Chris Stride

Leadership behavior and subordinate well-being

The authors used a longitudinal design to investigate the relation between leadership behavior and the well-being of subordinates. Well-being is conceptualized as peoples feelings about themselves and the settings in which they live and work. Staff members (N = 562) of 2 Community Trusts participated 4 times in a 14-month period. Five models were formulated to answer 2 questions: What is the most likely direction of the relation between leadership and well-being, and what is the time frame of this relation? The model with the best fit suggested that leadership behavior and subordinate responses are linked in a feedback loop. Leadership behavior at Time 1 influenced leadership behavior at Time 4. Subordinate well-being at Time 2 synchronously influenced leadership behavior at Time 2. Leadership behavior at Time 4 synchronously influenced subordinate well-being at Time 4.

Perceived Organizational Support for Safety and Employee Safety Voice: The Mediating Role of Coworker Support for Safety

In the present study, we modeled 2 sources of safety support (perceived organizational support for safety and perceived coworker support for safety) as predictors of employee safety voice, that is, speaking out in an attempt to change unsafe working conditions. Drawing on social exchange and social impact theories, we hypothesized and tested a mediated model predicting employee safety voice using a cross-sectional survey of urban bus drivers (n = 213) in the United Kingdom. Hierarchical regression analysis showed that perceived coworker support for safety fully mediated the relationship between perceived organizational support for safety and employee safety voice. This study adds to the employee voice literature by evaluating the important role that coworkers can play in encouraging others to speak out about safety issues. Implications for research and practice related to change-oriented safety communication are discussed.

Measures of perceived work characteristics for health services research: Test of a measurement model and normative data

Objectives. The aim of this paper is to describe the development and refinement of nine measures of perceived work characteristics for use in studies of the psychological wellbeing of health services employees. The constructs measured are: autonomy/control, feedback, influence, leader support, professional compromise, role clarity, role conflict, peer support and work demands. Design. The study was a large scale cross-sectional survey. Methods. National Health Service Trust staff were selected from seven major occupational groups (nurses, doctors, administrative staff, managers, professions allied to medicine, professional and technical staff, and ancillary staff) within a sample of Trusts chosen to be representative of those in England. Questionnaires incorporating the scale items were completed by over 9,000 staff. The fit with the a priori nine-dimensional measurement model was tested using confirmatory factor analysis. Scale internal reliabilities and norms were calculated, and aspects of construct validity were examined. Results. The findings show a good fit to the measurement model for the sample as a whole and across occupational groups. All the scales exhibit acceptable internal reliabilities; and normative data is provided for all seven occupations (with norms for more specific job categories available on request). Analyses suggest good construct validity, showing the scales discriminate as anticipated across occupational groups and job categories, and they have the expected relationships with job satisfaction and psychological strain. Conclusions. The measures developed are usable for research purposes across the major occupational groups, with the possible exception of ancillary staff. Further work is desirable to confirm the measurement properties and extend the normative database.

Familiarity breeds content: The impact of exposure to change on employee openness and well-being

This article describes a longitudinal study of how openness to change, job satisfaction, anxiety and depression are affected by exposure to a change situation - in this case, the implementation of new technology and work practices. Measures were taken before the change was fully implemented and again several months later. Employees fell into two groups: those with high exposure to the change and those with low exposure. Longitudinal analysis revealed that greater exposure was directly related to subsequent improvements in openness to change for operational employees, but not for managers and engineers. Exposure was associated with improvements in job satisfaction and depression, irrespective of job type. The effect on job satisfaction, however, could be accounted for by the increased job complexity experienced on the new technology rather than exposure to change per se. Although the impact of exposure on depression became non-significant after controlling for job complexity, the result was marginal. Implications of the role of exposure in the management of change are discussed.

Quality of life implications as a consequence of surgery: limb salvage, primary and secondary amputation.

Purpose. We investigated self-reported quality of life (QoL), body image and daily competence of patients as a consequence of limb salvage surgery (LSS), primary or secondary amputation, and the views of patients following secondary amputation. Patients. Patients (n=37) had all been treated for osteosarcoma or Ewings sarcoma in the lower limb. Methods. QoL was measured by questionnaire. A separate interview to determine satisfaction with decision-making was conducted with those treated for secondary amputation. Results. For the total group, QoL was below that expected from population norms. There were no differences in QoL between those undergoing LSS surgery compared with amputation. However, LSS reported better daily competence and were less likely to use a walking aid. For the total group, body image and daily competence were associated with better QoL. Discussion. All these patients are at risk of compromised QoL following surgery. Our data are in line with previous work suggesting outcomes may be better for LSS compared with amputation. Following secondary amputation, most patients (80%) did not regret initial LSS treatment, but felt that the time gained allowed them to come to terms with subsequent surgery.

