Dr Debbi Long
Indigenous Education and Research (Sociology and Anthropology)
- Phone:(02) 4921 7359
Debbi has extensive experience in qualitative research in health, most particularly in hospital based ethnography, having researched in a number of hospital environments including maternity, spinal, dialysis, and intensive care. She has worked as a consultant in a number of areas, including health management, infection control, industrial relations and rostering reform.
- Doctor of Philosophy, University of Newcastle
- Masters Degree, University of Nijmegan - The Netherlands
- cultural anthropology
- feminist anthropology
- health industrial relations
- health organisation and management
- hospital ethnography
- medical anthropology
- organisational and management analysis
|Title||Organisation / Department|
|Casual Academic||University of Newcastle
Indigenous Education and Research
For publications that are currently unpublished or in-press, details are shown in italics.
Chapter (3 outputs)
Long D, Lee BB, Braithwaite J, 'Attempting clinical democracy: Enhancing multivocality in a multidisciplinary clinical team', Identity Trouble: Critical Discourse and Contested Identities 250-272 (2016)
Thomas SL, Thomas SDM, Long D, Komesaroff PA, 'Populations at Special Health Risk: Displaced Populations', International Encyclopedia of Public Health 548-555 (2016)
The number of displaced people in the world today - which includes those uprooted by violent conflict, natural disasters, economic development, climate change, and a variety of ot... [more]
The number of displaced people in the world today - which includes those uprooted by violent conflict, natural disasters, economic development, climate change, and a variety of other causes - continues to grow. Such people face serious risks to their safety and health, related to the causes and effects of the flight itself, acute and chronic diseases, mental illness, and cultural dislocation. Women and children are particularly vulnerable. Responses - both in the countries of origin and internationally - are often inadequate, either because of insufficient resources or a lack of compassion and generosity from the world community. There is a need to rethink the definitions of 'refugee' and 'internally displaced person,' which are largely obsolete in the era of complex and changing internal and global forces, and to redesign the institutions that have been constructed to deal with the problem.
Iedema R, Long D, Carroll K, 'Corridor communication, spatial design and patient safety: Enacting and managing complexities', Organizational Spaces: Rematerializing the Workaday World, Edward Elgar Publishing, London 41-57 (2010) [B1]
Journal article (6 outputs)
Long D, Baer H, 'Health Anthropology in Australia: Special Section on Medical Anthropology', American Anthropologist, 120 560-565 (2018)
Baer HA, Singer M, Long D, Erickson P, 'Rebranding our field?: Toward an articulation of health anthropology', Current Anthropology, 57 494-510 (2016)
In this article, we consider whether the term ¿medical anthropology¿ is serving us as well as it could be and whether the term ¿health anthropology¿ could be more appropriate. We ... [more]
In this article, we consider whether the term ¿medical anthropology¿ is serving us as well as it could be and whether the term ¿health anthropology¿ could be more appropriate. We argue that medical anthropology is used metonymically; that is, it is a part of the field that is used, inaccurately, to describe the whole. Anthropologists research, teach, and consult in health work in far broader contexts than the term ¿medical¿ implies. Continuing to describe ourselves as medical anthropologists privileges biomedicine over other conceptualizations of health and saddles us with the risk of making ethnocentric assumptions about health, wellness, and unwellness into the field. It reproduces a focus on the individual, which is not reflective of many health and healing systems. Given the maturity, diversity, and complexity of our subdiscipline, we ask whether ¿health anthropology¿ may be a more accurate description of our collective endeavor.
Long D, Hunter CL, van der Geest S, 'When the field is a ward or a clinic: Hospital ethnography INTRODUCTION', ANTHROPOLOGY & MEDICINE, 15 71-78 (2008) [C3]
Westbrook MT, Braithwaite J, Travaglia JF, Long D, Jorm C, Iedema RA, 'Promoting safety: Longer-term responses of three health professional groups to a safety improvement programme', International Journal of Health Care Quality Assurance, 20 555-571 (2007)
Patient safety has been addressed since 2002 in the health system of New South Wales, Australia via a Safety Improvement Programme (SIP), which took a system-wide approach. The pr... [more]
Patient safety has been addressed since 2002 in the health system of New South Wales, Australia via a Safety Improvement Programme (SIP), which took a system-wide approach. The programme involved two-day courses to educate healthcare professionals to monitor and report incidents and analyse adverse events by conducting root cause analysis (RCA). This paper aims to predict that all professions would favour SIP but that their work and educational histories would result in doctors holding the least and nurses the most positive attitudes. Alternative hypotheses were that doctors' relative power and other professions' team-working skills would advantage the respective groups when conducting RCAs. Responses to a 2005 follow-up questionnaire survey of doctors (n=53), nurses (209) and allied health staff (59), who had participated in SIP courses, were analysed to compare: their attitudes toward the course; safety skills acquired and applied; perceived benefits of SIP and RCAs; and their experiences conducting RCAs. Significant differences existed between professions' responses with nurses being the most and doctors the least affirming. Allied health responses resembled those of nurses more than those of doctors. The professions' experiences conducting RCAs (number conducted, leadership, barriers encountered, findings implemented) were similar. Observational studies are needed to determine possible professional differences in the conduct of RCAs and any ensuing culture change that this may be eliciting. There is strong professional support for SIPs but less endorsement from doctors, who tend not to prefer the knowledge content and multidisciplinary teaching environment considered optimal for safety improvement education. This is a dilemma that needs to be addressed. Few longer-term SIPs' assessments have been realised and the differences between professional groups have not been well quantified. As a result of this paper, benefits of and barriers to conducting RCAs are now more clearly understood. © 2007, Emerald Group Publishing Limited
