Is psychosocial harm always preventable?

Occupational health and safety (OHS) in healthcare is a unique experience. Patient care and patient safety seem to override the OHS duties for healthcare workers. This is understandable given the culture and purpose with which people work; however, it is short-sighted, especially on the issue of mental health at work.

A new book on burnout (yes, another, and there are even more) was published recently on the issue of preventing burnout for healthcare workers, written by John Halbesleben. This 2nd edition has a slightly revised title to reflect the changing emphasis on mental health at work.

Halbesleben writes that the first edition from 2009 tried to convince readers that burnout was an occupational risk. Since then, that fact is now accepted, and not just because of the coronavirus pandemic. He writes:

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Legal Professional Privilege is the OHS equivalent of the Non-Disclosure Agreement

Pam Gurner-Hall is no stranger to this blog. Recently she appeared in an article by the Australian Broadcasting Corporation (ABC) about access to information from South Australia’s occupational health and safety (OHS) regulator, SafeWorkSA.

SafeWorkSA has been under considerable scrutiny for the last few years. A “root and branch” review conducted by John Merritt is the latest inquiry. [Note: this article was written before the release of the Merritt report and the Government’s interim response last weekend. More on that report shortly]

Gurner-Hall’s concerns seem more about the government’s response to the inquiry and the application of Legal Professional Privilege (LPP). She is quoted saying:

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Trucking inquiries scare the Conservatives

Australia’s newspapers have recently reported on the moves by the Federal Government to review the safety and working conditions of the country’s truck drivers. As expected, The Australian newspaper is painting this as the Government paying back its ideological and financial backers – the trade unions – and the resurrection of the Road Safety Remuneration Tribunal (RSRT), even though the Government denies this will happen.

Occupational health and safety (OHS) sits behind some elements of the debate. As with most things OHS, it will not be a game-changer in a discussion over pay rates and minimum standards, but it is a serious consideration, and deservedly so.

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Extreme heat

Global warming is affecting how we work just as much as how we live. Working in Heat policies are designed based on experience rather than meteorological and climate forecasts, meaning these documents are always chasing reality and not getting ahead of the occupational hazard.

On January 19, 2023, Steven Greenhouse (coincidental name) looked at the topic of working in extreme for Nieman Reports writing that:

“High heat can be a big problem for the nation’s workers, not just farmworkers and construction workers, but delivery workers, utility workers, landscaping workers, and warehouse workers.”

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Organisational and self-help advice on burnout

One of the best books about burnout is Jennifer Moss‘ “The Burnout Epidemic“, which this blog wrote about in April last year. A recent book on burnout and self-help caused me to revisit Moss’ book, and one of the chapters that I missed last year seems to explain the popularity of the self-help approach.

Moss writes about the organisational and structural workplace factors that create and perpetuate workplace stress and related poor mental health. However, one of the last chapters is titled “Take Care of Yourself, Too”. Moss writes:

“Self-care won’t fix broken organizational systems, but it’s the part we can control in a world full of the uncontrollable.”

page 213
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Don’t mention profit

The primacy of profit to employers is an accepted truth. However, the size of the profit and the pathway to those profits are not absolutes, and it is in this latter context that occupational health and safety (OHS) lives.

Even though profit is a business truth, it is often a word that business representatives seem to fear. They speak of profit through synonyms like “productivity” and “competitiveness”. An example of this timidity or wariness was displayed recently by prominent businessman Michael Angwin in an opinion piece in the Australian Financial Review (paywalled) that contained many other cautious words of business jargon. Angwin misses the harm to workers and others generated by the world as he sees it.

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Who’s to blame?

All occupational health and safety (OHS) advocates should be reading the work of Jordan Barab. His latest article on “blaming the workers” for their own incidents is a great example of his writing. The article also illustrates one of the things about OHS that really gets up the noses of employers – if we don’t blame the workers, we have to blame the employers. An Australian answer to the situation would be Yeah, Nah.

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