News bulletin 20 July 2016

on 20 July


Welcome to the College of Nurses Aotearoa News Update.
No. 309 20 July 2016

National news

The first registered nurse prescriber could be signing their first script on September 20 when long-awaited RN prescribing regulations come into force.
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Nurses: a force for change – Improving health systems’ resilience
Handover | Issue 35 – July 2016 – Chief nurses office update by Jane Bodkin
The theme for International Nurses Day 2016 was ‘Nurses: a force for change: Improving health systems’ resilience’.
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Nurses say Children's Teams under-resourced
The New Zealand Nurses Organisation says the new Children's Teams intended to help at risk kids are suffering critical shortage of funding. In Waikato it says funding was provided for one full time position spread across 28 public health nurses - but the actual amount of work has been almost triple what was predicted. Nine to Noon has previously spoken to a local NGO which has also raised concerns about under-resourcing.
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Spinal cord registry aims to improve lives
A registry of people with spinal cord injuries is set to go live next month with the aim of trying to improve their lives and ease the burden on the health system.
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Ombudsman critical of hospitals' punishing practices
Several hospitals have been accused of carrying out cruel and punishing practices, including prolonged and excessive use of mechanical restraints on elderly patients.
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Cancer issues

More colonoscopies delivered as DHBs get ready for bowel screening roll-out
Health Minister Jonathan Coleman says more people than ever before are receiving a timely colonoscopy, as DHBs prepare for the bowel screening national roll-out programme.
"Delivering better cancer services is a priority. Bowel cancer is the second most common cause of cancer death in New Zealand," says Dr Coleman.
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National bowel screening programme still awaiting approval
A controversial bowel screening programme was announced in the May Budget, but is set to be waiting Government approval three months later. 
District Health Boards are also expected to absorb the costs within their current budgets of any increase to cancer treatment services that a screening programme would bring. 
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Health funding and research

Perspective: The NZ Health Research Strategy Discussion Document – Much Scope for Improvement
The Government deserves congratulations for coming up with a Health Research Strategy. But the current Discussion Document needs a firmer strategic outlook with greater coherence. In this Perspective Blog a simple SWOT analysis is conducted and an alternative Vision Statement is proposed.
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Mental health

Young Cantabs seek mental health help 35,000 times in a year
Canterbury children and teenagers sought help from mental health professionals at least 35,000 times last year as they struggled to cope post-earthquake.
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Primary health care

Critical shortage of doctors in NZ small towns - expert
There's almost no such thing as a 'community doctor' anymore, health expert Professor Ross Lawrenson says.
There's a critical shortage of doctors in small towns across New Zealand, and Waikato University's Prof Lawrenson wants medical students sent to rural practices earlier to combat the problem.
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We need to change the way we teach doctors
Why do we have a $400,000 small-town GP job no one wants?
Professor of population health at the University of Waikato, Professor Ross Lawrenson, says we aren’t meeting our current medical workforce needs, and that part of the reason for that lies in the way we’re training our doctors.
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Social health

Half of all New Zealand Pacific teenagers living in poverty, study claims
A large proportion of New Zealand teenagers are living in poverty, a study has revealed.
The research from Auckland University showed almost one in five secondary school students and nearly half of all Pacific students were struggling.
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Family violence incidents increasing
The number of family violence incidents attended in New Zealand last year increased by more than 8000, according to new stats.
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GPs target high needs populations with Vensa Health’s practice-patient solution
AUCKLAND, NZ., July 15, 2016 – Northland’s Te Tai Tokerau PHO is supporting its GP practices and patients to use Vensa Health’s ( innovative practice-patient solution as it targets non-smoking status by 2025. Primary health care providers from Kawakawa in the Southern Bay of Islands to Te Hapua in the Far North can now connect with over 60,000 patients via text message to support the delivery of high quality primary health services.
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Tobacco, drugs and alcohol

Drug addiction sector questions meth epidemic claims
People working on the frontline of drug addiction services are saying we are not doing enough to address methamphetamine use in New Zealand.
Gang leaders are saying the country is in the midst of a second P epidemic, but those working in addiction services aren't so sure.
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International news

