24-Karat or fool’s gold? Consequences of real team and co-acting group membership in healthcare organizations

Although theory on team membership is emerging, limited empirical attention has been paid to the effects of different types of team membership on outcomes. We propose that an important but overlooked distinction is that between membership of real teams and membership of co-acting groups, with the former being characterized by members who report that their teams have shared objectives, and structural interdependence and engage in team reflexivity. We hypothesize that real team membership will be associated with more positive individual- and organizational-level outcomes. These predictions were tested in the English National Health Service, using data from 62,733 respondents from 147 acute hospitals. The results revealed that individuals reporting the characteristics of real team membership, in comparison with those reporting the characteristics of co-acting group membership, witnessed fewer errors and incidents, experienced fewer work related injuries and illness, were less likely to be victims of violence and harassment, and were less likely to intend to leave their current employment. At the organizational level, hospitals with higher proportions of staff reporting the characteristics of real team membership had lower levels of patient mortality and sickness absence. The results suggest the need to clearly delineate real team membership in order to advance scientific understanding of the processes and outcomes of organizational teamwork.     

Counselling on Rails: Social Accountability Learning Among South African Psychology Students

This study investigated the utility of train transportation health care service in a North Eastern South African region. Participants were seven psychology graduate students at a South African university. They completed reflective journals on their subjective experience and objective reporting of their activities. While on the train, they provided psychological services to the local community members. Data were thematically analysed. Aspects such as problem-solving driven by community needs, personal motivation for community service, and awareness of differences in socioeconomic status and cultural orientation were highlighted by students. This process highlights the value of service learning and social accountability, particularly in South Africa and Psychology where a chasm exists between contextual challenges and the conventional training and interventions.     

Les dispositifs groupaux à l’hôpital et en EHPAD durant la crise de la Covid-19. Quelles demandes,quelles offres,quels apports ?

IntroductionThe COVID-19 crisis has exacerbated the demand for group arrangements dedicated to healthcare professionals and more widely hospital and medicosocial staff.ObjectiveThis article attempts to shed light on the issues at stake in the opening of group settings, between supply and demand, as well as their main organizational and psychological contributions and limitations, through the synthesis of multiple feedbacks from group arrangements carried out by clinical psychologists and researchers during the COVID-19 pandemic.MethodSix female researcher-clinicians met to discuss their experiences in setting up group care facilities. The analysis of the feedback used the concepts of work psychodynamics and group psychoanalysis, making it possible to bring out the organizational and psychological characteristics of group arrangements dedicated to professionals in the healthcare sector.ResultsOur results show that the group arrangement, by allowing the sharing of experiences, helps the mutual recognition between professionals, and thus new identifications in order to avoid the fragmentation of work collectives. The most central point seems to be the capacity of group arrangements to deal with the aggressiveness and anger felt when facing the powerlessness to act in crisis situations. The limits of these groups concern their difficulty in allowing individual rather than collective words to be expressed, and the risk of being the site of a repetition of the trauma for the professionals who sometimes attack or flee from these mechanisms, for fear of what they might bring back to the surface.ConclusionSeveral points of vigilance and recommendations from the experiences reported in this article are explained, in order to enlighten and guide future group facilitators when offering group arrangements built with and for professionals in the healthcare field.     

Psychologists and the Ethical Use of Enhanced Interrogation Techniques to Save Lives

Arrigo, DeBatto, Rockwood, and Mawe (2015) take issue with a number of arguments in our previous article (O’Donohue et al., 2014). We respond in four major ways: (a) pointing out that they never really take on, let alone refute, the key argument in our article—that utilitarian, deontic, and virtue ethical theories are not only consistent with the use of enhanced interrogation and torture in the ticking time bomb scenario but these prescribe it; (b) there are numerous other exegetical problems in their article; (c) they make unsubstantiated claims about the ineffectiveness of EITSLs techniques that we argue are much too strong; and (d) they conflate the ethical with the legal and but even in doing so miss many important issues regarding the legality of EITSLs in the war on terrorism.     

