The importance of a positive moral culture within healthcare organizations

2020 ◽  
Vol 33 (6) ◽  
pp. 293-295
Author(s):  
Nikolija Lukich

Organizations possess a moral agency that affects all aspects of the care they provide and reflects the perception of morality within the organization. In practice, the method in which moral agency is applied and maintained within an organization directly influences its moral culture. Organizations function through a series of systems that work dynamically to achieve success. In order to implement the systems effectively, all employees, at every level, are responsible for cooperating and working together to uphold the mission, vision, and values of an organization, thereby contributing to a positive moral culture. Considerations must be made at a high organizational level, as well as at each individual level within an institution. This ensures that at its core, a healthcare organization is considered ethical, and all staff, students, and volunteers within it are acting in accordance with the established moral belief system. By creating and maintaining a positive moral culture, everyone benefits: patients receive effective and compassionate care, employees experience a feeling of pride in their work, and the community being served develops a relationship of trust with their local healthcare institution.

Author(s):  
Craig D. Parks

Just as individuals must often work together, or against each other, to realize desired outcomes or avoid unpleasant outcomes, so too must groups sometimes collaborate or oppose each other. While individual-level interaction is typically characterized by some degree of cooperation—in fact, it is rare and notable when an individual is encountered who absolutely refuses to ever do anything in collaboration with anyone else—group-level interaction is often more combative, and it is not unusual for intergroup interaction to be hostile, sometimes in the extreme. Wars do not originate from one person disliking another person. At a more everyday level, subgroups typically need to combine efforts in the service of a larger, complex product, but often this combination occurs in a suboptimal manner. As well, merger processes are increasingly causing formerly competitive groups to be placed on the same side and required to work together. These mergers are often a challenge. This tendency for group-level interaction to be less cooperative than individual-level interaction can be explained from evolutionary and social-interactive perspectives. The evolutionary approach argues that group-level hostility is a relic from a time when basic resources (food, shelter) were hard to acquire. Providing for kin on a daily basis was a challenge, and the fact that other groups were trying to access the same resources added to the difficulty. Thus, non-kin groups presented a continual threat to the well-being of one’s lineage, and there would be survival value in being quick to oppose, and perhaps eliminate, such groups. From a social interaction perspective, hostile group-level interaction is sometimes a function of learned expectations that groups are competitive with each other; sometimes driven by the anonymity afforded by the group setting, in a manner similar to diffusion of responsibility; sometimes the result of a type of egging-on process, in that the individual who harbors thoughts of lashing out against another person has no one to validate the plan, but a group member who proposes such action can get validation; and sometimes the result of a perceived threat to one’s social identity, in that the outgroup may induce questions about the propriety of one’s belief system and overall way of life. Matters get more complicated if the groups have a history of conflict, opposition, or dislike. Resolving intergroup conflict is difficult, harder than resolving interindividual conflict, and the likelihood of resolution decreases as the severity of the conflict increases. Third parties can help, as can induction of a superordinate identity (“we are all in this together”) and changing how outgroup members are perceived, but how to successfully implement these strategies is not well understood. However, groups that are motivated to work together can and do form strong, durable alliances. (Ironically, good examples of such alliances sometimes come from groups that we would rather not cooperate with each other, like terrorist organizations.) Thus, while intergroup interaction does tend to be negative, this is not a permanent state of affairs, especially if the groups themselves see value in working together.


Author(s):  
Joachim Jean-Jules ◽  
Alain O. Villeneuve

During the past few decades, many healthcare authorities sought to integrate new methods of delivering care to patients. Among the priorities faced by these organizations, a major issue arose of how to provide healthcare to patients who live in rural or remote regions suffering from a lack of accessible professional resources and services that comply with WHO’s call for providing fair access to healthcare. Many attempts were made to integrate new technologies such as telehealth into the healthcare system, but in many cases, telehealth was not successful due in part to limited assimilation into healthcare organizations and work practices. Telehealth addresses operational issues such as a shortage of professionals in rural or underserved geographical regions. Using a breadth of reference theories such as institutional theory, structuration theory, and organizational learning theory, we propose a conceptual model that integrates the determinants of telehealth assimilation and identifies factors that impinge upon the process of assimilation. We posit that telehealth assimilation can only be understood by taking a multilevel approach to the phenomenon, whereby assimilation starts at the individual level, permeates through other organizational levels such as groups, and finally ends at the organizational and inter-organizational level. Further, assimilation of technological innovations must be considered within their institutional context. Derived from our conceptual model, we make several propositions and hope that our work will significantly guide future research and managerial actions geared toward integrating healthcare in the workplace.


