Richard Olley
Leadership is a choice - not a position (Stephen Covey)
Location Brisbane, Qld Australia
Activity
-
Richard Olley made a comment
Another resource that you might interest you
Bresnen, M., Hodgson, D., Bailey, S., Hassard, J., & Hyde, P. (2019;2018;). Hybrid managers, career narratives and identity work: A contextual analysis of UK healthcare organizations. Human Relations, 72(8), 1341-1368. doi:10.1177/0018726718807280 -
Richard Olley made a comment
This is a good read and contains some inciteful comment and evidence synthesised in a scoping review:
Malila, N., Lunkka, N., & Suhonen, M. (2018). Authentic leadership in healthcare: A scoping review. Leadership in Health Services, 31(1), 129-146. doi:10.1108/LHS-02-2017-0007 -
Richard Olley made a comment
An interesting read on ethics of emigration/immigration:
Yuksekdag, Y., (2019;2018;). The right to exit and skilled labour emigration: Ethical considerations for compulsory health service programmes. Developing World Bioethics, 19(3), 169-179. doi:10.1111/dewb.12217 -
Richard Olley replied to James Bowery
Interesting to hear that a country has too many doctors James.
-
Richard Olley made a comment
Some interesting additional reading here on international migration of health workers:
https://www.who.int/hrh/migration/en/ -
Of course, it is the accuracy, reliability, validity and transparency of the data that is sometimes called in question in some countries Dennis. This will be a confounding factor for comparison and extrapolation.
-
Richard Olley made a comment
Some additional reading for those who enjoy supply and demand forecasting for global health or need to know a little more about it:
Szabo, S. et al. (2020) Health workforce demography: a framework to improve understanding of the health workforce and support achievement of the Sustainable Development Goals. Human Resources for Health. 18:7.... -
Richard Olley made a comment
Course participants may find the following article informative relating to global workforce strategies:
Brooke A Farrenkopf, Chung-Won Lee, Mapping health workforce development strategies across key global health agencies: an assessment of objectives and key interventions, Health Policy and Planning, Volume 34, Issue 6, July 2019, Pages 461–468, -
Richard Olley made a comment
For a paper that explains the important of Interprofessional Education see: Merriman, C. (2020). "Values-based interprofessional education: how interprofessional education and values-based practice interrelate and are vehicles for the benefit of patients and health and social care professionals". Journal of interprofessional care (1356-1820), p. 1.
-
Greater interprofessional education opportunities is not addressed in the video but is of great importance in a modern health workforce
-
Great to see a member of our alumni in the course!
-
Also greater opportunities for interprofessional education
-
Faith, could you clarify what you mean in point 2. I think I understand what you are referring to but feel this should be further expanded as a valid point.
-
Richard Olley replied to Dea Rreshma
Good analysis Dea - see also my comments at the top of the page
-
Richard Olley made a comment
The comments and strategies referred to by many of you are insightful and generally on point. Perhaps though we need to examine models of care, job redesign, regulatory changes relating to scope of practice for health professionals and greater interdisciplinary education as systemic strategies that require greater attention.
-
Andrew, you might also consider if there are changes to models of care, demarcation of duties by job redesign and also regulatory changes that might need to be made to achieve this.
-
Good summary Komal and of course the difficulties are in the implementation of these strategies.
-
Lucy, I am pleased to see you included the importance of data and analytics!
-
A novel collection of thoughts. Creative and certainly not incorrect.
-
Richard Olley replied to zhanming liang
@zhanmingliang I don't quite understand your question Zhanming Liang. If you are asking if you need management qualifications to manage staff then I would say that it is always best to be qualified in the work that one does. If you are asking whether or not there is some kind of regulatory requirement to be qualified to manage staff the no. At least not in...
-
Liz, great to see you in this MOOC. Knowledge of the health workforce is very essential for health services management
-
Good to see you here Dennis - I think you are on the right track and thinking strategically
-
social care is an often neglected but essential health service for which workforce supply is always a challenge in an environment where social care is under heavy demand
-
Volunteers provide an important role in supporting the work of the health workforce and are often forgotten. Great to see them included here.