Linking calling orientations to organizational attachment via organizational instrumentality

Despite an emerging interest in callings, researchers know little about whether calling orientations matter in the workplace. We explore the under-examined relationship between a calling orientation and employees’ attachment to their organizations. Although some theory suggests that callings may be negatively related to organizational attachment, we use theories of role investment and identification convergence to predict that a calling orientation is positively associated with organizational identification and negatively associated with turnover intention. Further, drawing on goal facilitation theory, we suggest that organizational instrumentality—the perception that the organization is instrumental to goal fulfillment—mediates the relationships between a calling orientation and both forms of organizational attachment. Finally, we predict that a security-oriented organizational culture will enhance attachment among those with low levels of calling orientation. In a sample of health care professionals, we find general support for our hypotheses.     

蓄意创伤受害者的创伤后应激障碍症状及影响因素分析

目的:研究蓄意创伤受害者的PTSD症状及影响因素。方法:采用事件冲击问卷、创伤经历揭露问卷、受害人认可问卷和攻击描述问卷等测查工具对163名蓄意创伤受害者进行调查。结果:(1)蓄意创伤受害者的PTSD三大症状之间相关显著,且方差分析结果差异显著,闯入性症状>回避症状>高警觉症状;(2)创伤严重程度与PTSD三大症状的相关显著;(3)创伤揭露中情绪反应对PTSD三大症状都有显著的预测作用;(4)社会认可度中的一般性排斥对PTSD三大症状都有显著的预测作用。结论:蓄意创伤受害者有着较强的PTSD症状,且以闯入性症状最为严重,回避和高警觉症状次之;创伤的严重程度、揭露时的情绪反应和社会认可度中的一般性排斥等都对蓄意创伤受害者的PTSD症状有影响作用。     

Victim and Perpetrator Groups’ Divergent Perspectives on Collective Violence: Implications for Intergroup Relations

Groups in conflict develop strikingly different construals of the same violent events. These clashing perceptions of past violence can have detrimental consequences for intergroup relations and might provoke new hostilities. In this article, we integrate and juxtapose what we know about construals of collective violence by delineating the different dimensions along which these construals differ between victim and perpetrator groups: regarding the question of who is the victim, who is responsible for the harm doing, what the perpetrator’s intent was, how severe the violence was, and when it took place. Then, we discuss the individual‐ and group‐level factors (e.g., collective narratives, social identities) that shape these construals, as well as their implications for attitudes regarding the conflict and support for relevant policies. We distinguish two different core motives that drive construals and their outcomes among victim and perpetrator groups: Perpetrator groups try to cope with moral identity threats and preserve a positive image of the ingroup, while victim groups try to protect their ingroup from future harm doing and desire acknowledgment of their group’s experiences. Lastly, we discuss implications for strategies and interventions to address victim and perpetrator groups’ divergent perspectives of collective violence.     

Collaborative healthcare research: Some ethical considerations

This article reviews some of the ethical aspects of collaborative research. Scientific collaboration has known potential benefits but it’s a challenging task to successfully accomplish a collaborative venture on ethically sound grounds. Current trends in international healthcare research collaboration reflect limited benefits for the majority of world population. Research collaboration between scientists of academia and industry usually has financial considerations. Successful cross-cultural and international collaborations have to overcome many regional and global barriers. Despite these difficulties, many scientific collaborations usually begin with an informal meeting or contact. With advancement in global communications, scientists have greater responsibility towards the world community while considering the impact of their collaborative partnerships. I review the basic factors that are required for forging a collaborative partnership and responsible attitudes to sustain the relationship. Finally I conclude that scientists in healthcare research can play important roles beyond collaborations and contribute to bringing harmony, resolving differences across the nations and countries in today’s troubled world.     

Parental refusals of medical treatment: the harm principle as threshold for state intervention

Minors are generally considered incompetent to provide legally binding decisions regarding their health care, and parents or guardians are empowered to make those decisions on their behalf. Parental authority is not absolute, however, and when a parent acts contrary to the best interests of a child, the state may intervene. The best interests standard is the threshold most frequently employed in challenging a parent's refusal to provide consent for a child's medical care. In this paper, I will argue that the best interest standard provides insufficient guidance for decision-making regarding children and does not reflect the actual standard used by medical providers and courts. Rather, I will suggest that the Harm Principle provides a more appropriate threshold for state intervention than the Best Interest standard. Finally, I will suggest a series of criteria that can be used in deciding whether the state should intervene in a parent's decision to refuse medical care on behalf of a child.