Hawaii law lets nurses certify medical marijuana patients
HONOLULU (AP) — Hawaii patients have more options to gain access to medical marijuana now that nurses can certify people for use of the drug, a change advocates say was needed because there's a shortage of doctors willing to do the certifications.
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3 ways hospital leaders can support staff during traumatic events
Traumatic events--including senseless acts of violence like mass shootings and assassinations--can bring up powerful emotions that may not be put aside when staff come to work. Strong leaders can help their employees navigate such trying times, according to an article published by Harvard Business Review.
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Nursing dress code spurred by study of Geisinger patients
DANVILLE, Pa., July 11, 2016 /PRNewswire-USNewswire/ -- Decision-making in large institutions often starts at the highest levels and is then passed down through the levels to employees. Geisinger's recent implementation of a dress code for nurses and other front-line employees was initiated from another source – patients.
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Nurse and doctor standards should be ‘linked more closely’ says NMC chief
More should be done to ensure nurses, midwives, doctors and health professionals can share common training and codes of practice to bring their values and behaviours into line with one another, according to the chief executive of the Nursing and Midwifery Council.
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Articles of interest

Nurses Must Knock Down Professional "Silos" and Create Quality, Safe and Effective Interprofessional Teams. From the Inside Looking Out: A Healthcare Providers Experience Being the Family Member
After several days of what was thought to be just a common cold, progressed into a severe sinus infection followed by three separate emergency room (ER) visits (one via 911). The entire case resulted in a total of 21 days in an acute care hospital, three months’ home from work totally debilitated, and a prognosis of a yearlong rehabilitation with hopes of a full recovery. After 21 days in a nationally recognized ANCC “Magnet” status teaching and research hospital, a diagnosis of bronchiolitis obliterans organizing pneumonia (BOOP), also known as cryptogenic organizing pneumonia (COP) was made. COP is a rare lung condition in which the bronchioles and alveoli become inflamed with connective tissue. This is an uncommon illness occurring in 6 out of 100,000 hospitalizations, which was noted by the repeated ER visits and hospitalizations (American Lung Association 2015). The intent of this article is not to discuss the pathophysiology, diagnosis, and treatment of COP but to explore this healthcare experience through a different lens. As healthcare providers we each work within our specific area of expertise or what may be referred to as our “silo.” Each silo is rich in research, knowledge, experience, and expertise regarding best practices for quality patient care. Each silo also assumes that the other healthcare silos always know, respect, understand, and implement their expert advice and wisdom. However, after this 21-plus day experience as a patient’s family member, not as the healthcare provider, the harsh reality is that each of the wide array of health care “silos” work alone and are not in collaboration with each other. In addition to the fragmentation, there is no unifying body pulling all the parts together to create this individualized quality healthcare experience so often discussed in not only the literature, but also in every healthcare system’s mission statement. It is the nurse’s responsibility to ensure that quality patient/family centered care is provided by knocking down these silos and unifying care.
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Professional behaviours and factors contributing to nursing professionalism among nurse managers
To examine the perception of professional behaviours and factors contributing to nursing professionalism among nurse managers.
Professional behaviours influence nursing professionalisation and managers’ behaviours strongly impact professional development. In Japan, few studies have examined professional nursing behaviours from the nurse managers’ perspective.
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Suzanne Gordon: Encouraging all members of a medical team to speak up
The oval, mahogany table dominates the center of the large conference room. A number of chairs circle the table and dot the perimeter of the room. Every week, a group of high level hospital administrators, physician leaders, and leaders of other professional and occupational disciplines—physical therapy, social work, clinical directors of nursing, housekeeping, etc—gather in this room to discuss hospital function. They call themselves a “team” and the gathering a “team meeting.”
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From the Ministry of Health

Health of Older People Strategy: Consultation draft
This document sets out a draft strategy for the health and wellbeing of older people for the next 10 years. Its vision is that older people live well, age well, and have a respectful end of life in age-friendly communities.
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Reports on line

Patients as partners
Building collaborative relationships among professionals, patients, carers and communities
More collaborative relationships among health and care professionals, patients, service users, carers and communities are essential for the future of the NHS, but what helps to build effective relationships? This guide stems from an evolving body of the Fund's work focused on exploring and supporting shared leadership. This work is reinforced by a growing consensus that health services, agencies, patients and communities need to work together more – and differently.
Read more here

Determining the workforce development needs of New Zealand's autism workforce
Te Pou is developing resources and tools to support the disability workforce to provide high quality, response services to children and adults with autism spectrum disorder (ASD). As a first step, we've investigated the learning and development opportunities available in New Zealand for the workforce supporting people with ASD. Two new reports are available which share the findings from our research - a full report and a summary report - in the Te Pou resource centre.

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 19 July 2016

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