The COVID-19 pandemic provided an opportunity to explore the relationships among character, identification-based trust, and perceptions of leadership effectiveness in the context of crisis leadership. Focusing on the leadership of Canadian Prime Minister Justin Trudeau, we first explore whether Canadians of voting age believe character is important in political leadership during the pandemic. Second, we examine voter perceptions of the importance of the dimensions of character identified by Crossan et al. (2017) and to what extent voters perceive Trudeau demonstrates the behaviors associated with these dimensions. Third, we explore the role of identification-based trust in the relationship between character and perceptions of leadership effectiveness. Fourth, we study the relationships between character, trust, and effectiveness during dynamic conditions where the stakes for citizens with respect to health and social well-being are high. The results of our study connect character to trust and perceived effectiveness of a political leader during a crisis.

As part of the Measurement Approaches to Partnership Success (MAPS) study, we investigated the relationship between benefits and costs of participation in long-standing community-based participatory research (CBPR) partnerships using social exchange theory as a theoretical framework. Three major findings were identified: (1) the concept of benefits and costs operating as a ratio, where individual benefits must outweigh costs for participation, applies to early stages of CBPR partnership formation; (2) as CBPR partnerships develop, the benefits and costs of participation include each other's needs and the needs of the group as a whole; and (3) there is a shift in the relationship of benefits and costs over time in long-standing CBPR partnerships, in which partners no longer think in terms of costs but rather investments that contribute to mutual benefits.

This study investigates a pressing topic, related to the connection between employees' perceptions that the COVID-19 pandemic represents a pertinent threat for their organization on one hand, and their exhibited creativity, a critical behavior through which they can change and improve the organizational status quo, on the other. This connection may depend on their work-related task conflict, or the extent to which they reach out to colleagues to discuss different perspectives on work-related issues, as well as their collectivistic orientation. Data were gathered from employees working in the real estate sector. The results inform organizational practitioners that they should leverage productive task conflict to channel work-related hardships, such as those created by the coronavirus pandemic, into creative work outcomes. This beneficial process may be particularly effective for firms that employ people who embrace collectivistic norms, so they prioritize the well-being of others.

In this contribution to the Special Issue on Understanding Diversity Dynamics in Systems: Social Equality as an Organization Change Issue, I develop and describe design specifications for systemic diversity interventions in upward mobility career systems, aimed at optimizing decision making through mitigating bias by engaging gatekeepers. These interventions address the paradox of meritocracy that underlies the surprising lack of diversity at the top of the career pyramid in these systems. I ground the design specifications in the limited empirical evidence on "what works" in systemic interventions. Specifically, I describe examples from interventions in academic settings, including a bias literacy program, participatory modeling, and participant observation. The design specifications, paired with inspirational examples of successful interventions, should assist diversity officers and consultants in designing and implementing interventions to promote the advancement to and representation of nondominant group members at the top of the organizational hierarchy.

We examine why and when proactive personality is beneficial for innovative behavior at work. Based on a survey among 166 employees working in 35 departments of a large municipality in the Netherlands we show that an increase in task conflicts explains the positive relation between a proactive personality and innovative employee behavior. This process is moderated by job autonomy in such a way that the relationship between proactive personality and task conflict is particularly strong under low compared with high autonomy. The present research contributes to the discussion on the potential benefits of task conflict for change processes and highlights the importance of examining the interplay between personality and work context for understanding innovation practices.

This article examines the responses of states, localities, and the private sector to recent attempts by the federal government to realign domestic responsibilities for the provision of human services. In exploring this issue, the author conducted a study of agencies assisting the developmentally disabled in Greater Richmond, Virginia. The author finds that the nation is experiencing a fundamental paradigm shift--a reconceptualization of structure, goals, and responsibilities--with respect to social welfare, with new public-private sector partnerships emerging to meet human needs.

Organizational theorists have argued that formal and informal support systems cannot exist in strong form in the same society. In this article, the author argues that such theories fail to consider the complementary of these two systems and the necessity of both for the completion of most tasks. A study of tasks performed for nursing home residents found that the formal organization assumed those tasks that could be standardized and deemed legitimate for Medicaid funding, while the others were either maintained by informal support groups or lost altogether. A study of the influence of informal support groups on mortality rates found that such groups played an important role in reducing death in older persons resulting from causes associated with nontechnical matters. In conclusion, the author finds that formal groups can best manage tasks that require technical knowledge or that can be reduced to simpler, routine components, whereas informal groups can better manage tasks requiring everyday knowledge and characterized by many contingencies or unpredictability. The author stresses that both formal and informal support must be provided when serviing older people.

