To describe disillusionment amongst the clinical community as a result of repeated ideological and organisational change and to suggest a road map forward.
Conclusion
Despite knowing that change can be disruptive, it will likely remain a constant and necessary feature of organisational life. Various approaches, including the development of a personal sphere of influence and knowing when to resign, are considered.
ParentJD. Individual adaptation to the changing workplace. In: HoudmountJLekaS, (eds) Contemporary occupational health psychology: global perspectives in research and practice, Chichester: Wiley-Blackwell, 2010, pp. 188-207.
New Zealand Government. He Ara Oranga: report of the government inquiry into mental health and addictions. Wellington: New Zealand Government, 2018.
10.
Suicide Prevention Australia. Socio-economic and environmental determinants of suicide. Sydney: Suicide Prevention Australia, 2023.
11.
AndersonDKSaundersDG. Leaving an abusive partner: an empirical review of predictors, the process of leaving, and psychological well-being. Trauma Violence Abuse2003; 4: 163–191.
12.
HortonRO. Offline: the 500-year old cause of the doctors’ strike. Lancet2016; 387: 1892.
13.
McConnellDMannD. UK doctor’s strikes 2023: not only justified but, arguably, supererogatory. J Med Ethics2023; 50: 152–156.
14.
ChimaSC. Global Medicare: is it ethically or morally justifiable for doctors and other healthcare workers to go on strike?BMC Med Ethics2013; 14: S5.
15.
BaldwinAJ. The history of industrial action in the NHS. Bull Roy Coll Surg Engl2023; 105: 159–160.
16.
EssexRWeldonSMThompsonT, et al.The impact of health care strikes on patient mortality: a systematic review and meta-analysis of observational studies. Health Serv Res2022; 57(1): 1218–1234.