This document is a thesis submitted by Rachel Whitney examining the influence of interpersonal behavior on cohesion and retention in the fire service culture. The thesis reviews literature showing firefighting culture can involve mistreatment of new recruits through hazing or pranks. This perpetuates a culture of incivility where disrespectful behaviors are accepted. The thesis will use surveys to examine if rates of workplace civility/incivility predict workgroup cohesion and turnover intention among firefighters. Rationales for uncivil behaviors will also be investigated as potential mechanisms for maintaining an incivility culture.
Developing social vulnerability index for newcastle extreme temperature riskAlex Nwoko
This vocational dissertation was undertaken in collaboration with Newcastle City Council. This study was aimed at developing a quantitative social vulnerability indices for assessing extreme temperature vulnerability in Newcastle. This report is expected to help in identifying localized community-level social vulnerability determinants for emergency planning and response. The first objective of this study was to determine the social indicators which could contribute to increased losses on well-being. First, drawing theoretical justification from the literature and consultation with experts at Newcastle City Council, an initial set of indicators was collected from census data for 910 Output Areas (OAs) in Newcastle. These datasets were used to quantify to what extent their availability or lack can contribute to an overall increase or decrease in vulnerability in different parts of Newcastle. The summary of social vulnerability proxies developed in this study is presented in Chapter 3.
The second part of the analysis combines statistics and GIS to compare the relationship between sensitivity, adaptive capacity and enhanced exposure sub-indices and their components. The result of this investigation indicates that there is a significant statistical relationship between sensitivity and adaptive capacity, and also between sensitivity and enhanced exposure. The spatial relationship was tested using Getis Ord Gi* hotspot analysis and Ripley's K statistic, which found a significant clustering of vulnerability driven by both “sensitivity”, “adaptive capacity” and “enhanced exposure”. This study has identified the most vulnerable output areas in Newcastle in these wards; Walker, Elswick, Jesmond, Newburn, and Gosforth. From these observations, this report advocates the inclusion of social indicators in vulnerability analysis to reveal the marginalized population otherwise not acknowledged.
Finally, a proximity assessment of health and emergency services was carried out to reveal the southern cluster of emergency facilities and inefficient coverage of ambulance services. The identified accessibility-deprived output areas are located in the wards on the Northern parts including; Woolsington, Parkland, Fawdon, East and West Gosforth, and Castle.
This report summarizes by noting that the new framework is only intended to inform the periodic review of emergency planning and response strategies in Newcastle, suggesting an adoption of spatially detailed data to improve quantitative understanding of the spatial distribution of extreme temperature-related social vulnerability. It finally recommends an improvement in institutional adaptive capacity to handle emergencies in Newcastle.
World of Hurt Global Respone to HIV AIDS Crisis UC Berkeley 2008Anne Cunniffe Marcy
This document provides an overview of the global HIV/AIDS crisis through a comparative study of Uganda and Haiti. It begins with background on HIV/AIDS, including what the virus is, how it causes AIDS, modes of transmission, and current global trends. It then discusses various theories for understanding the threat, including economic, cultural, behavioral, and human rights frameworks. The document surveys the epidemic's effects in Uganda and Haiti, their responses, and best practices. It concludes by examining global responses like the Global Fund and recommendations for further interventions.
This document summarizes a study on communication among firefighters. It conducted interviews with 12 firefighters to understand strengths and weaknesses in communication between departments, other agencies, and the community. The study found a lack of formal communication training, though firefighters learn through mentorship and experience. While communication is strong, additional training could improve service. The history of firefighting is discussed, noting how the role has expanded beyond fires due to prevention advances. Improving communication remains important to prevent injuries and deaths during emergencies. The literature review discusses communication in crises and how first responders can continue enhancing coordination in chaotic situations.
This document is a thesis paper that examines different models of energy production in the US, Germany, and China. It argues that the US model, which emphasizes profit for oil companies, has failed to adequately transition to sustainable energy. Germany and China have had more success through different models - Germany by incentivizing small-scale solar projects, and China through large government infrastructure projects. The paper aims to determine which model best provides benefits to society by analyzing these systems through various political and economic lenses.
Reciprocity, Altruism, & Need-based Transfers as Potential Resilience Conferr...Keith G. Tidball
Kick-off talk for Disaster section of the Risk, Disasters, and Need-based Transfers Workshop hosted by the Human Generosity Project and the Decision Center for a Desert City, Arizona State University
1. The document examines how hydrometeorological/climatic (HMC) disasters and climate shocks impact the duration of civil conflicts.
2. Theoretically, natural disasters could shorten conflicts by reducing rebel resources and facilitating cooperation, or prolong conflicts by pulling government resources away from counterinsurgency and destroying infrastructure. Similarly, adverse climate could fuel grievances or reduce fighting resources.
3. An analysis finds that discrete HMC disasters like floods prolong conflicts, while drier conditions shorten conflicts, suggesting separate mechanisms may be at play. Further tests are proposed to better understand these findings.
Employee obsolescence and counterproductive work behaviour among employees of...Alexander Decker
The document discusses a study on employee obsolescence and counterproductive work behavior among employees of government organizations. The study aimed to examine the relationship between employee obsolescence and counterproductive work behaviors. 224 employees completed measures of professional obsolescence and counterproductive work behaviors. Results showed obsolete employees engaged in significantly more counterproductive behaviors compared to non-obsolete employees. The study suggests that as employees become obsolete due to lack of adaptation to changing skills demands, they are more likely to exhibit counterproductive work behaviors that harm their organizations and coworkers.
Developing social vulnerability index for newcastle extreme temperature riskAlex Nwoko
This vocational dissertation was undertaken in collaboration with Newcastle City Council. This study was aimed at developing a quantitative social vulnerability indices for assessing extreme temperature vulnerability in Newcastle. This report is expected to help in identifying localized community-level social vulnerability determinants for emergency planning and response. The first objective of this study was to determine the social indicators which could contribute to increased losses on well-being. First, drawing theoretical justification from the literature and consultation with experts at Newcastle City Council, an initial set of indicators was collected from census data for 910 Output Areas (OAs) in Newcastle. These datasets were used to quantify to what extent their availability or lack can contribute to an overall increase or decrease in vulnerability in different parts of Newcastle. The summary of social vulnerability proxies developed in this study is presented in Chapter 3.
The second part of the analysis combines statistics and GIS to compare the relationship between sensitivity, adaptive capacity and enhanced exposure sub-indices and their components. The result of this investigation indicates that there is a significant statistical relationship between sensitivity and adaptive capacity, and also between sensitivity and enhanced exposure. The spatial relationship was tested using Getis Ord Gi* hotspot analysis and Ripley's K statistic, which found a significant clustering of vulnerability driven by both “sensitivity”, “adaptive capacity” and “enhanced exposure”. This study has identified the most vulnerable output areas in Newcastle in these wards; Walker, Elswick, Jesmond, Newburn, and Gosforth. From these observations, this report advocates the inclusion of social indicators in vulnerability analysis to reveal the marginalized population otherwise not acknowledged.
Finally, a proximity assessment of health and emergency services was carried out to reveal the southern cluster of emergency facilities and inefficient coverage of ambulance services. The identified accessibility-deprived output areas are located in the wards on the Northern parts including; Woolsington, Parkland, Fawdon, East and West Gosforth, and Castle.
This report summarizes by noting that the new framework is only intended to inform the periodic review of emergency planning and response strategies in Newcastle, suggesting an adoption of spatially detailed data to improve quantitative understanding of the spatial distribution of extreme temperature-related social vulnerability. It finally recommends an improvement in institutional adaptive capacity to handle emergencies in Newcastle.
World of Hurt Global Respone to HIV AIDS Crisis UC Berkeley 2008Anne Cunniffe Marcy
This document provides an overview of the global HIV/AIDS crisis through a comparative study of Uganda and Haiti. It begins with background on HIV/AIDS, including what the virus is, how it causes AIDS, modes of transmission, and current global trends. It then discusses various theories for understanding the threat, including economic, cultural, behavioral, and human rights frameworks. The document surveys the epidemic's effects in Uganda and Haiti, their responses, and best practices. It concludes by examining global responses like the Global Fund and recommendations for further interventions.
This document summarizes a study on communication among firefighters. It conducted interviews with 12 firefighters to understand strengths and weaknesses in communication between departments, other agencies, and the community. The study found a lack of formal communication training, though firefighters learn through mentorship and experience. While communication is strong, additional training could improve service. The history of firefighting is discussed, noting how the role has expanded beyond fires due to prevention advances. Improving communication remains important to prevent injuries and deaths during emergencies. The literature review discusses communication in crises and how first responders can continue enhancing coordination in chaotic situations.
This document is a thesis paper that examines different models of energy production in the US, Germany, and China. It argues that the US model, which emphasizes profit for oil companies, has failed to adequately transition to sustainable energy. Germany and China have had more success through different models - Germany by incentivizing small-scale solar projects, and China through large government infrastructure projects. The paper aims to determine which model best provides benefits to society by analyzing these systems through various political and economic lenses.
Reciprocity, Altruism, & Need-based Transfers as Potential Resilience Conferr...Keith G. Tidball
Kick-off talk for Disaster section of the Risk, Disasters, and Need-based Transfers Workshop hosted by the Human Generosity Project and the Decision Center for a Desert City, Arizona State University
1. The document examines how hydrometeorological/climatic (HMC) disasters and climate shocks impact the duration of civil conflicts.
2. Theoretically, natural disasters could shorten conflicts by reducing rebel resources and facilitating cooperation, or prolong conflicts by pulling government resources away from counterinsurgency and destroying infrastructure. Similarly, adverse climate could fuel grievances or reduce fighting resources.
3. An analysis finds that discrete HMC disasters like floods prolong conflicts, while drier conditions shorten conflicts, suggesting separate mechanisms may be at play. Further tests are proposed to better understand these findings.
Employee obsolescence and counterproductive work behaviour among employees of...Alexander Decker
The document discusses a study on employee obsolescence and counterproductive work behavior among employees of government organizations. The study aimed to examine the relationship between employee obsolescence and counterproductive work behaviors. 224 employees completed measures of professional obsolescence and counterproductive work behaviors. Results showed obsolete employees engaged in significantly more counterproductive behaviors compared to non-obsolete employees. The study suggests that as employees become obsolete due to lack of adaptation to changing skills demands, they are more likely to exhibit counterproductive work behaviors that harm their organizations and coworkers.
An insight into counterproductive work behaviordeshwal852
This document discusses counterproductive work behavior (CWB) in organizations. It begins by defining CWB as behaviors that harm an organization or its members, such as theft, sabotage, and lying. The document then discusses how dissatisfied employees are more likely to engage in CWB as a form of protest. It provides two objectives: to get insight into organizational CWB and suggest measures to minimize it. Some suggested measures include developing an ethical organizational culture, effective employee selection processes, using integrity tests, and maintaining strong psychological contracts between employees and employers. The document concludes that negative behaviors at work have negative consequences for both employees and organizations.
The document provides tips for maintaining civility and good manners in the workplace. It discusses best practices for communicating effectively via email, voicemail, telephone and in-person. Specific recommendations include writing formal emails, leaving detailed voicemail messages, properly transferring calls, and demonstrating polite behavior like saying please, thank you and smiling. The overall message is that practicing courtesy and consideration can create a better work environment and quality of life.
