Discipline without punishment--Part I.
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Absenteeism of 130 direct-care staff was reduced by 27% through a mixed consequence procedure consisting of positive reinforcement for reliable attendance and punishment (progressive discipline) for attendance abuse. Reduced rates of absenteeism were maintained over a 12-month period. A 17% reduction in overtime and an increase in annual staff turnover from 34% to 45% also occurred. Results extend the findings of mixed consequence procedures to residential facilities for persons with developmental disabilities. Development of a more powerful positive reinforcement component was discussed.
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What steps must an EMS employer take when an employee requires disciplinary action? Determining what constitutes appropriate corrective action while affording due process to the employee can be especially challenging for EMS agencies.
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