Role Expectations Research Articles

Characteristics and Activities of Nurses in Expanded Roles Employed in Swiss Nursing Homes: A Cross-Sectional Study.

As the number of nursing home residents with multiple healthcare needs grows, the demand for nursing expertise increases. The implementation of new care models involving nurses with expanded roles is crucial for ensuring quality care in nursing homes. To investigate the characteristics and activities of nurses employed in nursing homes in expanded roles and the factors associated with variation in the activities performed. This multicentre cross-sectional survey in Switzerland collected data from a convenience sample of 118 nursing homes between September 2018 and October 2019. From a subsample of 62 nursing homes, we analysed the characteristics and activities of 104 nurses in expanded roles. Associations between the activities performed and the educational background of the nurses in expanded roles, their direct supervisors' positions and the presence of physicians in the nursing homes were examined. Most Registered Nurses in expanded roles were diploma educated (48%), with fewer having a bachelor's (35%) or master's degree (17%). Overall, direct clinical practice and guidance and coaching activities were conducted monthly to weekly; consultation, evidence-based practice, collaboration and ethical decision-making activities were conducted monthly. We saw variations where a higher educational background was associated with more frequent evidence-based practice activities (z = 3.47, p < 0.001), and if direct supervisors were ward managers, nurses in expanded roles worked more frequently below their scope of practice (z = 4.10, p < 0.001). This is the first study to use Hamric's integrative Advanced Practice Nursing model to examine the activities of nurses in expanded roles in nursing homes. We found considerable variation in their activities, where nursing homes seem to adapt their roles to their educational background and the local context. Our findings show the importance of clarifying role expectations for Registered Nurses in expanded roles, allowing them to practice at the top of the licence to meet residents' complex healthcare needs.

Addressing Gender Bias and Bullying in Islamic Boarding Schools: Challenges and Solutions

This study examines the problem of gender bias and bullying in boarding schools in Indonesia with the aim of identifying the problem profile, influencing factors, and applicable solutions. The research method used is a qualitative approach with an in-depth literature review with a literature approach and several journals that discuss bullying in boarding schools.The research findings show that gender bias is manifested in restrictions on access to education and stereotyped gender role expectations among santri. The separation between male and female students has become a pesantren tradition with the aim of more focused access to education. However, stereotypical views of gender roles also affect various activities in pesantren. Bullying appears in the form of verbal intimidation, social exclusion, and physical violence between students, and even victims of bullying can experience significant psychological distress. The implications of this study are the need for increased awareness and education on gender equality and anti-bullying, the adoption of structured anti-discrimination and anti-bullying policies, and strengthening the role of supervisors and counselors in pesantren. This study provides a foundation for further efforts in developing inclusive education policies and effective intervention strategies to address issues of gender bias and bullying in pesantren education settings.

Validation of the Japanese Version of the Modest Behavior Scale for Adults and Age and Gender Differences

AbstractSocial pressures, such as cultural norms of modesty, are thought to contribute to low self‐esteem in East Asians, and modesty is a key concept in understanding the feelings, thoughts, and social behaviors of this population. Modesty has been found to encompass three aspects: avoidance of attention‐seeking (AA), self‐effacement (SE), and other‐enhancement (OE). The current study validated the Modest Behavior Scale and examined age and gender differences in the three aspects of modesty in a sample of adults aged 20–69 years. A total of 400 Japanese individuals participated in the online survey. The results of hierarchical multiple regression analyses and simple slopes analyses revealed that older people tend not to seek attention but also not to devalue themselves, whereas younger people tend to devalue themselves but not to refrain from seeking attention. This implies that people in different age groups use different modesty strategies. In addition, gender differences were found in AA and OE. The age and gender differences in modesty were discussed in terms of hierarchical relationships and social role expectations.

