See Instructions - Psychology
Adult Eyewitness Memory for Single Versus Repeated Traumatic Events
TJEU P.M. THEUNISSEN1* , THOMAS MEYER1,2, AMINA MEMON3 and
CAMILLE C. WEINSHEIMER4
1Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
2Behavioural Science Institute (BSI), Radboud University Nijmegen, Nijmegen, The Netherlands
3Royal Holloway University of London, Surrey, UK
4Simon Fraser University, Burnaby, Canada
Summary: Reports from individuals who have witnessed multiple, similar emotional events may differ from reports from witnesses
of only a single event. To test this, we had participants (N = 65) view a video of a road traffic accident. Half of the participants saw
two additional (similar) aversive films. Afterwards, participants filled out the Self-Administered Interview on the target film twice
with an interval of 1 week. Participants who saw multiple similar films were less accurate in recalling details from the target film
than participants in the control condition. On their second report, participants were less complete but more accurate compared
with their first report. These results indicate that adults who have witnessed multiple repeated events may appear less reliable
in their reports than adults who have witnessed a single event. These findings are relevant when evaluating eyewitness evidence
and call for new approaches to questioning witnesses about repeated events. Copyright © 2017 John Wiley & Sons, Ltd.
INTRODUCTION
It is well established that eyewitness memory can be unreli-
able and lack specific details under certain circumstances,
especially when the witnessed events are emotional (for a
review, see Fulero, 2012). This can have dramatic conse-
quences, including misled or inaccurate crime investigations.
Moreover, the amount of detail and specificity with which a
witness recalls an event is often crucial in decisions about the
reliability and credibility of the witness. For example, UK
Home Office decision-makers are led to expect that the pres-
ence of specific details in witness statements signals credibil-
ity and can assist in determining refugee status (UK Home
Office, 2015). Therefore, research into factors that determine
eyewitness reliability is a priority.
An explanatory framework for this line of research is pro-
vided by fuzzy trace theory (FTT). It posits that humans can
encode and retrieve information at multiple specificity levels
and distinguishes two types of mental representations, or
memory traces, of a past event. Accordingly, verbatim traces
are detailed representations of specific information, whereas
the gist trace lacks specific detail, is based on category and
meaning and is therefore inexact (Brainerd & Reyna, 2002;
Koutstaal & Cavandish, 2006). FTT states that verbatim
and gist information is processed, stored in memory, and
retrieved in a dissociated parallel fashion. As a result, gist
and verbatim traces may be available and prone to situational
influences to different degrees (Brainerd & Reyna, 2002).
People differ in the level of specificity with which informa-
tion is processed and stored, and hence in the type of trace
that is more available for retrieval (Koutstaal & Cavandish,
2006). For eyewitness reports, this implies that the type of
trace that is available and being accessed determines the
level of detail (Wolfe, Reyna, & Brainerd, 2005).
Several factors may influence the availability and access
of gist and verbatim traces. For instance, over time, verbatim
traces are reduced in strength, and hence, specific details of
the event and the surrounding context become less accessi-
ble, as compared with gist traces (e.g., Murphy & Shapiro,
1994; Reyna & Brainerd, 1995). Interference is one factor
that accounts for reduced accessibility of verbatim traces
(e.g., Brainerd, Howe, & Reyna, 1996; Payne, Elie, Black-
well, & Neuschatz, 1996). An important source of interfer-
ence that may modulate the availability of gist versus
verbatim traces is exposure to later events that are similar
to the target event. Such repeated similar events can be
defined as ‘a series of events that are conceptually linked
and provide expectations about future similar encounters.’
Indeed, several studies have demonstrated that the retrieval
of verbatim memories is facilitated when the content of an
event matches the verbatim information of earlier experi-
ences (e.g., Reyna & Lloyd, 1997). Similarly, gist memories
of an event are more likely to be accessed when its semantic
content (e.g., the underlying meaning) matches with other
past experiences (e.g., Wolfe et al., 2005). Thus, repeated
similar experiences that differ in verbatim information may
strengthen gist traces in memory, while verbatim traces
become less available.
