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The Shore Control Centre (SCC) is being developed and tested as an autonomous ship vessel with remote control. However, since the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers (STCW) regulation's competency standard has yet to be altered, it must be revised and modified. Therefore, this study aims to define the competency of remote operators on an autonomous ship from ashore and develop a conceptual model of remote operators' competency. This study used both primary data by interviewing executives from four groups of maritime experts, and secondary data from academic databases, IMO, classification society and maritime companies. Academic databases are employed to conclude the academicians' view on remote operators’ (ROs’) competency and the other data sources are used to conclude the industrial view on the RO's competency. The content analysis technique was used to determine the presence of keywords or concepts from secondary data and develop a conceptual model. The study's findings present four main dimensions to indicate the development of future training and development programs for RO officers: navigation, cargo handling and stowage, controlling the ship's operation and care for persons onboard, and information technology; and present 45 competencies of ROs for managing autonomous ships from ashore, which a conceptual model can explain.
Despite the ubiquity of guided self-help (GSH) interventions in Primary Care psychological services, there have been no previous studies of the relationship between the competence of qualified practitioners and treatment outcomes. This study compared competence-outcome associations in two types of GSH. Competence and clinical outcome measures were drawn from a clinical trial comparing the efficacy of two types of GSH for anxiety disorders, based on cognitive behaviour therapy (CBT-GSH) or cognitive analytic therapy (CAT-GSH). These interventions were delivered over the telephone by qualified and supervised practitioners. Audio-recordings of GSH sessions (n=94) were rated using a validated competence measure. Clinical outcomes were anxiety, depression and functioning. Secondary outcomes were attendance and need for further intervention after GSH. Competence ratings were highly reliable. No significant associations were found between competence and clinical outcomes, treatment engagement or need for further intervention. In this clinical trial, GSH competence ratings were not associated with clinical outcomes. Directions for future competence-outcome research are provided for GSH interventions.
Key learning aims
(1) Become familiar with the current empirical literature on therapist competence and associations with clinical outcome.
(2) Raise awareness of a recently developed alternative form of guided self-help based on the theory and principles of cognitive analytic therapy.
(3) Enhance understanding of the relationship between practitioner competence and clinical outcome in guided self-help for anxiety disorders.
Chapter 12 explores the relationship between cognition and interaction. The longitudinal study, spanning over two years, utilises Conversation Analysis (CA) to investigate the cognitive and interactional abilities of a person with Alzheimer’s disease, ‘May’, through 70 audio recordings of telephone conversations with family members. The chapter acknowledges a close relationship between language and cognition by examining how memory and memory loss are displayed in verbal conduct over time. Furthermore, the chapter sets out to challenge the deficit-focused perspective pervasive in dementia literature, showcasing how May employs sophisticated communicative strategies and transacts routinised practices of interaction even with more advancing dementia. The findings suggest a nuanced understanding of cognitive abilities in dementia, questioning the binary framework of competence versus incompetence in analysing complex cognitive issues and interactional events. The findings contribute to understanding the complexities of Alzheimer’s disease, emphasising the need for tailored communication strategies to enhance the quality of interactions for individuals and their family’s facing dementia. The chapter underscores the significance of using interaction as a window to cognition, offering insights into the degenerative consequences of Alzheimer’s and paving the way for a more nuanced understanding of cognitive decline in the context of family communication.
Previous studies have shown that nurses’ spiritual care competence is related to characteristics of personal spirituality, training adequacy, and comfort, confidence, and frequency of provision of spiritual care. However, these studies assumed that all participants understood spiritual care in the same way, and used self-ratings of spiritual care competence, which are problematic. Our previous study found that spiritual care was understood in 4 qualitatively different ways that can be arranged in order of competence. This study aimed to re-examine the relationships between nurse characteristics and spiritual care competence, using spiritual care understanding as a proxy for competence.
Methods
Data was collected from a convenience sample of nurses who completed an anonymous, online survey. The survey provided qualitative data about what spiritual care means for them. The survey also provided quantitative data regarding nurse characteristics. This study created sub-groups of nurses based on their understanding of spiritual care, and used the quantitative data to construct a profile of nurse characteristics for each sub-group. Kruskal–Wallis statistical tests determined whether nurse characteristics differed across the 4 sub-groups.
Results
Spiritual care competence was not related to confidence or comfort in providing spiritual care. Relationships with spirituality, training adequacy, and frequency of provision of spiritual care were not linear; i.e., higher competence did not always correspond with higher scores of these characteristics.
