Gradual escalation of use-of-force reduces police officer injury

2017 ◽  
Vol 24 (1) ◽  
pp. 35-40 ◽  
Author(s):  
Katelyn K Jetelina ◽  
Jennifer M Reingle Gonzalez ◽  
Stephen A Bishopp

ObjectiveTo examine how escalation through the force continuum predicts officer injury in the presence of citizen aggression, while controlling for extraneous factors, like citizen and officer characteristics.MethodsCross-sectional data were extracted from 2244 use-of-force reports from the Dallas Police Department in 2015. Multilevel, mixed logistic regression models were used to evaluate the relationship between use of force and officer injury. Multilevel path analysis tested indirect and direct relationships between citizen aggression and officer injury.ResultsResults suggest that gradual escalation through the force continuum significantly decreases officer injury when a citizen is actively aggressive (β=−1.06, p value <0.001). Further, non-Hispanic black officers (β=−0.22, p value <0.001) and Hispanic officers (β=−0.08, p value <0.05) are less likely to gradually escalate through the force continuum, due to lower odds of verbal commands (black: OR=0.51, 95% CI 0.39 to 0.68; Hispanic: OR=0.77, 95% CI 0.60 to 0.99) and hard-empty hand control (black: OR=0.58, 95% CI 0.43 to 0.77) compared with white officers. Finally, officers with higher tenure (β=−0.01, p value <0.001) are less likely to gradually escalate through the force continuum.ConclusionsEscalation through the force continuum significantly reduces police officer injury. Future research should assess whether further environmental or situational factors contribute to the strong relationship between use of force and officer injury. Also, reliability and validity testing of use-of-force reports is an imperative direction for future research.

2021 ◽  
Author(s):  
Stephen M Kareha ◽  
Philip W McClure ◽  
Alicia Fernandez-Fernandez

Abstract Objective Rating tissue irritability has been recommended to aid decision making in several recent clinical practice guidelines. An explicit method for rating tissue irritability was proposed as part of the Staged Algorithm for Rehabilitation Classification: Shoulder Disorders (STAR-Shoulder), but the reliability and validity of this classification are unknown. The purpose of this study was to examine the reliability and concurrent validity of shoulder tissue irritability ratings as part of a system designed to guide appropriate treatment strategy and intensity. Methods A clinical measurement, prospective repeated-measures cross-sectional design was used. The 101 consecutive participants with primary complaints of shoulder pain were assessed by pairs of blinded raters (24 raters in total) and rated for tissue irritability. Patients completed 3 patient-rated outcome (PRO) measures reflecting both pain and disability, and these scores were compared with ratings of tissue irritability. Paired ratings of irritability were analyzed for reliability with prevalence-adjusted, bias-adjusted Kappa for ordinal scales (PABAK-OS). Analysis of variance (ANOVA) was used to compare PRO measures across different levels of irritability. Receiver operating characteristic (ROC) curve analysis was utilized to derive cut-off scores for 3 PRO instruments. Results Interrater reliability was 0.69 (95% CI = 0.59–0.78), with 67% agreement. All PRO measures were significantly different among 3 levels of tissue irritability. Conclusion There appear to be acceptable reliability and a strong relationship between PRO measures and therapist-rated tissue irritability, supporting the use of the STAR-Shoulder irritability rating system. Impact Several clinical practice guidelines have recommended that clinicians rate tissue irritability as part of their examination. This study provides important new information supporting the reliability and validity of the STAR-Shoulder tissue irritability rating system.


2020 ◽  
Vol 10 (3) ◽  
pp. 200-204
Author(s):  
Sana Akbar ◽  
Misbah Riaz ◽  
Lalarukh Munawar ◽  
Shazia Shakoor

Objective: The purpose of this study was to correlate the hypochondriacal concerns related to diseases with level of anxiety and depression symptoms among medical and engineering undergraduates. Study design and Setting: Cross sectional study was conducted among undergraduates of final year students of BUMDC (Bahria University Medical & Dental College) and engineering students from NUST- PNEC (NUST – Pakistan Navy Engineering College). Methodology: In this study; (99) final year medical students and (92) engineering students were recruited. In order to maintain consistency of age, students aging between 21–26 years were selected. Selected students were handed to fill the required ‘Self-administered Questionnaire’ comprising of demographic details, short health anxiety inventory, medical history and DASS (depression, anxiety and stress scale) which were completed on-site. Data was entered in SPSS version 21 and analyzed using Fisher’s exact test. P value < 0.05 was considered as statistically significant. Result: Out of 191 students in total from both the groups n=86 (45%) were females and n=105(55%) were males. There were 99 participants from MBBS and 92 from engineering. The participants’ ages ranged from 21-26 years with a mean= 23.95 (SD±2.29), both the cohorts belonged to approximately same age group. While assessing depression the responses were not very different for both the groups. When responses of depression scale were related to visits to psychiatrists or psychologist or psychotherapist a strong relationship was observed (p=0.012) in medical students cohort. Conclusion: The results of the study reflected comparable psychosocial strain at an elevated level among both student groups