It follows from this that witnesses of repeated similar
events might be less reliable than witnesses of single events,
as reflected in lower accuracy, completeness and consistency
(see Smeets, Candel, & Merckelbach, 2004). For instance,
increased reliance on gist traces might undermine their
reporting accuracy, which refers to the proportion of cor-
rectly stated information and incorrect information such as
distortions (i.e., a major detail change of an existing element)
and commission errors (i.e., introduction of a completely new
element; Gudjonsson & Clare, 1995). Moreover, the com-
pleteness of recall, that is, the total amount of information
reported, may be compromised by omission errors. Finally,
witnesses of repeated events might provide less consistent re-
ports across multiple recall sessions. Assuming there is
interference from recall of similar events, the details that are
provided about a single event may change across repeated in-
terviews (i.e., there may be omission errors or contradictions
in the details reported across different interviews; Smeets,
Candel, & Merckelbach, 2004).
*Correspondence to: Tjeu Theunissen, Department of Clinical Psychology,
Maastricht University, Maastricht, The Netherlands.
E-mail: [email protected]
Copyright © 2017 John Wiley & Sons, Ltd.
Applied Cognitive Psychology, Appl. Cognit. Psychol. 31: 164–174 (2017)
Published online in Wiley Online Library (wileyonlinelibrary.com) DOI: 10.1002/acp.3314
http://orcid.org/0000-0003-1393-0058
In child witnesses, several studies have looked at recall of
repeated events and found that memory for repeated similar
events was characterized by stronger reliance on gist repre-
sentations compared with incident-specific recall. Brubacher,
Roberts, and Powell (2012) asked children (aged 4–8 years)
to recall a single-play activity session or four play sessions
that took place over a 2-week period. They found an age-
related increase in generic references when children were
questioned about the repeated sessions. In line with this lab-
oratory research, a study among victims of childhood sexual
abuse found that those who had suffered repeated abuse
reported fewer episodic (instance specific) details and more
general information compared with victims of a single abu-
sive event (Schneider, Price, Roberts, & Hedrick, 2011).
Moreover, source misattributions frequently occur when
children recount multiple occurrences of an event (Connolly
& Price 2006; Powell & Thomson, 1996). Connolly, Price,
Lavoie, and Gordon (2008) had participants watch video
recordings of children describing the same event and rated
the children’s credibility. For half of the children, the event
had been experienced once, and for the other half, the event
was last in a series of similar events. Although all children
were similarly accurate, repeated-event children were judged
to be less credible than the single-event children. An analysis
of the content of the reports revealed that most of the vari-
ability in credibility ratings could be attributed to differences
in consistency between single-event and repeated-event
reports.
To summarize so far, a review of theory and research with
child witnesses leads us to expect recall of repeated events to
rely on a general event representation in line with FTT.
However, almost all the relevant work is limited to a small
number of studies of children. We simply do not know
enough about memory for repeated events in adults to draw
the same conclusions with confidence.
With the aim of examining the effects of witnessing single
versus repeated events on eyewitness memory, we exposed
healthy adult participants to a target film of a devastating
car crash and had them fill out a Self-Administered Interview
(SAI; Gabbert, Hope, & Fisher, 2009) on details of the film
in two separate sessions. Crucially, in one group, the target
film was preceded by neutral unrelated films (single-event
condition), whereas in another group, the target film was pre-
ceded by similar shocking films (repeated-event condition).
To assess the reliability of the testimonies, we focused on
report accuracy, completeness, and consistency (Smeets,
Candel, & Merckelbach, 2004). Drawing on FTT, we
expected participants in the repeated-event condition to
provide less reliable testimonies, as indicated by poorer
accuracy, completeness, and consistency across two reporting
sessions. In addition, we expected participants to be less com-
plete in their second report session compared with their first
report session.
METHOD
Design
Participants were randomly assigned to one of two
conditions. The experimental design is shown in Table 1.
The between-subjects variable was condition (single,
repeated events) and the within-subjects variable was time
(report session one, two). The dependent variables were
report accuracy, completeness, and inconsistency, which
were measured over the two repeated test sessions during
which eyewitnesses answered questions about the witnessed
event(s).
