News bulletin 28 August

on 28 August

Welcome to the College of Nurses – News Update.
No. 167, Wednesday 28 August 2013 

From NZ media this week


Few roles for nurse practitioners

Lack of both funding and jobs means the highly skilled role of nurse practitioner is being underutilised.The role, which requires nurses to complete a master's degree with a clinical focus, was recognised by the Ministry of Health and the New Zealand Nursing Council in 2001. 

Effort to employ nurses
Strategies are in place to avoid the situation faced by last year's nursing graduates, 30% of whom were unemployed at one stage.

Nurses warn on changes

Bill threatens safety of patientsNurses are warning a raft of proposed changes in employment law could jeopardise patient safety and fracture the work force.

Worry over review of district nursing

Changes to Nelson Marlborough District Health Board's district nursing service have some Nelson residents worried, but director of nursing and midwifery Robyn Henderson says the public will notice little difference. 

Nurse suspended for failing to keep notes
A nurse been suspended and fined after compromising the safety of nearly 80 patients by failing to take notes of her consultations with them over a two-year period. 

iPads set to speed up treatment
A technology upgrade for the MidCentral Health district nursing service is paving the way to a paper-free system.District nurses are being equipped with iPads to access all the medical information they need while visiting patients in their homes. 

Whānau Ora for Pacific Families
Minister of Pacific Island Affairs Hekia Parata welcomes the release of the Request for Proposals (RFP) for a Commissioning Agency for Pacific families. It marks an important milestone for Whanau Ora and the work being done to respond to the aspirations of Pacific families says Ms Parata. 

New funding round open - Think differently making a difference fund
(2013, August 12). N.Z.: Making a Difference.
Think Differently is a social change campaign to encourage and support a shift in attitudes and behaviour towards disabled people, and working towards a more inclusive New Zealand. A new funding round opens on 12 August with grants up to $30,000 available. Applications close at 4pm, Friday 20 September. 

UC working on health system to help isolated patients
University of Canterbury (UC) academics have joined an international network that has developed and tested a model of user driven health care involving patients and health experts to help patients in isolated rural areas.

Doctors warned over social media use

Doctors are being told to watch what they tweet as hospital staff are disciplined for social media incidents - including posting medical photographs and patient notes on Facebook. 

DHB specific 

Ryall defends health funding in the South
Health Minister Tony Ryall says public investment in health services in Dunedin is ''quite good'', but the Government is not getting enough credit. 

Te Awhina programme draws interest from other DHBs
Whanganui's acute inpatient mental health unit Te Awhina has recently hosted staff from four other District Health Boards (DHB) wanting to observe a new approach that allows Te Awhina nurses to spend more time with their patients. 

Cardiac unit 'vital'

As the future of Waitakere Hospital's Coronary Care Unit becomes uncertain, it's feared that West Auckland patients won't have prompt access to cardiac care.

Public health 

MERS added to notifiable diseases schedule

Associate Health Minister Jo Goodhew says New Zealand is improving its monitoring of, and ability to respond to, Middle Eastern Respiratory Syndrome (MERS).

Whooping cough epidemic strikes

Southland and Otago are in the midst of a whooping cough epidemic, which medical experts say could have been prevented by subsidising immunisations for all ages. 

Special report: Simple message on stillbirth hits home
When New Zealand researchers said they had found a third of stillbirths in late pregnancy might be prevented if the mothers slept mainly on their left side, they met much scepticism from the international scientific community. 

Newly Funded Hepatitis C Treatment Will Help Curb New Zealand's Silent Epidemic
From the 1st of September hepatitis C sufferers will have a new treatment option thanks to VICTRELIS ™ (boceprevir) being funded for people with chronic viral hepatitis C, genotype 1. This includes patients being treated for the first time as well as those who have not responded to previous therapy.

Social health

Family poverty damages teens
Family financial stress is having a major impact on Rotorua teenagers' mental health, a local doctor warns.

Mental health 

Suicide rates drop for youth, rise for elderly

Youth suicide rates have dropped in the past year after a sharp rise last year, and coroners are now increasingly concerned about suicides by elderly people instead.

Suicide rates rise for women, drop for men

New figures show women are catching up to men in suicide rates, with provisional statistics released today showing more women and fewer men took their lives in the past year.

Elderly suicide rate 'higher than others'

Men aged 85 years and older are committing suicide at a higher rate than any other age group, Chief Coroner Judge Neil MacLean said in releasing annual suicide statistics today.

Experts ponder euthanasia link in old-age suicide rate

Elderly men are taking their lives at a high rate, and the chief coroner has raised the possibility of a link with euthanasia. 