Workplace incivility is behavior that violates norms of mutual respect, reducing cooperation and motivation. It is often ambiguous and difficult to detect. Studies show incivility leads to decreased work efforts, calling in sick, reduced productivity and commitment, and employees quitting. Incivility is often not reported due to fears of reprisal. Left unaddressed, incivility can escalate into an ongoing cycle. Both men and women can be instigators. Factors include blurred behavioral lines, stress, and protected positions. Creating a culture of civility through clear expectations, leadership, and addressing uncivil behavior can improve cooperation, productivity and teamwork.
This document discusses workplace incivility, including its definition, forms, costs, and ways for leaders to address it. Specifically, it defines incivility as low-intensity disrespectful behaviors that violate workplace norms. Examples include rude comments, failing to give credit, and social isolation. The costs of incivility include decreased work effort, quality and time from employees as well as increased turnover. The document recommends that leaders model good behavior, teach and reward civility, and create a culture that promotes respect across cultures to address incivility.
This document discusses workplace civility and incivility. It defines civility and incivility, explores their impacts on productivity and employee well-being, and provides tips for organizations to build a culture of civility. Specifically, it defines incivility as low-intensity deviant behavior that can harm others. Research shows incivility reduces work effort, time and quality while increasing stress. Organizations are encouraged to assess civility levels, train employees, and lead by example to enhance respect and prevent uncivil conduct. Examples of successful civility programs are also provided.
University of Maryland Presentation on CivilityRay Williams
The document discusses the rise of incivility and bullying in various contexts such as the workplace, public discourse, and news/politics. It defines incivility as disrespectful words or actions that violate social norms. The document notes that incivility costs American businesses an estimated $300 billion annually and has negative impacts such as increased workloads, longer hours, and absenteeism. Some causes of incivility mentioned include lack of security, restraint, self-esteem, as well as anger and mental health issues. Suggested solutions include workplace policies, teaching respect in schools, and taking personal responsibility.
This project was the final project for the Marketing Management 2 course at McGill university. We represented team MAC, and "battled" against team Make Up Forever, a competing cosmetics brand. This project resulted in our team winning the battle, as well as top marks in the class.
This dissertation examined the structures of regional health care coalitions in 2011 to assess coordination for emergency preparedness and response. The study analyzed data from a survey of 375 hospitals regarding their coalition's composition and activities. Results showed that coalitions with more stakeholder disciplines conducted more activities, supporting roles and responsibilities. Community setting and prior disasters did not influence activities. Findings provide insight into coalition structures and may guide policy to strengthen coordinated health care systems, promoting social change through improved disaster response.
Nurses' self-reported self-assessment of bioterrorism events was studied. A literature review found that while improvements have been made in disaster preparedness since 2001, more training is still needed. A survey of nurses at a Midwest teaching hospital assessed familiarity with emergency preparedness terms and activities. Results showed nurses reported moderate to low familiarity with bioterrorism topics. Demographic factors like specialty, experience, and age were examined for any influence on self-assessment. The study aimed to determine nurses' preparedness for catastrophic health events like bioterrorism attacks.
The dissertation analyzes recurring civil conflicts in Africa between 1989-2014 to evaluate the impact of state characteristics, peace operations, and foreign aid on conflict patterns. Econometric analysis and dynamic systems modeling are combined with a case study of Somalia. Key findings are that observed conflict patterns scale from micro to macro levels and are strongly correlated with state characteristics proxying for conflict-balancing mechanisms, but weakly correlated with UN/regional peace operations and humanitarian aid. Policy implications suggest interventions need to simultaneously increase transparency, promote inclusivity, and empower local involvement at multiple levels to reduce conflict persistence.
This is due within 30 hoursIntegrating Literacy ArticleGrazynaBroyles24
***This is due within 30 hours****
Integrating Literacy Article
Literacy is an area that crosses all content curriculum. Without mastery of reading and writing skills, many students will struggle to learn and demonstrate understanding in other content areas. It is important for teachers in all content areas to consistently integrate literacy skills into their curriculum, as well as assess them regularly to support the learning of every student.
As the department lead, your principal has asked you to write an article for the monthly district newsletter explaining the importance of integrating literacy into all classes and content areas.
The 500-750 word article must include the following:
· An engaging title and author byline
· Definition of interdisciplinary literacy and fluency in contemporary education
· Overview of three key theories related to reading and writing processes and development across content areas
· Explanation of how cross-disciplinary instruction supports the historically shared knowledge base of literacy in all content areas
Support your findings with a minimum of 3-5 scholarly resources.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.
Submit Manuscript | http://medcraveonline.com
Abbreviations: UN, united nations; WHO, world health
organization; PAHO, pan american health organization; UNICEF,
united nations international children’s emergency fund
Introduction
The family has been, is and will be the main social institution
par excellence, the social niche within which bonds of affection are
woven between the members that comprise it. It is therefore an issue
that is of interest to all: society, governments, major international
organizations and individuals in particular. The great events and world
changes are directly and indirectly influencing family processes, to the
point of presenting the so-called “family mutation”, which consists
of the changes that occur within each family and alter the structural
harmony, functional and evolutionary development of the family life
cycle. It is for this reason that addressing the family and family health
from an integral perspective is an arduous task that would require
a much more thorough, exhaustive and detailed review, in order to
show a more complete and complex picture of the situation. However,
it would be interesting to reflect on better ways of caring for the
family, simply by changing the care approach with which families are
intervened and studied.
The purpose of the present paper is to highlight the importance
and recognition that the f ...
Why do you believe CCOM would provide you with the type of osteopa.docxphilipnelson29183
Why do you believe CCOM would provide you with the type of osteopathic medical education you are seeking? (1500 characters)
According to Dr. Goeppinger, if healthcare is my calling, Midwestern University is my home. I am certain that Chicago College of Osteopathic Medicine will provide me with precisely the type of osteopathic medical education I seek because of its dedication to fostering innovation in medicine and teaching and success producing primary care doctors of integrity. I especially look forward to bridging traditional classroom learning and real-life clinical experience at the Clinical Skills and Simulation Center. The center will serve as a place to master medical procedures and collaborate closely with peers from other disciplines. In addition, attending CCOM would grant me the opportunity to contribute to the development of a dynamic institution through research and further my quest to provide excellent primary care. My motivation to pursue general medicine stems from the declining number of primary care physicians. This motivation is reinforced by witnessing poverty and lack of care both in my hometown and while serving San Francisco General Hospital’s disadvantaged patient population. Doctors under increasing pressure to see more patients can only result in less accurate diagnoses, lower quality treatment plans and less time for doctors to make a human connection with their patients. Earning the opportunity to study at CCOM will allow me to accomplish our shared objectives of making deep connections with our patients and exemplify the “Midwestern difference”.
Why should CCOM accept you into this year’s class? (1500 characters)
Chicago College of Osteopathic medicine should accept me into this year’s class for my demonstrated commitment to osteopathic medicine and cultural diversity and perspective I will bring to the program. I came out to my family 10 months ago and I was forced to abruptly uproot myself to Seattle, Washington in order to live my truth. I am an Armenian Christian female who identifies as a lesbian. Navigating towards a career in medicine from a disadvantaged background was incredibly challenging yet rewarding. Being an active member of cultures that have been historically oppressed instilled an appreciation for hard work and commitment to reaching my goals. Despite these recent financial and emotional set-backs, my determination to pursue osteopathic medicine was reaffirmed. My fearlessness and ability to rebuild and progress regardless of external circumstances will make me an excellent candidate.
Upload a copy of your resume or curriculum vitae, which will include, but not be limited to the following information:
· Educational History (colleges attended and degrees earned)
· Employment History
· Medically related work and volunteer experiences
· College extracurricular activities, honors, and leadership responsibilities
· Community activities, honors, and leadership responsibilities
· Hobbi.
RESEARCH ARTICLEEvaluating implementation of a fire-pr.docxronak56
RESEARCH ARTICLE
Evaluating implementation of a fire-
prevention injury prevention briefing in
children’s centres: Cluster randomised
controlled trial
Toity Deave
1
, Adrian Hawkins
2
, Arun Kumar
3
, Mike Hayes
4
, Nicola Cooper
5
,
Michael Watson
6
, Joanne Ablewhite
3
, Carol Coupland
3
, Alex Sutton
5
, Gosia Majsak-
Newman
7
, Lisa McDaid
8
, Trudy Goodenough
1
, Kate Beckett
9
, Elaine McColl
2,10
,
Richard Reading
11
, Denise Kendrick
3*
1 Centre for Child & Adolescent Health, Health & Applied Sciences, University of the West of England Bristol,
Bristol, United Kingdom, 2 Institute of Health & Society, Baddiley-Clark Building, Newcastle University,
Newcastle upon Tyne, United Kingdom, 3 Division of Primary Care, School of Medicine, University of
Nottingham, Nottingham, United Kingdom, 4 Child Accident Prevention Trust, Barnet, London, United
Kingdom, 5 Department of Health Sciences, University of Leicester, Leicester, United Kingdom, 6 Faculty of
Medicine and Health Sciences, School of Health Sciences, University of Nottingham, Nottingham, United
Kingdom, 7 Norfolk and Suffolk Primary and Community Care Research Office, Hosted by South Norfolk
CCG, Norwich, United Kingdom, 8 Norfolk and Norwich University Hospital, NHS Clinical Research and
Trials Unit, Norwich Medical School, University of East Anglia, Norwich, United Kingdom, 9 University of the
West of England, Research and Innovation, University Hospitals Bristol NHS Foundation Trust, Education
Centre, Bristol, United Kingdom, 10 Newcastle Clinical Trials Unit, Newcastle University, Newcastle upon
Tyne, United Kingdom, 11 Jenny Lind Paediatric Department, Norfolk and Norwich University Hospital,
Norwich, United Kingdom
* [email protected]
Abstract
Background
Many developed countries have high mortality rates for fire-related deaths in children aged
0–14 years with steep social gradients. Evidence-based interventions to promote fire safety
practices exist, but the impact of implementing a range of these interventions in children’s
services has not been assessed. We developed an Injury Prevention Briefing (IPB), which
brought together evidence about effective fire safety interventions and good practice in
delivering interventions; plus training and facilitation to support its use and evaluated its
implementation.
Methods
We conducted a cluster randomised controlled trial, with integrated qualitative and cost-
effectiveness nested studies, across four study sites in England involving children’s centres
in disadvantaged areas; participants were staff and families attending those centres. Cen-
tres were stratified by study site and randomised within strata to one of three arms: IPB plus
facilitation (IPB+), IPB only, usual care. IPB+ centres received initial training and facilitation
at months 1, 3, and 8. Baseline data from children’s centres were collected between August
PLOS ONE | https://doi.org/10.1371/journal.pone.0172584 March 24, ...
Please create a response blog to my classmate! APA format is requi.docxstilliegeorgiana
Please create a response blog to my classmate! APA format is required
Question Number 1.
Review the 10 essential public health services
The ten essential public health services serve as a guideline for public health nurses to follow when caring for their community. The public health services focus on the need of health problem education, developing local policies, implementing laws, creating relationships among the community, and evaluating the communities’ health status.
How do managed care organizations benefit from having a public health nurse on staff?
After reviewing the textbook, and the essential public health services and selected nursing activities, I was amazed to learn about the roles and responsibilities of a public health nurse. There are many different benefits to having a public health nurse as part of staffing such as being able to monitor and identify different health issues and illnesses in the community, tracking and studying the public population and health conditions, providing insight from a community standpoint regarding acute health issues, and being able to provide numerous resources to staff and patients regarding health prevention and disease management topics.
