Australian Organisations Research Articles

Unmet Needs in Endometriosis: Lessons from COVID-19.

One key challenge of the COVID-19 pandemic is health care access. Government-imposed restrictions and increased health care burden have induced considerable changes to health care services and their delivery. These are likely to have substantially impacted those with chronic conditions such as endometriosis, as they require sustained management. Our objective was to explore the impact of the COVID-19 pandemic on the experience of people with endometriosis, and to use this information to inform health care delivery for the management of chronic conditions in a COVID-normal future. Invitation to participate in an open-ended online survey through social media of Australian endometriosis organizations and the Royal Women's Hospital, Melbourne. Surveys were analyzed qualitatively through template analysis. Of 576 surveys returned, 329 reported COVID-19 having an impact. Fifteen areas of impact were identified and grouped under three domains: impact on access to health care services, impact on daily life, and impact of isolation. Common impacts included reduced access to health care services, improved symptom management due to decreased day-to-day travel and work-from-home arrangements, and both positive and negative views of telehealth services. This study provides in-depth insight into the experiences of people with endometriosis during the COVID-19 pandemic, confirming previous studies' findings and offering insight into discrepancies between the Australian Healthcare system categorization of surgeries as "non-essential," and patient views of these procedures as "essential" to their well-being. Results may inform future adjustments to health care services and delivery to improve the lives of people with endometriosis, and by extension, other chronic conditions.

'It's just the nature of the work': Barriers and enablers to the health and well-being of preconception, pregnant and postpartum working women in a community service organisation.

Poor lifestyle practices, combined with excess weight gain and weight retention during the preconception, pregnancy and postpartum periods can increase health risks for mothers and their children. Little is known about how workplaces impact the health and well-being of women of child-bearing age, particularly across work roles and settings. This qualitative descriptive study explored the enablers and barriers to the healthy lifestyle practices and well-being of women of reproductive age within an Australian community services organisation by capturing the perspectives of both the women and workplace executives. Eleven interviews were conducted with executives (n=12), and three focus groups and three interviews were conducted with women (n=16). Data were thematically analysed, and six main themes were identified: blurring of the role and work environment, clarity and equity in policy and entitlements, the nature of community services work, individual responsibility for health, tiered levels of support and a management-driven culture of awareness and support. Barriers included high-stress roles, work targets, sedentary work behaviours, lack of clarity around policies, funding and the emotional labour associated with community services work. Hands-on leadership, open communication, work relationships, resourcing and manager training were identified as facilitators. While findings indicate agreement between executives and the women, many executives focused on the challenges associated with pregnancy in the high-risk workplace environment and did not perceive specific barriers for those in non-frontline roles. Management education to generate an understanding of women's needs during this life stage and increased resourcing to facilitate workplace well-being would be beneficial.

The impact of Covid-19 on management decision-making: The case within Australian organizations

The Covid-19 pandemic has significantly altered the way leaders in organizations manage their employees, requiring them to adopt a more supportive stance to facilitate employee wellbeing and at the same time maintain productivity. The pandemic has precipitated changes to how organizations manage and communicate with their staff. Because the situation has changed due to the infectious disease of COVID-19, managerial decisions are expected to change, commensurate with the situation. It is within this context that this study investigates the impact of the COVID-19 pandemic on Australian managers’ decision-making approaches. A qualitative method utilizing structured interviews consisting of 11 open ended questions was used to gauge the effect of the pandemic on 55 Australian public service managers. The study reveals that, because of the pandemic, new management approaches were employed and reveals insights into employees’ attitudes toward these new approaches. The research highlights how the use of multiple technological platforms have facilitated organizational communication, despite technical difficulties, to maintain at least a reasonable level of connectivity and helped to facilitate the achievement of organizational goals and objectives.

Cross-sector learning collaboratives can improve post-diagnosis care integration for people with young onset dementia.

