Organizational cultures that support community: Does the competing values framework help us understand experiences of community at work?

Recent evidence has shown that when employees experience perceptions of community at work (i.e., a sense of community and a sense of community responsibility), psychological well-being and behavioral engagement improve (e.g., greater job engagement, organizational citizenship, and leadership). Recent evidence also shows that experiences of community, as a motivational state, are better able to predict employee outcomes compared to a series of factors that have long been studied in the general management (i.e., affective organizational commitment, organizational identity) and in the public management literature (i.e., public service motivation). However, we know less about the conditions that lead to perceptions of community experiences at work. One recent qualitative investigation exposed a series of organizational conditions that appear to stimulate perceptions of community at work including C-Suite leadership support, organizational structure and context, characteristics of connection, managerial, job, and work unit characteristics, and responsibilities of human resource management professionals. The present study extends this study by empirically investigating organizational cultural conditions that are associated with perceptions of community at work. We test the ability of the Competing Values Framework, which includes constructs of Hierarchy, Market, Adhocracy, and Clan organizational cultures, and their ability to predict perceptions of the community. Findings showed that clan culture was most associated with perceptions of community in general and that clan culture within a department plays an important role in perceiving community at work. This study helps scholars understand cultural conditions that can lead to psychological experiences of community, it begins to frame cultural factors that scholars can empirically test in future studies, and it assists executives and managers in conceiving approaches to building cultures of community at work.

Building community at work: An exploratory study in healthcare system management.

Recent scholarship has demonstrated that experiences in the community (i.e., a sense of community [SOC] and a SOC responsibility) can enhance employee psychological and behavioral outcomes. Recent evidence also shows that the experiences of the community are better able to predict employee outcomes compared to long-regarded management and public management constructs. However, very little empirical evidence exists on antecedent conditions that help build community experiences at work. To evaluate this gap, we conducted interviews with executive leaders, and focus groups with administrative leaders, across four major facilities in a large nonprofit healthcare system that is headquartered in Pennsylvania, United States. The study confirmed the propositions of the Community Experience Model, and explored organizational conditions that appear to build community experiences. The findings help frame factors that scholars can empirically test in future studies, and assist executives, human resource professionals, and managers throughout an organization, in building community at work.

Community experiences in the strategic human resource management black box.

Recent research suggests experiencing community at work (i.e., perceiving a sense of community [SOC] and a sense of community responsibility [SOC-R]) is important for employee and organizational outcomes, however, we know very little about how these constructs operate in human resource management contexts. This study peers into the strategic human resource management "black box," which is an organizational setting where psychological and social variables are believed to influence employee perceptions in ways that impact their individual functioning, and subsequently improve organizational outcomes. Specifically, the study tests hypotheses regarding the relationship between high-involvement work climate (i.e., a human resource context), psychological need satisfaction, SOC, SOC-R, organizational identification, and organizational citizenship behaviors, in an attempt to theoretically ground, and empirically test, if experiences of community matter in the human resource management "black box." Data from 312 employees across multiple organizations were analyzed using partial least squares structural equation modeling, and the findings reveal that experiences of community likely play an important role in the strategic human resource black box. The findings highlight that human resource practitioners, and scholars at the intersection of community psychology and human resource management, should consider further evaluation and action around experiences of community at work. Such a focus may help to create and build more socially sustainable organizational contexts for employees where they can thrive while organizations attempt to achieve collective goals.

Psychometric properties of the Italian version of the sense of community responsibility scale.

The central aim of the present research was to examine the psychometric properties of adapted versions of the sense of community (SOC) responsibility scale in three Italian samples. We examined the psychometric properties of three modified versions of the sense of community responsibility (SOC-R) scale. Consistent with the original scale, exploratory and confirmatory factor analyses demonstrated that the scale was unidimensional and exhibited excellent internal consistency. In addition, factor analyses revealed that SOC responsibility and SOC are two separate, albeit related, constructs. The results also provided evidence of the discriminant validity of SOC and SOC-R on key outcomes. Taken together, these results provide support for the Community Experience Model, which posits that community experiences are a function of resource and responsibility components, as well as for the adaptable nature of the SOC-R scale to the Italian context.

Students implement the Affordable Care Act: a model for undergraduate teaching and research in community health and sociology.

The implementation of the Affordable Care Act (ACA) provides an opportunity for undergraduate students to observe and experience first-hand changing social policies and their impacts for individuals and communities. This article overviews an action research and teaching project developed at an undergraduate liberal arts university and focused on providing ACA enrollment assistance as a way to support student engagement with community health. The project was oriented around education, enrollment and evaluation activities in the community, and students and faculty together reflected on and analyzed the experiences that came from the research and outreach project. Student learning centered around applying concepts of diversity and political agency to health policy and community health systems. Students reported and faculty observed an unexpected empowerment for students who were able to use their university-learned critical thinking skills to explain complex systems to a wide range of audiences. In addition, because the project was centered at a university with no health professions programs, the project provided students interested in community and public health with the opportunity to reflect on how health and access to health care is conditioned by social context. The structure and pedagogical approaches and implications of the action research and teaching project is presented here as a case study for how to engage undergraduates in questions of community and public health through the lens of health policy and community engagement.

Sense of community responsibility in community collaboratives: advancing a theory of community as resource and responsibility.

