Process‐orientation versus outcome‐orientation during organizational change: the role of organizational identification

In this paper we argue that organizational identification is predictive of employee interests and concerns during periods of organizational change. More specifically, we assert that organizational identification may largely determine whether employees may be focused upon the change related outcomes (e.g., salary, expenses, etc.), or on the change processes (e.g., procedures, voice and participation options, etc.). Data of both a scenario experiment and a survey are presented indicating that high and low identifiers indeed are differentially interested in process and outcome information. The results suggest that people who identify less with the organization are more likely to be focused upon the change outcomes then on the change process, while people who identify highly (i.e., deep structure) with the organization are more likely to be focused upon the change processes then on the change outcomes. The benefits of awareness of organizational members' level of identification for organizational change management are discussed. Copyright © 2006 John Wiley & Sons, Ltd.     

A prospective study on rapid exome sequencing as a diagnostic test for multiple congenital anomalies on fetal ultrasound

Objective

Conventional genetic tests (quantitative fluorescent-PCR [QF-PCR] and single nucleotide polymorphism-array) only diagnose ~40% of fetuses showing ultrasound abnormalities. Rapid exome sequencing (rES) may improve this diagnostic yield, but includes challenges such as uncertainties in fetal phenotyping, variant interpretation, incidental unsolicited findings, and rapid turnaround times. In this study, we implemented rES in prenatal care to increase diagnostic yield.

Methods

We prospectively studied 55 fetuses. Inclusion criteria were: (a) two or more independent major fetal anomalies, (b) hydrops fetalis or bilateral renal cysts alone, or (c) one major fetal anomaly and a first-degree relative with the same anomaly. In addition to conventional genetic tests, we performed trio rES analysis using a custom virtual gene panel of ~3850 Online Mendelian Inheritance in Man (OMIM) genes.

Results

We established a genetic rES-based diagnosis in 8 out of 23 fetuses (35%) without QF-PCR or array abnormalities. Diagnoses included MIRAGE (SAMD9), Zellweger (PEX1), Walker-Warburg (POMGNT1), Noonan (PTNP11), Kabuki (KMT2D), and CHARGE (CHD7) syndrome and two cases of Osteogenesis Imperfecta type 2 (COL1A1). In six cases, rES diagnosis aided perinatal management. The median turnaround time was 14 (range 8-20) days.

Conclusion

Implementing rES as a routine test in the prenatal setting is challenging but technically feasible, with a promising diagnostic yield and significant clinical relevance.     

Development of the PRCQ: A measure of perceived restorative characteristics of zoo attractions

This study describes the development of the Perceived Restorative Characteristics Questionnaire (PRCQ), a measure of perceived restorative characteristics of zoo attractions. The questionnaire was administered in two zoo attractions. The hypothesized five factor structure of the PRCQ, and relations between perceived restorative characteristics and experienced pleasure in and preference for the attractions were examined. In Study 1, 137 visitors of a Dutch zoo evaluated perceived restorative characteristics of a butterfly garden; In Study 2, 158 visitors evaluated those of a baboon attraction. In Study 1 three factors emerged (fascination, escape and coherence); In Study 2 four factors could be distinguished (fascination, novelty, escape, coherence). Compatibility did not appear as a separate factoring either study. Perceived fascination and escape were significant predictors of experienced pleasure and preference in both attractions. The implications of the findings are discussed.     

Reducing emissions from land use in Indonesia: motivation,policy instruments and expected funding streams

Land-based emissions of carbon dioxide derive from the interface of forest and agriculture. Emission estimates require harmonization across forest and non-forest data sources. Furthermore, emission reduction requires understanding of the linked causes and policy levers between agriculture and forestry. The institutional forestry traditions dominated the emergence of the discourse on Reducing Emissions from Deforestation and forest Degradation (REDD+) while more holistic perspectives on land-based emissions, including agriculture, found a home in international recognition for Nationally Appropriate Mitigation Actions (NAMAs). We tested the hypothesis that, at least for Indonesia, the NAMA framework provides opportunities to resolve issues that REDD+ alone cannot address. We reviewed progress on five major challenges identified in 2007 by the Indonesian Forest Climate Alliance: 1) scope and ‘forest’ definition; 2) ownership and tenurial rights; 3) multiplicity and interconnectedness of drivers; 4) peatland issues across forest and non-forest land categories; and 5) fairness and efficiency of benefit-distribution mechanisms across conservation, degradation and restoration phases of tree-cover transition. Results indicate that the two policy instruments developed in parallel with competition rather than synergy. Three of the REDD+ challenges can be resolved by treating REDD+ as a subset of the NAMA and national emission reduction plans for Indonesia. We conclude that two issues, rights and benefit distribution, remain a major challenge, and require progress on a motivational pyramid of policy and polycentric governance. National interest in retaining global palm oil exports gained priority over expectations of REDD forest rents. Genuine concerns over climate change motivate a small but influential part of the ongoing debate.     

