Engaging Communities in Emerging Infectious Disease Mitigation to Improve Public Health and Safety.

The COVID-19 pandemic highlighted the need for potent community-based tools to improve preparedness. We developed a community health-safety climate (HSC) measure to assess readiness to adopt health behaviors during a pandemic. We conducted a mixed-methods study incorporating qualitative methods (e.g., focus groups) to generate items for the measure and quantitative data from a February 2021 national survey to test reliability, multilevel construct, and predictive and nomologic validities. The 20-item HSC measure is unidimensional (Cronbach α = 0.87). All communities had strong health-safety climates but with significant differences between communities (F = 10.65; p<0.001), and HSC levels predicted readiness to adopt health-safety behaviors. HSC strength moderated relationships between HSC level and behavioral indicators; higher climate homogeneity demonstrated stronger correlations. The HSC measure can predict community readiness to adopt health-safety behaviors in communities to inform interventions before diseases spread, providing a valuable tool for public health authorities and policymakers during a pandemic.

The restrained unit: A case study on everyday sensegiving to a use-of-force policy calling for restraint.

In recent years, with state militaries increasingly used for policing, counterinsurgency, and peacekeeping missions, Western societies have displayed growing intolerance of military force. This shift, spurred by humanitarian concerns as well as monitoring by the media and interest groups, creates a paradox: a contradiction between the nature of militaries and the way they achieve their goals, and how soldiers are actually expected to behave. This study explores this paradox from the sensegiving/sensemaking perspective. We interviewed 60 members of various military units and ranks, and used the grounded-theory approach to explore how leaders' sensegiving influenced the sensemaking of their followers. The resulting grounded theory identified six sensegiving strategies (elaborating, reiterating, applying sanctions, role modeling, justifying, and acknowledging emotions) used by leaders in response to followers' sensemaking needs. Two sensegiving triggers were identified: performance needs (a gap in soldiers' understanding of what to do), and tension reduction needs (unresolved frustration caused by failure to understand the logic of the policy). The sensemaking product comprised a list of heuristics that enabled followers to reconcile the paradox and act with restraint. Theoretical and practical implications of the findings are discussed.

A framework for performing workplace hazard and risk analysis: a participative ergonomics approach.

Despite the unanimity among researchers about the centrality of workplace analysis based on participatory ergonomics (PE) as a basis for preventive interventions, there is still little agreement about the necessary of a theoretical framework for providing practical guidance. In an effort to develop a conceptual PE framework, the authors, focusing on 20 studies, found five primary dimensions for characterising an analytical structure: (1) extent of workforce involvement; (2) analysis duration; (3) diversity of reporter role types; (4) scope of analysis and (5) supportive information system for analysis management. An ergonomics analysis carried out in a chemical manufacturing plant serves as a case study for evaluating the proposed framework. The study simultaneously demonstrates the five dimensions and evaluates their feasibility. The study showed that managerial leadership was fundamental to the successful implementation of the analysis; that all job holders should participate in analysing their own workplace and simplified reporting methods contributed to a desirable outcome. PRACTITIONER SUMMARY: This paper seeks to clarify the scope of workplace ergonomics analysis by offering a theoretical and structured framework for providing practical advice and guidance. Essential to successfully implementing the analytical framework are managerial involvement, participation of all job holders and simplified reporting methods.

A computerized multidimensional measurement of mental workload via handwriting analysis.

The goal of this study was to test the effect of mental workload on handwriting behavior and to identify characteristics of low versus high mental workload in handwriting. We hypothesized differences between handwriting under three different load conditions and tried to establish a profile that integrated these indicators. Fifty-six participants wrote three numerical progressions of varying difficulty on a digitizer attached to a computer so that we could evaluate their handwriting behavior. Differences were found in temporal, spatial, and angular velocity handwriting measures, but no significant differences were found for pressure measures. Using data reduction, we identified three clusters of handwriting, two of which differentiated well according to the three mental workload conditions. We concluded that handwriting behavior is affected by mental workload and that each measure provides distinct information, so that they present a comprehensive indicator of mental workload.

The use of risk homeostasis theory to reduce smartphone use during low-speed driving.

