News bulletin 22 May 2013

on 22 May

Welcome to the College of Nurses – News Update.
No. 154, Wednesday 22 May  2013 

From NZ media this week 

Courage earns Gisborne nurse highest honour 
GISBORNE grandmother awarded the highest international honour for nurses says she relishes her work in the world’s war and disaster zones, but it does worry her mum. 

Nursing veteran
Education is a major mission for Michele Udy, a Wairau Hospital nurse awarded a scholarship for her innovation and excellence in practice. 

Nurse sacked for slapping violent patient keeps job
A nurse sacked for slapping a violent mental health patient who spat in his face has been allowed to keep his job. 

Nurse censured for abuse, inappropriate touching
A former Wakari Hospital mental health nurse has been censured for verbally abusing patients, and inappropriately touching one of them. 

Clinic doctors charge $25 to treat children

Doctors' worries over being undercut means free care for under-6s unavailable after hours. 

New hospital nears time to open doors

Nursing staff will be the first to see inside Taranaki's new $80 million hospital this week.Taranaki Base Hospital's new children's and orthopaedic wards have been finished along with six state of the art operating theatres 

Board adopts Whanau Ora
Whanganui District Health Board has formally adopted Whanau Ora - and it will benefit the entire Wanganui community. 

Graduates key to medicine's gender disorder
The growing number of female senior medical professionals entering the workforce is exacerbating a much larger problem - not enough people are graduating from medical schools in New Zealand. 

Three million calls to Healthline

Media release – 20 May 2013The free health information and advice phone service Healthline – 0800 611 116 – has just chalked up its three millionth call. 

Announcement of Ministry of Health Chief Advisor – pharmacy focus
The Pharmacy Guild of New Zealand (the Guild) is pleased to hear of the creation of a pharmacy-focused Chief Advisor at the Ministry of Health, and the appointment of Andi Shirtcliffe into the role. 

Smoking ban in spotlight as judicial review begins
A former mental health patient, who was denied the right to smoke, believes allowing addicted patients to smoke has far more positives than negatives. 

 Hospital smoking ban labelled 'torture'
A mental health patient who killed himself was put off seeking hospital treatment because he was not allowed to smoke onsite, a lawyer leading a judicial review application on smoking in hospitals says. 

New services for GPs aimed at enhancing rehabilitation after injury

An evolution is happening in doctors’ surgeries across New Zealand, aimed at making better use of work-based rehabilitation to help people recover from injuries. 

Māori DHB directors isolated and over-burdened

Māori directors on district health boards (DHBs) are burdened by the responsibility of being the sole advocates for Māori health, according to new research from a Massey University PhD graduate. 

Green Prescriptions going global

Over 250,000 Green Prescriptions have been issued to New Zealanders from their GP or practice nurse to encourage them to eat healthier, get active and improve their health since the initiative began. 

Coroner condemns bed sharing after another baby dies
A coroner has again found himself pleading with parents not to sleep with their babies beside them - a practice he earlier condemned as child abuse. 

Time to celebrate work of our nurses

Linda Hodson became a relieving district nurse on Waiheke in 1980.She says at that time district nurses "did it all", including baby checks, dressings and showering patients.  

DHB specific 

New campaign to reduce harm to patients

The government has announced a new campaign to reduce harm to patients. 

Canterbury DHB Welcomes National Patient Safety Campaign
Canterbury District Health Board (CDHB) is committed to its goal of zero harm to patients and pledges support to the Health Quality and Safety Commission (HQSC) for its leadership in announcing its National Patient Safety Campaign today. 

Waitemata Hits New High in Hand Hygiene

Waitemata District Health Board’s drive for continuous improvement in patient care has seen it hit a new high in hand hygiene compliance. 

Budget 2013-  

New funding won't help
Today's Budget promise of an extra $21.5 million to reduce New Zealand's high rate of rheumatic fever among children will do little for Northland, which has the highest rate of the "Third World" disease in the country, Northland medical officer of health Clair Mills says. 

Budget 2013: Health receives the largest Budget increase

New Zealand's public health services receive the largest increase in funding in the Budget, Health Minister Tony Ryall says. 

Budget 2013: Families will be paid to care for disabled adult relatives
Family members will be paid to look after their disabled adult relatives after the Government set aside $23 million for carer payments in this year's Budget. 

Govt unveils slim poverty-tackling package

The Government has unveiled a modest package of anti-poverty measures, with promises more help is on the way. 