Post-diagnosis young onset dementia (YOD) care is often fragmented, with services delivered across aged care, healthcare, and social care sectors. The aim of this project was to test the feasibility and potential effectiveness of a learning collaborative implementation strategy for improving the cross-sector integration of care for people with YOD and to generate data to refine the implementation strategy for scaleup. We conducted a longitudinal mixed methods process evaluation and recruited one representative from three Australian aged care organisations, three disability care organisations and three organisations (n=9) contracted to deliver care navigation services. One representative from each organisation joined a learning collaborative within their local area and completed a six-module online education package incorporating written resources, webinars, collaboration and expert mentoring. Participants identified gaps in services in their region and barriers to care integration and developed a shared plan to implement change. Normalisation Process Theory was applied to understand the acceptability, penetration and sustainability of the implementation strategy as well as barriers and enabling factors. Dementia knowledge measured by the Dementia Knowledge and Awareness Scale was high among the professionals at the start of the implementation period (mean=39.67, SD=9.84) and did not change by the end (mean=39.67, SD=8.23). Quantitative data demonstrated that clinicians dedicated on average half of the recommended time commitment to the project. However, qualitative data identified that the learning collaborative strategy enhanced commitment to implementing integrated care and promoted action towards integrating previously disparate care services. Participant commitment to the project was influenced by their sense of obligation to their team, and teams that established clear expectations and communication strategies early were able to collaborate and use the implementation plan more effectively (demonstrating collective action). Teams were less likely to engage in the collective action or reflexive monitoring required to improve care integration if they did not feel engaged with their learning collaborative. Learning collaboratives hold promise as a strategy to improve cross-sector service collaboration for people with YOD and their families but must maximise group cohesion and shared commitment to change.

Bodies of/at Work: How Women of Colour Experienced Their Workplaces and Have Been Expected to ‘Perform’ During the COVID-19 Pandemic

ABSTRACT Almost 50 years ago, Edward Said wrote on ‘the other’ in relation to race and gender in his path-breaking book Orientalism (1978). While much has evolved around notions of gendered and racialised otherness since then, Said’s conceptualisation still resonates today. Our paper reports on a 2020/2021 survey of Women of Colour in the Australian workplace. The survey was conducted during the pandemic by Women of Colour Australia, a not-for-profit group, working with the lead author. We focus on the qualitative answers from participants, many of which detail sometimes painful and extremely personal workplace experiences. More than 500 Women of Colour, including seven per cent who were Aboriginal and Torres Strait Islander, completed the survey. Sixty per cent said they had experienced discrimination in the workplace, despite 59 per cent of participants saying their workplace had a Diversity and Inclusion policy. Participants had to ‘perform’ their identities whilst being subjected to intersectional issues of racism and sexism, some of which the pandemic exacerbated. Our paper describes the harmful ramifications of gendered othering of Women of Colour for Australian organisations and society in the years of the pandemic.

Using Implementation Science to Inform Workforce and Service Development in Youth Mental Health: An Australian Case Study

Globally, mental illness and substance use disorders are the leading cause of disability and disease burden for young people. Orygen is an Australian youth mental health organisation with a mission to reduce the impact of mental ill health on young people, families and society, through research, clinical services, advocacy, and the design and delivery of youth mental health workforce and service development initiatives. Orygen is one of only a few known research and clinical centres with a dedicated knowledge translation division, which concentrates on growing the capacity of the systems, services, and professionals who support young people experiencing mental ill health. This paper provides a case study of the workforce development team within the Orygen knowledge translation, outlining how implementation science informs their work and how the division has adapted its model in the face of COVID-19. Since 2017, the team has delivered training to more than 4000 youth mental health workers across Australia, on the topics of trauma, psychosis, mood and anxiety disorders, brief interventions, cognition and other areas of youth mental health. The COVID-19 pandemic generated abrupt and dramatic changes to the delivery of workforce and service development initiatives in Australia due to significant restrictions to travel and in-person events. It also placed major delivery demands on youth mental health services. This paper outlines how the team at Orygen adapted their approach to youth mental health workforce development in response to COVID-19, offering reflections and future directions for implementation science that can support flexible models of support in a changing system.

Patient advocates' views of patient roles in interprofessional collaborative practice in primary care: A constructivist grounded theory study.