Driving while distracted by smartphones is an unsafe behavior and constitutes a serious worldwide road safety issue. In line with the risk homeostasis theory, during high-speed driving, drivers perceive smartphone usage as an unwarranted risk and in most cases refrain from doing so. During low-speed driving, however, drivers often use their smartphones, as they do not perceive this as inherently unsafe, even though it is. The goal of this study was to examine an intervention, based on the risk homeostasis theory, aimed at decreasing the use of smartphones while driving at low speeds. Thirty-seven young drivers participated in the research group that aimed to alter drivers' risk perceptions, decision making, and behavior. The study also included a control group of 33 young drivers. All of the participants' smartphone usage was monitored using a dedicated application that measured both the number of times drivers touched their smartphone screens while driving and the driving speed each time the screen was touched. The results indicate that drivers in the research group decreased their smartphone usage while driving, unlike the control group drivers who did not alter their behavior. In conclusion, a risk homeostasis-based intervention can decrease dangerous and unsafe driving behavior, even when such behavior is not perceived as significantly dangerous. Furthermore, additional types of risky and unsafe driving behaviors may be decreased using this type of intervention.

Parents, spouses, and children of hospitalized patients: evaluation of nursing care.

AIM: This paper is a report of a study of the effect of kinship type and gender on family members' evaluation of nursing care for patients and their families in hospital units. BACKGROUND: With increasing competition in the healthcare system, hospitals attribute great importance to client satisfaction, which is strongly related to the quality of nursing care. However, to date there has been little research into family members' evaluation of nursing care. METHODS: Questionnaires were administered to spouses, parents and children (n = 441) of hospitalized patients in three Israeli hospitals during 2007-2008. RESULTS: Kinship type interacted with gender in affecting family members' evaluation of the quality of nursing care. Among men, husbands were the most satisfied with nursing behaviour, treatment of the patients, and the information they receive. Fathers were the least satisfied. Overall family evaluation of the service was predicted by their evaluation of caring, treatment, and the patient's environment; departmental reputation was predicted by evaluation of treatment. CONCLUSION: Nurses should be trained to develop sensitivity to the diverse expectations and needs of relatives, as well as awareness of how their own preconceptions affect their behaviour toward patients' families. Nurses should develop self-awareness of possible stereotypes and prejudices that may bias their behaviour towards family members. Reactions of family members should also be included in surveys of client satisfaction with nursing care.

Employee perseverance in a "no phone use while driving" organizational road-safety intervention.

INTRODUCTION: This interdisciplinary study explores factors that contribute to the perseverance of participants in an organizational "no phone use while driving" road-safety intervention. METHOD: The study sample comprised 200 employees (mean age 43 years; 104 females [52 %], 96 males [48 %]) from 8 organizations in Israel. Subjects completed a 4-month organizational intervention using a smartphone application that monitored smartphone use, operationalized as taps per minute, where each tap represents a single instance of contact with the screen (e.g., touching, tapping or swiping). The app also silenced notifications during the intervention stage. Changes over time in tapping-while-driving behavior were examined through self-report questionnaires and objectively through the application's monitoring function. Validated measures were used to examine factors associated with perseverance in the program. RESULTS: Organizational safety climate and gender (male) were positively related to perseverance in the intervention. Contrary to our hypothesis, safety motivation was not found to influence perseverance. CONCLUSIONS: The present intervention is most effective for employees with high safety climate perceptions and for male employees. PRACTICAL APPLICATIONS: The organizational intervention presented in the current study was shown to be effective in reducing smartphone use (touching, tapping or swiping) while driving. Our findings show that people will download and use an app that actively reduces their incentive to use their phones at the wheel by silencing incoming notifications. The findings support calls to harness the positive potential of information and communications technologies for organizational interventions.

Differences between males and females in the prediction of smartphone use while driving: Mindfulness and income.

