News bulletin 31 August 2016

on 31 August


Welcome to the College of Nurses Aotearoa News Update.
No. 315 31 August 2016


National news

Get-well-soon card: Cutting-edge paper hospital tests designs
In a warehouse in an industrial neighbourhood in Christchurch a mock-up hospital ward has been built, and real doctors, nurses and patients are testing out the facilities.
Read more here

Community nurses and doctors recognised
The Northland Health and Social Innovation Awards are returning in November this year. This time around, primary healthcare workers are being recognised with their own category and four distinct awards.
Read more here

Knitting group helps North Shore Hospital's delirium patients
Crafty knitters are helping nurses at Auckland's Waitemata District Health Board with a special project.
North Shore Hospital's gerontology nurse specialists Elaine Docherty and Catherine Mounsey are hoping to raise more awareness about delirium.
Read more here

Surgical rope left in woman's breast for three months
Nurses' failures led to a surgical rope dressing being left in a woman's breast for three months, the Health and Disability Commissioner has found.
Read more here

Diversity presents unique health service challenges
The unique opportunities and challenges facing health and social service access and delivery for New Zealand’s increasingly diverse society will be discussed in Auckland next week.
Read more here

Nutrition experts defend dietary guidelines
New Zealand nutrition experts are calling for an end to the pitting of carbohydrates against fats and say we should instead focus on what is most important – the quality of food in our diets.
Current nutrition guidelines have been criticised by some who claim that carbs should be restricted in diets rather than fats.
Read more here

Auckland rehab centre Capri Hospital to close down after 17 years of service
After seventeen years of service an Auckland rehab and mental health hospital is closing its doors.
The decision to close the residential service at Capri Hospital in Mt Wellington was sudden.
Read more here

Waikato chaplains explain the relevance of their work in a hospital 
Some say the greatest test of faith is when you dawdle at death's door.
In a hospital, it's faith in the doctors to cure you, faith in nurses to fix your loved one, or faith in a higher being, even God, perhaps.
Read more here

More Kiwis getting First Specialist Assessments
Health Minister Jonathan Coleman says around one in ten New Zealanders received a First Specialist Assessment (FSA) in 2015/16.
Read more here

Aged care

Is loneliness killing our seniors?
Loneliness and isolation in older people is increasingly linked to poor health and shorter life spans.
Would health costs to the state lower if our seniors were more connected to their communities? And how can we achieve this?
Read more here


Education classes essential for adults with diabetes, says NICE 
Adults with type 1 diabetes should be offered education classes to help them manage their condition, a new quality standard from NICE says.
Read more here


'It's a crisis' - Disability head warns health minister the sector is a tragedy waiting to happen
• Disability head exposes "crisis" in the sector due to alleged underfunding
• Predicts providers' struggles to manage volatile situations will end in tragedy
• Labels circumstances "chillingly similar" to failings which sparked review
• Documents show ministry pulling back on some disability supports
Read more here

Ethical issues

Whose Lives Should Be Saved? Researchers Ask the Public
BALTIMORE — In a church basement in a poor East Baltimore neighborhood, a Johns Hopkins doctor enlisted residents to help answer one of the most fraught questions in public health: When a surge of patients — from a disaster, disease outbreak or terrorist attack — overwhelms hospitals, how should you ration care? Whose lives should be saved first?
Read more here

Health funding and research

New Zealanders want drug companies and government to spend more on health research
Most Kiwis want the private sector to fork out more for health and medical research, a new opinion survey has found.
Read more here

Kiwi scientists in DNA discovery that could open door to breakthrough on understanding disease
What we know about diseases as common as cancer, diabetes and dementia could be transformed in the wake of ground-breaking findings by a team of Kiwi researchers.
Read more here

Mental health

The Silent Epidemic
Male suicide has claimed 11,000 lives since 1985, but we hardly ever talk about it. Mike Wesley-Smith talks to a leading New Zealand expert about a new programme she hopes will save lives
Read more here


Christchurch trust sacked for failing to deliver $1.1m anti-obesity programme
The Ministry of Health is cutting ties with a Christchurch trust given $1.1 million of taxpayers' money to run an anti-obesity programme.
Read more here

The obese 'are not lazy, lacking in motivation or stupid', says obesity expert
Experts say politics is getting in the way of solving a serious national health crisis. Philip Matthews reports.
If Auckland University professor and obesity expert Boyd Swinburn was to look back over the past 15 years, what would he see? Not much, really. Progress on tackling obesity has been painfully slow
Read more here

Kids to be breath-tested in sugar study
Thousands of schoolchildren are set to take experimental breath-tests in a sprawling study to reveal a little-understood sugar's role in New Zealand's childhood obesity epidemic.
Read more here

Q&A: Uncovering Samoa's hidden obesity link
One of the world's leading population health researchers, Brown University's Professor Stephen McGarvey, is visiting New Zealand this week.
Last month, a team led by McGarvey published landmark research that revealed a rare genetic variant in adult Samoans had a big influence on their obesity risk.
McGarvey, a keynote speaker at the Queenstown Research Week conference, opening today, now suspects there may be similar links in other Polynesian groups - including Maori.
He spoke to Herald science reporter Jamie Morton.
Read more here

