000			01684nam a22001577a 4500
999			_c513859 _d513859
008			200911b ||||| |||| 00| 0 eng d
100			_aBorry, Erin L. and Henderson, Alexander C. _917653
245			_aPatients, protocols, and prosocial behavior: rule breaking in frontline health care
260			_aThe American Review of Public Administration
300			_a50(1), Jan 2020. p. 45-61
520			_aRules 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. Reproduced
650			_aProsocial behavior, Rule breaking, Bureaucracy, Emergency medical services, Health services _917654
773			_aThe American Review of Public Administration
906			_aPUBLIC ADMINISTRATION
942			_cAR