Saturday, June 17, 2023

As I see you drifting ever closer

Many times in our life, nature flags its power, our inferiority and future's uncertainty. I have written this poem in remembrance one of the clients (bariatic)  in Eskleigh, Mark Cragein (13/03/1971-23/06/2023). I have worked and known him for three years and he was always a good man to work for (he had severe autism). I wrote this poem closely observing him as well as the fact that he is very close to the end of life and his struggle during the last few days of his life had stirred my heart with agony and distress.


Today I watched you make your way

Fighting…

Drifting ever closer...

watching…

Breathing was a struggle, but I knew your skin was thick.

You don’t look like the Mark Craigen we all know


Then noticed something different, but did all we could.


There is helplessness and despair in the face


Something has made you feel this way


You’re in such a disarray that you can’t get out of bed


Come on show your tantrums, freaks and meltdowns


Those words “noiee”, “noiee”  in a lovable unique way


Attention, distraction and diversion are the only prescription you needed every day


Your love of food and drink is so much fun, to watch you eat will always make me smile be it in


Your articulations of food that you love to eat —Sarrrdinnn, miiillllkkkk,weebiixxx, mandarinnn, corrrdddiiiaall, cupa teaaa, wateerrrrr will always echo your sentiments about food and have us smiling anytime.


His mum throws her heart into bamboozling him through the worst possible times in her endeavour to make him happy


Patience is a virtue and he has no desire to change

 

Strategies and technique often failed when you don’t want it done your way


Your innocence never changed your ways and your actions


What does mama say? Mama says, Quiet! is what we all prompted


Perhaps there's a reason you’re made this way


— then the approach


That was the spectacular treasure of this day.



Saturday, June 10, 2023

A DAY IN JAWLAKHEL ZOO



















On 26th of July ’08 (i.e. 11th of Sharwan 2065 BS) Saturday , went to Jawlakhel to worship Rato Machendranath and also visited the zoo –  for a sort of picnic with gharveti didi (Radhika Maharjan) with her two daughters and her kith and kins along with suman dc and Mahesh airi. This was the first outing for me (i.e. any site seeing or in a public place) after coming to Kathmandu , to persue higher education in Tribhuvan university. We started at, say around 10 am in the morning, in a bus full of families to go to Jwalakhel. After reaching there we first offered prayers and worshipped Rato Machendranath and thereafter went inside the zoo. Saturday being holiday there was a large mob of families and it was very difficult to get inside the zoo but anyhow Abin Maharjan and myself got inside and found many group of families occupying(sitting) empty space inside the zoo, almost every corner of the park were occupied and Suman and myself was asked by Radhika didi to go ahead to look for vacant place but there was hardly any open area. At last we got one and brought everything/belongings to the mentioned place and then after arranging, we all sat down and started eating different delicacies prepared by our tenant and her relatives. The atmosphere/environment over there was so over whelming that everyone were busy in their world enjoying every bit of it. Mahesh, Suman and myself went further inside the zoo to see different types and species of animals and birds. Somewhere even found people dancing and singing their traditional folk dance. Mostly people inside were from newar community. I enjoyed every bit of it inside the zoo. Eventually, at around 5 pm we packed our stuff and came out of the park and just after 10 min walk saw some people especially elderly offering water to the passerby which was very pleasing to see. On our way back our tenant and her kins decided to walk on foot all the way to Kirtipur via shortcut route they knew rather than going in a bus, on which we agreed and decided to accompany them. And we reached our place around 7pm in the evening after nearly 2 hours walk from Lalitpur. This is how the day went about. 


This memory paints a vivid and heartfelt picture of my early days in Kathmandu and the first outing after moving there for higher education.




A Day at Jawalakhel Zoo – My First Outing in Kathmandu

Date: 26th July 2008 (11th of Shrawan, 2065 BS, Saturday)


After moving to Kathmandu to pursue higher education at Tribhuvan University, I had my first proper outing on the 26th of July, 2008. That Saturday, I joined my tenant, Radhika didi (Radhika Maharjan), along with her two daughters, extended family, and friends—including Suman DC and Mahesh Airi—for a sort of picnic-cum-pilgrimage to Jawalakhel.


