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Explains why and how the Wollogong City Council in Australia began its Quality Improvement Programme, which has progressed through several stages since initial interest was aroused in December 1989. Outlines the quality vision, awareness and training, quality teams and projects, promotion and recognition, and trade union support. Considers some prospects for future use of quality management.

The purpose of this paper is to examine drug dispensing and associated activity in Belo Horizonte, Brazil. The paper aims to describe factors associated with patient information giving and dispensing time.

A specific protocol for recording data gathered from observations included: number of dispensing sessions; medical specialties active at the time; medication number and type; dispensing outcome; if information giving was observed and dispensing time. Information giving and time were considered response variables. The chi‐square test and odds‐ratios were used to verify associations between response and explanatory variables.

In 43 percent (45) consultations, information giving accompanied dispensing and was associated with number of dispensing sessions and medical specialty offered on a particular day. Assistance time was associated with drug type and number, which increased as dispensing sessions decreased.

Seasonal variations in the demand for pharmacy assistance were not investigated and sample size precluded multivariate analyses. Consequently, new studies may deepen understanding about communication between physicians, pharmacy assistants and users.

Pharmacy staff could improve quality and efficiency if two aspects were taken into account: fluctuating workload, and external conditions within which tasks are undertaken.

The paper identifies external conditions that interfere with drug dispensing.

This chapter provides a brief overview of community sanctions in Australia and examines the extent to which McNeill’s analysis in Pervasive Punishment (2019) is applicable in the Australian context. Two key issues in the Australian context are, firstly, state and territory-level variations within a federal political structure, and secondly, disproportionate Indigenous imprisonment and community sanction rates and the generally destructive impact of the criminal legal system on Indigenous communities and peoples. The chapter argues that developing a better agonistic politics around community sanctions requires descending from the broad level of historical and sociological analysis to examine state and territory-level variations in judicial and correctional structures, histories and cultures. Further, that Australian community sanctions cannot be understood without a primary focus on the differences between Indigenous and non-Indigenous rates, experiences and meaning. The key to addressing the destructive impact of criminal legal processes and practices on Indigenous peoples lies in developing Indigenous governance, empowerment, self-determination, sovereignty and nation-building. Two recent developments promoting Indigenous governance are examined: the Uluru Statement from the Heart and Justice Reinvestment projects initiated by First Nations communities, highlighting the importance of activism, contest and struggle by community organisations.

The purpose of this paper is to investigate the understanding of industrial safety signs and messages by registered and non‐registered safety officers in Hong Kong with ten different user factors, and examine the relationship between cognitive sign features and sign comprehensibility.

The research methodology includes the survey development and appropriate statistical analyses. In total, 92 Hong Kong Chinese participated voluntarily in the study. A questionnaire survey was used to collect information about demographics, personal experience on safety and health issues, experience of reviewing safety sign information, comprehension scores, and the ratings of sign features for 30 industrial safety signs used in Hong Kong. The effect of ten user factors on sign understanding for the design of highly usable safety signs was examined.

Of the ten factors tested, only the factor of possession of registered safety officer (RSO) status was a significant predictor of comprehension performance. As expected, comprehension scores varied with the cognitive sign features of familiarity, concreteness, simplicity, and meaningfulness.

The currently used industrial safety signs should be redesigned as soon as possible, with careful consideration of cognitive sign features. To make the results more generally applicable, further research is needed to collect more data, particularly from females.

This research suggests that an effective education program for promoting the intended messages of industrial safety signs in various industries and work environments should be conducted as soon as possible. Safety officers, especially those who work in the construction industry need to play a more prominent role in ensuring workplace safety, and in transferring safety knowledge to the workers.

There is a need to enhance RSOs' risk perception and to increase awareness of the importance of safety signs through training programs, so as to improve workplace safety and organizational safety culture. The redesigned safety signs need to be launched with a public education program.

The paper's findings emphasize the need to create awareness of the importance of industrial safety and promote understanding of safety sign meanings amongst people in their work environments. Useful information for the design and use of safety signs was generated.

The purpose of this paper is to show how early planned PR efforts at the British Family Planning Association [FPA] resulted in an epoch-making television appearance in November 1955, tessellating with current methodological debates in the history of PR.

This paper uses a qualitative, micro-history approach and original archival document research conducted at Wellcome Collection, London and the BBC Written Archives Centre, Caversham, to reconstruct early PR activity at the FPA. It intercedes in debates on historiography, the diversification of the history of PR and the concepts of mediatization and advocacy in historical contexts.