Supervisor-worker relationships and the work environment: Development and validation of a construction specific measure

The costs of work-related mental health place a considerable burden on employees, organisations, and communities; effective, evidence-based interventions addressing this issue are urgently needed. The influence of the work environment, particularly psychosocial hazards, on employees’ mental and physical health and safety is well-established within the broader health and wellbeing literature and is increasingly being recognised as an important issue within the Building and Construction Industry (BCI). In particular, the role of supervisors in shaping work conditions that contribute to, or ameliorate, psychosocial hazards has been emphasised in BCI contexts. While the quality of supervisor-worker relationships are important in their own right, there are a multitude of ways in which supervisors exert influence on the work environment that extend beyond the dynamics of the dyadic relationships, including clarifying role expectations and allocating resources to balance workloads. The dearth of valid and reliable measures to assess aspects of the work environment that influence (and are influenced by) the quality of supervisor-worker relationships is a critical barrier to implementing effective mental health interventions in the workplace. This research presents a two-part study outlining the development and validation of an 11-dimension measure of work characteristics, which are influenced by supervisor-worker relationships, for use in BCI contexts. Study 1A outlines the iterative approach taken to assess the suitability of existing published measures for adaptation within the BCI, employing interviews and focus groups with key stakeholders. This approach resulted in a preliminary People at Work – Construction (PAW-CON) pilot measure of 44-items. In Study 1B, the validity and reliability of the PAW-CON was assessed via a quantitative survey completed by 406 Australian BCI employees. Confirmatory factor analyses supported a final 36-item measure consisting of 11 aspects of work directly relevant to supervisor-worker relationships. These findings support using the PAW-CON measure in academic and applied BCI settings.

Inner struggle or identity fit – control configurations that improve management accountants’ sense of their identity

PurposeThis study aims to investigate which configurations of organizational-level and group-level management controls support an identity fit for management accountants in the management accounting profession. It aims to complement recent qualitative management accounting research. This stream just begun to use role and identity theory to investigate role expectations, conflicts and coping strategies of management accountants when they struggle with their work identity.Design/methodology/approachBased on configuration theory, this study uses a fuzzy-set qualitative comparative analysis to indicate all possible configurations of formal and informal management controls that improve management accountants’ sense of their identity in an organization. The analyses are based on the results of a cross-sectional survey of 277 management accountants from Germany, Austria, Switzerland and Liechtenstein.FindingsThe results show that a strong group culture and high psychological safety at the group level are relevant conditions for a high identity fit. Further, the configurations differ regarding the career stages of management accountants.Originality/valueThis study contributes to work identity research of management accountants and to research on formal and informal control configurations as a control package. It is of particular importance for various professions that are affected by role change, as from the findings on management accountants’ identity fit, implications can also be made for other organizational functions that need to engage in identity work.

Acting authentically: Using play to cultivate authentic interrelating in role performance

SummaryResearch is increasingly demonstrating that authenticity and human connection are fundamental and interrelated human needs. However, organizational roles often constrain authenticity and connection in workplace interactions, especially roles that are highly scripted. People want to feel authentic and connected at work, but they also need to adhere to role expectations. Organizational role scholars have long explored how roles cause feelings of inauthenticity, and more recently, the conditions that promote authenticity. We have limited understanding of how people approach being authentic in their roles without compromising or deviating from rigid role demands. To explore this, I conducted an inductive, qualitative study of six community theater productions, a context where roles are rigidly scripted, yet where actors strive to “live truthfully” within their fictional roles. I find that actors and directors work together to cultivate authentic interrelating in their roles, characterized by the combination of personal engagement and interpersonal attunement. This process involves engaging in different forms of play to move from mechanically learning their roles, to crafting personalized intentions, to ultimately transcending their roles, gradually increasing in vulnerability and responsiveness until they are able to experience authentic interrelating in their roles.