We set off around 10 AM in a bus packed with families, all headed for Jawalakhel. Once there, we first visited the temple of Rato Machindranath, offering prayers in the hope of blessings and peace. The area buzzed with devotees, chatter, and the warmth of shared faith.


After the worship, we made our way into the Jawalakhel Zoo. Being a Saturday, the zoo was brimming with visitors—families, children, and groups of friends. The crowd was so dense that even entering felt like a small triumph. Somehow, Abin Maharjan and I managed to squeeze our way inside.


Inside, almost every inch of open space was occupied. Families had laid out mats and settled in with home-cooked food, laughter, and conversation. Radhika didi asked Suman and me to look for a vacant spot for our group, and after quite a bit of searching, we finally found a little patch of ground. We gathered the rest of the group and settled down for a picnic.


We shared and relished a variety of homemade delicacies prepared by Radhika didi and her relatives. The energy around us was contagious—people were dancing, singing folk songs, and simply enjoying life. Most of the visitors seemed to be from the Newar community, adding to the cultural richness of the scene. The atmosphere was overwhelming in the best way—vibrant, festive, and full of life.


Later, Mahesh, Suman, and I wandered deeper into the zoo to see the animals and birds. It felt like a mini adventure within the day. Time flew by, and by 5 PM, we packed up and exited the park.


Just a short walk from the zoo, we saw a group of elderly people offering drinking water to passersby—a simple yet deeply touching gesture. Instead of taking a bus back, our group decided to walk all the way to Kirtipur through a shortcut known to our tenant’s relatives. We agreed, and what followed was a nearly two-hour walk from Lalitpur, winding through local neighborhoods and lanes. We reached home around 7 PM, tired but filled with stories and joy.


That day stands out vividly in my memory—not just as my first outing in Kathmandu, but as an immersion into its community spirit, its rhythm, and its welcoming chaos. It was the beginning of many more experiences to come in this city that would soon become my second home.



Skill Shortages in Australian Labour Market

 Skill Shortages in Australian Labour Market

 





Table of Contents        Page

Executive summary2

Introduction3

Aspect or Issue and Problem4

Discussion (Critical Analysis of the Issue)    4-7

Conclusion8

References9

I

Executive Summary

This report on the skill shortages in Australian labour market examines skills shortages in the context of the Australian business market and industries. Drawing on concept of skill and skill shortages, this study tries to explore what are the areas of skill shortages and what are its cause and prevalence in the present scenario. The purpose of this research project is to set out some clear thinking on the issues without any attempt to measure any particular shortage of skills. Skill shortages can have many causes. These include: no sufficient investment in skills development; rapid change in structure combined with low levels of unemployment; a recurrent flow in employment in relation to the economy; and lack of expert knowledge in the training system. In all probability, the shortages seen in the labour market are the result of all of these factors. 





















Introduction 

This paper explores the issue of skill shortages in Australian labour market and it tries to analyse skill, skill shortages and its cause, effect and prevalence in the present scenario by discussing different areas of concern that leads to shortages of skills in Australia. To begin with let us first refer to the term ‘Skill’ in general sense of the word which means having special ability or capability to perform certain work having experience and training. In this respect according to DEWR skill is understood as a ‘certified qualification based on training’ (Department of Employment and Workplace Relations, 2006). Similarly, in another way Attewel (1990) states that ‘skill proves on reflection to be a complex and ambiguous idea’, maintained by unexamined assumptions (p. 422). At the core of understanding skill is the idea of competence—that is to do something well (Attewel, 1990; Grugulis, 2007).  

Therefore, Skill Shortages means lack of specialists and experienced labour manpower in undertaking certain kind of task in a business oriented company or in any business sector. Skilled Shortages happens when employers working for a company or firm fail considerably to fill positions for job at different levels within certain terms and conditions of functioning under nearby location. According to the definition of Skills Shortages adopted by the Department of Education, Science and Technology (DEST), as being 

[w]hen employers are unable to fill or have considerable difficulty in filling vacancies for an occupation, or specialised skill needs within that occupation, at current levels of remuneration and conditions of employment, and reasonably accessible location (DEST, 2002: 3). 