In this article, the authors discuss their research on similarities and differences between professionals and nonprofessionals in their responses to managerial leadership behaviors and substitutes for leadership. Their study sample comprised workers at many organizational levels in several hospital and contract research organizations in the Southwest, and they used a multidimensional measure of professionalism to create subsamples of professionals and nonprofessionals. The authors used questionnaire data to test hypotheses regarding instrumental and supportive leadership behaviors and their substitutes. They found that role clarification and support from leaders were important predictors of worker's job satisfaction and organizational commitment for both subsamples, and that formal rules and procedures were an important supplement for instrumental leadership behaviors. Professionals differed from nonprofessionals in that intrinsically satisfying work tasks and importance place on organizational rewards were strong substitutes for leaders' support. The authors conclude that worker professionalism is an important moderator variable for research on leadership and substitutes for leadership.

This article discusses a study that investigated burnout as a function of aspects of role structure for people working in the field of human services. The subjects, the staff of a residential rehabilitation and mental health center, completed a six-team questionnaire, the Maslach Burnout Inventory, and the Least Preferred Coworker Scale. The relationships of accuracy, concentration of social support network, mutual references, and motivational hierarchy were analyzed in three multiple regressions with emotional exhaustion, personal accomplishment, and depersonalization. Emotional exhaustion was found to have occurred less often when a person's social support network within the setting was not concentrated solely within the formal work subgroup, personal accomplishment was enhanced by an ambiguous role structure, and depersonalization was found to be related primarily to a person's values toward personal relationships and work and to be more prevalent among those with concentrated networks and ambiguously structured roles.

Among persons with chronic renal disease, limited encouragement to use self-care treatment options and easy access to disability income benefits tend to reinforce the concept of disability rather than foster rehabilitation goals. More than 80% of all chronic renal disease patients on dialysis therapy receive treatment in facilities at which they become highly dependent on medical staff, and estimates of unemployment among persons aged 21-59 years suffering from this disease range from 60% to 75%. The authors' data indicate that patients who receive dialysis treatment within facilities experience negative effects on their perceived health status and health locus of control as compared to patients who practice self-care dialysis at home. Although many factors contribute to unemployment among dialysis patients, the availability of disability income benefits seems to act as the most important deterrent to employment. Increasing the emphasis on the rehabilitation of this chronically ill population will require a movement away from disability labeling by providers of care and the patients themselves, as well as adjustment in the dialysis reimbursement system and in the eligibility requirements for disability compensation.

The increasing professionalization of health care delivery systems, improved client awareness, funding cutbacks, and an emphasis on voluntarism have led recipients of health services to turn increasingly to self-help groups. This article examines the leadership and organizational pattern of such groups, using a study of 43 self-help groups from around the U.S. whose members are parents of children with cancer. Three leadership patterns emerged: groups were independent and parent-led, were led by professionals, or had a shared leadership of parents and professionals. Data indicate that the professionally led groups were the smallest, least formal, and had the narrowest range of activities. The groups with shared leadership had the greatest longevity, tended most often to retain as members parents of deceased children. The authors conclude that such coalitions of clients and professionals are vital for ensuring proper service delivery at a time when health care systems will likely remain bureaucratic and public resources for professional care are being reduced.

This article reviews the use of sociotechnical systems (STS) theory and methodology to the health care industry. The review indicates that health care delivery is an industry with a significantly complex mixture of technical and social component, one particularly well suited to STS. The authors briefly define the STS approach, provide a history of research on STS in health care settings, match elements of STS with elements of health care organizations to determine degree of fit, present issues and topics for further research, and discuss the general application and approach.

Organizational design is presented as a decision process, with specific structures seen as providing alternative choices. To illustrate this, the authors present the case of a major metropolitan hospital that used the process to coordinate service delivery (nursing care versus patient care) and service focus (product oriented versus function oriented). Through interviews with more than 40 hospital administrators and staff, the authors created a list of 20 attributes, and used simple multi-attribute utility analysis to generate six design alternatives. The decision makers unanimously chose one alternative, even though potential for significant conflict existed because of differing values and objectives. The authors find decision analytic techniques useful for both the problem formulation and for generating and evaluating structural alternatives, and conclude that in this case consensus was facilitated by the decision process used.