INTRODUCTION: This study examines the relationship between two variables-mindfulness and income-with regards to their relationship to the use of smartphones by young drivers, which has been known to increase the likelihood of car accidents, endangering young drivers and other road users. The study focuses on the relationship between these variables and the use of smartphones while driving, and how this relationship differs between males and females. METHOD: The study sample included 221 young drivers who were legally permitted to drive without supervision. The subjects were first asked to complete questionnaires on mindfulness and income. Next, their smartphone use while driving was monitored over a one-month period. This study is unique as it used an objective smartphone monitoring application (rather than self-reporting) to count the number of times the young participants actually touched their smartphones while driving. RESULTS: The findings show that the effects of social and personal factors (i.e., income and mindfulness) on the use of smartphones while driving are significant for males but not for females. CONCLUSIONS: Most studies that investigate differences between males and females with respect to safety focus on differences in the averages of safety-related variables (such as safety performance and outcomes). In the current study, however, we identified differences in relationships between variables and demonstrated that what predicts safety-related behavior in males may not be a good predictor for females. PRACTICAL APPLICATIONS: Mindfulness and income can be used to identify male populations that are at risk of using smartphones while driving. Interventions that improve mindfulness can be used to reduce the use of smartphones by male drivers.

Trust in the referring physician reduces anxiety in an integrated community-to-hospital care system.

BACKGROUND: Continuity of care between the community and hospital is considered of prime importance for quality of care and patient satisfaction, and for trust in the medical system. In a unique model of continuity of care, cardiologists at our hospital serve as primary, community-based cardiologists one day a week. They refer patients from the community to our hospital for interventional procedures such as coronary angiography and angioplasty. We examined the hypotheses that patient anxiety during hospital-based coronary angiography is lower when a patient trusts the referring cardiologist and when the performing cardiologist also treated him/her in the community. METHODS: We administered questionnaires to 64 patients in our cardiology department within 90 min of completion of coronary angiography. The questions assessed anxiety, trust in the medical system and trust in the referring physician. Data were also collected regarding patients' demographic variables, the number of visits to the referring physician, and whether the physician who performed the coronary angiography was the physician who referred the patient to the hospital. RESULTS: Mean levels (on 7-point Likert scales) were 2.1, 5.6 and 6.7 for patient anxiety, trust in the medical system and trust in the referring physician, respectively. Multivariate regression analysis showed that trust in the referring physician was significantly and negatively correlated with anxiety level. The number of visits to referring physicians, patients' demographic characteristics and whether the physician who performed the angiography was the same physician who referred the patient from the community were not found to be associated with patient anxiety. CONCLUSION: In this study, trusting the referring physician was associated with lower anxiety among patients who underwent coronary angiography. This trust seemed to have more positive impact than did previous contact with the physician who performed the procedure.

Testing safety commitment in organizations through interpretations of safety artifacts.

PROBLEM: Safety culture relates to injuries and safety incidents in organizations, but is difficult to asses and measure. We describe a preliminary test of assessing an organization's safety culture by examining employee interpretations of organizational safety artifacts (safety signs). METHOD: We collected data in three organizations using a new safety culture assessment tool that we label the Safety Artifact Interpretation (SAI) scale; we then crossed these data with safety climate and leadership evaluations. RESULTS: SAI were interpreted by employees in accordance with two conceptually distinct themes that are salient in the literature on organizational safety culture: safety compliance and commitment to safety. A significant correlation exists between SAI scores and the organizational safety climate. A similar (though insignificant) relationship was observed between SAI scores and leadership ratings. IMPACT ON INDUSTRY: Employee perceptions and interpretations of safety artifacts can facilitate assessments of safety culture and can ultimately lead to understanding of and improvements in the level of organizational safety.

The effect of workers' visibility on effectiveness of intervention programs: supervisory-based safety interventions.

INTRODUCTION: This paper discusses an organizational change intervention program targeting safety behaviors and addresses important considerations concerning the planning of organizational change. Using layout of the plant as a proxy for ease of daily leader-member interaction, the effect of workers' visibility on the effectiveness of supervisory-based safety (SBS) interventions is examined. Through a reinforcement-learning framework, it is suggested that visibility can affect supervisors' incentive to interact with subordinates regarding safety-related issues. METHOD: Data were collected during SBS intervention studies in five manufacturing companies. RESULTS: Results suggest a reinforcement cycle model whereby increased visibility generates more frequent exchanges between supervisors and employees, resulting in improved safety behavior among employees. In turn, employees' safer behavior reinforces continued supervisory safety-related interaction. CONCLUSION AND IMPACT ON INDUSTRY: Visibility is an important moderator in supervisory based safety interventions, and can serve to increase workplace safety. Implications of these findings for safety are discussed.