Suicidal teens reach out to centre

An increasing number of Invercargill youths with suicidal tendencies are seeking support at a city youth service centre.

Connect with experts on suicide prevention
A conference to bring together some of the world’s best minds on the topic of suicide prevention will be held in Auckland on 10 September – World Suicide Prevention Day.

International media 

Why the NHS needs more graduate nurses

More highly skilled and educated nurses mean better care outcomes 

UK physiotherapists gain prescribing powers

Physiotherapy New Zealand is welcoming a world-first decision by the UK Department of Health to give physiotherapists limited prescribing rights. 

Nurses cite safety, savings in urging for mandated nurse-staffing ratios
Oncology nurse Theresa Brown, in an op-ed piece in the New York Times Sunday, argued for government-mandated nurse-staffing ratios. 

ANA President Responds to New York TimesOpinion Column on Nurse Staffing
Oncology nurse and New York Times opinion writer Theresa Brown, RN, addressed the growing crisis of nurse understaffing in her column “When No One Is on Call.” ANA President Karen A. Daley, PhD, RN, FAAN, posted a response. 

Hand hygiene compliance: the elephant in the room
Hand hygiene compliance rates for medical staff are consistently lower than those for nurses. Strong leadership to improve compliance has been repeatedly called for, but studies exploring medical staff leadership influence are limited. The qualitative study reported here aimed to explore the perceptions that medical staff have of their clinical leaders and the extent to which they influence hand hygiene practice in their clinical units, and to compare this with unit specific compliance data.

More police forces trial 'street triage' mental health scheme

Five more police forces are to pilot a scheme whereby mental health nurses accompany officers on call-outs, the government has announced. 

Articles of interest 

Do New Zealand Māori and Pacific ‘walk the talk’ when it comes to stopping smoking? A qualitative study of motivation to quit
Author/s: Marewa Glover, Vili Nosa, Dudley Gentles, Donna Watson, Janine Paynter
This study aimed to identify what motivates Maori and Pacific people to quit smoking so that communications and mass media quit campaigns can be more effective at triggering quitting among them.A qualitative approach utilising focus groups (N = 168) was used to ask participants to rank reasons why people say they should quit smoking (the ‘talk’) which we compared with participants’ reasons for actually quitting (the ‘walk’). The results were plotted on a scatter graph using a method devised by the authors.


Health Workforce NZ August 2013 Stakeholder Bulletin

The Health Workforce New Zealand August 2013 bulletin for stakeholders is available below. This edition of the bulletin includes information on:Clinical Pharmacist Prescribers and case studiesHPCA Act Review 2003 Aged Residential Care Nursing Entry to Practice Demonstration ProgrammePrimary Care Practice Assistant roleMultidisciplinary Operating Room Simulation TrainingHWNZ Summer StudentshipsNew exciting nursing career options

Publications and Reports online 

Nephrology Nursing Knowledge and Skills Framework
The 1999 Competency Standards for the New Zealand Renal Nurse (National RenalQualification Working Party, 1999) first defined Nephrology nursing as a specialised area ofnursing practice in New Zealand.In 2006 a National Renal Advisory Board (NRAB) scoping paper identified that the training of"skilled nephrology nurse specialists/practitioners for the future" required an "agreed strategy"(National Renal Advisory Board, 2006, p18). However a workforce survey commissioned by theRenal Society of Australasia (RSA) reported that only 21% of Registered Nurses working withinNew Zealand Renal Units held any renal post graduate qualifications (Bennett, McNeill &Polaschek, 2009). This led the NRAB to highlight the importance of progressing work onspecialty competencies for renal nursing to both ensure a skilled workforce and further developthe specialty (National Renal Advisory Board, 2009).Thus, in 2008 the RSA New Zealand (NZ) Branch Nursing Advisory Group (NAG) responded tothis need, commencing a project to draw up a professional development framework fornephrology nursing within New Zealand. The establishment of endorsement criteria andprocesses by the National Nursing Consortium in February 2009 (National

Exploring the system-wide costs of falls in older people in Torbay
One in three people aged over 65 fall at least once a year, with falls costing the NHS more than £2 billion a year.Using Torbay’s unique patient-level linked data set, our new paper explores the costs of the care pathway for older people in the 12 months before and after being admitted to hospital as a result of a fall.

Conferences and seminars 

Workshop with Robert Francis

On Monday 14 October 2013 (9am – 4pm) Robert Francis QC will be in Wellington to discuss the Mid Staffordshire NHS Foundation Trust Inquiry report.

 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 27 August 2013 

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