Significance of results
The results raise concerns about the construct validity of using comfort and confidence as estimates of spiritual care competence. That the relationships between competence and spirituality, training adequacy, and frequency of spiritual care provision was not as linear as portrayed in extant literature, suggests that outcomes of training may depend on the type of spiritual care understanding subscribed to by training participants. The findings offer insights about how nurses could achieve high levels of spiritual care performance.
This article examines how European Union (EU) arms control measures are tailored to its constitutional foundations. EU Member States subject shipments of arms and components to controls so as to screen them for risks and potentially block them. In this context different Member States may make different geopolitical and humanitarian risk assessments. Existing EU measures have achieved only limited security screening harmonisation, and have left room for Member States to shirk their obligations under international humanitarian law. But in case of joint arms production, which the EU subsidises to become more autonomous, one Member State’s arms controls may block another State’s exports and thereby jeopardise cooperation. This article posits that any reform of EU arms controls should start by re-evaluating their present legal basis. A constitutional competence analysis shows that controls on arms shipments to non-EU states should be regulated in part through the Common Commercial Policy (CCP), and not just through the Common Foreign and Security Policy (CFSP). This would be consistent with other EU regulatory regimes for trade security. While a joint CFSP-CCP approach cannot fully prevent conflict, since this would require further foreign policy harmonisation, it could help foster security convergence and strengthen humanitarian due diligence mechanisms.
While elections are an instrument to hold politicians accountable, corrupt politicians are often re-elected. A potential explanation for this paradox is that citizens trade-off integrity for competence. Voters may forgive corruption if corrupt politicians manage to deliver desirable outcomes. While previous studies have examined whether politicians’ competence moderates the negative effect of corruption, this paper focuses on voters’ priorities and directly assesses what citizens value more: integrity or favourable outcomes. Using a survey experiment, we assess citizens’ support for politicians who violate the law in order to improve the welfare of their community and, in some cases, benefit personally from these violations. The results indicate that citizens prefer a politician who follows the law, even if this leads to a suboptimal outcome. However, voters are more likely to overlook violations of the law that benefit the community if these do not result in a personal gain for politicians (i.e., in the absence of corruption). These findings suggest that the mild electoral punishment of corruption may be due to the public’s unawareness of private gains from malfeasance, or to the delay in these private benefits becoming apparent by election day.
This Element examines three related topics in the field of bioethics that arise frequently both in clinical care and in medico-legal settings: capacity, informed consent, and third-party decision-making. All three of these subjects have been shaped significantly by the shift from the paternalistic models of care that dominated medicine in the United States, Canada, and Great Britain prior to the 1960s to the present models that privilege patient autonomy. Each section traces the history of one of these topics and then explores the major ethics issues that arise as these issues are addressed in contemporary clinical practice, paying particular attention to the role that structural factors such as bias and social capital play in their use. In addition, the volume also discusses recent innovations and proposals for reform that may shape these subjects in the future in response both to technological advances and changes in societal priorities.
Under closed-list proportional representation, a party's electoral list determines the order in which legislative seats are allocated to candidates. When candidates differ in their ability, parties face a trade-off between competence and incentives. Ranking candidates in decreasing order of competence ensures that elected politicians are most competent. Yet, party lists create incentives for candidates that may lead parties not to place their best candidates at the top of the list. We examine this trade-off in a game-theoretical model in which parties rank their candidates on a list, candidates choose their campaign effort, and the election is a team contest for multiple prizes. We analyze how the candidates’ objectives, voters’ attention and media coverage, incumbency, the number of parties competing in the election, and the electoral environment influence how parties rank candidates.
This chapter deals with quality control in the virology laboratory, including quality control and quality assurance. It stresses the need to conduct regular audits of the service to maintain quality standards and the need for accredition schemes (e.g. UKAS). Sources of errors in the laboratory and factors associated with technical quality are also discussed.
Building a culture of conceptual inquiry in psychiatric training requires the development of conceptual competence: the ability to identify and examine assumptions that constitute the philosophical foundations of clinical care and scientific investigation in psychiatry. In this article, we argue for the importance of such competence and illustrate approaches to instilling it through examples drawn from our collective experiences as psychiatric educators.