Human Resource Management and Performance in UK Call Centres

Using data from a sample of 145 UK call centres, the authors test the core propositions of the strategic human resource management (SHRM) approach that: (a) there are coherent links through the SHRM chain from strategy, through operational requirements, to work design and human resource management, and (b) the fit between the human resource practices and market factors determines organizational performance. Little support for these hypotheses is found as only (a) a few direct relationships between the elements of the SHRM chain are found, and (b) direct relationships, rather than those moderated by market factors, are found between human resource practices and performance. But key operational requirements are linked to work design, which is itself related to a limited number of human resource practices. The direct effects of work design on key performance indicators are more pronounced than those of human resource practices.

Work characteristics, musculoskeletal disorders, and the mediating role of psychological strain: a study of call center employees.

The demands of the modern office are thought to contribute to the development of musculoskeletal disorders. For upper body and lower back disorders, these effects are hypothesized to be mediated by psychological strain. A study of 936 employees from 22 call centers supports this hypothesis. Using logistic regression and structural equation modeling, the authors found that the relationship of workload to upper body and lower back musculoskeletal disorders was largely accounted for by job-related strain. This mediating effect was less evident for arm disorders. Contrary to expectation, job autonomy had neither a direct nor a moderating effect on any musculoskeletal disorder.

Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability

Aim: To explore the factor structure, reliability, and potential usefulness of a patient safety climate questionnaire in UK health care. Setting: Four acute hospital trusts and nine primary care trusts in England. Methods: The questionnaire used was the 27 item Teamwork and Safety Climate Survey. Thirty three healthcare staff commented on the wording and relevance. The questionnaire was then sent to 3650 staff within the 13 NHS trusts, seeking to achieve at least 600 responses as the basis for the factor analysis. 1307 questionnaires were returned (36% response). Factor analyses and reliability analyses were carried out on 897 responses from staff involved in direct patient care, to explore how consistently the questions measured the underlying constructs of safety climate and teamwork. Results: Some questionnaire items related to multiple factors or did not relate strongly to any factor. Five items were discarded. Two teamwork factors were derived from the remaining 11 teamwork items and three safety climate factors were derived from the remaining 11 safety items. Internal consistency reliabilities were satisfactory to good (Cronbach’s alpha ⩾0.69 for all five factors). Conclusions: This is one of the few studies to undertake a detailed evaluation of a patient safety climate questionnaire in UK health care and possibly the first to do so in primary as well as secondary care. The results indicate that a 22 item version of this safety climate questionnaire is useable as a research instrument in both settings, but also demonstrates a more general need for thorough validation of safety climate questionnaires before widespread usage.

Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK

Background Patient safety culture is measured using a range of survey tools. Many provide limited data on psychometric properties and few report findings outside of the US healthcare context. This study reports an assessment of the psychometric properties and suitability of the American Hospital Survey on Patient Safety Culture for use within the UK. Methods A questionnaire survey of three hospitals within a large UK Acute NHS Trust. 1437 questionnaires were completed (37% response rate). Exploratory factor analysis, confirmatory factor analysis and reliability analyses were carried out to assess the psychometric performance of this survey instrument and to explore potential improvements. Results Reliability analysis of the items within each proposed scale showed that more than half failed to achieve satisfactory internal consistency (Cronbachs α<0.7). Furthermore, a confirmatory factor analysis carried out on the UK data set achieved a poor fit when compared with the original American model. An optimal measurement model was then constructed via exploratory and confirmatory factor analyses with split-half sample validation and consisted of nine dimensions compared with the original 12 in the American model. Conclusion This is one of the few studies to provide an evaluation of an American patient safety culture survey using data from the UK. The results indicate that there is need for caution in using the Hospital Survey on Patient Safety Culture survey in the UK and underline the importance of appropriate validation of safety culture surveys before extending their usage to populations outside of the specific geographical and healthcare contexts in which they were developed.

Socioeconomic status and antisocial behaviour among children and adolescents: A systematic review and meta-analysis

Previous research on the association between socioeconomic status (SES) and child and adolescent antisocial behaviour has produced mixed findings showing variation in the strength of association. This systematic review and meta-analysis aimed to summarise evidence on the relationship between socioeconomic status and broadly conceptualised antisocial behaviour, investigating variation across a range of antisocial subtypes and other potential moderators, including age, sex and informant. We identified 133 studies containing data suitable for effect size calculation, and 139 independent effect sizes were analysed (total N=339868). The global meta-analysis showed that lower family socioeconomic status was associated with higher levels of antisocial behaviour. Moderation analyses revealed this relationship was stronger where callous-unemotional traits were the outcome, and where antisocial behaviour was reported by parents or teachers rather than self-reported. The relationship between family SES and antisocial behaviour, however, was independent of higher-level constructs such as national income inequality. These results indicate that SES can be considered a robust correlate of broadly conceptualised antisocial behaviour but the strength of this relationship may depend on the antisocial subtype under investigation and the design of the study.