need frustration. Finally, the results show that the need for autonomy seems to differ between basic psychological needs instruments which calls for mindfulness when choosing an instrument to measure basic psychological needs, and when comparing results across studies. Based on the results of this thesis, the BPNSFS-ED self-report instrument appears to be a good choice for researchers interested in assessing basic psychological needs in Swedish education.
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- Holmquist, Sofie, 1987-, et al.
(författare)
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Assessing autonomy, relatedness, and competence in higher education : the Swedish need satisfaction and frustration scale
- 2022
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Ingår i: Education Inquiry. - : Informa UK Limited. - 2000-4508.
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Tidskriftsartikel (refereegranskat)abstract
- Need-satisfying experiences corresponding to students' psychological needs of autonomy, relatedness, and competence lead to increased academic engagement and well-being. A lack of education-specific basic needs instruments validated in Swedish may inhibit basic needs research in Swedish-speaking student populations. Thus, the present study aimed to adapt the Need Satisfaction and Frustration Scale (NSFS) to the context of education in Sweden and validate this new Swedish NSFS in a sample of Swedish university students (n = 417, 59.7% women, mean age = 23.3 (SD = 4.3) years). Confirmatory factor analysis was used to investigate the dimensionality of NSFS ratings, followed by structural equation modelling of nomological networks of basic needs, academic engagement, life satisfaction, academic burnout, and perceived stress. The NSFS ratings were best described by a three-factor model with methods correction for reversed item bias. Results showed that each need uniquely contributed to perceived stress and academic burnout. Relatedness and competence, but not autonomy, were significant predictors of life satisfaction and academic engagement. The main study contribution was providing a Swedish NSFS to assess autonomy, relatedness, and competence in higher education. The results support the use of the Swedish NSFS as a three-dimensional measure of basic needs in Swedish-speaking student populations.
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- Inzunza, Miguel, 1970-, et al.
(författare)
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Crime prevention in Colombia : A pilot study
- 2023
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Ingår i: International Journal of Comparative and Applied Criminal Justice. - : Taylor & Francis Group. - 0192-4036 .- 2157-6475. ; 47:3, s. 279-298
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Tidskriftsartikel (refereegranskat)abstract
- A need to develop effective crime prevention strategies has been recognised throughout history. Due to the financial constraints of criminal justice systems, there are major global efforts to ensure that the strategies employed are highly cost-effective, rational, and evidence-based. To aid such efforts, this study explores the impact of a collaborative, community-oriented crime prevention initiative in Colombia. Empirically, it is based on pre- and post-intervention views of police officers and citizens (assessed by questionnaires) in areas covered by the initiative and control areas, complemented with focus group interviews and crime statistics. The police officers appreciated the greater autonomy provided by the approach and associated changes in organisational culture. The citizens had substantial trust in the police, despite high perceptions of general disorder and personal fear of crime. The preliminary findings indicate that the approach has had some promising effects, but several aspects require more attention.
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