The dichotomy between jurisdiction and admissibility developed in public international law has drawn much attention from arbitrators and judges in recent years. Inspired by Paulsson's ‘tribunal versus claim’ lodestar, attempts have been made to transpose the distinction from public international law to investment treaty arbitration, yielding a mixed reception from tribunals. Remarkably, a second leap of transposition has found firmer footing in commercial arbitration, culminating in the prevailing view of the common law courts in England, Singapore and Hong Kong that arbitral decisions on admissibility are non-reviewable. However, this double transposition from international law to commercial arbitration is misguided. First, admissibility is a concept peculiar to international law and not embodied in domestic arbitral statutes. Second, its importation into commercial arbitration risks undermining the fundamental notion of jurisdiction grounded upon the consent of parties. Third, the duality of ‘night and day’ postulated by Paulsson to distinguish between reviewable and non-reviewable arbitral rulings is best reserved to represent the basic dichotomy between jurisdiction and merits.
This chapter considers children’s evolving capacities, particularly during adolescence. The law must value adolescence, while also recognising the risks it may entail. The chapter starts by reviewing some of the extensive body of research on children’s developing capacity for decision-making and explores how it might inform the law on adolescence. The chapter then considers the legal principles governing the relationship between adolescents and their parents. That law is ambivalent both over the extent of parental authority and the circumstances in which mature adolescents should be recognised as having the ability to make decisions over their own lives, regardless of the views of their parents. The chapter concludes by considering the application of these general principles in the fraught context of deprivation of liberty. The law’s confused approach to adolescent decision-making and parental authority leaves adolescents at risk of being deprived of this most important of rights without access to the legal safeguards that protect adults. This area of law is an excellent example of the practical consequences of the law’s ambivalence on adolescent autonomy and the role of parents.
Meta-competencies govern the application of more basic therapeutic competencies and allow CBT therapists to know when and why particular skills are needed. Meta-competencies are particularly important when responding to the needs of complex or atypical clinical cases. We explore CBT meta-competencies through therapist reflections on complex clinical scenarios and judgements about CBT skills. Three groups of therapists were compared in their responses to four complex clinical scenarios: trainees, recently qualified and experienced therapists. Participants reflected on how they would respond in each scenario and made ratings of the importance of different skills. There was a highly significant difference between trainees and experienced therapists in the number of reflective statements made, but no differences in the number of anticipated actions. There were no group differences in judgements about CBT skills. Reflective capacity is a meta-competency and higher-order skill that CBT therapists continue to develop several years post-qualification. Further studies are needed to replicate this finding and understand its impact on clinical practice.
Key learning aims
(1) To learn about CBT meta-competencies when considering clinical complexity.
(2) To learn how to test meta-competencies in groups of therapists with differing levels of experience.
(3) To identify which meta-competencies are prioritised in clinically complex scenarios.
(4) To support the development of the scale which measures meta-competencies in therapists.
Concerned with sustainably alleviating mental distress and promoting the right to health worldwide, global mental health (GMH) is practised across various contexts spanning the humanitarian-development-peace nexus. The inherently intersectoral and multidisciplinary nature of GMH calls for competency frameworks and training programmes that embody diversity, decolonisation and multiprofessionalism. Existing competency frameworks have failed to capture the multi-sectoral, inter-professional nature of contemporary GMH practice. In response to these needs, a qualitative content analysis of relevant job advertisements was conducted to distil a comprehensive set of professional competencies in contemporary GMH practice. Approximately 200 distinct skills and competencies were extracted from 70 job advertisements and organised into four meta-dimensions: ‘skills’, ‘sector’, ‘self’ and ‘subject’. The first known systematic attempt at a multi-sectoral GMH competency framework, it offers a springboard for exploring vital yet overlooked professional competencies such as resilience, self-reflection, political skills and entrepreneurialism. On this basis, recommendations for building a competent, agile and effective GMH workforce with diversified and future-proof skillsets are proposed. The framework can also inform inter-professional training and curriculum design, and capacity-building initiatives aimed at early-career professional development, particularly in low- and middle-income settings.
This chapter addresses, as a second component of the proposed framework, the second constituent expectation of trust in the citizen-government relationship: competence. It defines the expectation as an expectation of evidence-based policy-making (EBPM) from the elected branches in their exercise of control over social goods and services. Drawing on scholarship on EBPM, it argues that EBPM consists of three forms of knowledge: knowledge from scientific research, ‘political knowledge’ and ‘practical implementation knowledge’. The chapter also details how the courts can enforce the expectation. It explains that for this component, the courts incorporate EBPM into social rights enforcement. More specifically, the courts require the elected branches to provide evidence demonstrating that their decision-making vis-a-vis social goods and services is evidence based. The chapter offers illustrations from various jurisdictions, including Germany, South Africa, the UK and Latvia.
