Welcome to the College of Nurses Aotearoa News Update.
No. 316 14 September 2016
National
news
Nurses need more say in health strategies,
industry told
Nurses need to be a
part of decision making for health strategies in New Zealand, the head of the
International Council of Nurses says.
Read more here
Burnt-out doctors
could get new 'fatigue clause' in contracts to opt out of work
Doctors'
unions claim that burnout, or physical and psychological fatigue, is
caused by understaffing and bad rosters.
Earlier
this month the Association of Salaried Medical Specialists (ASMS) published a
report showing that half of New Zealand's public hospital specialists feel
burned-out, potentially affecting patient care and increasing the risk of
medical errors.
Read more here
Nurses back the Resident
Doctors Association on safer staffing
The
New Zealand Nurses Organisation (NZNO) is supporting the New Zealand Resident
Doctors Association (NZRDA) in their industrial dispute with District Health
Boards (DHBs) over short staffing, long hours, and burnout.
Read more here
Occupational Therapy
takes the lead with Treaty Governance Model.
Occupational
Therapy New Zealand Whakaora Ngangahau Aotearoa, are the first allied health
association in New Zealand, to authentically and practically practise a
commitment to the intentions and spirit of Te Tiriti / the Treaty.
Read more here
The politics of
Māori health
Is
the health system failing Māori? Some of those on the frontline say 'yes'. And,
as Te Manu Korihi reporter Aaron Smale found out, it may not just be
about money.
Read more here
Kiwis benefiting
from pill-free prescriptions
Health
Minister Jonathan Coleman says adults and their families are benefiting from
pill-free prescriptions with a new survey showing they are fitter and happier
as a result.
Read more here
NZ healthcare organisations
condemn violence against healthcare workers
The New
Zealand Medical Association (NZMA) and the New Zealand Nurses Organisation
(NZNO) support the stand taken by leaders of the world’s physicians and nursing
associations, who have condemned the continuing violence against health personnel
in Syria and other nations.
Read more here
Karl du Fresne: Extraordinary people in our
own backyard
OPINION: The world recently watched as exceptional people did
extraordinary things at the Rio Olympics, but over the past weeks I've been
reminded that exceptional people do extraordinary things every day right here
in our own backyard.
Read more here
New book promotes Maori approaches to
psychology
A new book illustrating the unique approaches
MÄori psychologists bring to their work is being be launched at the New
Zealand Psychological Society’s annual conference in Wellington tomorrow.
Read more here
Patients
privacy breached at Bay hospitals
One person has been fired and another faced
disciplinary action after privacy breaches at Tauranga and Whakatane hospitals,
new figures show
Read more here
Aged
care
Older peoples’ unmet needs result in lower
quality of life
Older New Zealanders
with unmet needs have a lower quality of life, according to new research from
the University of Auckland.
Read more here
Cancer
issues
Q&A: Is NZ lagging in cancer drug funding?
Researchers
have called for an urgent overhaul of New Zealand's processes for funding
cancer drugs to ensure breakthrough treatments get to those who need them as
soon as possible.
Read more here
DHBs
Population pressures
cause DHB budget blowouts
Many
district health boards still face multi-million dollar budget blowouts, new
figures show.
Health
Ministry draft figures for the year ended 30 June showed two-thirds of DHBs did
worse than expected, all ending up in the red.
Read more here
Mental
health
SUPER CITY
COLLABORATION FOR BETTER MENTAL HEALTH
A
tsunami of mental health challenges on the horizon is helping to bring PHC
nursing leaders across the Auckland isthmus together. FIONA CASSIE finds out
more about the resulting collaborative project to upskill primary health nurses
in mental health and addiction.
Read more here
DHBs progress suicide prevention plans
Health Minister
Jonathan Coleman says DHBs are making progress on their suicide prevention
initiatives, but there is more work to be done.
Tomorrow is World
Suicide Prevention Day - the international theme for 2016 is ‘Connect,
Communicate, Care’.
Read more here
Obesity
Plain packaging and
warning labels on soft drinks could reduce obesity - University of Auckland
researchers
Plain
packaging is on the way for tobacco products in New Zealand but should it be
extended to soft drinks?
Read more here
Pharmacy
Kiwis receive 44m subsidised prescriptions
Health Minister
Jonathan Coleman says new data shows Pharmac is delivering more subsidised
medicines, benefiting millions of Kiwis.
