安宁疗护中社会支持相关理论的研究进展

阐述了福利多元论、社会支持论、社会角色论和社会网络论的起源、内涵、理论研究和实践的现状,旨在为构建更加完善的社会支持系统提供理论参考依据,以进一步提高安宁疗护服务质量。四种理论对构建社会支持系统的视角不同、结论不同,对社会支持实践指导意义亦各有差别。此外,虽然不同理论各有侧重,但仍不乏共同之处。我国安宁疗护社会支持系统发展不充分、不完善,因此在借鉴不同理论的同时,既应求同存异,又要博采众长,才能构建适应我国国情和区域发展实际的安宁疗护社会支持系统。     

暴力伤医事件预警防范体系的构建

暴力伤医事件作为当前我国社会热点问题备受关注,其预警防范是医疗机构的重要任务。通过对国内外暴力伤医事件的界定和发生现状的分析,提出为减少暴力伤医事件的发生,有必要在医疗机构中构建暴力伤医事件的预警防范体系,建立暴力伤医事件风险评估和预警系统,并通过医务社会工作和第三方调解的及时介入化解医患矛盾,同时应完善医疗保障制度和相关法律,构建和谐医患关系,促进医疗事业的发展和社会文明的进步。     

家庭医生签约服务中医患信任困境及优化路径

在家庭医生签约服务推行过程中,居民对家庭医生的信任度是影响家庭医生签约服务长效落实的关键因素之一。基于医患信任视角,聚焦制度信任、人际信任、群际信任等层面探讨家庭医生签约服务中面临的医患信任困境。提出了完善签约激励和监管机制,稳固制度信任;提高履约能力,促进人际信任;转变传统就医观念,增进群际信任等优化路径。揭示了医患信任在提升家庭医生签约服务质量,提高居民对基层医疗卫生服务利用率,推动分级诊疗可持续发展等方面发挥的重要作用。

     

Examining the Presence of Congregational Programs Focused on Violence Against Women

Religious congregations are uniquely poised to provide programs to support survivors of violence against women; yet little is known regarding the prevalence of such programs. In this study, we used data from three waves of the National Congregation Study (N = 3334) to examine change across time in the presence of a congregational program to support survivors of sexual assault or domestic violence. We also explored results among different Christian religious traditions across time. Given the gendered nature of this violence, we also tested whether the (a) gender of the head clergy (i.e., religious leader), and (b) ability of women to serve in congregational leadership roles predicted the presence of programs. As points of comparison, we also examined the total number of congregational social service programs and food programs in particular. Overall, we found different patterns of change across religious traditions for the different programs. Moreover, clergy gender and the ability of women to serve in leadership roles predicted the presence of different types of programs. Limitations, implications, and directions for future research also are discussed.     

Trust in the medical profession and patient attachment style

Attachment style is a person’s approach to interpersonal relationships, which develops from early experiences with primary caregivers and can remain stable into adulthood. Depending on a person’s attachment style, the amount of trust one has in others can vary when forming relationships, and trust is important in formation of the patient–physician relationship. The purpose of this study was to see if there is an association between attachment style and trust in physicians in general. Participants were recruited from an emergency department (ED) and an online university participant pool, and completed short questionnaires assessing attachment style and trust in the medical profession. Results revealed that individuals with a fearful attachment style reported significantly lower levels of trust in the medical profession than those with a secure attachment style. ED participants also reported higher levels of trust in the medical profession in comparison to student participants. This study provides a better understanding of trust in the medical profession, and insight into future care for patients who have low trust.     

The exploratory and confirmatory factor analyses of two subjective career success instruments

This study investigated the psychometric properties of two subjective career success instruments within the South African context: Perceived Career Success (PCSS: Gattiker &; Larwood, 1986 Gattiker, U. E., &; Larwood, L. (1986). Subjective career success: A study of managers and support personnel. Journal of Business and Psychology, 1(2), 78–94. http://dx.doi.org/10.1007/BF01018805[Crossref] , [Google Scholar]) and Life Success Measures Scale (LSMS: Parker &; Chusmir, 1992 Parker, B., &; Chusmir, L. H. (1992). Development and validation of a life-success measures scale. Psychological Reports, 70(2), 627–637. http://dx.doi.org/10.2466/pr0.1992.70.2.627[Crossref], [Web of Science ®] , [Google Scholar]). Data were collected via a convenient sample of 708 South African Police Services (SAPS) personnel (females = 36.8%; Sotho language = 62.50%). Exploratory factor analysis (EFA) was conducted on both instruments, followed by confirmatory factor analyses (CFA). Both instruments showed acceptable construct validity and reliability of scores.     