This paper contributes to the growing body of scholarship aimed at advancing our understanding of the experience of community by empirically investigating sense of community responsibility (SOC-R) in relation to traditional measures of sense of community (SOC) and indices of satisfaction, engagement, and leadership in interorganizational collaborative settings. Findings support the proposition that, although both are related to the experience of community, SOC and SOC-R emphasize different aspects of that experience and operate under different theoretical mechanisms of influence. SOC emphasizes community as a resource which was found to be a more salient aspect in differentiating those who will be more or less satisfied with their experience. In addition, SOC was found to predict general participation in a community collaborative. SOC-R emphasizes the experience of community as a responsibility which appears to be a stronger predictor in explaining higher order engagement requiring greater investment of time and resources. Even more importantly, this study indicates that SOC-R is uniquely equipped to help us advance models of community leadership. As such, it represents an important contribution to expanding our understanding of the factors that drive members' willingness to give of themselves toward collective aims.

Responding to aggression in long term care: lessons from five case studies.

Violence by patients against staff has been a growing concern in hospitals not only in the U.S., but in Canada and the U.K. as well. Such violence is not limited to hospitals, but is on the increase in long term care facilities, thanks, in part, to a growing population of patients with dementia. Very little information about programs that deal with patient violence in long term care facilities has been available. The following article, which describes a multi-year project in five British Columbia nursing homes, provides considerable insight for health care managers on the many different aspects of long term care violence and methods which staff can employ to curb or prevent it.

Helping organizations help others: organization development as a facilitator of social change.

This article explores organization development (OD) interventions and their likelihood of increasing social change outcomes in public agencies. The central argument of this work is that public and nonprofit organizations can deliver better social outcomes by systematically engaging in OD interventions. An in-depth survey was conducted in 3 agencies of the Commonwealth of Pennsylvania at the end of the gubernatorial administration of Tom Ridge (1995-2002). During his administration, Governor Ridge led the agencies of Pennsylvania government through a large-scale change effort to improve the efficiency and effectiveness of service delivery to the citizens of the Commonwealth of Pennsylvania. The change effort was a remarkable event for the Commonwealth because no other governor in the history of the state had attempted to conceptualize and deliver a comprehensive large-scale change management initiative. The successes and setbacks served as a fertile context to shed light on the following research question: Do OD interventions increase the likelihood that public organizations will deliver better social outcomes? This question is important in that public organizations may need to engage in organization development activities to improve their internal operations, which in turn may help them provide exemplary social outcomes to those whom they serve. In short, organization development interventions might allow public organizations to help themselves to help others.

A cost-benefit and cost-effectiveness analysis of Vancouver's supervised injection facility.

BACKGROUND: A supervised injection facility (SIF) has been established in North America: Insite, in Vancouver, British Columbia. The purpose of this paper is to conduct a cost-effectiveness and cost-benefit analysis of this SIF using secondary data gathered and analysed in 2008. In using these data we seek to determine whether the facility's prevention of infections and deaths among injecting drug users (IDUs) is of greater or lesser economic cost than the cost involved in providing this service - Insite - to this community. METHODS: Mathematical modelling is used to estimate the number of new HIV infections and deaths prevented each year. We use the number of these new HIV infections and deaths prevented, in conjunction with estimated lifetime public health care costs of a new HIV infection, and the value of a life, in order to calculate an identifiable portion of the societal benefits of Insite. The annual costs of operating the SIF are used to measure the social costs of Insite. In using this information, we calculate cost-effectiveness and benefit-cost ratios for the SIF. RESULTS: Through the use of conservative estimates, Vancouver's SIF, Insite, on average, prevents 35 new cases of HIV and almost 3 deaths each year. This provides a societal benefit in excess of $6 million per year after the programme costs are taken into account, translating into an average benefit-cost ratio of 5.12:1. CONCLUSION: Vancouver's SIF appears to be an effective and efficient use of public health care resources, based on a modelling study of only two specific and measurable benefits-HIV infection and overdose death.

A heroin prescription trial: case studies from Montreal and Vancouver on crime and disorder in the surrounding neighbourhoods.

BACKGROUND: This study evaluates whether the instauration of a heroin prescription trial ('NAOMI') generated an impact on the occurrence of crime and disorder in surrounding areas. The clinical trial was initiated in Vancouver and Montreal in 2005, with the aim of assessing the benefits of heroin-assisted treatment (HAT) in Canada. While experiences from other jurisdictions where HAT trials have been implemented clearly demonstrate substantial crime reduction effects for trial participants, there is overall concern that HAT clinics - similar to other interventions aiming at problematic street drug users - may induce a 'honeypot' effect, leading to increases in crime and/or disorder problems in the vicinity of interventions. It has been argued that HAT clinics will attract undesirable behaviour associated with cultures of street drug use and thereby produce negative impacts on the community. METHODS: This study examined the incidence of crime and disorder in the Vancouver and Montreal sites before and during the NAOMI trial (2002-2006), using police calls for service and arrest data. Data were analysed by autoregression analyses. RESULTS: The analysis suggested that most indicators remained stable during the pre- and implementation phase of the NAOMI trial in both sites. CONCLUSION: While the attribution of observed crime and disorder trends to the specific clinical interventions in Montreal and Vancouver is difficult and many extrinsic factors may play a role, this study has not generated any clear evidence from institutional police data to suggest increases or decreases in community-based problems associated with HAT programs in Canada.

A study of the analytical behaviour of selected psycho-active drugs using liquid chromatography, ion trap mass spectrometry, gas chromatography and polarography and the construction of an appropriate database for drug characterisation.

This paper provides analytical chemical information on a range of psycho-active drugs. This analytical chemical information on liquid chromatography-electrospray ionisation-mass spectrometry (HPLC-ESI-MS), ion trap mass spectrometry (ESI-MS(n)), gas chromatography-flame ionisation detection (GLC-FID) and polarographic behaviour is then incorporated into a database which is of use in drug characterisation. Application is found in the determination of selected drug compounds in hair samples.