On-call work and physicians’ turnover intention: the moderating effect of job strain

Physician shortage and turnover are major problems worldwide. On-call duties may be among the risk factors of high turnover rates among physicians. We investigated whether having on-call duties is associated with physicians’ turnover intention and whether job strain variables moderate this association. The present study was a cross-sectional questionnaire study among 3324 (61.6% women) Finnish physicians. The analyses were conducted using analyses of covariance adjusted for age, gender, response format, specialization status and employment sector. The results showed that job strain moderated the association between being on-call and turnover intention. The highest levels of turnover intention were among those who had on-call duties and high level of job strain characterized by high demands and low control opportunities. The lowest levels of turnover intention were among those who were not on-call and who had low strain involving low demands and high control. Also, job demands moderated the association between being on-call and turnover intention; turnover intention levels were higher among those with on-call duties and high demands than those being on-call and low demands. To conclude, working on-call was related to physicians’ turnover intention particularly in those with high job strain. Health care organizations should focus more attention on working arrangements and scheduling of on-call work, provide a suitable working pace and implement means to increase physicians’ participation and control over their job.     

Neither separate nor equivalent: Relationships between feature representations within bound objects

Evidence suggests that binding, or encoding a feature with respect to other features in time and space, can convey cognitive advantages. However, evidence across many kinds of stimuli and paradigms presents a mixed picture, alternatively showing cognitive costs or cognitive advantages associated with maintaining bound representations. We examined memory for colored letters drawn from similar and distinct color sets under circumstances that encouraged or discouraged the maintenance of color-letter binding. Our results confirmed previous change recognition research showing feature recognition improvement under explicit instructions to maintain binding. Color memory improved during binding, showing a reduced detrimental effect of feature similarity on retrieval, particularly when the letter served as the retrieval cue for a letter-color object. We found that feature recognition improved when two conditions were met: 1) relationships between features were to-be-remembered, and 2) the feature conjunction was relevant at test. Our results further suggest that this feature advantage arises because the encoded relationship between the features facilitates retrieval, not because features and objects are represented simultaneously in separate buffers.     

Preschoolers Use Questions as a Tool to Acquire Knowledge From Different Sources

How do children use questions as tools to acquire new knowledge? The current experiment examined preschool children's ability to direct questions to appropriate sources to acquire knowledge. Fifty preschoolers engaged in a task that entailed asking questions to discover which special key would open a box that contained a prize. Children solved simple and complex problems by questioning two puppet experts who knew about separate features of each key. Results indicate dramatic developmental differences in the efficiency and efficacy of children's questions. Although even 3-year-olds asked questions, their questions were largely ineffective and directed toward inappropriate sources. Four-year-olds directed questions toward the appropriate sources but asked approximately equal numbers of effective and ineffective questions. Only 5-year-olds both asked the appropriate sources and formulated effective questions. Implications for the development of problem-solving abilities are discussed.     

Parent‐implemented behavioral skills training of social skills

Impairment in social skills is a primary feature of Autism Spectrum Disorders (ASDs). Research indicates that social skills are intimately tied to social development and negative social consequences can persist if specific social behaviors are not acquired. The present study evaluated the effects of behavioral skills training (BST) on teaching four parents of children with ASDs to be social skills trainers. A nonconcurrent multiple baseline design across parent–child dyads was employed and direct observation was used to assess parent and child behaviors Results demonstrated substantial improvement in social skills teaching for all participants for trained and untrained skills. Ancillary measures of child performance indicated improvement in skills as well. High levels of correct teaching responses were maintained at a 1 month follow‐up. This study extends current literature on BST while also providing a helpful, low‐effort strategy to modify how parents can work with their children to improve their social skills.     

The Relations among Measurements of Informant Discrepancies within a Multisite Trial of Treatments for Childhood Social Phobia

Discrepancies between informants’ reports of children’s behavior are robustly observed in clinical child research and have important implications for interpreting the outcomes of controlled treatment trials. However, little is known about the basic psychometric properties of these discrepancies. This study examined the relation between parent-child reporting discrepancies on measures of child social phobia symptoms, administered before and after treatment for social phobia. Participants included a clinic sample of 81 children (7–16 years old [M = 11.75, SD = 2.57]; 39 girls, 42 boys) and their parents receiving treatment as part of a multisite controlled trial. Pretreatment parent-child reporting discrepancies predicted parent-child discrepancies at posttreatment, and these relations were not better accounted for by the severity of the child’s pretreatment primary diagnosis. Further, treatment responder status moderated this relation: Significant relations were identified for treatment non-responders and not for treatment responders. Overall, findings suggest that informant discrepancies can be reliably employed to measure individual differences over the course of controlled treatment trials. These data provide additional empirical support for recent work suggesting that informant discrepancies can meaningfully inform understanding of treatment response as well as variability in treatment outcomes.     

Effects of safety behaviors on fear reduction during exposure

The use of safety behaviors has been considered one of the primary maintaining mechanisms of anxiety disorders; however, evidence suggests that they are not always detrimental to treatment success (Milosevic & Radomsky, 2008). This study examined the effects of safety behaviors on behavioral, cognitive, and subjective indicators of fear during exposure for fear of spiders. A two-stage design was used to examine fear reduction and approach distance during an in vivo exposure task for participants (N = 43) assigned to either a safety behavior use (SBU) or no safety behavior use (NSB) condition. Overall, both groups reported significant and comparable reductions in self-reported anxiety and negative beliefs about spiders at posttest and 1-week follow-up. Participants in the SBU group approached the spider more quickly than did participants in the NSB condition; however, participants in the SBU condition showed a small but significant decrease in approach distance at follow-up. These results call for a reconceptualization of the impact of safety behaviors on in vivo exposure.     

Perceptual grouping boosts visual working memory capacity and reduces effort during retention

Consistent, robust boosts to visual working memory capacity are observed when colour–location arrays contain duplicate colours. The prevailing explanation suggests that duplicated colours are encoded as one perceptual group. If so, then we should observe not only higher working memory capacity overall for displays containing duplicates, but specifically an improved ability to remember unique colours from displays including duplicates compared with displays comprising all uniquely coloured items. Furthermore, less effort should be required to retain displays as colour redundancy increases. I recorded gaze position and pupil sizes during a visual change detection task including displays of 4–6 items with either all unique colours, two items with a common colour, or three items with a common colour in samples of young and healthy elderly adults. Increased redundancy was indeed associated with higher estimated working memory capacity, both for tests of duplicates and uniquely coloured items. Redundancy was also associated with decreased pupil size during retention, especially in young adults. While elderly adults also benefited from colour redundancy, spillover to unique items was less obvious with low redundancy than in young adults. This experiment confirms previous findings and presents complementary novel evidence linking perceptual grouping via colour redundancy with decreased mental effort.