A group-level approach to analyzing participative ergonomics (PE) effectiveness: The relationship between PE dimensions and employee exposure to injuries.

Most studies concerned with participative ergonomic (PE) interventions, focus on organizational rather than group level analysis. By implementing an intervention at a manufacturing plant, the current study, utilizing advanced information systems, measured the effect of line-supervisor leadership on employee exposure to risks. The study evaluated which PE dimensions (i.e., extent of workforce involvement, diversity of reporter role types and scope of analysis) are related to such exposure at the group level. The data for the study was extracted from two separate computerized systems (workforce medical records of 791 employees and an intranet reporting system) during a two-year period. While the results did not confirm the effect of line-supervisor leadership on subordinates' exposure to risks, they did demonstrate relationships between PE dimensions and the employees' exposure to risks. The results support the suggested level of analysis and demonstrate that group-based analysis facilitates the assimilation of preventive interventions.

Drivers' social-work relationships as antecedents of unsafe driving: A social network perspective.

In order to reduce road accidents rates, studies around the globe have attempted to shed light on the antecedents for unsafe road behaviors. The aim of the current research is to contribute to this literature by offering a new organizational antecedent of driver's unsafe behavior: The driver's relationships with his or her peers, as reflected in three types of social networks: negative relationships network, friendship networks and advice networks (safety consulting). We hypothesized that a driver's position in negative relationship networks, friendship networks, and advice networks will predict unsafe driving. Additionally, we hypothesized the existence of mutual influences among the driver's positions in these various networks, and suggested that the driver's positions interact to predict unsafe driving behaviors. The research included 83 professional drivers from four different organizations. Driving behavior data were gathered via the IVDR (In-Vehicle Data Recorder) system, installed in every truck to measure and record the driver's behavior. The findings indicated that the drivers' position in the team networks predicts safe driving behavior: Centrality in negative relationship networks is positively related to unsafe driving, and centrality in friendship networks is negatively related to unsafe driving, while centrality in advice networks is not related to unsafe driving. Furthermore, we found an interaction effect between negative network centrality and centrality in friendship networks. The relation between negative networks and unsafe behavior is weaker when high levels of friendship network centrality exist. The implications will be presented in the Discussion section.

Leadership emergence over time in short-lived groups: Integrating expectations states theory with temporal person-perception and self-serving bias.

Research into leadership emergence typically focuses on the attributes of the emergent leader. By considering also the attributes of perceivers and the passage of time, we develop a more complete theory of leadership emergence in short-lived groups. Using expectation states theory as an overarching theoretical framework, and integrating it with the surface- and deep-level diversity literature and with theories of self-serving biases, we examine the predictors of leadership emergence in short timeframes. We conduct a field study in a military assessment boot camp (a pilot study, n = 60; and a main study, n = 89). We use cross-sectional and longitudinal exponential random graph models to analyze data on participants' abilities and on their perceptions of who, in their respective groups, were "leaders." We find that the criteria by which people perceive leadership in others change over time, from easily noticeable attributes to covert leadership-relevant attributes, and that people also rely on leadership-relevant attributes that they possess at high levels to inform their perceptions of leadership in others. The integration of expectation states theory, attribute salience over time and theories of self-serving bias is needed for a full understanding of leadership emergence in groups, because perceivers' own abilities are instrumental in shaping their perceptions of emergent leadership over time. Theoretical and practical implications are discussed. (PsycINFO Database Record

A multilevel model of safety climate: cross-level relationships between organization and group-level climates.

Organizational climates have been investigated separately at organization and subunit levels. This article tests a multilevel model of safety climate, covering both levels of analysis. Results indicate that organization-level and group-level climates are globally aligned, and the effect of organization climate on safety behavior is fully mediated by group climate level. However, the data also revealed meaningful group-level variation in a single organization, attributable to supervisory discretion in implementing formal procedures associated with competing demands like safety versus productivity. Variables that limit supervisory discretion (i.e., organization climate strength and procedural formalization) reduce both between-groups climate variation and within-group variability (i.e., increased group climate strength), although effect sizes were smaller than those associated with cross-level climate relationships. Implications for climate theory are discussed.