Though skill shortages in Australia are regularly shown as a great problem for its economy yet very little evidence about their occurrence, cause and consequence is available. So it is difficult to get genuine idea about where and why skill shortages occur. The causes of skill shortages are diverse as lack of expert knowledge is the main reason. However, having said this skill shortages are not widespread in Australia though they persist in certain areas and occupations where shortages have been felt in Australian market for experienced and specialist workers that will be critically analysed in the chapters to follow. However, certain proposition and guidelines should be adopted to combat this issue as labour shortages can sometimes go together with high levels of unemployment problems and sometimes shortages are limited to experienced workers having professional skills. Shortages results from diverse factors like lack of proper or adequate training provided in grassroots  level, high percent of wastage, change in technological factor, increasing demand for fresh skills within an occupation and location mismatch where the skilled people are not in close contact with the employers seeking those skills. Hence, the main focus of this project is to throw light on what are the areas or sectors of skill shortages in Australian labour market and the necessary steps to be followed so that skill shortage can be identified and worked out accordingly to avoid future shortages.



Aspects or Issues & Problems

The issue is related to the shortages of skilled labour in the Australian labour market especially in technical field including engineering, accountant, in medical staff such as nurses and doctors, automotive trades etc. as there is always a shortages when it comes to applied profession because the result of the research survey carried by DEEWR throughout Australia shows that it is hard to fill the number of vacancies listed each year. So, according to the Australian Government’s National Skills Shortage Strategy the following  are the causes of skill shortage in Australian market industry:  Australia has a strong economy with low rates of unemployment; limited skilled trades people  are available with the growth of new industries ; relocation of new industries into different parts or regions with a different skills base; lack of interest in particular businesses among potential job seekers; location of industry, and project based work in rural or regional areas with a small skills base; technological changes within an industry in terms of production resulting in new methods and hence skills needs; and changes in underpinning skills needs to successfully undertake trade training for example, Year 12 maths for technology trades (DEST, 2005). So, the government and the industry should study and monitor this issue and prepare for the future crisis.



Discussion (Critical Analysis on the Issue)

According to the Australian Skill Shortages Department (ASSD) and the Department of Education, Employment and Workplace Relations (DEEWR) research has been carried out on this issue continuously over the past three decades. The research is done to identify skill shortages in the Australian labour market. The research results identify occupations where shortages of skills are evident or emerging at the national, territory and the state level. Similarly, according to Extract from Leggett, C. (in press 2013) ‘Workforce Development and Employment Relations’, Employment Relations Record (13) 1: 2-12. Australian Workforce Future identifies ‘Australia faces a number of pressing workforce threats and opportunities’ from global challenges like technological innovation, from national challenge such as demographic change. Its importance is on raising productivity by increasing skills in the labour market and to avoid skills shortages in Australia. Workforce Futures sets six objectives that establish a social program as well as recognize labour market aspirations. They are: (1) Sustain economic growth and raise productivity by increasing skills and avoiding future skills shortages. (2) Lift the workforce participation rate to 69 per cent by 2025 to provide the required workforce and improve social inclusion. (3) Lift the unacceptably low level of adult language, literacy and numeracy to enable effective educational, labour market and social participation. (4) Increase productivity, employee engagement and job satisfaction by making better use of skills in the workplace. (5) Position the tertiary education sector to ensure it has the resourcing and workforce capacity to deliver skills for the new economy. (6) Lead a new partnership approach to workforce development at government, industry and enterprise level. For each of these objectives Workforce Futures lists a sequence of actions for their attainment and some pointers for determining their success. Also among the objectives of Workforce Futures is the resourcing of training provision to avoid skill shortages in Australia. In this respect, The Department of Employment and Workplace Relations makes the following distinctions when considering the extent and nature of a skill shortage: 

Skill shortages exist when employers are unable to fill or have considerable difficulty in filling vacancies for an occupation, or specialised skill needs within that occupation, at current levels of remuneration and conditions of employment, and reasonably accessible location. Skill gaps occur where existing employees do not have the required qualifications, experience and/or specialised skills to meet the firm’s skill needs for an occupation. Workers may not be adequately trained or qualified to perform tasks, or may not have up skilled to emerging skill requirements. Recruitment difficulties may be due to characteristics of the industry, occupation or employer, such as: relatively low remuneration, poor working conditions, poor image of the industry, unsatisfactory working hours, location hard to commute to, inadequate recruitment or firm- specific and highly-specialised skill needs. (Department of Employment and Workplace Relations quoted in Department of Education, Science and Training 2000, p.4)