-
I like your thinking relating to innovation which is very needed in a contemporary health workforce
-
Good comprehensive view Maddy. Remember though not all the health workforce is patient-facing but they may be patient affecting!
-
These would make terrific health workforce development goals Shah
-
Great response Proud
-
I like the acronym - you should consider expanding your thought on this
-
Great view of what constitutes the health workforce Sharon. You may be interested in some important statistics about the global health workforce from the WHO https://apps.who.int/gho/data/node.main.HWFGRP?lang=en
-
I hope we can help you with that in this MOOC
-
Anthony, you have looked at the health workforce in a novel way. It's good to see that you are thinking more strategically than listing the professions and occupations that comprise the health workforce.
-
Stewart. you have captured the essence of the health workforce in its diversity of talent, lived experiences and contributions. All very important for an effective and efficient health workforce
-
great to see a very strategic view here
-
It's great to see an inclusive view of who makes up the health workforce. Everyone is important!
-
Good points Nicola. However, there are those who also like the challenge of improvising and working in remote locations with clinical challenges and innovative ideas for tackling them.
-
This is a good article, recently published on this point and it points to some reasonable concerns about volunteering that puts the other side of the picture. I am not endorsing the opinions in this article but I feel it is important for a balanced view of this issue. https://tdtmvjournal.biomedcentral.com/articles/10.1186/s40794-017-0048-y
-
@DaynaDuncan this is a very good point Dayna. This is one of the reasons that in Australia, new Schools of Medicine have been developed in rural areas so that not only do prospective students have the opportunity of studying at least closer to family and friends, but the research demonstrates that they tend to stay in the rural area by choice rather than by...
-
The WHO document "Action towards achieving
a sustainable health workforce and
strengthening health systems" is an excellent read and course participants may enjoy. Caution, this is a 2012 publication however it contains many strategies that are relevant in 2019. Click on the link to access... -
Richard Olley replied to Tanya Rhea
@TanyaRhea and of course, authentic and ethical leadership.
-
Richard Olley replied to Ahmed Ibrahim Said
I know many young people that are quite capable of perfection as well, Ahmed. It is important that we do not stereotype the young or the older workers
-
Richard Olley replied to Dayna Duncan
We should not forget that leadership is required through all of this.
-
Richard Olley replied to Jo wardle
Agreed Jo, however, there is the issue of ensuring that staff are trained in the work they have to do and one of the big issues is that training and development (including skills acquisition) are not always available to staff. This needs to be factored into any strategy for multi-skilling and cross-skilling/
-
Richard Olley replied to Jessica B
Have a read of the article that I posted at the beginning of the discussion it is on point with what you are saying here.
-
Richard Olley replied to keith miles
Keith can relate this experience back to the intergenerational workforce?
-
Richard Olley replied to Beatriz B
Agreed Beatriz, however for some managers there is a need to understand the differences between the generations and development management strategies consistent with these differences in order to achieve good outcomes in retention and productivity.
-
Richard Olley made a comment
You may find this article on leading and managing an intergenerational workforce by Dols and colleagues a useful read!
https://search.proquest.com/openview/5b2136533ea40cc98dbaa8ef8d32f0f9/1?pq-origsite=gscholar&cbl=30045 -
Negotiation is a great way to acknowledge the skills that Sally possesses and helps with her feelings of a locus of control over her work life.
-
Richard Olley replied to ANNA s
However see my comments to Debra above as they are applicable here too
-
Richard Olley replied to Karen Reid
However see my comments to Debra above as they are applicable here too
-
Richard Olley replied to Debra Tennett
I agree with all you have said Debra, however the cost of staff turnover in these positions also has to be considered if Sally has a preference not to Worrell on a general unit away from ICU.
