Identifying thriving Workplaces in Hospitals: Work Characteristics and the Applicability of Character Strengths at Work

In most of their work settings, the health and well-being of hospital physicians are at risk. Trends of work intensification and changing laws in the European Union and beyond have heightened the call for taking a closer look at the workplace and training conditions of hospital physicians. This study aims to identify specific work characteristics (such as autonomy, social support, cognitive demands, and skill adequacy), in order to determine conditions for the applicability of individual character strengths at work and in turn for increased work engagement and well-being. We examined our hypotheses based on cross-sectional (N = 173) and longitudinal self-report data (N = 72) of hospital physicians in Austria. The results identified significant indirect effects of skill adequacy, cognitive demands, autonomy, and social support at work – via the applicability of individual character strengths at work – on work engagement and general well-being. Longitudinal analyses additionally confirmed autonomy as a thriving work characteristic for promoting the applicability of individual character strengths over time (time lag: 6 months). This study revealed the value of enabling and preserving the applicability of character strengths in a hospital work setting and focused – for the first time – on its predicting work characteristics. Furthermore, it emphasizes the importance of securing skill adequacy early in the training of young physicians and encouraging, as well as, sustaining autonomy in their daily work life.

     

Persistence and accommodation in short‐term priming and other perceptual paradigms: temporal segregation through synaptic depression

Perceptual input changes constantly in an unpredictable fashion, often changing before our somewhat sluggish perceptual systems have adequately processed this input. This can give rise to source confusion—how do we know whether a given perceptual activation is due to the current input, or a previous input that had yet to be completely processed? We propose that activity‐dependent neural accommodation naturally limits this source confusion by suppressing items once they have been identified. We review behavioral paradigms from different literatures that measure the correlates of persistence and accommodation. Of the various accommodative mechanisms, we focus on synaptic depression, deriving a rate‐coded expression that can be used to produce accommodating dynamics in any neural network with real valued activation. We implement this expression in a hierarchical model of perception termed, “a neural mechanism for responding optimally with unknown sources of evidence” (nROUSE). This model can be viewed as a more detailed version of the more abstract ROUSE model of Huber, Shiffrin, Lyle, and Ruys (2001), which produces accommodated levels of feature evidence through an optimal calculation. We apply nROUSE to three short‐term priming experiments that manipulated prime duration.     

Components of attentional effort for repeated tasks

This paper identifies four attentional processes that increase efficiency and accuracy in repeated lexicographic tasks using an instructed strategy approach. We propose a framework to decompose attentional effort used to make a decision into four components: Orientation, Wrong Target, Duration, and Repetition. Orientation assesses attention to decision rules and the location of relevant information. Wrong Target measures wasted effort on unneeded information. Duration gauges time spent on each piece of needed information. Repetition measures the number of views on each relevant item. Greater Orientation is associated with lower effort in other components and increased accuracy. Repetition is most variable across individuals but generates the greatest improvement with practice. Duration is less affected by the other components and shows minimal improvement with experience. Finally, Wrong Target is similarly resistant to practice, but it is the only component strongly and positively associated with making errors.     

Burn-out

At first the concept of burnout will be critically reflected in the context of the discussion in a position paper of the German Society for Psychiatry Psychotherapy and Neurology. An investigation of preventive stress management interventions at the workplace will be reported. The treatment concept of the day clinic of the Department for Psychosomatic Medicine and Psychotherapy of the Munich-Harlaching hospital for occupational stress-related disorders will be presented. An empirical study of the effectiveness of this treatment will be reported comparing patients with occupational stress-related disorders (n?=?95) to other patients treated in the day clinic during the same time interval (n?=?154). Furthermore, a qualitative analysis of 102 patient charts with occupational stress-related disorders will be described. Two case histories typical for mental health disease with burnout syndrome are presented to illustrate the conclusions.     

How do keas (<Emphasis Type="Italic">Nestor notabilis</Emphasis>) solve artificial-fruit problems with multiple locks?