Taking all these points into consideration on the skill shortages in Australia the demand in skill trends in Australian labour market shows that employers buy and make skills in business firm and industry as they look for experienced labour to fill the vacant position left over instead of going for a fresh employee because they take this as a big hindrance to run or take forward their business in both the internal and external labour markets. In addition to this, the employers also look for higher levels of skills since technological and organisational change is hard to adjust and maintain. So they always look for the person having experience and technical skills to fill the vacant position. Moreover, the changing expectations of the younger generation towards the job is also not so encouraging and the youths don’t like sticking to one job for long as they keep on changing from one job to another because with modernity the youngsters are looking for newness in life as well as in the jobs they do due to change in fashion, wages per hour and are not willing to take up jobs that involves lot of time and so on. This attitude of young people towards work and challenge of new technology in Australian labour market force the employers to retain the older workers by giving certain incentives so as to avoid shortages. According to the Australian Bureau of Statistics report, nearly 70% of Australians are in the labour force. The participation percentage for males is 68.3%, and for females is 55.5%.  Likewise, employed number of persons is 11.4 million: 8.1 million involved in fulltime, 3.3 million doing part-time jobs; another 75% in services, 20% in manufacturing and construction, and 5% in mining and agriculture. The unemployed number is a bit over half a million of whom 17,500 are seen long term (Lansbury and Wailes, 2011; Australian Bureau of Statistics, 2012). 


Similarly, the supply trends of manpower in Australian labour market shows a raising disparity between different sections of people involved in business industry. There is increased number of higher qualified people in Australia; however, the rate is highest among females compared to male counterparts but females are less involved in technical skill jobs having highly qualified whereas males are mostly found doing technical works thereby creating gender disparity in the labour industry. To support this case according to the report of Lansbury and Wailes (2011: 132-133) that ‘women have not fared as well as men in the labour market, as their wages have been lower, they have been concentrated in low paid areas of work, and they have been disadvantaged in terms of entitlements’. Meanwhile, skill shortages and skill gaps are indirectly related to unemployed and underemployed where sometimes a shortage leads to unemployment and sometime lack of finding skilled labour to fill the vacant space by someone new to the occupation creates a skill gap that leads to the rapid growth of the business firm. To talk further on this issue, Australia has greater female participation in higher education that leads to higher growth in service sector including more participation in business industry. Despite this youth unemployment is higher because younger people stay longer at school causing shortage without any outcomes for the future. Therefore, the proportion and numbers of older workers are increasing in the labour market competing for the vacancies that creates skill shortages in Australian market industry. So to get rid of this shortage problem Business Company or firm are hiring skilled labour and technicians within Australia and from other parts of the world to meet their demands of production. According to Nelson in ‘A New Approach to Tackling Skills Shortages in Trades, Media Release,’ reports states that: 

In recent times, the public has been made aware by our politicians of the risk posed to our economy by current and prospective skills shortages (Nelson, 2004).

Similarly, adding to the above citation Keating argues whether this claim is based in fact is yet to be seen. But what is based in fact is that there are approximately 1.7 million Australians without sufficient work (Keating, 2005). Some people have no jobs at all while most others are forced into less hours work than they want at going earnings. This phenomenon is generally masked by official use of persons created measures of labour force participation that fail to identify underutilisation in  labour market. Data collected from the August 2005 quarter illustrate the point: When hours of underutilised labour are taken into account to augment the official persons-based measure, the official unemployment rate of 5.03% unemployment becomes a labour underutilisation rate of 9.63% (CLMI, 2005). Nearly 10% of our available labour power is idle. This is relates to the people having no work at all and to those who are limited in doing certain hours of work. As the population is expected to rise it is obvious to have an assumption that the unemployment rate to go high as well that ultimately leads to the shortages of skilled manpower in the country.

