News bulletin 29 November

on 29 November

Welcome to the College of Nurses Aotearoa News Update.
No. 376
Wednesday 29 November 2017

NATIONAL NEWS

Mid-year new grad RN job-hunters have good success rate, finds latest survey
About 77 per cent of July nurse graduates had nursing jobs by the end of September, according to the latest graduate survey findings.
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Survey finds quarter of EN new grads employed in mental health
The latest graduate destination survey for enrolled nurse graduates shows an improved job success rate, with the short-staffed mental health sector being the most common destination.
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Cranford Hospice about making difference
For Cranford Hospice and Clinical Nurse Specialist Diane Reid, making a difference in the lives of people and their families who are facing a life-limiting condition is what is most important. 
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The collegial mood suffers in cash starved system
The NZNO Employment Survey and our Kai Tiaki journal reporters have repeatedly found that when bullying occurs in nursing it has a huge effect on the nurse and colleagues to the point nurses leave for other jobs, go overseas or leave the profession altogether. Chief Executive Memo Musa says the reporting of bullying by senior medical specialists is not surprising and he backs the Association of Salaried Medical Specialists’ call to bring this serious matter to the attention of DHB leaders and governance.
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CLIMATE CHANGE

Kiwis need DHBs to reduce carbon footprint - Brookes
NZNO president Grant Brookes, in support of the Sustainable Healthcare in Aotearoa NZ forum starting tomorrow, says that nurses are strongly behind the call to the newly elected government to assess and monitor DHBs’ steps to reduce their carbon footprint and address climate change.
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NZ Health Sector’s Role in Responding to Climate Change
Health professionals from around the country are meeting today in Wellington, to talk about how the NZ health sector can respond to the challenges of climate change for health and healthcare services. This is the first national ‘Sustainable Healthcare in Aotearoa-NZ’ forum. This event is open to the media.
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PATIENT SAFETY

More than 500 failures in hospitals in the past year
Public hospitals reported more than 500 adverse events or failures in the past year - slightly more than previous period.
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NZNO welcomes the HQSC adverse events report
NZNO welcomes the adverse events report and thanks the Health Quality and Safety Commission (HQSC) for their work to produce it with very recent and relevant data. The changes to the national adverse events reporting policy which, came into effect in July this year, are also progressing well.
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Undiagnosed tumours among 550 major medical errors in New Zealand hospitals last year
A newborn baby dying after a delayed diagnosis of pneumonia, missed tumours and the accidental amputation of body parts were among almost 550 serious medical errors in New Zealand's hospitals in the past year.
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PHARMACY

Community pharmaceuticals - expenditure trends
23 November 2017
By Sarah Hogan and Prince Siddharth
A report to Medicines New Zealand.
A review of community pharmaceutical expenditure trends shows a drop in the proportion of the health budget devoted to pharmaceutical purchasing.  Inflation, population growth and a widening of purchase responsibility means that PHARMAC has effectively a little more than half the portion of the health budget it had a decade ago for community pharmaceuticals. PHARMAC needs a $600m boost to keep up with the increase in funding to DHBs.

Both PHARMAC and the medicines industry deserve credit for reaching more people with more medicines. There are choices where to spend the next health dollar. PHARMAC has a strong track record of spending what it has wisely.

NZIER is surprised by the magnitude of change. These findings raise the question of where unexamined areas of health spending have drifted over time.
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PRIMARY HEALTH CARE

Qualification to help more Maori into primary healthcare workforce
New Zealand is well positioned to see more MÄ?ori enter the primary health care workforce thanks to a new tertiary qualification developed collaboratively by Wintec and PHO Pinnacle Midlands Health Network (MHN).
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PUBLIC HEALTH

Failure to listen delaying diagnosis of deadly illness, says GP
Outspoken Northland GP Lance O'Sullivan is backing ''120 per cent'' a study claiming doctors' failure to listen to patients is one of the key factors delaying the diagnosis of rheumatic fever in Northland Maori.
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New interactive tool to support Māori with HIV
A new online health tool has launched to help Māori and Pasifika talk about their HIV status to their health providers.
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Huge breakthroughs could spell the end for HIV in New Zealand
This World AIDS Day, New Zealanders have two reasons to celebrate – a massive scientific discovery and the proposed funding of a revolutionary HIV prevention pill.
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TOBACCO, DRUGS AND ALCOHOL

'Statistics show lack of progress toward Smokefree 2025'
Nearly seven years since the last government agreed to a goal for a Smokefree New Zealand by 2025, there is a concerning lack of progress. The latest New Zealand Health Survey figures released by the Ministry of Health show that smoking has only declined by 2.5% since 2011/12. There is no significant change in smoking rates since the last figures were published in 2016.
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E-cigarettes to reduce traditional smoking – no good evidence
In response to the article ‘Vape, don’t smoke – expert’ published on Newshub on 24 November 2017 stating “A professor of public health has claimed smoking rates would be dramatically reduced if misinformation wasn't being spread about e-cigarettes.”
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INTERNATIONAL NEWS

Nurses of the future must embrace high-tech
Picture someone who works in tech. They might fit a stereotype: Heavy-rimmed glasses, hoodie, T-shirt branded with a start-up's logo, male. You probably don't imagine a nurse.
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School of Nursing introduces "robo-nurse" to teach students telemedicine skills
School of Nursing introduces “robo-nurse” to teach students telemedicine skills
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Japan is embracing nursing-care robots
Around 5,000 nursing-care homes across the country are testing robots
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Centenary of Nursing in Samoa celebrated
At Beach Road yesterday morning, the Police Band led a parade of some 400 registered nurses as well as students studying at the Faculty of Health Science.
The occasion was to commemorate 100 years of service of the Samoa Nurses Association Incorporated.
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Daily: Finnish Medical Association opposes broader prescription rights for nurses
If a proposed reform goes through nurses could get expanded powers to prescribe drugs--and more nurses would be eligible for the license to prescribe
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ARTICLES OF INTEREST

Nursing's Evolving Role in Patient Safety
AJN, American Journal of Nursing
February 2017, Volume 117 Number 2 , p 34 - 48
Background: In its 1999 report To Err Is Human: Building a Safer Health System, the Institute of Medicine (IOM) suggested that between 44,000 and 98,000 Americans die annually as a result of medical errors. The report urged health care institutions to break the silence surrounding such errors and to implement changes that would promote a culture of safety.

Read more here

Impact of No-Interruption Intervention on Safety and Efficiency
Journal of Nursing Care Quality
October/December 2017, Volume :32 Number 4 , page 281 - 284
SARA works as a nurse on a busy telemetry unit. She is providing care for Mr Jones who is recovering from coronary artery bypass graft surgery. Sara enters Mr Jones' room to adjust the rate of his insulin infusion when her hospital-provided cell phone rings. The unit secretary tells Sara that Dr Smith needs her immediately in another room. Sara exits Mrs Jones' room. One hour later, Sara's hospital-provided cell phone rings again. This time it is Mrs Jones, Mr Jones' wife. She asks Sara to come to her husband's room because he is lethargic, sweating, and shaking. Sara immediately realizes what is happening: she forgot to go back to Mr Jones' room to adjust his insulin infusion. 
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NEW PUBLICATIONS

Safe and effective staffing: nursing against the odds
“The findings provide a strong voice from nursing staff, clearly describing the impact that poor staffing has on both patient care and their own wellbeing. Some of the experiences and stories shared via the survey have been included throughout the report.” Source: Royal College of Nursing
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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 28 November  2017

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