Public health nurses are professionals in research and they understand the importance of evidence based practice. They utilize evidence-based research to help protect the health in the community and to also strengthen the health of the public. According to Weum, Bragstad, and Glavin (2018),“public health nurses’ rank their sources of knowledge, it showed that the four most frequently used sources were national plans and guidelines, knowledge acquired while training as a public health nurse, personal experience, and guidelines and procedures issued by their local authorities” (p. 8). Public health nurses focus more on the prevention of diseases and incidents rather than on the care that is required after diseases and incidents occur (Anderson and McFarlane, 2015). According to Teodorowski, Cable, Kilburn, and Kennedy (2019), “community nurses are expected to deliver evidence-based practice, which is challenging given the diversity and breadth of the evidence base from which they can draw” (p. 370). Due to today’s increase in patient access to online health information, it is important for public health nurses to retrieve their information from evidenced-based sources such as the Centers of Disease Control and Prevention and World Health Organization websites.
How could population-based community nursing help prevent these problems – death, disease, or injury?
Community nursing is able to help prevent all three of these topics. These nurses are able to be a resource and also track and educate the community on communicable and sexually transmitted diseases, the importance of wellness checks, and disease prevention. As stated in the previous question, public health nurses focus on prevention. A way to prevent disease would ...
Paragraph Skills (BSN).pdf english subjectHiraKhan218459
Oral health has been recognized as a fundamental human right, yet more than 50% of the world's population lacks access to affordable oral healthcare. Factors such as lack of providers and facilities, geographic barriers, and costs result in poor oral health, which disproportionately affects low-income individuals, seniors, indigenous peoples, and those in rural areas. Poor oral health can also stem from cultural, linguistic, educational, and literacy barriers.
Essays On College Life. Quotes For A College Essay. QuotesGramTamara Jackson
30 College Essay Examples MS Word, PDF Examples. College Essay - 100 Examples, Format, Pdf Examples. School Life and College Life - PHDessay.com. 24 Greatest College Essay Examples RedlineSP. Campus life essay. Guide to A Happy Campus Life Free Essay Example .... Importance of College Education Essay Essay on Importance of College .... Admission essay: Being a college student essay. 10 Excellent Essays On College Life For Students Memories - 2023 . College Days Essay Essay on College Days for Students and Children in .... College Life Essay College Experience Essay For Students. college essay examples pdf. My college life paragraph. Paragraph on Memorable Day of My College .... FREE 11 College Essay Samples in MS Word PDF. 010 Importance Of College Life Essay Essays On Why Is Attending .... ️ Example essay about yourself for college. Describe Yourself Essay .... Life essay examples. A Short Essay on Life Essay Example for Free .... 007 Essay Example College Life 10008 Thumb Thatsnotus. English Essay on College Life College life essay, College life, Essay. 013 Essay Example College Thatsnotus. Business paper: Essay about college life. College life essay. My College Life Essay. 2022-10-26. ️ Sample college admission essays about yourself. Examples of college .... College life essay. First Impression from the Beginning of College .... Examples of successful college application essays. Common App Essays .... College life essay - College Homework Help and Online Tutoring.. My college life essay - dissertationmotivation.x.fc2.com. College Life in the United States and Saudi Arabia Essay Example .... Life of a student Essay Essay, Student, Student life. College admission essay samples free. Essays That Worked. 2019-03-07. Quotes For A College Essay. QuotesGram. Essay on the university life. College Essay Help. Magnificent College Life Essay Thatsnotus. Essay on College Life for Students in English 500 Words Essay Essays On College Life Essays On College Life. Quotes For A College Essay. QuotesGram
The document discusses a research proposal to explore the knowledge that family members of patients admitted to hospice palliative care have, and whether providing an educational meeting can improve that knowledge. The research question asks if implementing an educational meeting improves relatives' knowledge of the importance and scope of palliative care management and treatment. A literature review found that family caregivers often lack knowledge about palliative care and symptoms, and educational interventions have been shown to increase knowledge and improve perceptions of palliative care. The proposal aims to identify current family member knowledge and establish if education meetings can improve their understanding of palliative care.
"Integrated end of life care: the role of social services" by Roberto Nuño-So...Gorka Espiau
This editorial discusses the role of social services in integrated end-of-life care. It notes that most people in industrialized countries will die from chronic diseases and that end-of-life care is often fragmented and uncoordinated. It advocates for more home-based and palliative care models that address patients' broader needs and preferences. The editorial highlights a social innovation project in the Basque Country called SAIATU that provides 24/7 social and companionship services to support families at end of life. This integrated model has achieved reductions in health care utilization of around €8,000 per case by filling gaps between standard health and social services. The editorial argues that palliative care should be more holistic and include social
Nyu Application Essay Prompt. Nyu Essay Help , How to Tackle the Why NYU Essa...Melissa Chastain
Writing An Essay For College Application Nyu - How to Tackle the Why .... NYU Admission/Application Essay Example | Topics and Well Written .... Nyu polytech admission essay topic/prompt. seamo-official.org. 016 Essay Example Common Application Prompts Nyu Question Supplement .... Critical Essay: Nyu entrance essay. College Essay for NYU - YouTube. 002 Nyu Response 14 Page 1 Essay Example ~ Thatsnotus. Nyu Essay Help , How to Tackle the Why NYU Essay Prompt (with Examples!). 003 Essay Example Nyu Prompt Application Question Mba Admission .... 023 Nyu Essay Prompt Example Stern ~ Thatsnotus. 2020-2021 NYU Stern Essay Analysis + Downloadable Sample Essays - Ellin .... 019 Why Nyu Essay Sample Example College Transfer ~ Thatsnotus. Business Paper: Nyu essay prompt. College Application Essay Service Nyu - nyu essay prompt 2021. 006 Law School Application Essay Good Personal Statement Example Nyu .... Writing paper: Nyu essay prompt. Why NYU Essay: Best Guide to Write NYU Application Essay. Admission to NYU /Application Essay Example | Topics and Well Written .... 021 Nyu Essay Prompt Help Application Question Questions College .... Scholarship essay: Nyu essay prompts. Nyu Applicant Essay. ️ Essay prompt examples. How to Tackle the Why NYU Essay Prompt (with .... How to Write the NYU Supplemental Essays | Prompts + Examples Nyu Application Essay Prompt
001 Introductory Paragraph Examples For Essays Essay Example ThatsnotusBeth Johnson
The document provides instructions for requesting essay writing help from HelpWriting.net. It outlines a 5-step process: 1) Create an account with valid email and password. 2) Complete a 10-minute order form providing instructions, sources, and deadline. 3) Review bids from writers and choose one based on qualifications. 4) Review the completed paper and authorize payment if pleased. 5) Request revisions until fully satisfied, with the option of a full refund for plagiarized work.
This document evaluates the surveillance components of national and state pandemic preparedness plans based on criteria from the WHO Checklist for Influenza Pandemic Preparedness Planning. Thirty-six national and forty-nine state plans were reviewed. While some plans were more thorough than others, the evaluation found that all plans could benefit from additional surveillance planning. Surveillance will play a key role in pandemic response by identifying cases, characterizing viruses, tracking spread, and monitoring health impacts.
Essay on Global Terrorism | Global Terrorism Essay for Students and .... Terrorism Essay for Students & Children | 500+ Words Essay on Terrosim. Sample essay on terrorism.
An insight into counterproductive work behaviordeshwal852
This document discusses counterproductive work behavior (CWB) in organizations. It begins by defining CWB as behaviors that harm an organization or its members, such as theft, sabotage, and lying. The document then discusses how dissatisfied employees are more likely to engage in CWB as a form of protest. It provides two objectives: to get insight into organizational CWB and suggest measures to minimize it. Some suggested measures include developing an ethical organizational culture, effective employee selection processes, using integrity tests, and maintaining strong psychological contracts between employees and employers. The document concludes that negative behaviors at work have negative consequences for both employees and organizations.
The document provides tips for maintaining civility and good manners in the workplace. It discusses best practices for communicating effectively via email, voicemail, telephone and in-person. Specific recommendations include writing formal emails, leaving detailed voicemail messages, properly transferring calls, and demonstrating polite behavior like saying please, thank you and smiling. The overall message is that practicing courtesy and consideration can create a better work environment and quality of life.
Workplace incivility is behavior that violates norms of mutual respect, reducing cooperation and motivation. It is often ambiguous and difficult to detect. Studies show incivility leads to decreased work efforts, calling in sick, reduced productivity and commitment, and employees quitting. Incivility is often not reported due to fears of reprisal. Left unaddressed, incivility can escalate into an ongoing cycle. Both men and women can be instigators. Factors include blurred behavioral lines, stress, and protected positions. Creating a culture of civility through clear expectations, leadership, and addressing uncivil behavior can improve cooperation, productivity and teamwork.
This document discusses workplace incivility, including its definition, forms, costs, and ways for leaders to address it. Specifically, it defines incivility as low-intensity disrespectful behaviors that violate workplace norms. Examples include rude comments, failing to give credit, and social isolation. The costs of incivility include decreased work effort, quality and time from employees as well as increased turnover. The document recommends that leaders model good behavior, teach and reward civility, and create a culture that promotes respect across cultures to address incivility.
This document discusses workplace civility and incivility. It defines civility and incivility, explores their impacts on productivity and employee well-being, and provides tips for organizations to build a culture of civility. Specifically, it defines incivility as low-intensity deviant behavior that can harm others. Research shows incivility reduces work effort, time and quality while increasing stress. Organizations are encouraged to assess civility levels, train employees, and lead by example to enhance respect and prevent uncivil conduct. Examples of successful civility programs are also provided.
University of Maryland Presentation on CivilityRay Williams
The document discusses the rise of incivility and bullying in various contexts such as the workplace, public discourse, and news/politics. It defines incivility as disrespectful words or actions that violate social norms. The document notes that incivility costs American businesses an estimated $300 billion annually and has negative impacts such as increased workloads, longer hours, and absenteeism. Some causes of incivility mentioned include lack of security, restraint, self-esteem, as well as anger and mental health issues. Suggested solutions include workplace policies, teaching respect in schools, and taking personal responsibility.
This project was the final project for the Marketing Management 2 course at McGill university. We represented team MAC, and "battled" against team Make Up Forever, a competing cosmetics brand. This project resulted in our team winning the battle, as well as top marks in the class.
This dissertation examined the structures of regional health care coalitions in 2011 to assess coordination for emergency preparedness and response. The study analyzed data from a survey of 375 hospitals regarding their coalition's composition and activities. Results showed that coalitions with more stakeholder disciplines conducted more activities, supporting roles and responsibilities. Community setting and prior disasters did not influence activities. Findings provide insight into coalition structures and may guide policy to strengthen coordinated health care systems, promoting social change through improved disaster response.
Nurses' self-reported self-assessment of bioterrorism events was studied. A literature review found that while improvements have been made in disaster preparedness since 2001, more training is still needed. A survey of nurses at a Midwest teaching hospital assessed familiarity with emergency preparedness terms and activities. Results showed nurses reported moderate to low familiarity with bioterrorism topics. Demographic factors like specialty, experience, and age were examined for any influence on self-assessment. The study aimed to determine nurses' preparedness for catastrophic health events like bioterrorism attacks.