The areas of concern of skill shortages in Australia are diverse in the sectors like engineering and elect technology trades and professionals, mining industry, agriculture, forestry and fishing, resource sector occupations, manufacturing and construction, retail store, transport and storage, communication services, and property of business service where shortages are very much evident and to fill the position in these fields country has to look for skilled technician visa migrants to overcome this shortages as these are the hardest vacancies to fill in Australian labour market industry. For example, the National Skills Initiative Engineering Working Group reported:  

On the supply side, privatisation of public utilities has reduced the traditional training ground and supply of skilled labour for engineering trades, and large companies are typically more focussed on training for their own skill requirements. DEST (2002: 8).

Similarly, in another paper the Senate Employment, Workplace Relations and Education References Committee report ‘Bridging the Skills Gap’ notes:

The major factors are the decline in trades training associated with the privatisation of public utilities and ‘mean and lean’ strategies of large private enterprises, which previously provided a steady pool of skilled labour for small and medium enterprises. (EWRERC, 2003: 17).

Whereas the easiest job vacancies to fill are those including building associates, school teachers, and social and welfare professionals and is available throughout the country. Furthermore, recruitment of labour is also a difficult proposition because of new technology and geographical locations of areas such as Darwin, Regional Western Australia, and Regional Northern Territory are the hardest locations to recruit as skilled labourers of these areas look for better job opportunities in other parts of the country where there is better facilities provided and given to them. So to recruit fresh people in these areas requires lot of time, cost as well as training to fill the positions as very less people turn up for the process involved. Likewise, the easiest locations to recruit are areas such as Adelaide, Brisbane, and Regional South Australia as these are the developed regions and resources are easily available thereby making the recruitment process fast and easy. To make their work easy in Australian labour market in raising production of goods the temporary work or skilled visa subclass 457 is allowed for the migrants to come to Australia and work for an approved business for up to four years. This also creates a kind of shortages of skill as lot of people find themselves competing for limited number of vacancies. This is the reason for skill shortages in the labour market.  The main purpose of this report is to get to some short of understanding about the possible skill shortages in Australian market and to provide some suggestion to overcome shortages and also to study main areas where skill shortages most reported, business companies mostly associated with skill shortages and the relation between skill shortages and responses of the firm or companies.



Conclusion

After going through deep analysis about the possible causes and reasons that leads to skill shortages in Australia it is found that lack of specialized knowledge is the major factor. Similarly, recruitment process is too slow, on the top of this is the lack of availability of required trainers, geographical locations and mismatch of business firms, unsure of long term demands for products and services and last but not the least salary and wages is very high for the business. In response to the skills shortages research throughout Australia various common issues that came to be observed were the major factor that causes skill shortages in Australian labour market. These are—existing workforce worked longer hours, terms and conditions on the salary and other incentives increased, internal training of the staff by the employer etc. so, as part of a suggestion to avoid skill shortages in the future the Australian government and the concerned business officials need to improve and provide training and education from the grass root level to give a strong foundation to support the market labour production for the future. 


  

















References

AIG (2004) Australia’s Skills Gap: Costly, Wasteful and Widespread. A report on the nature and depth of skills shortages in manufacturing, Ai Group Economics, Australian Industry Group.

Australian Bureau of Statistics, available online at < http://www.abs.gov.au/

Attewell P (1990) What is skill? Work and Occupations 17(4): 422–448.

CLMI (2005) Coffee Labour Market Indicators, Centre of Full employment and Equity, University of Newcastle. Available at:  http://e1.newcastle.edu.au/coffee/

Department of Education, Science and Training 2000, ‘The nature and causes of skill shortages: Reflections from the Commonwealth National Industry Skills Initiative Working Groups’, DEST, Canberra. 

Department of Employment and Workplace Relations website, viewed 10 July 2006, <www.jobsearch.gov.au/joboutlook/default.aspx?pageId=Information#JobProspect>.

DEST (2002) Nature and Causes Of Skill Shortages Reflections: From The Commonwealth National Industry Skills Initiative Working Groups, DEST, Canberra. 

DEST (2005) National Skills Shortage Strategy website, available at: http://www.skillsinitiative.gov.au/skillshortage.htm

EWRERC (2003)Bridging the skills divide, Employment, Workplace Relations and Education References Committee, Department of the Senate, Parliament House, Canberra.

Grugulis I (2007) Skills, Training and Human Resource Development: A Critical Text. London: Palgrave Macmillan.