The Influence of Gender Stereotype on the Career Aspirations in Technology and Livelihood

This study examines the intricate relationship between gender stereotypes and career aspirations among Grade 8 students in the context of Technology and Livelihood Education (TLE). Employing a descriptive correlational research design, data was collected through a survey instrument adapted from validated scales. The extent of gender stereotypes was assessed across various dimensions, including occupational segregation, role expectations, differential treatment in education, media representations, and limited career aspirations. Additionally, students' career aspirations were explored concerning perceived suitability of careers, confidence in pursuing TLE careers, and perceptions of opportunities. Statistical analyses revealed a significant negative correlation between gender stereotypes and career aspirations, signifying the pervasive impact of these stereotypes on students' career inclinations. Furthermore, regression analyses identified indicators of gender stereotypes that significantly influence career aspirations. The implications of these findings resonate across educational stakeholders. School officials, educators, and students can utilize these insights to foster inclusive learning environments that challenge gender norms and promote diverse career paths in TLE. This study contributes to the existing literature by empirically illuminating the connections between gender stereotypes and career aspirations, offering a foundation for informed policy-making and targeted interventions.

Should I do this? Incongruence in the face of conflicting moral and role expectations

Moral incongruence—a misalignment between professional role expectations and personal moral values—is an important phenomenon in modern organizations. Though scholarly work has provided us with insights into broad forms of role incongruence, much less is known about the distinct characteristics of moral incongruence. Moreover, we lack understanding of how moral incongruence may shape employee attitudes and behaviors. Drawing on deonance theory and socio-cognitive theory, we develop a model explaining the role of moral incongruence in promoting employee prohibitive voice, withdrawal, and unethical role behavior through the mechanisms of moral outrage and moral disengagement. Examining potential boundary conditions, we also consider the roles of moral identity, self-interest, moral intensity, unethical climate, ethical leadership, and organizational identification. Given the ethical implications of moral incongruence and the significance of the phenomenon for organizations, this work has implications for both theory and practice.

Are Differences Evident in the Ways Boys and Girls Appraise and Interpret Their Traumatic Experiences? A Qualitative Analysis of Youth Trauma Narratives.

The purpose of this study was to explore potential similarities and differences in the ways boys and girls appraise and interpret their traumatic experiences, and better understand how gender roles, performance, and socialization processes may impact trauma experiences, appraisals, and narratives within the context of trauma-focused treatment. We used thematic analysis to analyze the trauma narratives of youth (N = 16) ages 8-16 who had experienced multiple types (M = 5.38) of child maltreatment and who were receiving Trauma-focused Cognitive Behavioral Therapy to address clinically elevated posttraumatic stress symptoms. Four themes emerged: variations in the content of negative cognitions, differences in relational emotion, adoption of socially prescribed gender roles, and symptom differences. Although many similarities existed in youth's trauma narratives, differences emerged that point to the importance of social context and the ways gender role expectations and socialization processes influence youth's appraisal of and responses to traumatic events. Findings indicate the importance of considering distress tolerance, relational emotion, gender identity development, and role socialization within the treatment milieu.

Exploring the Multifaceted Nature of Occupational Stress Among Nurses: A Systematic Review

This systematic review examined occupational stress among nurses, its multifaceted nature, and its significant impact on healthcare delivery and nurse well-being globally. This study identified various stressors, including intrinsic job factors, organizational structure, role expectations, interpersonal relationships, and career development. Using the Cooper and Marshall stress model, a thorough literature search was conducted across databases like ISI Web of Knowledge, PubMed, Scopus, Ovid Medline, and Google Scholar, focusing on publications from 2010 to 2023. This rigorous approach included diverse research methodologies, emphasizing studies measuring outcomes related to occupational stress and mental health among nurses. A total of 10 studies met the inclusion criteria, highlighting stressors such as workload, job demand, job insecurity, and less reward, categorized into five primary sources. The review revealed that occupational stress in nursing is a global issue, leading to adverse outcomes like burnout, decreased job satisfaction, and increased turnover. The discussion emphasized the need for a holistic approach to stress management, advocating for supportive work environments, adequate staffing, and professional development opportunities. In conclusion, strategic interventions are crucial for improving mental health, job satisfaction, and healthcare quality, necessitating collaborative efforts from healthcare leaders, policymakers, and practitioners.

Why Sing Ninni?

