Six habits to enhance MET performance under stress: A discussion paper reviewing team mechanisms for improved patient outcomes.

Effective team decision making has the potential to improve the quality of health care outcomes. Medical Emergency Teams (METs), a specific type of team led by either critical care nurses or physicians, must respond to and improve the outcomes of deteriorating patients. METs routinely make decisions under conditions of uncertainty and suboptimal care outcomes still occur. In response, the development and use of Shared Mental Models (SMMs), which have been shown to promote higher team performance under stress, may enhance patient outcomes. This discussion paper specifically focuses on the development and use of SMMs in the context of METs. Within this process, the psychological mechanisms promoting enhanced team performance are examined and the utility of this model is discussed through the narrative of six habits applied to MET interactions. A two stage, reciprocal model of both nonanalytic decision making within the acute care environment and analytic decision making during reflective action learning was developed. These habits are explored within the context of a MET, illustrating how applying SMMs and action learning processes may enhance team-based problem solving under stress. Based on this model, we make recommendations to enhance MET decision making under stress. It is suggested that the corresponding habits embedded within this model could be imparted to MET members and tested by health care researchers to assess the efficacy of this integrated decision making approach in respect to enhanced team performance and patient outcomes.

Give them a fishing rod, if it is not urgent: The impact of help type on support for helpers' leadership.

Taking a follower's perspective on leadership and contributing to the new research stream on behaviors conducive to its emergence, we examined how distinct types of instrumental (task focused) helping-autonomy- versus dependency-helping-affected recipients' support for their helpers' leadership. Based on the literature on employees' needs for autonomy and mastery, combined with the empowering nature of autonomy-helping, we reasoned that autonomy- (vs. dependency-) helping typically signals greater benevolence toward recipients, enhancing their support for their helpers' leadership. Our findings were generalized across various samples (of U.S. and Israeli employees), manipulations, and research settings: simulations (Studies 1 and 2b), workplace role-play scenario (Study 2a), and recollections of helping events in the workplace (Study 3). We found that autonomy- (vs. dependency-) helping increased recipients' support for their helpers' leadership by heightening perceptions of helpers' benevolence-based (rather than ability-based) trustworthiness (Studies 1 and 3). We also showed time pressure to be a boundary condition under which the advantage of autonomy-helping disappeared (Studies 2a and 2b)-with dependency-helping then inducing comparable levels of perceived benevolence and thus similar support for the helper's potential leadership. Overall, we shed light on the development of informal leadership by uncovering how recipients interpret and respond to the two help types. Practically, this analysis opens the door to new ways for aspiring managers to enhance support for their leadership from potential followers, available even to those unlikely to be appointed to formal leadership positions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

"Do not teach them how to fish": The effect of zero-sum beliefs on help giving.

How do zero-sum beliefs-the beliefs that one person's success is inevitably balanced by others' failure -affect people's willingness to help their peers and colleagues? In nine studies (and 2 supplementary studies, N = 2,324), we find consistent evidence for the relationship between the belief that success is zero-sum and help giving preferences. Across various hypothetical scenarios and actual help giving decisions, and even when the effort required for helping was minimal, zero-sum beliefs negatively predicted participants' willingness to help their colleagues learn how to succeed on their own (i.e., autonomy-oriented help). In contrast, the belief that success can only be achieved at others' expense did not affect participants' willingness to offer the kind of help that would completely solve their colleagues' problems for them (i.e., dependency-oriented help). Moreover, we find that the effect of zero-sum beliefs on the reluctance to give autonomy-oriented help is mediated by concerns about losing one's status to the recipient, and that removing these concerns about status loss mitigates the negative effect of zero-sum beliefs on help giving. We discuss the theoretical and practical implications of this robust yet nuanced link between the belief that success is zero-sum and prosocial helping behaviors. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Unpaid Professional Work at Home and Work-Life Interference among Employees with Care Responsibilities.

Employees with caregiving responsibilities often experience work-life interference (WLI), particularly when caring for either disabled persons and/or children. This study examines sample of 288 working Australians from the AWALI national survey data, who care for at least one family member or friend with long-term physical or mental illness, disability, or aging-related problems. We investigated the role of unpaid work at home in predicting WLI, based on a model that included indirect association via inferred causes for working unpaid hours at home and a conditional direct relationship based on number of children. The findings supported our prediction that unpaid work at home is positively associated with WLI but its effect is moderated by number of children. There was a conditional direct effect where employees with care responsibilities experienced a stronger relationship between unpaid hours and WLI when having more children. Further, when the perceived reason for unpaid work was excessively demanding work, the relationship with WLI was stronger. Implications for workers with multiple caregiving responsibilities are discussed.

