Seeing systems in health care organizations

"Systems" in health care organizations are difficult to visualize and understand by people across the organization. Systems exist as behaviors that have reasons and consequences rather than strict, linear cause and effect relationships. Learn how to sketch and see the systems at work in health care, and how to change them to help end the blame game.     

Neural Correlates of Encoding Predict Infants’ Memory in the Paired‐Comparison Procedure

The present study used event‐related potentials (ERPs) to monitor infant brain activity during the initial encoding of a previously novel visual stimulus, and examined whether ERP measures of encoding predicted infants’ subsequent performance on a visual memory task (i.e., the paired‐comparison task). A late slow wave component of the ERP measured at encoding predicted infants’ immediate performance in the paired‐comparison task: amplitude of the late slow wave at right‐central and temporal leads decreased with stimulus repetition, and greater decreases at right‐anterior‐temporal leads during encoding were associated with better memory performance at test. By contrast, neither the amplitude nor latency of the negative central (Nc) component predicted infants’ subsequent performance in the paired‐comparison task. These findings are discussed with respect to a biased competition model of visual attention and memory.     

Death Education in the Helping Professions

Ours has been described as a death denying society. The removal of death taboos may be expected to help us control and modify pathological fears of our own death and the death of others. More positively, attempts to understand and accept the reality of death may promote richer appreciation of dimensions of living. Professional workers committed to helping others during such crises as dying and bereavement seem to have a special need to resolve their own fears and develop an understanding of the meaning of death as a psychosocial as well as a biological event. Yet little or no provision is made to meet such needs during professional education and training. This paper discusses the importance of death education in the helping professions, explores the content of death education courses, and makes suggestions regarding teaching and resource aids.     

Evaluating the Use of Commercially Available Wearable Wristbands to Capture Adolescents’ Daily Sleep Duration

Commercially available wearable devices are marketed as a means of objectively capturing daily sleep easily and inexpensively outside of the laboratory. Two ecological momentary assessment studies—with 120 older adolescents (aged 18–19) and 395 younger adolescents (aged 10–16)—captured nightly self‐reported and wearable (Jawbone) recorded sleep duration. Self‐reported and wearable recorded daily sleep duration were moderately correlated (r ~ .50), associations which were stronger on weekdays and among young adolescent boys. Older adolescents self‐reported sleep duration closely corresponded with estimates from the wearable device, but younger adolescents reported having an hour more of sleep, on average, compared to device estimates. Self‐reported, but not wearable‐recorded, sleep duration and quality were consistently associated with daily well‐being measures. Suggestions for the integration of commercially available wearable devices into future daily research with adolescents are provided.     

Human–environment interactions in South Florida's Everglades region: Systems of ecological degradation and restoration

This chapter examines the societal drivers of environmental change in South Florida's Everglades region during the past 150 years. This historical geography is developed through the use of a conceptual framework constructed to facilitate the analysis of human–environment interactions and nature–society systems of ecological degradation and restoration at the regional scale. The framework is composed of four basic interlinked components: interaction mechanisms (e.g., land use, direct resource utilization, pollution and external inputs, resource competition), feedback mechanisms (e.g., basic needs, quality of life, environmental ethics), control systems (e.g., governmental regimes, legal institutions, resource management), and the societal context (e.g., population and demographic patterns, social structure and organization, technology, economic conditions, societal values). A primary objective of this chapter is to determine the presence and importance of each of these components during the process of environmental change over the period of study—1845 to 1995.Data for the analysis are drawn from primary and secondary sources on the environmental, social, economic, and political history of South Florida. The results indicate that although elements of each component were present throughout the entire period, different elements of each component play more significant roles at differing moments. The shifts in importance are used to define four periods of environmental change within the region. The periods are the following: (1) frontier settlement (1845–1900), focused on basic needs acquisition and direct utilization of the resource base; (2) drainage and land conversion (1900–1930), focused on population and economic growth, land use change, and increased resource management and competition; (3) flood control and consolidation (1930–1950), focused on inputs from external sources and infusion of advanced technology, the development of governance and social structures, and increased concern for quality of life; (4) postwar boom, flood control, and water supply (1950–1970), focused on accelerated land use change, increased pollution, and further heightened concern for local quality of life; and (5) period of limits (1970–1995), focused on pollution and resource competition concerns, a developing regional environmental ethic and amenity values, and environmental preservation governance strategies.Taken together, the five periods represent the differing nature–society systems through which South Florida's regional ecosystem was degraded and which is now entering a phase of restoration.     