The dissertation analyzes recurring civil conflicts in Africa between 1989-2014 to evaluate the impact of state characteristics, peace operations, and foreign aid on conflict patterns. Econometric analysis and dynamic systems modeling are combined with a case study of Somalia. Key findings are that observed conflict patterns scale from micro to macro levels and are strongly correlated with state characteristics proxying for conflict-balancing mechanisms, but weakly correlated with UN/regional peace operations and humanitarian aid. Policy implications suggest interventions need to simultaneously increase transparency, promote inclusivity, and empower local involvement at multiple levels to reduce conflict persistence.
This is due within 30 hoursIntegrating Literacy ArticleGrazynaBroyles24
***This is due within 30 hours****
Integrating Literacy Article
Literacy is an area that crosses all content curriculum. Without mastery of reading and writing skills, many students will struggle to learn and demonstrate understanding in other content areas. It is important for teachers in all content areas to consistently integrate literacy skills into their curriculum, as well as assess them regularly to support the learning of every student.
As the department lead, your principal has asked you to write an article for the monthly district newsletter explaining the importance of integrating literacy into all classes and content areas.
The 500-750 word article must include the following:
· An engaging title and author byline
· Definition of interdisciplinary literacy and fluency in contemporary education
· Overview of three key theories related to reading and writing processes and development across content areas
· Explanation of how cross-disciplinary instruction supports the historically shared knowledge base of literacy in all content areas
Support your findings with a minimum of 3-5 scholarly resources.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.
Submit Manuscript | http://medcraveonline.com
Abbreviations: UN, united nations; WHO, world health
organization; PAHO, pan american health organization; UNICEF,
united nations international children’s emergency fund
Introduction
The family has been, is and will be the main social institution
par excellence, the social niche within which bonds of affection are
woven between the members that comprise it. It is therefore an issue
that is of interest to all: society, governments, major international
organizations and individuals in particular. The great events and world
changes are directly and indirectly influencing family processes, to the
point of presenting the so-called “family mutation”, which consists
of the changes that occur within each family and alter the structural
harmony, functional and evolutionary development of the family life
cycle. It is for this reason that addressing the family and family health
from an integral perspective is an arduous task that would require
a much more thorough, exhaustive and detailed review, in order to
show a more complete and complex picture of the situation. However,
it would be interesting to reflect on better ways of caring for the
family, simply by changing the care approach with which families are
intervened and studied.
The purpose of the present paper is to highlight the importance
and recognition that the f ...
Why do you believe CCOM would provide you with the type of osteopa.docxphilipnelson29183
Why do you believe CCOM would provide you with the type of osteopathic medical education you are seeking? (1500 characters)
According to Dr. Goeppinger, if healthcare is my calling, Midwestern University is my home. I am certain that Chicago College of Osteopathic Medicine will provide me with precisely the type of osteopathic medical education I seek because of its dedication to fostering innovation in medicine and teaching and success producing primary care doctors of integrity. I especially look forward to bridging traditional classroom learning and real-life clinical experience at the Clinical Skills and Simulation Center. The center will serve as a place to master medical procedures and collaborate closely with peers from other disciplines. In addition, attending CCOM would grant me the opportunity to contribute to the development of a dynamic institution through research and further my quest to provide excellent primary care. My motivation to pursue general medicine stems from the declining number of primary care physicians. This motivation is reinforced by witnessing poverty and lack of care both in my hometown and while serving San Francisco General Hospital’s disadvantaged patient population. Doctors under increasing pressure to see more patients can only result in less accurate diagnoses, lower quality treatment plans and less time for doctors to make a human connection with their patients. Earning the opportunity to study at CCOM will allow me to accomplish our shared objectives of making deep connections with our patients and exemplify the “Midwestern difference”.
Why should CCOM accept you into this year’s class? (1500 characters)
Chicago College of Osteopathic medicine should accept me into this year’s class for my demonstrated commitment to osteopathic medicine and cultural diversity and perspective I will bring to the program. I came out to my family 10 months ago and I was forced to abruptly uproot myself to Seattle, Washington in order to live my truth. I am an Armenian Christian female who identifies as a lesbian. Navigating towards a career in medicine from a disadvantaged background was incredibly challenging yet rewarding. Being an active member of cultures that have been historically oppressed instilled an appreciation for hard work and commitment to reaching my goals. Despite these recent financial and emotional set-backs, my determination to pursue osteopathic medicine was reaffirmed. My fearlessness and ability to rebuild and progress regardless of external circumstances will make me an excellent candidate.
Upload a copy of your resume or curriculum vitae, which will include, but not be limited to the following information:
· Educational History (colleges attended and degrees earned)
· Employment History
· Medically related work and volunteer experiences
· College extracurricular activities, honors, and leadership responsibilities
· Community activities, honors, and leadership responsibilities
· Hobbi.
RESEARCH ARTICLEEvaluating implementation of a fire-pr.docxronak56
RESEARCH ARTICLE
Evaluating implementation of a fire-
prevention injury prevention briefing in
children’s centres: Cluster randomised
controlled trial
Toity Deave
1
, Adrian Hawkins
2
, Arun Kumar
3
, Mike Hayes
4
, Nicola Cooper
5
,
Michael Watson
6
, Joanne Ablewhite
3
, Carol Coupland
3
, Alex Sutton
5
, Gosia Majsak-
Newman
7
, Lisa McDaid
8
, Trudy Goodenough
1
, Kate Beckett
9
, Elaine McColl
2,10
,
Richard Reading
11
, Denise Kendrick
3*
1 Centre for Child & Adolescent Health, Health & Applied Sciences, University of the West of England Bristol,
Bristol, United Kingdom, 2 Institute of Health & Society, Baddiley-Clark Building, Newcastle University,
Newcastle upon Tyne, United Kingdom, 3 Division of Primary Care, School of Medicine, University of
Nottingham, Nottingham, United Kingdom, 4 Child Accident Prevention Trust, Barnet, London, United
Kingdom, 5 Department of Health Sciences, University of Leicester, Leicester, United Kingdom, 6 Faculty of
Medicine and Health Sciences, School of Health Sciences, University of Nottingham, Nottingham, United
Kingdom, 7 Norfolk and Suffolk Primary and Community Care Research Office, Hosted by South Norfolk
CCG, Norwich, United Kingdom, 8 Norfolk and Norwich University Hospital, NHS Clinical Research and
Trials Unit, Norwich Medical School, University of East Anglia, Norwich, United Kingdom, 9 University of the
West of England, Research and Innovation, University Hospitals Bristol NHS Foundation Trust, Education
Centre, Bristol, United Kingdom, 10 Newcastle Clinical Trials Unit, Newcastle University, Newcastle upon
Tyne, United Kingdom, 11 Jenny Lind Paediatric Department, Norfolk and Norwich University Hospital,
Norwich, United Kingdom
* [email protected]
Abstract
Background
Many developed countries have high mortality rates for fire-related deaths in children aged
0–14 years with steep social gradients. Evidence-based interventions to promote fire safety
practices exist, but the impact of implementing a range of these interventions in children’s
services has not been assessed. We developed an Injury Prevention Briefing (IPB), which
brought together evidence about effective fire safety interventions and good practice in
delivering interventions; plus training and facilitation to support its use and evaluated its
implementation.
Methods
We conducted a cluster randomised controlled trial, with integrated qualitative and cost-
effectiveness nested studies, across four study sites in England involving children’s centres
in disadvantaged areas; participants were staff and families attending those centres. Cen-
tres were stratified by study site and randomised within strata to one of three arms: IPB plus
facilitation (IPB+), IPB only, usual care. IPB+ centres received initial training and facilitation
at months 1, 3, and 8. Baseline data from children’s centres were collected between August
PLOS ONE | https://doi.org/10.1371/journal.pone.0172584 March 24, ...
Please create a response blog to my classmate! APA format is requi.docxstilliegeorgiana
Please create a response blog to my classmate! APA format is required
Question Number 1.
Review the 10 essential public health services
The ten essential public health services serve as a guideline for public health nurses to follow when caring for their community. The public health services focus on the need of health problem education, developing local policies, implementing laws, creating relationships among the community, and evaluating the communities’ health status.
How do managed care organizations benefit from having a public health nurse on staff?
After reviewing the textbook, and the essential public health services and selected nursing activities, I was amazed to learn about the roles and responsibilities of a public health nurse. There are many different benefits to having a public health nurse as part of staffing such as being able to monitor and identify different health issues and illnesses in the community, tracking and studying the public population and health conditions, providing insight from a community standpoint regarding acute health issues, and being able to provide numerous resources to staff and patients regarding health prevention and disease management topics.
Public health nurses are professionals in research and they understand the importance of evidence based practice. They utilize evidence-based research to help protect the health in the community and to also strengthen the health of the public. According to Weum, Bragstad, and Glavin (2018),“public health nurses’ rank their sources of knowledge, it showed that the four most frequently used sources were national plans and guidelines, knowledge acquired while training as a public health nurse, personal experience, and guidelines and procedures issued by their local authorities” (p. 8). Public health nurses focus more on the prevention of diseases and incidents rather than on the care that is required after diseases and incidents occur (Anderson and McFarlane, 2015). According to Teodorowski, Cable, Kilburn, and Kennedy (2019), “community nurses are expected to deliver evidence-based practice, which is challenging given the diversity and breadth of the evidence base from which they can draw” (p. 370). Due to today’s increase in patient access to online health information, it is important for public health nurses to retrieve their information from evidenced-based sources such as the Centers of Disease Control and Prevention and World Health Organization websites.
How could population-based community nursing help prevent these problems – death, disease, or injury?
Community nursing is able to help prevent all three of these topics. These nurses are able to be a resource and also track and educate the community on communicable and sexually transmitted diseases, the importance of wellness checks, and disease prevention. As stated in the previous question, public health nurses focus on prevention. A way to prevent disease would ...
Paragraph Skills (BSN).pdf english subjectHiraKhan218459
Oral health has been recognized as a fundamental human right, yet more than 50% of the world's population lacks access to affordable oral healthcare. Factors such as lack of providers and facilities, geographic barriers, and costs result in poor oral health, which disproportionately affects low-income individuals, seniors, indigenous peoples, and those in rural areas. Poor oral health can also stem from cultural, linguistic, educational, and literacy barriers.
Essays On College Life. Quotes For A College Essay. QuotesGramTamara Jackson
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The document discusses a research proposal to explore the knowledge that family members of patients admitted to hospice palliative care have, and whether providing an educational meeting can improve that knowledge. The research question asks if implementing an educational meeting improves relatives' knowledge of the importance and scope of palliative care management and treatment. A literature review found that family caregivers often lack knowledge about palliative care and symptoms, and educational interventions have been shown to increase knowledge and improve perceptions of palliative care. The proposal aims to identify current family member knowledge and establish if education meetings can improve their understanding of palliative care.
