News bulletin 30 January 2013

on 30 January

Welcome to the College of Nurses – News Update.
No. 138,  Wednesday 30 January 2013 

From NZ media this week 

Diabetes Nurse Specialists to become designated prescribers

With more than 9000 Northlanders known to have Diabetes and a projected increase of 72% by 2026 (14,500) it is welcome news that four Northland Diabetes Nurse Specialists (DNS) are undertaking relevant training, education and supervision to become designated prescribers. 

Marion Guy takes role as nurses' president
A Tauranga woman awarded a Queen's Service Medal for her contribution to nursing has been elected the first full-time paid president of the New Zealand Nurses' Organisation.

Nurses back feed kids Bill
The New Zealand Nurses Organisation (NZNO) is supporting the MANA party’s Bill which aims to set up breakfast and lunch programmes in all decile 1 and 2 schools. 

Sponsorship programme for Kiwi kids
A sponsorship programme used to feed starving children in Third World countries is now being used to help poor Kiwi kids.Children's charity Variety has launched a scheme that allows people to sponsor an individual Kiwi child living below the poverty line for $35 a month, or about $1.15 a day. 

Roll out of $10 million for school kids’ preventative health
Health Minister Tony Ryall says 22 decile 3 secondary schools will be providing new school based health services this term.$10-million-for-school-kids%E2%80%99-preventative-health.aspx 

Adverse drug events claimed five patients
Prescribed medication led to the deaths of five people in New Zealand hospitals between March 2010 and February 2011, a study has found. 

Over 350 'adverse' drug eventsPrescribed medication led to the deaths of five people in New Zealand hospitals, a study has found.Research by the Counties Manukau, Capital and Coast and Canterbury district health boards has found 353 people were harmed by medication-related problems between March 2010 and February 2011. 

In Response to: “Mentally Ill Clogging up Emergency 111 Numbers” article Dominion Post,21 January 2013.
Changing Minds was disappointed with the commentary and ill-informed views evident in Monday’s Dominion Post article, “Mentally Ill Clogging up Emergency 111 Numbers”. 

Social media puts the public in public health information: new University of Sydney research
22 January 2012According to new research from the University of Sydney, micro-blog-based services such as Twitter could be a promising medium to spread important information about public health. 

Orion sees 'healthcare Facebook'
New Zealand's largest private IT company, Orion Health, could be at the leading edge of creating "the Facebook of healthcare" as medical records are increasingly digitised. 

Organ Donations Remain Low Despite Funding Boost
New figures released by Organ Donation New Zealand show that there were just 38 organ donors last year. 

Combination vaccination 'gives parents no choice'
A Wellington father says he would happily vaccinate against tetanus, but bureaucrats have undermined a parent's choice by combining the shot with the diphtheria vaccine. 

Public health 

New strain behind norovirus illnesses
A new and deadly strain was behind most of the norovirus illnesses that affected dozens of people throughout New Zealand late last year. 

Study: Quake kids still stressed
Christchurch children are still suffering from anxiety two years after the earthquakes, a new study concludes. 

More funding for cochlear implants
The number of adults receiving cochlear implants for severe or profound hearing loss is to triple this financial year thanks to an additional $2.6 million of one-off funding. 

DHB specific 

Christchurch patients, staff face disruption
One of the biggest health overhauls since the February 2011 earthquake could force half of Christchurch Hospital's patients and staff to move. 

New medihotel welcomes first patient
aikato Hospital's new Medihotel has welcomed its first post-procedural patient needing clinically supported accommodation the night before discharge.

International media 

'Care makers aim to get people excited about nursing again' (opinion piece)
Care, Compassion, Communication, Competence, Commitment and Courage - the 6Cs. 

4 Strategies to Engage Nurses in Quality Improvement Activities
There was little increase in nurses' participation in quality improvement activities from 2004 to 2008, according to a study published in the Journal of Nursing Care Quality and reported by the Robert Wood Johnson Foundation. 

Portuguese nurses to fill 'shortage' at East Anglian trust (registration needed)
West Suffolk Hospital has recruited 40 nurses from Portugal, citing a shortage of registered nurses in Britain. 

Nurse-led unit to display profiles of staff and patients (registration needed)
patient profiles are to be posted above beds as part of a scheme designed to help nurses get to know those they are treating as “real people”.  

