The Buffering Effects of Subordinates’ Forgiveness and Communication Openness on Abusive Supervision and Voice Behavior

Abusive supervision is a type of dysfunctional leadership that fosters continuous verbal or nonverbal infractions on subordinates and undoubtedly negatively impacts various work outcomes. Past literature has explored the underlying rules of how this form of destructive leadership influences employees’ negative working attitudes. However, research focusing on exploring factors that buffer abusive supervision’s harmful effects on voice behavior is relatively scarce. Distinctively, this study seeks to examine under a lens the process through which abusive supervision will harm voice behavior while taking into account emotional exhaustion as a mediator. According to the conservation of resources theory, we propose a cross-domain buffering approach of the negative effect of abusive supervision on voice behavior by considering subordinates’ forgiveness and communication openness acting as the moderators. We test the hypotheses by analyzing 430 sample data from an enterprise in Zhejiang Province, China, using Mplus and SPSS software. The results reveal that emotional exhaustion plays a mediating role in the path analysis of abusive supervision and voice behavior. Moreover, subordinates’ forgiveness and communication openness negatively moderate the mediation path. We enrich current literature by investigating the mechanism of abusive supervision and the impact of this kind of dysfunctional leadership on voice behavior and how to minimize the negative effects. The suggestions proposed can be referred to by practitioners and researchers in establishing a positive working environment.

Coordination and Communication in Healthcare Action Teams

Communication and coordination represent central processes in healthcare action teams. However, we have a limited understanding of how expertise affects these processes and to what extent these effects are shaped by interprofessional differences. The current study addresses these questions by jointly investigating the influence of different aspects of expertise – individual expertise, team familiarity, and expertise asymmetry – on coordination quality and communication openness. We tested our propositions in two hospitals: one in Switzerland (CH, Sample 1) and one in the United Kingdom (UK, Sample 2). Both samples included two-person anesthesia action teams consisting of a physician and a nurse ( NCH = 47 teams, NUK = 48 teams). We used a correlational design with two measurement points (i.e., pre- and postoperation). To consider potential interprofessional differences, we analyzed our data with actor-partner interdependence models. Moreover, we explored differences in the effects of expertise between both hospitals. Our findings suggest that nurses’ expertise is the most important predictor of coordination quality and communication openness. Overall, differences between the two hospitals were more prevalent than interprofessional differences between physicians and nurses. The current study provides a nuanced picture of the effects of expertise, and thereby extends our understanding of interprofessional teamwork.

Nursing Home Residents with Dementia: Association Between Place of Death and Patient Safety Culture

Background and Objectives Nursing homes (NHs) care for 70% of Americans dying with dementia. Many consider deaths in NHs rather than hospitals as preferable for most of these residents. NH characteristics such as staff teamwork, communication, and other components of patient safety culture (PSC), together with state minimum NH nurse staffing requirements, may influence location of death. We examined associations between these variables and place of death (NH/hospital) among residents with dementia. Research Design and Methods Cross-sectional study of 11,957 long-stay NH residents with dementia, age 65+, who died in NHs or hospitals shortly following discharge from one of 800 US NHs in 2017. Multivariable logistic regression systematically estimated effects of PSC on odds of in-hospital death among residents with dementia, controlling for resident, NH, county, and state characteristics. Logistic regressions also determined moderating effects of state minimum NH nurse staffing requirements on relationships between key PSC domains and location of death. Results Residents with dementia in NHs with higher PSC scores in communication openness had lower odds of in-hospital death. This effect was stronger in NHs located in states with higher minimum NH nurse staffing requirements. Discussion and Implications Promoting communication openness in NHs across nursing disciplines may help avoid unnecessary hospitalization at the end of life, and merits particular attention as NHs address nursing staff mix while adhering to state staffing requirements. Future research to better understand unintended consequences of staffing requirements is needed to improve end-of-life care in NHs.