Interprofessional collaborative practice has been shown to be an appropriate model of care for chronic disease management in primary care. However, how patients play a role in this model is relatively unknown. The aim of this constructivist grounded theory focus group study was to explore the perceptions of patient advocates regarding the role of patients in interprofessional collaborative practice for chronic conditions in primary care. Primary data were collected from patient advocates, from public and private Australian organisations and who represent patients with chronic disease in primary care, through focus groups in July-August 2020. Videoconference focus groups were recorded, transcribed verbatim and inductively, thematically analysed using the five-step approach by Charmaz: (1) initial line-by-line coding, (2) focused coding, (3) memo writing, (4) categorisation and (5) theme and sub-theme development. Three focus groups comprising 17 patient advocates with diverse cultural and professional backgrounds participated. Two themes and five sub-themes relating to interprofessional collaborative practice teams were constructed from the data. In theme 1, patients 'shifted across the spectrum of roles' from 'relinquishing control to the team', 'joining the team' to 'disengaging from the team'. The second theme was the need for 'juggling roles' by 'integrating patient role with life roles', and 'learning about the patient role'. The diversity and variability of patient roles as described by patient advocates highlight the challenges of working with people with chronic conditions. The diverse patient roles described by advocates are an important finding that may better inform communication between patients and health professionals when managing chronic conditions. From the health professional perspective, identification of the role of a patient may be challenging. Therefore, future research should explore the development of a tool to assist both patients and health professionals to identify patient roles as they move across the spectrum, with the support of policy makers. This tool should aim to identify and promote patient engagement in interprofessional collaborative practice in primary care settings.

Ethical Decision-Making in Indigenous Financial Services: QSuper Case Study

This case study details how and why integrating storytelling, empathy, and inclusive practice shifted QSuper, a large Australian finance organisation, from minimal awareness to moral awareness then moral capability in the delivery of services to Indigenous customers. During the Royal Commission into Misconduct in the Banking, Superannuation, and Financial Services Industry, QSuper were recognised for their exemplary service with Indigenous customers (Hayne, Interim report: Royal commission into misconduct in the banking, superannuation and financial services industry, Volume 1. Commonwealth of Australia, 2018; Transcript of Proceedings, 13 August, Commonwealth of Australia, 2018). This position was in stark contrast to the inaccessible service offerings of other financial organisations where some used predatory practices to sell unethical financial products to Indigenous Australians (Hayne, Interim report: Royal commission into misconduct in the banking, superannuation and financial services industry, Volume 1. Commonwealth of Australia, 2018; Hayne, Final report: Royal commission into misconduct in the banking, superannuation and financial services industry, Volume 1. Commonwealth of Australia, 2019a). Storytelling garned from visiting customers in remote communities and other meaningful activities involving inclusive practice to facilitate ethical decision-making in finance is different to standard functionalist finance approaches (Schinckus, Int Rev Financ Anal 40:103–106, 2015). Two empathetic questions asked within QSuper complementing the storytelling, were: “What is the right thing to do by the customer?” and “How would I feel if this were my mother?” Exploration into the lived reality of moral capacity is important based on the Commission finding many of the 490,000 finance staff do not know how to provide ethical services to vulnerable customers, in particular remote Indigenous customers (Australian Bureau of Statistics. Labour force, Australia, detailed. ABS. Retrieved from https://www.abs.gov.au/statistics/labour/employment-and-unemployment/labour-force-australia-detailed/latest-release, 2021; Hayne, Final report: Royal commission into misconduct in the banking, superannuation and financial services industry, Volume 1. Commonwealth of Australia, 2019a). Furthermore, there is minimal literature on the role of Indigenous storytelling to heighten moral awareness in the finance industry which was found to lead to better ethical outcomes.

Organisational resilience: the role of organisational culture from an organisational life cycle perspective

PurposeThis study examines the influence of organisational culture on organisational resilience from an organisational life cycle (OLC) perspective.Design/methodology/approachAn online survey questionnaire was used to collect data from 410 middle-level managers in Australian business organisations using Qualtrics, a well-known international data collection organisation.FindingsThe findings reveal that the respect for people/teamwork cultural dimension is positively associated with organisational resilience across all OLC stages (i.e. birth, growth, maturity and revival stages). In addition, the outcome-oriented (innovation) culture dimension enhance organisational resilience in the growth and revival (maturity) stages.Originality/valueThe findings contribute to the limited literature by providing empirical evidence on how specific organisational cultural dimensions can enhance organisational resilience across different development stages of organisations (i.e. the birth, growth, maturity and revival stages).

Burnout, wellbeing and how they relate: A qualitative study in general practice trainees.

