Worker exploitation may be cultural but is still harmful

The Australian Medical Association (AMA) has released a media statement based on new research into mental illness and suicidal ideation of junior doctors. Given that the relationship between excessive working hours and mental health is increasingly becoming an occupational health and safety (OHS) issue, SafetyAtWorkBlog sought some clarification to some of the quotes in the statement attributed to AMA President, Dr Tony Bartone.

The January 23 2020 media release quoted Bartone saying:

“A healthy medical profession is vital to patient safety and quality of care, and the sustainability of the medical workforce,… Significant evidence already exists to show that doctors are at greater risk of psychological distress and stress-related problems. This new research provides clear additional insight into how the workplace can affect the health and wellbeing of the medical profession. Long working hours, unpredictable rosters, overtime, being on-call, and night shifts are significant systemic barriers to the maintenance of physical and mental health and wellbeing. There is an established link between working more hours and having higher rates of anxiety, depression, and psychological distress.”

These are the questions put to the AMA:

  • The media release lists several “systemic barriers” that are generating poor psychological health. It seems that most of these barriers would be removed or weakened if hospitals had more staff. Is the psychological harm a result of insufficient staffing levels? And is this a result of underinvestment in hospitals?
  • Is the fatigue, psychological harm, etc. a result of trying to make do with the available resources? If so, what new income or labour sources are being sought?
  • Why do you think the trend towards safe working hours stalled?
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Take a good hard look at your business and do something about it

The Medical Journal of Australia (MJA) published an opinion piece on January 20, 2020 concerning working hours in the medical profession and the risk of mental health and suicide from working excessive hours. It uses the Japanese problem of “karoshi” to illustrate the severity of the workplace risks but it misses a couple of points.

It references the amendments to Victoria’s Occupational Health and Safety (OHS) legislation that introduced an offence of Industrial Manslaughter but implies that this amendment changes the duty of care expected of employers and changes a worker’s right to a safe and healthy workplace.

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Harm prevention gets short shrift from Aigroup report

The Australian Industry Group has released research into workplace mental health conducted by Griffith University. The AiGroup claims it is a

“… a landmark study into mental health initiatives taken in local workplaces”.

It is far from it. Workplace mental health will only become more important in 2020 with reports due from the Productivity Commission and the Australian Human Rights Commission. Sadly the AiGroup report gives inadequate attention to the prevention of work-related psychological harm even though this has been identified by some Australian mental health experts as the most cost-effective and sustainable business strategy.

The most obvious problem with the report is with this statement:

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Australian research into corporate culture and mental health

In December 2019, it was announced that Professor Maureen Dollard had received funding to investigate “the impact of toxic workplaces on mental health”. The significance of this research is evident in the University of South Australia media release which describes this research as the “first of its kind in the world.

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Recognition for hard work and inspiration

There seems to be a spate of intelligent and knowledgeable people talking about the structural changes required by businesses to reduce and prevent psychological harm. Two Australian voices are Lucinda Brogden and Dr Rebecca Michalak. New Zealand has Dr Hillary Bennett who recently received a Lifetime Achievement Award at the New Zealand Workplace Health and Safety Awards. Bennett’s interview with SafeGuard magazine should be obligatory reading.

Bennett is asked about the Human Resource (HR) profession and nails a critical difference in the HR approach to the occupational health and safety (OHS) one:

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International healthy workplace conference

The wave of workplace wellness cannot be avoided but wellness is only part of achieving safe and healthy workplaces. At the end of October 2019 Melbourne is hosting the 7th Global Healthy Workplace Awards and Summit at Monash University.

Occupational health and safety (OHS) often accuses workplace wellness advocates of providing symptomatic relief instead of addressing issues that cause the un-wellness in the workplace. However the October summit seems to offer deeper analysis on both these perspectives and in the broader context of healthy workplaces.

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