-
Richard Olley replied to youness aabdi
However it is important to consider the risk of Sally leaving to go to another employer who soulless welcome her skills. It is a juggling act between meeting the cost of recruitment to with a daily cost of staffing.
-
One of the issues that must be addressed when adding an alternative role to a fully qualified health professional is how to regulate this with licensing and other regulatory controls. The second issue is "selling" the idea to healthcare consumers because many perceive this as care provided by someone who is less qualified than the health professional. This...
-
Richard Olley made a comment
You are halfway there! I hope you enjoy week 2. Welcome
-
Richard Olley replied to Ann Grahame
Anne, I couldn't agree with you more. Many times in healthcare we miss out on great skills and experience based on some mandatory retirement age. It seems this is changing and in Australia, many people are turning their attention to this. The following article from the Medical Journal of Australia may be of interest to you and...
-
Richard Olley replied to ARACELI GARCIA
You may enjoy reading this article, Araceli. It is on point with your mentorship comments:
https://www.ncbi.nlm.nih.gov/pubmed/29318730 -
Richard Olley replied to keith miles
I agree with you Keith, however in health care, it is more than just working together efficiently and effectively, it is also about demonstrable competence and clinical skills, credentialing, privileging, regulatory compliance and seeking quality and safety at all times. These are also central to health care management roles.
-
-
Richard Olley replied to Tracy Churchill
Thanks for the feedback, Tracy.
-
Richard Olley replied to Heather KF
We are very happy that you are finding the course achievable and useful, Heather.
-
Richard Olley replied to Vijey Prabhakaran
It is a very interesting discussion Vijey. This is a good paper that may also interest you:
https://www.mja.com.au/journal/2004/180/4/brain-drain-or-ethical-recruitment -
Richard Olley replied to Beatriz B
Beatriz, I am not familiar with the situation in Barcelona so it is difficult to answer your questions from an experiential base. Industrial relations in healthcare is always a difficult area because most healthcare professionals do not want to withdraw services to consumers however, they also have a right to demand better working conditions and pay like all...
-
Richard Olley replied to Beatriz B
I am sorry to hear of your mother's healthcare concerns. I hope things are going more smoothly for her now that she is home and commenced rehabilitation.
-
Richard Olley made a comment
Your input here has been very valuable. Thanks for you participation in the activity and I am sure others will gain from your input.
-
Richard Olley replied to Tracy Churchill
You have equity in your strategies which will be appreciated by all staff!
-
Richard Olley replied to Heather KF
Great strategies, Heather. Have you looked for any research that might underpin their success?
-
Richard Olley replied to Ian Sheldrick
Ian, see my reply to Michaela regarding this.
-
Richard Olley replied to Michaela Halfhead
Michaela, you have identified the conundrum quite succinctly. However, casual staff also have some limitations which need to be through. Access this article to read some contemporary thoughts on this: Johnson, Angie. "Continuity of care suffers with part-time workers." Nursing Standard, vol. 23, no. 2, 2008, p. 32. Gale Academic Onefile,
-
Richard Olley replied to Vijey Prabhakaran
Vijey, I understand the rationale behind your idea, however, how would you mitigate the risk of losing valuable staff resources if they were unhappy about such rotations. It is important to balance the great ideas with achievable actions and you would need to think this one through before making such a decision.
-
Richard Olley made a comment
Here is some interesting research on the economics of the Intensive Care Unit including a section of staffing that may be of interest to some of the MOOC participants.
Wunsch, Hannah, MD, MSc, Gershengorn, H., MD, & Scales, Damon C., MD, PhD. (2012). Economics of ICU organization and management. Critical Care Clinics, 28(1), 25-37.... -
Richard Olley replied to Alan Ritchie
However, there will be a need to convince those who are being asked to work outside their area of specialty and/or preference that will be the winning strategy.
-
Richard Olley replied to margaret SKYRME
Consulting others for ideas or building on their experience is always a positive strategy that is enjoyed by those who you consult.