"Integrated end of life care: the role of social services" by Roberto Nuño-So...Gorka Espiau
This editorial discusses the role of social services in integrated end-of-life care. It notes that most people in industrialized countries will die from chronic diseases and that end-of-life care is often fragmented and uncoordinated. It advocates for more home-based and palliative care models that address patients' broader needs and preferences. The editorial highlights a social innovation project in the Basque Country called SAIATU that provides 24/7 social and companionship services to support families at end of life. This integrated model has achieved reductions in health care utilization of around €8,000 per case by filling gaps between standard health and social services. The editorial argues that palliative care should be more holistic and include social
Nyu Application Essay Prompt. Nyu Essay Help , How to Tackle the Why NYU Essa...Melissa Chastain
Writing An Essay For College Application Nyu - How to Tackle the Why .... NYU Admission/Application Essay Example | Topics and Well Written .... Nyu polytech admission essay topic/prompt. seamo-official.org. 016 Essay Example Common Application Prompts Nyu Question Supplement .... Critical Essay: Nyu entrance essay. College Essay for NYU - YouTube. 002 Nyu Response 14 Page 1 Essay Example ~ Thatsnotus. Nyu Essay Help , How to Tackle the Why NYU Essay Prompt (with Examples!). 003 Essay Example Nyu Prompt Application Question Mba Admission .... 023 Nyu Essay Prompt Example Stern ~ Thatsnotus. 2020-2021 NYU Stern Essay Analysis + Downloadable Sample Essays - Ellin .... 019 Why Nyu Essay Sample Example College Transfer ~ Thatsnotus. Business Paper: Nyu essay prompt. College Application Essay Service Nyu - nyu essay prompt 2021. 006 Law School Application Essay Good Personal Statement Example Nyu .... Writing paper: Nyu essay prompt. Why NYU Essay: Best Guide to Write NYU Application Essay. Admission to NYU /Application Essay Example | Topics and Well Written .... 021 Nyu Essay Prompt Help Application Question Questions College .... Scholarship essay: Nyu essay prompts. Nyu Applicant Essay. ️ Essay prompt examples. How to Tackle the Why NYU Essay Prompt (with .... How to Write the NYU Supplemental Essays | Prompts + Examples Nyu Application Essay Prompt
001 Introductory Paragraph Examples For Essays Essay Example ThatsnotusBeth Johnson
The document provides instructions for requesting essay writing help from HelpWriting.net. It outlines a 5-step process: 1) Create an account with valid email and password. 2) Complete a 10-minute order form providing instructions, sources, and deadline. 3) Review bids from writers and choose one based on qualifications. 4) Review the completed paper and authorize payment if pleased. 5) Request revisions until fully satisfied, with the option of a full refund for plagiarized work.
This document evaluates the surveillance components of national and state pandemic preparedness plans based on criteria from the WHO Checklist for Influenza Pandemic Preparedness Planning. Thirty-six national and forty-nine state plans were reviewed. While some plans were more thorough than others, the evaluation found that all plans could benefit from additional surveillance planning. Surveillance will play a key role in pandemic response by identifying cases, characterizing viruses, tracking spread, and monitoring health impacts.
Essay on Global Terrorism | Global Terrorism Essay for Students and .... Terrorism Essay for Students & Children | 500+ Words Essay on Terrosim. Sample essay on terrorism.
World War 1 Essay Topics. World War 1 amp; 2 Essay Example Topics and Well W...Dawn Tucker
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Community engagement is the collaboration between individuals fromLynellBull52
Community engagement is the collaboration between individuals from the community, hospitals, and stakeholder organizations to identify and address community health-related issues and promote well-being to achieve improved health impacts and outcomes. It engages the community to attain sustainable and long-term relationships, decision-making, implementation, or results. Community engagement is essential in nursing practice as it helps nurses understand the community they serve, including specific health issues affecting them, their root causes, and the resources and assets available to address these issues. The paper will discuss the most effective levels of engagement that nurses can provide to the community.
Levels of Engagement that Nurses can Provide the Community
There are five levels of engagement a nurse can provide the community, which include sharing information, consulting, collaborating, and empowering the community. The first level involves a two-way process involving nurses providing the community with health information, for instance, educating them on the health issues affecting the community and other new health resources and programs available for the community and how they can access them. Also, by sharing information, nurses can identify health issues affecting the community and other health needs for effective planning and intervention. The second level involves consultation and the community in health-related decisions and plans. In these levels, nurses seek and consider the views of the community members on the health services, policies, or programs that directly affect their health and well-being (Drake et al., 2022). The nurses consult and involve the community members to improve their access to available health programs and services and their relationship with the health providers. For instance, when conducting an immunization program, the targeted community members must be consulted and involved directly to create trust, which is essential for the program's success (WHO, 2020).
Another most effective level of engagement is collaboration. This level involves nurses collaborating with the community leaders, members, and other eternal partners such as charity organizations to raise resources and implement strategies to improve the community's health. Collaboration enables priority setting and decision-making based on the community members themselves. The last level of engagement is community empowerment achieved through the active participation of the individuals in the community at all the other levels. At this level, the community members gain power, self-esteem, and confidence to articulate their concerns to the nurses and ensure that appropriate actions are taken to address them. The nurses mobilize community assets, empowering the community to implement interventions and develop systems for self-governance and strategies to improve their health and well-being (WHO, 2020).
In conclusion, each successive level empower ...
Sociology Essay Structure. Definition of Sociology, Its Key Features and Con...Jessica Turner
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2. ii
This thesis by Rachel L. Whitney
is accepted in its present form by the
Department of Psychology
as satisfying the thesis requirements for the degree of
Bachelor of Science with Honours
Approved by the Thesis Supervisor
________________________________ ______________
Dr. Michael P. Leiter Date
Approved on behalf of the Head of the Department
________________________________ ______________
Dr. Peter McLeod Date
Approved by the Honours Committee
________________________________ _____________
Sonia Hewitt Date
3. iii
I, RACHEL L. WHITNEY, grant permission to the University Librarian at Acadia
University to reproduce, loan or distribute copies of my thesis in microform, paper or
electronic formats on a non-profit basis. I, however, retain the copyright in my thesis.
__________________________________
Signature of Author
___________________________________
Date
4. iv
Acknowledgements
I owe my deepest gratitude to everyone who made the completion of this thesis
possible. This thesis would not be possible without the guidance of my supervisor, Dr.
Michael P. Leiter, and my second reader, Dr. Lisa Price. I would also like to thank Dr.
Peter McLeod and the psychology department for providing me with the opportunity to
undertake this amazing learning experience.
I am incredibly thankful for the continuous support I received from Lisa, Frank,
Audrey, Erika, Patricia, and Mike at the Centre for Organizational Research and
Development. Their knowledge, experience, and great sense of humor helped me through
each step of the journey to thesis completion.
I am exceptionally grateful for the enthusiasm and encouragement I received from
all the firefighters involved in this study. In particular, my family at the Wolfville Fire
Department provided inspiration, advice, and support in so many ways.
Above all, I thank my boyfriend Todd for his patience, personal support, and
reassurance throughout this process. He provided valuable advice, was a travel
companion to some of the more distant departments I surveyed, showed interest in my
progress, and encouraged me to persevere. I also extend this gratitude to my mom, dad,
and sister Ashley, for all of your support.
5. v
Table of Contents
List of Tables .................................................................................................................... vii
Abstract............................................................................................................................viii
Fire Service Culture: The Influence of Interpersonal Behaviour on Cohesion and
Retention............................................................................................................................. 1
Introduction to the Fire Service ...................................................................................... 2
Fire Service Culture ........................................................................................................ 3
Incivility.......................................................................................................................... 5
Workgroup Cohesion...................................................................................................... 7
Impact of a Negative Workplace Culture ....................................................................... 8
Hypotheses...................................................................................................................... 9
Method .............................................................................................................................. 11
Participants.................................................................................................................... 11
Procedure ...................................................................................................................... 11
Measures ....................................................................................................................... 12
Results............................................................................................................................... 14
Table 1 .......................................................................................................................... 15
Table 2 .......................................................................................................................... 16
Table 3 .......................................................................................................................... 17
Table 4 .......................................................................................................................... 17
Discussion......................................................................................................................... 18
Limitations and Future Research .................................................................................. 19
Conclusion .................................................................................................................... 20
6. vi
References......................................................................................................................... 22
Appendix A....................................................................................................................... 27
Fire Service Study Information Email.............................................................................. 27
Appendix B....................................................................................................................... 29
Research Consent Form.................................................................................................... 29
Appendix C....................................................................................................................... 33
Appendix D....................................................................................................................... 34
Appendix E ....................................................................................................................... 35
Appendix F........................................................................................................................ 36
Appendix G....................................................................................................................... 37
7. vii
List of Tables
Table 1. Descriptive statistics and correlations of study variables. .............................. 15
Table 2. Contribution of civility and incivility in predicting turnover intention.......... 16
Table 3. Contribution of each rudeness rationale in predicting workplace incivility... 17
Table 4. Significance of included and excluded varibles on workgroup cohesion....... 17
8. viii
Abstract
Growing turnover rates are an identified issue in the volunteer fire service, yet very few
studies have examined potential explanations for this phenomenon. Gray literature has
proposed a potential relationship between the unique culture of the fire service and
retention outcomes, however no such relationships have been empirically evaluated. This
study used a series of regressions to investigate whether rates of workplace civility and
incivility could predict workgroup cohesion and turnover intention. Three rationales for
uncivil behaviour were also investigated as potential mechanisms for the perpetuation of
a culture of incivility. Results supported each prediction with some limitations. The
quality of workgroup interactions influenced cohesion and turnover intention,
demonstrating the importance of promoting a respectful culture in improving retention.
9. Fire Service Culture
1
Fire Service Culture: The Influence of Interpersonal Behaviour on Cohesion and
Retention
The pager can go off at any time of day, the details of the emergency typically
unknown until the truck closes in on the scene. Amidst the adrenaline-fueled rush,
firefighters revert to their highest level of training and put their own lives in each other’s
hands. Their safety, and that of the public, relies on how well they can work as a team.
For most, the term “firefighter” invokes the image of fearless entry into a fire-
engulfed structure, even though only 1-5% of a firefighter’s duty time is spent on fire
suppression (Kales, Soteriades, Christophi, & Christiani, 2007). Alarms can include
anything from a multiple fatality accident to animal rescue. Contrary to public perception,
the majority of fire service activity occurs at the fire station and in other non-emergency
duties (Kales et al., 2007). Annual surveys conducted by the National Fire Protection
Association (as cited in Kales et al., 2007) indicate that approximately 65% of a
firefighter’s duty time is spent on non-emergencies, including time at the station. Station
duties can include cooking, cleaning, equipment maintenance, training, fire prevention
initiatives, fundraising, and downtime.
Despite the fact that firefighters spend most of their time engaging in everyday
work and social interactions with one another, existing literature on the fire service
focuses on exposure to critical incidents (Beaton & Murphy, 1993; Brough, 2004). In
addition to traumatic stressors, firefighters also experience a multitude of organizational
stressors that can also result in negative work and health-related consequences (Beaton &
Murphy, 1993; Brough, 2004). Brough (2004) found that organizational stressors were
far more predictive of job satisfaction than traumatic stressors in emergency service
10. Fire Service Culture
2
workers. Although not measured in that study, the influence of organizational culture on
organizational stressors was proposed. Qualitative studies of firefighters have
inadvertently identified the organizational culture as a detrimental component of the
profession, but no quantitative measures have been used to investigate culture and the
impact it has on members of the fire service (Brough, 2004; Kitt, 2009).
Introduction to the Fire Service
Although the job title implies putting out fires, the duties of a firefighter extend
far beyond fire suppression. Depending on the needs of a particular area, firefighter duties
can also include emergency medical response, search and rescue, ice and water rescue,
high and low angle ropes rescue, vehicle extrication, hazardous materials response, and
aid in natural disasters. Firefighters also have additional roles in the community,
providing service to special events and public safety education. The cornucopia of
services firefighters provide can be based out of career, volunteer, or composite
departments.
