News bulletin 18 June

on 18 June

 

Welcome to the College of Nurses – News Update.
No. 207 Wednesday 18 Jun 2014

 

From NZ media this week

Assaults leave mental health nurses fearful
Mental health nurses are speaking out against brutal violence inflicted by their patients, including being punched, kicked, burnt and stabbed and choked, after the number of assaults more than doubled in two years.
http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11273996

Breaking the silence about violence in mental health
The impact of violence on mental health nurses is revealed through the experiences of a group of nurses in an article in the June issue of the New Zealand Nurses Organisation’s (NZNO) magazine, Kai Tiaki Nursing New Zealand, published this week (available here).
http://www.scoop.co.nz/stories/GE1406/S00058/breaking-the-silence-about-violence-in-mental-health.htm

Hospital staff attacked on job
Hundreds of Bay hospital staff have been attacked on the job by patients and visitors, with injuries ranging from minor bruising and shock to broken limbs and black eyes.
http://bit.ly/1kYNc8X

Burnout fears for tired nurses
Heavy workloads are putting Taranaki nurses at risk of burnout, their union, the New Zealand Nurses Organisation, has warned.
http://www.stuff.co.nz/taranaki-daily-news/10165131/Burnout-fears-for-tired-nurses

Shaken babies: A life-saving plan
Prevention scheme springs from US, with success rates of up to 75%. Now 13 DHBs have adopted the system.
http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11272934

International media

Nurse Fired over Flu Shot Refusal Wins Legal Battle
A New Jersey court ruled in favor of the nurse who was denied her unemployment benefits after she refused to take a flu shot.
http://www.hngn.com/articles/33244/20140608/nurse-fired-over-flu-shot-refusal-wins-legal-battle.htm

Giving School Nurses Access To Medical Records Improves Care
School nurses today do a lot more than bandage skinned knees. They administer vaccines and medications, help diabetic students monitor their blood sugar, and prepare teachers to handle a student's seizure or asthma attack, among many other things.
http://keranews.org/post/giving-school-nurses-access-medical-records-improves-care

More job opportunities for Pinoys in New Zealand
MANILA – The ambassador of New Zealand to the Philippines assured that employment opportunities for overseas Filipino workers in their country will continue.
"The reality is we are a growing economy that needs immigration. We need people to come in to fill jobs," said New Zealand Ambassador to the Philippines Reuben Levermore.
http://www.abs-cbnnews.com/global-filipino/06/11/14/more-job-opportunities-pinoys-new-zealand

Ensure discharged patients go back to warm home, doctors told
Doctors and nurses will have to check that patients discharged from hospital are going back to a warm home as part of new measures aimed at preventing thousands of deaths among the poor, elderly and disabled this winter.
http://ind.pn/TRE6An

Nurses call for better staff-to-patient ratios
COUNTRY nurses have called for better staff-to-patient ratios in regional NSW hospitals ahead of next week's State Budget.
http://www.byronnews.com.au/news/nurses-call-better-staff-patient-ratios/2288856/

Mental health

Maori with mental illness seeking help
An Auckland-based health executive officer believes more and more tangata whenua living with mental illness, are seeking professional help, which he says is good.
http://www.radionz.co.nz/news/te-manu-korihi/246856/maori-with-mental-illness-seeking-help

Pharmacy

Challenges to equitable access to medicines
Access to medicines by vulnerable groups in the community, increasing medicine costs, and the demand for new medicines are some of the challenges identified in an independent study of priority medicine policy issues in New Zealand.
http://www.scoop.co.nz/stories/GE1406/S00047/challenges-to-equitable-access-to-medicines.htm

Public health

Prescribing exercise the best medicine
Two years ago Shon Saphire dropped out of university, in poor health and depressed.
The 52-year-old Mt Eden man needed to focus on his personal wellbeing and with help from the Green Prescription programme he was able to do just that.
http://www.stuff.co.nz/national/health/10149361/Prescribing-exercise-the-best-medicine

Kiwis know little about lung cancer
Eileen Underwood-Clements can easily list the symptoms of lung cancer.
Not only was the Manly resident a training nurse while living in Rhodesia, she watched as the disease took away her father, grandfather and friends.
http://www.stuff.co.nz/national/health/10149263/Kiwis-know-little-about-lung-cancer

Social health

Cold, damp homes harming children
Sixty per cent of the patients in Hawke's Bay Hospital's paediatric ward are children with respiratory problems from living in cold, damp homes, a specialist says.
http://bit.ly/1pCqbLJ

Health and wellness

Stress symptoms: Effects on your body and behavior
Stress symptoms may be affecting your health, even though you might not realize it. You may think illness is to blame for that nagging headache, your frequent insomnia or your decreased productivity at work. But stress may actually be the culprit.
http://mayocl.in/1kYN2OG