2019 ◽  
Vol 26 (3) ◽  
pp. 340-354 ◽  
Author(s):  
Ace Volkmann Simpson ◽  
Ben Farr-Wharton ◽  
Prasuna Reddy

AbstractThe compassion of healthcare workers towards patients is widely recognized, but research suggests a dearth of compassion among co-workers. Indeed, workplace bullying and negative employee outcomes are over-represented in the healthcare sector (including burnout and substantial staff turnover). In this paper, we discuss the cultivation of compassion for healthcare workers, using the lens of positive organizational scholarship. Our concern is not only with the individual level compassion (i.e. between employees), we also consider how compassion can be cultivated systemically across healthcare institutions at the organizational level. More specifically, we present a proposed Noticing, Empathising, Assessing and Responding Mechanisms Model of Organizational Compassion as a tool for consciously cultivating workplace compassion in healthcare organizations.


2020 ◽  
Vol 10 (1) ◽  
pp. 143-156
Author(s):  
Khagendra Bahadur Niroula ◽  
Ganga Prasad Chamlagai

The paper aims to analyze the status of organization citizen behavior in Nepalese Commercial Banks. This study is based on Likert scale data. Twenty-seven questions are entertained in the set of questionnaires containing major demographic variables such as gender, experience, designation and qualifications of employees in sampled commercial banks. Primary data are collected through convenient and snowball sampling. Collected data are analyzed by using descriptive statistics, Karl Pearson coefficient of correlation, regression model by Andrew Haney’s and Welch‘s ANOVA. The Statistical Package for Social Science (SPSS) 25 versions is used for the analysis of data. The result indicates that OCB favorably exits in Nepalese commercial banks. All dimensions of OCB have positive correlations among each other. The Welch’s ANOVA posits that all employees of commercial banks have same levels of OCB irrespective of their nature. Further, the study proves that OCB at individual and organizational level significantly impact the composite OCB. Gender and education strengthen the relationship between OCB at individual level and composite OCB but these and other variables do not influence in the relationship of OCB at organizational level and composite OCB.


2020 ◽  
Author(s):  
Dina Gaid ◽  
Sara Ahmed ◽  
Aliki Thomas ◽  
André Bussières

Abstract Background: Knowledge translation experts advocate for employing knowledge brokers (KBs) to promote the uptake of research evidence in health care settings. However, little is known about factors influencing the utilization of KBs, thereby limiting their employment within healthcare organizations. This research aimed to identify factors likely to hinder or promote the optimal use of KBs within rehabilitation settings in Canada.Methods: Qualitative study using semi-structured telephone interviews with individuals performing KB activities in rehabilitation settings across Canada. The interview topic guide was informed by the Consolidated Framework for Implementation Research (CFIR) and consisted of 20 questions covering five domains (characteristics of individuals, inner setting, process, outer settings, and innovation characteristics). All interviews lasted 60 to 90 minutes, were digitally recorded, and transcribed verbatim. We conducted qualitative descriptive analysis combining deductive coding guided by the CFIR. Two independent analysts coded and rated all interviews, then met to review, deliberate and modify the codes as appropriate. A matrix was created by listing the salient codes for each CFIR construct to identify factors (facilitators and barriers) at the individual, organisational, and process level most likely to impact the KB’s success/failure.Results: Twenty-three participants, from five Canadian provinces were interviewed. At the individual level, the majority of participants reported having strong communication skills, being confident about performing KBs activities, and possessing solid clinical experience and prior research skills. At the organizational level, most respondents indicated constantly networking and engaging with clinical teams and different stakeholders, and having an acceptable level of guidance from their managers. Very few participants felt that they received sufficient organizational support (i.e., clerical support and IT support). At the process level, all participants indicated needing evaluation tools to better gauge their performance, and the majority mentioned that they would benefit from having additional training tailored to their roles as KBs.Conclusions: Individual, organisational and process level factors likely to hinder or promote the optimal use of KBs within Canadian rehabilitation settings include skillsets and networking abilities; culture, resources, and leadership support; and the need for specific training for KBs and for evaluation tools to monitor their performance.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Vareda

