No description available.

Student Number : 0009222T - MA research report - School of Human and Community Development - Faculty of Humanities / The aim of this exploratory study was to determine whether victims of crime who have encountered face-to-face interventions with lay counsellors, perceive these interventions as helpful, hindering or having no effect on their ability to cope after a traumatic incident. Five participants were selected for this qualitative study. A semi-structured interview schedule was constructed by the researcher to guide the interview process and thematic content analysis was used to analyse the data. The main emergent themes related to symptoms experienced by participants, time, victim support centres, perceptions of lay counsellors, short-term interventions, the model used and the participants overall perceptions of the services rendered by lay counsellors. Although the results were too varied to conclude the perceived effectiveness of interventions, the results are invaluable in gaining an in-depth understanding of the perceived impact of the services rendered by lay counsellors and what factors influence these perceptions.

Anestesisjuksköterskan hamnar i sitt yrkesutövande i många svåra situationer och utsätts ibland för kritiska händelser. Ofta är tid till reflektion och återhämtning knapphändig och stress kan uppstå. Vid brist på stöd kan omvårdnaden påverkas negativt. Få studier finns som belyser just denna yrkeskategori och dess behov. Syftet med studien var att undersöka anestesisjuksköterskors uppfattning om debriefing efter händelser som upplevs som kritiska. Studien har en kvalitativ ansats där sju intervjuer genomfördes med anestesisjuksköterskor, på tre operationsavdelningar i Skåne. Intervjuer analyserades utifrån Elo och Kyngäs induktiva innehållsanalys, och resultaten presenterades i fem huvudkategorier: betydelse av debriefing, behov av debriefing, alternativ till debriefing, organisationens betydelse samt debriefingens utformning. Resultaten visade att betydelsen och behovet av debriefing är stort då många situationer då debriefing behövs kan uppstå. Det är viktigt att debriefingen är rätt strukturerad och att arbetsledningen ger det stöd som krävs. Även negativa aspekter av debriefing belystes och vissa fall så kan alternativa stödsystem vara tillräckligt. I diskussionen integrerades resultaten med Antonovskys känsla av sammanhang (KASAM). Fler studier på just denna yrkesgrupps uppfattningar och upplevelser behövs för att belysa fler aspekter i ämnet, men även för att undersöka förekomst och grad av behov på fler operationsavdelningar på fler sjukhus. Även alternativa stödformer är av intresse att belysa. / Working as a nurse anaesthetist could mean getting involved in many difficult and critical events. There´s usually not much time to reflect and recuperate and sometimes stress could be experienced. A potential lack of support could have a negative impact on the caregiving. There are few studies about the nurse anaesthetist´s requirements regarding this topic. The purpose of the study was to explore nurse anaesthetist´s perceptions of debriefing after the events that are perceived as critical. The study had a qualitative approach where seven interviews with nurse anaesthetist´s were carried out in the setting of three surgical wards in Skåne. The interviews were analyzed following the inductive content analysis of Elo and Kyngäs, leading to five main categories: The importance of debriefing, the need of debriefing, alternative to debriefing, the importance of the organization, and the structure of the debriefing. The result showed a great importance and need of debriefing since many situations where debriefing is needed could arise. The structure of the debriefing is important, as well as the support of the staff management. Some negative aspects of debriefing emerged and sometimes alternative support systems could be sufficient. During the discussion the theory of Antonovsky´s Sense of coherence (SOC) was integrated. There´s a further need to explore more aspects of this precise group of nurses and their perceptions and experiences and also to examine the prevalence and degree of need of debriefing at other surgical wards and hospitals. It would also be of interest to illuminate alternative support systems.

Indiana University-Purdue University Indianapolis (IUPUI) / There is a critical need for faculty, a shortage of clinical sites, and an emphasis on quality and safety initiatives that drive increasing use of simulation in nursing education. Debriefing is an essential component of simulation, yet faculty are not consistently prepared to facilitate it such that meaningful learning, demonstrated through clinical reasoning, occurs from the experience. The purpose of this exploratory, quasi-experimental, pre-test-post-test study was to discover the effect of the use of a simulation teaching strategy, Debriefing for Meaningful Learning (DML), on the development of clinical reasoning in nursing students. Clinical reasoning was measured in 238 participant students from a Midwestern university school of nursing taking an adult health course that uses simulation. Participants were assigned to either the experimental or control group where the DML was compared to customary debriefing using the Health Sciences Reasoning Test (HSRT) before and after the debriefing experience, and the Debriefing Assessment for Simulation in Healthcare©–Student Version (DASH©–SV) with four supplemental questions about the DML (DMLSQ) process, during the post-debriefing assessment. This research sought to understand if the DML debriefing strategy positively influenced the development of clinical reasoning skills in undergraduate nursing students, as compared to usual and customary debriefing. The data revealed that there was a statistical difference between total mean test scores measured by the HSRT. There was, additionally, statistical significance in the change in scores between pre-test and post-test for those who used the DML as compared to the control. There was also a difference in the student’s perception of the quality of the debriefing measured by the DASH©–SV with the DML rated statistically higher than usual debriefing. Finally, there was a significant correlation, demonstrated through regression analysis, between the change in HSRT scores and students’ perception of quality debriefing and the use of the DML. This study contributes to the growing body of knowledge about simulation pedagogy, provides tools for use in debriefing, and informs faculty on best practices in debriefing.

