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News bulletin 26 March
on 26 March
Welcome to the
College of Nurses – News Update.
No. 195 Wednesday 26 March 2014
From NZ media this week
New life leads to study path for Annatjie
Pretorius
A swerve in Annatjie Pretorius's life journey
will see her capped with a Master of Nursing at EIT's graduation ceremony on
Friday.
http://www.nzherald.co.nz/hawkes-bay-today/news/article.cfm?c_id=1503462&objectid=11222488
Cost cutting at Auckland Hospital
'intolerable' - Nurses
Nurses say they won't be
able to function under any further staff cuts at Auckland Hospital.
An email has been sent to
senior managers and clinical staff saying urgent cost cutting measures may be
needed, in areas which have overspent.
http://www.farmingshow.com/news/nbhea/1210552520-cost-cutting-at-auckland-hospital--intolerable----nurses
Auckland nursing and midwifery jobs at risk
The
New Zealand Nurses Organisation (NZNO) holds fears nursing and midwifery jobs
could be targeted after Auckland District Health Board (DHB) revealed plans to
introduce cost-cutting measures.
http://www.ncah.com.au/news-events/auckland-nursing-and-midwifery-jobs-at-risk/2045/
Anti-gambling body to get chop: MP
The Problem Gambling Foundation is to be shut
down, largely because it opposes the Government's SkyCity deal, Labour MP
Trevor Mallard says.
http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11223341
No bluff: Anti-gambling body's funds cut
Government funding for the Problem Gambling
Foundation has been scrapped, the organisation confirmed today amid rumours the
service would be shut-down because it opposes National's SkyCity convention
centre deal.
http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11223341
Helplines to merge into single service
Helpline services for smokers, gamblers and
other groups are being merged into a new national "telehealth"
service - possibly with a simple 111-style number.
http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11226337
Maternity units are valued, feedback shows
The Waikato District Health Board will decide tomorrow
whether to keep or close down its maternity units in Te Awamutu and
Morrinsville.
http://www.stuff.co.nz/waikato-times/news/9863091/Maternity-units-are-valued-feedback-shows
UC research
finding ways to reduce New Zealand’s critical illness costs
Healthcare
costs are growing faster than society’s ability to afford them but University
of Canterbury (UC) research is finding ways to reduce this economic burden
through model-based therapies for critical illness.
http://www.scoop.co.nz/stories/GE1403/S00117/uc-research-finding-ways-to-reduce-nz-critical-illness-costs.htm
TV urged to retune for deaf
Hearing bodies campaign
for universal captioning, especially when disaster strikes.
http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11226329
Aged care
Cases of elder abuse increasing
The number of cases of elder abuse and neglect
referred to Age Concern Otago continues to rise, those working for the
organisation say.
http://www.odt.co.nz/news/dunedin/296513/cases-elder-abuse-increasing
DHBs and Primary Health Care
DHB staff claimed to be overworked and
understaffed
Waikato District Health Board has been named as one of four
in New Zealand at "high risk" due to staff shortages.
http://www.stuff.co.nz/national/health/9867704/DHB-staff-claimed-to-be-overworked-and-understaffed
Missing gowns and towels cost hospitals dear
They are hardly the height of style and comfort, but up to
$200,000 worth of hospital gowns and towels go missing from lower North Island
hospitals each year.
http://www.stuff.co.nz/national/health/9846582/Missing-gowns-and-towels-cost-hospitals-dear
Intensive care infection survival rates
boosted
Australian and New Zealand hospitals have dramatically
improved the survival chances of people admitted to intensive care units (ICUs)
with severe infections, according to a 12-year study.
http://www.stuff.co.nz/national/health/9845536/Intensive-care-infection-survival-rates-boosted
DHB faces $12m shortfall
The country's biggest hospital faces cost-cutting measures to
rein in a potential $12 million budget shortfall.
http://www.stuff.co.nz/national/health/9848540/DHB-faces-12m-shortfall
Mental health
Disillusionment and stress in Canterbury - DHB
The CERA
Wellbeing Survey highlights the stresses caused by living in a post-disaster environment.
All Right?
manager Sue Turner says many people in Canterbury are struggling with their
mental health as a result of the earthquakes and the stressors inherent in our
recovery.
http://www.voxy.co.nz/health/disillusionment-and-stress-canterbury-dhb/5/185105
Pharmacy
Flu remedies pose dosage risk
Over-the-counter cold and flu remedies could be exposing
patients to unexpectedly high doses of phenylephrine, new research shows.
http://www.stuff.co.nz/southland-times/news/9849364/Flu-remedies-pose-dosage-risk
Drugs' disease risk concern
University of Otago researchers have found that some widely
used heartburn and peptic ulcer medicines, involving proton-pump inhibitors,
increase the risk of contracting a rare kidney disease.
http://www.odt.co.nz/campus/university-otago/296521/drugs-disease-risk-concern
Medicine run amok, or mere advice?
