News bulletin 28 September

on 28 September

Welcome to the College of Nurses Aotearoa News Update.
No. 318 28 September 2016


National news

Waikato DHB's success with frontline ownership
Frontline ownership (FLO) is giving staff at Waikato District Health Board (DHB) a new way of improving patient care, and they are loving every minute of it. Surgical service nurse manager Melody Mitchell has been using FLO since DHB staff attended a session hosted by the Commission with Dr Michael Gardam in September 2015. FLO is a quality improvement approach that engages and empowers frontline staff to come up with and implement their own solutions to local issues, from hand hygiene improvement to preventing falls.
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NZ pacific unaware of health services on offer
A lack of awareness of services on offer is preventing many Pacific youth from proper health care in New Zealand.
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Upsurge of abuse on mental health workers at Waikato DHB
Violence against mental health workers by patients and their families is on the rise and nursing staff bear the brunt of it.
There were 162 physical assaults on staff working for the Waikato District Health Board's mental health and addictions service last year, compared with 140 in 2014.
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Aged care

NZ dementia sector backs need for national plan
New Zealand dementia organisations have just released an action plan to help New Zealand prepare for the expected increase in the numbers of people with dementia.
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Care home nurses need training for unique role
(Reuters Health) - The most important thing nurses provide to nursing home patients are dignity, personhood and quality of life, but training in these aspects of care is lacking, according to a U.K. study.
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Health system struggling with hip, knee ops
New research shows rate of operations has stalled while population increases.
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Disparities in insulin pump use by New Zealanders with type 1 diabetes: Otago research
There are significant demographic and regional disparities in the use of insulin pumps in New Zealand, according to new University of Otago research.
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Ethical issues

The NMC Case against Pauline Cafferkey: a working example of ‘Compassion Deficit Disorder’ in nursing leadership?
It is hard to find anyone who thinks the Nursing & Midwifery Council (NMC) did the right thing in taking Pauline Cafferkey to a misconduct hearing.
If you missed the story, Cafferkey is a nurse who volunteered to work in Sierra Leone at the peak of the 2013-2014 Ebola outbreak in West Africa.  On her return to the UK she, along with all the other returning volunteers, was screened by Public Health England (PHE) at Heathrow airport. It seems it was, by all accounts, a chaotic scene; with at one stage the volunteers having to check each other’s temperatures because there were no PHE staff available. Cafferkey had been tired, unwell and running a fever and had taken paracetamol for symptomatic relief.  Her temperature was originally recorded as above the threshold for further screening, but she was let through, and subsequent tests showed her to be apyrexial. Thus she was sent on her way. A day later she was admitted to hospital with Ebola, and nearly died.  A year later, she had a relapse of Ebola related meningitis, and again, nearly died. She has suffered neurological problems subsequently.
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Mental health

Mental health nurses working double shifts - union
A rising population is partly to blame for mental health nurses having to work double shifts, says the Public Service Association.
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Acute Mental Health System in Crisis
This week the Acute Mental Health ward for Auckland’s North Shore, He Puna Waiora, has been forced to close eight beds, at a time when demand for mental health services is reaching record
Read more here

Organ donation

Organ Donors to get 100% compensation
Parliaments Health Select Committee have today recommended that live organ donors get full costs reimbursement instead of the originally proposed 80%.
Read more here

Social health

Struggles continue for Pasifika youth
Young Pacific people remain blighted by unhealthy food, barriers to healthcare and poor conditions at home - with an estimated one third living in a house where someone doesn't have a bedroom.
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International news

HIBBING — The Hibbing Community College (HCC) has completed a “high-tech” and “state of the art” facility.
The Healthcare Simulation Center was completed prior to the start of fall semester. The college had been developing the center in phases during the past few years.
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How to Give Feedback to People Who Cry, Yell, or Get Defensive
There’s no denying that performance review season can be a headache for managers. The process of writing reviews and delivering feedback takes a lot of time (especially if you do it thoughtfully) and can be particularly anxiety provoking if you have someone on your team who tends to have a difficult or negative emotional reaction to feedback. So how do you get ready to give feedback to someone who might cry, yell, or get defensive?
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Articles of interest

Safety climate and readiness for implementation of evidence and person centered practice – A national study of registered nurses in general surgical care at Swedish university hospitals
The rationale behind this study is the increasing research on relationships between patient safety, evidence based practice and person centered care, and the growing interest in outcomes of surgical patients. ...
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Coping with Violence in Mental Health Care Settings: Patient and Staff Member Perspectives on De-escalation Practices
This multiple case study explored de-escalation processes in threatening and violent situations based on patients and staff members perspectives. Our post hoc analysis indicated that de-escalation included responsive interactions influenced by the perspectives of both patients and staff members. We assembled their perspectives in a mental model consisting of three interdependent stages: (1) memories and hope, (2) safety and creativity and (3) reflective moments. The data indicated that both patients and staff strived for peaceful solutions and that a dynamic and sociological understanding of de-escalation can foster shared problem solving in violent and threatening situations.
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Resources online

Presentations from the workshop on reducing harm from healthcare associated infections
Presentations and photos from the HQSC’s national workshop on reducing harm from healthcare associated infections, held in Wellington on 9 August 2016, are now available on the Commission website.
Read more here

Professional development

Symposium to look at pathways to improve public health
The School of Public Health is hosting its first Public Health Symposium this Friday, - a forum for dialogue, debate and sharing of research and practice to improve public health in Aotearoa New Zealand.
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 27 September  2016

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