This study, which aims to reveal the psychological and developmental effects of “ninni”s on children, was conducted in phenomenological design using qualitative research approach and was revealed by document analysis. In the study, 8 themes and 30 sub-themes were found as a result of content analysis of ninni texts. In these themes, it was seen that “ninni”s include processes related to the developmental stages of children, social role expectations are included and various wishes are made for the future of children. In addition, it was determined that children were described with descriptions and qualifications in “ninni”s; in these descriptions, children were tried to be described by praising and positive connotations were predominant. In addition to this, it was understood that positive emotions such as love, compassion and peace were included more in “ninni”s, while negative emotions such as separation and sadness were included less. It was found that the “ninni”s included contents that support the individual spiritually such as being safe, togetherness and sacrifice. As a result, it was seen that lullabies support the spiritual development of children. Research findings were discussed in the context of the literature and suggestions were made.

Crises in the Arctic: Upheavals in the Memoir of Josephine Diebitsch-Peary

In My Arctic Journey: A Year among Ice-Fields and Eskimos (1894), Josephine Diebitsch-Peary documents her experiences during the North Greenland Expedition of 1891–92, which began ominously when her husband, the famed Arctic explorer Robert E. Peary, broke his leg aboard the Kite and was carried to the expedition headquarters near the mouth of MacCormick Fjord. As the first white woman in the Arctic, Diebitsch-Peary faced numerous crises, torn as she was between True Womanhood ideals and desires for hunting and exploration. She navigated internal and external upheavals, depicting the Arctic landscape and native disputes, and vacillating between biased descriptions and identification with Inughuit women. Additional crises included the disappearance of mineralogist and meteorologist John M. Verhoeff and the pressures of her husband’s ambitions. Despite these challenges, she actively participated in the expedition, grappling with traditional role expectations and the demands of polar exploration. Her memoir reflects the personal, national, and international costs of a contested icescape, revealing the struggles she overcame and those she did not.

The proteus effect on human pain perception through avatar muscularity and gender factors

The Proteus effect, which occurs when using an avatar in virtual reality, influences user behavior, changes attitudes, and improves physical performance. Here, we show that human pain perception can be alleviated by the Proteus effect. To investigate the pain alleviation effect of using an avatar in a virtual environment, we conducted two experiments using a head-mounted display and a thermal pain stimulator to induce acute pain. The first experiment involved 20 adult participants, while the second experiment involved 44 adult participants. Experimental results show that participants reported significantly lower pain scores (15.982% reduction), as measured by the Pain Assessment Scale (PAS), when using a muscular avatar than when using a normal avatar. The experiments also revealed several significant gender factors. For example, participants reported significantly lower pain scores when using a gender-congruent avatar. In addition, the use of a muscular avatar was particularly effective for male participants. In contrast, female participants consistently reported lower pain scores when using the avatar regardless of its body type (muscular/normal). To further our understanding, we also measured participants’ gender-related pain stereotypes using the Gender Role Expectations of Pain (GREP) questionnaire, as well as participants’ sense of embodiment. The results of these questionnaires are consistent with the results of the PAS, suggesting possible relationships between stereotypes and the Proteus effect on pain perception, and between the degree of immersion in an avatar and the user’s perception of pain.

"Today, I Say It's Mine!": Professional Identity Construction among Jewish and Arab School Counselors Coping with CSA Disclosure in Israel.

School counselors play a crucial role in preventing, disclosing, and intervening in child sexual abuse cases (CSA) and in maintaining safe and protected school environments. However, research on their experiences coping with CSA remains limited. The purpose of the present study was to describe and analyze the coping experiences of Israeli Jewish and Arab school counselors with CSA disclosure, particularly the consequences for their processes of professional identity construction (the ongoing process through which they develop and refine their sense of self in their profession). Semi-structured interviews were conducted with 21 Israeli Jewish and Arab school counselors working in elementary schools (grades 1-6) with significant experience in coping with CSA. Two themes surfaced, reflecting the counselors' professional identity construction: (1) Counselors' professional identity transformation following encounters with CSA among their students; (2) Integrating professional knowledge, attitudes, and engagement behaviors into professional identity. The findings describe a trajectory of transformation and professional development among the counselors, beginning with defining and refining their professional roles and followed by the integration of professional knowledge, attitudes, and behaviors into their professional routines. Arab counselors also highlighted specific sociocultural challenges within this process, relating to the gap between cultural values and role expectations. Implications for future research, policy, and practice are discussed.