Budget 2013: $4.3m prostate cancer campaign to save lives

Budget 2013 will deliver $4.3 million over four years to raise awareness of prostate cancer and ensure men have better access to quality information and care, Health Minister Tony Ryall says.$43m-prostate-cancer-campaign-to-save-lives.aspx 

Budget 2013: $35.5m extra for diabetes and heart disease

New Zealanders with or at risk of developing diabetes and heart disease will benefit from a $35.5 million boost of new funding over four years, Health Minister Tony Ryall says.$355m-extra-for-diabetes-and-heart-disease.aspx 

Workforce training cash surplus should be re-directed
A $10 million under spend in health workforce training coupled with a $2 million top-up to training announced in the Budget, clearly indicates that more incentives could be put into attracting doctors and nurses to hard to staff rural areas, says New Zealand Rural General Practice Network chairman Dr Jo Scott-Jones. 

Public health 

Meningococcal Meningitis: A Terrifying Illness
Media Release17 May 2013
Auckland Medical Research Foundation
Free Public Lecture
AMRF Auditorium, Faculty of Medical & Health Sciences, The University of Auckland 85 Park Road, Grafton, Auckland Thursday 23 May 2013, 7pm
Meningococcal Meningitis: a terrifying illness
The Auckland Medical Research Foundation is to hold a free public lecture on a topic of growing interest Meningococcal Meningitis. 

Doctors seek help to mend broken hearts
A simple swab can diagnose a Third World disease that's striking down kids from New Zealand's poorer areas. District Health Boards are using part of an extra $21 million cash injection to expand a programme in our schools to stem acute rheumatic fever - which starts as a common sore throat. 

Progress in K2 campaign
Progress has been made to clear the shelves of the synthetic drug K2. 

2013 Asthma Information

Asthma Awareness Week is on the 20-26 May, with Balloon Day, our main fundraising event, on Friday 24 May. 

With asthma, sometimes you need to make a fuss!

Asthma Awareness Week, on 20-26 May, aims to raise awareness of the high number of children, particularly Māori children, who are affected by and end up in hospital with asthma. 

At least one person dies every week from asthma

Asthma Awareness Week is the 20-26 May with Balloon Day on Friday, 24 May.Charlie Temel had asthma off and on since he was about four years old. This included stays of up to five days in hospital and lots of trips to hospital in the middle of the night. A popular, outgoing and sporty boy, Charlie never let asthma hold him back. Just after his ninth birthday, Charlie suddenly stood up from what he was doing, said he couldn’t breathe and he collapsed. It was that quick. 

Advance in halting 'allergic march'

Wellington scientists have made a significant breakthrough in unravelling the mystery of what triggers allergies at epidemic proportions. 

Allergy epidemic impacts more than one-third of NZers
At least one-third of New Zealander’s health is impacted by allergies and one in ten babies born in New Zealand today will develop a significant allergy related health issue. 

Asthma may hit learning

Research has shown children with asthma are more likely to struggle with reading than those without, but a local expert says asthma should not be a barrier to learning. 

Social health

 “Talk. They Hear You.”
SAMHSA’s underage drinking prevention PSA campaign helps parents and caregivers start talking to their children early—as early as nine years old—about the dangers of alcohol. 

School breakfast programme may run five days a week

A school breakfast programme run by Fonterra and Sanitarium may be extended to five days a week with extra Government support from the Budget. 

Psychiatric patients fight ban on smoking

Cigarette bans can be torture for people in mental health wards, says lawyer 

Mental health 

Care plan urged for mental health patients

Patients at an acute Wellington mental health clinic should only be discharged with an extensive plan about future risks after a woman was found dead just weeks after being released, a coroner has ruled.  

Wondering about work? New tool helps patients and their doctors talk about employment and mental health
16 May 2013
For many people experiencing a mental health condition, the decision to return to employment can be a difficult one. 

Farming conference highlights depression in rural communities
Farmer David Hunt has spoken out about his battle with mental illness in a bid to raise awareness of the warning signs for depression in rural communities. 

International media 

National empowerment key to reducing suicides and community distress

The success of a local empowerment project designed to reduce the high rate of suicide among Aboriginal and Torres Strait Islander people has led a team of researchers from The University of Western Australia to hope it will be useful for Indigenous communities across the rest of the nation. 

