In recent years, research on mindfulness has grown rapidly in organizational psychology and organizational behavior. Specifically, two bodies of research have emerged: One focuses on the intrapsychic processes of individual mindfulness and the other on the social processes of collective mindfulness. In this review we provide a pioneering, cross-level review of mindfulness in organizations and find that mindfulness is neither mysterious nor mystical, but rather can be reliably and validly measured, linked to an array of individual and organizational outcomes, and induced through meditative and nonmeditative practices and processes at the individual and collective levels. Our analysis of the combined literatures further reveals that although each literature is impressive, there is a significant need for multilevel mindfulness research that simultaneously examines individual and collective mindfulness and broadens its conception of context. This research agenda provides a more robust understanding of the antecedents, processes, and consequences of individual and collective mindfulness as well as more definitive evidence maximizing mindfulness and its benefits in practice.
Evidence that medical error is a systemic problem requiring systemic solutions continues to expand. Developing a “safety culture” is one potential strategy toward improving patient safety. A reliable and valid self-report measure of safety culture is needed that is both grounded in concrete behaviors and is positively related to patient safety. We sought to develop and test a self-report measure of safety organizing that captures the behaviors theorized to underlie a safety culture and demonstrates use for potentially improving patient safety as evidenced by fewer reported medication errors and patient falls. A total of 1685 registered nurses from 125 nursing units in 13 hospitals in California, Indiana, Iowa, Maryland, Michigan, and Ohio completed questionnaires between December 2003 and June 2004. The authors conducted a cross-sectional assessment of factor structure, dimensionality, and construct validity. The Safety Organizing Scale (SOS), a 9-item unidimensional measure of self-reported behaviors enabling a safety culture, was found to have high internal reliability and reflect theoretically derived and empirically observed content domains. The measure was shown to discriminate between related concepts like organizational commitment and trust, vary significantly within hospitals, and was negatively associated with reported medication errors and patient falls in the subsequent 6-month period. The SOS not only provides meaningful, behavioral insight into the enactment of a safety culture, but because of the association between SOS scores and reported medication errors and patient falls, it also provides information that may be useful to registered nurses, nurse managers, hospital administrators, and governmental agencies.
Prior research has found that safety organizing behaviors of registered nurses (RNs) positively impact patient safety. However, little research exists on the joint benefits of safety organizing and other contextual factors that help foster safety. Although we know that organizational practices often have more powerful effects when combined with other mutually reinforcing practices, little research exists on the joint benefits of safety organizing and other contextual factors believed to foster safety. Specifically, we examined the benefits of bundling safety organizing with leadership (trust in manager) and design (use of care pathways) factors on reported medication errors. A total of 1033 RNs and 78 nurse managers in 78 emergency, internal medicine, intensive care, and surgery nursing units in 10 acute-care hospitals in Indiana, Iowa, Maryland, Michigan, and Ohio who completed questionnaires between December 2003 and June 2004. Cross-sectional analysis of medication errors reported to the hospital incident reporting system for the 6 months after the administration of the survey linked to survey data on safety organizing, trust in manager, use of care pathways, and RN characteristics and staffing. Multilevel Poisson regression analyses indicated that the benefits of safety organizing on reported medication errors were amplified when paired with high levels of trust in manager or the use of care pathways. Safety organizing plays a key role in improving patient safety on hospital nursing units especially when bundled with other organizational components of a safety supportive system.
8 February 2014 in Journal of Organizational Behavior
Organizations are demonstrating a burgeoning interest in hiring neurodivergent employees, prompting a parallel expansion of research on autism and employment. In this review, we evaluate, critique, and integrate diffuse research and theory on autism and employment across the domains of disability studies, autism, industrial relations, management, and rehabilitation. In doing so, we illustrate how incorporating the experiences of individuals on the autism spectrum can benefit management theory. Likewise, we highlight how existing management theory can help contextualize and enrich autism research. In addition, our review highlights barriers and potential enablers that individuals on the autism spectrum encounter during varying stages of employment, while also providing insight into steps that can be taken by organizations and practitioners to improve employment outcomes for neurodivergent individuals. We conclude with an agenda for advancing research and practice that enhances the employment experiences of autistic individuals and the outcomes of the organizations that employ them.
4 March 2015 in Journal of Contingencies and Crisis Management