Attaining broadcast coverage for birth control issues was historically difficult and was made more so by Marie Stopes. The subject was commonly packaged into the less problematic issues of population and infertility. The FPA achieved explicit television coverage in 1955 after establishing a focussed PR plan to stage and exploit a silver jubilee event. This vindicated the FPA's mission, validated service users and created broadcast opportunities.

Research is limited by temporal scope (1870s–1950s), and reliance on document sources, footage of television programmes being unavailable. This paper has implications for the history of PR, contributing to the diversification of the field by suggesting an original approach to the intersection of public relations and social change.

This paper surfaces overlooked primary sources and is the first account of how birth control appeared as a topic on early British broadcast media.

Wollongong City Council in New South Wales, Australia, won the Australian Quality Award in 1997 and the Australian Customer Service Award in 1998, the first local council to receive such awards. This article presents a case history of the cultural reform journey of the council since 1990, in particular the role played by benchmarking within a wider quality‐oriented programme. The article traces the evolutionary nature of the reform agenda over this period and shows that benchmarking has been introduced at the council in three stages as an integral part of an evolving and maturing culture based on corporate planning, quality, and performance management: stage 1 (process mapping and improvement), stage 2 (process benchmarking), and stage 3 (cost benchmarking). The article concludes by setting out a number of lessons based on the Wollongong experience for the introduction and use of benchmarking as part of a quality‐oriented cultural change programme.

The aim of this paper is to present a conceptual model on foreign-born health care workers from developing countries working in the US. The model covers their motivations for migration, the consequences in terms of the inequality and exclusion they may experience and the role of institutional responses at micro-, macro- and meso-level of intervention.

The paper is based on: (1) in-depth review of key literature studies on the foundation theories of international migration including sociology, economics, anthropology, psychology and human resource management, (2) analysis of theoretical approaches to medical migration across disciplines, (3) analysis of the international and national documentary sources of micro-, macro- and meso-level policies on migration and (4) analysis of evidence on best practices, solutions and aspirational changes across different levels of institutions.

(1) Migration of international medical graduates (IMGs) from developing countries to the US can be explained from a micro-, macro- and meso-level of analysis. (2) IMGs who identify as racial/ethnic minorities may experience unfair discrimination differently than their US-born counterparts. (3) Although political/legislative remedies have had some successes, proactive initiatives will be needed alongside enforcement strategies to achieve equity and inclusion. (4) While diversity management initiatives abound in organizations, those designed for the benefit of IMGs from developing countries are rare. (5) Professional identity groups and some nonprofits may challenge structural inequities, but these have not yet achieved economies of scale.

Although it is well-documented in the US health care literature how ethnic/racial minorities are unfairly disadvantaged in work and career, the studies are rarely disaggregated according to sub-groups (e.g. non-White IMGs and US-born MGs). The implication is that Black IMG immigrants have been overlooked by the predominant narratives of native-born, Black experiences. In placing the realities of native-born Blacks on the entire Black population in America, data have ignored and undermined the diverse histories, identities and experiences of this heterogeneous group.

An awareness of the challenges IMGs from developing countries face have implications for managerial decisions regarding recruitment and selection. Besides their medical qualifications, IMGs from developing countries offer employers additional qualities that are critical to success in health care delivery. Considering organizations traditionally favor White immigrants from Northern and Southern Europe, IMGs from developed countries migrate to the US under relatively easier circumstances. It is important to balance the scale in the decision-making process by including an evaluation of migration antecedents in comprehensive selection criteria.

The unfair discrimination faced by IMGs who identify as racial/ethnic minority are multilayered and will affect them in ways that are different compared to their US-born counterparts. In effect, researchers need to make this distinction in research on racial discrimination. Since IMGs are not all uniformly impacted by unfair discrimination, organization-wide audits should be in tune with issues that are of concerns to IMGs who identify as racial/ethnic minorities. Likewise, diversity management strategies should be more inclusive and should not ignore the intersectionality of race/ethnicity, nationality, country of qualification and gender.

Immigrant health care workers from developing countries are integral to the health care industry in the United States. They make up a significant proportion of all workers in the health care industry in the US. Although the literature is replete with studies on immigrant health care workers as a whole, research has rarely focused on immigrant health care workers from developing countries. The paper makes a valuable contribution in drawing attention to this underappreciated group, given their critical role in the ongoing pandemic and the need for the US health industry to retain their services to remain viable in the future.