Challenges for conducting and teaching handovers as collaborative conversations: an interview study at teaching ICUs.

Introduction: Whereas medical shift handovers are increasingly recognized to fulfil important functions beyond information transfer, studies suggest that shift handovers continue to be variably used for reflection, learning or discussion. Little is known of the dynamics of incorporating such functions into ICU shift handovers, resulting in a challenge for the design of educational programs whose underlying philosophies align with the specific requirements of the ICU.

Methods: Intensivists, residents and fellows (n = 21) from three ICUs were interviewed to determine perceptions of handover functionality and the boundaries to what must or can be achieved in handover conversations.

Taxonomy of Trauma Leadership Skills: A Framework for Leadership Training and Assessment.

Purpose: Good leadership is essential for optimal trauma team performance, and targeted training of leadership skills is necessary to achieve such leadership proficiency. To address the need for a taxonomy of leadership skills that specifies the skill components to be learned and the behaviors by which they can be assessed across the five phases of trauma care, the authors developed the Taxonomy of Trauma Leadership Skills (TTLS).

Method: Critical incident interviews were conducted with trauma team leaders and members from different specialties-emergency physicians, trauma surgeons, anesthesiologists, and emergency ward nurses-at three teaching hospitals in the Netherlands during January-June 2013.

The role of depth of encoding in attentional capture.

The aim of the current study was to examine whether depth of encoding influences attentional capture by recently attended objects. In Experiment 1, participants first had to judge whether a word referred to a living or a nonliving thing (deep encoding condition) or whether the word was written in lower- or uppercase (shallow encoding condition), and they then had to identify a digit displayed midway in a rapid serial visual presentation (RSVP) stream of 8 pictures. A picture corresponding to the previously processed word was presented either before or after the target digit.

Dissociable mechanisms underlying individual differences in visual working memory capacity.

Individuals scoring relatively high on measures of working memory tend to be more proficient at controlling attention to minimize the effect of distracting information. It is currently unknown whether such superior attention control abilities are mediated by stronger suppression of irrelevant information, enhancement of relevant information, or both. Here we used steady-state visual evoked potentials (SSVEPs) with the Eriksen flanker task to track simultaneously the attention to relevant and irrelevant information by tagging target and distractors with different frequencies.

Working memory capacity predicts conflict-task performance.

The relationship between the ability to maintain task goals and working memory capacity (WMC) is firmly established, but evidence for WMC-related differences in conflict processing is mixed. We investigated whether WMC (measured using two complex-span tasks) mediates differences in adjustments of cognitive control in response to conflict. Participants performed a Simon task in which congruent and incongruent trials were equiprobable, but in which the proportion of congruency repetitions (congruent trials followed by congruent trials or incongruent trials followed by incongruent trials) and thus the need for trial-by-trial adjustments in cognitive control varied by block.

National culture moderates the influence of mental effort on subjective and cardiovascular measures.

Unlabelled: Subjective measures of mental effort have been shown to be relatively insensitive in Indonesian participants. An open question is whether this insensitivity reflects how mental effort is experienced or how it is reported. We compared the performance, subjective workload ratings, heart rate and heart-rate variability (HRV) of 31 Dutch and 30 Indonesian participants under single- and dual-task conditions.

Comparing crowding in human and ideal observers.

A visual target is more difficult to recognize when it is surrounded by other, similar objects. This breakdown in object recognition is known as crowding. Despite a long history of experimental work, computational models of crowding are still sparse.

Are assumptions of well-known statistical techniques checked, and why (not)?

A valid interpretation of most statistical techniques requires that one or more assumptions be met. In published articles, however, little information tends to be reported on whether the data satisfy the assumptions underlying the statistical techniques used. This could be due to self-selection: Only manuscripts with data fulfilling the assumptions are submitted.

Variations in hospital worker perceptions of safety culture.

Objective: To compare the attitudes toward and perceptions of institutional practices that can influence patient safety between all professional groups at a university medical center.

Design: A questionnaire measuring nine dimensions of organizational and safety culture was distributed to all hospital workers. Each item was rated on a 1 ('strongly disagree') to 5 ('strongly agree') scale.

Demographic differences between health care workers who did or did not respond to a safety and organizational culture survey.

Background: Areas for institutional improvement to enhance patient safety are commonly identified by surveying health care workers' (HCWs) attitudes, values, beliefs, perceptions and assumptions regarding institutional practices. An ideal response rate of 100% is rarely achieved in such surveys, and non-response bias can occur when non-respondents differ from respondents on a dimension likely to influence survey conclusions. The conditions for non-response bias to occur can be detected by comparing demographic characteristics of respondents and non-respondents and relating any differences to findings in the literature of differences in the construct of interest as a function of these demographic characteristics.

The P4pc: an electrophysiological marker of attentional disengagement?

The processing of successive targets requires that attention be engaged and disengaged. Whereas attentional engagement can be studied by means of the N2pc component of the event-related potential (ERP), no ERP component has been linked to attentional disengagement. Here, we report the finding of such a component using an RSVP paradigm with multiple, successive targets and with a spatial-cuing paradigm.

Perceptions of personal health risks by medical and non-medical workers in a university medical center: a survey study.

Background: Health care workers (HCWs) are faced with many work-related choices which may depend on how they perceive risk, such as whether or not to comply with safety regulations. Little research has investigated risk perception in medical workers in comparison with non-medical workers and the extent to which risk perception differs in these groups. The current study thus investigates risk perception of medical and non-medical workers to inform and complement future research on safety compliance.

