News bulletin 18 October

on 18 October

Welcome to the College of Nurses Aotearoa News Update.
No. 370 Wednesday 18 October 2017


World Health Organization Director-General Dr Tedros appoints Cook Islands’ Elizabeth Iro as WHO’s Chief Nursing Officer
Director-General Dr Tedros Adhanom Ghebreyesus today appointed Ms Elizabeth Iro as the Chief Nursing Officer at the World Health Organization (WHO).
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New WHO chief nursing officer promises to advocate for nurses
The World Health Organisation's newly appointed chief nursing officer, who is from the Cook Islands, hopes to use her position to make nurses' voices heard at an international level.
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Nurses alarmed at plan to employ non-professionals for mental health nursing
NZNO is alarmed to hear Capital and Coast District Health Board (CCDHB) are considering whether the shortage of mental health nurses may be solved by employing non-professionals.
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Survey finds rural nurses educated, experienced and older
The majority of rural nurses have undergone postgraduate study, are very experienced and face difficulties getting their patients to a base hospital, according to a recent survey.
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HDC criticises nurses’ failure to monitor newborn’s fluids and IV line
A newborn faced having plastic surgery on her arm after failures in IV nursing care and a registrar over-prescribed IV fluids, a Health and Disability Commissioner inquiry has found.
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NZ doctor's Hippocratic Oath change passed
A New Zealand doctor's amendment to the modern Hippocratic Oath sworn by all doctors has been ratified unanimously by the World Medical Association.
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Better information gets hip and knee patients back on their feet faster
Better information for Bay of Plenty patients about what to expect before, during and after total hip or knee replacements is helping them get back on their feet faster.
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Nurse educators: culturally safe in the classroom?
A research project is seeking to find out how culturally safe and prepared nurse educators feel to teach and support Māori nursing students.
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DHB to launch review over missing man
A full review is to be launched into how a “frail” man was able to leave the rehabilitation unit at a Dunedin hospital and go missing this week, the Southern DHB says.
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Hospital director says Counties Manukau DHB is addressing senior staffing shortfalls
Counties Manukau District Health Board has recognised a need to meet demand for more senior doctors.A recent survey by the Association of Salaried Medical Specialists (ASMS) revealed a shortfall of senior hospital staff at the DHB.
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Early Discharge and Rehabilitation Service helps get Willem back on his feet
With the help of a Waitemata District Health Board at-home programme, stroke survivor Willem Bessem is back on his feet taking part in his favourite hobbies.
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Funding frustration to fore as Southern DHB seeks public feedback
Funding frustration bubbled to the surface as the Southern District Health Board and WellSouth sought public feedback on their proposed primary and community health services strategy.
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Waikato DHB bullish about accreditation, but more challenges loom
Waikato Hospital staff are making plans over a projected shortage of midwives over Christmas.In May, the Waikato DHB signalled its maternity services could be stretched during December and January as a number of community-based lead maternity carer (LMC) midwives take leave.
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Police train hospital staff how to deal with meth users
Extra security has been added to the emergency departments in Blenheim and Nelson as staff struggle to cope with "agitated and aggressive" meth users.
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When parents disagree on immunisation
The case of a US mother jailed for not vaccinating her son has highlighted the problems that can arise when parents disagree about whether to get children immunised.

