News bulletin 23 July

Welcome to the College of Nurses – News Update.
No. 163, Wednesday 24 July 2013 

From NZ media this week 

Protocol to save vital time
A team of Northland-based medical experts have achieved a first for New Zealand and created a system that could save valuable minutes for heart attack patients.
http://www.northernadvocate.co.nz/news/protocol-to-save-vital-time/1949814/ 

Never let babies sleep in seats out of car - researchers
Babies should never be allowed to sleep in car safety seats when the seat is not in a car, researchers say after a new study showing a link to decreased oxygen levels.
http://www.nzherald.co.nz/lifestyle/news/article.cfm?c_id=6&objectid=10898599 

Best to be straightforward with parents of overweight and obese kids – study
Research into how best to engage the parents of overweight and obese children has found motivational interviewing (MI) offers no real advantages over usual care – simply giving feedback in a straightforward and non-judgemental way.
http://www.scoop.co.nz/stories/GE1307/S00095/best-to-be-straightforward-with-parents-of-overweight-kids.htm 

New governance model for Whanau Ora
Whanau Ora will be governed by a new Crown-iwi partnership group and three non-government organisations will be set up as part of the process, the Government has announced.
http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=10898894 

Don't push personal views, doctor told

Doctors 'open' to better care

Doctor blasts DHB in resignation letter

Record number of children get B4 School Check

Tummy bug outbreak sparks warning

Concern at high rate of strep throat

Fears addicts may face longer waiting time for treatment

Making a Difference: Raising C Diff Awareness

C Diff is a resilient bacteria that is becoming an emerging workplace health threat.
http://ehstoday.com/health/making-difference-raising-c-diff-awareness?NL=OH-05&Issue=OH-05_20130716_OH-05_518&YM_RID=stop4th@xtra.co.nz&YM_MID=1408999&sfvc4enews=42 

Social media 

Online and mobile-based technologies for health promotion: Fab or fad?
With more and more New Zealanders online and the increasing affordability of mobile phones and devices, there has been growing enthusiasm for health promotion interventions which utilise these tools. But research has been slow to emerge on the effectiveness of these interventions for promoting behaviour change.

Tune in on the 5 August 10-10:30am as we launch ANA’s next evidence snapshot on “The effectiveness of online and mobile technologies for changing health behaviours” via webinar.Leading researcher in the field of Health Informatics and Technology, Dr Robyn Whittaker (The National Institute for Health Innovation) will also showcase learning's from NZ research.
Click here to register or for more information
The webinar is free to attend, but spaces are limited.

Articles of interest 

Disrespectful behavior in healthcare...
Have we made any progress in the last decade?
From the June 27, 2013
Bullying, incivility, intimidation, and other forms of disrespectful behavior have run rampant in healthcare, allowed to exist while many remain silent or make excuses—“That’s just the way he/she is”—in an attempt to minimize the profound devastation that disrespectful behavior can cause. The term “disrespectful behavior” encompasses a broad array of conduct, from aggressive outbursts to subtle patterns of disruptive behavior so embedded in our culture that they seem normal (see Table 1 on page 2 in PDF version).1,2 On a personal level, disrespectful behavior causes the recipient to experience fear, vulnerability, anger, anxiety, humiliation, confusion, loss of job satisfaction, professional burnout, uncertainty, isolation, self-doubt, depression, and a whole host of physical ailments such as insomnia, fatigue, nausea, and hypertension.1-8 The presence of disrespectful behaviors erodes professional communication and collaboration, which is essential to patient safety and quality, and creates an unhealthy or even hostile work environment.4
http://www.ismp.org/newsletters/acutecare/showarticle.asp?id=52 

Recognizing and preventing acute kidney injury
Acute kidney injury (AKI, previously called acute renal failure) is common in hospitalized patients (affecting 24 to 30 patients per 1,000 hospital discharges) and contributes to increased morbidity and mortality.1 Although clinicians have long known that patients with AKI who need renal replacement therapy (RRT) have an increased mortality, even patients with modest elevations of serum creatinine are at increased risk.2Patients who have an increase in serum creatinine of 0.3 mg/dL or more have a mortality that's 70% higher than those patients who don't experience a change in renal function.2 Prevention and early recognition is imperative in order to improve outcomes, especially in critically ill patients.
http://www.nursingcenter.com/lnc/Static-Pages/Recognizing-and-preventing-acute-kidney-injury 

Acute Kidney Injury and the Critically Ill Patient
Acute kidney injury (AKI) is a serious complication for the critically ill patient. The term has been increasingly adopted over recent years as efforts have been made to capture and better define mild to severe renal dysfunction. Persistent AKI can lead to the subsequent development of renal failure recognized as an important determinant of morbidity and mortality in the critically ill patient. This article explores the clinical implications of AKI for the critically ill patient and how this can have a profound influence on the principal presenting disease and expected outcome.
http://www.nursingcenter.com/lnc/Static-Pages/Acute-Kidney-Injury-and-the-Critically-Ill-Patient 

Linking Evidence-Based Nursing Practice and Patient-Centered Care Through Patient Preferences
Calls for both patient-centered care and evidence-based practice (EBP) have increased dramatically over the last decade despite a tension between the two. Patient preferences, one of the cornerstones of EBP, can provide the link between the two. Although current research supports the added value of patient preferences in care, there is currently a "gap" between EBP and patient-centered care, with the two often viewed as opposing ideas. The purpose of this article is to provide an overview of patient preferences, summarize research on patient preferences, and discuss implications for nursing and nursing administration. Efforts to incorporate patient preferences into nursing care must be multifaceted, targeting multiple levels from individual nurses to organizations and systems. Four critical elements have been identified for integrating patient preferences into EBP: (1) health care redesign, (2) decision support, (3) empowered organizational culture, and (4) informed and empowered nurses.
http://www.nursingcenter.com/lnc/JournalArticle?Article_ID=1560757&Journal_ID=54011&Issue_ID=1560565 

Online resources 

Intimate partner violence - WHO guidelines
A health-care provider is likely to be the first professional contact for survivors of intimate partner violence or sexual assault and the World Health Organisation has issued a guidelines document to aid health professionals with their response.  
Responding to intimate partner violence and sexual violence against women : WHO clinical and policy guidelines provides evidence-based guidance and advice for policy makers, encouraging better coordination and funding of services, and greater attention to training programs for health care providers. 
The guidelines are based on systematic reviews of the evidence, and includes:Identification and clinical care for intimate partner violence  Clinical care for sexual assault  Training relating to intimate partner violence and sexual assault against women  The guidelines provide standards that can form the basis for national guidelines, and for integrating these issues into health-care provider education.
http://www.who.int/reproductivehealth/publications/violence/9789241548595/en/index.html 

Web-based learning packages for serious incident review and open disclosure
The HQSCommission has been working with the wider health and disability sector to develop two web-based learning packages to provide guidance for two key subjects:serious incident reviewopen disclosure.The packages are intended to provide an introduction to these subjects, and are aimed at staff who work for health and disability providers in the wider sector, rather than district health boards.
http://www.hqsc.govt.nz/news-and-events/news/1012/ 

Reports online  from the Ministry of  Health   Conferences 

Aust and NZ Obesity Society 2013 Conference

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