News release - NZ’s childhood obesity needs ‘addressing urgently’
Action to reduce New Zealand’s alarming childhood obesity rate needs to focus on the physical and social environments we live in, says the New Zealand College of Public Health Medicine.
Read more here

Public health

Religious groups block West Coast from hitting immunisation targets
A West Coast public health expert says it is unlikely the region will ever hit immunisation targets.
West Coast District Health Board (DHB) had the lowest baby immunisation rate in the country from April to June this year.
Read more here

Social health

Families with children now 53% of NZ's homeless
More than half of New Zealand's 41,000 homeless people are now families with children, according to new University of Otago research.
Read more here

The little things which can make a difference to the homeless
Each night 42,000 New Zealanders sleep on the streets - and the problem is getting worse.
A decade ago, homelessness affected one in 130 people. Now, it's one in 100.
Read more here

Most homeless people working or studying
More than half of all homeless adults in New Zealand are working or studying, say University of Otago, Wellington (UOW) researchers.
Read more here


E-cigarettes: do the benefits outweigh the risks
New Zealand is about to change its laws governing the sale and marketing of e-cigarettes - but how safe are the vaping products and e-liquids currently being sold? And what would a regulated vaping industry look like?
Read more here

Tobacco, drugs and alcohol

Experts: Even moderate drinkers at risk of cancer
Downing just one wine or beer a night increases your risk of cancer, according to prominent medical experts.
Whether you imbibe in moderation or get trashed on all-night benders – look out – as every year hundreds of Kiwis are dying because of liquor-induced ailments.
Read more here

Tobacco plain packaging law takes another step towards reality
Plain packaging for cigarettes has taken another step towards reality, despite suggestions that manufacturers and retailers should be given more time to sell their old stock.
Read more here

Meth is everywhere, says reformed addict
A reformed meth addict believes most people don't realise just how prevalent the drug is.
"It's everywhere," Haydee Richards says.
Read more here

International news

Hospital Impact: 5 considerations for nurses who provide end-of-life care
Palliative care nurses spend their workdays in one of life’s most tender, difficult and vulnerable moments. In helping patients and their families at the end of life, these particularly resilient healthcare professionals can provide an invaluable service when they are mindful of their patients’ preferences and the responses of loved ones.
Read more here

New article outlines how school nurses can help teens experiencing digital dating abuse
Many teens experience physical or sexual abuse within their romantic relationships and now dating violence can also be perpetrated digitally by harassing, stalking or controlling a romantic partner via technology and social media.
Read more here

How Kansas City hospitals, medical schools are responding to the nursing shortage
Hospitals and medical schools in the Kansas City region are using a myriad of recruitment techniques as they respond to a nursing shortage, according to a KSHB report.
Read more here

Articles of interest

Interventions for compassionate nursing care: A systematic review
International Journal of Nursing Studies 62 (2016) 137–155
To systematically identify, describe and analyse research studies that evaluate interventions for compassionate nursing care; assess the descriptions of the interventions for compassionate care, including design and delivery of the intervention and theoretical framework; and to evaluate evidence for the effectiveness of interventions.
Review methods: Published international literature written in English up to June 2015 was identified from CINAHL, Medline and Cochrane Library databases. Primary research studies comparing outcomes of interventions to promote compassionate nursing care with a control condition were included. Studies were graded according to relative strength of methods and quality of description of intervention. Narrative description and analysis was undertaken supported by tabulation of key study data including study design, outcomes, intervention type and result
Read more here

From the Ministry of Health

Improving Outcomes in Age Residential Care
Auckland University of Technology was contracted by the Ministry of Health to evaluate whether changes made to auditing processes have improved outcomes for people living in age residential care facilities. The evaluation was conducted from December 2015 to June 2016 and used a variety of data sources.
This evaluation identified the positive impact of the integrated audit at all levels of the age residential care sector. The findings from this evaluation demonstrate that providers are committed to providing safe and high quality care.
Read more here

More Heart and Diabetes Checks Evaluation
Health targets are a set of national measures designed to improve the performance of health services. They focus on population health objectives and on reducing inequities….
The evaluation used mixed methods for data collection and was framed around five evaluation questions.
How well was the health target implemented?
What difference did the health target make for health practices/service providers and for those whose risk was assessed?
What have been the economic implications of the health target and is it likely that the programme provides good value for money?
To what extent are any gains made through the health target likely to continue?
What should the Ministry of Health do to support CVD and diabetes risk assessment?
The evaluation findings for each of the questions is presented in this summary.
Read more here

New Zealand Autism Spectrum Disorder Guideline
The NZ Autism Spectrum Disorder Guideline provides evidence-based information for people on the autism spectrum, their family and whanau, as well as health, disability and education professionals and social service agencies.  It includes information about good practice that is evidence-based and aims to improve the health, educational and social outcomes for people with ASD.
… Since the living guideline process was established in 2009, Supplementary Papers have been published annually. These provide updates in areas of applied behaviour analysis, pharmacological interventions, supported employment, changes in diagnostic criteria in the DSM-5, gastrointestinal issues, social skills groups, and cognitive behaviour therapy.
The second edition (2016) of the Guideline incorporates the updates developed through the living guideline process. This means that all amendments to the Guideline recommendations, identified in the Supplementary Papers, are incorporated into the second edition.
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 30 August  2016

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