Keating, M. (2005) ‘Increasing Employment Participation In Australia And How To Finance It Centre For Public Policy’ paper presented at: Transitions And Risk: New Directions In Social Policy Conference, Centre for Public Policy, University of Melbourne, February 2005.

Lansbury, R. D. and Wailes, N. (2011) ‘Employment Relations in Australia’ in G. J. Bamber, R. D. Lansbury and N. Wailes eds.  International and Comparative Employment Relations: Globalisation and Change, Sydney, Allen & Unwin: 117-137.

Leggett, C (16 oct 2012) A Review of Australian Industrial Relations: International Doctoral School, university of Bergamo. 

----. (in press 2013) ‘Workforce Development and Employment Relations’, Employment Relations Record (13) 1: 2-12.

Nelson, B. (2004) A New Approach To Tackling Skills Shortages In Trades, Media Release, The Hon Dr Brendan Nelson, Minister for Education, Science and Training, 6 / 4 / 2004.

The Australian, national daily newspaper

Take your gloves off!



I was doing personal care of one of the residents, as the resident was not able to stand up without assistance. I looked out of the door for help and saw the enrolled nurse, who also happens to be the admin manager of the facility. Would you please give me a hand to get xyz, I said to her she came and we both assisted her to stand holding her walker. As I was giving her a wash after assisting with toileting and just about finishing wiping and drying her bottom. “Take your gloves off!” she said in a very authoritative manner but I pretended as if I didn’t hear anything. She again said rudely “take the gloves off” which I felt embarrassed about and I told her why do you want me to take the gloves off. She said, “ those gloves are dirty and you need to remove them now”. I told her there is nothing in the gloves, she keeps saying you just cleaned her which really annoys me and I kept wearing the gloves saying when I did my placement I was told to put them on when doing personal care and she kept arguing with me and went on to give a big lecture saying “we practice different standards here in this facility regarding the hand hygiene”. I straight away told her that I was taught to use the gloves when I did my training and you are asking me to take it off when I am washing her bum or cleaning up. Sorry! I didn’t knew that’s your facility “different standard”, I said, thank you for letting me know and I told her I am not going to stop wearing gloves. Every now and then health organisations around Australia and the world say one must use gloves to protect themselves and the one you provide care to especially in time of COVID-19 pandemic. If that is the standard you follow here in your facility so be it I will not stop wearing gloves I was telling to myself. Recently, they ran the hand hygiene training and stressed staff to follow good hygiene on washing hands, sanitizing and using gloves but as soon as the prices of gloves goes higher in the market they are now saying don’t wear gloves unless need to be….this sounds ridiculous when the government and the health sector highly recommends the use of gloves for the prevention and control of infection in residential and community aged care. Wearing gloves and PPE (Personal Protective Equipment) in essential work practices is the best way to infection prevention and control as when the person has known infectious disease like Methicillin-resistant Staphylococcus aureus (MRSA), Vancomycin-resistant enterococci (VRE) and Clostridium difficile or  there is a risk of being exposed to blood or body substances, Changing a colostomy bag or urinary drainage bag, Dressing wounds or touching broken skin, Assisting with toileting, Giving mouth or eye care, Oral suctioning Touching equipment or surfaces that may come into contact with blood or body substances,  Blood glucose monitoring or You have broken skin Preparing food. Australian guidelines for the prevention and control of infection clearly mentioned Hygiene suggestions for carers of people with incontinence as follows:

  • Wear disposable gloves when you are helping the person to clean 
  • Wash your hands thoroughly with soap and water afterwards, even if you wore disposable gloves.
The following week when I went to work. I knew that there would be some kind of issue raised by the manager.











Incident Reflection – Use of Gloves During Personal Care



While assisting a resident with personal care who was unable to stand without help, I looked out of the room and saw the enrolled nurse, who also holds the role of admin manager at the facility. I asked her for assistance, and together we helped the resident to stand using her walker.


As I was completing the personal hygiene care—wiping and drying the resident after toileting—the enrolled nurse said in a firm tone, “Take your gloves off!” I initially did not respond, continuing with the care to ensure the resident was comfortable and clean. She repeated, more sternly, “Take the gloves off,” which I found abrupt and unnecessary at that moment.


