When does witnessing patient mistreatment hurt nurses' performance? Gauging the moderation roles of self-concern and other-orientation

PurposeResearch has found that the effects of directly experiencing mistreatment at work are consistently negative; however, results from studies examining employees' reactions to witnessing mistreatment are less consistent. This study focuses on nurses witnessing patient mistreatment in order to examine how third parties respond when witnessing patients mistreating co-workers. We argue that nurses high on other-orientation are less likely to experience emotion exhaustion in the face of witnessing patient mistreatment, whereas nurses high on self-concern are more likely to experience emotional exhaustion. We further argue that the indirect effect of witnessing patient mistreatment on job performance through emotional exhaustion is moderated by other-orientation and self-concern.Design/methodology/approachWe used data collected at two time points, with six months apart, from 287 nurses working in a hospital. The study tests the hypotheses by using multiple regression analyses.FindingsEmotional exhaustion mediated the relationships between witnessing patient mistreatment and two forms of job performance: patient care behaviors and counterproductive work behaviors. Furthermore, other-orientation moderated these indirect relationships such that the indirect relationships were weaker when other-orientation was high (vs. low). Self-concern did not moderate these relationships.Practical implicationsService and care-oriented businesses may protect their employees from the risk of burnout by promoting prosocial orientation among their patient and customer-facing employees.Originality/valueThis study contributes to the literature by demonstrating the detrimental effects of witnessing patient mistreatment on nurses' performance. It also extends the current understanding of why and when witnessing patient mistreatment is related to performance by demonstrating the joint effects of witnessing patient mistreatment and an individual difference construct, other-orientation on employees' performance.

Biomechanical Comparison of Dart-Throw Motions after Partial Wrist Fusions

Background Multiple partial wrist fusions exist for the management of arthritic disease. Limited information is available on their effect on wrist range of motion in the dart-throwing direction of wrist motion, even though it is used in most activities of daily living. Purpose The purpose of this study was to measure the retained motion for different orientations of dart-throwing motion for seven different partial wrist fusions and proximal row carpectomy (PRC). Methods Eight fresh frozen right cadavers were tested with the wrist intact and followed simulated fusions. Fusions were performed using an external fixation technique and included scaphocapitate, scapholunate (SL), capitolunate, radiolunate, radioscapholunate, scaphotrapeziotrapezoid, 4 corner fusion, and PRC. Results In the intact wrist, the average arc of wrist motion with the wrist oriented at 20 degrees away from the flexion-extension axis was significantly larger than at any other orientation of motion. All partial wrist fusions and the PRC had significantly smaller average dart-throw arc of motion compared with intact at an orientation 20 and 25 degrees away from flexion-extension. The SL fusion provided a significantly larger arc of motion than most of the other fusions at most orientations. Conclusion/Clinical Relevance This study provides a comprehensive compilation of the range of motion in a functional plane, “the dart-throw motion,” for limited wrist fusions and PRC. These data provide the clinician with important information that can be used to educate patients regarding expectations after surgery.

Multidirectional measures of shear modulus in skeletal muscle

The material properties of muscle play a central role in how muscle resists joint motion, transmits forces internally, and repairs itself. While many studies have evaluated muscle's tensile material properties, few have investigated muscle's shear properties. None of which have taken into account muscle's anisotropic structure or investigated how different muscle architecture affect muscle's shear properties. The objective of this study was to quantify the shear moduli of skeletal muscle in three orientations relevant to the function of whole muscle. We collected data from the extensor digitorum longus, tibialis anterior, and soleus harvested from both hindlimbs of 12 rats. These muscles were chosen to further evaluate the consistency of shear moduli across muscles with different architectures. We calculated the shear modulus in three orientations: parallel, perpendicular, and across with respect to muscle fiber alignment; while the muscle was subjected to increasing shear strain. For all muscles and orientations, the shear modulus increased with increasing strain. The shear modulus measured perpendicular to fibers was greater than in any other orientation. Despite architectural differences between muscles, we did not find a significant effect of muscle type on shear modulus. Our results show that in rat, muscles' shear moduli vary with respect to fiber orientation and are not influenced by architectural differences in muscles.

Are Female CEOs Really More Risk Averse? Examining Economic Downturn and Other-Orientation

Scholars and practitioners have offered anecdotal evidence that firms led by female chief executive officers (CEOs) fare better during global recession, perhaps because they take fewer risks. In contrast to commonly held stereotypes that women are more risk averse than men, neither systemic theorizing nor empirical findings support that this popular assumption holds among top organizational leadership. Rather than seeking absolute gender differences in risk aversion, we take a more nuanced approach, considering executive job demands and decision orientation theories to examine underlying psychological mechanisms and economic boundary conditions to gender differences in strategic risk-taking. We test our hypotheses using multiple methods and samples, including an archival study of Fortune 1,000 firms and a survey of CEOs. Our results challenge absolute assumptions of gender risk preferences; rather, we find that female CEOs are less likely to choose risky strategies in a high job demands environment (e.g., economic downturn) due to underlying gender differences in other-orientation.

