News bulletin 9 November 2011

on 9 November

 Welcome to the College of Nurses – News Update.
No. 79 – 9 November 2011 

From NZ media this week 

Nurse to research psychosocial effects of disasters A New Zealand mental health nurse who witnessed the aftermath of 9/11 and trained nurses following the 2005 Boxing Day tsunami and recent Canterbury earthquakes will return to the United States of America next year, to conduct groundbreaking research into the health sector's preparedness for the psychosocial effects of major disasters and ability to maintain long-term competency after such events. 


Joy Millar is nursing her way through remote parts of the world. She's just returned from three months' work in Papua New Guinea on the Youth with a Mission – YWAM – Mercy Ship. 


The revamp of an after-hours medical centre in Nelson has cost eight nursing and administration jobs from a staff pool of 15 

'For the love of my mother'When Sean Davison and his mother Pat clapped eyes on each other at Dunedin Airport they both burst into tears. 

Trial fuels debate on euthanasia
The Voluntary Euthanasia Society of New Zealand hopes a Dunedin case will ignite further public debate on euthanasia. 

Abortions refusal right reinforced
Health boards have been told their employees must be allowed to refuse to assist with abortions. 

Mental health screening for all new inmates
All new prisoners are to be screened for mental illnesses such as depression and anxiety from June next year. 

Still some way to go in aged care
Fifteen out of 36 rest homes in the MidCentral Health region have only "partially attained" the minimum level of standards required. 

Sexual health services 'a rural issue'
Greater funding for sexual health care in Nelson may be needed, a new study shows. 

Research finds Māori women presenting with symptoms for male whānau at GPs
New research out shows Māori women are presenting with proxy symptoms to GPs to get medications for male whānau members. The research is published in a special health issue ofAlterNative: An International Journal of Indigenous Peoples launched this week. 

International media 

Fiji signs up to national registration

A NSW symposium canvassed the latest trends in nurse migration, reports Linda Belardi. 

Telehealth Programs Gaining Ground in Nursing Education
As telehealth has emerged as a vital resource for medical professionals and patients, nursing schools are adding telehealth programs. "With technology, there are not a lot of boundaries. Your imagination is your boundary. You can really use telemedicine with just about anything," said associate professor Cathleen Collins of the University of Virginia's College at Wise Department of Nursing. 

Plan to map high-flyers' careers from pre-qualification to consultant level
Nurses’ careers would be mapped out from pre-qualification through to staff nursing and consultant level, under a training programme planned by an alliance of hospitals and universities in London and the South East. 

Unions to probe global migration

Mapping research launched to monitor the impact of moving health workforce. 

Survey finds nurses are both mobile, social
A survey of more than 1,000 nurses, most of them nurse educators with advanced degrees, revealed that 74.6% were smartphone or tablet computer owners. Researchers from Springer Publishing also found that 68.4% are on Facebook, while 37.3% are on LinkedIn. "These findings indicate the rapid growth of mobile technology use among those in the health care industry," a company official said. 

Nurse sacked over Facebook patient picture
A nurse who posted a picture of a patient on Facebook was dismissed from her job, it has emerged. 

Scottish nurses fear job losses following government cuts
Many nurses in Scotland have expressed fears that their jobs will be affected by ongoing government cuts, according to a nursing body. 

Nurse Practitioner Reduces Unnecessary Emergency Department Visits
Adding a nurse practitioner (NP) to a busy hospital staff can decrease unnecessary emergency department (ED) visits, according to a study published in the latest issue of Surgery by researchers at Loyola University Health System... 

Leaked documents reveal plan to cut nursing budgetLeaked cabinet papers show the Victorian Government has considered a plan for massive nursing budget cuts and replacing skilled nurses with "assistants" for some duties. 

Pay deal long way off: Vic nurses

Victorian ANF says it’s concerned by government proposals to abolish nurse patient ratios.  

Health and wellness 

Stress-related illness risk 'present in one in 10 nurses'Around one in 10 nurses and nurse managers are at risk from illness caused by stress, according to Swedish researchers.  

Articles of interest 

Perspectives on the experience of being physically restrained: An integrative review of the qualitative literature
nternational Journal of Mental Health Nursing
Volume 19, Issue 6, pages 416–427, December 2010
Publications providing information on the safe use of physical restraints, guidelines for restraint use, and journal articles on the care of mental health patients are frequently devoid of information regarding patients' perspectives on physical restraint. As physical restraint is a common procedure in many settings, the purpose of this review is to examine and summarize the qualitative literature on patients' perspectives on being physically restrained, from 1966 through to 2009. A formal integrative review of existing qualitative literature on patients' perspectives of physical restraint was conducted. Studies were critiqued, evaluated for their strength, and analysed for key themes and meanings. Twelve studies were ultimately identified and included in the review. Four themes emerged from the review, including negative psychological impact, retraumatization, perceptions of unethical practices, and the broken spirit. While little qualitative research on patients' perceptions of physical restraint exists, findings within the current literature reveal serious implications for patients and nurses alike. Additional research into physical restraint implications for the patient–nurse dyad is needed, and nurses should approach the use of physical restraint with caution and awareness of their potential psychological impact. 

