The Influence of Change-Oriented Leadership and Psychological Safety on Team Learning in Healthcare Teams

Purpose

Researchers have identified team learning as an important predictor of team performance. In healthcare organizations, it is especially critical for care quality and hospital performance that teams engage in learning behaviors to reduce errors and improve service effectiveness. The main objective of this study is to examine the role of change-oriented leadership in the learning process and outcomes of healthcare teams.

Design/Methodology/Approach

The sample comprises a total of 698 healthcare professionals working in 107 teams at different public hospitals throughout Spain. Members of teams were invited to participate voluntarily by completing an anonymous individual questionnaire.

Findings

The results show a mediating effect of team learning on the relationship between change-oriented leadership and team performance and psychological safety and team performance.

Originality/Value

Our study contributes to the literature by investigating the role of change-oriented leadership in facilitating team learning behaviors. Moreover, this study advances our understanding of the mediators of the relationship between team leadership and outcomes by testing to assess whether specific change-oriented leader behaviors nurture psychological safety, team learning and, therefore, performance.

     

Familiar Verbs Are Not Always Easier Than Novel Verbs: How German Pre‐School Children Comprehend Active and Passive Sentences

Many studies show a developmental advantage for transitive sentences with familiar verbs over those with novel verbs. It might be that once familiar verbs become entrenched in particular constructions, they would be more difficult to understand (than would novel verbs) in non‐prototypical constructions. We provide support for this hypothesis investigating German children using a forced‐choice pointing paradigm with reversed agent‐patient roles. We tested active transitive verbs in study 1. The 2‐year olds were better with familiar than novel verbs, while the 2½‐year olds pointed correctly for both. In study 2, we tested passives: 2½‐year olds were significantly below chance for familiar verbs and at chance for novel verbs, supporting the hypothesis that the entrenchment of the familiar verbs in the active transitive voice was interfering with interpreting them in the passive voice construction. The 3½‐year olds were also at chance for novel verbs but above chance with familiar verbs. We interpret this as reflecting a lessening of the verb‐in‐construction entrenchment as the child develops knowledge that particular verbs can occur in a range of constructions. The 4½‐year olds were above chance for both familiar and novel verbs. We discuss our findings in terms of the relative entrenchment of lexical and syntactic information and to interference between them.     

Dissociation between magnitude comparison and relation identification across different formats for rational numbers

ABSTRACT

The present study examined whether a dissociation among formats for rational numbers (fractions, decimals, and percentages) can be obtained in tasks that require comparing a number to a non-symbolic quantity (discrete or else continuous). In Experiment 1, college students saw a discrete or else continuous image followed by a rational number, and had to decide which was numerically larger. In Experiment 2, participants saw the same displays but had to make a judgment about the type of ratio represented by the number. The magnitude task was performed more quickly using decimals (for both quantity types), whereas the relation task was performed more accurately with fractions (but only when the image showed discrete entities). The pattern observed for percentages was very similar to that for decimals. A dissociation between magnitude comparison and relational processing with rational numbers can be obtained when a symbolic number must be compared to a non-symbolic display.     

11-M Victims 3 Years After Madrid Terrorist Attacks: Looking for Health Beyond Trauma

Although there is a growing body of evidence that health is the presence of well-being and not just the absence of a disease, research related to victims of terrorists attacks is mostly focused on the presence/absence of pathology (e.g. PTSD). The present study aims to apply the Complete State Model of Health to evaluate the mental health status of 69 direct victims of 11-M terrorist attack three years after the event. The results of Horn’s Parallel Analysis and CFA confirmed that the measures of positive mental health (well-being indicators) and illness (PTSD) loaded on separate but correlated factors. This is to say, the absence of PTSD in our sample was not equivalent to the presence of health. However, although positive health and illness indicators should be considered as two different factors, they were closely related. In fact, three well-being indicators were strongly associated with PTSD: positive affect, self-acceptance and positive relations. These findings suggest the need to work to ensure victims’ positive health.     

Evaluation of the effects a caregiver training programme has on the cognitive and functional maintenance of the elderly / Valoración de los efectos de un programa de formación de cuidadores sobre el mantenimiento cognitivo y funcional de ancianos

Abstract

With the increase in the elderly population comes a need to ensure they remain cognitively and functionally stable for as long as possible. Achieving this through a caregiver training programme based on the Person Centred Care (PCC) approach has been suggested. On this basis, the purpose of this study has been to evaluate the effectiveness of a caregiver training programme on the cognitive and functional maintenance of the elderly. The study sample comprised 56 elderly people and 14 caregivers, who were assessed using the MMSE, Clifton, Barthel, EuroQol, RMBPC (elderly) and SSFQ (caregivers) measurement scales. The results at intergroup level show significant differences in the pre-treatment assessment: the control group had higher scores for MMSE, Barthel, EuroQol and RMPBC scales, but that difference disappeared as scores for the treatment group increased. At an intragroup level, increases in scores were observed in the MMSE, Clifton and EuroQol scales for the treatment group and decreases in the Clifton, EuroQol and Barthel scales for the control group. From these results we can conclude that a caregiver training programme based on a PCC approach produces cognitive and functional benefits in the elderly. In addition, caregivers in the treatment group felt more competent, confident and satisfied with their work.     