Articles of interest 

Understanding Critically Ill Patients Hemodynamic Response to Mobilization: Using the Evidence to Make It Safe and Feasible
Critical Care Nursing Quarterly
March 2013 
Volume 36  Number 1
Pages 17 - 27
In today's critical care environment, we face a difficult but essential task. We must provide comprehensive, compassionate, complex, technological care without causing harm to our patients. To foster a patient-safe environment, we must examine care practices and processes to reduce the chance of error. Successful early mobilization of critically ill patients can reduce several complications including atelectasis and ventilator-associated pneumonia and shorten ventilator time along with cognitive and functional limitations that linger 1 to 5 years after discharge from the intensive care unit. A long-standing challenge to successful mobilization of critically ill patients is the safety concern of hemodynamic instability. An in-depth exploration of what happens to a critically ill patient physiology during mobilization was done to foster a better understanding of strategies that promote adaptation. The article examines the evidence supporting the need to assess readiness for mobilization to reduce the risk of adverse events. Evidence-based tools and techniques to help clinicians prevent hemodynamic instability before, during, and after in-bed or out-of-bed mobilization are discussed. With safety serving as the overriding goal, we can overcome the barriers and succeed in creating and sustaining a culture of early progressive mobility programs within the intensive care unit. 

Institutionalizing integrated treatment for concurrent disorders: Creating new organizational discourse
Health Care Management Review - Featured Journal
March 2013 
Volume 38  Number 1
Pages 51 - 60
Background: The high overlap of mental health and substance use problems in the Canadian health care system and the subsequent demand for more effective services for clients with these high-risk issues have stimulated the debate on their integrated treatment. Although the idea of integration has been endorsed by decision makers at both programs and system levels, little attention has been paid to factors that have facilitated this process. 

Online Learning: An Innovative Solution to Meeting the Challenges of Staff Education
Journal for Nurses in Staff Development
December 2012 
Volume 28  Number 6
Pages 285 - 287
Scheduling traditional continuing education and required classes for homecare staff can be challenging, resulting in low attendance and compliance rates. Innovative, flexible, and accessible educational opportunities are needed to meet clinicians' educational needs. This article describes the affect of implementing online learning at one homecare agency. Implementation of online learning has resulted in an improvement in staff satisfaction, increase in compliance, and cost savings.,%20Issue%201 

Scope and Standards: Arkansas Children’s Hospital: A Framework for Education and Professional DevelopmentJournal for Nurses in Staff Development
December 2012 
Volume 28  Number 6
Pages 297 - 299
Over the past year, I have had the privilege of corresponding with a number of individuals in nursing professional development across the nation about their efforts to integrate the Nursing Professional Development (NPD): Scope and Standards (National Nursing Staff Development Organization and American Nurses Association, 2010) into their practice environments.,%20Issue%201 

Staff development special: Don't cross the line: Respecting professional boundariesNursing Management
January 2013 
Volume 44 Number 1
Pages 24 – 32
At best, nurses and patients develop a special bond based on trust, compassion, and mutual respect. The nurse-patient relationship can provide the "context for care" linked to improved patient outcomes, including satisfaction and trust.1,%20Issue%202 

Organ and tissue donation basics
Nursing Made Incredibly Easy!
January/February 2013 
Volume 11 Number 1
Pages 30 - 36
Currently in the United States, approximately 18 people die each day waiting for an organ. Simple fact-organ and tissue donation saves lives. We fill you in on the process from referral to the final procurement procedure in the OR.

Reports online 

Workplace wellness programmes (USA)
A new report from the Greenlining Institute and Prevention Institute, Health, Equity, and the Bottom Line: Workplace Wellness and California Small Businesses, explores the risks and benefits that could emerge as California's small businesses begin to implement workplace wellness programs. The findings and recommendations have relevance for public and private sector decision makers and workplace wellness policy across the country. 

Online resources 

If your patient was abusing prescription or illicit drugs, would you know? (USA)
In 2011, 3.1 million persons aged 12 or older reported using an illicit drug for the first time within the past 12 months. This averages to approximately 8,500 initiates per day1. Additionally, 6.1 million persons aged 12 or older reported the nonmedical use of prescription psychotherapeutic drugs in the past month1.The National Institute on Drug Abuse (NIDA), part of the National Institutes of Health, has developed NIDAMED, a portfolio of resources to help nurses and other clinicians better address drug abuse in their patients. 

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 30 January 2013 If you have any feedback about content - what parts are most useful or what you would like added - please email 
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