Abstract Background The Sustainable Development Goals (SDG) aim to solve the world's most wicked problems, which requires global partnership. That means governments, national and international organizations and worldwide leaders working together, but it also implies individuals, families and communities, which make up most of the world, must contribute. Households, schools, the health system and others have a responsibility in the consumption and demand for energy and resources of our planet and contribute largely to climate change. Awareness and population education are essential to promote action on an individual level. Objective This presentation is part of a workshop on how individuals and public health (PH) can create a more sustainable world. It aims to present the science and challenges behind changing and creating new habits, and examples of individual habits and choices everyone can make in order to contribute to the SDG and to sustainable health prevention. This presentation is based on the United Nation (UN) available material for the SDG, as well as other independent research on the subject. Results Sustainable individual actions can be divided in 3 different main themes: Food and Water - Examples. Eat a more plant-based diet; use apps like Too Good To Go®; reutilize the water from your shower... Energy - Examples. Plug all appliances into a power strip and turn them off completely when not in use; adjust your fridge and home thermostat to winter and summer temperatures; use energy efficient light bulbs; fill your house with rugs... Resources - Examples. Pay your bills online; delete your spam email; compost your food; choose a better diaper option; shop second-hand clothes... Conclusions There are a lot of habits and small choices everyone can adopt in order to contribute to a more sustainable world and to promote healthy habits. These changes may seem trivial on an individual level, but they add up to millions of resources saved for the planet at a global scale.


Foods ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 557
Author(s):  
Elena Raptou

This study investigated the relationship of behavioral factors, such as snack choices, obesity stereotypes and smoking with adolescents’ body weight. Individual-level data for 1254 Greek youths were selected via a formal questionnaire. Snack choices seem to be gender specific with girls showing a stronger preference for healthier snacks. Frequent consumption of high-calorie and more filling snacks was found to increase Body Mass Index (BMI) in both genders. Fruit/vegetable snacks were associated with lower body weight in females, whereas cereal/nut snacks had a negative influence in males’ BMI. The majority of participants expressed anti-fat attitudes and more boys than girls assigned positive attributes to lean peers. The endorsement of the thin-ideal was positively associated with the BMI of both adolescent boys and girls. This study also revealed that neglecting potential endogeneity issues can lead to biased estimates of smoking. Gender may be a crucial moderator of smoking–BMI relationships. Male smokers presented a higher obesity risk, whereas female smokers were more likely to be underweight. Nutrition professionals should pay attention to increase the acceptance of healthy snack options. Gender differences in the influence of weight stereotypes and smoking on BMI should be considered in order to enhance the efficacy of obesity prevention interventions.


2021 ◽  
pp. 0095327X2098519
Author(s):  
Celeste Raver Luning ◽  
Prince A. Attoh ◽  
Tao Gong ◽  
James T. Fox

With the backdrop of the utility of grit at the individual level, speculation has begun to circulate that grit may exist as an organizational level phenomenon. To explore this potential construct, this study used an exploratory, qualitative research design. This study explored grit at the organizational level by interviewing leaders’ perceptions of what may be a culture of organizational grit. Participants included 14 U.S. military officers. Seven themes emerged relative to the research question: “What do U.S. military officers perceive as a culture of organizational grit?” Themes included professional pride, team unity, resilience-determination, mission accomplishment, core values, growth mindset, and deliberate practice. This study indicated that a culture of organizational grit is likely a combination of converging organizational elements. Overall, findings indicate that there may be a culture of organizational grit in the military and at the least, more research examining the concept is warranted.


Author(s):  
Olivier Wurtz

PurposeExpatriation is known to be stressful. The purpose of this paper is to examine stress as an antecedent of substance use (SU) during expatriation and related effects on expatriates’ work adjustment. Moreover, the study sheds light on individual-level moderators (i.e. gender and prior international experience) and organizational-level moderators (i.e. organizational social support) that might condition the stress–SU link.Design/methodology/approachThis work adopts a quantitative survey approach. It is based on two studies, one of 205 expatriates and one of 96 expatriate–supervisor dyads. The data were collected through personal networks and with the help of multinational companies.FindingsThis research shows that stress at a medium- to high-level increases SU among male expatriates, but not among female expatriates. Expatriates with substantial prior international experience were identified as being more prone to react to stress by resorting to SU. It also provides evidence that SU to aid coping harms professional adjustment. Moreover, some implications relating to professional adjustment are discussed.Research limitations/implicationsSU was self-reported; this may have deterred users from accurately reporting their consumption levels. Moreover, convenience samples have been used. Preventive actions limiting SU, such as well-being programs, could be sponsored by local human resource managers in order to limit this phenomenon.Originality/valueThis work is one of the first to analyze SU among expatriates. It shows that some expatriates are more at risk than others of resorting to such use to cope with the hardships of expatriation.


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