Coastal and riverine ecosystems as adaptive flood defenses under a changing climate

Adaptation planning for flood risk forms a significant part of global climate change response. Engineering responses to higher water levels can be prohibitively costly. Several recent studies emphasize the potential role of ecosystems in flood protection as adaptive risk reduction measures while also contributing to carbon fixation. Here, we use a conceptual model study to illustrate the built-in adaptive capability of ecosystems to reduce a wide range of wave heights, occurring at different water levels, to a narrower range. Our model shows that wave height of waves running through a forested section is independent of initial height or of water level. Although the underlying phenomenon of non-linear wave attenuation within coastal vegetation is well studied, implications of reducing variability in wave heights for design of ecosystem and levee combinations have not yet been properly outlined. Narrowing the range of wave heights by a vegetation field generates an adaptive levee that is robust to a whole range of external conditions rather than only to a maximum wave height. This feature can substantially reduce costs for retrofitting of levees under changing future wave climates. Thereby, in wave prone areas, inclusion of ecosystems into flood defense schemes constitutes an adaptive and safe alternative to only hard engineered flood risk measures.     

Envisioning robust climate change adaptation futures for coastal regions: a comparative evaluation of cases in three continents

The paper reports on a comparative study of three different cases on vision and strategy development for climate change adaptation planning in (i) The South African Breede–Overberg Catchment, (ii) The Mississippi Estuary-New Orleans region and (iii) The Dutch Rhine-Meuse Estuary. The objective of the paper is twofold: to develop a better understanding of such processes and to further develop the Backcasting-Adaptive Management (BCAM) methodology. A framework for case evaluation is developed using six dimensions: (i) inputs and resources, (ii) future vision, (iii) stakeholder engagement, (iv) methodological aspects, (v) pathway development and (vi) impact. Major conclusions based on a cross-case comparison and testing propositions are (i) participatory vision development is a strong tool for climate change adaptation planning in different governance contexts and shows considerable diversity in its application in these contexts; (ii) a single, shared future vision is not a prerequisite for vision and pathway development and endorsement; (iii) broad stakeholder engagement enriches strategy development, but the involvement of marginal groups requires additional efforts and capacity building; (iv) multiple pathways and robust elements are useful but require novel expertise; and (v) more institutional embeddedness and support for participatory processes lead to better implementation of the outcomes of these processes.     

Better effect of the use of a needle safety device in combination with an interactive workshop to prevent needle stick injuries

ObjectivesThis study compares the effectiveness of two types of interventions with no intervention on the prevention of needle stick injuries (NSIs).MethodsHealth care workers, who were at risk for NSIs, were eligible for this three-armed cluster randomized controlled trial. In total, 23 hospital wards were randomly assigned to 1 of 2 intervention groups, which were given either a needle safety device and a workshop (NW; 7 wards, n = 267) or a workshop only (W; 8 wards, n = 263), or to a control group (C; 8 wards, n = 266). The primary outcome was the half-year incidence of NSIs, which was measured through questionnaires and official notification at the occupational health service at baseline (T0), 6 months (T1) and 12 months (T2) after baseline. Analysis were done by intention to treat. This study is registered as a prospective randomized trial, number NTR1207.ResultsA statistically significant difference was found between the groups for the half-year incidence of NSIs (p = 0.046) on the basis of questionnaire data with ORs for reported NSIs for the NW group compared with the control group of 0.34 (95% CI: 0.13–0.91) and 0.45 (95% CI: 0.19–1.06) for the W group compared with the control group. The officially registered NSIs during the study period showed no statistical differences between the groups.ConclusionsThe combined intervention of the introduction of needle safety devices and an interactive workshop led to the highest reduction in the number of self-reported NSIs compared to a workshop alone or no intervention.