Denna uppsats undersöker effekter av psykologisk debriefing och avlastningssamtal efter traumatiska händelser hos brandpersonal. Enkätstudiens fokus låg på brandpersonalens känslomässiga påverkan av traumatiska händelser i arbetet. Femtionio personer deltog i enkätstudien, varav 91 procent upplevt en traumatisk händelse. Det fanns inga signifikanta skillnader i posttraumatiska stressreaktioner och psykologiskt välbefinnande hos brandmän efter traumatisk händelse beroende av huruvida brandmännen deltagit i tidig intervention i form av avlastningssamtal, psykologisk debriefing eller inte medverkat i någon form av tidig intervention. / This study investigated the effectiveness of psychological debriefing after traumatic events among professional firefighters. We sought to understand the emotional effect of traumatic events in daily work. To examine this, a survey was conducted with 59 firefighters and among these 91 percent had experienced a traumatic event. There were no significant difference in post trauma reactions and psychological well being among firefighters after traumatic event depending on participate or not participate in psychological debriefing.

This double-blind placebo-controlled study investigated the relative efficacy of Homoeopathic similimum treatment as compared to psychological counselling (Cognitive therapy combined with Behavioural therapy), in the management of Generalized Anxiety Disorder (GAD). / Thesis (M.Tech.: Homoeopathy)-Dept. of Homoeopathy, Durban Institute of Technology, 2006 xli, 201 leaves

Les travaux de recherche menés dans le domaine des environnements virtuels pour l’apprentissage humain permettent aujourd’hui d’envisager leur utilisation à des fins d’entraînement à la prise de décision en situation de crise. Le problème de ce type d’application est qu’il nécessite pour les concepteurs et les programmeurs un travail d’écriture lourd et une programmation exhaustive de l’état du monde. Notre hypothèse est de mobiliser les principes existants du récit interactif afin de proposer un design de scénarisation qui prenne en compte les aspects temporels, critiques et complexes des actions de l’apprenant. Nous proposons une approche réflexive de l’apprentissage en fondant notre scénarisation sur l’uchronie et en intégrant des notions philosophiques comme le simulacre et le rhizome dans le parcours d’apprentissage. L’apprenant pourrait revenir en arrière au sein du même scénario initié par le formateur, et le système informatique informerait ce scénario en fonction des décisions et erreurs faites par l’apprenant. Une partie de notre contribution est la conception d’une scénarisation pour un entraînement en environnement virtuel. Il respecte la réalité des experts du cas d’application concret sur lequel s’adossent nos travaux de recherches, un projet de formation de leaders médicaux au sauvetage de blessés suite à un afflux massif de blessés. / This thesis presents a story-based approach in a simulation-based learning environment in the context of crisis management. The domain of application is the management of mass casualties in the context of medical emergencies. To efficiently train medical staff, live simulations are organized, in which an entire rescue team is re-enacted. Each simulation session takes place in a pre-established pattern and includes three distinct phases : the briefing provides a framework, the scenario puts the learner in a practice of situation, and the debriefing involves the learner reflexivity with the help of the trainer’s feedback.Those simulation sessions mobilize a lot of professionals and equipment. Therefore, they cannot be used on a large scale and research is conducted to develop those trainings in virtual environments, in which the phase of debriefing is often missing while it is a crucial part in learning. Our case of application aims at creating a virtual environment for training rescue team leaders during crisis situations. In this environment, the user is a medical team leader who interacts with a team of virtual autonomous first-aid workers. In this thesis, we propose a user experience that includes both the scenario and the debriefing part of a simulation. We focus on decision making in crisis management. We suggest that the learner should reconsider his decisions if he becomes aware of a mistake he did not avoid: he could change what he has done. In the debriefing, he could visualize the consequences of those errors : he could see what he had not seen. Reflexivity of learning is an integral part of our approach. We propose a reflexive approach to learning by grounding our scenarisation on uchronia, a fiction genre consisting in stories containing "what if" scenarios at crucial points in history and present an outcome of events alternative to historical record. Our game design is based on the uchronia : when the learner becomes aware of his mistakes, he has the opportunity to go back and make a new decision. Our system will change the plot of the story by changing the occurrence probabilities of events based on a past choices of the learner, but without changing the frame or the characters in the story. Our game design offers two phases of simulation. During the scenario, the learner will explore several possible worlds. During the debrieng, he may view several possible alternatives to the scenario as a timeline.

