Reflections on, and responses to, managerial adverse reactions to healthcare advocacy by psychiatrists and trainees

2021 ◽  
pp. 103985622110404
Author(s):  
Jeffrey CL Looi ◽  
Stephen Allison ◽  
Tarun Bastiampillai
Keyword(s):  
New Zealand ◽  
Medical Association ◽  
Patient Care ◽  
Workplace Bullying ◽  
Adverse Reactions ◽  
Healthcare Management ◽  
Workplace Incivility ◽  
Health Advocacy ◽  
Healthcare Settings ◽  
Zealand College

Objective: For psychiatrists and trainees, to reflect upon adverse managerial reactions to healthcare advocacy about patient care and safety, drawing upon examples from general healthcare settings, and to share approaches to addressing these reactions. Conclusions: Psychiatrists and trainees engaging in healthcare advocacy may face adverse responses from healthcare management, with personal and professional consequences. Advocates need to consider counterstrategies to negative actions by management that may include workplace incivility, bullying and harassment. Health advocacy is more effective within a network of peers, patients and the broader community, including medico-political professional organisations, such as the Australian Medical Association, Royal Australian and New Zealand College of Psychiatrists, and Unions. These organisations should advocate openness to doctors highlighting healthcare safety and quality, as well as prevention of workplace bullying.

scholarly journals Gilbert Brown: A Prominent Australian Anaesthetist

2005 ◽  
Vol 33 (1_suppl) ◽  
pp. 29-32 ◽  
Author(s):  
I. M. Steven
Keyword(s):  
New Zealand ◽  
Medical Association ◽  
Scientific Meeting ◽  
British Medical Association ◽  
Annual Scientific ◽  
The South ◽  
Australian Society ◽  
Annual Scientific Meeting ◽  
Zealand College

In 1930 Gilbert Brown was prominent in the South Australian Branch of the British Medical Association and instrumental in the establishment of a Section of Anaesthetics. He was elected the first President of this scientifically and academically orientated section. He became the first President of the Australian Society of Anaesthetists from 1934–1939. He is commemorated by the Society in the Gilbert Brown Award for major contribution to a subject or event of the Society. The Australian and New Zealand College of Anaesthetists awards the Gilbert Brown Prize to the contributor judged to have made the best contribution at each Annual Scientific Meeting.

Clinical Supervision: A Review of Underlying Concepts and Developments

2002 ◽  
Vol 36 (1) ◽  
pp. 92-98 ◽  
Author(s):  
Joanna Macdonald
Keyword(s):  
New Zealand ◽  
American Literature ◽  
Clinical Supervision ◽  
Developmental Process ◽  
Empirical Support ◽  
Personal Contact ◽  
Role Conflicts ◽  
Effective Feedback ◽  
Zealand College ◽  
The Relationship

Objective: This review examines how psychiatric clinical supervision is represented in the psychiatric literature and its relevance for Australasian psychiatry. Method: The literature was first identified then reviewed using Medline and Psychlit, manual searches of relevant journals and personal contact with some key workers in Australia and New Zealand. Results: The predominantly American literature written two to three decades ago reflected the conditions in which psychiatry was practised at that time, largely based in asylums or private offices and informed by the dominant psychoanalytic discourse of that era. These articles, frequently anecdotal and with little empirical support, conceptualized supervision as a developmental process, a syndrome, or a process of identification. They focused substantially on the nature of the relationship between the trainee and supervisor. More recent writers have included trainees’ perspectives. They have identified a number of problems with supervision, including role conflicts, uncertainty about boundaries, lack of supervisory training and lack of effective feedback, and have introduced the concepts of adult learning as highly relevant. These concerns, however, have led to little change to date. Conclusion: The implementation by the Royal Australian and New Zealand College of Psychiatrists (RANZCP) of new training by-laws provides an opportunity to define the meaning of supervision in the current clinical context, to undertake research to clarify the key elements in the process, and to evaluate different techniques of supervision.

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