A model of succession planning for mental health nurse practitioners
International Journal of Mental Health Nursing
Volume 19, Issue 4, pages 278–286, August 2010
This paper reviews current literature on succession planning for mental health nurse practitioners (NPs) and discusses a model of succession planning that is underpinned by principals of leadership development, workforce participation and client engagement. The paper identifies succession planning as a means of managing a present and future workforce, while simultaneously addressing individual and organizational learning and practice development needs. A discussion of the processes attendant upon sustainable succession planning – collegial support, career planning and development, information exchange, capacity building, and mentoring is framed within the potential interrelationships between existing NP, developing NP and service directors and/or team managers. Done effectively and in partnership with wider clinical services, succession planning has the potential to build NP leadership development and leadership transition more broadly within mental health services. 

nline resources
Preventing Surgical Fires.
US Food and Drug Administration.  

When someone asks for your assistance to die
Assisted suicide generates debate on a variety of levels – ethical, moral, religious, spiritual, political, cultural, psychological, professional and legal. It is an issue that affects the nursing workforce, both as individuals and as health professionals. Most people who are approaching the end of their lives in the UK do not ask a health professional to hasten their death, but a minority of individuals do express a readiness or desire to die. Nurses and health care assistants (HCAs) are often the members of staff that patients, and their families and carers, feel comfortable enough to approach and express a desire to actively hasten death. However, such requests can provoke concern for nurses and HCAs as they determine how best to respond professionally and compassionately and continue to support patients in their ongoing care. This guidance has been developed to support nurses, HCAs, and other health professionals in adult practice who may be asked by patients, or their families or carers, to become involved in assisting suicide. It covers the law on assisted suicide in the UK, as well as the law on advance decisions. The publication includes information on when and why people express a wish to die and guidance on professional accountability and end of life care, with frequently asked questions to help health professionals respond in such circumstances. It also includes details of further resources available to improve end of life care practice. 

From the Ministry of Health 
An Implementation Plan for the Guidance for Improving Supportive Care for Adults with Cancer in New ZealandDate of publication (online): October 2011

Summary of publication
The Ministry of Health contracted with Health Outcomes International (HOI) in April 2010 to develop a plan to implement the Guidance for Improving Supportive Care for Adults with Cancer in New Zealand.
As part of the project methodology, the following three priority areas were identified:care co-ordinationpsychosocial supportinformation support.HOI then undertook further research of these three areas including an electronic stocktake survey, key informant interviews and targeted literature reviews. Based on the research a set of immediate and ‘realistic’ actions along with longer-term ‘aspirational’ actions have been proposed in the attached implementation plan.

The research findings are documented in greater detail in the accompanying report Implementing Supportive Care Guidance Project: Priority Areas Research Report.

The recommendations outlined in the implementation plan will be prioritised and used to inform the Ministry, Regional Cancer Networks, District Health Boards and Non-governmental Organisations annual work plans over the next five years.  

Bone Marrow Transplant Services in New Zealand for Adults – Service Improvement PlanDate of publication (online): October 2011

Summary of publicationBone Marrow Transplants (BMTs) are provided by five District Health Boards (DHBs) in New Zealand (Auckland, Waikato, MidCentral, Capital and Coast, and Canterbury DHBs). Recently there has been significant growth in demand for BMT services, most evident at Auckland DHB.

This Service Improvement Plan (the Plan) is the start of a process for increasing capacity and improving the delivery of BMT services in New Zealand. It has been developed to assist DHBs to plan for adult BMT services over the next 3-5 years.

The Plan recommends that the current configuration of BMT services is continued in New Zealand. That is, that autologous BMT services continue at Auckland, Waikato, MidCentral, Capital and Coast, and Canterbury DHBs; and allogeneic BMT services at Auckland, Capital and Coast, and Canterbury DHBs.

In addition, four main areas of service improvement have been identified:development of national clinical indications, consistent with international best practiceaddressing capacity issues– physical and specialist staffingimproving waiting times for BMT servicesinternational accreditation of BMT services and facilities.This Plan has been developed by the Ministry of Health and the Haematology Work Group. The Cancer Treatment Advisory Group and Cancer Control Steering Group endorsed the Plan with the proviso that if clinical indications or eligibility are reviewed and amended then the Plan will need to be updated accordingly.  

Of interest 
Prevention Institute
Prevention Institute was founded in 1997 to serve as a focal point for primary prevention practice—promoting policies, organizational practices, and collaborative efforts that improve health and quality of life. As a national non-profit organization, the Institute is committed to preventing illness and injury, to fostering health and social equity, and to building momentum for community prevention as an integral component of a quality health system. Prevention Institute synthesizes research and practice; develops prevention tools and frameworks; helps design and guide interdisciplinary partnerships; and conducts training and strategic consultation with government, foundations, and community-based organizations nationwide and internationally. 

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 8 November 2011 If you have any feedback about content - what parts are most useful or what you would like added - please email

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