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.     

Effects of the Interaction Between Reaction Component of Personal Need for Structure and Role Perceptions on Employee Attitudes in Long‐Term Care for Elderly People1

This study examined the interaction of reaction component of personal need for structure (reaction to lack of structure, RLS) and role perceptions in predicting job satisfaction, job involvement, affective commitment, and occupational identity among employees working in long‐term care for elderly people. High‐RLS employees experienced more role conflict, had less job satisfaction, and experienced lower levels of occupational identity than did low‐RLS employees. We found individual differences in how problems in roles affected employees' job attitudes. High‐RLS employees experienced lower levels of job satisfaction, job involvement, and affective commitment, irrespective of role‐conflict levels. Low‐RLS employees experienced detrimental job attitudes only if role‐conflict levels were high. Our results suggest that high‐RLS people benefit less from low levels of experienced role conflicts.     

Rorschach Comprehensive System data for a sample of 343 adults from Finland

This article combines Rorschach Comprehensive System (CS; Exner, 1990, 1993) data from four projects conducted in Finland between 1990 and 1995. The projects studied a stratified random sample of Finnish nonpatients, a cohort of twins, a group of elderly men, and a random sample collected to investigate sleep difficulties. The 343 records from these four studies provide a representative survey of Rorschach responding throughout the Finnish population.     

Isolating Representations Versus Credible Constructions? Economic Modelling in Theory and Practice

This paper examines two recent approaches to the nature and functioning of economic models: models as isolating representations and models as credible constructions. The isolationist view conceives of economic models as surrogate systems that isolate some of the causal mechanisms or tendencies of their respective target systems, while the constructionist approach treats them rather like pure constructions or fictional entities that nevertheless license different kinds of inferences. I will argue that whereas the isolationist view is still tied to the representationalist understanding of models that takes the model-target dyad as the basic unit of analysis, the constructionist perspective can better accommodate the way we actually acquire knowledge through them. Using the example of Tobin’s ultra-Keynesian model I will show how many of the epistemic characteristics of modelling tend to go unrecognised if too much focus is placed on the model-target dyad.

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Social cognition, artefacts, and stigmergy: A comparative analysis of theoretical frameworks for the understanding of artefact-mediated collaborative activity

Collective behaviour is often characterised by the so-called ‘coordination paradox’: looking at individual ants, for example, they do not seem to cooperate or communicate explicitly, but nevertheless at the social level cooperative behaviour, such as nest building, emerges, apparently without any central coordination. In the case of social insects such emergent coordination has been explained by the theory of stigmergy, which describes how individuals can effect the behaviour of others (and their own) through artefacts, i.e., the product of their own activity (e.g., building material in the ants’ case). Artefacts clearly also play a strong role in human collective behaviour, which has been emphasised, for example, by proponents of activity theory and distributed cognition. However, the relation between theories of situated/social cognition and theories of social insect behaviour has so far received relatively little attention in the cognitive science literature. This paper aims to take a step in this direction by comparing three theoretical frameworks for the study of cognition in the context of agent–environment interaction (activity theory, situated action, and distributed cognition) to each other and to the theory of stigmergy as a possible minimal common ground. The comparison focuses on what each of the four theories has to say about the role/nature of (a) the agents involved in collective behaviour, (b) their environment, (c) the collective activities addressed, and (d) the role that artefacts play in the interaction between agents and their environments, and in particular in the coordination of cooperation.     

Factors in the fatigue of heavy vehicle drivers

This study assessed work-related and driver-related factors in fatigue among Finnish heavy vehicle drivers. 683 professional drivers responded to a questionnaire, 27.8% of whom reported often feeling fatigue during their work shifts. Of the respondents, 27.5% reported having momentarily fallen asleep at the wheel while driving during the past year. Almost half (46.8%) of the fatigued drivers estimated the reasons for momentarily falling asleep were work-related. Long working shifts and short sleeps significantly increased the risk of momentarily falling asleep at the wheel. The risk of fatigue was the highest for the drivers who were unable to choose the time of their breaks.