With the increased demand for psychological services, and particularly for cognitive behavioural therapy (CBT), it is vital that teaching programs offer effective training that produce skilled and competent clinicians. This paper reviews the limitations of traditional approaches to training within the field of psychology, in terms of the promotion of a breadth of declarative knowledge at the expense of a deep and nuanced understanding of cognitive behavioural theory and clinical competence. It also reviews issues with existing strategies for competency-based assessment of trainees learning CBT. To date, many of these appear to assess a range of competencies concurrently and to test trainees within complex environments. Such methods may fail to provide an opportunity for the assessment of specific areas of competence and/or confound the assessment itself. It may also result in the public being exposed to trainees who are yet to develop competence. Based on recent research in training methods within psychology at large, and in relation to CBT specifically, a model of competency-based training and assessment is presented to address these issues. This model extends the existing research on the use of the experiential self-practice/self-reflection (SP/SR) framework for training in CBT. It proposes that the use of discrete exercises within a SP/SR training program promotes a more in-depth and nuanced appreciation of cognitive behavioural knowledge and skills and increased clinical competence. Furthermore, such exercises are proposed to provide an avenue for assessing clinical competence in specific skills prior to the commencement of direct client services.
Key learning aims
(1) To review literature on training for the development of clinical competence.
(2) To review literature examining methods of assessing competence.
(3) To propose the use of experiential training through a SP/SR framework as a method for providing both competency-based training and assessment.
In this chapter, co-authors Eva Ärlemalm-Hagsér (Sweden), Diane Boyd and Naomi McLeod (England), Maria Assunção Folque (Portugal) and Deniz Kahriman (Türkiye) capture diverse case studies. These include children in Portuguese public spaces engaging with community, a Turkish preschool’s transformation through the 7 Rs (plus one more R), a study of intergenerational sustainability learning in England and a narrative of a Swedish preschool teacher’s pedagogical adoption of the Sustainable Development Goals (SDGs). Central themes are children’s empowerment, and community learning and sharing for sustainability. Grounded in real-life contexts, each case study relates directly to societal concerns of the twenty-first century and highlights the multiple dimensions of sustainability – social, political, economic and environmental. Collectively, the case studies demonstrate empathy and respect and draw on shared knowledge and skills in authentic partnerships, while illuminating deep understandings of and valuing the broader environment.
Chapter 15 focuses on how language learners develop pragmatic competence in a new language and target culture(s). Through presenting a variety of real-life examples, the authors highlight the importance of teaching language learners what sorts of communication styles they might encounter outside of the classroom and what interactional approachs may be more or less appropriate given these social situations. Both receptive and productive practices for teaching pragmatics are shared at the conclusion of the chapter.
Facial appearance plays an important role in how we form first impressions of others throughout the lifespan. Many studies have demonstrated that individuals consistently infer personality traits from faces, even when they do not accurately reflect a person’s personality. Only recently has this research been extended into examining older faces and how aging affects these trait impressions. This chapter discusses the impact of aging on judgments of four traits based on first impressions: facial competence, trustworthiness, health, and aggressiveness. Judgments for each of these traits are affected by aging, both by physical changes to facial structure and by stereotypes associated with aging. This chapter also discusses how aging affects the accuracy of first impressions from faces, most notably increasing the accuracy of health judgments but having little effect on the accuracy for other traits.
Despite the importance of assessing the quality with which low-intensity (LI) group psychoeducational interventions are delivered, no measure of treatment integrity (TI) has been developed.
Aims:
To develop a psychometrically robust TI measure for LI psychoeducational group interventions.
Method:
This study had two phases. Firstly, the group psychoeducation treatment integrity measure-expert rater (GPTIM-ER) and a detailed scoring manual were developed. This was piloted by n=5 expert raters rating the same LI group session; n=6 expert raters then assessed content validity. Secondly, 10 group psychoeducational sessions drawn from routine practice were then rated by n=8 expert raters using the GPTIM-ER; n=9 patients also rated the quality of the group sessions using a sister version (i.e. GPTIM-P) and clinical and service outcome data were drawn from the LI groups assessed.
Results:
The GPTIM-ER had excellent internal reliability, good test–retest reliability, but poor inter-rater reliability. The GPTIM-ER had excellent content validity, construct validity, formed a single factor scale and had reasonable predictive validity.
Conclusions:
The GPTIM-ER has promising, but not complete, psychometric properties. The low inter-rater reliability scores between expert raters are the main ongoing concern and so further development and testing is required in future well-constructed studies.