The National Fire Protection Association (NFPA) 2009 National Fire Experience
Survey found that 71% of firefighters in the United States were volunteers (Karter Jr. &
Stein, 2010). Compared to the US, Canada has a higher percentage of primarily volunteer
departments when compared by community size (Karter Jr. & Stein, 2010). Annual
national savings from the U.S. volunteer fire service is 37.2 billion dollars, which is an
average of approximately 45,000 dollars saved from each volunteer’s service (U.S. Fire
Administration [USFA], 2007). Most communities in Canada rely on the services of
volunteers for emergency protection and prevention, therefore adequate retention of
firefighters is paramount to the fulfillment of such essential community duties.
11. Fire Service Culture
3
Fire Service Culture
“I’ve always said, even now, the toughest part of being a firefighter is the culture.” (Kitt,
2009, p. 199).
Firefighting is a high-risk profession with a hierarchical membership structure,
making the fire service similar to police and military organizations (Archer, 1999; Kitt,
2009). Such paramilitary organizations are typically male-dominated workplaces with a
strong sense of tradition and secrecy (Archer, 1999; Thurnell-Read & Parker, 2008).
Firefighters enter the service as a probationary member and are not considered to
be a full member until they have served a designated amount of time. The probationary
period is when “probies” or “rookies” learn the customs of their department, become
familiar with the equipment, and strive to gain social acceptance from their fellow team
members. Keeping with tradition and passing on what they experienced, veteran
firefighters will “test” probationary members to see if they will comply with the culture
before they are granted social acceptance (Kitt, 2009). Mistreatment towards new
members has been cited as a source of turnover in the fire service (USFA, 2007).
Accounts of behaviour towards new recruits range anywhere from lighthearted
teasing to harassment to targeted deliberate attempts to drive a new member out of the
service (Kitt, 2009). A study on fire departments in the UK, US, and Ireland revealed that
verbal and even physical abuse of members, especially in the probationary stage, is an
accepted cultural norm of the fire service (Archer, 1999). Such abuse is rationalized as
horseplay used to build character and team cohesiveness. Relatively mild examples of
differential treatment towards probationary members include forced assignment to duties
such as cooking for senior members, scrubbing the toilet, and retrieving takeout from
12. Fire Service Culture
4
multiple establishments for the rest of the crew (Kitt, 2009). Some severe forms of
mistreatment have resulted in lawsuits, including a hazing ritual of one department where
a female was forced by male members to shave her pubic hair (Murphy & Murphy, 2010).
More recently, a video posted online showed Macon-Bibb county firefighters hazing
rookies through an acted out armed hostage prank (Willing, 2011). Such publicized
instances of workplace harassment can destroy the community’s support and confidence
in their department.
Mistreatment in the fire service is not isolated towards probationary members; it
is something that can extend throughout a firefighter’s entire career. Most reported cases
are those involving sexual harassment and discrimination. The public is aware of such
cases only because they made it to trial, however there are presumably many more
incidents that are resolved through confidential settlements and others that are never
reported (Murphy & Murphy, 2010).
Victims of incivility and harassment may not report their experience or series of
experiences for an assortment of reasons. A survey of female volunteer firefighters in
South Australia found that reasons for not making official complaints about harassment
often included fear of criticism from others, believing the accusation would not be taken
seriously, believing that nothing would be done, or fear of retaliation from the perpetrator
(McLennan & Birch, 2006). Members may believe that their experience is not serious
enough to report, and within that culture some forms of interpersonal mistreatment may
seem trivial in a social environment where such occurrences are so widespread.
The distinctive characteristics of firefighting, combined with the extensive
amount of time firefighters spend together at the station and in trainings, allow a unique
13. Fire Service Culture
5
workplace culture to flourish. Fire service culture has historically been super
masculinized and built around a “tough guy” image (Kitt, 2009). Attributes associated
with masculine ideals include physical and emotional strength, aggression, courage, and
independence (Thurnell-Read & Parker, 2008). Rookie members exposed to hazing or
pranks during their probationary period learn that this is a cultural norm that they must
experience to gain social acceptance from the group. Such behaviour is then perpetuated
as a norm to the “firefighter experience”.
The incidence of workplace aggression increases with the number of hours spent
at work (Harvey & Keashly, 2003). Career firefighters typically work on 12 or 24 hour
shifts with the same crew, and involvement in volunteer firefighting typically results in a
new social base for those involved in rural communities. Such frequent and intimate
contact facilitates the continuity of a strong organizational culture and the desire from
each member to become an accepted part of it.
Incivility
“I think it’s tradition in the fire brigade that what we now class as bullying has always
been teasing and it has been stuff which everybody is supposed to put up with.” (Archer,
1999, p. 98).
An important component to the culture of any organization is the level of civility
and incivility present in member relationships. Workplace incivility is a social interaction
characterized by disrespect and lack of consideration for others in a workgroup
(Andersson & Pearson, 1999). Incivility is differentiated from other forms of deviant
behaviour in the equivocal intent of the instigator to inflict harm on another individual.
Examples of such behaviour include but are not exclusive to: exclusion from group
14. Fire Service Culture
6
activities, ignoring ideas, gossip, sarcasm, patronizing others, and aggressive
communication (Cortina, Magley, Williams, & Langhout, 2001; Lim, Cortina, & Magley,
2008; Martin & Hine, 2005). The inadvertent disrespect towards a colleague can initiate
the perpetuation of uncivil behaviour within the workgroup (Andersson & Pearson, 1999;
Baron & Neuman, 1996). When unaddressed, incivility can escalate into intentionally
harmful behaviour with increasing levels of deviance.
Women that experience workplace incivility are also likely to experience gender
harassment and sexualized harassment (Lim & Cortina, 2005; Lopez, Hodson, &
Roscigno, 2009). Power and dominance appear to be an influential factor in the
occurrence of workplace sexual harassment (Lim & Cortina, 2005; Lopez et al., 2009).
This is very applicable to the fire service, which is a power-based hierarchy that is male-
dominated (Archer, 1999). The physical nature of a masculine work culture, such as that
present in the fire service, is shown to serve as a foundation for workplace incivility and
sexual harassment (Lopez et al., 2009).
Incivility can also occur between senior members and new recruits (Kitt, 2009;
Lopez et al., 2009). As with the occurrence of gendered harassment towards new female
recruits, male recruits can also experience harassment if existing members feel defensive
over the potential loss of a masculine job identity. The severity of mistreatment increases
when job security is an issue (Lopez et al., 2009), which can be a legitimate fear for older
members.
A culture of incivility can be perpetuated in the workplace by the attitudes
individuals hold about such interpersonal behaviour. If individuals in the workgroup
perceive uncivil behaviour as an acceptable way to treat their colleagues, such behaviour
15. Fire Service Culture
7
becomes a norm in that environment. An individual can use three rationales as
“justification” when they have behaved rudely to a colleague: pressure, sensitivity, and
toughness (Leiter, Laschinger, Day, & Oore, 2011). The pressure rationale is used when
the individual feels that snapping at coworkers is acceptable during stressful situations.
Sensitivity is the belief that colleagues are just too sensitive and overreacting to what they
say. The toughness rationale is used as justification when the individual believes that he
or she has to be harsh to others in their workgroup (Leiter et al., 2011). These rationales
are especially applicable to the fire service, where high-pressure situations can be
encountered daily and where a culture of masculine toughness prevails (Archer, 1999). A
workplace culture will encourage incivility by accepting these rationales as legitimate
reasons for being rude or cruel towards others.
Workgroup Cohesion
Workgroup cohesion is defined as “the tendency for a group to stick together and
remain united in the pursuit of its instrumental objectives” (Tekleab, Quigley, & Tesluk,
2009, p. 174). This also includes commonalities in attitude, behaviour, and abilities
among members of a workgroup (Odom, Boxx, & Dunn, 1990). Cohesion is especially
important in the fire service, where firefighters are required to work as a team in
potentially stressful and life threatening situations (Varvel et al., 2007). High levels of
workgroup cohesion are associated with greater team satisfaction and intention to stay
with that team (Tekleab et al., 2009).
Fire departments strive for a high level of group cohesion among members, yet
several factors pertaining to the structure of a department often disrupt the level of
cohesion that could otherwise be achieved. In composite departments, career and
16. Fire Service Culture
8
volunteer members dispute over which group is more experienced, competent, or
physically fit (USFA, 2007). Attitudes often vary between new and old members. Given
the hierarchal power-based structure of the fire service, power struggles can occur
between ranking officers, which can then disrupt those they manage.
Cliques are likely to form in an environment where members with different
backgrounds spend a great amount of time together. This is problematic in the fire service,
where teamwork and time together can establish cliques rather than togetherness.
Members that are new to the fire service or even to a new station often note cliques as a
barrier to feeling like an accepted part of the group (Kitt, 2009; USFA, 2007). Barriers
created by cliques are often seen as greater for members that are female and/or a minority
to the traditionally white male group. The formation of cliques and the negative impact it
has on the overall sense of team cohesiveness is incompatible with retention of members
in the fire service.
Impact of a Negative Workplace Culture
“They would set up little tests to see if he would rat out the culture and see how far they
could push him…what his tolerance was. He quit within six months and the crew were
just so proud of themselves because they drove him off the job.” (Kitt, 2009, p. 207).
A study investigating motives for turnover found that five out of the seven
reasons given for leaving the fire service relate to an adverse organizational culture.
These reasons included: conflicts in organization, organizational leadership created
adverse atmosphere, attitude of existing personnel to newcomers, criticism received from
officers/older members, and lack of camaraderie (USFA, 2007). The other two reasons
for leaving the service are related to the time commitment of being a volunteer firefighter.
17. Fire Service Culture
9
The extensive amount of time spent on training and responding to calls is an inherent part
of the job and cannot be changed. What can be changed, however, is the social climate of
the organization. A civil and inviting work environment increases job satisfaction and
reduces turnover intention of members.
A study investigating differences in commitment between career and volunteer
firefighters found that volunteer firefighters had a significantly higher level of
commitment to their work group and their organization (Lee & Olshfski, 2002). Greater
commitment to work group and to the organization was related to higher levels of extra-
role behaviour in volunteers. Desire to remain with the organization was significantly
related to the level of commitment to the work group. Commitment is associated with
turnover; so to increase retention in volunteers, the organization they belong to and the
group they work with should be one that fosters commitment (Lee & Olshfski, 2002).
Organizational commitment has also shown a strong association in predicting employee
turnover in other professions, such as nursing (Wagner, 2007).
Hypotheses
The impact of workplace incivility has been extensively studied in healthcare
literature, however what is known about incivility in the fire service is based on
anecdotes from qualitative studies and government reports on firefighting. A culture of
incivility appears to exist in the fire service, and drawing from outcomes in healthcare
studies, it can be expected that an uncivil culture will increase turnover intent.
H1: Civility and incivility will each make a unique contribution to predicting turnover
intention. Incivility will be positively correlated with turnover intention while civility will
be negatively correlated with turnover intention.
18. Fire Service Culture
10
Characteristics of fire service culture include a power-driven structure, tradition,
and a male-dominated workplace. Behaviours in this environment are similar to those of
other primarily male workforces, including emphasis on physicality, use of humor
(especially sexually-driven humor), and the desire to preserve a masculine culture. It can
therefore be predicted that reasons for behaving in an uncivil manner will relate to the
pervasiveness of such behaviours within that organizational setting. If the behaviour is
something everyone else does, individuals will be more inclined to act that way too.