Read more here
Primary
health care
Pacific Trust
Canterbury closure: Doctor says patients will suffer
A
doctor who lost his job when a Canterbury healthcare trust went
bust fears his patients will not afford mainstream medical care.
Read more here
Extending primary care hours is linked to
fewer emergency department visits
Keeping primary care
practices open for more hours on nights and weekends was linked to a reduction
in patient-initiated emergency department visits for minor problems, according
to a new study.
Read more here
Telehealth
Pilot offers after-hours doctor service online
Those living in the
Waikato will now be able to access an after-hours doctor without leaving home.
And best of all, it's
free and available to everyone in the Waikato.
Read more here
Online tools help
people improve their health but need more study
(Reuters
Health) - Mobile apps and web-based programs do help people reach health goals
like exercising more, losing weight and quitting smoking, but studies need to
follow-up longer to see how sustainable these interventions are, according to a
recent review of existing research.
Read more here
International
news
RCN releases new guidance for nurses treating motor neurone disease
The Royal College of Nursing (RCN) has launched
an online resource to improve knowledge and provide support for nurses treating
people with motor neurone disease (MND).
Read more here
HEE
opens consultation on nursing workforce strategy
Health Education England (HEE) is now
consulting on the previously promised national workforce strategy for general
practice nursing.
Read more here
District nurse cuts 'put frail at risk',
report suggests
The district nursing service in England is at
"breaking point" as unmanageable workloads have left patients at
risk, a report suggests.
Read
more here
Delirium-Related
Training Inadequate for ICU Staff
Only
26.8 percent of health care professionals reported screening for delirium on
routine basis
Read more here
AORN: Nurse bullying
is extremely common, and patients may suffer, too
Nurse
bullying is incredibly common, but such behavior may be hard to
recognize--and the bullies themselves may not even realize they’re doing it.
Read more here
The pervasiveness of nurse bullying: 7 key thoughts
Nurse bullying and incivility in the operating
room is a real and seemingly ubiquitous problem, as evidenced by a recent
discussion hosted by the Association of periOperative Registered Nurses and
streamed live on Facebook.
Read more here
When developing quality and safety policies,
nurse input may be overlooked
Nursing assessments
regarding the quality and safety of hospital care are a predictive indicator of
hospital mortality rates, according to a new study published in Nursing
Studies. The study's authors
suggest these assessments could be used as an overall hospital quality
indicator and subsequently inform policy decisions.
Read more here
Workplace
New Zealand has
world's second highest rate of workplace bullying
Attitudes
towards workplace bullying are what they were towards domestic
violence 30 years ago, says Culture Safe New Zealand director Allan
Halse.
"When
Women's Refuge started talking about the need to be safe people called them
hairy-legged lesbians and said that was a matter between a couple. Now there's
an acceptance that it is a problem.
Read more here
TRY A LITTLE KINDNESS
Nursing Review talks to nurse manager MIKAELA
SHANNON about a project to encourage and role model caring and kindness between
nurses.
Read more here
Finally, the proof why you really shouldn't
come to work sick
There's
nothing more selfish you can do than come to work sick.
You may get a
gold star for showing your sniffling face at the office and soldiering through
the workday to prove your value - but everyone around you just gets sick.
You're an inconsiderate work hazard.
Read more here
Articles
of interest
Quantity and quality
of interaction between staff and older patients in UK hospital wards: A
descriptive study
International
Journal of Nursing Studies
Volume 62, October 2016, Pages 100–107
The
quality of staff-patient interactions underpins the overall quality of patient
experience and can affect other important outcomes. However no studies have
been identified that comprehensively explore both the quality and quantity of
interactions in general hospital settings.
Aims
& objectives
To
quantify and characterise the quality of staff-patient interactions and to
identify factors associated with negative interaction ratings.
Read more here
Collaborative
self-management support for primary care patients with anxiety, depressive or
somatic symptoms - results of the SMADS study, a cluster-randomised, nurse-led
intervention
Collaborative,
nurse-led care is a well-established model of ambulatory care in many
healthcare systems. Nurses play a key role in managing patients’ conditions as
well as in enhancing symptom- and self-management skills.
