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"Open communication"
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Parent–Adolescent Communication Influences on Anxious and Depressive Symptoms in Early Adolescence
The unique developmental changes and important role of parents during early adolescence warrants consideration of parent–adolescent communication, including open communication, co-problem-solving, and co-rumination, and its influences on adolescents’ anxious and depressive symptoms. In this study, 400 early adolescents (M age = 12.49; 54% female) recruited from a middle school completed electronic questionnaires at two time points, 5 months apart. While most bivariate associations examined between communication processes and adolescents’ symptoms were significant, path analyses found unique patterns. Specifically, over time, paternal open communication was negatively associated with adolescent anxious and depressive symptoms while paternal co-rumination was positively associated with depressive, but not anxious, symptoms. In contrast, few maternal communication factors were significantly linked to adolescents’ internalizing symptoms, with only maternal co-rumination surprisingly being negatively linked to depressive symptoms over time. The results suggest how parents communicate with their children may be important as early adolescents develop problem-solving and adaptive coping skills to successfully navigate new experiences.
Journal Article
eHealth Assistant AI Chatbot Using a Large Language Model to Provide Personalized Answers through Secure Decentralized Communication
In this paper, we present the implementation of an artificial intelligence health assistant designed to complement a previously built eHealth data acquisition system for helping both patients and medical staff. The assistant allows users to query medical information in a smarter, more natural way, respecting patient privacy and using secure communications through a chat style interface based on the Matrix decentralized open protocol. Assistant responses are constructed locally by an interchangeable large language model (LLM) that can form rich and complete answers like most human medical staff would. Restricted access to patient information and other related resources is provided to the LLM through various methods for it to be able to respond correctly based on specific patient data. The Matrix protocol allows deployments to be run in an open federation; hence, the system can be easily scaled.
Journal Article
Self-Concept Clarity Across Adolescence: Longitudinal Associations With Open Communication With Parents and Internalizing Symptoms
Higher self-concept clarity is related to several adjustment indices and may be promoted by open communication with parents, while problems with self-concept clarity development could enhance internalizing problems (i.e., depressive and anxiety symptoms) in adolescence. This longitudinal study examined linkages between self-concept clarity, adolescents’ open communication with parents, and adolescent depressive and anxiety symptoms. Dutch youths (
N
= 323; 51.1 % girls; mean age Time 1 = 13.3 years) reported on these constructs over four consecutive annual measurements. Concurrent positive links between open communication and self-concept clarity were found at Time 1. Over time, higher levels of open communication with parents predicted higher self-concept clarity only in middle adolescence (mean age between 14 and 15 years). We also found concurrent associations between self-concept clarity and both depressive and anxiety symptoms. Longitudinally, lower self-concept clarity predicted relatively higher levels of depressive symptoms across all waves, and also higher anxiety levels from Time 1 to Time 2. Conversely, higher levels of anxiety also predicted lower levels of self-concept clarity during the first three waves. Self-concept clarity did not mediate the longitudinal associations between open communication and internalizing symptoms. This study is one of the first to investigate self-concept clarity across adolescence. It highlights the possible importance of both anxiety symptoms and communication with parents in understanding the development of a clear self-concept, and demonstrates an association between lower self-concept clarity and higher levels of later depressive and anxiety symptoms.
Journal Article
Benevolent leadership enhances organizational learning through communication, trust, and knowledge sharing
This research addresses a significant gap in existing literature, which predominantly focuses on mainstream leadership styles, like transactional or transformational leadership. It illustrates how benevolent leadership, characterized by warmth and a paternalistic approach, can foster environments conducive to knowledge sharing and organizational learning. Utilizing a survey of 350 respondents from various knowledge-intensive organizations, the study employs structural equation modelling to analyze the data. The findings challenge the conventional belief that benevolent leadership inherently promotes a learning environment, suggesting that its effectiveness is significantly amplified when combined with trust and open communication. This study contributes to theoretical advancements by integrating social exchange theory with organizational learning, highlighting that the reciprocity triggered by benevolent leadership encourages employees to engage in positive knowledge-sharing behaviors, thereby enhancing organizational learning capabilities. For practitioners, these insights emphasize the importance of nurturing leadership styles that support trust and openness to foster a culture where knowledge is freely shared, thus enhancing the organization’s ability to adapt and innovate.
