Building and Sustaining Proactive Behaviors: The Role of Adaptivity and Job Satisfaction

© 2013, Springer Science+Business Media New York. Purpose: The purpose was to investigate how job satisfaction and adaptivity influence proactivity over time. Proactivity describes employees’ efforts to initiate positive change in the organization and can be differentiated from adaptivity: the positive behavioral response to ongoing change. We investigated how adaptivity supports subsequent proactivity and how job satisfaction can be a motivational resource for maintaining high levels of proactivity over time. Design/Methodology/Approach: We surveyed 75 employees on two occasions separated by a period of 2 years. Findings: Our findings provide initial support for the role of adaptivity in facilitating proactivity over time. Highly satisfied employees maintained their level of proactivity, whether high or low, over the 2-year period. Employees low in job satisfaction who showed high levels of proactive behavior at Time 1 did not report high levels of proactive behavior at Time 2. Implications: In uncertain environments, organizations rely on their employees to support and promote change and innovation. Our results suggest that high adaptivity can build proactivity, while high satisfaction can sustain proactivity. Originality/Value: Distinguishing adaptivity from proactivity provides a better understanding of the nature of proactivity in organizations. Inconsistent results concerning the link between satisfaction and proactivity are addressed

1013 Preoperative Nasopharyngeal Swab Testing and Postoperative Pulmonary Complications in Patients Undergoing Elective Surgery During The SARS-Cov-2 Pandemic

Abstract Introduction This study aimed to evaluate the association between preoperative SARS-CoV-2 testing and postoperative pulmonary complications in patients undergoing elective cancer surgery. Method International cohort study including adult patients undergoing elective surgery for cancer in areas affected by SARS-CoV-2 up to 19 April 2020 (NCT04384926). Patients suspected preoperatively of SARS-CoV-2 infection were excluded. The primary outcome measure was postoperative pulmonary complications at 30 days after surgery. Results Of 8784 patients (432 hospitals, 53 countries), 2303 patients (26.2%) underwent preoperative testing: 1458 (16.6%) had a swab test, 521 (5.9%) CT only, and 324 (3.7%) swab and CT. The overall pulmonary complication rate was 3.9% and SARS-CoV-2 infection rate was 2.6%. After risk adjustment, only a nasopharyngeal swab test (adjusted odds ratio 0.68, 95% confidence interval 0.68-0.98, p = 0.040) was associated with lower rates of pulmonary complications. Swab testing remained beneficial before major surgery and in high SARS-CoV-2 population risk areas but not before minor surgery in low incidence areas. Conclusions Preoperative nasopharyngeal swab testing was beneficial before major surgery and in high SARS-CoV-2 incidence areas. There was no proven benefit of swab testing before minor surgery in low incidence areas. </jats:sec