New Zealand is one of two developed countries that allow
direct-to-consumer advertising of prescription-only medicine. Critics claim a
proposed trade deal could make advertising more worthwhile if drug-buying
agency Pharmac is affected. Health reporter Eileen Goodwin looks at the issue.
http://www.odt.co.nz/news/dunedin/296057/medicine-run-amok-or-mere-advice
Vaccinations available at
pharmacies
Whooping
cough and meningococcal are serious diseases and can be deadly if preventable
action isn't taken.
http://www.stuff.co.nz/auckland/local-news/western-leader/9844857/Vaccinations-available-at-pharmacies
Public health
Swine flu outbreak in Hawke's Bay
Eight cases of swine flu (H1N1) have struck
Hawke's Bay since February. Three patients are in intensive care and one in a
coma.
http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11225839
Plain packs will help
prevent a new generation of smokers
Plain
packaging for tobacco products must be introduced without delay to prevent
tobacco companies from marketing their products to the detriment of our young
people’s health, says the Paediatric Society’s Dr Philip Pattemore.
http://www.scoop.co.nz/stories/GE1403/S00090/plain-packs-will-help-prevent-a-new-generation-of-smokers.htm
Social health
Global survey shows one in six Kiwis
struggling for food
A global survey has found that one in every six
Kiwis ran out of money for food in 2011-12 - more than in all except eight
other developed nations.
http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11223351
Kids dragged from school to school
Our poorest schools are swapping nearly half their pupils a
year, as transient families chase work or flee debt.
http://www.stuff.co.nz/national/education/9867561/Kids-dragged-from-school-to-school
Elderly, disabled included in state house
review
More than one in five of the first 780 state
house tenants facing possible eviction under a new Government policy will be
elderly or disabled.
http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11222414
International media
Emergency Rooms Are No Place for the Elderly
The elderly man lived alone in an apartment complex not far
from the hospital. A younger neighbor, who’d watched him hobble down the
building’s stairwell for nearly a week, insisted on taking him to the emergency
room. Doctors there immediately diagnosed an infection in his painful toe and
prescribed antibiotics for him to take at home.
http://ht.ly/uy896
Saskatchewan nurses say Lean program has
little impact on patient care
The president of the Saskatchewan Union of Nurses says her
members are worried about changes under a program known as Lean.
http://www.theglobeandmail.com/news/national/saskatchewan-nurses-say-lean-program-has-little-impact-on-patient-care/article17561357/
Union says chronic
understaffing of ER nurses is impacting safe patient care
The BC Nurses’ Union is again speaking out this
morning about the issue of chronic understaffing in hospitals throughout the Fraser
Health region, and the impact it is having on patient care.
http://globalnews.ca/news/1217814/union-says-chronic-understaffing-of-er-nurses-is-impacting-safe-patient-care/
State colleges reach deal on easing way for
nurses’ degrees
A new
agreement makes it easier for nurses who start their studies at state community
colleges to earn a bachelor’s degree.
http://seattletimes.com/html/localnews/2023173365_nursesbachelorsxml.html
Nurse
under fire for posting photos of patient on Facebook
Taipei, March 13 (CNA) A nurse at a hospital in eastern Taiwan has
invited accusations of privacy violation for posting photos of a heart surgery
patient on her Facebook page.
http://focustaiwan.tw/news/asoc/201403130023.aspx?utm_content=buffer8766c&utm_medium=social&utm_source=twitter.com&utm_campaign=buffer
ICU Mobility Program Saves $500K in 6 Months
A program to
get mechanically ventilated and post-operative ICU patients up and moving
quickly represented a huge culture change for nurses, but it reduced length of
stay and eliminated pressure ulcers and ventilator-associated pneumonia.
http://www.healthleadersmedia.com/content/NRS-302019/ICU-Mobility-Program-Saves-500K-in-6-Months
NHS
Staff Who Refuse Flu Jab 'Irresponsible'
Patients are being put at risk because so many
doctors and nurses refuse to have the flu vaccine, Sky News has been told.
http://www.mix96.co.uk/news/national/1238069/nhs-staff-who-refuse-flu-jab-irresponsible/
Florida nurse
practitioners seek more authority to work independent of doctors
NAPLES — Nurse practitioners think this will
be their year. Doctors hope it’s not.