Till stress do us part: On the interplay between perceived stress and communication network dynamics.

This study of perceived stress and communication networks fills 2 theoretical gaps in the literature: First, drawing predominantly on conservation of resource theory and faultline theory, we demonstrate the role of stress as an "engine of action" in network evolution. Second, we extend the stress literature to the interpersonal domain by arguing that others' levels of stress influence the individual's communication network, and this, in turn, changes his or her stress level. At 3 time points, we evaluated the communication ties and perceived stress in a unique field setting comprising 115 male participants (in 6 groups) performing group-based tasks. We introduce stochastic actor-based models for the coevolution of network ties and actor attributes, statistical models that enable causal inferences to be drawn regarding the interplay between dynamic networks and individual attributes. Using these models, we find that over time, individuals experiencing higher levels of perceived stress were less likely to create new communication ties and were more likely to maintain existing ties to others. Participants also tended to communicate with similarly stressed others. Such communication network dynamics further increased individuals' levels of perceived stress over time, leading to stress-related vicious cycles. We discuss organizational implications that relate to stress and network-related interventions.

The use of supervisory practices as leverage to improve safety behavior: a cross-level intervention model.

INTRODUCTION: The paper presents three intervention studies designed to modify supervisory monitoring and rewarding of subordinates' safety performance. METHOD: Line supervisors received weekly feedback concerning the frequency of their safety-oriented interactions with subordinates, and used this to self-monitor progress toward designated improvement goals. Managers higher up in the organizational hierarchy received the same information, coupled with synchronous data concerning the frequency of workers' safety behaviors, and highlighting co-variation of supervisory action and workers' behavior. RESULTS: In all the companies involved, supervisory safety-oriented interaction increased significantly, resulting in significant changes in workers' safety behavior and safety climate scores. Continued improvement during the post-intervention period suggests the inclusion of workers' safety behavior as in-role supervisory responsibility. Applied and theoretical implications are discussed.

Climate as a social-cognitive construction of supervisory safety practices: scripts as proxy of behavior patterns.

Organizational climate research has focused on prediction of organizational outcomes rather than on climate as a social-cognitive mediator between environmental attributes and relevant outcomes. This article presents a model specifying that supervisory safety practices predict (safety) climate level and strength as moderated by leadership quality. Using supervisory scripts as proxy of practices, it is shown that script orientation indicative of safely priority predicted climate level, whereas script simplicity and cross-situational variability predicted climate strength. Transformational leadership mitigated these effects because of closer leader-member relationships. Safety climate partially mediated the relationship between supervisory scripts and injury rate during the 6-month period following climate and script measurement. Theoretical and methodological implications are discussed.

Safety management by walking around (SMBWA): a safety intervention program based on both peer and manager participation.

"Management by walking around" (MBWA) is a practice that has aroused much interest in management science and practice. The purpose of this study is to demonstrate adaptation of this practice to safety management. We describe a three-year long case study that collected empirical data in which a modified MBWA was practiced in order to improve safety in a semiconductor fabrication facility. The main modification involved integrating an information system with the MBWA in order to create a practice that would generate safety leadership development and an organizational safety learning mechanism, while promoting employee safety participation. The results of the case study demonstrate that the SMBWA practice facilitated thousands of tours in which safety leadership behaviors were practiced by managers and by employees (employees performed five times as many tours as managers). The information system collected information about safety behaviors and safety conditions that could not otherwise be obtained. Thus, this study presents a new organizational safety practice SMBWA, and demonstrates the ways in which SMBWA may improve safety in organizations.

The social aspects of safety management: trust and safety climate.

This study tested the contribution of trust between leaders and subordinates to safety. It is suggested that leaders who create a relationship of trust with their subordinates are more likely to create a safe working environment, and to achieve higher and stronger safety-climate perceptions among their subordinates. Hence, trust should be negatively related to injuries and positively related to safety climate. Questionnaires distributed among 2524 soldiers in three army brigades tested for trust and safety-climate variables and were then crossed with injury rate according to medical records at the platoon level of analysis (N=105). Trust was found to be negatively related to injuries and positively related both to level and strength of safety climate. Furthermore, safety-climate level was found to mediate the relationship between trust and injury rates. Theoretical and practical implications are discussed.