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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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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Some good presenters, some great, but OHS conferences need more work

What was missing most from the recent conference of the Asia Pacific Occupational Safety and Health Organisation was a strong Asia-Pacific voice. Certainly, there were presentations by Asian OHS professionals and some westerners working in Asia, but the keynote speakers were almost from Anglo-European cultures. This made it hard to understand if the conference was designed for Asian safety and health professionals to learn from us or for Australians to learn from them. Perhaps it was just for all of us to learn as a profession.

Some of the keynote speakers offered universal suggestions for improving the management of workplace health and safety, but perhaps these were so universal as to be generic or safe. For instance, one of the greatest challenges for the Asian region, in particular, is ensuring the safety of migrant workers. There was one mention of the deaths of the World Cup construction workers, and that was in passing.

Below is a summary of the conference and some of the occupational health and safety issues (OHS) raised.

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New book aims to spur the US to action on workplace mental health

A new book on workplace psychological hazards and laws has been published. The book “Managing Psychosocial Hazards and Work-Related Stress in Today’s Work Environment – International Insights for US Organizations” written by Ellen Pinkus Cobb, has a similar format to her coverage of international sexual harassment laws in a previous publication. Many occupational health and safety-related books written in the United States suffer from American parochialism. Cobb’s book is written for US organisations to show what workplace health and safety achievements are possible. The book is a very good summary of international changes in workplace psychosocial hazards.

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Burnout causes are organisational. Who knew?

This blog has written frequently about “burnout” in workplaces, especially since the condition was defined by the World Health Organisation in 2019. I have seen it used many times as a shortcut, or synonym, for workplace mental health but usually only at the corporate, executive level. Workers have breakdowns, but executives seem to suffer burnout.

Recently a book was published in the United States called “The Burnout Epidemic, or The Risk of Chronic Stress and How We Can Fix It”, by journalist Jennifer Moss. What is most outstanding about this book is that the recommended fix is organisational. Usually, burnout books from the States focus on the individual worker or executive. This fresh US perspective makes the book essential reading for if the US recognises how to fix burnout and chronic stress, any country can.

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Jessie Singer and the “social autopsy”

I am halfway through an extraordinary book called “There Are No Accidents –
The Deadly Rise of Injury and Disaster—Who Profits and Who Pays the Price
” by Jessie Singer. It is extraordinary in many ways, but the most significant is that Singer chose to write a book for the general reader about how people are hurt at work, home and when driving and how describing these as “accidents” deflects responsibility, as if there was nothing that could be done to prevent them. This is of huge significance to the advocates of work health and safety, and the book’s release should spark interviews with Singer and book reviews which could lead to a broader social discussion of safety.

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Why is the world “enthusiastic” for regulations?

Unsurprising from a global business magazine, The Economist’s special report on January 15 2002 (paywalled*) bemoaned the new “enthusiasm for regulation”. It clearly includes occupational health and safety (OHS) laws and Australia in its consideration but stops short of asking why this new enthusiasm exists.

Many regulations, especially in OHS, are proposed and introduced to address a wrong or misbehaviour or a new hazard. A major catalyst for Lord Robens‘ OHS laws in the 1970s stemmed from industrial deaths, especially those of the public. The pattern of deaths as a catalyst for change continues today with the Industrial Manslaughter laws, for instance. Another catalyst is new cultural sensitivities; what was tolerated previously is no longer acceptable.

The workplace bullying changes late last century in Australia is a good example, but this also ties in with unacceptable levels of harm. Bullying was often part of the initiation to work and seemed acceptable until workers were severely injured and traumatised, and people found out about it.

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