-
Richard Olley replied to ARACELI GARCIA
Great thoughts, however, you will need to consider how this is "sold" to the ICU nurse who is being asked to float to another unit outside of the specialty chosen by the nurse.
-
Richard Olley replied to Cassandra Jordan
Cassandra, the salaries may not be different if staff are being paid under an award or an enterprise bargain. However, you are right to check out the contractual requirements. Mostly asking specialty staff to "float" or relieve and another department not within their specialty is quite an ad hoc thing and does cause significant upheaval in the work place.
-
Richard Olley replied to Martha Everett
Good reponse Martha. You might also like to look at how such decisions are made, the policy framework that surrounds the decision and of course the ethics of the decision.
-
Richard Olley replied to keith miles
Keith, the scenario does not state this so thank you for the feedack and we will take this on board when the course next runs. It was intended that it is really a shift-by-shift decision and the decision-maker would have to weigh up the possible loss of a valuable resource with the care needs of others in the hospital. I agree that consulting the contract is...
-
Richard Olley replied to Beatriz B
Agreed Beatri B. There are many times where a health service manager will have to make decisions where there are as many cons as there are pros to it. One of the things that I have used is a framework for ethical decision-making you can find it at https://www.scu.edu/ethics/ethics-resources/ethical-decision-making/a-framework-for-ethical-decision-making/. ...
-
Richard Olley made a comment
Welcome to all course participants. This is the 2nd time this MOOC has been offered and I am personally pleased to see that it is shaping up to be as successful as the last time. I hope you enjoy the content that has been produced for this MOOC and that it will challenge thinking and energise you towards solving some of the complex yet fascinating issues that...
-
Richard Olley replied to Hamna Rao
Welcom Hamna - I hope you enjoy this MOOC.
-
Richard Olley replied to Zain Rauf
Hello, Zain and thank you for your kind words. I remember you as a student in Brisbane. I hope you enjoy this course and I am pleased to hear that you are putting the theory taught in your Master's program into practice.
-
It depends on whether you want to focus on a strategic or operational level Katherine.
-
Great observation Reggie
-
We have sweeping changes afoot in our aged care system in Australia. Let's see what they are in the not too distant future after a Royal Commission completes its work.
-
This is one of the issues that must be addressed in structural disconnection. Immigration does not necessarily follow evidence on how to address workforce shortages.
-
Reggie, I hope there is some research happening into what is successful as it is a unique place with opportunities to explore such phenomena.
-
Let's not forget to also connect newcomers to the social scene so that they have the opportunity to feel they belong quickly in order to reduce turnover.
-
This is a strategy that has been used for a "soft landing" for rural and remote workforces and the evidence suggests that it is a highly successful strategy.
-
Agreed Katherine, one size does not fit all!
-
Agreed, however, KPI need to be set with a knowledge of how each segment of the multi-generational workforce prefers to work or they will be meaningless except for the person designing them.
-
This is why knowledge and experience are necessary in the health workforce. Great anecdote!
-
This is a great personal reflection on working in a multi-generational workforce Tracy.
-
Laudable approach Biza. How would you approach this from a strategy perspective?
-
This hs been an approach used in Australia (particularly for breast screening services) but also for surgeons and physicians. This type of service has bridged the equity of access issues for rural and remote populations
-
Katherine, some great strategy here, how will you improve and maintain the credibility of these health educators?
-
Good analysis Reggie
-
Ian, I agree with your comments about medicine being about relationships. However, in countries with vast rural and remote locations like Australia, using technology such as video conferencing may be the only way that this is implemented in some circumstances
-
Richard Olley replied to John Mishasek
John, see my comments to Katherine, above.
-
Katherine, your arguments are supported by research. Rural and remote care environments need practitioners that are experienced and confident in their competency because of the lack of available direct supervision opportunities. Technology is beginning to reduce that gap but will never completely bridge it.
-
The issue is about structural disconnection and the length of time it takes to train various levels and categories of health professionals.
-
An interesting perspective Tracy. What makes you disagree that nurse practioners are necessary?
