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The existing research on service climate emphasizes its benefits for customers, employees and organizational outcomes. Service climate translates into organizational expectations from service employees to continuously show appropriate emotions when engaging with clients. However, these expectations may also take a toll on employees, who need to regulate their emotions using emotional labor strategies in order to conform to the organization’s expectations. Hence, the purpose of this paper is to examine the relationship between the service climate and employees’ use of emotional labor strategies, and investigate how service employees’ service knowledge, skills, abilities and other attributes (KSAOs) affect this relationship.

In two separate studies, one with a sample including 100 nurses working in 15 wards, and the other comprised of 244 luxury hotel chain employees working in 39 departments, participants were surveyed about their perceptions of the service climate and their use of emotional labor strategies. In addition, each participant’s direct manager assessed his/her service KSAOs.

Results demonstrated a positive association between the service climate and the use of surface emotional labor strategies for employees who had limited service KSAOs.

Organizations may choose to hire service employees based on their service-related KSAOs and develop training and development programs for those who have fewer capabilities in these areas. In addition, organizations may want to rethink the traditional climate-induced emotional display rules and emphasize instead more authentic service encounters in order to lessen the toll that service climate takes on certain employees.

While service climate depicts the core values and beliefs of the organization about service, and helps employees to translate them into behaviors that promote high service performance, the current paper points to a potential toll it may have on employees well-being due to their use of surface emotional labor strategies.

This paper is an analysis of knowledge creation following implementation of the world's leading quality assurance standard, ISO 9000. We combine the perspectives of Nonaka on knowledge creation (Nonaka, 1994; Nonaka & Takeuchi 1995; and Krogh, Nonaka, & Nishiguchi, 2000) with those of authors who have dealt with the dynamics of rules and routines (March, Schulz, & Zhou, 2000; Nelson & Winter, 1982; Cohen & Bacdayan, 1994). On the basis of our analysis of ISO 9000 implementation we develop observations about rules and learning and about rule integration, absorption, and renewal. Our paper fits into the growing literature on the role of learning and knowledge transfer in quality improvement and the evolution of dynamic capabilities in the firm using routines and learning mechanisms such as knowledge codification.

Given the enormous size of the health care industry, the problem of developing high‐quality, cost‐effective health care delivery systems is growing in importance. There is general consensus that health care systems require a continuous process of quality improvement (QI). Less agreement, however, surrounds the mechanisms to be implemented so that such a process is effective. This study aims to bring empirical evidence to support the hypothesis that a QI program in a general hospital – a special context of the health care delivery system – does not necessarily lead to better overall organizational performance results.

The study was done at the hospital level, and included all acute care hospitals in Israel. Data was collected in 16 of the country's 23 hospitals, a 70 percent response rate. The study compared hospital performance before and after the QI program implementation.

The study shows that QI creates meaningful improvement events. In addition, the research supports the hypothesis that increasing the number of QI activities (items) included in the QI program brings about more improvement events. The results do not support the hypothesis that high, rather than low, intensive implementation of QI activities leads to more improvement events.

The special context of general hospitals decreases the effects of a QI program on overall hospital performance, whereas QI activities function as triggers in initiating improvement events.

Purpose – The purpose of this paper is to suggest a new safety self‐efficacy construct and to explore its antecedents and interaction with standardization to influence in‐patient safety. Design/methodology/approach – The paper used a survey of 161 nurses using a self‐administered questionnaire over a 14‐day period in two large Israeli general hospitals. Nurses answered questions relating to four safety self‐efficacy antecedents: enactive mastery experiences; managers as safety role models; verbal persuasion; and safety priority, that relate to the perceived level of standardization and safety self‐efficacy. Confirmatory factor analysis was used to assess the scale's construct validity. Regression models were used to test hypotheses regarding the antecedents and influence of safety self‐efficacy. Findings – Results indicate that: managers as safety role models; distributing safety information; and priority given to safety, contributed to safety self‐efficacy. Additionally, standardization moderated the effects of safety self‐efficacy and patient safety such that safety self‐efficacy was positively associated with patient safety when standardization was low rather than high. Hospital managers should be aware of individual motivations as safety self‐efficacy when evaluating the potential influence of standardization on patient safety. Originality/value – Theoretically, the study introduces a new safety self‐efficacy concept, and captures its antecedents and influence on safety performance. Also, the study suggests safety self‐efficacy as a boundary condition for the influence of standardization on safety performance. Implementing standardization in healthcare is problematic because not all processes can be standardized. In this case, self‐efficacy plays an important role in securing patient safety. Hence, safety self‐efficacy may serve as a “substitute‐for‐standardization,” by promoting staff behaviors that affect patient safety.

Exploring the considerations that guide and influence members of Facebook medical support groups to disclose private information.

The sample included 293 participants, aged 18–85 years, who answered an online survey, 155 members of Facebook medical support groups and 138 members of other Facebook groups.

Members of medical support groups attach greater importance to privacy policy, give greater value to privacy and reveal more private information, compared to members of other groups. Members of medical support groups tend to feel that they receive more support and feel that the privacy policy preserves their privacy much more. These feelings are associated with greater self-disclosure of groups' members.

The research insights will help medical support groups' members and admins to put into action the fundamental right to privacy and build a set of rules tailored to their individual and group needs.