Florida lawmakers this
spring are considering bills to expand the role of advanced registered nurse
practitioners, pitting them against physicians in an ongoing effort to expand
their scope of practice.
http://www.naplesnews.com/news/2014/mar/20/florida-nurse-practitioners-seek-more-authority/?partner=RSS
Texas
RNs and physicians establish culture of collaboration
Initiating
policies and modeling professional behavior help facilities move forward
http://news.nurse.com/article/20140320/SE02/140319003
WATCH: ER nurses at Royal Columbian quit over
overcrowding problems, doctors sound alarm
Doctors and nurses say overcrowding is reaching
a breaking point at Royal Columbian Hospital with some nurses even leaving
their jobs in the emergency room.
http://globalnews.ca/news/1214575/watch-er-nurses-at-royal-columbian-quit-over-overcrowding-problems/
Provincial News: Nurse
Practitioners Call for Action to Address Red Tape that Blocks Public Access to
Care
TORONTO, March 20, 2014 /CNW/ - On
the eve of a new budget and a potential election, Ontario's Nurse
Practitioners have released a platform calling on all political parties to take
action in five key areas that will improve health care performance and value.
http://www.northumberlandview.ca/index.php?module=news&type=user&func=display&sid=27572
Behavior therapies better than antipsychotics
for dementia patients, nurses say
More than 20 percent of American nursing home residents with
Alzheimer’s-related illness are on antipsychotic medications, despite the fact that
this is an off-label use for
the drugs and that dementia patients who take them are more likely to be hospitalized or to die. Medicaid spends more on this class of drugs than any
other — including antibiotics, AIDS drugs or medicines to treat high blood
pressure.
http://www.washingtonpost.com/local/behavioral-therapies-better-than-anti-psychotics-for-dementia-patients-nurses-say/2014/03/17/a2ef3804-acc2-11e3-a06a-e3230a43d6cb_story.html
Work and management
Employment law legal
update: Health and safety reform bill
Last week,
the Government introduced the Health and Safety Reform Bill to Parliament. The
closing date for submissions to the Select Committee is Friday 11 April 2014.
The Bill
clarifies duty-holders' core responsibilities, and increases worker
participation, leaders' responsibilities, the scope for personal liability and
penalties for breach. The aim is to bring about the cultural change
needed to markedly improve workplace health and safety across New
Zealand.
http://bit.ly/1d4SkpN
Articles of interest
What
Do Nursing Students Learn About Patient Safety? An Integrative Literature
Review
Susanna
Tella, MNSc, RN; Mari Liukka, MNSc, RN; David Jamookeeah, MEd, RGN, Cert Ed;
Nancy-Jane Smith, PhD, MA, BA (Hons); Pirjo Partanen, PhD, RN; Hannele Turunen,
PhD, RN
Journal of
Nursing Education
January 2014
- Volume 53 · Issue 1: 7-13
DOI:
10.3928/01484834-20131209-04
Preventing adverse events and enhancing patient
safety in health care are key objectives of nursing education. This integrative
literature review critically appraises the content of patient safety in
prelicensure nursing education, the teaching and learning methods used, and
subsequent nursing student learning. The studies (N = 20)
reviewed reveal that patient safety in nursing curricula was not necessarily
obvious. However, patient safety was taught within both academic settings and
clinical environments. The identified content of patient safety was learning
from errors, responsible individual and interprofessional team working,
anticipatory action in complex environments, and patient safety–centered
nursing. The teaching and learning methods used included combining multiple
methods. Patient safety curricula included continuing improvement in patient
safety competency, sensitivity to nursing students’ role, and having a
supportive learning environment. Patient safety in the nursing curriculum
requires broad, comprehensive attention and development as a specific theme
with an interprofessional approach. [J Nurs Educ.
2014;53(1):7–13.]
http://www.healio.com/nursing/journals/jne/%7B3008d8f9-19b9-4a4b-97f5-c51aa3fba0e4%7D/what-do-nursing-students-learn-about-patient-safety-an-integrative-literature-review
An exploration of graduate
nurses' perceptions of their preparedness for practice after undertaking the
final year of their bachelor of nursing degree in a university-based clinical
school of nursing
The nursing literature continues to give ongoing
attention to university-educated nurses' preparedness for practice in the first
year following graduation. This interpretive descriptive study explored the
impact of a university-based clinical school of nursing experience on graduate
nurses' perceptions of their preparedness for practice. Ten registered nurses
who undertook their graduate year programme in the same hospital where they
attended the university-based clinical school of nursing were interviewed. The
interviews were audio-recorded, transcribed verbatim, and analysed to reveal
themes and categories. Thematic data analysis revealed three themes: ‘being
situated in a clinical school within a hospital’, ‘the university away from the
university’ and ‘engagement with practice’. The outcome of the experience of
being situated in a university-based clinical school of nursing contributed to
the participants' sense of being prepared for practice as a graduate nurse.