Participants
Sixty-five adult students (51 women) within the age range of
18–35 years (M = 19.5, SD = 2.58) were recruited from
Royal Holloway University of London. Participants were
randomly assigned to the single-event (n = 32) or repeated-
event condition (n = 33). As an inclusion criterion, all partic-
ipants were required to be proficient English speakers. The
exclusion criteria were current psychological or psychiatric
problems, a history of traumatic experiences (including
severe road accidents), fear of seeing blood, and pregnancy.
To establish the inclusion and exclusion criteria, we relied on
the participants’ self-report. For this study, participants could
earn study credits or enter a lottery to win a £25 Amazon
voucher. This study was reviewed and approved by the Psy-
chology Department ethics committee at Royal Holloway
University of London.
Material
Films
To resemble real-life eyewitness memory, we used the
stressful film paradigm (Lazarus, Opton, Nomikos, &
Rankin, 1965) in which participants watch trauma film
segments. The trauma films contained footage of the
aftermath of road traffic accidents, which displayed graphic
horrific images such as injuries, dead bodies, and victims
in distress. Duration lengths of all films in this study were
approximately 2 minutes 43 seconds. The target film
consisted of staged footage of the aftermath of a severe
multiple car crash involving eight victims. Among the
victims were three female students, two of whom died while
one was severely injured. Two drivers of other cars died
Table 1. Design
Session Time delay Single-event condition Repeated-event condition
1 Neutral film Trauma film
2 Three successive days Neutral film Trauma film
3 Target trauma film Target trauma film
4 5–9 days after session 3 First report session First report session
5 6–8 days after session 4 Second report session Second report session
Single Vs. Repeated Traumatic Events 165
Copyright © 2017 John Wiley & Sons, Ltd. Appl. Cognit. Psychol. 31: 164–174 (2017)
before they could be taken to hospital. Two young children
sat in the backseat and were physically unharmed but in
shock. Some of the displayed scenes were graphic and
shown in full detail. This film was well suited for the purpose
of this study, as it was rich in distinctive features such as
multiple victims of varying age, rescue helicopters and short
dialogues. Prior studies have successfully used this material
to induce negative affect (NA) and aversive memories
(Meyer et al., 2014; Meyer et al., 2013).
In the repeated-event condition, two additional aversive
films were shown before the target film. These films were
two compilations of real-life footage from the aftermath of
road traffic accidents that have been used by Steil (1996)
and others (e.g., Brewin & Saunders, 2001; Holmes, Brewin,
& Hennessy, 2004). The films were chosen such that their
content closely matched with each other (i.e., depicting
corpses and injuries, victims in distress and emergency ser-
vice personnel working to extract trapped victims), and their
graphic aversive details were shown in a similar fashion.
They, therefore, well fitted our definition of repeated events.
In the single-event condition, two neutral, unrelated films
were shown to participants prior to the target film. Both
consisted of fragments from a documentary about glass
blowing. Because of ethical concerns related to the emotion-
ally provoking material shown to participants, we encour-
aged participants to contact the experimenter or student
counselling at Royal Holloway at any stage during the study
if they experienced any distress. However, no participant
reported ongoing distress to the experimenter. Any contact
of the participants to the counselling services after the study
was treated as confidential and therefore could not be
ascertained.
The Self-Administered Interview
The SAI (Gabbert, Hope, & Fisher, 2009) is a recall tool
used for the acquisition of eyewitness reports from different
types of crime. It arose out of the Cognitive Interview, which
is a memory-based procedure designed to maximize the
amount of recalled information through engagement in effec-
tive search and retrieval processes (Fisher & Geiselman,
1992; Memon, Meissner, & Fraser, 2010). The original
SAI contains seven sections of information and instructions
aimed to facilitate the self-report and recall of the witnessed
event and has been shown to efficiently and effectively elicit
detailed and accurate accounts of a witnessed event
(Gabbert, Hope, & Fisher, 2009). For this study, we used a
modified computer-administered version of the SAI that
contained a mental context reinstatement section, followed
by four report sections. The first report section required
participants to report everything they could remember about
the event and the people that were involved. In the next three
report sections, participants were asked to report on the
appearance of the people, vehicles, and distinctive objects
that were observed in the event, respectively. This included
estimating the number of people involved in the accident,
vehicles and objects, before describing each in detail.
