News bulletin 6 February 2013

on 6 February

Welcome to the College of Nurses – News Update.
No. 139,  Wednesday 6 February 2013

From NZ media this week 

Huge step towards skilled endoscopy workforce
A brand new knowledge, skills and competency framework has been developed in a bid to bring consistency to endoscopy nursing throughout the country. 

Perfect pass for UCOL Nursing students

UCOL’s Nurse Education Team and their students have good reason to celebrate with a 100 per cent pass rate in the Nursing State Finals across all three campuses. 

Nursing lecturer moves on

Witt School of Nursing lecturer Barbara Watkins is about to retire after more than 25 years on the job. 

Report warns of looming hospital cutbacks
Hospitals will be forced to reduce patient services because of an ongoing shortage of medical specialists, the Association of Salaried Medical Specialists has warned. 

Health Minister disputes staff shortage claims
The Health Minister is disputing a report which suggests the country is facing a shortage of medical staff. 

Rural Mental Health Campaign

Federated Farmer’s ‘When Life’s a Bitch’, rural mental health campaign, is under way and picking up traction. 

Rural 'Feeling Rotten' survey underway

Rural Women New Zealand is conducting a survey on the causes and effects of anxiety and depression in rural communities, updating a survey it did in 2006 that drew a large number of responses. 

Minister thanks clinicians on World Cancer Day

On World Cancer Day, Health Minister Tony Ryall would like to thank health professionals for their hard work and commitment to providing New Zealanders with better and faster cancer services. 

Newborn hearing screeners checked own ears

Problems with newborn hearing tests go back as far as 2010, a Ministry of Health investigation has found. 

Rest home failed dying 85 year old, tribunal finds

A rest home which poorly treated a woman, who later died, has been slammed in a report by the Human Rights Review Tribunal. 

Disabled seek alternative to rest home life

Hundreds young disabled people are still being cared for in aged-care rest homes more than two years after a deadline to stop the "unsatisfactory" practice. 

Public health 

Cat disease 'a danger to humans'

While Gareth Morgan's gripe about cats had more to do with the threat to native birds, scientists say there may be another reason not to trust your favourite feline. 

Patient alert system for disease 'not carried over'
A system of alerts on the medical records of patients who may have had the fatal brain disease CJD was given up five years before surgery on an undetected case led to others being put at risk. 

Exercise more and live longer, elderly urged

Elderly Kiwis should exercise more if they want to live longer and ensure they are not a burden on the already stretched public health system, the Ministry of Health says. 

International media 

Comprehensive Review Of Laws And Regulations Affecting Advanced Nursing Practice In Every State
The most comprehensive review of new legal and regulatory issues affecting advanced nursing practice across the United States is now available in the "25th Annual Legislative Update," presented exclusively by The Nurse Practitioner: The American Journal of Primary Healthcare.The Nurse Practitioner is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health. 

Advanced Practice Nurses And Physician Assistants Can Safely Perform Abortions
First trimester abortions are just as safe when performed by trained nurse practitioners, physician assistants and certified nurse midwives as when conducted by physicians, according to a new six-year study led by UCSF. 

Nurses' duties changing: Hospitals, schools prepare them for larger roles
Heading to the doctor’s office sometime this year? Chances are, you might see a nurse instead. 

Doctoral programs replace masters degrees in nursing
Several area universities are focused on doctorally-prepared nurses as a terminal degree in order to meet growing demands in a complex health care system. 

App’d to Fail: Mobile Health Treatments Fall Short in First Full Checkup
Early trials using mobile technology including text messaging and apps lack rigor and show mixed results 

First-Ever Guidelines Issued for Treating Type 2 Diabetes in Kids
Experts say rising obesity makes condition much more common in children 

Wards dangerously understaffed, say nurses in survey
More than half of nurses believe their NHS ward or unit is dangerously understaffed, according to a survey. 

Articles of interest 

Worklife Improvement and Leadership Development study: A learning experience in leadership development and “planned” organizational change
Health Care Management Review - Featured Journal
March 2013 
Volume 38  Number 1
Pages 81 – 93
Background: In response to increasing recognition of the importance of quality health care work environments, the Alberta Cancer Board initiated a province-wide leadership development program to plan for organizational change through a series of stages. In 2004, the Leadership Development Initiative (LDI) was implemented to facilitate organizational learning using a cohort-based leadership intervention based on a communities of practice framework. 

Understanding patient e-loyalty toward online health care services
Health Care Management Review - Featured Journal
March 2013 
Volume 38  Number 1
Pages 61 - 70
Background: Public health institutions are making a great effort to develop patient-targeted online services in an attempt to enhance their effectiveness and reduce expenses. However, if patients do not use those services regularly, public health institutions will have wasted their limited resources. Hence, patients' electronic loyalty (e-loyalty) is essential for the success of online health care services. 

The importance of relational coordination and reciprocal learning for chronic illness care within primary care teams
Health Care Management Review - Featured Journal
March 2013 
Volume 38  Number 1
Pages 20 - 28
Background: Recent research from a complexity theory perspective suggests that implementation of complex models of care, such as the Chronic Care Model (CCM), requires strong relationships and learning capacities among primary care teams.  

Legitimizing new practices in primary health careHealth Care Management Review - Featured Journal
March 2013 
Volume 38  Number 1
Pages 9 - 19
Background: Finding ways to reinvent primary health care is imperative. One way is to change practices from a physician-focused model to an interdisciplinary team approach where other health professionals (nurses, nurse practitioners, dieticians, rehabilitation therapists, and other qualified primary care providers) collectively take on much stronger roles-often providing services instead of the physician. Health care policy makers and professionals agree that these new practices are a good idea, and yet they have not been widely adopted. 

Quality improvement for patient safety: Project-level versus program-level learning
Health Care Management Review - Featured Journal
March 2013 
Volume 38  Number 1
Pages 40 - 50
Background: Improving quality and patient safety is of increasing strategic importance to health care organizations. However, simply increasing the volume of quality improvement (QI) activity does not necessarily improve patient outcomes. There is a need for greater understanding of QI success factors. 

The role of improvising in patient careHealth Care Management Review - Featured Journal
March 2013 
Volume 38  Number 1
Pages 1 - 8
Background: Uncertainty is inherent in health care systems. This uncertainty is related to the complexity of the system itself, as well as the potentially unpredictable trajectory of each patient's disease. One implication of uncertainty is that patient outcomes may be dependent on providers' ability to perform effectively in uncertain situations. Improvising is a critical activity that helps physicians act when the course of action is unclear or not routine.

From the Ministry of Health

Guidelines on Physical Activity for Older People (aged 65 years and over)
he Guidelines on Physical Activity for Older People gives five key recommendations to help older people live longer, healthier lives 

Food and Nutrition Guidelines for Healthy Older People: A background paper

Food and Nutrition Guidelines for Healthy Older People: A background paper aims to improve nutrition, increase physical activity, reduce obesity, and supports The Health of Older People Strategy (Ministry of Health 2002). 

Quality improvement review of a screening event in the Universal Newborn Hearing Screening and Early Intervention Programme
The Quality improvement review of a screening event in the Universal Newborn Hearing Screening and Early Intervention Programme (UNHSEIP) details the findings into an incident which led to 2000 babies being recalled for newborn hearing screening. 

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 February 2013
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