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Supervisor bottom line mentality and its impact on employee outcomes: The mediating role of employee appraisals
The concept of Bottom-line mentality (BLM) has been increasingly emphasized in contemporary workplaces, often at the expense of other critical organizational priorities. However, its implications for employees have remained underexplored. This study, which investigates how supervisors’ BLM influences employees’ behaviors and perceptions in the workplace, underscores the need for a balanced approach to leadership. Using SmartPLS 4, survey data from 382 employees in Pakistan’s fast-moving consumer goods sector were analyzed. The results reveal that supervisor BLM is positively associated with employee incivility and negatively associated with employees’ goal progress. Furthermore, employees’ hindrance appraisals mediate the relationship between supervisor BLM and incivility, whereas challenge appraisals mediate the relationship between supervisor BLM and goal progress. This research extends the literature by clarifying how supervisors’ bottom-line focus shapes employee actions and work outcomes, and it highlights the importance of a balanced leadership approach. The findings suggest that although leaders may adopt a bottom-line mentality to enhance performance, its effectiveness depends on how employees interpret and respond. The study offers practical guidance for organizations seeking to strengthen feedback systems and reduce the negative effects of supervisory misconduct.
Journal Article
Managing to make a difference : how to engage, retain, and develop talent for maximum performance
A practical, real-world training manual for mid-level management. 'Managing to Make a Difference' presents a leadership guide for those in the middle.
Book
System-integrated technology-enabled model of care to improve the health of stroke patients in rural China: protocol for SINEMA—a cluster-randomized controlled trial
Despite the significant burden of stroke in rural China, secondary prevention of stroke is suboptimal. This study aims to develop a SINEMA for the secondary prevention of stroke in rural China and to evaluate the effectiveness of the model compared with usual care.
The SINEMA model is being implemented and evaluated through a 1-year cluster-randomized controlled trial in Nanhe County, Hebei Province in China. Fifty villages from 5 townships are randomized in a 1:1 ratio to either the intervention or the control arm (usual care) with a target to enroll 25 stroke survivors per village. Village doctors in the intervention arm (1) receive systematic cascade training by stroke specialists on clinical guidelines, essential medicines and behavior change; (2) conduct monthly follow-up visits with the support of a mobile phone application designed for this study; (3) participate in virtual group activities with other village doctors; 4) receive performance feedback and payment. Stroke survivors participate in a health education and project briefing session, receive monthly follow-up visits by village doctors and receive a voice message call daily as reminders for medication use and physical activities. Baseline and 1-year follow-up survey will be conducted in all villages by trained staff who are blinded of the randomized allocation of villages. The primary outcome will be systolic blood pressure and the secondary outcomes will include diastolic blood pressure, medication adherence, mobility, physical activity level and quality of life. Process and economic evaluation will also be conducted.
This study is one of very few that aim to promote secondary prevention of stroke in resource-constrained settings and the first to incorporate mobile technologies for both healthcare providers and patients in China. The SINEMA model is innovative as it builds the capacity of primary healthcare workers in the rural area, uses mobile health technologies at the point of care, and addresses critical health needs for a vulnerable community-dwelling patient group. The findings of the study will provide translational evidence for other resource-constrained settings in developing strategies for the secondary prevention of stroke.
Journal Article
Becoming the evidence-based manager : making the science of management work for you
\"Over 50-years of management science distilled for everyday practice. The essential information you need to become an evidence-based manager from hiring to retention. Information is presented within 10 general lessons of management, a new case-study featuring two evidence-based managers in action, and thought-provoking questions at the end of each chapter.\"-- Back cover
Book
Let's make science metrics more scientific
To capture the essence of good science, stakeholders must combine forces to create an open, sound and consistent system for measuring all the activities that make up academic productivity, says Julia Lane.
Journal Article
Impact of scribes on emergency medicine doctors’ productivity and patient throughput: multicentre randomised trial
To evaluate the changes in productivity when scribes were used by emergency physicians in emergency departments in Australia and assess the effect of scribes on throughput.
Randomised, multicentre clinical trial.
Five emergency departments in Victoria used Australian trained scribes during their respective trial periods. Sites were broadly representative of Australian emergency departments: public (urban, tertiary, regional referral, paediatric) and private, not for profit.
88 physicians who were permanent, salaried employees working more than one shift a week and were either emergency consultants or senior registrars in their final year of training; 12 scribes trained at one site and rotated to each study site.
Physicians worked their routine shifts and were randomly allocated a scribe for the duration of their shift. Each site required a minimum of 100 scribed and non-scribed shifts, from November 2015 to January 2018.
Physicians' productivity (total patients, primary patients); patient throughput (door-to-doctor time, length of stay); physicians' productivity in emergency department regions. Self reported harms of scribes were analysed, and a cost-benefit analysis was done.
Data were collected from 589 scribed shifts (5098 patients) and 3296 non-scribed shifts (23 838 patients). Scribes increased physicians' productivity from 1.13 (95% confidence interval 1.11 to 1.17) to 1.31 (1.25 to 1.38) patients per hour per doctor, representing a 15.9% gain. Primary consultations increased from 0.83 (0.81 to 0.85) to 1.04 (0.98 to 1.11) patients per hour per doctor, representing a 25.6% gain. No change was seen in door-to-doctor time. Median length of stay reduced from 192 (interquartile range 108-311) minutes to 173 (96-208) minutes, representing a 19 minute reduction (P<0.001). The greatest gains were achieved by placing scribes with senior doctors at triage, the least by using them in sub-acute/fast track regions. No significant harm involving scribes was reported. The cost-benefit analysis based on productivity and throughput gains showed a favourable financial position with use of scribes.
Scribes improved emergency physicians' productivity, particularly during primary consultations, and decreased patients' length of stay. Further work should evaluate the role of the scribe in countries with health systems similar to Australia's.
ACTRN12615000607572 (pilot site); ACTRN12616000618459.
Journal Article
Research assessment exercises are necessary — but we need to learn to do them better
Australia is overhauling its research evaluation system — an opportunity for it, and other countries, to review what makes a system work for everyone.
Australia is overhauling its research evaluation system — an opportunity for it, and other countries, to review what makes a system work for everyone.
Journal Article