Prospective memory in youth with perinatally-acquired HIV infection

Youth with perinatal HIV infection (PHIV) are at increased risk for neurocognitive impairment (NCI). Prospective memory (PM) is a complex neurocognitive function that has been shown to be impaired in adults with HIV disease and independently associated with poorer daily living skills, including medication nonadherence. The current study sought to determine the presence and extent of PM deficits in youth with PHIV. Participants included 173 youth with PHIV and 85 youth perinatally HIV-exposed but uninfected (PHEU), mean age 14.1 years, 75% black, 18% Hispanic. Among youth with PHIV, 26% had a past AIDS-defining condition (Centers for Disease Control and Prevention [CDC], Class C), 74% did not (non-C). Adjusted generalized estimating equation models were used to compare groups (PHIV/C, PHIV/non-C, and PHEU) on the Naturalistic Event-Based Prospective Memory Test (NEPT) and the Prospective Memory Assessment for Children & Youth (PROMACY). Secondarily, subgroups defined by HIV serostatus and global NCI were compared (PHIV/NCI, PHIV/non-NCI, PHEU). PHIV/C had significantly lower NEPT scores than PHEU, with decreases of 40% in mean scores, but did not differ from PHIV/non-C. PHIV/NCI had 11–32% lower PROMACY scores and 33% lower NEPT scores compared to PHIV/non-NCI (all p < .05); significantly, lower scores for PHIV/NCI versus PHEU also were observed for PROMACY and NEPT indices. Findings suggest a subset of youth with PHIV (those with a prior AIDS-defining diagnosis) is vulnerable to PM deficits. The extent to which PM deficits interfere with development and maintenance of independent living and health-related behaviors during transition to adulthood requires further study.     

Mixed Methods in Youth Purpose: An Examination of Adolescent Self-Regulation and Purpose

Utilizing a relational developmental systems approach to examining character strengths, this article examines the connection between adolescents’ intentional self-regulation (ISR) with youth sense of purpose, using data from a large-scale evaluation of a youth development program in Scotland. Data were triangulated from multiple sources, including youth surveys and interviews as well as teacher assessments. Surveys were collected from 783 S2 (approximately seventh grade) pupils; teacher survey data were collected for 732 of these pupils. Telephone interviews were conducted with a subset of 29 adolescents. The data were analyzed with an innovative mixed-methods technique that allows qualitative interview data to underscore consistencies and disconnects with quantitative findings from both teacher and adolescent surveys. Results demonstrate a strong connection between ISR and purpose and many consistencies across measures of purpose.     

Money,Money, Money: Gift Exchange and Credit Giving in Coastal Kerala

For Kerala’s Latin Catholics, financial expenses related to life-cycle events like weddings, baptisms, funerals, and paying for children’s education or for medical treatment are customary expenditures. Yet, many Malayali Latin Catholics in the coastal region are craftsmen and fishermen, and their incomes tend to be unsteady. When they cannot afford these costs using their own resources, borrowing money and accruing debt is a common solution. Besides loans from banks and other institutions, credit is given among relatives, friends, neighbors, and acquaintances. This type of credit is known as ka?a? (“debt”). The article argues that ka?a? can be interpreted as a kind of gift exchange, since it is inseparable from the people involved and the (kind of) relationship that exists between them. Interdependence is the necessary basis of ka?a?, and like gift exchange, credit giving among relatives and friends serves to confirm and strengthen existing relationships.     

Evaluation of Breast Cancer Patients with Genetic Risk in a University Hospital: Before and After the Implementation of a Heredofamilial Cancer Unit

The identification of patients at risk for breast cancer by genetic testing has proven to reduce breast cancer mortality. In 2010, due to a lack of systematization in hereditary cancer assistance in our center, we implemented a multidisciplinary Heredofamilial Cancer Unit (HFCU). We analyze if the HFCU improved the rates of referrals and preventive management of breast cancer patients with genetic risk. We retrospectively compared family history records, referrals of high-risk patients to genetic counseling, and detection and management of patients with BRCA1/2 mutations in two cohorts of breast cancer patients diagnosed before (first period: 2007–2010) and after the creation of the HFCU (second period: 2010–2013). In the first period, 893 patients were included, and 902 were included in the second. Due to the inability to establish their genetic risk, 142 patients (15.9%) vs. 70 (7.8%) were excluded from analysis (p?<?0.001). Among the evaluable patients, 194 (25.8%) vs. 223 (26.8%) fulfilled one or more risk criteria (p?=?0.65). Family history documentation in patient’s medical records (92.4 vs. 97.8%, p?<?0.001) and referral rate (26.3 vs. 52%, p?<?0.0001) significantly increased in the second period. Eight BRCA1/2 mutations were detected among patients referred in the first period and 17 among those referred to the HFCU. The rate of preventive surgeries in patients with BRCA mutations significantly increased in the second period (25 vs. 76.5%, p?=?0.03). In conclusion, there was a clear improvement in family history records, referrals, and preventive surgeries in breast cancer patients with genetic risk after the implementation of the HFCU.