The
SMADS trial evaluated the effectiveness of a primary care-based, nurse-led,
complex intervention to promote self-management in patients with anxiety,
depressive or somatic symptoms. Change in self-efficacy 12 months post baseline
was used as the primary outcome.
Read more here
From
the Ministry of Health
More Heart and Diabetes Checks Evaluation
Health targets are a set of
national measures designed to improve the performance of health services. They
focus on population health objectives and on reducing inequities.
The More heart and diabetes
checks health target began in 2012 and includes a cardiovascular risk assessment
(CVDRA) and a blood test for diabetes (HbA1c) delivered in primary care
settings.
The goal was for 90 percent
of people in specified age and ethnicity cohorts to have had their risk
assessed in the past five years. A budget included national funding, and
incentives and sanctions for district health boards (DHBs) and primary health
organisations (PHOs) to achieve the target.
The evaluation used mixed
methods for data collection and was framed around five evaluation questions.
How well was the health
target implemented?
What difference did the
health target make for health practices/service providers and for those whose
risk was assessed?
What have been the economic
implications of the health target and is it likely that the programme provides
good value for money?
To what extent are any
gains made through the health target likely to continue?
What should the Ministry of
Health do to support CVD and diabetes risk assessment?
The evaluation findings for
each of the questions is presented in this summary.
Read more here
Emergency department use 2014/15
Summary
This report presents
descriptive statistics about emergency department (ED) events and patients
in New Zealand during 2014/15. This includes:
the distribution,
demographic detail and frequency of use of people who were patients at ED at
least once during the year
the location, timing,
seasonality, urgency of condition at presentation, service provider, length of
stay and outcome of reported ED events.
The report was compiled
from data supplied by DHBs to the National Non-admitted Patient Collection. It
is important to note that:
differences in the data
presented may be an artefact of changes in hospital processes or
classifications
results presented in this
report may differ from other reports as different methods and criteria are used
to analyse the data.
You can download the report
and its accompanying data tables from the Downloads section of this page. The
online tables present numbers and rates by DHB and service provider.
Read more here
New Zealand Autism Spectrum Disorder
Guideline
The NZ Autism Spectrum
Disorder Guideline provides evidence-based information for people on the autism
spectrum, their family and whanau, as well as health, disability and
education professionals and social service agencies. It includes
information about good practice that is evidence-based and aims to improve the
health, educational and social outcomes for people with ASD.
As part of the
implementation of the Guideline, the Ministries of Health and Education
established a living guideline process to regularly update the Guideline to
reflect new evidence and changing user needs.
Since the living guideline
process was established in 2009, Supplementary
Papers have been published
annually. These provide updates in areas of applied behaviour analysis,
pharmacological interventions, supported employment, changes in diagnostic
criteria in the DSM-5, gastrointestinal issues, social skills groups, and
cognitive behaviour therapy.
The second edition (2016)
of the Guideline incorporates the updates developed through the living
guideline process. This means that all amendments to the Guideline
recommendations, identified in the Supplementary Papers, are incorporated into
the second edition.
The first edition of the
Guideline was published in 2008.
See the Autism
Spectrum Disorder Guideline section for links to further information and resources.
Read more here
Commissioning Framework for Mental Health and
Addiction: A New Zealand guide
The Commissioning Framework
is part of an outcome-focused approach. This framework, along with the Mental
Health and Wellbeing Outcome Framework, provides national guidance to enable us
to measure outcomes that make a real difference for people.
This Commissioning
Framework describes a consistent approach to commissioning responses across New
Zealand, using the relevant information to purchase the responses to best
meet the needs of the local population. It describes the components that are
critical to successfully commissioning and the process that will be used by
those responsible for commissioning mental health and addiction care. This includes
planners, funders, contract managers, boards, groups, agencies and/or those in
designated commissioning roles.
It describes a consistent
approach to commissioning responses across New Zealand, using the relevant
information to purchase the responses to meet the needs of the local
population.
Read more here
The above information has been collated for the
College of Nurses Aotearoa (NZ) Inc by Linda Stopforth, SNIPS and is provided
on a weekly basis. It is current as at Tuesday
13 September 2016
If you have any feedback about content - what parts
are most useful or what you would like added - please email admin@nurse.org.nz
For more up
to date news and information follow SNIPS at:
Facebook: Snips Info
twitter: @SnipsInfo
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