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      Gestión de riesgos ocupacionales mediante redes de Petri en un área de consulta a quemados Translated title: Management of occupational hazards through Petri nets in the consultation area of burn patients

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          Incentives and intrinsic motivation in healthcare

          Abstract Objective: It has been established in the literature that workers within public organisations are intrinsically motivated. This paper is an empirical study of the healthcare sector using methods of qualitative analysis research, which aims to answer the following hypotheses: 1) doctors are intrinsically motivated; 2) economic incentives and control policies may undermine doctors’ intrinsic motivation; and 3) well-designed incentives may encourage doctors’ intrinsic motivation. Method: We conducted semi-structured interviews à-la-Bewley with 16 doctors from Navarre's Healthcare Service (Servicio Navarro de Salud-Osasunbidea), Spain. The questions were based on current theories of intrinsic motivation and incentives to test the hypotheses. Interviewees were allowed to respond openly without time constraints. Relevant information was selected, quantified and analysed by using the qualitative concepts of saturation and codification. Results: The results seem to confirm the hypotheses. Evidence supporting hypotheses 1 and 2 was gathered from all interviewees, as well as indications of the validity of hypothesis 3 based on interviewees’ proposals of incentives. Conclusions: The conclusions could act as a guide to support the optimal design of incentive policies and schemes within health organisations when healthcare professionals are intrinsically motivated.
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            Authentic leadership and organisational citizenship behaviour in the public health care sector: The role of workplace trust

            ORIENTATION: The orientation of this study was towards authentic leadership and its influence on workplace trust and organisational citizenship behaviour in the public health care sector. RESEARCH PURPOSE: The aim of this study was to investigate the influence of authentic leadership on organisational citizenship behaviour, through workplace trust among public health care employees in South Africa. The objective was to determine whether authentic leadership affects organisational citizenship behaviour through workplace trust (conceptualised as trust in the organisation, immediate supervisor and co-workers. MOTIVATION FOR THE STUDY: Employees in the public health care industry are currently being faced with a demanding work environment which includes a lack of trust in leadership. This necessitated the need to determine whether authentic leadership ultimately leads to extra-role behaviours via workplace trust in its three referents. RESEARCH DESIGN, APPROACH AND METHOD: A quantitative cross-sectional survey design was used with employees the public health care sector in South Africa (N = 633). The Authentic Leadership Inventory, Workplace Trust Survey and Organisational Citizenship Behaviour Scale were administered to these participants. MAIN FINDINGS: The results indicated that authentic leadership has a significant influence on trust in all three referents, namely the organisation, the supervisor and co-workers. Both trust in the organisation and trust in co-workers positively influenced organisational citizenship behaviour. Conversely, authentic leadership did not have a significant influence on organisational citizenship behaviour. Finally, authentic leadership had a significant indirect effect on organisational citizenship behaviour through trust in the organisation and trust in co-workers. Trust in the organisation was found to have the strongest indirect effect on the relationship between authentic leadership and organisational citizenship behaviour. PRACTICAL/MANAGERIAL IMPLICATIONS: The main findings suggest that public health care institutions would benefit if leaders are encouraged to be more authentic as this might result in increases in both trust among co-workers and in the organisation. Consequently, employees might be more likely to exert additional effort in their work. CONTRIBUTION/VALUE-ADD: Limited empirical evidence exists with regard to the relationship between authentic leadership, workplace trust in its three referents and organisational citizenship behaviour. This study aimed to contribute to the limited number of studies conducted.
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              Embarazo en la adolescencia y su repercusión biopsicosocial sobre el organismo de la madre y de su futuro hijo

              La temática del embarazo en la adolescencia resulta de gran importancia en la actualidad debido a la trascendencia de este grupo etáreo para el desarrollo y su impacto en la población mundial, particularmente en América Latina, el Caribe y Cuba. Este en edades cada vez más tempranas se está convirtiendo en un problema social de salud pública de alcance mundial. Mediante el resultado del análisis crítico de la información disponible sobre el tema en la bibliografía consultada, se demuestra cómo las consecuencias de este problema repercuten en la calidad de vida de la madre joven, su familia y la comunidad, siendo pocas las acciones que se realizan, por lo que cada año el número de adolescente embarazadas se acrecientan cada vez más, determinando un riesgo importante para su descendencia. Es necesario comenzar las acciones a partir de la constitución de la célula básica de la sociedad, siendo el primer grupo al cuál pertenece el ser humano. Resulta imprescindible el rol de los profesionales de la enfermería a nivel de los consultorios del médico de familia como un elemento clave para mediante la labor educativa prevenirlo, a través de los círculos de adolescentes y otras acciones que contribuyan a la prevención y a enfrentar los riesgos que esta condición determina, haciéndose preciso desarrollar acciones que contribuyan al desarrollo del profesional de enfermería en esta temática en la Atención Primaria de Salud para prevenir el embarazo en la adolescencia.
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                Author and article information

                Contributors
                Role: ND
                Journal
                rpr
                Revista de Ciencias Médicas de Pinar del Río
                Rev Ciencias Médicas
                Editorial Ciencias Médicas (Pinar del Río, , Cuba )
                1561-3194
                June 2018
                : 108-119
                Affiliations
                [01] Holguín orgnameUniversidad de Holguín Óscar Lucero Moya. Holguín. Cuba Cuba leovega@ 123456uho.edu.cu
                Article
                S1561-31942018000300012
                c119596f-cefe-479c-8d2e-4bd88ddf8f90

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 01 November 2017
                : 02 March 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 14, Pages: 12
                Product

                SciELO Cuba


                OCCUPATIONAL RISKS,RISK GROUPS,RISK MANAGEMENT,ENFERMERÍA,QUEMADURAS,UNIDADES DE QUEMADOS,RIESGOS LABORALES,GRUPOS DE RIESGO,GESTIÓN DE RIESGOS,NURSING,BURNS,BURN UNITS

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