Although research has explored burnout risk factors among medical trainees, there has been little exploration of the personal experiences and perceptions of this phenomenon. Similarly, there has been little theoretical consideration of trainee wellbeing and how this relates to burnout. Our study aimed to conceptualise both constructs. We situated this study within a post-positivist epistemology using grounded theory to guide the research process. Participants were recruited from one Australian General Practice training organisation. Fourteen trainees completed interviews, while a further five focus groups explored the views of 33 supervisors, educators and training coordinators. Data collection and analysis occurred concurrently, drawing upon constant comparison and triangulation. Template analysis, using an iterative process of coding, was employed to generate conceptual models of the phenomena of interest. Participants described burnout as an insidious syndrome lying on a spectrum, with descriptions coalescing under seven themes: altered emotion, compromised performance, disengagement, dissatisfaction, exhaustion, overexertion and feeling overwhelmed. Wellbeing was perceived to comprise personal and professional domains that interacted and were fuelled by an underlying 'reservoir'. Both constructs were linked by the degree of a trainee's value fulfilment, with burnout occurring when a trainee's wellbeing reservoir was depleted. Participants in this study characterised burnout and wellbeing as multifaceted, connected constructs. Given the complexity of these constructs, preventive interventions should target both person and workplace-focused factors, with value fulfilment proposed as the basic change mechanism. A novel model that synthesises and advances previous research is offered based on these findings.

Organizational Factors Influencing the Sustainability Performance of Construction Organizations

Construction projects contribute significantly to the growth of countries in terms of GDP and employment opportunities. However, construction organizations are often criticized for not adopting sustainable practices in delivering their projects. Underpinned by the resource-based theory (RBT) this research aims to investigate the organizational factors influencing the sustainability performance of construction organizations. This study used a mixed method approach in which the data was collected from the top management of Australian construction organizations. PLS-SEM was used to analyze the data. The findings revealed that, among the five key factors, business strategies, technological capabilities, and organizational culture are found to have a significant positive impact on the environmental sustainability performance of construction organizations. Also, it is found that the organizations’ social sustainability performance is positively influenced by their organizational culture and business strategies. The research findings have several practical implications, such as the construction companies could use the operationalized measurement items of each determinant (i.e., organizational resources and capabilities) to self-assess and improve their organizational practices, which will help them develop strategies for improved sustainability performance.

Repressive Equality Regimes: Theorizing the Disconnections in Organizational Equity Practices

For decades Western organizations have been subject to equal opportunity and anti-discrimination laws, gender equality policies, and diversity and inclusion strategies. Still, this paper suggests that there has been little fundamental change to the structure of outcomes for the workforce labelled diverse. This paper draws on data from three Australian organizations with advanced gender diversity and inclusion (GDI) programs to explore why this is the case. Our research found: 1) dominant managerial GDI practices co-exist with multiple, unacknowledged, local discourses and competing interests; 2) managerial GDI practices operate in a system that segregates ‘diverse’ employees and the performance of ‘equity’ work; and 3) GDI strategies inadvertently legitimize dominant western forms of leadership associated with white masculinity. We explain our findings through the concept of ‘repressive equality regimes’: organizational diversity and inclusion practices and policies that confirm an organization’s positive engagement with equality but remain wedded to the structural conditions that perpetuate legitimize unequal social and organizational hierarchies.

The Changing Role of Regional Australian Destination Management Organisations in Response to the COVID-19 Pandemic

This study explores the changing role of Destination Management Organisations (DMOs) in response to the COVID-19 Pandemic within the regional context of Tropical North Queensland. A case study of a Regional Tourism Organisation (RTO) is utilised to gain insights into external and internal stakeholder perspectives on the changing role of DMOs in response to COVID-19. This research adopts a qualitative approach to investigate insights into the specific phenomenon of the changing role of regional DMOs in response to the COVID-19 Pandemic. The research was conducted in two stages: semi-structured interviews and thematic analysis of the transcripts. This research project (including methodologies engaged) was approved by James Cook University’s Human Research Ethics Committee, reference number H8559, on September 29 2021. The insights provided suggest that changes made within the RTO were mostly temporary and that there is a desire from external and internal stakeholders for the RTO to return to a marketing function post the acute phase of the Pandemic. Findings indicate that the role of a regional DMO can shift to a role of destination management in times of crisis and then revert to one adapted to marketing functions in the recovery period. Recommendations for the role of destination marketing and management organisations in response to times of crisis are presented and include flexibility of the role of DMOs in crisis management, the requirement for strong leadership and the need for ongoing consultation with the industry about the desired role and function of DMOs.