http://onlinelibrary.wiley.com/doi/10.1111/ijn.12032/pdf
Publications and Reports online
Making our health and care systems fit for an
ageing population (UK report)
Our fragmented health
and care system is not meeting the needs of older people, who are most likely
to suffer problems with co-ordination of care and delays in transitions between
services. This report sets out a framework and tools to help local service
leaders improve the care they provide for older people across nine key
components.
http://www.kingsfund.org.uk/publications/making-our-health-and-care-systems-fit-ageing-population
Helping measure person-centred care
Person-centred,
individualised, personalised, patient-centred, family-centred, patient-centric
and many other terms have been used to signal a change in how health services
engage with people. This rapid review summarises research about measuring the
extent to which care is person-centred.
Three key questions guided the review:
How is
person-centred care being measured in healthcare?
What types of
measures are used?
Why and by
whom is measurement taking place?
The review
signposts to research about commonly used approaches and tools to help measure
person-centred care. It aims to showcase the many tools available.
A spreadsheet
listing 160 of the most commonly researched measurement tools accompanies the
review. This allows users to search according to the type of tool, who
it targets and the main contexts it has been tested in. Hyperlinks to the
abstracts of examples of research using each tool are also provided.
The review
shows that, while a large number of tools are available to
measure person-centred care, there is no agreement about which tools are
most worthwhile.
It also makes
clear that there is no ‘silver bullet’ or best measure that covers all aspects
of person-centred care. Combining a range of methods and tools is likely to
provide the most robust measure of person-centred care.
http://www.health.org.uk/publications/helping-measure-person-centred-care/
Consultations
Consultation on Alcohol Advertising and
Sponsorship
Submissions close 5pm, 28
April 2014.
Published
online: 13 March 2014
The Ministerial Forum on Alcohol Advertising and Sponsorship is seeking submissions from affected stakeholders, experts on advertising, sponsorship, alcohol and health, and the public. It is looking for new evidence, information and expert advice that has emerged since 2010.
To inform its report, the
Forum would appreciate your feedback to the questions in thesubmission form (doc,
79 KB)
http://www.health.govt.nz/publication/consultation-alcohol-advertising-and-sponsorship
Smoke-free Environments (Tobacco Plain
Packaging) Amendment Bill
Public submissions are now
being invited on the Smoke-free Environments (Tobacco Plain Packaging)
Amendment Bill.
The closing date for
submissions is Friday, 28 March 2014
This bill would introduce a
plain packaging regime for tobacco products.
The bill is available for
download from the `Related documents´ panel. Print copies can be ordered online
from Bennetts Government Bookshops.
The committee requires 2
copies of each submission if made in writing. Those wishing to include any
information of a private or personal nature in a submission should first
discuss this with the clerk of the committee, as submissions are usually
released to the public by the committee. Those wishing to appear before the
committee to speak to their submissions should state this clearly and provide a
daytime telephone contact number. To assist with administration please supply
your postcode and an email address if you have one.
Further guidance on making
a submission can be found from the Making a Submission to a
Parliamentary Select Committee link in the `Related documents´ panel.
http://www.parliament.nz/en-nz/pb/sc/make-submission/50SCHE_SCF_00DBHOH_BILL12969_1/smoke-free-environments-tobacco-plain-packaging-amendment
From the Ministry of
Health
Taeao o Tautai: Pacific Public Health Workforce Development Implementation
Plan 2012–2017
Summary
This publication supports
the implementation of the national public health workforce strategy Te Uru Kahikatea 2007-2016.
Based on a range of research and sector consultations, Taeao o Tautai outlines
priorities and actions to:
strengthen the Pacific
public health workforce
increase the capability of
the non-Pacific workforce to improve Pacific health gain and reduce inequities.
Taeao o Tautai outlines how
the Ministry of Health will implement these actions to contribute to better
health outcomes for Pacific peoples. In particular, Taeao o Tautai lists the
specific priorities, workforce outcomes, action points and milestones that will
be necessary to achieve this.
This plan should be
considered in the context of other public health workforce development
activities, as it aligns with and complements a range of other actions which
are being promoted by the Ministry to implement all the objectives of Te Uru
Kahikatea.
http://www.health.govt.nz/publication/taeao-o-tautai-pacific-public-health-workforce-development-implementation-plan-2012-2017
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 25 March 2014
If you have any feedback about content - what parts are most useful or what you would like added - please email admin@nurse.org.nz
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