News bulletin 6 July 2016

on 6 July


Welcome to the College of Nurses Aotearoa News Update.
No. 307 6 July 2016

National news

Waikato's queen of pain management Sue King retires on a high note
New Zealand’s first nurse practitioner registered to prescribe pain medication is leaving her lifelong career at Waikato DHB to gracefully retire after 33 years of achievements.
Read more here

Nurse Education In Family DNA
Recently appointed head of EIT’s nursing school, Jennifer Roberts continues to build on the strong leadership she has shown in the various roles she has filled during eight years at the institute.
Read more here

Counties Manukau Health – making improvement count
Counties Manukau Health (CM Health) wants to be the best at getting better.
It’s a bold objective, but a recent report by the University of Otago shows the South Auckland District Health Board (DHB), which serves a population of 500,000, is well on its way to becoming one of the top health systems in Australasia
Read more here

'Outstanding' results in Nelson Marlborough DHB certification audit
The Nelson Marlborough District Health Board has excelled in an audit of health services. 
Board chief executive Chris Fleming said there were only nine recommendations that came out of the board's three-yearly certification audit, which measured the health board against 57 standards and 141 criteria. 
Read more here

MidCentral District Health Board looks to address health inequities
MidCentral District Health Board is looking to create a fairer health system for its patients. 
Equity was one of several goals the DHB set as part of its strategic planning, which were presented to the board on Tuesday. 
Read more here

Government approves $11 million for critical care unit at Dunedin Hospital
Health Minister Jonathan Coleman has announced funding has been approved for a $11 million critical care unit at Dunedin Hospital.
Read more here

Capital & Coast DHB services under review as debt nears $10.5m
Medical jobs and patient care could be in jeopardy in a review of all services at Capital & Coast District Health Board, a senior doctors' union has warned.
The health board is facing $10.5 million in debt this financial year – about one-fifth of all DHB debt of $50m, TVNZ reported.
Read more here

Cancer issues

Bowel cancer focus of latest Atlas domain
The latest Atlas of Healthcare Variation has been released today, focusing on bowel cancer.
Bowel cancer is the most commonly reported cancer in New Zealand, with approximately 3000 cases and 1200 deaths each year.
Read more here

Data shows bowel cancer diagnosis issues
As many as 40 percent of Māori and Pacific people with bowel cancer only discover they have the disease when they need emergency hospital care.
Read more here

Heart disease

New help for Kiwis with common heart condition
A new website has been launched by the Heart Foundation to help the estimated 46,000 New Zealanders living with Atrial Fibrillation (AF), one of New Zealand’s fastest growing forms of heart disease.
Read more here

Patient safety

Safety results go beyond surgeons' work
Teams rather than individuals should be the focus on demands for more public data on medical procedures, a leading health quality and safety expert says.
Read more here


New hepatitis C treatments funded from 1 July
Hepatitis C is a viral infection affecting over 50,000 New Zealanders, although it is estimated only half are currently diagnosed. Untreated, 20-25 percent of those with the disease will develop cirrhosis, and without successful treatment, 5 -10 percent of those with cirrhosis will progress to life-threatening liver cancer or liver failure every year
Read more here

PHARMAC devices savings to help hospitals manage budgets
New data from PHARMAC is predicting DHB hospital spending on surgical and medical devices will fall by about $25 million over coming years.
Read more here

Primary health care

Iwi Health Board concerned management shakeup will 'marginalise' Maori health
Expanding a key Maori health role to represent refugees and transient vineyard workers will not marginalise Maori health, the region's health boss says. 
Read more here

Cuts to elderly and primary healthcare only the start for the Canterbury District Health Board
Looming cuts to elderly and primary healthcare to subsidise mental health funding may only be the start of what's to come for Canterbury.
The Canterbury District Health Board (CDHB) have indicated a $23 million shortfall in Canterbury's mental health funding will likely be filled by pulling money from other services.
Read more here