The Depression Anxiety Stress Scales 21
The 21-item version of the Depression Anxiety Stress
Scales (DASS-21; Lovibond & Lovibond, 1995) is a brief
self-report questionnaire consisting of three 7-item scales
that assess depression, anxiety, and stress, respectively. Each
item reflects a short statement on which participants have to
indicate how it applied to them over the past week using a
4-point scale (1 = did not apply to me at all; 4 = applied to
me very much, or most of the time). To derive a DASS-21
total score, we summed all items (α = .87) and multiplied
the result by 2, making the scores comparable with those
of the longer 42-item version. We used the total score to
check for baseline differences between conditions in general
psychological distress (Henry & Crawford, 2005).
The Positive and Negative Affect Schedule
The Positive and Negative Affect Schedule, state version
(PANAS; Watson, Clark, & Tellegen, 1988) is a short self-
report questionnaire that measures two dimensions of mood,
namely, positive affect and NA, on two 10-item subscales.
Each item describes a feeling or emotion, and participants
have to rate the extent that the item applies to them in that
moment. Answer options range from 1 (very slightly or not
at all) to 5 (very much). In this study, we used the NA
subscale (all αs > .84) to measure affective responses to
viewing the stimulus films.
Procedure
Participants were invited to five individual sessions. The first
three sessions took place in a sound-attenuated testing room
on three successive days. At first, participants gave informed
consent and filled out the DASS-21. In the first three
sessions, they viewed the assigned films (Table 1) and filled
out a PANAS before and directly afterwards. All films were
displayed on computer screens. Participants used head-
phones to avoid distraction caused by background noise,
and to increase immersion in the shown films. The fourth
session took place within a period of 5 to 9 days after the
third session. The length of this period was established to
increase ecological validity. In this session, participants
filled out the modified SAI on the laboratory computer.
Detailed instructions were provided on the computer screen,
and participants were asked to spend at least 25 minutes for
the first report section of the SAI. Before reporting, the
experimenter ensured that participants understood the
instructions. After a delay of 6 to 8 days, the fifth session
took place. In this session, participants reported on the target
film for a second time by filling out an identical SAI to the
one they were given the first time. This SAI was completed
digitally at home with the same instructions. Last, partici-
pants were debriefed, thanked, and compensated for their
participation.
Coding
Two independent coders viewed the target film and coded as
many units of information (UOIs) as they could observe.
UOIs were defined as sentences and parts of information that
are independent of all other information units. For example,
‘the woman with long blond hair’ consists of three indepen-
dent UOIs, namely, ‘woman,’ ‘long hair,’ and ‘blond hair.’
The coders evaluated each other’s UOIs by indicating agree-
ment or disagreement. Because each coder had to evaluate a
166 T. P. M. Theunissen et al.
Copyright © 2017 John Wiley & Sons, Ltd. Appl. Cognit. Psychol. 31: 164–174 (2017)
different list constructed by the other coder, inter-rater
agreement ratios (number of agreements/number of agree-
ments + disagreements) rather than kappa were used to
assess reliability, revealing satisfactory agreement ratios of
0.94 and 0.83. A coding sheet was then constructed, which
included all UOIs that the coders had agreed on. In total,
683 UOIs were included, divided over the following
sections: General (27), Actions (78), People (431), Vehicles
(108) and Objects (39). For every participant, we added all
additional UOIs that they reported to this list. Next, all par-
ticipants’ reports were scored for reported UOIs and coded
for correctness, distortion, and commission. This was carried
out by one coder, using a coding manual and the constructed
coding sheet (Appendix A). A score of 1 was given if units
were correctly reported, and a score of 0 was given if not.
The same scoring allocation was applied for the distortion
and commission variables.
An accuracy index was also calculated for each participant
by dividing the number of correctly reported details by the
sum of correct details, distortions, and commissions.
Completeness was calculated by summing all reported UOIs.