Gendered Help at the Workplace: Implications for Organizational Power Relations.

One of the most thoroughly studied aspects of prosocial workplace behavior is organizational citizenship behavior (OCB). Yet, the definition of OCB seems to overlook the fact that help-giving acts may be of different types with different consequences for both giver and recipient. The present research explores workplace help-giving behavior by investigating the importance of gender as a factor that facilitates or inhibits specific types of help that empower and disempower independent coping: autonomy- and dependency-oriented help, respectively. A pilot and two following studies were conducted. The pilot study empirically assessed which acts would be clearly perceived by participants as representing both types of help. Then, using the descriptions of these acts, Study 1 examined which type of help would be perceived as most likely to be given by a male or female employee to a male or female colleague in a sample of 226 participants (78% women). Study 2 explored which type of help participants perceived as one they would rather receive from a male or female helper in a sample of 170 participants (65% women). Our findings indicate that male and female respondents who rated men giving help were more likely to expect them to give autonomy-oriented help, especially to women. There were no significant differences in dependency-oriented help. Further, women preferred to receive more autonomy-oriented help than men did, regardless of the help-giver's gender; no significant results were found for men. Implications for OCB and workplace power relations are discussed.

Relationships Between Workplace Deviance Interacted With Gender and Marital Status: The Correspondence Analysis Approach.

This exploratory study employed correspondence analysis to examine how employees' gender and marital status might affect levels of interpersonal and organizational deviant workplace behaviors in the workplace. The subjects were 122 employees from a large electricity supplier company in Israel. Four levels of deviant behaviors relating to interpersonal and organizational deviance behaviors were generated according to their "typicality" as follows: (1) "untypical" (z-score less than -1.00), (2) "somewhat untypical" (-1.00-0), (3) "somewhat typical" (0-1.00), and (4) "typical" (larger than 1.00). We assessed the marital status categories by gender: unmarried males and females, divorced males and females, and males and females who were married. Results indicated that married men and divorced women exhibited mostly typical types of deviance. Both married and divorced men reported untypical deviance for both types of deviant behaviors. Married women only reported somewhat untypical deviance for both types of deviant behaviors. Accordingly, we suggest that psychological stressors, as well as cultural and societal expectations, may account for the obtained differences. Yet, future research is needed to shed light on underlying mechanisms.

Future time perspective and interpersonal empathy: Implications for preferring autonomy- versus dependency-oriented helping.

We examined whether potential help givers' future time perspective (FTP) accounts for the decision to give a person in need dependency-oriented help (i.e., providing the complete solution) or autonomy-oriented help (i.e., providing the means to solve a problem). In addition, building on past research on the effects of empathy in help giving decisions, the present research explored whether helpers' willingness to offer specific type of help is predicted by the interaction between FTP and interpersonal empathy. We explored FTP as both a personal predisposition (Study 1) and an experimentally induced state of mind (Study 2). The present research provides a novel perspective on theory and research on help giving behaviour, FTP, and empathy, by showing that when interpersonal empathy is high, considerations of the future predict readiness to give help that promotes person's present and future independent coping rather than help that creates and preserves social dependence.

Helping them stay where they are: status effects on dependency/autonomy-oriented helping.

On the basis of expectation states theory and Weiner's attributional model of help giving (Weiner, 1980), we predicted that low-status help seekers would be viewed as chronically dependent and their need as due to lack of ability, leading to the giving of dependency-oriented help (i.e., full solution to the problem). High-status help seekers were expected to be viewed as competent and their request as representing their high motivation to overcome a transient difficulty, resulting in autonomy-oriented help (i.e., tools to solve the problem). Help seeking is viewed as a stigma-consistent behavior that implies weakness when help seekers are low-status individuals and as strength when they are high-status individuals. Three experiments supported these predictions. The 4th experiment indicated that low-status persons who seek autonomy-oriented help are not seen as chronically dependent. Implications of these findings for helping and inequality are discussed.