Author(s):  
Genesis Chorwe-Sungani

Background: Psychological well-being of nurses is crucial for them to effectively discharge their duties. However, coronavirus disease 2019 (COVID-19)-related anxiety can interfere with nurses’ performance and reduce their self-efficacy.Aim: The primary aim of this study was to assess COVID-19-related anxiety and functional impairment amongst nurses in Malawi. The secondary aim of the study was to determine reliability and validity of the Coronavirus Anxiety Scale.Setting: The study was conducted in Malawi.Methods: This was a cross-sectional study that collected quantitative data from 102 nurses in Malawi online. Data were analysed using descriptive statistics and receiver operating curve analysis.Results: This study found that 25.5% (26) of respondents had COVID-19-related anxiety and 48% (49) functional impairment. There were significant differences in the numbers of respondents who had functional impairment in relation to workplace (Χ2 = 8.7, p = 0.03), with many of those working in hospitals (58.6%, n = 34) having highest levels (mean = 20.6 ± 10.4). The Coronavirus Anxiety Scale proved to be an effective instrument (Sensitivity = 73.1%; Specificity = 60.5%; area under the curve = 0.73) for assessing COVID-19-related anxiety amongst nurses.Conclusion: It is necessary to screen nurses for COVID-19-related anxiety and functional impairment and provide them effective psychosocial interventions. Policymakers should place more emphasis on allocation of financial resources to mental health services and staff support programmes targeting nurses during pandemics. There is a need to conduct future research on mental health interventions that might be used to assist nurses with COVID-19-related anxiety and functional impairment.


2021 ◽  
Vol 17 (35) ◽  
pp. 203
Author(s):  
Benson Muchoki Mwangi ◽  
Francis N. Kibera ◽  
Mary Kinoti ◽  
Magutu P. Obara

This paper focuses on determining the influence of sales territory design on salesforce performance in the detergent manufacturing companies in Kenya. Detergents play a critical role in our everyday lives by ensuring hygiene at our personal level, in our homes, in schools, institutions, and hospitals. Detergents have gained a lot of prominence since the onset of the Corona Virus (COVID-19) disease in 2019, as it has been proved that they play an important role in curtailing the transmission of the COVID-19 disease. The Salesforce plays an important role in organizations as they are the ones who in most cases interact with customers, provide information about their organization and products, provide prices, demonstrate how products are used, train customers, provide after sales service, and resolve any issues that may arise. The study was anchored on Expectancy Theory, Resource Based Theory, Equity Theory, and Agency Theory. The study adopted positivism philosophy and used a descriptive cross sectional design. The unit of analysis was the sales people in the detergent manufacturing companies in Kenya who are members of Kenya Association of Manufacturers as per list obtained from KAM in December 2018. The study used primary data which was collected by administering semi-structured questionnaires. The data was analyzed using a combination of both descriptive and inferential statics to describe the manifestations of the variables in the data collected, simple regression model was used to test the significance of the influence of sales territory design (independent variable) on the salesforce performance (dependent variable). Fischer distribution test (F-test) was used to test the significance of the independent variable and the overall model. The p-value for the F-statistic was used to determine the robustness of the model. This was done at 95% confidence level (p<0.05). The study found a strong relationship between sales territory design and salesforce performance. This depicts that sales territory design is critical in determining salesforce performance in detergent manufacturing companies in Kenya.


Author(s):  
Alsubaie SS ◽  
◽  
Al-Hufayyan RS ◽  
Mohammed MS ◽  
Alsufyani AH ◽  
...  

