Leveraging Big Data Analytics to Improve Quality of Care in Healthcare Organizations: A Configurational Perspective

Big data analytics (BDA) is beneficial for organizations, yet implementing BDA to leverage profitability is fundamental challenge confronting practitioners. Although prior research has explored the impact that BDA has on business growth, there is a lack of research that explains the full complexity of BDA implementations. Examination of how and under what conditions BDA achieves organizational performance from a holistic perspective is absent from the existing literature. Extending the theoretical perspective from the traditional views (e.g. resource‐based theory) to configuration theory, the authors have developed a conceptual model of BDA success that aims to investigate how BDA capabilities interact with complementary organizational resources and organizational capabilities in multiple configuration solutions leading to higher quality of care in healthcare organizations. To test this model, the authors use fuzzy‐set qualitative comparative analysis to analyse multi‐source data acquired from a survey and databases maintained by the Centres for Medicare & Medicaid Services. The findings suggest that BDA, when given alone, is not sufficient in achieving the outcome, but is a synergy effect in which BDA capabilities and analytical personnel's skills together with organizational resources and capabilities as supportive role can improve average excess readmission rates and patient satisfaction in healthcare organizations.     

Comfort and confidence levels of health care professionals providing pediatric palliative care in the intensive care unit

Most childhood deaths that occur in the hospital happen in the pediatric intensive care unit. Providing pediatric palliative care in the intensive care unit comes with unique challenges due to the acute care, curative and often medically aggressive focus of these settings. In this study, 190 PICU health care professionals reported on their comfort and confidence in providing palliative care. Findings indicate that professionals report only a moderate level of comfort and confidence in this type of care in the pediatric ICU. For physicians and nurses, comfort and confidence was significantly higher for those who had practiced 8 years or more. Practitioners reported less comfort in providing psychosocial care. Implications for the social work role on the interdisciplinary team and suggestions for future research are discussed.     

Studying Heuristic-Systematic Processing of Risk Communication

Using a model of risk information seeking and processing developed by Griffin, Dunwoody, and Neuwirth (1999), this study looks at predictors of the processing strategies that people apply to health risk information. Specifically, this article focuses on one relationship within the model--the relationship between perceived amount of information needed to deal with a risk and heuristic-systematic processing. Perceived amount of information needed refers to the gap between one's understanding of a risk and the level of understanding that one needs in order to make a decision about that risk. Building on the work of Chaiken (cf. 1980), the Griffin et al. model predicts--and finds--that the larger the gap, the more likely one will process information systematically. The study employs a novel measure of information processing in a survey setting by sending actual information to participants and then asking them how they attended to it; the researchers evaluate this strategy. Finally, the researchers discuss how these findings might help agencies and practitioners create more effective risk messages.     

Generalized Negatively Reinforced Manding in Children with Autism

Individuals with developmental disabilities are often unable to influence their social environment in traditional ways (i.e., vocal language) and frequently exhibit challenging behaviors (e.g., aggression and self-injury) because such behaviors were previously reinforced under similar conditions. While the area of positive reinforcement manding has been well-documented and empirically validated, there is less research in the area of negatively reinforced manding—particularly in the area of negatively reinforced manding of nonpreferred items. Using a multiple baseline design across participants, this study sought to teach three children with autism to replace their challenging behaviors with more socially appropriate ways to request the removal of nonpreferred items. Results showed that all participants were able to learn the negatively reinforced mand response and these mand responses were generalized to other untrained items. In addition to extending the research in the area, the study empirically defined a procedure for teaching negatively reinforced manding of nonpreferred items. Moreover, teaching the mand response resulted in quality of life improvements for all participants and their families.     

Cultural dissonance among generations: a solution-focused approach with East Asian elders and their families

In traditional East Asian cultures, high value is assigned to family harmony and filial piety coupled with the expectation that elders will be honored and obeyed. A lifetime of such expectations shapes how elders perceive their role and status in the family. Problems can arise when younger, less traditional, generations do not share these expectations. This article describes a solution-focused approach that facilitates the family in creating a beneficial harmony in situations of cultural dissonance. Family members are empowered to draw on personal strengths in which multiple worldviews and values of individual members are recognized, incorporated, and negotiated.     

Disco clothing, female sexual motivation, and relationship status: is she dressed to impress?

The relationship between a female's clothing choice, sexual motivation, hormone levels, and partnership status (single or not single, partner present or not present) was analyzed in 351 females attending Austrian discotheques. We digitally analyzed clothing choice to determine the amount of skin display, sheerness, and clothing tightness. Participants self-reported sexual motivation, and we assessed estradiol and testosterone levels through saliva sampling. Results show that females are aware of the social signal function of their clothing and that they in some cases alter their clothing style to match their courtship motivation. In particular, sheer clothing -although rare in the study- positively correlated with the motivation for sex. Hormone levels influenced clothing choice in many groups, with testosterone levels correlating positively with physique display. In females who had a partner but were at the disco unaccompanied by the partner, estradiol levels correlated positively with skin display and clothing tightness. Significant differences were not found, however, for clothing choice across the partnership-status groups.     

Avoiding Covid-19 risk information in the United States: The role of attitudes,norms, affect,social dominance orientations,and perceived trustworthiness of scientists

This study seeks guidance from the planned risk information avoidance model to explore drivers of risk information avoidance in the context of COVID-19. Data were collected early during the pandemic. Among our most notable results is that participants who are more oriented toward social dominance and are more skeptical of scientists’ credibility have (1) more supportive attitudes toward risk information avoidance and (2) feel social pressure to avoid risk information. The findings of this study highlight how the role of skepticism in science and intergroup ideologies, such as social dominance, can have important implications for how people learn about health-related information, even in times of heightened crisis.