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Moving Forward Together in Aboriginal Women's Health: - Theses ...

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<strong>Mov<strong>in</strong>g</strong> <strong>Forward</strong> <strong>Together</strong>Janet Kellygovernment funded community health service. Employees with<strong>in</strong> mixedfund<strong>in</strong>g programs often found conflict<strong>in</strong>g agendas, and two bosses tell<strong>in</strong>g us todo two different th<strong>in</strong>gs (AH Hp Int.2). Occasionally project fund<strong>in</strong>g would bestalled while ‘the state and federal government worked out how to worktogether’ as one employees described it (AH FG3).Develop<strong>in</strong>g health services with<strong>in</strong> such a constantly chang<strong>in</strong>g healthenvironment, with few referral pathways and m<strong>in</strong>imal support was challeng<strong>in</strong>g.Most staff members had not worked together before and were <strong>in</strong> the beg<strong>in</strong>n<strong>in</strong>gstages of build<strong>in</strong>g effective work<strong>in</strong>g relationships with each other. With eachstaff change, this relationship build<strong>in</strong>g began aga<strong>in</strong>.Fears about workplace safety; how safe is this build<strong>in</strong>g and health service?In addition to the constant changes, staff members were also concerned abouttheir own physical health. As well as two managers becom<strong>in</strong>g ill, three otheremployees were diagnosed with life threaten<strong>in</strong>g illnesses <strong>in</strong>clud<strong>in</strong>g cancers.Rema<strong>in</strong><strong>in</strong>g staff members grieved and struggled to cope with the loss whilewonder<strong>in</strong>g if there was someth<strong>in</strong>g wrong with the work place, if there was aphysical problem such as an unknown toxicity, or if a disgruntled communitymember had placed a curse on the health service (AH D3). This concernaffected their mental health and ability to function efficiently. With the highturn over of managers there was no one to monitor or nurture staff morale (AHD3).It’s been like try<strong>in</strong>g to run before we can crawlAs evident from the vision statements, most staff members supported andrecognised a holistic view of women’s health, but their capacity to provide itwith<strong>in</strong> Gilles Pla<strong>in</strong>s and the wider health system was limited, lead<strong>in</strong>g tofeel<strong>in</strong>gs of frustration and unease.One participant said it’s been like try<strong>in</strong>g to run before we can crawl, struggl<strong>in</strong>gto meet clients’ very complex needs with only limited resources (AH M3). Oneof the orig<strong>in</strong>al staff members expanded on this say<strong>in</strong>g;Once we opened the doors it was like open<strong>in</strong>g the flood gates. Peoplecame <strong>in</strong> expect<strong>in</strong>g services. We were (and still are) short on staff,222

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