Patients, Protocols, and Prosocial Behavior: Rule Breaking in Frontline Health Care
Rules are essential components of organizations, especially given their foundational role in inducing organizationally preferred behavior and reducing behavioral variability among its members. Despite the existence and prevalence of these centrally important tools, rule deviation occurs. This study...
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| Published in | American review of public administration Vol. 50; no. 1; pp. 45 - 61 |
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| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
Los Angeles, CA
SAGE Publications
01.01.2020
SAGE PUBLICATIONS, INC |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Rules are essential components of organizations, especially given their foundational role in inducing organizationally preferred behavior and reducing behavioral variability among its members. Despite the existence and prevalence of these centrally important tools, rule deviation occurs. This study proposes to understand the ways in which emergency medical service (EMS) professionals break rules for prosocial purposes—to help patients. In particular, this research seeks to understand how specific organizational and personal attributes influence rule-breaking tendencies. Results indicate that aspects of ethical climate are significantly related to prosocial rule-breaking (PSRB) tendencies, whereas empathy is not. In addition, this study finds that other characteristics, such as a conformist personality, risk taking, expertise, and experience on the job influence PSRB. These findings contribute to the literature on rule deviation and EMS practices and shed light on the complexity of decision making in frontline public services. |
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| AbstractList | Rules are essential components of organizations, especially given their foundational role in inducing organizationally preferred behavior and reducing behavioral variability among its members. Despite the existence and prevalence of these centrally important tools, rule deviation occurs. This study proposes to understand the ways in which emergency medical service (EMS) professionals break rules for prosocial purposes—to help patients. In particular, this research seeks to understand how specific organizational and personal attributes influence rule-breaking tendencies. Results indicate that aspects of ethical climate are significantly related to prosocial rule-breaking (PSRB) tendencies, whereas empathy is not. In addition, this study finds that other characteristics, such as a conformist personality, risk taking, expertise, and experience on the job influence PSRB. These findings contribute to the literature on rule deviation and EMS practices and shed light on the complexity of decision making in frontline public services. |
| Author | Borry, Erin L. Henderson, Alexander C. |
| Author_xml | – sequence: 1 givenname: Erin L. orcidid: 0000-0001-5346-2426 surname: Borry fullname: Borry, Erin L. email: borry@uab.edu – sequence: 2 givenname: Alexander C. surname: Henderson fullname: Henderson, Alexander C. |
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| Keywords | emergency medical services prosocial behavior street-level bureaucracy rule breaking |
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| SubjectTerms | Behavior Bureaucracy Decision making Deviation Emergency medical services Emergency services Patients Personality Public services Rules |
| Title | Patients, Protocols, and Prosocial Behavior: Rule Breaking in Frontline Health Care |
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