Inconsistency was calculated by comparing each partici-
pants’ first and second accounts with each other. This was
performed by summing direct discrepancies, the number of
additions, and the number of omissions in the second report,
relative to the first report, yielding an inconsistency score. In
addition, 20\% (n = 28) of the participants’ reports were
coded by the second coder to assess inter-coder reliability.
For accuracy, inter-coder reliability was calculated by
averaging the ratio between agreement and disagreement
per participant over all 28 reports and information categories.
For completeness and inconsistency, each coder’s complete-
ness and inconsistency scores were standardized across
participants with a z-transformation. Absolute differences
between the two z-scores of each participant were then
averaged over all participants. This yielded inter-coder
disagreements for accuracy, completeness, and inconsistency
of 0.17, 0.17, and 0.25, respectively.
Statistical analyses
For our main analyses on accuracy, completeness, and
inconsistency scores, we performed 2 (report session: first,
second) × 2 (condition: single-event, repeated-event)
mixed-design analyses of variance (ANOVAs). Main and
interaction effects were then tested by means of t-tests.
Similarly, the analyses of baseline group differences and
mood responses relied on ANOVAs and t-tests. Time
interval variations between sessions three and four, four
and five, and three and five were included in the analysis
as covariates. For all tests, a p-value < .05 (two-tailed) was
considered to be statistically significant.
RESULTS
Group differences at baseline
An independent samples t-test revealed no significant
difference of age between conditions, t(63) = 1.313,
p = .197. A chi-squared test revealed no significant
differences in the distribution of sex between conditions,
χ2(1, N = 65) = 1.618, p = .20. For all participants, total
DASS-21 scores were within the normal non-clinical range
(M = 17.38, SD = 12.91; Henry & Crawford, 2005). An
independent samples t-test revealed no significant difference
of DASS-21 scores between conditions, t(63) = 1.480,
p = .14.
Mood responses to films
A 3 (film session: first, second, third) × 2 (time: pre-film,
post-film) × 2 (condition: single-event, repeated-event)
mixed-design ANOVA on PANAS-NA scores revealed a
significant three-way interaction, F(2, 62) = 6.615, p < .01,
ηp2 = 0.176. Paired samples t-tests revealed that PANAS-
NA scores increased from pre-film to post-film for the
repeated-event condition in the first, t(33) = 5.34, p < .001,
second, t = 4.64, p < .001, and third sessions, t = 5.69,
p < .001. Meanwhile, for the single-event condition,
PANAS-NA increased significantly only in the third (target
film) session, t(32) = 6.24, p < .001, but not in the first
two sessions, ps > .26. In the third session, the difference
score from pre-film to post-film PANAS-NA did not differ
between the two conditions, t(63) = �0.424, p = .67.1 In
the third session, PANAS-NA post-film scores between the
single-event condition and the repeated-event condition did
not differ significantly.
Reliability indicators
In Figure 1, accuracy and completeness results are displayed
for the single-event condition and the repeated-event condi-
tion over the two report sessions. A 2 (report session: first,
second) × 2 (condition: single-event, repeated-event)
mixed-design ANOVA on accuracy scores revealed a main
effect of condition, F(1, 54) = 36.52, p < .001, ηp2 = 0.403,
with significantly higher accuracy in the single-event condi-
tion than in the repeated-event condition.2 In addition, a
main effect of report session was revealed, F(1, 54) = 6.37,
p = .015,ηp2 = 0.106, with more accurate reports in the second
compared with the first report session.3 There also was a
trend-significant interaction between condition and report
session, F(1, 54) = 3.97, p = .051, ηp2 = 0.069. Paired samples
t-tests showed that this was a result of a significant increase
in accuracy between the two report sessions for the
1 DASS-21 scores at baseline and PANAS-NA increase in session 3 did not
correlate with accuracy and inconsistency scores (all Pearson’s r < .21,
p > .101). Only completeness in the second reporting session correlated
negatively with NA increase, r = �.29, p = .029. However, including
PANAS-NA increase as a covariate did not substantially change the results
or alter the conclusions in the following analyses on completeness.