Wildlife Photos on Social Media: A Quantitative Content Analysis of Conservation Organisations’ Instagram Images

Simple SummaryAlthough images are more effective than words at communicating important conservation ideas, different aspects of these images have been demonstrated to have positive and negative effects on viewers’ views towards wildlife and towards the organisation that posted the image. The most prevalent and engaging characteristics of wildlife photographs posted to Instagram in 2020 and 2021 were assessed using a quantitative content analysis, with Australian organisations as a case study. The findings show that conservation organisations can confidently share and post photographs that promote positive attitudes towards wildlife and the conservation organisation, and that Instagram posts can feature and promote a wide range of currently underrepresented species.Wildlife populations are vanishing at alarmingly high rates. This issue is being addressed by organisations around the world and when utilizing social media sites like Instagram, images are potentially more powerful than words at conveying crucial conservation messages and garnering public support. However, different elements of these images have been shown to potentially have either positive or negative effects on viewers’ attitudes and behaviours towards wildlife and towards the organisation posting the image. This study used a quantitative content analysis to assess the most common and engaging elements of wildlife images posted to Instagram in 2020 and 2021, using Australian conservation organisations as a case study. A total of 670 wildlife images from the Instagram accounts of 160 conservation organisation Instagram accounts were coded and analysed. Results highlight that the most common image elements used included natural backgrounds, mammals and birds, and no human presence. In addition, it was found that the taxon of the animal featured in a post and the presence of humans did not impact engagement levels. Our findings highlight the potential for Instagram posts to feature and promote a wide range of currently underrepresented species, and for conservation organisations to be able to confidently share and post images that promote positive perceptions of both the animal and the conservation organisation.

Improving quality in pastoral care using the Pastoral Care Activity Tracker (PCAT): A feasibility study of a digital tool within an Australian healthcare organization

Background Activity reporting of Pastoral Care Coordinators (PCCs) is often inadequate within care settings because of suboptimal analog data collection methods. This study aims to render pastoral care activity reporting more efficient through digitizing data collection in pastoral care settings. Methods A one-year feasibility (pilot) study of a digital tool, the “Pastoral Care Activity Tracker” (PCAT) was conducted between June 1, 2020 and May 31, 2021 at HammondCare, an Australian nonprofit healthcare organization. Feasibility was measured using electronic activity logs collected by the tool and user feedback surveys by PCCs. Results Of the 43 PCCs working in the organization, 42 (97.7%) used the PCAT tool to complete the logging of 66,298 pastoral care activities (M [SD] = 1,578.5 [827.8] activities per PCC). Most activities were logged successfully (98.3%) and took less than one minute (89.5%). Survey responses (n = 20, 46.6%) indicated many PCCs found the PCAT more convenient (n = 15, 75.0%) and easier to use (n = 10, 50.0%) than paper-based method. Conclusions PCCs found the PCAT to be feasible, favorable, and easier to use for report generation compared to paper-based methods. The feasibility of the PCAT improved pastoral care activity data capture, as perceived by PCCs.

Adopting an American framework to optimize nursing admission documentation in an Australian health organization.

ObjectiveApply and modify the American Essential Clinical Dataset (ECD) approach to optimize the data elements of an electronic nursing admission assessment form in a metropolitan Australian local health district.Materials and MethodsWe used the American ECD approach but made modifications. Our approach included (1) a review of data, (2) a review of current admission practice via consultations with nurses, (3) a review of evidence and policies, (4) workshops with nursing and informatics teams in partnership with the electronic medical record (eMR) vendor, and (5) team debrief sessions to consolidate findings and decide what data elements should be kept, moved, or removed from the admission form.ResultsOf 165 data elements in the form, 32% (n = 53) had 0% usage, while 25% (n = 43) had 100% usage. Nurses’ perceptions of the form’s purpose varied. Eight policy documents specifically prescribed data to be noted at admission. Workshops revealed risks of moving or removing data elements, but also uncovered ways of streamlining the form. Consolidation of findings from all phases resulted in a recommendation to reduce 91% of data elements.DiscussionApplication of a modified ECD approach allowed the team to identify opportunities for significantly reducing and reorganizing data elements in the eMR to enhance the utility, quality, visibility, and value of nursing admission data.ConclusionWe found the modified ECD approach effective for identifying data elements and work processes that were unnecessary and duplicated. Our findings and methodology can inform improvements in nursing clinical practice, information management, and governance in a digital health age.

