Paving the road to hell: why change programs ultimately fail

A successful change program must have clearly delineated and honestly defined goals. Change requires conviction, money, and effort and the willingness to invest all three. Change programs fail when any of these requirements are lacking. Many health care executives have the conviction, but are unwilling to spend the money or expend the effort. Some lack conviction, despite having money; the effort is merely spinning wheels with no forward motion. Often all three are lacking, despite an outward appearance to the contrary--the result of management delusions. Employees are quick to see through misleading and insincere schemes. It is much easier to foster trust from the outset than to rebuild it after it has been violated.     

The effect of job satisfaction on labor turnover by gender: An analysis for Switzerland

This paper analyzes the effect of job satisfaction on labor turnover by gender using data from the first two waves of the Swiss Household Panel (1999 and 2000). The results confirm that job satisfaction is a very good predictor of future quits and, more important, reveal that job satisfaction does not influence the inclination to become non-employed; that is, neither men nor women self-select out of the labor force due to dissatisfaction. This result clearly refutes the claim that the gender/job satisfaction paradox (i.e., the fact that women tend to be more satisfied at work than men) is being driven by self-selection. This paper also shows that, based on job satisfaction information and quitting behavior, there is no apparent difference in firm attachment between men and women.     

Collective Emotions in Conflict Situations: Societal Implications

It is well established today that emotions are an important part of most societal dynamics. The current article focuses on the role of different collective emotional elements in creating, preserving, and resolving conflicts. The main premise is that collective emotions play a pivotal role in shaping individual and societal responses to conflicting events and in contributing to the evolvement of a social context that maintains the emotional climate and collective emotional orientation that have developed. The first part of the article provides a conceptual framework to discuss the relations between conflict, context, and collective emotions. The second part uses the conceptual framework to discuss the societal implications of the articles presented in this issue. Taken together, the parts create a platform for future research on the role of collective emotions in conflict resolution and the construction of cultures of peace.     

Maternal union instability and childhood mortality risk in the Global South, 2010–14

Efforts to improve child survival in lower-income countries typically focus on fundamental factors such as economic resources and infrastructure provision, even though research from post-industrial countries confirms that family instability has important health consequences. We tested the association between maternal union instability and children’s mortality risk in Africa, Latin America and the Caribbean, and Asia using children’s actual experience of mortality (discrete-time probit hazard models) as well as their experience of untreated morbidity (probit regression). Children of divorced/separated mothers experience compromised survival chances, but children of mothers who have never been in a union generally do not. Among children of partnered women, those whose mothers have experienced prior union transitions have a higher mortality risk. Targeting children of mothers who have experienced union instability—regardless of current union status—may augment ongoing efforts to reduce childhood mortality, especially in Africa and Latin America where union transitions are common.     

La psicología de la paz en los Estados Unidos

Resumen

Dentro del estudio de los procesos sociocognitivos implicados en la conducta de salud, el objetivo de este estudio es obtener la percepción de rol de las personas implicadas en la relación del profesional de la salud con el paciente. Así como su asociación con el cumplimiento terapéutico del paciente. Cien pacientes de hipertensión arterial esencial y cien profesionales de la salud (médicos y de enfermería) respondieron a los cuestionarios especialmente elaborados para este trabajo.

El cumplimiento terapéutico lo valoramos mediante una medida combinada de autoinforme y consecución de los objetivos terapéuticos. Los resultados mostraron que el rol del paciente podría evaluarse por los profesionales sanitarios en función de tres dimensiones fundamentales (obediencia/resistencia hacia la asistencia sanitaria; confianza/desconfianza hacia los profesionales sanitarios y cumplimiento/incumplimiento hacia los tratamientos terapéuticos). El rol de médico percibido por los pacientes se definió de forma más amplia y exigente que el rol de la enfermera. Y por último, observamos diferencias entre los pacientes cumplidores y los incumplidores respecto a algunas características atribuidas al rol del médico.     

Trying to stay ahead of the curve in Chile's economic development: exploring a way out of the middle‐income trap through pragmatic export development

Underneath impressive growth levels, the Chilean economy displays signs of being caught in a middle‐income trap. It has been unable to improve its productivity, increase the added value of its exports or upgrade its value chain. Its economy cannot compete either with low‐wage countries or highly productive, innovative countries. Its export strategy based on export promotion seems to have outlived its usefulness. It achieved remarkable quantitative success, but must now attend qualitative attributes. Instead of regarding market‐driven export promotion and state‐led export development as substitutes, this article proposes to view them as alternatives in different stages of development. To choose the appropriate time, more attention should be given to non‐traditional, structural indicators, like export sophistication and political‐institutional capabilities.     

The Effects of Perceived Barriers,Role Models,and Acculturation on the Career Self‐Efficacy and Career Consideration of Hispanic Women

This study used path analysis to examine the relationship between perceived barriers, acculturation, and role model influence on the career self‐efficacy and career considerations of a sample of Hispanic women. Two path models were examined. The male‐dominated model accounted for 15% of the variance, and the female‐dominated model accounted for 26% of the variance. No relationship was found between the variables of interest and male‐dominated career self‐efficacy and consideration. However, perceived barriers were related to female‐dominated career consideration and Anglo acculturation significantly contributed to female‐dominated career self‐efficacy. Results are discussed with regard to career practice and research with Hispanic women.     

Ivies, extracurriculars, and exclusion: Elite employers’ use of educational credentials

Although a robust literature has demonstrated a positive relationship between education and socio-economic attainment, the processes through which formal schooling yields enhanced economic and social rewards remain less clear. Employers play a crucial role in explaining the returns to formal schooling yet little is known about how employers, particularly elite employers, use and interpret educational credentials. In this article, I analyze how elite professional service employers use and interpret educational credentials in real-life hiring decisions. I find that educational credentials were the most common criteria employers used to solicit and screen resumes. However, it was not the content of education that elite employers valued but rather its prestige. Contrary to common sociological measures of institutional prestige, employers privileged candidates who possessed a super-elite (e.g., top four) rather than selective university affiliation. They restricted competition to students with elite affiliations and attributed superior abilities to candidates who had been admitted to super-elite institutions, regardless of their actual performance once there. However, a super-elite university affiliation was insufficient on its own. Importing the logic of university admissions, firms performed a strong secondary screen on candidates’ extracurricular accomplishments, favoring high status, resource-intensive activities that resonated with white, upper-middle class culture. I discuss these findings in terms of the changing nature of educational credentialism to suggest that (a) extracurricular activities have become credentials of social and moral character that have monetary conversion value in labor markets and (b) the way employers use and interpret educational credentials contributes to a social closure of elite jobs based on socio-economic status.     

A Sensitivity Analysis Approach for Some Deterministic Multi-Criteria Decision-Making Methods*

Often, data in multi-criteria decision making (MCDM) problems are imprecise and changeable. Therefore, an important step in many applications of MCDM is to perform a sensitivity analysis on the input data. This paper presents a methodology for performing a sensitivity analysis on the weights on the decision criteria and the performance values of the alternatives expressed in terms of the decision criteria. The proposed methodology is demonstrated on three widely used decision methods. These methods are the weighted sum model (WSM), the weighted product model (WPM), and the analytic hierarchy process (AHP). This paper formalizes a number of important issues on sensitivity analysis and derives some critical theoretical results. Also, a number of illustrative examples and computational experiments further illustrate the application of the proposed methodology.