Thesis (M.A.)--University of the Witwatersrand, Faculty of Humanities, 2013. / Domestic violence is rife in South Africa and the negative impact thereof is brought by survivors into their homes, communities and workplace settings. Trauma counsellors often take on the work responsibility of intervening in cases of domestic violence to meet the needs of the survivor. Adopting a qualitative research design, the researcher explored the perceptions of trauma counsellors in their workplace setting regarding intervention strategies used when providing services to survivors of domestic violence. Purposive sampling was used to identify 13 adult lay trauma counsellors, both male and female employed by a non-government institution operating as a 24-7 hour Crisis Hotline in the Johannesburg Metropolitan area. The researcher gathered data by conducting personal, semi-structured interviews with research participants. Data analysis took the form of Thematic Content Analysis. The researcher identified that the participants seemed not to be aware of workplace systems and procedural guidelines, and tended to adopt a personalized approach in dealing with survivors of domestic violence. Most participants managed cases utilising ‘early crisis intervention models’ as a once-off trauma intervention strategy although they did not perceive it as being effective. It is thus recommended that such stand-alone intervention strategies should not be implemented unless further follow-up or after-care support is offered to the survivors of domestic violence.

Police officers today run the risk of being exposed to events that others will never experience during their lifetime. Many of these experiences may lead to traumatic memories that, in worst case, could make them never wanting to work as a police officer again. How can the police get better at taking care of their employees? This study aims to shed light over how the crisis-supporters perceive their learning within the activity of debriefing. The research questions asked are:” what moments in debriefing do the crisis-supporters identify as a learning activity?” and ”in what ways do the crisis-supporters think they can develop professionally during their practice of debriefing?”. This study investigates the phenomenon of crisis support from a sociocultural theory. The result show that the crisis-supporters feel that they get more knowledge when they debrief police officers compared to when participating in formal education. The results also show that verbal communication is very important in the practice of debriefing. Finally the results show that the interaction between crisis-supporters and police officers plays an important role in both crisis-supporters as well as police officers learning. / Poliser löper varje dag risk att erfara händelser som någon annan aldrig någonsin kommer att få uppleva under sin livstid. Många av dessa händelser kan leda till traumatiska minnen som i värsta fall gör att de inte kan fortsätta arbeta som polis. Hur kan polisen bli bättre på att ta hand om sina medarbetare? Denna studie syftar till att ge lyse åt hur krisstödjarna uppfattar sitt lärande inom krissamtal. Vi ställde frågor om ”vilka moment i krisstödet ser krisstödjarna ett lärande?” och ”på vilka sätt kan krisstödjarna utvecklas inom sitt krisstödjande?”. Studien undersöker detta genom att med hjälp av det sociokulturella perspektivet belysa lärandet hos krisstödjarna i krissamtal. Fem krisstödjare inom polisen har intervjuats med semistrukturerade intervjuer. Datamaterialet analyserades deduktivt med hjälp av tematisk analys och med sociokulturell teori som utgångspunkt. Resultatet visar bland annat att krisstödjarna får mer kunskap av att hålla krissamtal än att delta i formella utbildningar. Det visar även att språket är fundamentalt för hur krisstödjarna kommunicerar med varandra och de drabbade samt att samspelet mellan krisstödjare och drabbade spelar en viktig roll i lärandet.

<p>Strong recent focus on unconscious processes has increased interest in subliminal stimulation and similar experimental technologies. Assumptions about the persistence of effects of unconscious stimulation are generally conservative, referring to seconds or minutes (Silverman, 1977; Velmans, 1991). In Study I, five experiments (<i>N </i>= 365) showed complex effects of unconscious stimulation ten days after subliminal exposure, implying that persistence estimates need reevaluation. Experimental stimuli were "mommy and I are one" (MIO) and "mommy and I are dissimilar" (MIDIS), and neutral control stimuli. Effects consisted of higher correlations between measures pertaining to the self-mother relationship and measures of psychological adjustment. </p><p>These ethically problematic findings prompted investigation in Study II of whether debriefing information to participants could prevent persistent effects of subliminal stimuli, an issue not previously investigated. Two experiments (<i>N</i>=188) tested two kinds of information to participants following subliminal MIDIS or control stimulation. Results showed different persistent effects depending on participant sex. Simple information about the stimulus was effective in preventing these, but elaborate information describing the effects and mechanisms for them was not. The findings have implications for ethical recommendations for subliminal research, and suggest that this unexplored area requires more attention. </p><p>In Study III, a theoretical account for the persistent effects is presented, based on unconscious activation of a relational schema containing goal motivation. Unless the goal is fulfilled or activation dissipates due to attributability or irrelevance of the goal, the activation will be maintained (motivated maintenance). Being unconscious, the influence results in automatic schematic processing of environmental cues, including perceptual, judgment, and behavioral biases. These in turn interactively maintain the activation of the schema (interactive maintenance). </p><p>The discussion includes the conclusion that previous estimates of the persistence of unconscious stimulation effects need revision. Theoretical and empirical questions concerning the studies are discussed and ethical research implications are considered.</p>