When Being “Essential” Illuminates Disparities: Counseling Clients Affected by COVID‐19

The 2019 novel coronavirus (COVID‐19) has highlighted social disparities in the United States. This article examines how preexisting racial and ethnic disparities, exacerbated by COVID‐19, have negatively affected communities of color that tend to be overrepresented in lower socioeconomic groups, have limited access to health care and education, have an undocumented status, and work in jobs considered “essential.” Counselors are encouraged to use creative strategies to design and facilitate telecounseling and reduced‐ or no‐cost workshops in which attendees can participate safely. Specific cultural considerations, aspects of crisis management, and creative interventions that can be used with clients of color at an appropriate social distance are discussed. Counselors can also instill hope in their clients by promoting sociopolitical development. As the impact of COVID‐19 will be felt for years, it is crucial that counselors be prepared to address the needs of those disproportionately affected.     

Empowering public service workers to face bystander conflict: Enhancing resources through a training intervention

Public service employees work in occupations that are accompanied with high psychosocial risks. Police, firefighters, and paramedics are increasingly being confronted with argumentative, conflicting bystanders that frustrate them in executing their task. We developed a resource‐enhancement intervention and tested its usefulness for securing employees’ effective functioning and well‐being in bystander conflict. In a simulation‐based pre‐test post‐test control group design, paramedics in the intervention condition received training about how to increase their resources in terms of conflict management efficacy, perspective taking, task support, and emotional support. For those in the control condition, no such training was provided. Comparing pre‐ and post‐test measures (n = 81) of the participants in the intervention and control groups, we found evidence that the intervention successfully increased employees’ resources over time. Moreover, we found considerable support for a positive link between these resources and employees’ affective well‐being and job dedication. Thus, our study suggests that a resource‐enhancing intervention can serve as an important means to protect public service employees against the deleterious effects of bystander conflict.

Practitioner points

• A resource‐enhancing intervention can protect public service employees against the deleterious effects of bystander conflict.
• Resources related to dealing with a hindering bystander, as well as resources facilitating the continuation of the primary task, are positively associated with employees’ affective well‐being, job dedication, and job performance.

     

An Approach for Determining the Mix between Human and Automated Service Providers

With the growing popularity of self‐service technologies (SST), businesses have to determine how to combine traditional human service with SST technologies. These mix problems have not received adequate attention in the research literature. This paper offers a decision model for solving mix problems between human service channels and SSTs. The decision problem cannot be determined as a traditional max or min problem and it is fuzzy. In fuzzy problems, the decision maker (DM) is considered as the focal point with the relevant knowledge and preferences and therefore, the objective is to maximize the DM's preferences. This paper develops a decision support system for eliciting a DM's value function when the service channels are considered to be substitutes, but when the rate of substitution may change and then uses a linear‐fractional model to fit the DM's data and optimize the DM's preferences. A service mix problem for a grocery store with human service providers and SSTs is used to demonstrate how the decision model can be employed to analyze and solve service mix decision making problems. Copyright © 2014 John Wiley & Sons, Ltd.     

客户支持对一线服务员工服务绩效的影响——基于自我验证理论的视角

基于自我验证理论, 文章探讨了客户支持能否通过组织自尊的中介作用促进员工服务绩效(角色内服务绩效和主动服务客户行为), 以及员工促进定向和内控的调节作用。针对3时间点的调查得到652名员工和139名主管的配对数据进行分析, 结果显示：(1)客户支持会显著正向影响员工组织自尊, 进而显著影响他们的角色内服务绩效和主动服务客户行为; (2)员工促进定向正向调节客户支持对员工组织自尊的影响; (3)员工内控负向调节客户支持对员工组织自尊的影响。研究结果拓展了员工服务绩效的机制研究, 为组织提升员工服务绩效提供了新的思路。