News Bulletin 6 Apr 2011

on 6 April

From NZ media this week

National Government's 'Efficiency Drive' Cuts Into Front-Line Delivery
STATE OF IT (Updated): While State Services Minister Tony Ryall says there are now more public servants working in the front-line, cuts to supporting staff are eroding their ability to deliver safe essential services.


LATEST: Nearly 2000 jobs have been cut from the core public service in the past two years, as the Government signals further state sector cuts.

GP patient safety issue identified

There is an urgent need to address patient safety issues in general practice, University of Otago researcher and general practitioner Dr Katharine Wallis says.

Nurse deregistered for professional misconduct

The Health Practitioners Disciplinary Tribunal has recommended a former Dunedin Hospital nurse be struck off the register for falsifying patient records, failing to recheck abnormal test results and asking another nurse to "accumulate" medication for his wife.

NZNO Welcomes Expansion of Bonding Scheme

NZNO has welcomed the expansion of the voluntary bonding scheme for nursing and other health graduates to include mental health and aged care. Minister of Health Tony Ryall this week announced that graduates wanting to join the scheme would get priority if they chose to work in either of these specialties.

Nurses dislike 'gatekeeping'

New Zealand Nurses Organisation members are not happy about acting as emergency department gatekeepers at Lakes District Hospital in Frankton


A parliamentary inquiry into prostate cancer screening will not be recommending a national screening programme despite pressure from cancer survivors to do so.


THE ABILITY of health professionals to cope with the emotional demands of their jobs is under the spotlight with doctors being warned about burnout and a little-known study that shows New Zealand nurses have a higher than normal risk of suicide.

From international media sources

More nurses don't improve patient outcomes at safety net hospitals

While higher nurse staffing levels are often associated with improved patient outcomes, that is not the case at "safety net" hospitals that provide care to low-income, uninsured and vulnerable populations. Despite having similar staffing levels, safety net hospitals experienced worse patient outcomes than other hospitals, according to a study published in the April 2011 issue of Medical Care.

Vascular Nurses Help Patients Manage Chronic, Dangerous Disease

They may have a high degree of independence, evaluating risk factors, treating wounds and educating and for these mostly elderly patients, who may be a risk for heart attack or stroke. Their work can also help ease patients' pain and prevent amputation.

Minister warned over loss of nurse leaders

The NHS is “haemorrhaging” nurse leaders due to government targets on management cuts in the run up to the transition to GP consortia, ministers have been warned.

Nurse education cuts risk from government plans

Government plans to put NHS trusts in charge of nurse education and training decisions carry a high risk of prompting training cuts, the Royal College of Nursing has warned.

Nurses fear cut in face to face time with patients

Community psychiatric nurses fear the introduction of personal health budgets will cut the amount of face to face time they spend with patients, a survey has revealed.

'Powerful evidence' of growing role of specialist nurses revealed

Powerful evidence” of the growing role of specialist nurses in the NHS has been demonstrated by figures showing the number of outpatients they treat is rising by more than 100,000 a year.

Classroom Clickers Ease Transition for Nursing Students

Instructors at the Gwynedd-Mercy College Frances M. Maguire School of Nursing in Gwynedd Valley, Pa., are seeing positive results from the use of classroom response systems. Not only do the devices, commonly called clickers, help freshmen in all disciplines make the difficult transition from high school to college, but they also provide benefits especially useful to nursing students. 

NHS nurse numbers fall, official figures show

Years of continuing growth in the number of registered nurses in the NHS has come to an end with the workforce now beginning to shrink, official figures show.

Grow a Culture of Safety
As the Institute for Healthcare Improvement’s Web page on developing a culture of safety states, “... an organization can improve upon safety only when leaders are visibly committed to change and when they enable staff to openly share safety information.” Nurse leaders are in a position to set their facilities’ quality standards and foster a culture of safety. It’s a mindset that starts at the management level but must permeate the nursing staff’s work philosophy to be effective. And it’s a culture that promotes action as opposed to passiveness, both as teams and individuals. 

The evidence shows that physician assistants could help improve access to healthcare
Yesterday, Croakey kicked off a series examining the potential of physician assistants to help improve access to health care, particularly for people in rural, remote and other underserved areas.Today, Associate Professor Moira Sim, from the School of Nursing, Midwifery and Postgraduate Medicine at Edith Cowan University in Perth, explains why her university plans to introduce a PA program.

Nurses face CPR ethical dilemmas

Nurses often face ethical dilemmas and anxiety about performing cardiopulmonary resuscitation (CPR) on patients over the age of 85, Norwegian researchers have warned.

Tool to assess patients' 'spiritual distress'

Swiss researchers have developed a “clinically acceptable” tool to assess whether older patients hospital are experiencing spiritual distress

‘On your bike’ order to community nurses

Community nurses to lose car allowances

Midwifery schools to close

HALF of Scotland’s midwifery schools are to shut as the Scottish Government slashes the number of training places by 45%.

Federal judge orders hospital to recognize nurses' union

In a move that gives hope to hospital labor unions and promotes proper management/worker relations, a Federal judge has ruled that Avanti Health System must recognize and bargain with the union representing the registered nurses of Community Hospital in Huntington Park, Calif.

Public health


New Zealanders who do not have enough access to nutritious and affordable food have higher levels of distress, a new study has found.

New Zealand Health Survey starts this week
The New Zealand Health Survey, which gets underway at the end of this week, will provide valuable information about New Zealanders? health and their use of health services.

Adolescents more at risk of death than children

Violence, car accidents and suicide are now the leading causes of adolescent deaths worldwide, trumping child mortality rates – and New Zealand teenagers are among those at risk.

Health and wellbeing

Rotating shift work may affect menstrual cycle

A study of more than 71,000 U.S. nurses found that those who had worked rotating shifts for a minimum of 20 months had a 23% higher risk of having irregular menstrual cycles compared with those who didn't work such shifts. Nurses who had the most rotating shifts were also more likely to have very short or very long menstrual cycles, the study in the journal Epidemiology found

Work and Management

Learn from mistakes with constructive criticism

Skilled managers use criticism constructively to improve practice - and welcome it themselves from their teams

Websites of interest

Community Nurse Audiometrists Association (inc)

The Community Nurse Audiometrists Association Inc. represents the professional interests of Nurse Audiometrists.   The Association provides a forum for discussion of hearing health issues, provides support and facilitates ongoing professional development.  The Association is constantly reviewing standards for professional practice in audiometry nursing through the development of Clinical Competencies, guidelines for the maintenance of professional standards and Clinical Practice Guidelines.

Australian Practice Nurses Association
The Australian Practice Nurses Association (APNA) is the national professional association for nurses working in primary health care, including general practice. Established in 2001, APNA is governed by a Board of Directors and has the following vision - Respected members and leaders of multidisciplinary teams providing better health and quality of life for all Australians

From the Ministry of Health

Uia Tonutia - Māori Disability Research Agenda

Date of publication (online): April 2011

Summary of publication

The Māori Disability Research Agenda aims to support research on Māori living with disability and their whānau/family.

It has three objectives:Building quality evidence. Capability development. Transfer of knowledge.Research priorities are identified to contribute to the achievement of whānau ora, more effective service delivery, and improved health and disability outcomes for Māori.

New publications

Clinical Practice Guidelines We Can Trust

Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes.

Follow Snips on Twitter will find us.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  Wednesday 6 April 2011

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