2 Separate analyses for each of the accuracy parameters revealed that signif-
icantly more correct details, F(1, 54) = 9.294, p < .01, ηp2 = 0.147, and fewer
commissions, F(1, 54) = 25.14, p < .001, ηp2 = 0.318, were reported on the
target film in the single-event condition, compared with the repeated-event
condition.
3 Significantly fewer correct details, F(1, 54) = 69.71, p < .001, ηp2 = 0.564,
fewer distortions F(1, 54) = 25.04, p < .001, ηp2 = 0.317, and fewer commis-
sions, F(1, 54) = 12.676, p ≤ 01, ηp2 = 0.190, were reported on the target film
in the second compared with the first report session. As overall accuracy in-
creased across sessions, these findings indicate that the number of correctly
reported details decreased proportionally less than the number of distortions
and commissions.
Single Vs. Repeated Traumatic Events 167
Copyright © 2017 John Wiley & Sons, Ltd. Appl. Cognit. Psychol. 31: 164–174 (2017)
repeated-event condition, t(26) = �2.56, p = .017, which was
not found for the single-event condition, t(28) = �0.52,
p = .61. For completeness and inconsistency, the predicted
main effects of condition were not significant, all Fs < 63,
ps > .43. There also were no interaction effects, all Fs < 0.27,
ps > .61. For completeness, the mixed-design ANOVA only
revealed a main effect of report session, F(1, 54) = 63.09,
p < .001, ηp2 = 0.539. Participants in both conditions pro-
duced less complete reports on the target film in the second
compared with those in the first report session. Time interval
as a covariate did not lead to any differences in our results.
All other main effects and interactions were non-significant
and/or irrelevant to our hypotheses, all F ≤ 0.624, p ≥ .433,
ηp2 ≤ 0.011.
DISCUSSION
This study investigated whether there are differences in
accuracy, completeness, and inconsistency in adults who
have witnessed similar, repeated traumatic events compared
with adults who have witnessed only one traumatic event.
We found that adults who are shown multiple films of
traumatic scenes from a car accident were less accurate in
their reports compared with participants who saw a neutral
film. In addition, the reports in both conditions were less
complete, yet more accurate, in their second report session
than in their first report session. This increase in accuracy
(mainly driven by decreases in distortions and commissions)
was more pronounced in the repeated-event condition. These
results suggest that adults who have witnessed repeated,
similar traumatic events are less accurate, and thus
potentially less reliable witnesses, than adults who have only
witnessed a single traumatic event.
These results fit with our expectations. That is, FTT would
predict that participants in the repeated-event condition
would rely more on (erroneous) gist traces that are based
on similar experiences, and less on verbatim traces from
the target film, leading to less accurate reports (Wolfe
et al., 2005; Reyna & Brainerd, 1995; Schneider et al.,
2011). Contrary to expectation, there were no differences
between groups in completeness and inconsistency, suggest-
ing that the effects of exposure to repeated negative events
are limited to report accuracy. To our knowledge, the present
study is the first to explore the impact of repeated emotional
experiences on memory completeness and consistency in
adults. In children, prior studies on non-emotional memory
found either no effects or lower consistency for multiple
similar events compared with a single event (Connolly
et al., 2008; Schneider et al., 2011). However, unlike the
free-report method we used, these authors tested memory
for specific, non-emotional details using cued recall. Thus,
it remains to be determined whether these differences can
be attributed to the effects of age, reporting method, and/or
emotionality of the memories.
The reduced completeness of reports in the second session
compared with the first was likely due to forgetting over time
(Wixted & Ebbesen, 1991; but see Campbell, Nadel, Duke,
& Ryan, 2011). Consistent with this observation, the SAI
has been shown to boost detail memory initially, followed
by a drop in the number of correct details within a 1-week
interval (Krix, Sauerland, Gabbert, & Hope, 2014). The
difference in completeness between the two report sessions
could also be explained by motivational differences. During
the second (home) report session, participants did not have
an experimenter present to ensure participants continued
typing until they reached the instructed minimum typing
time. We were also unable to control for distractions that
may have occurred during the at-home report session;
consequently, the at-home session may have differed from
the lab-based session (e.g., Barenboym, Wurm, & Cano,
2010). Hence, motivational differences might explain a shift
in criterion, leading to less complete, yet more accurate
reports at session 2. This explanation would reconcile our
results with prior findings suggesting that false memories
(of words) are stable over time (e.g., Toglia, 1999), whereas
here we found decreases in distortions and commissions
between the sessions. One advantage of our design was that
report session was a within-subjects variable and both single-
film and repeated-event conditions …
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Communication on Customer Relations. Discuss how two-way communication on social media channels impacts businesses both positively and negatively. Provide any personal examples from your experience
od pressure and hypertension via a community-wide intervention that targets the problem across the lifespan (i.e. includes all ages).
Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in
in body of the report
Conclusions
References (8 References Minimum)
*** Words count = 2000 words.
*** In-Text Citations and References using Harvard style.
*** In Task section I’ve chose (Economic issues in overseas contracting)"
Electromagnetism
w or quality improvement; it was just all part of good nursing care. The goal for quality improvement is to monitor patient outcomes using statistics for comparison to standards of care for different diseases
e a 1 to 2 slide Microsoft PowerPoint presentation on the different models of case management. Include speaker notes... .....Describe three different models of case management.
visual representations of information. They can include numbers
SSAY
ame workbook for all 3 milestones. You do not need to download a new copy for Milestones 2 or 3. When you submit Milestone 3
pages):
Provide a description of an existing intervention in Canada
making the appropriate buying decisions in an ethical and professional manner.
Topic: Purchasing and Technology
You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class
be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique
low (The Top Health Industry Trends to Watch in 2015) to assist you with this discussion.
https://youtu.be/fRym_jyuBc0
Next year the $2.8 trillion U.S. healthcare industry will finally begin to look and feel more like the rest of the business wo
evidence-based primary care curriculum. Throughout your nurse practitioner program
Vignette
Understanding Gender Fluidity
Providing Inclusive Quality Care
Affirming Clinical Encounters
Conclusion
References
Nurse Practitioner Knowledge
Mechanics
and word limit is unit as a guide only.
The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su
Trigonometry
Article writing
Other
5. June 29
After the components sending to the manufacturing house
1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend
One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard. While developing a relationship with client it is important to clarify that if danger or
Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business
No matter which type of health care organization
With a direct sale
During the pandemic
Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record
3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i
One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015). Making sure we do not disclose information without consent ev
4. Identify two examples of real world problems that you have observed in your personal
Summary & Evaluation: Reference & 188. Academic Search Ultimate
Ethics
We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities
*DDB is used for the first three years
For example
The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case
4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972)
With covid coming into place
In my opinion
with
Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA
The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be
· By Day 1 of this week
While you must form your answers to the questions below from our assigned reading material
CliftonLarsonAllen LLP (2013)
5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda
Urien
The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle
From a similar but larger point of view
4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open
When seeking to identify a patient’s health condition
After viewing the you tube videos on prayer
Your paper must be at least two pages in length (not counting the title and reference pages)
The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough
Data collection
Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an
I would start off with Linda on repeating her options for the child and going over what she is feeling with each option. I would want to find out what she is afraid of. I would avoid asking her any “why” questions because I want her to be in the here an
Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych
Identify the type of research used in a chosen study
Compose a 1
Optics
effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. Clients often implement recommended inte
I think knowing more about you will allow you to be able to choose the right resources
Be 4 pages in length
soft MB-920 dumps review and documentation and high-quality listing pdf MB-920 braindumps also recommended and approved by Microsoft experts. The practical test
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One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research
Elaborate on any potential confounds or ethical concerns while participating in the psychological study 20.0\% Elaboration on any potential confounds or ethical concerns while participating in the psychological study is missing. Elaboration on any potenti
3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family
A Health in All Policies approach
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum
Chen
Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change
Read Reflections on Cultural Humility
Read A Basic Guide to ABCD Community Organizing
Use the bolded black section and sub-section titles below to organize your paper. For each section
Losinski forwarded the article on a priority basis to Mary Scott
Losinksi wanted details on use of the ED at CGH. He asked the administrative resident