The mechanism behind informational fairness and project performance relationship: evidence from Pakistani construction organizations

PurposeThis study examines the relationship between employees' perceptions of informational fairness and project performance. Furthermore, it examines if this relationship is sequentially mediated by (1) knowledge sharing and role clarity and (2) communication openness and role clarity.Design/methodology/approachData are collected from 302 full-time employees of seven project-based construction organizations in Pakistan. Data are analyzed through variance-based structural equation modeling technique and the Preacher and Hayes' bootstrapping procedure.FindingsResults indicate that project employees' perceptions of informational fairness positively predict project performance. Moreover, this relationship is sequentially mediated by (1) communication openness and role clarity and (2) knowledge sharing and role clarity.Originality/valueThis study provides further insights on the informational fairness and project performance relationship by examining their underlying mechanisms. It draws on the much ignored context of Pakistan, and offers some implications for managers and researchers with regard to how behavioral factors may further enhance project performance.

Gambaran Pengetahuan Ibu Hamil Tentang Kebutuhan Seksual Selama Masa Kehamilan

The sexual aspect is taboo and rarely reviewed by health workers, especially regarding sexual needs during pregnancy. Many people believe that sexual intercourse during pregnancy can cause miscarriage and uterine infections. As a result they do not have sexual relations during pregnancy. Sexual intercourse is safe if the pregnancy is in a normal and healthy condition. The research method used is descriptive exploratory method using purposive sampling of 80 pregnant women. The results of the study are made a frequency table then conclusions are drawn. The results of the study concluded that the majority of pregnant women with less knowledge of 50 people (62.5%) had an understanding of the knowledge of sexual needs during pregnancy so they did not have sexual relations during pregnancy. So expect communication, openness, support and understanding between husband and wife as well as communication with health workers to obtain information about ways and positions of sexual relations during pregnancy so that the psychological needs of husband and wife are met. Keywords: Knowledge, Sexual Needs, Pregnancy Period

Patient safety culture in Peking University Cancer Hospital in China: baseline assessment and comparative analysis for quality improvement

Background Limited information is available regarding the patient safety culture in Chinese hospitals. This study aims to assess the patient safety culture in Peking University Cancer Hospital and to identify opportunities for improving the organization’s safety culture. Methods A cross-sectional study was conducted in April 2018 and 2019, respectively. Data on patient safety culture were collected from clinical and administrative staffs using the Hospital Survey on Patient Safety Culture (HSOPSC). Results Twelve composite dimension variables were hierarchically clustered. Three highest positive response dimensions include ‘Organizational Learning and continuous improvement’ (92.9%), ‘Teamwork within units’ (89.7%), and ‘Hospital management support for patient safety’ (83.7%), while 3 lowest positive response dimensions included ‘Frequency of events reported’ (43.9%), ‘Non-punitive response to error’ (51.1%), ‘Communication openness’ (52.2%), and ‘Staffing’ (53.7%). Compared to the average scores of the United States, the scores of the Peking University Cancer Hospital was significantly lower on ‘Communication openness’ and ‘Frequency of events reported’. After targeted continuous improvement based on results in 2018, all 12 dimensions surprisingly increased in the safety culture conducted in 2019. Conclusion Inadequate feedback and communications about error and lack of communication openness are key challenges for patient safety in the delivery of care in this hospital. Results of this baseline survey indicate the need for a modified approach and attention to context when designing interventions aimed at improving the safety culture in this organization.

KETERBUKAAN KOMUNIKASI DALAM KONSELING PROGRAM PIK-R CERIA SENTUL

Openness is the willingness of people to disclose information about themselves that might normally be hidden, provided that there are only a few appropriate disclosures (Devito, 2007). Openness in communication plays an important role in the counseling process. According to Sri Hastuti and Winkel (2007), counseling is giving advice in an interaction by exchanging ideas. With the openness in the counseling process, the purpose of a counseling will be easily achieved. This study aims to analyze the communication openness in the Ceria Sentul PIK-R counseling program. This study uses a descriptive type method with a quantitative approach carried out by survey using data collection techniques. Primary data consists of the results of observations and questionnaires, while secondary data in the form of results from library studies, documentation and interviews. The results of the study were processed using a single data tabulation. The study sample was determined by nonprobability sampling technique and the sample used was taken from the population of ideal adolescents aged 10-24 years who had joined the Ceria Sentul PIK-R counseling activity. Sampling was determined using accidental sampling technique with a total sample of 30 respondents scattered in the CIKI Sentul PIK-R counseling activity. The results showed that the openness of communication in Ceria Sentul's PIK-R counseling program had a good category. This can be seen from the majority of respondents who agree that openness is in the counseling process. The conclusion of this study is that the client is ready to be open or ready to open himself to the counselor. Keywords: Communication; Openness; Counseling