This article examines the effects of social support on the receipt of adequate prenatal care. A study was conducted to test the hypotheses that social support helps women overcome obstacles to obtaining such care, and that social support has greater effects on women facing the most obstacles. Survey data were gathered for more than 90% of the women who gave birth in Oklahoma hospitals during specific periods in the summer of 1986. The authors found only weak support for the first hypothesis, and for the second hypothesis found only support that must be qualified according to the measure of social support. Strong evidence indicates, however, that difficulty in paying for prenatal care, personal inconveniences, and unwanted pregnancies are obstacles to obtaining such care. The findings account for some of the frequently observed demographic differences associated with receipt of adequate prenatal care, although such differences persisted even after the obstacles were considered. The authors present implications for policy makers seeking to improve women's receipt of adequate prenatal care.

Demographic shifts, the further commercialization of the health and human services industry, and various economic trends point to a restructuring of the systems delivering services to the aged. Emerging are approaches that offer a broad range of services under the auspices of separate organizational entities. Called continuums of care, such organizational forms use single points of entry as mechanisms to control access to the array of available services. Using the life care community as the prime example, this article examines the operations of single-point entry organizations. The authors also explore the implications of such structures for the health and human services industry, noting their potential for stratifying the aged along the dimensions of health and income.

Previous research has suggested that black Americans tend to view mental health services and community mental health centers more negatively than do white Americans. This article discusses a recent study that sought to determine whether black persons possess positive or negative attitudes, what factors influence attitude formation, and the implications of these findings. Based on a sample of black residents in a city in the Northeast, the study found that fewer than 20% of black persons possess negative attitudes toward community mental health centers, that 34% possess positive attitudes, that women and married persons tend to possess more positive attitudes than do men and unmarried persons, that those with high levels of racial consciousness tend to possess more positive attitudes than those who do not, and that those with a high tolerance of substance use tend to possess more negative attitudes than do less tolerant persons. The author suggests that human service agencies should educate social and health workers to become more aware of the cultural diversity and attitudes of the black community so that they may more effectively serve black clients.

The research reported in this article tested the effectiveness of a linking program between city hospitals and community treatment programs in reducing the rehospitalization of mental patients following discharge. The authors proposed that the nature of the relationships between the liaison teams of such programs and those providing aftercare services is essential to providing a continuity of care and thus to lowering rates of rehospitalization. Two liaison teams were evaluated, one of which had more positive and ongoing relationships with providers of community services to mental patients. The program with the more positive and continuous relationships was predicted and found to be more effective in reducing rehospitalization rates for chronic mental patients. Testing a case management/primary therapist adaptation by the less effective program demonstrated that patient or staff characteristics did not account for the differences between the programs' effectiveness.

The growing reliance of voluntary nonprofit organizations on governmental funds ties their future to the fate of the welfare state. A mixed, three-sector, social service economy has blurred organizational differences and made a more rational division of responsibility unlikely. This article suggests that the traditional roles of voluntary agencies can still be reformulated to suggest a more realistic view of their distinctive areas of competence and vulnerability. To avoid goal deflection in the future, the author concludes that voluntary agencies must cope effectively with the dilemmas of entrepreneurialism and vendorism.

Because the authors found previous attempts at measuring sex role conflict to lack rigor in measurement and interpretation, they sought to develop an instrument for objectively measuring this condition. From a study of an initial group of 102 persons and a follow-up group of 556 persons from Western U.S. urban areas, the authors developed a new, 17-item, Likert-type scale, which they call the Sex Role Conflict Scale (SRCS). They employed factor analysis to arrive at the final 17 items used, and conducted studies of the scale's reliability and validity, correlating its results with previously validated measures of role conflict, job satisfaction, job involvement, and propensity to leave. The authors found correlations between their variables and sex role conflict, and recommend the SRCS for measuring the degree of such conflict experienced by both men and women.

Faced with industrial decline, American managers have begun searching for strategies for increasing productivity. Recent attention has focused on Japanese management practices, particularly on quality circles (QCs). Drawing upon social science research, this article evaluates the assumptions behind QCs implemented in the United States. The authors present a conceptual analysis that indicates possible reasons for the differing rates of success for QCs in Japan and the U.S. The article also makes suggestions for the effective implementation of American QCs.

This article describes an intervention that employed sociotechnical systems (STS) analysis in the laboratory of a major health care institution in the Midwest. The analysis was performed on two departments of the laboratory to determine opportunities for improving effectiveness, facilitating the introduction of new technology, and enhancing the work experience of technologists. The authors measured the results of the intervention by conducting a survey of technologists before and after the change effort and through follow-up interviews with a sample of physicians, supervisors, and technologists. The intervention did not achieve the results intended, and the authors present their explanation for why this occurred and suggest implications and recommendations for future STS applications to health care settings.