Keas, a species of parrots from New Zealand, are an interesting species for comparative studies of problem solving and cognition because they are known not only for efficient capacities for object manipulation but also for explorative and playful behaviors. To what extent are they efficient or explorative, and what cognitive abilities do they use? We examined how keas would solve several versions of artificial-fruit box problems having multiple locks. After training keas to remove a metal rod from over a Plexiglas lid that had to be opened, we exposed the birds to a variety of tasks having two or more locks. We also introduced a preview phase during which the keas had extended opportunity to look at the tasks before the experimenter allowed the birds to solve them, to examine whether the preview phase would facilitate the birds’ performance on the tasks. In a large number of tests, the keas showed a strong trend to solve the tasks with no positive effect of previewing the tasks. When the tasks became complex, however, the keas corrected inappropriate responses more quickly when they had had chance to preview the problems than when they had not. The results suggest that the keas primarily used explorative strategies in solving the lock problems but might have obtained some information about the tasks before starting to solve them. This may reflect a good compromise of keas’ trial-and-error tendency and their good cognitive ability that result from a selection pressure they have faced in their natural habitat.     

A habituation account of change detection in same/different judgments

We investigated the basis of change detection in a short-term priming task. In two experiments, participants were asked to indicate whether or not a target word was the same as a previously presented cue. Data from an experiment measuring magnetoencephalography failed to find different patterns for “same” and “different” responses, consistent with the claim that both arise from a common neural source, with response magnitude defining the difference between immediate novelty versus familiarity. In a behavioral experiment, we tested and confirmed the predictions of a habituation account of these judgments by comparing conditions in which the target, the cue, or neither was primed by its presentation in the previous trial. As predicted, cue-primed trials had faster response times, and target-primed trials had slower response times relative to the neither-primed baseline. These results were obtained irrespective of response repetition and stimulus–response contingencies. The behavioral and brain activity data support the view that detection of change drives performance in these tasks and that the underlying mechanism is neuronal habituation.     

Die verbale Aktivit?t in therapeutischen Dialogen

The discourse in psychotherapeutic treatment is less specific than usually expected so the question arises whether different therapy methods are different in the style of communication. In this study the verbal activity and other characteristics of the discourse of therapist and patient for sessions from two psychoanalytic, two psychodynamic and two cognitive behavior therapies were compared. Psychoanalytic therapists were found to talk the least and behavior therapists the most. Patients talk nearly the same amount in all therapies. As therapists of psychoanalytic treatment talk less than behavior therapists the percentage of patient talking is highest in psychoanalytic therapy. Further formal characteristics: statements are the most frequent form of intervention in behavior therapy (51?%), followed by psychodynamic (36?%) and psychoanalytic therapy (27?%). The most frequent form of intervention in psychodynamic and psychoanalytic therapy is listening, whereas it is only a small part of communication in behavior therapy. Questions are asked most often in behavior therapy. Hence there are significant differences which correspond to the theory of treatment, between the three methods in discourse behavior on a single case level.     

Domestic dogs (Canis familiaris) flexibly adjust their human-directed behavior to the actions of their human partners in a problem situation

Domestic dogs (Canis familiaris) have been shown to actively initiate triadic communicative interactions by looking at a human partner or by alternating their gaze between the human and an object when being faced with an out-of-reach reward or an unsolvable problem. It has hardly been investigated, however, whether dogs flexibly adjust their human-directed behavior to the actions of their partners, which indicate their willingness and abilities to help them when they are faced with a problem. Here, in two experiments, we confronted dogs—after initially allowing them to learn how to manipulate an apparatus—with two problem situations: with an empty apparatus and a blocked apparatus. In Experiment 1, we showed that dogs looked back at their owners more when the owners had previously encouraged them, independently from the problem they faced. In Experiment 2, we provided dogs with two experimenters and allowed them to learn through an initial phase that each of the experimenters could solve one of the two problems: the Filler re-baited the empty apparatus and the Helper unblocked the blocked apparatus. We found that dogs could learn to recognize the ability of the Filler and spent time close to her when the apparatus was empty. Independently from the problem, however, they always approached the Helper first. The results of the present study indicate that dogs may have a limited understanding of physical problems and how they can be solved by a human partner. Nevertheless, dogs are able to adjust their behavior to situation-specific characteristics of their human partner’s behavior.     

The Vienna comparative cognition technology (VCCT): An innovative operant conditioning system for various species and experimental procedures

This article describes a laboratory system for running learning experiments in operant chambers with various species. It is based on a modern version of a classical learning chamber for operant conditioning, the so-called ??Skinner box??. Rather than constituting a stand-alone unit, as is usually the case, it is an integrated part of a comprehensive technical solution, thereby eliminating a number of practical problems that are frequently encountered in research on animal learning and behavior. The Vienna comparative cognition technology combines modern computer, stimulus presentation, and reinforcement technology with flexibility and user-friendliness, which allows for efficient, widely automatized across-species experimentation, and thus makes the system appropriate for use in a broad range of learning tasks.