H2: Rationales for uncivil behaviour will positively correlate with the experience of
incivility in the fire service. Each of the three rationales for uncivil behaviour will make a
unique contribution to predicting incivility.
The quality of interpersonal interactions will likely influence the level of
perceived cohesiveness among members in a workgroup. Individuals that are disrespected
or excluded by members of their workgroup will not feel like they are a part of that team.
When someone is socially isolated, they are likely to withdraw from that group.
H3: Civility and incivility will each make a unique contribution to predicting workgroup
cohesion. Incivility will be negatively correlated with workgroup cohesion, while civility
will be positively correlated with workgroup cohesion.
A gap in literature exists regarding culture in the fire service. The proposed
hypotheses have important implications on firefighter retention in the fire service. Given
the retention problem that exists primarily in volunteer fire departments, it is imperative
that the speculated culture of incivility in the fire service is investigated.
19. Fire Service Culture
11
Method
Participants
Participants were recruited from volunteer and composite fire departments in the
Annapolis Valley and South Shore of Nova Scotia. Volunteer departments include those
in which the membership is unpaid or paid-on-call. Career departments have membership
that is paid and assigned to shifts. Composite departments have membership that consists
of both career and volunteer firefighters. Seven different departments participated in this
study in addition to the Kings County Fire School, which trains firefighters from nearly
every department in the county. This resulted in the representation of 10 different
departments. Response rates ranged from 65-100% for each department, with a total of
199 surveys returned from the 213 distributed. Four surveys were excluded from the
analysis because they were incomplete.
The majority of respondents were male (87%), and 32% were a ranking officer.
There was a wide range in participant age (M = 37.68, SD = 13.23) and years of service
to their department (M = 10.85, SD = 11.68).
Procedure
Emails (Appendix A) were sent to the chiefs of fire departments in the Annapolis
Valley and South Shore of Nova Scotia inquiring about their interest to participate in a
study about fire service culture. The email provided basic information about
confidentiality, voluntary participation, an overview of the survey, and stated that a
profile of averaged results would be provided to the department if at least 10 firefighters
completed the survey. Profiles would only be provided if at least 10 members participated
to ensure the confidentiality of those that did complete a survey. The profile includes
20. Fire Service Culture
12
average results for that department compared to the average results of all other
participating departments. Every department that was contacted agreed to participate in
the study. The Acadia University Research Ethics Board approved of this study prior to
the collection of any data.
Surveys were administered to department members during a training session,
meeting, or course. Consent forms (Appendix B) were distributed, explained, and
collected from participants before surveys were distributed. Surveys took approximately
15-20 minutes to complete and were collected by the researcher after completion. The
researcher provided a verbal debriefing of the study, and reminded participants that they
can use the contact information provided on the consent form if they have any questions
or concerns about the study. Surveys were sealed in provided envelopes by the participant
and were opened and scanned at the Centre for Organizational Research and
Development (COR&D) at Acadia University.
Measures
The level of workplace civility was assessed using the civility scale (Appendix C)
created for the CREW intervention program (Osatuke, Moore, Ward, Dyrenforth, &
Belton, 2009). This highly reliable scale (α = 0.93) includes eight items that assess
various components to workplace civility, including: respect (“people treat each other
with respect in my work group”), cooperation, conflict resolution, coworker personal
interest, coworker reliability, antidiscrimination, value differences (“differences among
individuals are respected and valued in my work group”), and supervisor diversity
acceptance (Osatuke et al., 2009). These items were measured on a 5-point Likert scale
with responses ranging from 1 = strongly disagree to 5 = strongly agree.
21. Fire Service Culture
13
General incivility was assessed using the widely used Workplace Incivility Scale
(Cortina et al., 2001). This scale asks participants to identify the frequency of seven
provided situations in which a supervisor or coworker behaved uncivilly towards them
during the past year (Appendix D). Examples include “made insulting or disrespectful
remarks to you”, and “physically threatened or intimidated you”. Frequency ratings are
on a 5-point Likert type scale ranging from 1 = never to 5 = many times. Cortina et al.
(2001) demonstrated the internal consistency of this measure (α = 0.89). Later studies
confirmed the content and discriminant validity of the Workplace Incivility Scale (Lim,
Cortina, & Magley, 2008).
Workgroup cohesion was assessed using items derived from the “workgroup
cohesion” subcategory (Appendix E) of the Defense Equal Opportunity Organizational
Climate Survey (DEOCS). Participants were asked to rate the extent to which they agree
or disagree with statements on a 5-point Likert scale with responses ranging from 1 =
strongly disagree to 5 = strongly agree. Sample items include “my work group works
well together as a team” and “members of my work group trust each other.” A high
overall score indicates a high level of workgroup cohesion. Alpha coefficient estimates
based off individual level data (α = 0.92) and unit data (α = 0.97) demonstrate the high
reliability of this measure (Walsh, Matthews, Tuller, Parks, & McDonald, 2010).
Retention outcome was measured using a scale of turnover intentions (Appendix
F). Kelloway, Gottlieb, and Barham’s (1999) turnover intention scale includes four items
rated on a 5-point Likert scale with responses ranging from 1 = strongly disagree to 5 =
strongly agree. Items include “I am thinking about leaving this organization” and “I don’t
22. Fire Service Culture
14
plan to be in this organization much longer.” Kelloway et al. (1999) obtained high
internal consistency in both portions of their study (Time 1 α = 0.92, Time 2 α = 0.93).
Rudeness rationales (Appendix G) were assessed using the recently developed
Rudeness Rationales Scale (Leiter et al., 2011). This measure asks participants to rate
how often they experience certain work related feelings on a seven point Likert scale with
responses ranging from 0 = never to 6 = daily. These feelings are categorized into three
types of rationalizations: pressure (e.g. “when time is tight I tend to get abrupt with
people”), sensitivity (e.g. “I work with people whose feelings are easily hurt”), and
toughness (e.g. “a tough response is necessary when people try to manipulate me”).
Initial evaluation of this measure has demonstrated high internal reliability (α = 0.83).
Results
All statistical analyses were conducted using SPSS on a password protected
laptop at COR&D. The first hypothesis was analyzed using a stepwise regression with
civility and incivility as predictor variables and turnover intention as the dependent
variable. Hypothesis 2 investigated the relationship of each rudeness rationale in a
stepwise regression with incivility as the dependent variable. The third hypothesis was
also analyzed using a stepwise regression, with civility and incivility as predictor
variables, and workgroup cohesion as the dependent variable. Given the exploratory
nature of this study, stepwise regressions were used to determine the unique contributions
of each predictor. Stepwise regressions were used so the partial correlations could be
obtained from variables that were excluded from the analysis. A stepwise regression
enters variables with the highest correlation to the dependent variable first, followed by
variables with the next highest correlation in each subsequent step.
23. Fire Service Culture
15
Table 1 lists the descriptive statistics and intercorrelations for each variable. The
Cronbach alpha for each variable is listed along the main diagonal. Internal consistencies
were high for measures of civility, incivility, workgroup cohesion, and turnover intention
(Table 1). Reliability for the three Rudeness Rationales subscales (Table 1) was lower
than the initial evaluation of this measure (Leiter et al., in review). Although age and
years of service were highly correlated with each other, r(195)=.57, p<.001, neither
variable had a significant correlation with any of the dependent variables. Since age and
years of service were not correlated with the dependent variables, they were not entered
into the regression analyses.
Table 1
Descriptive statistics and correlations of study variables.
M SD 1 2 3 4 5 6 7
1. Civility 3.88 0.64 .88
2. Incivility 1.03 0.87 -.51** .91
3. Pressure 1.88 0.96 -.11 .34** .55
4. Sensitivity 1.93 1.03 -.18** .38** .33** .53
5. Toughness 2.09 1.18 -.05 .32** .24** .48** .69
6. Workgroup Cohesion 4.21 0.66 .72** -.44** -.15* -.11 -.07 .81
7. Turnover Intention 1.88 0.91 -.46** .43** .20* .21** .05 -.40** .89
N=195, *p<.05, ** p<.01, Cronbach alpha on main diagonal.
As hypothesized, incivility was positively correlated with turnover intention,
r(195)=.43, p<.001, and civility was negatively correlated with turnover intention,
r(195)=-.46, p<.001. A stepwise regression tested whether workplace incivility and
workplace civility would make a unique contribution to predicting turnover intention.
24. Fire Service Culture
16
Civility was entered on the first step of the regression because it had a stronger
correlation with turnover intention than incivility did. Both civility and incivility were
entered on the second step of the regression, and the unique contribution of each variable
in predicting turnover intention was analyzed. The regression found that incivility made a
significant unique contribution beyond the influence of civility alone (Table 2) by
increasing R2
by .052 (F(1,191)=13.42, p<.001), resulting in an adjusted R2
= .256
(F(2,189)=33.88, p<.001).
Table 2
Unique contribution of civility and incivility in predicting turnover intention.
Predictor β t Significance
Civility -.33 -4.48 <.001
Incivility .27 3.66 <.001
N=195
As expected, the pressure, sensitivity, and toughness rationales were positively
correlated with workplace incivility (Table 1). Sensitivity was entered into the stepwise
regression first because it was the rationale that was most highly correlated with
workplace incivility. The second step of the regression included both sensitivity and
pressure, which was the variable with the next highest correlation to turnover intention.
All three variables were included on the last step of the regression. The regression
analysis found that each rationale uniquely contributed to the prediction of incivility
(Table 3) with an adjusted R2
= .204 (F(3,192)=17.63, p<.001), thus confirming the second
hypothesis.
25. Fire Service Culture
17
Table 3
Contribution of each rudeness rationale in predicting workplace incivility.
Predictor β t Significance
Sensitivity .22 2.94 .004
Pressure .23 3.38 .001
Toughness .17 2.31 .022
N=195
As expected, incivility was negatively correlated with workgroup cohesion,
r(195)=-.44, p<.001, while civility was positively correlated with workgroup cohesion,
r(195)=.72, p<.001. Workgroup cohesion was negatively correlated to turnover intention,
r(195)=-.40, p<.001, as predicted in hypothesis three. Contrary to the third hypothesis,
incivility was not a unique predictor of workgroup cohesion (Table 4). Civility was the
only variable that uniquely contributed to the regression of workgroup cohesion R2
=.52
(F(1,194)=211.32, p<.001).
Table 4
Significance of included and excluded variables on workgroup cohesion.
Predictor β t Significance
Civility -.72 14.54 <.001
Excluded Partial
Incivility -.10 -1.67 .097 -.12
N=195
26. Fire Service Culture
18
Discussion
The purpose of this study was to investigate the influence of civility and incivility
on workgroup cohesion and turnover intention in members of the fire service. A
mechanism for the prediction of workplace incivility was proposed using the Rudeness
Rationales scale (Leiter et al., 2011). Fire service culture from an interpersonal
relationship perspective was explored to help fill the literature gap on retention issues in
the volunteer fire service.
Both civility and incivility were unique predictors of turnover intention, thus
supporting Hypothesis 1. Civility had a significant negative correlation with turnover
intention, meaning that higher levels of positive interpersonal interactions related to a
reduced likelihood to want to leave the organization. Incivility was positively correlated
with turnover intention, meaning that increased incidence of uncivil interactions with
coworkers related to an increased likelihood to plan on leaving the department. This is
consistent with previous literature on the relationship between incivility and
organizational withdrawal behaviour (Cortina et al., 2001).