Objectives: Most patients who visit other clinics are surprised when they referred to psychiatric clinics, which may be related to the social stigma of mental illness or nonmental health professionals’ (NMHPs) negative attitude toward psychiatric illness. The study aimed to assess attitudes toward mental health services among NMHPs in Asir region, Kingdom of Saudi Arabia (KSA), and to correlate the results with different variables. Methods: We conducted a cross-sectional study among NMHPs (n=358) in Asir region of the kingdom of Saudi Arabia by using an electronic questionnaire through WhatsApp application. Results: Young age, female gender, single marital status, did not ever had known or shared in giving care to a mentally ill person, work experience less than 10 years, nursing specialty, and holding diploma degree represented the significant statistical correlation with negative attitudes toward mental health services scale (p-value = <0.001; 0.01; 0.003; 0.02; <0.001; 0.02 and <0.001, respectively). Conclusion: This study demonstrates positive attitude toward mental health services among NMHPs. There is need for better educational measures and more training courses at the undergraduate level of NMHPs in order to improve such attitude. Future research could investigate the outcomes of these measures and courses.


2019 ◽  
Vol 55 (7) ◽  
pp. 891-900 ◽  
Author(s):  
Urszula Tymoszuk ◽  
Rosie Perkins ◽  
Daisy Fancourt ◽  
Aaron Williamon

Abstract Purpose Loneliness in older adulthood is a societal and public health challenge warranting identification of sustainable and community-based protective factors. This study investigated whether frequency of receptive arts engagement is associated with lower odds of loneliness in older adults. Methods We used data of respondents from waves 2 (2004–2005) and 7 (2014–2015) of the English Longitudinal Study of Ageing (ELSA) and examined cross-sectional (n = 6222) and longitudinal (n = 3127) associations between frequency of receptive arts engagement (including visits to the cinema, museums/galleries/exhibitions, theatre/concerts/opera) and odds of loneliness (cut-off ≥ 6 on three-item short form of the Revised UCLA Loneliness Scale). We fitted logistic regression models adjusted for a range of sociodemographic, economic, health and social, community and civic engagement factors. Results Cross-sectionally, we found dose–response negative associations between engagement with all receptive arts activities and odds of loneliness. Prospectively, in the fully-adjusted models we found most robust evidence for the negative association between engagement with museums/galleries/exhibitions and odds of loneliness (OR = 0.68, 95% CI 0.48–0.95) for those who engaged every few months or more often compared with those who never engaged. We found weaker evidence for lower odds of loneliness for more frequent engagement with theatre/concerts/opera. Conclusions Frequent engagement with certain receptive arts activities and venues, particularly museums, galleries and exhibitions, may be a protective factor against loneliness in older adults. Future research is needed to identify the mechanisms through which this process may occur, leading to better understanding of how arts activities and venues can reduce loneliness among older adults.


Author(s):  
Anthony G. Vito ◽  
Elizabeth L. Grossi ◽  
Vanessa Woodward Griffin ◽  
George E. Higgins

Purpose The purpose of this paper is to apply focal concerns theory as a theoretical explanation for police officer decision making during a traffic stop that results in a consent search. The study uses coefficients testing to better examine the issue of racial profiling through the use of a race-specific model. Design/methodology/approach The data for this study come from traffic stops conducted by the Louisville Police Department between January 1 and December 31, 2002. Findings The results show that the three components of focal concerns theory can explain police officer decision making for consent searches. Yet, the components of focal concerns theory play a greater role in stops of Caucasian male drivers. Research limitations/implications The data for this study are cross-sectional and self-reported from police officers. Practical implications This paper shows the utility of applying focal concerns theory as a theoretical explanation for police officer decision making on consent searches and how the effects of focal concerns vary depending on driver race. Social implications The findings based on focal concerns theory can provide an opportunity for police officers or departments to explain what factors impact the decision making during consent searches. Originality/value This is the first study (to the researchers’ knowledge) that examines the racial effects of focal concerns on traffic stop consent searchers using coefficients testing.


2011 ◽  
Vol 14 (4) ◽  
pp. 366-387 ◽  
Author(s):  
Matthew S. Crow ◽  
Brittany Adrion

The use of force by police officers is a regular source of interest among the public, media, scholars, and criminal justice professionals. Tasers have emerged as an important and increasingly popular technology for police departments. Despite the increasing adoption and use of Tasers and the controversy surrounding their use, relatively little prior research examines the factors associated with Taser use by police officers. Guided by the focal concerns theoretical perspective, the current study uses data from a medium-size police department to analyze the factors that influence Taser use. Logistic regression models provide evidence that Taser use is influenced by suspect resistance as well as the race and gender of the suspect involved. Implications for policy and research are discussed.


