News bulletin 10 August 2016

on 10 August

Welcome to the College of Nurses Aotearoa News Update.
No. 312 10 August 2016


National news
Widened prescribing rights for registered nurses
Health Minister Jonathan Coleman says suitably qualified and approved registered nurses will be able to prescribe from a list of commonly used medicines from next month.
Read more here

Extension of nurse prescribing rights welcomed by Waikato DHB
Prescribing nurses at Waikato Regional Diabetes Service (left to right): Vickie Corbett, Vikki Lowe-Reid and Helen Ashton with clinical nurse manager Susan Ryan. Absent: Christine Bierre, Maria Wynen, and Bryan Gibbison who are the others in the team of six diabetes nurses with prescribing rights.
Waikato DHB is a strong supporter of nurse prescribing rights, and was one of the first to embrace the opportunity for nurse practitioners and then diabetes nurses to gain authority to prescribe.
Read more here

Nurse assessments to assist with doctor shortage
A shortage of doctors this month means nurses will be assessing patient needs at Buller Health Medical, but the General Manager Buller Kathleen Gavigan says people should not delay seeking help if they need medical attention.
Read more here

Nurse practitioner working closer to home
The Ngatai whānau’s world turned upside when patriarch, Enoka had a stroke late last year leaving him unable to walk, speak or swallow. The close knit Matapihi whānau was told he needed 24 hour care in a nursing home.
Read more here

Disability

Public have their say on creating a better future for disabled New Zealanders
A nationwide conversation is under way on how to create a better future for the one in four New Zealanders with a disability.
The New Zealand Disability Strategy will guide the direction of government agencies on disability issues for the next decade, once launched in December.
Read more here

Mental health

Study finds mental health patients no better off behind locked doors
A 15-year study has concluded that there is no benefit in locking up many mentally ill patients.
Read more here

Obesity

Obesity rates won't improve until health professionals attitudes do, Ministry nurse says
New Zealand's growing obesity problem won't change until health professionals change their attitudes towards patients, a Ministry of Health nurse says.
Read more here

Fast food chains target poor areas - marketing expert
Fast food can seem like an easy option for families with low incomes, but it makes them targets for fast food chains, a marketing expert says. 
Read more here

Palliative care

Hospice funding enables innovation
As New Zealand’s population ages, hospices face an increasing number of referrals for their services. Last year, New Zealand’s hospices provided care and support for more than 18,000 people and their families – a number expected to grow significantly over the next decade.
Read more here

More palliative care positions to be established
Health Minister Jonathan Coleman says up to 60 new palliative care positions are being established as part of the Government’s $76.1 million boost for hospices.
Read more here

Strategy for palliative care reflects shift in approach - Waikato DHB
Palliative care specialist Peter Kirk says the new Waikato Palliative Care Strategic Plan reflects "a big shift in our approach to palliative care that has been happening for a few years now".
That shift includes better coordination, more focus on what patients and their families want, a changing view of when and how patients interact with palliative care, and a push for equity and improved access to services and support particularly for Maori and rural people.
Read more here

Pharmacy

Life-saving melanoma drug rollout to cost DHBs 'millions'
District health boards face costs of more than $1 million to deliver long-awaited new melanoma drugs to patients.
Read more here

Primary health care

$17.2m funding boost to support Syrian refugees' health
A funding boost of $17.2 million over four years will help support 500 Syrian refugees arriving in New Zealand.
Health Minister Jonathan Coleman said the funding in Budget 2016 will help support refugees arriving over the next two years.
Read more here

Social health

Open wide… Smile NZ to provide free dental care for low income Kiwis in August
Low income adults are eligible for free dental treatment from 8-14 August through Smile NZ – a joint initiative run by the Southern Cross Health Trust and New Zealand Dental Association (NZDA).
Read more here

Telehealth

Advances in telehealth help join the DOTs for tuberculosis patient care
The delivery of tuberculosis treatment to patients around Auckland has greatly improved thanks to video conferencing technology that has enabled virtual health consultations resulting in optimal use of public health staff resources and time.
Read more here