Do personality traits predict work outcomes of certified nursing assistants?

The purposes of this study were to describe personality traits of certified nursing assistants (CNAs) employed at nursing homes and explore relationships between personality traits, job satisfaction, and job performance. The sample included 177 CNAs providing direct care to residents in three nursing homes. CNAs with high and low job performance skills were distinguished by the cluster of traits associated with teamwork skills.

Using frequency tagging to quantify attentional deployment in a visual divided attention task.

Frequency tagging is an EEG method based on the quantification of the steady state visual evoked potential (SSVEP) elicited from stimuli which flicker with a distinctive frequency. Because the amplitude of the SSVEP is modulated by attention such that attended stimuli elicit higher SSVEP amplitudes than do ignored stimuli, the method has been used to investigate the neural mechanisms of spatial attention. However, up to now it has not been shown whether the amplitude of the SSVEP is sensitive to gradations of attention and there has been debate about whether attention effects on the SSVEP are dependent on the tagging frequency used.

A quick visual mind can be a slow auditory mind. Individual differences in attentional selection across modalities.

The human mind is severely limited in processing concurrent information at a conscious level of awareness. These temporal restrictions are clearly reflected in the attentional blink (AB), a deficit in reporting the second of two targets when it occurs 200-500 ms after the first. However, we recently reported that some individuals do not show a visual AB, and presented psychophysiological evidence that target processing differs between "blinkers" and "nonblinkers".

Working memory capacity, intelligence, and the magnitude of the attentional blink revisited.

The attentional blink (AB) is a well-established phenomenon in the study of attention. This deficit in reporting the second of two targets presented in rapid serial visual presentation when it occurs 200-500 ms after the first is considered to reflect a fundamental limitation in attentional processing. However, we recently reported that some individuals do not show an AB, and presented psychophysiological evidence that target processing differs between blinkers and non-blinkers.

Rethinking neural efficiency: effects of controlling for strategy use.

A sentence verification task (SVT) was used to test whether differences in neural activation patterns that have been attributed to IQ may actually depend on differential strategy use between IQ groups. Electroencephalograms were recorded from 14 low (89 < IQ < 110) and 14 high (121 < IQ < 142) IQ individuals as they performed the SVT with either a spatial or verbal strategy. Event-related desynchronization in upper alpha (9.

Colours sometimes count: awareness and bidirectionality in grapheme-colour synaesthesia.

Three experiments were conducted with 10 grapheme-colour synaesthetes and 10 matched controls to investigate (a) whether awareness of the inducer grapheme is necessary for synaesthetic colour induction and (b) whether grapheme-colour synaesthesia may be bidirectional in the sense that not only do graphemes induce colours, but that colours influence the processing of graphemes. Using attentional blink and Stroop paradigms with digit targets, we found that some synaesthetes did report "seeing" synaesthetic colours even when they were not able to report the inducing digit. Moreover, congruency effects (effects of matching the colour of digit presentation with the synaesthetic colour associated with that digit) suggested that grapheme-colour synaesthesia can be bidirectional, at least for some synaesthetes.

Probability as certainty: dichotomous thinking and the misuse of p values.

Significance testing is widely used and often criticized. The Task Force on Statistical Inference of the American Psychological Association (TFSI, APA; Wilkinson & TFSI, 1999) addressed the use of significance testing and made recommendations that were incorporated in the fifth edition of the APA Publication Manual (APA, 2001). They emphasized the interpretation of significance testing and the importance of reporting confidence intervals and effect sizes.

Cross-task repetition amnesia: Impaired recall of RSVP targets held in memory for a secondary task.

People often fail to select and encode the second of two targets presented within less than 500ms in rapid serial visual presentation (RSVP), an effect known as the attentional blink. We investigated how report of the two targets is affected when one of them is maintained in working memory for a secondary, memory-search task. The results showed that report of either target was impaired when it was a member of the memory set relative to when it was not.

Cuing and stimulus probability effects on the P3 and the AB.

Two experiments were conducted to investigate the relation between the attentional blink (AB), a deficit in reporting the second of two targets when it occurs 200-500 ms after the first, and the P3 component of the event-related potential. Consistent with the view that the AB reflects a limited ability to consolidate information in working memory and that the P3 reflects working memory updating, increasing the amplitude of the P3 elicited by a first target (T1) by varying T1 probability (Experiment 1) or T1 cue validity (Experiment 2) led to an increase of the AB. Overall, the P3 elicited by T1 was greater when T2 was not identified than when it was.

Quick minds don't blink: electrophysiological correlates of individual differences in attentional selection.

A well-established phenomenon in the study of attention is the attentional blink-a deficit in reporting the second of two targets when it occurs 200-500 msec after the first. Although the effect has been shown to be robust in a variety of task conditions, not every individual participant shows the effect. We measured electroencephalographic activity for "nonblinkers" and "blinkers" during execution of a task in which two letters had to be detected in an sequential stream of digit distractors.

Timing attention: cuing target onset interval attenuates the attentional blink.

Three experiments tested whether the attentional blink (AB; a deficit in reporting the second of two targets when it occurs 200-500 msec after the first) can be attenuated by providing information about the target onset asynchrony (TOA) of the second target relative to the first. Blocking the TOA did not improve second-target performance relative to a condition in which the TOA varied randomly from trial to trial (Experiment 1). In contrast, explicitly cuing the TOA on a trial-by-trial basis attenuated the AB without a cost to first-target identification (Experiments 2 and 3).