2020 ◽  
Vol 11 (2) ◽  
pp. 189
Author(s):  
Jek Amidos Pardede ◽  
Laura Mariati Siregar ◽  
Merius Halawa

<p>Schizophrenia is a severe mental disorder that is chronic, reality disorders, cognitive dysfunction, and difficulty in doing activities. Violent behavior is a form of aggressive behavior that causes suffering or hurts others, has an angry response, is expressed by threatening, injuring oneself and others, and can damage the environment. The study aims to determine the relationship of burden with a family coping when treating schizophrenic patients who experience violent behavior in the  Prof.Dr.M.Ildrem mental hospital Medan. Descriptive correlation research design with a cross-sectional approach. The entire population of schizophrenic patients who treat family members with violent behavior who undergo outpatient as many as 384 people. Samples totaling 79 people with a sampling technique is a consecutive sampling. The results obtained that the objective burden of the majority family is 74,7% and the subjective burden of the majority family is 60,8%, coping of the adaptive majority family is 97,5%. It is known that there is a strong relationship between burden and family coping when treating patients with schizophrenia who experience violent behavior (p-value=0,000; p-value&lt;0,01) with an objective load value of the correlation coefficient (r)=0,522. And the subjective load coefficient correlation coefficient (r)=0,525. Families are expected to reduce objective and subjective burdens when treating schizophrenic patients who experience violent behavior by increasing adaptive family coping so that the burden in the family is lighter and able to care for family members better.</p>


2015 ◽  
Vol 12 (1) ◽  
pp. 1280
Author(s):  
İlyas Özgentürk

<p>While ensuring public safety and fighting against criminals the police are given exceptional powers such as the use of force to protect themselves as well as others in the process of fighting criminals. In a democratic society the limits of the use of force given by the state to the police is regulated by law. Misuse of power by the police, regarding humanitarian concerns, in terms of philosophical dilemmas and political implications has great impact on people. Use of force is defined as; use of physical strength and any equipment in increased proportion to neutralize acts of resistance or attack. The power to use of force is a direct intervention to the fundamental rights and freedoms of persons. Therefore, use of excessive force is considered as a direct violation of human rights. There have been numerous researches and studies about Police use of force. However, the complex structure of use of force, and it association with many factors creates a lot of limitations in this area. Therefore, the researchers have systematized the use of force by the police and focused on situational and institutional factors. Individual factors affecting the use of power and force by the police officers are defined as; The age of the police officer, education level and occupational experience. Regarding situational factors the researchers have focused on characteristics like; type of event that the police officer has encountered the public and the characteristics the suspects. Regarding explaining the Institutional factors it is focused on; the affect of the police culture (subculture) and service delivery philosophy of de unit that the officer is working at.</p><p align="left"> </p><p align="left"><strong>Özet</strong></p><p align="left">Kamunun güvenliğini sağlama ve suçlularla mücadele etme görevini yerine getirirken polise hem kendisini hem de başkalarını koruması ve suçlularla mücadele edebilmesi için zor kullanma gibi bir takım istisnai yetkiler verilmiştir.  Demokratik toplumlarda devletin polise vermiş olduğu zor kullanma yetkisinin sınırları hukuk tarafından düzenlenmiştir. Polisin sahip olduğu gücü suiistimal etmesi insani kaygılar, felsefi ikilemler ve politik sonuçlar açısından halk üzerinde büyük etkilere sahiptir. Zor kullanma; direnme ve saldırı karşısında bu fiilleri etkisiz hale getirecek derecede artan nispette bedeni kuvvet her türlü teçhizatı kullanmak şeklinde tanımlanmaktadır. Zor kullanma yetkisi kişilerin temel hak ve özgürlüklerine doğrudan bir müdahaledir.  Bu nedenle zor kullanma yetkisinin aşılması doğrudan insan hakları ihlali sayılmaktadır. Polisin zor kullanması ile ilgili sayısız araştırmalar ve çalışmalar yapılmıştır.  Ancak, zor kullanmanın kompleks yapısı ve  çok çeşitli nedenlerle ilişkili olmasından dolayı bu alanda oldukça fazla sınırlamalar vardır.  Bu nedenle, araştırmacılar polisin kuvvet kullanmasını sistematize ederek bireysel, durumsal ve kurumsal faktörlerin üzerinde durmuşlardır. Polis memurlarının güç ve kuvvet kullanmasını etkileyen bireysel faktörler; polis memurlarının yaşı, eğitim seviyesi, mesleki tecrübesi gibi karakteristikleri üzerinde durulmuştur. Durumsal faktörler; polislerin halk ile karşı karşıya geldikleri olayların cinsi ve şüphelilerin karakteristikleri üzerinde yoğunlaşmıştır. Kurumsal faktörler; polisin memurlarının görev yaptığı polis biriminin kurumsal kültürü ve hizmet anlayışının etkilerini açıklamaya çalışmaktadır.</p>


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