The sensitivity, pressure, and toughness rationale each provided a unique
contribution to the prediction of workplace incivility, which supports the second
hypothesis. The positive correlation between each rationale and incivility indicates that
increased frequency in rationale usage relates to increased incidence of incivility in the
workgroup. This relationship is consistent with Leiter et al.’s (2011) preliminary
investigation on the use of these rationales in predicting workplace incivility.
Similar to the relationship with turnover intention, both civility and incivility were
significantly related to workgroup cohesion. Civility had a very strong positive
27. Fire Service Culture
19
correlation, while incivility had a negative correlation with workgroup cohesion.
Contrary to the hypothesis, the stepwise regression revealed that only civility uniquely
predicted the level of workgroup cohesion. Positive social interactions with ones
workgroup, as measured by the civility scale, predicted higher levels of perceived
cohesiveness within ones workgroup. High levels of workgroup cohesion were related to
lower levels of turnover intention, which is consistent with previous studies making the
same comparison (Odom et al., 1990).
The results of this study, in conjunction with parallel research in different
organizational settings, demonstrate the importance of positive workplace relationships in
member retention. A workplace culture that promotes respect and cooperation among
team members will foster a welcoming environment that members would want to stay a
part of. Although the hypotheses were supported, there are some limitations in the
interpretation of results.
Limitations and Future Research
One limitation of this study is the method used to survey firefighters.
Administering the survey during a training or meeting yielded a remarkable response rate,
however such a sample has potential biases. It is possible that members who attend
meetings and trainings perceive their workgroup more positively than members that do
not attend meetings and trainings regularly. Since these were all volunteer departments,
attendance at every meeting or training is not mandatory. Previous research has identified
organizational withdrawal behaviour as a consequence of workplace incivility (Cortina et
al., 2001). If such a relationship applies to this sample, the overall level of incivility may
28. Fire Service Culture
20
be higher than what was determined from firefighters that have not withdrawn from their
organization.
A related limitation is that only current firefighters were surveyed. Since
volunteers are not dependent on firefighting for income, they would presumably be more
likely to resign if they were dissatisfied with aspects of the job. Future research should
also include comparisons between volunteer and career firefighters on the dimensions of
civility, incivility, workgroup cohesion, and turnover intention. It would also be
informative to find a way to contact resigned firefighters to see if an adverse culture had a
role in their decision to resign.
Conclusions drawn in the second hypothesis also have some limitations. The
Cronbach alphas for each Rudeness Rationale subscale were low, indicating that those
items may not have reliably measured rationales for incivility in this sample. Preliminary
research using the Rudeness Rationale measure indicated high reliability in healthcare
settings (Leiter et al., under review), but such results were not replicated in this study.
Since the internal consistencies for each subscale were so low, it is questionable whether
the three rationales were accurately measured in this sample.
Conclusion
Results from this study indicate a strong predictive relationship between the
quality of interpersonal relationships and turnover intention in the fire service. Further
research needs to be conducted in this area, since this is one of the first to empirically
evaluate whether a culture of incivility is related to the retention issues observed in the
fire service. This promising area of research should be expanded to include career
firefighters in the future. Inclusion of variables that assess other aspects of organizational
29. Fire Service Culture
21
culture will help provide a greater understanding of how turnover may be reduced in the
fire service.
30. Fire Service Culture
22
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Appendix A
Fire Service Study Information Email
Interested in contributing your knowledge and experience to an exciting study on
firefighting? Here’s your chance.
As a firefighter, I can fully appreciate the unique culture that exists in the fire
service. Research in other organizations has shown the significant influence culture has
on employee well-being and retention outcomes, however no such studies have been
conducted in the fire service. Given the high turnover rates in many volunteer and even
some career departments, it is crucial that we explore this dimension to the firefighting
experience. Firefighting is a profession unlike any other; therefore the distinct facets of
the culture we live must be explored to find ways of improving firefighter retention.
In order to conduct this research, we need a large number of firefighters to
complete a 15-minute survey about their everyday experiences and behaviours at the fire
hall. Ideally, this survey would be given during a training, meeting, or shift where most
members are present. I will be there to explain the study, what participation involves, and
answer any questions firefighters may have.
The survey data will be used as part of my honours thesis, in addition to a paper
intended for publication in a scientific journal and firefighting periodical. All published
information will not identify your members or department in any way.
If at least 10 firefighters in your department take part in this study, we can provide
you with a profile of how your department scored compared to the average of other
participating departments. This profile may benefit your department by providing you
with information on perceived levels of teamwork, climate of social relations, levels of
36. Fire Service Culture
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firefighter satisfaction, and whether there is any intent to leave. As with any form of
publication or profiling resulting from this study, data that may identify a member or
department will not be included.
If interested in including your department in this study, or if you have any
questions about this study, please contact Rachel Whitney (rachel.whitney@acadiau.ca)
or my supervisor Dr. Michael P. Leiter at (michael.leiter@acadiau.ca).
About Us:
Rachel L. Whitney is an undergraduate student at Acadia University and a Research
Assistant at the Centre for Organizational Research & Development (COR&D). She is
working towards a B.Sc. with honours in psychology and B.Sc. in biology. Combining
her interests in organizational psychology and firefighting, Rachel is currently writing her
honours thesis on culture in the fire service.
Dr. Michael P. Leiter, Ph.D. is the director of COR&D, former Vice President
Academic, and Professor of Psychology at Acadia University. A registered Psychologist,
he has been involved in organizational psychology for nearly twenty years. He has
conducted extensive research on burnout in human service organizations and has
contributed to extending the concept to other occupational sectors. He maintains active
collaborations with colleagues in Europe, the USA, and Canada with whom he has
published in journals, scholarly books, and the popular press.
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Appendix B
Research Consent Form
Fire Service Culture Study
Researchers:
Rachel L. Whitney, Acadia University Dr. Michael P. Leiter, Acadia University
Honours Student Supervisor
rachel.whitney@acadiau.ca michael.leiter@acadiau.ca
(902) 670-4212 (902) 585-1671
Purpose of Research
Research on firefighting has focused on the impact of exposure to traumatic incidents,
while ignoring the elements of fire department culture and how it can impact members.
Studies in other workplace settings have revealed the significant influence culture and
social interactions has on well-being and organizational outcomes. This project aims to
profile the behaviour of firefighters, and the impact such behaviour has on fire
departments and its members.
What Will the Research Involve?
If you chose to participate in this study, you will be given a survey that takes
approximately 15 minutes to complete. This survey will ask questions about basic
demographics, experiences you have had with team members, and how you feel about
your involvement in the fire service. The information you provide will remain
confidential. You must be 18 years or older to participate in this study.
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Potential Harms
There are no anticipated harms associated with participation in this study. Some
participants may feel uncomfortable revealing personal information that could potentially
identify who they are. You will be asked to identify which fire department you are
currently a member of, however your individual responses will not be revealed to anyone
in your organization and your department will not be named in any publication. Please
note that only the researchers will have access to surveys. Information obtained from
surveys will only be reported in a non-identifiable manner to ensure confidentiality of all
participants and their departments.
Potential Benefits
This research provides no known direct benefits to you as a result of your participation. If
interested, a copy of the results can be sent to you when this study is completed.
How Will Privacy Be Protected?
After the allotted time, you will seal your survey in the provided envelope whether you
chose to complete it or not. Envelopes will only be opened at Acadia University and
survey results will be entered on a password-protected computer by one of the listed
researchers. Only the researchers will have access to this data. Surveys will be stored in a
locked file cabinet at Acadia University and will be destroyed upon completion of this
project. Individual responses will not be reported, and information that discloses your
identity or that of your department will not be published.
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Publication
This research is being conducted with the intention of publication in a scientific journal in
addition to the student researcher’s honours thesis. You and your department will not be
identified in any way in any publication.
Participation
The decision to participate in this study is entirely up to you. If you chose to participate,
you can withdraw at any time without negative consequence. By consenting to participate,
you have not waived any rights to legal assistance if a research-related harm were to
occur.
Contacts for Study Questions or Problems
If you would like to contact the researchers regarding this study, feel free to call or email
either one of us through the contact info provided at the beginning of this form. For
questions regarding your rights as a participant or the conduct of this study, contact the
Acadia University Research Ethics Board at (902) 585-1498, or Dr. Stephen Maitzen,
REB Chair, at smaitzen@acadiau.ca.
Participant Consent
I have read and the Consent Form and fully understand the nature of this research and
what my participation entails. I voluntarily agree to participate in this study.
Participant Name
(Print)________________________________________________________
Participant Signature____________________________________________
Date:____________________
40. Fire Service Culture
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If you’re interested in receiving the results of this study, please include your email, or any
other form of contact if you do not have email, in the space below.
Email:________________________________________________
41. Fire Service Culture
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Appendix C
Civility Scale (Osatuke et al., 2009)
Please indicate the degree of your agreement or
disagreement with each statement.
StronglyDisagree
Disagree
NeitherAgree
norDisagree
Agree
StronglyAgree
People treat each other with respect in my
work group
A spirit of cooperation and teamwork exists in
my work group
Disputes or conflicts are resolved fairly in my
work group
The people I work with take a personal interest
in me
The people I work with can be relied on when I
need help
This organization does not tolerate
discrimination
Differences among individuals are respected
and valued in my work group
Managers/Supervisors/Team leaders work well
with employees of different backgrounds in my
work group
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Appendix D
Workplace Incivility Scale (Cortina et al., 2001)
During the past year, while a member of
your department, have you been in a
situation where any of your superiors or
coworkers:
Never
Rarely
Sometimes
Often
ManyTimes
Put you down or was condescending to you?
Paid little attention to your statement or
showed little interest in your opinion?
Made demeaning or derogatory remarks
about you?
Addressed you in unprofessional terms,
either publicly or privately?
Ignored or excluded you from professional
camaraderie?
Doubted your judgement on a matter over
which you have responsibility?
Made unwanted attempts to draw you into a
discussion of personal matters?
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Appendix E
DEOCS: Workgroup Cohesion (Walsh et al., 2010)
Please indicate the degree of your agreement
or disagreement with each statement.
TotallyDisagree
ModeratelyDisagree
NeitherAgree
norDisagree
ModeratelyAgree
TotallyAgree
My work group works well together as a
team.
Members of my work group pull together to
get the job done.
Members of my work group really care about
each other.
Members of my work group trust each other.
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Appendix F
Turnover Intentions Scale (Kelloway et al., 1999)
Please indicate the degree of your
agreement or disagreement with each
statement.
StronglyDisagree
Disagree
NeitherAgree
norDisagree
Agree
StronglyAgree
I am thinking about leaving this
organization.
I am planning to look for a new job.
I intend to ask people about new job
opportunities.
I don’t plan to be in this organization much
longer.
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Appendix G
Rudeness Rationales (Leiter et al., 2011)
Please indicate how often, if ever,
you have experienced these work
related feelings.
Never
Sporadically
Afewtimesayearorless
NowandThen
Onceamonthorless
Regularly
Afewtimesamonth
Often
Onceaweek
VeryOften
Afewtimesaweek
Daily
When time is tight, I tend to get
abrupt with people
I am abrupt to others when I feel
stressed.
People take offense when they
misinterpret my actions.
I work with people whose feelings
are easily hurt.
Regardless of the pressure, I am
sensitive to the feelings of everyone
at work.
I am impatient with how easily other
people can take offense.
I have to stop others from taking
advantage of me.
It is important to respond firmly
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when people are being annoying.
A tough response is necessary when
people try to manipulate me.