Tobacco, drugs and alcohol

Radical law change needed to meet 2025 smoke-free target - researchers
Sale of tobacco needs to be put in the hands of not-for-profits or health agencies, researchers say.
Read more here

International news

Nurse-driven protocols shorten ED stays, study finds
When nurses are allowed to administer certain treatments in the emergency department, instead of physicians, it can shorten ED stays for patients with fever, chest pain, hip fractures and vaginal bleeding, according to a study in Annals of Emergency Medicine.
Read more here

Nurse trainer uses Swift dance routine to ingrain hand-washing technique
A dynamic dance routine devised by a nurse trainer in Northern Ireland is helping hospital and care home staff remember the key stages of hand-washing.
Read more here

Holistic, integrated care models improve care gaps, costs
Although there are many potential interpretations of the term, one aspect of patient-centered care means providers must take a holistic approach to care that addresses mental, spiritual and physical health, according to a column in Hospitals & Health Networks.
Read more here

More nurses taking on doctors' responsibilities
More nurses here are taking on greater responsibilities, including those previously handled by doctors.
Since 2012, the National Healthcare Group (NHG) has seen a rise in the number of nurse-led clinics, which are run by registered nurses or advanced practice nurses - senior nurses who have at least a master's degree in nursing.
Read more here

Workplace

Two-Thirds of Managers Are Uncomfortable Communicating with Employees
I used to show up five minutes late everywhere I went, believing that the universe generally accepted a margin of five minutes. One day a client and mentor named Nancy looked me in the eye and said something in a kind but no-nonsense way: “Part of the image you are projecting to people is that you are always late. Don’t let it get in the way.”
Read more here

Articles of interest

5 tips to prevent work stress from infiltrating home life
Work-related stress is not confined to the office. Many people struggle to manage job stress and its effects, often at the expense of their families, other personal relationships and overall health.
According to a recent article in the Harvard Business Review, a study published in the Health and Safety Executive found 43 percent of days lost to illness in 2015 in Great Britain were related to stress. Another study by American Psychological Association found work and money are the two most common stressors, and high prevalence of stress is linked to irritability, anger, nervousness and anxiety. These behaviors easily spill over from one's place of work to their home, straining relationships and adversely affecting health.
Read more here

Primary care NPs: Leaders in population healt
Abstract: A 2012 Institute of Medicine report calls primary and public healthcare workers to action, tasking them with working together to improve population health outcomes. A Practical Playbook released in 2014 enables this public health/primary care integration. Primary care NPs are in an excellent position to lead the charge and make this integration happen.
Read more here

From the Ministry of Health

Pharmacy Action Plan 2016–2020: Analysis of submissions
The draft Pharmacy Action Plan was released for public consultation from 12 October to 23 November 2015. There was strong engagement in the consultation, with 101 written submissions received. Submissions were comprehensive, of a high standard and reflected the views of a broad range of stakeholders.
In addition, 24 face-to-face meetings were held, including three consumer meetings.
Overall, there was strong support for the Pharmacy Action Plan.
Many submissions were complex and detailed. Given the volume of information received and the breadth of views expressed in the responses, and in the interests of clarity, this document does not include every response received for each question but instead summarises the key themes that emerged from the consultation.
Read more here

Indicators for the Well Child / Tamariki Ora Quality Improvement Framework: March 2016
The Ministry of Health, in partnership with sector experts, developed the Well Child / Tamariki Ora Quality Improvement Framework, drawing on New Zealand and international research.
The Framework has three aims: focusing on family/whānau experience; population health and best value for the health system; and setting quality indicators to audit health system performance.
This is the sixth Well Child / Tamariki Ora quality indicators publication, and shows areas of excellence and areas for improvement. The quality indicators help support the Ministry of Health, DHBs and providers of Well Child / Tamariki Ora and related child health services to identify and prioritise areas for national and local quality improvement.
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 9 August  2016

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