News bulletin 13 July 2016

on 13 July


Welcome to the College of Nurses Aotearoa News Update.
No. 308 13 July 2016

National news

Government's first social bond collapses
The government's first social bond has collapsed, with negotiations breaking down and the provider walking away.
Read more here

Social impact bonds not the answer to anything - NZNO
Last year the New Zealand Nurses Organisation’s Mental Health Nurses Section raised the concern that social impact bonds were a "solution looking for a problem".
Read more here

Funding for safe-sleep bassinets secretly shelved by Government
More babies die each year from Sudden Unexpected Death in Infancy (SUDI) in New Zealand than anything else. Olivia Carville investigates why the Government has shelved a simple device that could save lives.
Read more here

'Institutional racism' behind funding decision
The Government's refusal to fund a Maori safe sleep device that has been saving babies lives for the past decade has been labelled "institutional racism" by doctors and politicians.
Read more here

Coroner backs baby pod use
The Chief Coroner says lives could be saved if safe sleeping pods are given to parents who co-sleep with their babies.
Read more here

Health Minister Jonathan Coleman 'running scared'
Health Minister Jonathan Coleman is being accused of "running scared" over his refusal to answer questions about the lack of funding for a life-saving infant sleeping device.
The accusations against Coleman come as experts estimate a national roll out of the traditional bassinet would cost as little as $1.5 million.
Read more here

Shaping the doctors of the future
Professor Tim Wilkinson is the head of training at Otago University's three medical schools, who has just been awarded Australasia's highest honourfor medical education.
He is a gerontologist who still practises, but over the past 20 years, teaching medical students has become his main focus.
Professor Wilkinson talks with Kathryn Ryan about shaping the doctors of tomorrow.
Read more here

Aged care

Green light for falls prevention programme
A major national community falls prevention programme for people aged over65 which was developed by the joint AucklandWaitemata DHB Funding team was given the official go ahead today.
Read more here


Proposal for Canterbury health staff to work 7-day roster, weekends to meet service demands
More than 600 health workers in Canterbury have been asked to bump up their availability and work weekends to deal with staffing shortages and increased demand on services.
Read more here

One click GP access to hospital records
GPs and practice nurses will now have one click access to a patient’s hospital records thanks to a new initiative by Waikato District Health Board.
Read more here

Exclusive: Wellington DHB slashes $40m from budget in last year - and is trying to save even more
Secret papers obtained by ONE News reveal that Wellington's health board has slashed close to $40m from its budget in the past year, and is trying to save even more.
Read more here

Emergency services

Minor medical complaints contributing to doctor burnout
Emergency department staff are being put under increased pressure by people turning up with minor medical complaints, doctor Brad Ellington says.
The Taranaki District Health Board ED doctor said patient numbers varied between 80 to120 a day and averaged about 90 during a 24 hour period.
Read more here

You've heard it before: save ED for emergencies
Overcrowding of emergency departments around the country is an ongoing issue.
We've all seen the billboards: "Keep the ED for emergencies only."
Last year there were more than 1.1 million visits to an ED around the country. About 40 per cent were admitted to hospital.
Read more here

People using hospital emergency departments 'like a GP'
A hospital doctor is fed up with people who use the emergency department for non-emergencies.
"We have many acute cases and accidents that can't be prevented, but we also have patients that turn up with a pain they've had for three weeks," Waikato Hospital emergency doctor
John Bonning said.
Read more here

Marlborough patients struggle to meet GP costs
A Blenheim woman who turned up at the emergency department three times before she was diagnosed with pneumonia says she delayed a visit to the doctor because she could not afford it. 
Read more here

Heart disease

Better heart disease care needed for Māori and Pacific people
Better access to all aspects of healthcare is needed to improve the much higher rate of death from heart disease for Māori and Pacific people, according to a new study from the University of Auckland.
Read more here

Heart attack sufferers delaying 111 call
The Heart Foundation is calling on Kiwis to put aside their ‘she’ll be right attitude’ and dial 111 immediately if they suspect they or another person is having a heart attack.
Heart Foundation Medical Director Dr Gerry Devlin said too many New Zealanders are placing themselves at increased risk of death or permanent heart damage by putting off that important call.
Read more here


Obesity study puts kids under lens
Obesity study asks if under-5s active enough.
Read more here

MidCentral DHB to intervene to head off childhood obesity
Obese children will be referred to a dedicated team at MidCentral District Health Board to encourage them to lead healthy lives. 
A multi-disciplinary team has been established by the DHB to tackle childhood obesity but they won't be laying blame on anyone, rather helping families make healthier choices. 
Read more here

Public health

Jonathan Coleman dismisses calls for compulsory salt reduction targets
The Government has poured cold water on calls to force a reduction of salt in foods, despite fears New Zealand will not reach its sodium target by 2025.
Read more here

