News bulletin 3 March 2012

on 3 March

Welcome to the College of Nurses – News Update.
No. 95 –  3 March 2012

From NZ media this week 

Vulnerable children need nurses
A full-time, government-funded nurse in every early childhood centre and every school in the country is a central proposal in the New Zealand Nurses' Organisation's (NZNO) submission on the Government's Green Paper on Vulnerable Children. 

Call for full-time nurses in schools
The nurses union is calling for a full time, Government-funded nurse in every early childhood centre and school to help identify child abuse cases. 

Plunket extends pilot scheme
Extra government funding put into Well Child services has enabled the successful Plunket extended well child service for young parents pilot programme to continue. 

Rest home staff on strike
Up to 1500 rest home staff across the country go on strike today for higher wages and better working conditions. Breakfast hears from David Wait of the NZ Nurses Organisation and Aged Care Association CEO Martin Taylor. 

Patient who committed suicide on hospital leave let down
Health board criticised after a man on leave from a psychiatric unit killed himself 

Hutt suicide victim's mum speaks out
Pam Whittington, whose son Kirk, 36, died in June 2008, says the Hutt Valley District Health Board tried to "cover up" the circumstances of her son's death while he was on home leave from a Lower Hutt mental health unit. 

Cholesterol drugs may get warning labels
Cholesterol-lowering medication may get new labels warning they could increase the risk of diabetes and dementia. 

$6m in pay for DHB's top 20 staff
As Waikato District Health Board staff sweat over their futures, it has been revealed that the DHB's top 20 earners between them account for more than $6.2 million in salaries. 

More patients getting key health services
Media release from Ministry of Health Tony Ryall. The latest quarterly results for the six National Health Targets show record improvements.Ministry of Health Tony RyallTuesday 28 February 2012, 9:58AM Media release from Ministry of Health Tony RyallThe latest quarterly results for the six National Health Targets show record improvements. 

Nurses accept 4.5% pay rise

Nurses have ratified a 4.5% pay rise staggered over two years, the New Zealand Nurses Organisation announced yesterday. 

Single South Island health board mooted
A single South Island health board would rid the health system of "nonsense parochialism", the head of a new neurosurgical service says. 

International media 

Nurse practitioners launch family practice clinicDana Hanson, APRN, and Karen Trees, DNP, founded and opened Phoenix HealthCare Clinic, 11960 Quivira Road in Overland Park, Kan. on Nov.1, 2011. The two met as emergency department nurses. They said they heard the same thing over and over from patients in the emergency room. 

Nursing Job Security Influenced By Type Of Elder Care Facility Ownership
According to a study in the March issue of Advances in Nursing Science, the type of facility ownership can affect job insecurity and stability for nurses working in elder care facilities. Fair management and positive leadership can alleviate job insecurities amongst care staff for the elderly, and potentially improve the level of care elderly residents receive. 

In Undergraduate Nursing Education, Shifting The Clinical Teaching Paradigm
To address the faculty shortage problem, schools of nursing are reexamining how they provide clinical education to undergraduate students to find ways to use faculty resources more efficiently so they can maintain student enrollment and meet the future need for nurses. 

Elderly care should be better regulated, says nursing leader (UK)
Unskilled health care assistants are caring for the elderly in a system that has failed to adjust to ageing patients, according to the chief executive of the Royal College of Nursing. 

A new trend for the aging
Geriatric EDs practice their own brand of preventive careRamazan Bahar, RN-BC, MSW, LSW, was treating a 75-year-old woman who came to the emergency room because her nose would not stop bleeding. The bleeding stopped in the ED, and she was discharged with instructions to skip her next dose of Coumadin and then restart with a lower dose. Luckily the woman had walked into a hospital that recently had opened a new geriatric ED. Part of the protocol for all patients 65 and older is to make a follow-up phone call within 72 hours.     

NMC and other regulators face legal overhaul (registration required to access this item in full)
Provisional plans have been drawn up that would give the Nursing and Midwifery Council and other professional regulators increased flexibility to use their powers while also making them more accountable.

Remote 'eye in the sky' keeping tabs on VA hospital patients

McQuillan, 30, is one of a team of doctors and nurses helping to transform the way the VA cares for patients in its intensive care units by tracking them remotely from a new Tele-ICU center in the Minneapolis hospital 

Northern Westchester Hospital Helps Patients ‘Care’ About Nutrition
MOUNT KISCO, N.Y. — When patients enter the care of the Northern Westchester Hospital, thoughts might wander away from basic necessities and focus on the task at hand—getting better. But the hospital has now taken a more holistic approach towards improving the patient, as it has implemented the “Food is Care” program, insisting that a meal is more than what you think of only when you’re hungry. 

Chief nurses call for E4E framework support
(You will need to register to access this item.  Registration is free – follow the instructions on the link below)
Nurses and midwives across England are being urged to publicly support Energise for Excellence (E4E), a framework that aims to ensure the delivery of high quality, safe and effective care.

Public health 

Hepatitis outbreak hits Auckland schools
Auckland is facing a hepatitis A outbreak with 19 cases confirmed, including some schoolchildren.  