Non-peer professionals' understanding of recovery and attitudes towards peer support workers joining existing community mental health teams in the North Denmark Region: A qualitative study.

Peer support is a collaborative practice where people with lived experience of mental health conditions engage in supporting like-minded. Peer support impacts on personal recovery and empowerment and creates value at an organisational level. However, the implementation of peer support into existing mental health services is often impeded by barriers embedded in organisational culture and support in role expectations. Non-peer professionals' recovery orientation and attitudes towards peer support workers (PSWs) are essential factors in the implementation of peer support, and this study explored non-peer professionals' understanding of recovery and their attitudes towards PSWs joining existing community mental health teams in one region of Denmark. In total, 17 non-peer professionals participated in three focus groups. Thematic analysis led to three themes: (1) Recovery is a process of "getting better" and balancing personal and clinical perspectives; (2) Realising recovery-oriented practice: a challenging task with conflicting values; and (3) Expectations and concerns about peer support workers joining the team. Recovery-oriented practice faces challenging conditions in contemporary mental health services due to a dominant focus on biomedical aspects in care and treatment. Implementation facilitators and barriers in the employment of PSWs point towards fundamental aspects that must be present when employing PSWs in an organisation. The issues described leading up to the employment of PSWs reflected in this study underpin the importance of preparing an organisation for the employment of PSWs based on the available knowledge.

Chronic pain experiences of immigrant Indian women in Canada: A photovoice exploration

ABSTRACT Background Over the past two decades, the prevalence of chronic pain has significantly increased globally, with approximately 20% of the world’s population living with pain. Although quantitative measures are useful in identifying pain prevalence and severity, qualitative methods, and especially arts-based ones, are now receiving attention as a valuable means to understand lived experiences of pain. Photovoice is one such method that utilizes individuals’ own photography to document their lived experiences. Aims The current study utilized an arts-based method to explore immigrant Indian women’s chronic pain experiences in Canada and aimed to enhance the understanding of those experiences by creating a visual opportunity for them to share their stories. Methods Twelve immigrant Indian women captured photographs and participated in one-on-one interviews exploring daily experiences of chronic pain. Results Women’s photographs, and description of these photographs, provided a visual entry into their lives and pain experiences. Three themes emerged from our analysis: (1) bodies in pain, (2) traversing spaces including immigration, and (3) pain management methods. Findings revealed that women’s representations of pain were shaped by a clash between culturally shaped gender role expectations and changing gender norms due to immigration processes. The use of photovoice visually contextualized and represented pain experiences, proving to be a valuable tool for self-reflection. Conclusions This research uncovers the multifaceted nature of chronic pain and identifies the influence of immigration, gender, and social relations on the exacerbation of pain in immigrant Indian women.

Authentic leaders, energized employees? Indirect beneficial and adverse effects of authentic leadership on intrinsic motivation and exhaustion

AbstractCurrent research is unclear regarding the associations between authentic leadership (AL), intrinsic motivation, and exhaustion. Following self‐determination theory (SDT), we hypothesize that AL indirectly increases intrinsic motivation and decreases exhaustion by increasing basic psychological need satisfaction (BPNS). We propose that these processes occur through increased AL in leader‐employee interactions and a higher average display of AL. To test these hypotheses, we conducted three studies using a mixed‐methods approach. Results of Study 1 (cross‐sectional survey; N = 597) supported the indirect effects of AL on employees' intrinsic motivation and exhaustion via BPNS. Study 2 (experience sampling; two samples, replication, Ns = 63; 128 observations = 231; 460) supported the indirect effects of AL experiences in daily leader‐employee interactions. Study 3 (semi‐structured interviews; N = 38) provided additional support for the proposed effects. However, Study 3 also showed potential adverse effects of AL. Some employees perceived a fully open leader as irritating, exhausting, and damaging to the job climate, particularly, when leaders violated role expectations and engaged in hostile behaviors. As these adverse effects were rare, we conclude that the beneficial effects of increased and higher average AL on employees' BPNS, motivation, and exhaustion outweigh the adverse effects.