“Being Diverse and Being Included, Don’t Go Together in Policing”—Diversity, Inclusion, and Australian Constables

Across the globe, there is little research that examines the impact of diversity on police practice, particularly whether it increases or decreases the competency of the police organization or whether police officers perceive diversity within the organization and the addition of diverse officers as positive or negative. Contributing new findings to the extant policing literature, this research analyzes data collected from interviews with forty-six constables working in one of the largest Australian state police organizations. Contributing five key findings regarding diversity and inclusion in policing, this research suggests that lack of acceptance of diversity broadly, and bias towards diverse identified officers, results in the exclusion of officers, and a workforce that is fragmented. The lack of unification constables in this research have with diverse colleagues is concerning given that a cohesive police team increases the safety of all officers, improves the effectiveness of police response, strengthens the communication between police and citizens (as well as communication within the organization), increases the morale of officers, and will support the legitimacy of the organization. Whilst constables in this study were not asked questions about their own implicit or explicit levels of bias towards members of diverse groups, the unsolicited responses from many of the constables, as well as the recognition of Whiteness in terms of the racial identity of many officers within the organization, suggests that constables in this study are biased towards officers that are not part of the majority group.

The impact of interactive and diagnostic levers of eco‐control on eco‐innovation: The mediating role of employee environmental citizenship behaviour

AbstractThe study contributes to the management control system (MCS), environmental and behavioural reaction literature by examining the mediating role of employee environmental citizenship behaviour on the association between the interactive and diagnostic use of eco‐control with eco‐innovation. Based on an empirical analysis of 406 Australian organisations, the results indicate that employee environmental citizenship behaviour mediates the effect of both the interactive and diagnostic use of eco‐control on eco‐innovation (specifically, eco‐product innovation). The findings highlight the importance of eco‐controls and employee behaviour, specifically employee environmental citizenship behaviour, in influencing eco‐innovation.

ESG Poster ESG5: An integrated approach to environmental assessment for decommissioning outcomes

Poster ESG5 As the Esso/BHP infrastructure in Bass Strait is prepared for decommissioning, it is imperative to develop an enhanced understanding of the environment that has evolved around the infrastructure over the past 50 years of production operations. To meet this need, Esso is progressing an integrated environmental assessment program. The first stage of the program recognised that Esso held a wealth of underwater remotely operated vehicle (ROV) imagery collected over many decades of routine inspections. Working in partnership with third-party marine scientists and biologists, the ecological value of this imagery was assessed. Approximately 1000 h of subsea imagery was analysed to identify species to the lowest possible taxa. To supplement this information, Esso then undertook comprehensive offshore environmental surveys, collecting further underwater imagery to assess marine biota, fish and benthic communities during the summer of 2020/2021. Esso also engaged a leading Australian research organisation to design an environmental survey for the collection and analysis of sediment samples around targeted infrastructure, including reference sites, to increase our understanding of the potential impacts different decommissioning options may have, including disturbance and resuspension of sediments. This integrated approach to environmental assessment has enabled industry, leading marine scientists and research organisations to work collaboratively to better understand the ecological role of oil and gas infrastructure in Bass Strait. This knowledge will assist in identifying optimal decommissioning outcomes for all infrastructure types. To access the poster click the link on the right. To read the full paper click here

“No Alcohol, No Risk. #FASD”– Twitter Activity on Alcohol and Pregnancy among Australian Organizations

Objective: Research has suggested that information communicated by public health and industry-funded organizations differ, as organizations linked to industry have tended to downplay risks with alcohol more broadly and pregnancy specifically. There is limited knowledge of how alcohol use in pregnancy and associated risks are communicated on social media in Australia. This study set out to describe communication of health risks associated with alcohol use during pregnancy on Twitter by Australian-based organizations and stakeholders. Methods: We searched for “alcohol” and “pregnancy”, “pregnant”, or “FASD” on Twitter accounts belonging to potentially relevant organizations, of which 17 had tweeted on the topic. Content analysis was undertaken on all tweets and summarized under eight themes. Results: A total of 347 tweets were identified, posted between 2010 and 2019 mainly by public health and disability nongovernmental organizations. Tweets generally focused on FASD, but other potential consequences of maternal alcohol use were infrequently mentioned and tended to be generic. We found infrequent mentions of direct advice around alcohol use during pregnancy and official guidelines. Overall, tweets reflected ongoing policy debates in Australia – including alcohol warning labeling, disability policy and increased activity was seen particularly before the second parliamentary inquiry into FASD. Conclusions: The limited number of tweets from relevant organizations over a nine-year period suggests focus has been on FASD while less discussion of alcohol use during pregnancy was evident. We identified an opportunity for more and consistent communication of trusted national health guidance.