Integrating Primary Care Appointments Into Resident Orientation

ABSTRACT Background Trainee well-being is a major concern for institutions and programs, yet many residents report suboptimal access to or contact with primary care for themselves. Objective To address the health care needs of residents, we developed a mechanism whereby all incoming residents were offered an appointment with a primary care clinician (PCP) during institutional intern orientation. Methods In April 2019, all incoming residents (17 specialties) were invited to participate. A collaboration involving the GME office and family medicine and internal medicine departments enabled interested residents to attend PCP appointments that were held at predesignated times during orientation and did not conflict with other orientation or learning activities. Residents received appointment details, and insurance billing processes were followed. A survey was administered to all participating PCPs and incoming residents 2 weeks following their scheduled PCP appointment. Results Of the 144 incoming residents, 118 (82%) participated. Among the 71 of 144 (49%) residents who responded to the survey, 94% indicated that they desired an appointment, with 90% attending the appointment as scheduled; 52% purposed their visit as an introduction for future appointments, while 15% requested prescription refills. All but one recommended that the initiative be offered again in the future. Seventy-two percent stated that participating in the PCP initiative definitely/probably led to improvements in self-care, and 76% indicated that participating definitely/probably made them more conscious of their health and well-being. Conclusions Integrating PCP appointments into orientation is feasible and was highly acceptable in a large academic medical center.

Victimologic and Penitentiary Issues of Safety of Penal System Employees

The article analyzes the issues of security of staff members of the penal system when making correctional institutions crimes, economic and other orientation, the interrelation of these types of crimes and victimization characteristics of the subjects of Commission who may also be employees of agencies falling into a situation of high potential danger from prisoners. The authors formulate proposals on the feasibility of making appropriate changes to Federal legislation and the need to strengthen the victimological prevention of economic crimes in correctional institutions. The methodological basis of the research is presented by the method of system analysis, technicallegal, comparative-legal methods. The theoretical analysis was carried out by the authors in combination with the analysis of empirical material, in particular, statistical data and results of employee surveys.

Duplicitous Me: Communal Narcissists and Public Service Motivation

This article explores communal narcissism and a possible dark side of public service motivation (PSM) in the context of employment sector. Personality psychology insights are offered to further develop PSM theory and practice from multidisciplinary angles. PSM is thought to characterize a public service ethic with public and nonprofit sector employees possessing other-directed, and perhaps communal values, rather than the self-directed, agentic values characterizing private sector organizations. However, PSM’s prosocial bias often discounts self-interested and mixed-motive interests. Unlike agentic narcissism, in which self-aggrandizement is more apparent to others, in communal narcissism, self-aggrandizement is hidden by a “saint-type bias” and self-proclaimed other-orientation. As a result, some communal narcissism traits appear to mimic dimensions of the PSM scale. The results of two studies reveal that communal narcissism positively associates with PSM. In addition, PSM positively relates to the nonprofit sector and mediates indirect, positive relationships between communal narcissism and the nonprofit sector.

Determining Quasar Orientation

Since the discovery of active galactic nuclei (AGN) and their subclasses, a unification scheme of AGN has been long sought. Orientation-based unified models predict that some of the diversity within AGN subclasses can be explained by the different viewing angles of the observer. Several orientation categorisations have been suggested, but a widely applicable measure has yet to be found. Using the properties of the ultraviolet and optical broad emission lines of quasars, in particular the velocity offsets and line widths of high-ionisation C iv and low-ionisation Mg ii lines, a correlation has been measured. It is postulated that this correlation is due to the viewing angle of the observer. Comparison with other orientation tracers shows consistency with this interpretation. Using a simulation of a wide angle disk-wind model for the broad emission line region, we successfully replicate the observed correlation with inclination. Future more detailed modelling will not only enable improved accuracy in the determination of the viewing angle to individual AGN, but will also substantially increase our understanding of the emitting regions of AGN.

A new measurement for yaw estimation of land vehicles using MARG sensors

Purpose The magnetometer measurement update plays a key role in correcting yaw estimation in fusion algorithms, and hence, the yaw estimation is vulnerable to magnetic disturbances. The purpose of this study is to improve the ability of the fusion algorithm to deal with magnetic disturbances. Design/methodology/approach In this paper, an adaptive measurement equation based on vehicle status is derived, which can constrain the yaw estimation from drifting when vehicle is running straight. Using this new measurement, a Kalman filter-based fusion algorithm is constructed, and its performance is evaluated experimentally. Findings The experiments results demonstrate that the new measurement update works as an effective supplement to the magnetometer measurement update in the present of magnetic disturbances, and the proposed fusion algorithm has better yaw estimation accuracy than the conventional algorithm. Originality/value The paper proposes a new adaptive measurement equation for yaw estimation based on vehicle status. And, using this measurement, the fusion algorithm can not only reduce the weight of disturbed sensor measurement but also utilize the character of vehicle running to deal with magnetic disturbances. This strategy can also be used in other orientation estimation fields.

Consumer centric antecedents to personal financial planning

Purpose Personal finance influences everything we buy and is a key driver of all economies. It has attracted significant research attention, mostly grounded in rational economics. However, it has not received adequate research attention in the consumer behavior literature. This study aims to address this gap by looking at some of the consumer-centric antecedents of short- and long-term personal financial planning, i.e. self-other orientation, cognitive style and time orientation. Design/methodology/approach A self-administered survey was used to collect data from full time employees. Hypotheses were tested using multiple regression analyses. Findings Both short- and long-term financial planning are positively associated with non-impulsive and analytical decision-making styles; whereas self and other orientation are only associated with short-term financial planning. Intuitive decision-making is not associated to either short- or long-term financial planning. Research limitations/implications While analytical and long-term orientation are still important for personal finance, in the short run, consumers are also driven by self and other orientation. Practical implications The results are relevant for both products and services that have long-term and short-term financial implications for consumers. Originality/value This study explores financial planning decision-making from a consumer behavior perspective, and addresses a gap in consumer behavior literature.