The Role of The Islamic Conference Organization and Expectations of The Future Role

The Organization of the Islamic Conference (OIC) is the foundation of Muslims in various dimensions of life. This research aims to identify the role of OIC globally. This research uses qualitative methods with a descriptive approach and a literature study. Research reference data was obtained from journals and reference books related to the role of the OIC. The study's results found ten dimensions of the OIC's role globally: politics, tourism, Islamic diplomacy, conflict resolution, humanity, cooperation for development, human rights, Islamic finance, world peace, and the development of science and technology. The OIC, as an association of countries with an Islamic background, needs to increase its role globally as a solution to various dimensions of problems experienced by OIC members. The implication is that in the future, we need to play an optimal role in population, poverty alleviation, finance, Islamic microfinance, halal economy, humanity and human resources.

Documenting and communicating the contributions of embedded statisticians: Show me the value!

Academic research productivity relies upon the contribution of statisticians, who are typically clustered in statistics and biostatistics departments, isolated from clinical researchers. Most academic health centres have created consultation hubs or research incubators to make statisticians available for individual collaboration to support the clinical research enterprise. Additionally, some clinical departments within academic health centres have recognized the value in colocating statisticians within their clinical departments to improve availability for collaboration with physicians/researchers. Embedded statisticians encounter the same challenges of isolated statisticians regarding professional support and networking, mentorship and clear role expectations. While for all collaborative statisticians, it is important to effectively communicate value to both collaborators and supervisors, this may be especially problematic for embedded statisticians in clinical departments where their supervisors may not have backgrounds in research or statistics. Previous papers have reported valuable metrics for statisticians, particularly those associated with Biostatistics, Epidemiology and Research Design Cores. There is a knowledge gap regarding metrics tailored to meet the needs of the embedded statistician and clinical supervisors. This paper is a first step towards addressing this important need.In this paper, we explore (1) the critical role of collaborative statisticians and the benefits and challenges of the embedded statistician model, (2) the need for additional metrics specific to embedded statisticians which measure value and (3) how to design a value report. We offer a framework for evaluation of the contributions of the embedded statistician with the following domains: (1) collaboration, (2) research output/productivity, (3) mentoring and (4) education. Metrics that are particularly specific to embedded statisticians and that are not routinely captured include time from project initiation to completion/outcome, time from initial statistical consultation to statistical outcome completion and summary of level of contribution for manuscripts and presentations in addition to author order. We conclude with thoughts on future directions for development of metrics and reporting systems for statisticians embedded in clinical departments.

Patient and Caregiver Satisfaction With the Brain Injury Rehabilitation: Improving the Transition Experience (BRITE) Intervention.

To ascertain patient and caregiver satisfaction with an individualized case management intervention to improve transition from inpatient rehabilitation care to the community after traumatic brain injury (TBI). Participants from 6 National Institute on Disability, Independent Living, and Rehabilitation Research-funded TBI Model Systems sites in the United States. Adult, English-speaking patients with TBI who had moderate-to-severe TBI and were discharged from a TBI Model Systems site and who were in the intervention arm of the Brain Injury Rehabilitation: Improving the Transition Experience pragmatic clinical trial, as well as their caregivers. A survey of participants in the intervention arm, which included an individualized case management program administered by a TBI Care Manager (TCM) who facilitated resource connection, education, and support. Satisfaction with intervention was measured through Likert-scaled and open-ended questions. The survey was administered verbally through telephone, audio-recorded, and transcribed. Descriptive statistics were calculated for categorical variables, and content analysis was conducted for open-ended responses. Patient and caregiver participants were satisfied with the intervention and highlighted the benefits of the interpersonal and practical support provided by the TCM. Participants identified the need for a more intensive intervention and clear expectations of the TCM role, as well as gaps in available medical and rehabilitation services in the community, as areas for improvement. Patients with TBI and their caregivers reported satisfaction with the individualized case management program in supporting their transition from inpatient rehabilitation to the community. Further research is needed to understand the impact on outcomes.