Police 'to get nurse help' dealing with mental health cases
Nurses will help police officers sent to deal with incidents involving mentally ill offenders, under plans revealed by the Home Secretary. 

Charity highlights link between debt and mental health problems
Last year 5,000 people suffering from financial problems coupled with either anxiety or depression contacted StepChange 

Perspectives of Physicians and Nurse Practitioners on Primary Care Practice

BACKGROUNDThe U.S. health care system is at a critical juncture in health care workforce planning. The nation has a shortage of primary care physicians. Policy analysts have proposed expanding the supply and scope of practice of nurse practitioners to address increased demand for primary care providers. These proposals are controversial. 

Expanding the Role of Advanced Nurse Practitioners — Risks and Rewards

As the 2014 expansion of coverage mandated by the Affordable Care Act (ACA) looms larger, one question with no ready answer is how health care providers, policymakers, and payers will cope with an expected surge in patient demand for services. A shortage of primary care physicians to treat newly insured persons is the most immediate health workforce issue, but when added to the nation's population growth and more aging patients who require treatment, finding a practitioner may become an even more daunting challenge.  

Articles of interest 

Clinical implications and validity of nursing assessments: a longitudinal measure of patient condition from analysis of the Electronic Medical Record
Objectives This study investigates risk of mortality associated with nurses’ assessments of patients by physiological system. We hypothesise that nursing assessments of in-patients performed at entry correlate with in-hospital mortality, and those performed just before discharge correlate with postdischarge mortality. 

Online resources 

Helping Others – What Can You Do?

The booklet aims to give people confidence to reach out to others they are worried about, as well as some suggestions about the best way to go about it. It is based on research by the It's not OK Campaign which identified what type of helping works best.

New publications 

Critical Care Manual of Clinical Procedures and Competencies

Jane Mallett (Editor), John Albarran (Editor), Annette Richardson (Editor)
ISBN: 978-1-4051-2252-8
Paperback 592 pages
July 2013, Wiley-Blackwell
US $55.00
The Critical Care Manual of Clinical Procedures and Competencies is the landmark new clinical skills resource designed for healthcare practitioners caring for critically ill patients. The Manual offers a complete, evidence-based guide to clinical skills procedures in critical care, addressing the needs of both novice and expert practitioners and recognising the roles that different disciplines contribute to the provision of effective care.The Manual provides guidelines on core critical care procedures based on the best available evidence for each procedure and includes a patient-centred competency framework, as well as fundamental and specific competencies to enable practitioners to assess their abilities and expertise. Each chapter provides a comprehensive overview, beginning with basic principles and progressing to more complex ideas, to support practitioners to develop their knowledge, skills and competencies in critical care. 

The Putting Patients First Field Guide: Global Lessons in Designing and Implementing Patient-Centered Care
Susan F. Frampton (Editor), Patrick A. Charmel (Editor), Sara Guastello (Editor), Planetree Foundation
ISBN: 978-1-118-44494-8
288 pages
September 2013 
The Putting Patients First Field Guide: Global Lessons in Designing and Implementing Patient Centered Care is the ultimate real-world guide to how hospitals, long-term care communities and integrated health care systems around the world are operationalizing the fundamental dimensions of a patient-centered culture, including access to information, family involvement, healing environments, employee and physician engagement, patient advocacy and more.  Edited by Susan Framption and Patrick Charmel of Planetree, a nonprofit consulting and research organization dedicated to patient centered care, the book represents a concrete pathway to patient-centered excellence, using lessons from organizations around the world.  By featuring real life examples of providers from nearly every continent, this book will underscore the adaptability of a patient-centered approach to accommodate cultural nuances while addressing the universal desire for patients and family members across cultures for holistic health care experiences that promote humanity, partnership and transparency. 

Transforming Health Care Leadership: A Systems Guide to Improve Patient Care, Decrease Costs, and Improve Population Health
Michael Maccoby, Clifford L. Norman, Jane Norman, Richard Margolies
ISBN: 978-1-118-50563-2
416 pages
August 2013
 Health care organizations are challenged to improve care at the bedside for patients, learn from individual patients to improve population health, and reduce per capita costs. To achieve these aims, leaders are needed in all parts of the organization need positive solutions. Transforming Health Care Leadership provides healthcare leaders with the knowledge and tools to master the unprecedented level of change that health care organizations and their leaders now face. It also challenges management myths that served in bureaucracies but mislead in learning organizations. 

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 22 May 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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