$1 million rheumatic fever fund for targeted Maori communities
Health Minister Jonathan Coleman has today announced a new $1 million one-off fund aimed at increasing awareness and reducing rheumatic fever in high-risk MÄori communities.
Read more here

An extra month to get free influenza vaccine
Health Minister Jonathan Coleman says this year’s seasonal influenza immunisation programme will be extended to the end of August.
“While we’ve had great uptake of the influenza vaccine this year, there may be people who haven’t got around to getting immunised,” says Dr Coleman. 
Read more here

International news

Nurse rapport with patients, families may lead to better care
The relationship nurses have with patients and their families is crucial, and cultivating a positive rapport with care providers can improve patient care.
Read more here

Effective nurse leaders require passion to provide high-quality patient care
Linda Burnes Bolton, R.N., chief nursing executive and vice president for nursing at Cedars-Sinai in Los Angeles, wanted to become a nurse when she was only seven-years-old. She tellsHospitals & Health Networks that her passion was inspired by the nurses who cared for her when she was hospitalized for severe asthma. 
And it's a passion that has never ebbed.
Read more here

Nurse shortage 'could last for years'
A shortage of nurses in the UK will continue for years to come and could get worse, experts are predicting.
The warnings follow a report from early 2016 on the nursing workforce compiled by the Institute for Employment Studies for the Migration Advisory Committee.
Read more here

One in three nurses to reach retirement age within 10 years
One in three nurses is due to retire within the next 10 years and there won’t be enough 'homegrown' nurses to fill the imminent gap or offset the loss of skills and experience, finds a new report*
from the Institute for Employment Studies, commissioned by the Migration Advisory Committee (MAC).
Read more here

Nurse practitioners to lobby for VA proposal
The American Association of Nurse Practitioners is launching a national ad campaign to raise public awareness of a proposal to expand the practice authority for advanced practice registered nurses in the VA Health Care System.  
Read more here

New NYU study about foreign educated nurses
Researchers find the post-economic crisis of 2008, changes in the NCLEX-RN licensure examination, and the WHO’s Code for Ethical Recruitment of Health Workers leads to dramatic decrease in internationally educated nurses in U.S.
Read more here

Staff retention: 5 ways hospitals can keep newly-licensed nurses in their units
A new study has found many factors may hinder unit retention of newly-licensed nurses at hospitals, and also reveals that title retention and low-level unit transfers are far more common than previous estimates suggested.
Read more here

Articles of interest

Conceptualizing clinical nurse leader practice: an interpretive synthesis
The Institute of Medicine's Future of Nursing report identifies the clinical nurse leader as an innovative new role for meeting higher health-care quality standards. However, specific clinical nurse leader practices influencing documented quality outcomes remain unclear. Lack of practice clarity limits the ability to articulate, implement and measure clinical nurse leader-specific practice and quality outcomes.
Read more here

Framework for advanced nursing, midwifery and allied health professional practice in Wales: the implementation process
A plethora of advanced practice roles have evolved across all health-care areas in response to the European Working Time Directive and workforce shortage drivers, leading to confusion and lack of structure.
Read more here

Surviving workplace adversity: a qualitative study of nurses and midwives and their strategies to increase personal resilience
To explore the experiences of Australian nurses and midwives who perceived themselves as resilient. The focus of this paper is to report the strategies used by a group of nurses and midwives to develop and maintain their resilience, despite encountering serious workplace adversity.
Read more here

Practice environment and its association with professional competence and work-related factors: perception of newly graduated nurses
To explore newly graduated nurses' (NGN) perception of their practice environment and its association with their self-assessed competence, turnover intentions and job satisfaction as work-related factors.
The impact of practice environment on nurses' work is important. Positive practice environments are associated with positive organisational, nurse and patient outcomes. How this applies to NGNs needs further exploration.
Read more here

Nurses’ exhaustion: the role of flow at work between job demands and job resources
In the light of the job demands–resources model, this study aimed to detect the mediating role of flow at work between job demands and job resources on one side, and exhaustion on the other.
Read more here

From the Ministry of Health

Weight Management in 2–5 Year Olds
Addressing overweight and obesity is a government priority. Nearly one third of New Zealand children are either overweight or obese. This is an issue that can have serious long-term effects on the health and wellbeing of children as they grow older.
Evidence shows that diet, excess weight and physical inactivity are 3 major modifiable risk factors that contribute to early death, illness and disability in New Zealanders. Through helping to identify children who are overweight and obese and providing weight management support, we can help to improve their wellbeing both now and into the future.
Weight Management in 2–5 Year Olds is a practical resource to equip health providers with the most up-to-date evidence-based tools to monitor, assess and manage overweight and obese patients.
The resource presents a step-by-step diagram which is designed to facilitate clinical decision-making.
The resource is intended for use in conjunction with the Clinical Guidelines for Weight Management in New Zealand Children and Young People (MOH, 2009).
We have also developed supporting material for health providers to use with parents:
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 12 July 2016

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