Unprofessional behaviour in Australian hospitals

Scott, Anthony; Hills, Danny

doi:10.5694/mja2.50891

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…12 It is also well known that junior doctors experience bullying in the workplace and that very few report it because of factors such as fear of reprisals and impact on one's future career opportunities. 13,14 When junior doctors feel supported, they are likely to enjoy their work and learn more. 12 Several authors have recommended that current approaches to prevocational training need review.…”

Section: Factors Affecting Learning During Internshipmentioning

confidence: 99%

Factors affecting learning during internship: A qualitative study of junior doctors

Isaacs¹,

Spencer²

2022

Aust J Gen Pract

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Section: Factors Affecting Learning During Internshipmentioning

confidence: 99%

Factors affecting learning during internship: A qualitative study of junior doctors

Isaacs¹,

Spencer²

2022

Aust J Gen Pract

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“…Health-care systems are complex, multi-layered and difficult to understand without an awareness of both the specifics of individual situations and an overview of the system in its entirety (Rutter et al , 2020). They are geographically spread and comprise of large, multi-disciplinary workforces, with up to 14% of people in Australia working in health-related professions (Scott and Hills, 2021). Complex systems such as health care are impacted by the collective behaviours of large numbers of individuals and may involve multiple actors who can simultaneously cause problems and provide solutions, resulting in high levels of political and technical difficulty in management (McGill et al , 2020; Peters, 2017).…”

Section: Complexity Of Health-care Systemsmentioning

confidence: 99%

The “disease” of violence against health-care workers is a wicked problem. Managing and preventing violence in health-care

Jacob

McCann

Buykx

et al. 2021

JACPR

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Purpose This paper aims to illustrate the complexity of understanding and managing violent behaviour in health care. The authors will show how different perceptions of the reasons for violent behaviour, and linkages between violent behaviour and illness have contributed to the creation of a wicked problem and added significant complexity to the management of violence towards staff within health-care settings. This paper will conclude with a call for strong multi-disciplinary action to address this ongoing issue. Design/methodology/approach A narrative review was undertaken to explore the ways that violence has been perceived in health care and the ways in which the concept of violence has moved from being seen as a criminal issue to being within the realms of disease. This paper will show the importance of understanding who is perpetrating violence in health care, why and in what settings. It will expound on the idea that considering violence as a consequence of disease necessarily adds a layer of complexity to both individual and organisational responses to violence towards health-care staff. Findings Understanding the complexity in preventing and managing violence against health-care staff can assist policymakers and managers to develop multi-faceted approaches to violence prevention, including better recognition and understanding of perpetrators of violence. Originality/value This paper provides a unique perspective on thinking about violence in health care and the implications of its complexity.

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“…Teaching by humiliation, poor workplace culture and bullying and harassment are unfortunately prevalent in the Australian healthcare industry [ 27 – 29 ] and produce high rates of burnout and mental ill health among the Australian healthcare workforce [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

Grace Under Pressure: a mixed methods impact assessment of a verbatim theatre intervention to improve healthcare workplace culture

Hooker,

Karageorge,

Scott

et al. 2024

BMC Health Serv Res

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Background Healthcare workplace mistreatment has been documented globally. Poor workplace behaviour, ranging from incivility to bullying and harassment, is common in healthcare, and contributes significantly to adverse events in healthcare, poor mental health among healthcare workers, and to attrition in the healthcare workforce, particularly in junior years. Poor workplace behaviour is often normalised, and is difficult to address. Verbatim theatre, a form of research informed theatre in which plays are created from informants’ exact words only, is particularly suited to facilitating workplace culture change by raising awareness about issues that are difficult to discuss. The objective of this study was to assess the impact of the verbatim theatre play ‘Grace Under Pressure’ on workplace culture in NSW hospitals. Methods The intervention was conducted in 13 hospitals from 8 Local Health Districts (LHDs) in NSW, Australia, in October and November 2019, with aggregated impact across all sites measured by a bespoke survey (‘Pam McLean Centre (PMC) survey’) at the conclusion of the intervention. This study was conducted in 3 Local Health Districts (one urban, one regional, one remote), with data collection conducted in November–December 2019 and December 2020. The study design was a mixed methods assessment of the play’s impact using (1) validated baseline measures of psychosocial risk, analysed descriptively, (2) overall findings from the PMC survey above, analysed descriptively, (3) interviews conducted within a month of the intervention, analysed thematically and (4) interviews conducted one year later, analysed thematically. Results Half (51.5%) of the respondents (n = 149) to the baseline survey had scores indicating high risk of job strain and depressive symptoms. Of 478 respondents to the PMC survey (response rate 57%), 93% found the play important, 92% recommended others see the play, 89% considered that it stimulated thinking about workplace behaviour, and 85% that it made discussing these issues easier. Thematic analysis of interviews within one month (n = 21) showed that the play raised awareness about poor workplace behaviour and motivated behaviour change. Interviews conducted one year later (n = 6) attributed improved workplace culture to the intervention due to improved awareness, discussion and capacity to respond to challenging issues. Conclusions Verbatim theatre is effective in raising awareness about difficult workplace behaviour in ways that motivate behaviour change, and hence can be effective in catalysing real improvements in healthcare workplace culture. Creative approaches are recommended for addressing similarly complex challenges in healthcare workforce retention.

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Unprofessional behaviour in Australian hospitals

Cited by 4 publications

References 10 publications

Factors affecting learning during internship: A qualitative study of junior doctors

Factors affecting learning during internship: A qualitative study of junior doctors

The “disease” of violence against health-care workers is a wicked problem. Managing and preventing violence in health-care

Grace Under Pressure: a mixed methods impact assessment of a verbatim theatre intervention to improve healthcare workplace culture

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