Braithwaite J, Westbrook MT, Travaglia JF, Iedema R, Mallock NA, Long D, et al., 'Are health systems changing in support of patient safety?: A multi-methods evaluation of education, attitudes and practice', International Journal of Health Care Quality Assurance, 20 585-601 (2007)
Purpose - The purpose of this study is to evaluate the effects of a health system-wide safety improvement program (SIP) three to four years after initial implementation. Design/me... [more]
Purpose - The purpose of this study is to evaluate the effects of a health system-wide safety improvement program (SIP) three to four years after initial implementation. Design/methodology/approach - The study employs multi-methods studies involving questionnaire surveys, focus groups, in-depth interviews, observational work, ethnographic studies, documentary analysis and literature reviews with regard to the state of New South Wales, Australia, where 90,000 health professionals, under the auspices of the Health Department, provide healthcare to a seven-million population. After enrolling many participants from various groups, the measurements included: numbers of staff trained and training quality; support for SIP; clinicians' reports of safety skills acquired, work practices changed and barriers to progress; RCAs undertaken; observation of functioning of teams; committees initiated and staff appointed to deal with adverse events; documentation and computer records of reports; and peak-level responses to adverse events. Findings - A cohort of 4 per cent of the state's health professionals has been trained and now applies safety skills and conducts RCAs. These and other senior professionals strongly support SIP, though many think further culture change is required if its benefits are to be more fully achieved and sustained. Improved information-handling systems have been adopted. Systems for reporting adverse incidents and conducting RCAs have been instituted, which are co-ordinated by NSW Health. When the appropriate structures, educational activities and systems are made available in the form of an SIP, measurable systems change might be introduced, as suggested by observations of the attitudes and behaviours of health practitioners and the increased reporting of, and action about, adverse events. Originality/value - Few studies into health systems change employ wide-ranging research methods and metrics. This study helps to fill this gap. © Emerald Group Publishing Limited.
Iedema RAM, Jorm C, Long D, Braithwaite J, Travaglia J, Westbrook M, 'Turning the medical gaze in upon itself: Root cause analysis and the investigation of clinical error', Social Science and Medicine, 62 1605-1615 (2006)
In this paper, we discuss how a technique borrowed from defense and manufacturing is being deployed in hospitals across the industrialized world to investigate clinical errors. We... [more]
In this paper, we discuss how a technique borrowed from defense and manufacturing is being deployed in hospitals across the industrialized world to investigate clinical errors. We open with a discussion of the levers used by policy makers to mandate that clinicians not just report errors, but also gather to investigate those errors using root cause analysis (RCA). We focus on the tensions created for clinicians as they are expected to formulate 'systems solutions' that go beyond blame. In addressing these matters, we present a discourse analysis of data derived during an evaluation of the NSW Health Safety Improvement Program. Data include transcripts of RCA meetings which were recorded in a local metropolitan teaching hospital. From this analysis we move back to the argument that RCA involves clinicians in 'immaterial labour', or the production of communication and information, and that this new labour realizes two important developments. First, because RCA is anchored in the principle of health care practitioners not just scrutinizing each other, but scrutinizing each others' errors, RCA is a challenging task. Second, thanks to turning the clinical gaze in on the clinical observer, RCA engenders a new level of reflexivity of clinical self and of clinical practice. We conclude with asking whether this reflexivity will lock the clinical gaze into a micro-sociology of error, or whether it will enable this gaze to influence matters superordinate to the specifics of practice and the design of clinical treatments; that is, the over-arching governance and structuring of hospital care. © 2005 Elsevier Ltd. All rights reserved.
|Show 3 more journal articles|
Conference (2 outputs)
Kabanoff S, Loxton D, Coles J, Long D, 'How Processes of University Ethics Approval for Research in Domestic Violence Can Mirror Strategies of Abuse That Perpetrators Use to Silence and Control Their Partners', INTERNATIONAL JOURNAL OF QUALITATIVE METHODS (2017)
Kabanoff S, Loxton D, Coles J, Long D, 'A Two-Way Street for Healing? An Alternative Model of Operations in Domestic Violence Services to Better Align With the Healing Processes of Both Clients and Staff Alike', INTERNATIONAL JOURNAL OF QUALITATIVE METHODS (2017)
Dr Debbi Long
Indigenous Education and Research
Sociology and Anthropology
|Phone||(02) 4921 7359|
|Building||Behavioural Sciences Building|
Callaghan, NSW 2308