Rebecca Bredow, 40, from the Detroit area in Michigan, spent five days in jail for contempt of court after refusing a judge's order to get her nine-year-old son vaccinated.
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Super city rents drive patients to seek out cheap Waikato accommodation
The super city's super-sized rents are driving mental health patients south.Auckland's housing crisis has seen weekly rents in some suburbs top $600, pushing out increasing numbers of people on fixed incomes.
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Staff shortages hit Wgtn mental health services
Wellington's mental health crisis team is so understaffed it is considering hiring unregistered employees, while a union says patients are being put in seclusion rooms.
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'It can no longer continue': mental health service cuts beds over staff woes
The only acute mental health unit on Auckland's North Shore has been forced to close five beds because it can't find staff.
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Police systems overhauled to stop mentally ill people being locked up
A radical overhaul of police systems could slash by 75 per cent the numbers of mentally ill people being locked up in police cells.
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Why is Wairarapa's suicide rate twice the national average?
Wairarapa is perhaps more accustomed to being noted for its views, its coastline, and its thriving agriculture. Now it also has the unwanted claim to a suicide rate that is twice the national average.
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New Zealand retains bronze in OECD obesity stakes
New Zealand is fat and getting fatter – officially.
A new OECD "obesity update" shows that nearly one-in-three Kiwis is obese and the only fatter nations are the United States and Mexico.
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Anaesthetists Counselling Patients on Surgery Risks
Anaesthetists look after you before, during and after your operation.
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Mumps outbreak could last another year
The mumps outbreak in Auckland has now seen 600 people affected and could continue for up to a year, says a public health expert.
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Insight into the challenges and contributions of nurse bioethicists
PHILADELPHIA (October 13, 2017) - Nurse bioethicists are a small but special subset of the nursing profession and bioethics community, focusing on the moral complexities that arise in clinical care, research, and health policy.
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More Nurses Are Earning Bachelor’s Degrees, But Likely Will Not Reach 2020 Goal
The proportion of front-line nurses with bachelor’s degrees in U.S. hospitals increased from 44 percent in 2004 to 57 percent in 2013, but will fall short of a national goal to reach 80 percent by 2020, finds a new study by NYU Rory Meyers College of Nursing.
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Number of NHS nurses falls for first time since 2013 after 'significant drop' in EU staff
Significant reduction in EU nurses joining UK register since Brexit referendum and changes to language testing requirements are key reasons for the fall, according to the King's Fund
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To-Do Lists
The Key to Efficiency
Do you often feel overwhelmed by the amount of work you have to do, or do you find yourself missing deadlines? Or do you sometimes just forget to do something important, so that people have to chase you to get work done?
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Releasing the potential of Nursing
Jenny Carryer
Journal of Primary Health Care 9(3) 197-199
Since the early 1940s, New Zealand’s primary care policy has been notable for the shared control between government and general practitioners (GPs), largely because GPs have retained their independence in the private sector. Because governments have continued to support GPs’ right to charge co-payments ‘this has consistently positioned government as subsidizer rather than total funder of primary care’.1 This means that general practices operate in a hybridized model attempting both to provide affordable care to their local communities while simultaneously sustaining the objectives of a viable business.
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Best practice in clinical simulation education − are we there yet? A cross-sectional survey of simulation in Australian and New Zealand undergraduate nursing education
Fiona Bogossian, Simon Cooper …; et al
Collegian (IN press)  2017

Simulation is potentially a means of increasing clinical education capacity. Significant investments have been made in simulation but the extent to which this has improved uptake, quality and diversity of simulation use is unclear.

To describe the current use of simulation in tertiary nursing education programs leading to nurse registration Australia and New Zealand, and determine whether investments in simulation have improved uptake, quality and diversity of simulation experiences.
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The ethics/advocacy connection
Smith, Mary Atkinson DNP, FNP-BC, ONP-C, CNOR, RNFA
Nursing Management: August 2017 - Volume 48 - Issue 8 - p 18–23
What are the ethical leadership qualities of nurses, and how do these traits contribute to competent, safe patient care?
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NHI Number Format Change: Public Comment document
Submissions close 5.00 pm, Tuesday 14 November 2017.
Published online: 09 October 2017
A format change is proposed for the NHI number.  This is based on the need to extend the range of NHI numbers available for future use.  The effect of this change will be significant.
Note: An ‘effective from’ date is yet to be determined for the implementation of this change. This public comment process is to communicate the purpose and nature of the proposed change.
HISO 10046 Consumer Health Identity Standard is the standard that describes the present NHI number format, and would be updated to reflect the agreed new format.
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Withdrawal and Containment of Dated HISO Standards: Public comment document
Submissions close 5.00 pm, Tuesday 14 November 2017.
Published online: 09 October 2017
HISO intends to withdraw certain standards and move others into containment as they are no longer fit for purpose or fully current.
Group 1 – Withdrawn standards
These are standards that are agreed to be not fit for purpose or are not in general use within the sector. They are to be withdrawn from publication and removed from the Ministry website.

Group 2 – Standards in containment
These standards while not in frequent use, retain some value. These standards will remain on the Ministry website but be qualified as ‘Standards in containment’. This means that these standards may:continue to be used for systems in operation or where a minor update to the system is required not be used where a new system is proposed or where a major change to the system is to occur.
How to have your say
The closing date for submissions is 5.00 pm, Tuesday 14 November 2017.
Comment is sought to ensure the sector is well-informed of the changes and has a chance to respond where there may be impacts or opportunities.
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Muslim aged care: a practical guide for service providers
Meaningful Ageing Australia
This guide is a comprehensive resource for Muslim aged care. It covers wide-ranging topics such as, religion, culture, and identity of Muslims to provide the context and basis for planning culturally appropriate care for them.
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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 17 October  2017

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