Mobile health: empowering people with type 2 diabetes using digital tools
This report outlines a project aimed at developing evidence-based strategies to support wider adoption of mobile tablet devices in healthcare, initially focusing on type 2 diabetes. A multi-disciplinary team of researchers from the University of Canberra, NICTA, ANU Medical School and Canberra Hospital, in collaboration with Ochre Health Medical Centre Bruce, conducted the project at the ACT GP Super Clinic.
The main objectives of this project were to: (i) Understand and overcome barriers to mHealth adoption among type 2 diabetes patients; (ii) Understand how Australian GPs perceive and understand the state of mHealth in their practice; and (iii) Increase digital engagement of health practitioners and patients through mHealth models of service.
The project consisted of four stages: participatory research design via workshops; participant recruitment; mHealth intervention with 28 type 2 diabetes patients including digital training and data collection, and a national GP survey; and the analysis and modelling of the data. Because mHealth is novel, we devised a participatory research design to capture the perspectives of Super Clinic healthcare practitioners and researchers. The outcome of the participatory workshops was a loose-knit mHealth pilot program design for type 2 diabetes patients. The program continued for 10 months. Participants were given mobile tablet devices (iPads) and were offered on-demand digital training and support. The researchers monitored participant choice, behaviour and engagement using online surveys and semi-structured interviews.
This research project demonstrates the potential of mHealth. Once mainstreamed, these digital initiatives have the capacity to merge face-to-face consultation with mobile health interactions according to specific needs. Current healthcare models can shift toward new and flexible modes.
Read more here

Tobacco, drugs and alcohol

Removal of point-of-sale tobacco displays working
A new study led by University of Otago researchers suggests that July 2012 legislation that removed all point-of-sale tobacco displays from shops selling cigarettes has helped reduce smoking among New Zealand school students to record low levels.
Read more here

Electronic cigarettes a health risk but less so than tobacco cigarettes
Electronic cigarettes pose potential health risks to users, but these are less than those faced by smokers of tobacco, Otago University at Wellington researchers have concluded.
Read more here

International news

NMC to amend English skills test for overseas nurses
The Nursing and Midwifery Council (NMC) is to amend the International English Language Testing System (IELTS) requirements for nurses and midwives coming on to the register from overseas and within the European Economic Area.
Read more here

New policy gives N.S. nursing grads unlimited attempts to pass final exam
Starting Monday, nursing grads in Nova Scotia will be given an unlimited number of attempts to pass their final exam.
Under previous policy, nursing grads in the province used to have a maximum limit of three attempts to pass the national test known as the NCLEX-RN. If they failed, the only way to become a registered nurse would be to re-do their entire nursing degree.
Read more here

Warning NHS facing 'retirement timebomb' over ageing nurses and midwives
THE NHS is facing a "retirement timebomb" as figures show almost a fifth of Scotland's nurses and midwives are set to retire in the coming decade.
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Articles of interest

Retaining nurses in metropolitan areas: insights from senior nurse and human resource managers
To investigate the views of senior nurse and human resource managers of strategies to retain hospital nurses in a metropolitan area.
Against a global shortage, retaining nurses is a management imperative for the quality of hospital services.
Read more here

Evaluation of undergraduate nursing students’ clinical confidence following a mental health recovery camp
In the present study, we evaluate the impact of participation in a mental health recovery camp on the clinical confidence of undergraduate nursing students in dealing with individuals with mental illness. Twenty undergraduate nursing students who participated in the recovery camp completed the Mental Health Nursing Clinical Confidence Scale both before and directly after attending the camp. Data were analysed using descriptive and inferential statistics. Participation in the recovery camp was associated with a statistically-significant increase in students’ level of overall confidence between the pretest and post-test data (P < 0.005). The results also demonstrated that students over the age of 25 years and who do not have a family history of mental illness are more likely to self-report a higher level of confidence in both the pre- and post-results. The clinical confidence of undergraduate nursing students improved through participation in an immersive clinical experience within the recovery camp.
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When the management of nurse absenteeism becomes a cause of absenteeism: a study based on a comparison of two health care facilities
The study aims to explore perceptions of the causes of nurse absenteeism.
Nurse absenteeism is rising in many countries. However, there is little evidence as to how strategies adopted in order to cushion the effects of absenteeism on workload influence absenteeism itself.
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 5 July 2016

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