Journal Article
The effect of activated resource-based faultlines on team creativity: mediating role of open communication and moderating role of humble leadership
To advance the understanding of the impacts of activated resource-based faultlines, this study developed a conceptual model to theorize whether, how, and when activated resource-based faultlines affect team creativity. Drawing on social information processing theory, we hypothesized that activated resource-based faultlines can suppress team creativity by inhibiting team open communication. We also introduced humble leadership into the theoretical model and proposed that humble leadership can moderate the relationship between activated resource-based faultlines and team open communication. On the basis of multisource and multiwave survey data collected from 70 teams, we found support for our hypothesized theoretical model. We verified that activated resource-based faultlines exert a significant and negative impact on team creativity, and the above relationship is mediated by team open communication. In addition, the result revealed that humble leadership attenuates the negative relationship between activated resource-based faultlines and team open communication. Finally, we discussed the theoretical contributions of our study and offer practical suggestions for avoiding the deleterious consequences of activated resource-based faultlines.
Journal Article
Classification of influencing factors of speaking-up behaviour in hospitals: a systematic review
Background
Speaking up among healthcare professionals plays an essential role in improving patient safety and quality of care, yet it remains complex and multifaceted behaviour. Despite awareness of potential risks and adverse outcomes for patients, professionals often hesitate to voice concerns due to various influencing factors. This complexity has encouraged research into the determinants of speaking-up behaviour in hospital settings. This review synthesises these factors into a multi-layered framework. It aims to provide a more comprehensive perspective on the influencing factors, which provides guidance for interventions aimed at fostering environments contributing to speaking up in hospitals.
Methods
A systematic review was conducted in November 2024, searching databases: PubMed, Scopus and Web of Science. Following PRISMA guidelines and the three stages for thematic synthesis, we developed the classification of influencing factors. Out of 1,735 articles identified articles, 413 duplicates were removed, 1,322 titles and abstracts were screened, and 152 full texts (plus six additional articles) were assessed. Ultimately, 45 articles met the inclusion criteria.
Results
The review categorised influencing factors into four categories: individual (29 articles, 64%), relational (21 articles, 47%), contextual (19 articles, 42%), and organisational (26 articles, 58%). These categories encompass motivating, hindering and trade-off factors affecting speaking up among healthcare professionals in hospitals.
Conclusions
The multi-layered framework highlights the dynamic interplay of factors influencing speaking up among healthcare professionals. A systems approach is essential for identifying barriers and enablers and designing effective speaking up interventions. This framework serves as a foundation for more focused research and practical guidance, enabling healthcare leaders to address barriers across all categories. By fostering environments that support open communication, organisations can enhance patient safety and quality of care.
Journal Article
Mind the gap- open communication protocols for vehicle grid integration
Mass adoption of battery electric vehicles (BEVs) and their associated charging requirements introduce new electricity demand, which needs to be managed to minimise electricity grid upgrades. Management of BEV charging requires coordination and communication between various mobility and energy entities. Communication protocols provide a set of rules and guidelines to facilitate the communication and data exchange between two or more entities to ensure successful charging demand management and electricity grid integration of BEVs. A key challenge is that companies are currently developing and implementing several proprietary protocols to manage BEV charging, which could risk losing or vastly under-utilising BEV charging demand flexibility, and consequently hindering proper grid integration. This work presents the status quo on communication protocols and standards for vehicle grid integration and it is targeted for industries and governments. The objectives of the work are to review current protocols, present some of the advantages of open protocols, identify challenges and additional efforts required to develop, implement, and standardise these protocols to ensure that charging infrastructure for electric vehicles is synergistic with the operation of the electricity system.
Journal Article