Work Motivation: The Incorporation of Self-Concept-Based Processes

This paper proposes a metatheory of workmotivation incorporating theories of self-concept thathave been proposed in the sociological and psychologicalliteratures. Traditional theories of work motivation are reviewed, and the self-concept-basedsources of motivation are presented. How theself-concept influences behavior in organizations isexplained and used to develop a metatheory ofmotivational sources. Both research and managerial implications ofthe model are presented.     

The Eric Garner Case: Statewide Survey of New York Voters’ Response to Proposed Police Accountability Legislation

The Eric Garner case was unique because this police-induced death was caught on video from before the moment of physical confrontation. A mixed-methods representative household survey and Garner's arrest video were used to determine NYS voters’ opinions (n = 119) about police indictment and Governor Cuomo's request for expanded authority. Respondents were asked whether the officers should face indictment, shown the arrest video, and then asked again about indictment. Prior to the video, a majority of respondents (n = 86; 57.4%) believed involved officers should have been indicted. After viewing, the proportion increased by 13.7%. A majority supported Cuomo's call for expanded authority to appoint a special prosecutor in cases where police are involved in civilian deaths. Study limitations include prior exposure to the footage and a low response rate. NYS voters generally supported Cuomo's proposal for appointing a special prosecutor; however, a quarter of respondents disagreed with the method of reform and expressed a: 1) preference for every case to go to trial; 2) preference for a case-by-case basis; or 3) distrust in state-appointed special prosecutors. This research could inform discussions regarding proposed system reforms. Future research with a less well-circulated video is needed to determine the extent to which videos of police-induced deaths affect public opinion.     

Exploring the strategic potential of internal communication in international non-governmental organisations

The role and importance of international non-governmental organisations (INGOs) has increased with globalization and the growth of global institutions. Despite this growth, academic research into INGO management remains limited and, due to their unique characteristics, management theories developed for for-profit organisations cannot be applied as is to INGOs. Internal communication is a critical area of management that has been proven to have a major impact on an organisation's effectiveness, particularly when managed strategically. Therefore this article explores the strategic management of internal communication within the INGO context. This study synthesised the current literature on this topic and included five case studies to understand the current state of internal communication within INGOs. It was determined that INGOs do not manage internal communication strategically. However, there is evidence that the implementation of strategic internal communication could help INGOs address several of their challenges and have an impact on their overall effectiveness. This study is exploratory and further research to identify the process for strategic internal communication in INGOs is needed.     

Developing a Model of Community Wellbeing and Resilience in Response to Change

This study examines the relationship between base of the pyramid (BoP) entrepreneurship success and wellbeing. The major contention is that the success of the BoP entrepreneurs is influenced by information and training support provided by large private organizations. A total of 134 BoP entrepreneurs, who run community information centres in remote areas of Bangladesh with the support of a leading private telecommunications company, participated in this research. The result revealed that support from a large private organization is important to ensure business success, and that this subsequently enhances the wellbeing of BoP entrepreneurs. Not only has this study empirically confirmed that assistance provided by large private organizations to BoP entrepreneurs influences business success, assistance also enhances the wellbeing of this vulnerable group and thus facilitate to reduce poverty within the local community. This study therefore can be a guideline for large private organizations that are willing to carry out pragmatic corporate social initiatives.