Feeling confused and slightly embarrassed, I asked her why I should remove my gloves during this stage of care. She insisted that the gloves were “dirty” and needed to be taken off. I explained that I was taught during my training to wear gloves when performing personal care to protect both the resident and myself from cross-contamination. She responded that “different standards” are followed at this facility regarding hand hygiene.


I respectfully disagreed and informed her that based on my training and the standard infection prevention protocols—including those emphasized during the recent hand hygiene training—we are advised to wear gloves during personal care, particularly during activities such as assisting with toileting.


I was frustrated by the inconsistency: the facility recently emphasized strict hygiene practices and the proper use of PPE, yet I was now being discouraged from using gloves unless absolutely necessary—possibly due to cost concerns. I understand resource management is important, but safety and compliance with national infection control guidelines must remain the priority.


According to the Australian Guidelines for the Prevention and Control of Infection, carers are advised to:


  • Wear disposable gloves when helping a person with personal hygiene.
  • Always wash hands thoroughly after glove use.



This guidance exists to prevent the spread of infections, especially in high-risk settings like aged care facilities, where residents may be vulnerable to MRSA, VRE, C. difficile, or other infectious agents.


The following week, I returned to work anticipating a potential issue regarding this interaction, and I remain committed to upholding safe and evidence-based care practices. My intention is not to challenge authority but to prioritize the health and dignity of the residents, alongside maintaining my professional integrity.









Reflective Journal Entry



Date: [Insert date]

Location: [Facility name, if needed]

Situation: Use of gloves during personal care



1. Description



During a recent shift, I was providing personal care to a resident who required full assistance and could not stand up without support. I requested help from the enrolled nurse on duty—who also serves as the admin manager—to help the resident to stand using her walker. Together, we assisted the resident successfully.


As I was finishing the personal care by cleaning and drying the resident’s bottom, the nurse authoritatively instructed me to “take your gloves off.” I did not initially respond, focusing on completing the task hygienically. She repeated the instruction in a more forceful tone, which made me feel uncomfortable. When I asked her the reason, she stated that the gloves were dirty and needed to be removed immediately. I explained that based on my training and best practice guidelines, gloves should be worn throughout personal care tasks involving body fluids to prevent infection and maintain hygiene. She responded that the facility follows “different standards,” which conflicted with my understanding of proper infection control practices.



2. Feelings



I felt surprised and confused by her demand. I also felt embarrassed, as this correction was made abruptly and during a sensitive moment with the resident. Internally, I felt frustrated and defensive, because I believed I was following proper hygiene protocols. I was also concerned about potential risks to both the resident and myself if gloves were removed prematurely.



3. Evaluation



The situation was challenging. On one hand, I was trying to adhere to standard infection control practices, which emphasize the use of PPE during personal care. On the other hand, I was being instructed by a senior staff member to do something that I felt contradicted my training and compromised hygiene. The enrolled nurse’s communication style also made the situation feel confrontational rather than collaborative, which further complicated the interaction.



4. Analysis



This experience highlighted a potential gap between the facility’s internal practices and broader healthcare standards. Australian health guidelines clearly state that carers should wear disposable gloves when helping with toileting or cleaning residents, especially in cases involving exposure to body fluids or infectious risk. The facility had also recently conducted hand hygiene training reinforcing the importance of PPE.


There may be financial considerations influencing decisions around glove usage, but these should not override resident safety or professional standards. The nurse’s insistence on glove removal appeared more focused on institutional policy than on resident well-being or evidence-based practice.



5. Conclusion



This incident made me reflect on the importance of standing by best practices while remaining open to facility-specific policies—provided they align with national health and safety standards. It also emphasized the need for respectful communication among team members, especially when discussing protocols. I realized I need to better understand how to navigate such conflicts professionally and seek clarification through the appropriate channels when needed.



6. Action Plan



  • I will review the facility’s infection control and glove usage policy to fully understand their expectations and compare them to national guidelines.
  • I plan to raise the concern in a respectful manner, possibly in a team meeting or via written feedback, to ensure safe, consistent care practices are upheld.
  • I will also work on improving my communication during challenging interactions, aiming to stay calm while asserting evidence-based practices.
  • Lastly, I will document incidents like this in reflective journals or incident reports if appropriate, as a way to track patterns and protect both residents and staff.