Work and management 

The Impact of Workplace Incivility on the Work Environment, Manager Skill, and Productivity
Journal of Nursing Administration:July/August 2011 - Volume 41 - Issue 7/8 - ppg S17-S23  

Health and wellness 
Plan Your Way to Less Stress, More Happiness
A recent survey by psychologist and self-help author Robert Epstein found that 25% of our happiness hinges on how well we’re able to manage stress. The next logical question is, of course, how best can we reduce our stress?

Alcohol action newsletter
The  Alcohol  Action New Zealand  Newsletter  for February  2012 contains lots of important information for DANA  members in New Zealand. Follow this link to read full  articles about:
2012 and the Alcohol Reform Bill
The Green Paper for Vulnerable Children
Babies, children and alcohol” conference, March 22, 2012  
Local Alcohol Plans
The Trans Pacific Partnership Agreement  

Articles of interest 
Complexity and Change in Nurse Workflows
Journal of Nursing Administration:February 2012 - Volume 42 - Issue 2 - p 78–82As systems evolve over time, their natural tendency is to become increasingly more complex. Studies in the field of complex systems have generated new perspectives on management in social organizations such as hospitals. Much of this research appears as a natural extension of the cross-disciplinary field of systems theory. This is the 20th in a series of articles applying complex systems science to the traditional management concepts of planning, organizing, directing, coordinating, and controlling. In this article, the authors discuss how nurse workflow is characteristic of complex adaptive systems and the need for caution when selecting a performance improvement method. 

Family Presence on Rounds: A Systematic Review of Literature

Dimensions of Critical Care Nursing, February 2012 Much has been written about family presence, especially with regard to visitation and emergency care and resuscitation efforts, however little has been studied about including family members in medical or interdisciplinary rounds. Discover what the research says about family presence on medical rounds. 

Evaluation and management of pediatric and adolescent depression

Nurse Practitioner: 13 March 2012 - Volume 37 - Issue 3 - p 22–30Abstract: Youth who have mental health issues are more likely than their peers to seek primary care services. The primary care setting is an appropriate venue for screening and identifying pediatric depression. Additionally, nurse practitioners can provide initial management or referral to psychiatric mental health professionals for evidence-based treatments.

Helping patients with chronic conditions overcome barriers to self-care

Nurse Practitioner: 13 March 2012 - Volume 37 - Issue 3 - p 32–38Abstract: This article provides an overview of barriers to self-care, patients' perceptions and understanding of their chronic illness, interviewing techniques, and approaches nurse practitioners can use to reduce or eliminate barriers to self-care in adults with chronic conditions.   

From the Ministry of Health 
A Focus on Pacific Nutrition
Findings from the 2008/09 New Zealand Adult Nutrition Survey 

A Focus on Māori NutritionFindings from the 2008/09 New Zealand Adult Nutrition Survey  

Bowel cancer: Information for people at increased risk of bowel cancer
Bowel cancer is the second most common cancer in both men and women in New Zealand. 

Guidance on Surveillance for People at Increased Risk of Colorectal Cancer
This guideline provides evidence-based surveillance recommendations for people at increased risk of colorectal cancer.  

New publications and reports online 

Essential practice for infection prevention and control (PDF 669.4 KB)
The prevention and management of infection is the responsibility of all staff working in health and social care, and is an integral element of patient safety programmes. Health and social care settings can provide a challenging environment in which to manage risks associated with the transfer of micro-organisms from patient to patient or between the environment, equipment, staff and patients. Understanding how infections occur and how different micro-organisms act and spread is crucial to preventing infections. This publication provides important information and guidance on the essential principles of infection prevention and control and highlights why other issues, such as hydration and nutrition, should be viewed as an essential complementary component of nursing practice. It provides an overview of the core elements and rationale for infection practice and associated activities and is applicable to all nurses, midwives and health care assistants, regardless of their practice setting 

Māori and dementia: Māori health professionals’ perceptions of dementia, support offered and suggested improvements (Townsend, 2011). Findings suggest many Māori perceive dementia both from a traditional cultural perspective, associated with spirituality as well as a holistic understanding of wellness. It was considered important that mental health services are culturally appropriate, show respect for Māori values; are coordinated and sensitive; encourage and continue the development of a Māori mental health workforce; and further develop kaupapa Māori services for Māori elders.  

Youth’07: The Health and Wellbeing of Secondary School Students in New Zealand. Young People and Alcohol.
Ameratunga, S., Waayer, D., Robinson, E., Clark, T.C., Crengle, S., Denny, S., Sheridan, J. & Teevale, T. (2011)Auckland, New Zealand: The University of Auckland, Adolescent Health Research Group. 
The report can be viewed/downloaded at: 

Gerontology Nurse Specialist in Primary Care
In September 2010, HWNZ, together with Waitemata PHO, the University of Auckland, and Waitemata DHB, established the Gerontology Nurse Specialist (GNS) in Primary Care demonstration, a nurse-led initiative with a preventative and early intervention focus. 

iabetes Nurse Specialist Prescribing
In 2011, Health Workforce New Zealand (HWNZ), in collaboration with the Ministry of Health’s Nursing Team, and the New Zealand Society for the Study of Diabetes (NZSSD) established the diabetes nurse specialist prescribing project to demonstrate the effectiveness and safety of diabetes nurse prescribing.Evaluation Report - ‘Evaluation of the Diabetes Nurse Specialist Prescribing Project’ (PDF, 1.8MB)  

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  Saturday 3 March 2012 If you have any feedback about content - what parts are most useful or what you would like added - please email 

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