Articles of interest

Resiliency and the nurse leader: The importance of equanimity, optimism, and perseverance
Healthcare systems are facing tumultuous, challenging times that are likely to become the new normal. As a crucial part of the healthcare team, the nurse leaders of today are faced with ever-increasing responsibilities; higher levels of accountability; and multiple, ongoing stressors that can have a daily, detrimental impact on a leader's ability to succeed, let alone survive. In response to these challenges, the nurse leader needs to develop and sustain a significant capacity of resilience to thrive and succeed as a transformational leader within the profession of nursing.
http://bit.ly/1ltNtf4

Research Rounds: Blood exposure risk during peripheral I.V. catheter insertion and removal
Needle-stick risk from I.V. catheter devices has been well documented in device studies carried out in the 1990s and early 2000s, but blood exposures sustained by healthcare workers during peripheral I.V. catheter insertion or removal have received less attention.1-3 In this survey conducted by Nursing2012, nurses were asked about blood exposure risks from peripheral I.V. catheter insertion and removal. - See more at: http://www.nursingcenter.com/lnc/JournalArticle?Article_ID=1455830#sthash.Tf6VtUAq.dpuf

I.V. Essentials: Picking up on PICC lines
Peripherally inserted central catheters (PICCs) are often used for patients needing central venous (CV) access, both in the hospital and out. Clinicians greatly prefer them over femoral catheters and internal jugular catheters to provide CV access for appropriate patients. Why? PICC lines use blood vessels farther away from the large arteries found near the femoral and internal jugular region. - See more at:
http://bit.ly/1ltNyiT

The 5 Rights of a Healthy Team
A core responsibility of the nurse manager is staff development and coaching. Unfortunately, managers anecdotally report spending the majority of their coaching time with low performers when they could be accomplishing more if they nurture and grow the middle and high performers. Evidence-based research by the Studer Group has shown that in most organizations, 34% of staff members are high performers, 58% are middle, and 8% are low. Ideally, nurse managers could shift the majority of time spent on the fewest people (low performers) to make better use of their coaching time.1 Development and accountability conversations can be difficult, emotionally charged, and time-consuming. Nurse managers aren't routinely taught an effective, simple process to guide these important but complicated conversations. This case study asserts that through the use of an efficient communication process during conversations with low performers, nurse managers can become more effective leaders
http://journals.lww.com/nursingmanagement/Fulltext/2014/06000/The_5_Rights_of_a_Healthy_Team.13.aspx

Publications and Reports online

Tihei Mauri Ora: Supporting whānau through suicidal distress.
Written with extensive consultation with Māori suicide prevention experts, whānau and communities, this resource will help whānau and friends to support someone who is in distress or crisis. It features information about warning signs to look out for, how to handle a crisis and explores ways to support loved ones struggling with suicidal thoughts and feelings.
Theresa Reihana’s powerful paintings illuminate Tihei Mauri Ora. Her art captures the wairua of Māori, reflecting the strength of whānau and the value of whakapapa and human connection.
This resource is a valuable tool for whānau to help those who need it most. The Mental Health Foundation would like to thank and acknowledge all those who contributed to the development of Tihei Mauri Ora, in particular the contribution of project lead, Pania Lee (Ngāti Ruanui, Ngā Rauru, Ngā Ruahinerangi).
http://www.spinz.org.nz/file/Resources/PDFs/tihei-mauri-ora.pdf

From the Ministry of  Health

The New Zealand Guidelines for Helping People to Stop Smoking

All health care workers play an important role in supporting New Zealand to become smoke free. They see a large proportion of New Zealand’s smokers regularly, and are uniquely placed to provide expert advice on the merits of stopping smoking.

In 2011, the Government set a goal of reducing smoking and tobacco availability to minimal levels, essentially making New Zealand smoke free by 2025. In 2013, 15 percent of New Zealanders smoked tobacco every day. That rate was even higher among Māori (33 percent) and Pacific peoples (23 percent).

The New Zealand Guidelines for Helping People to Stop Smoking (the Guidelines) provide health care workers with advice they can use when dealing with people who smoke. These Guidelines replace the 2007 New Zealand Smoking Cessation Guidelines and are based on a recent review of the effectiveness and affordability of stop-smoking interventions.

These Guidelines remain structured around the ABC pathway, which was introduced in the 2007 Guidelines. However, the definitions of A, B and C (see below) have been improved to emphasise the importance of making an offer of cessation support and referring people who smoke to a stop-smoking service

http://www.health.govt.nz/publication/new-zealand-guidelines-helping-people-stop-smoking

The Alcohol Purchasing Patterns of Heavy Drinkers

In 2011 the Ministry of Health commissioned research to investigate the alcohol purchasing patterns of heavy drinkers. The research informed consideration of a minimum pricing regime for alcohol by testing in the New Zealand context. International evidence indicates that heavy drinkers are the dominant purchasers of the cheapest alcohol.

The research found that while heavy drinkers purchased alcohol in the cheapest range more frequently than moderate or light drinkers did, the proportion of purchasing by heavy drinkers within the cheapest range was around 27%. In other words, 73% of the alcohol purchased by the heaviest drinkers was found not to be purchased from within the cheapest price brack
http://www.health.govt.nz/publication/alcohol-purchasing-patterns-heavy-drinkers

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 17 Jun  2014

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