Bulletin 3 Nov 2010

on 3 November

From the NZ media this week

 Butterfly children to get specialist nurse service
Health Minister Tony Ryall says the Government will help fund part-time specialist nurses who travel around the country supporting treatment for the debilitating skin condition, Epidermolysis Bullosa (EB).

Specialists call for review of sleep services
Sleep services are in need of an urgent review, a specialist says.
New Zealand sleep services were poorly resourced to deal with the current burden of sleep apnoea, with up to 10 per cent of the adult population suffering, Christchurch Hospital sleep specialist Michael Hlavac said today.

Whanau Ora takes big step forward

Whanau Ora Minister Tariana Turia has announced the 25 organisations chosen to provide Whanau Ora services throughout New Zealand.

Ministry of Health Commends Providers Selected for Whanau Ora Collectives
Acting Director General of Health, Andrew Bridgman, today congratulated members of the 25 provider collectives who have been selected to move to the next stage of making the Government’s Whanau Ora programme a reality.

Whanau Ora Brings in Pacific people

The decision to include Pacific providers in the ground-breaking Whanau Ora programme is a move that will be welcomed as making perfect sense, given traditional Pacific approaches to wellbeing, Minister of Pacific Island Affairs Georgina te Heuheu says.

Improved primary care in Waitemata District under new PHO model
In a move to further improve primary care in the district, Waitemata District Health Board is streamlining the number of Primary Health Organisations (PHOs) from six to two and creating a new Maori organisation.

Major Investment in 24/7 Medical Services
An investment of more than $2.7 million in improving access to rural and after hours’ medical services seems to have paid off where it matters most – out in the community.http://bit.ly/dC9gHB 

Emergency department deals with fewer drunks
The number of drunk patients at Christchurch Hospital's emergency department has dropped after the earthquake http://bit.ly/9rQSzt 

More Kiwi nurses both here and across the Tasman?
The latest statistics confirm steady growth in the nursing workforce for the second year running – despite more nurses seeking work across the Tasman http://bit.ly/cFfANa 

2011 training funds confirmed for mental health
Up to 140 mental health new graduate places are to be offered again in 2011 along with leadership funding.http://bit.ly/bd9SoM  

Sickness but not sick leave?
Nurse Practitioners can now complete medical certificates for the sickness benefit but still can’t sign off a medical certificate for simple sick leave.

Competent but a little confused
New Zealand’s competency model is widely backed by nurses but there is still some confusion and misunderstanding over how it works, major research has found.

Nursing schools urged to teach approved smoking practice

Grace Wong, Senior Lecturer in nursing at Auckland University of Technology and  director of Smokefree Nurses Aotearoa/New Zealand will present findings from a paper, 'Smoking cessation education in undergraduate schools of nursing: results of a national survey'. The findings will be presented to the Tobacco-free Aotearoa Conference taking place in Auckland this week.

Health sector could reduce child abuse, Kahui inquest told

The most effective way to reduce the "shameful" child abuse rate would be to increase the engagement of the health sector, an inquest into the deaths of the Kahui twins has been told.


Midwives-to-replace-laid-off-enrolled-nursesThree experienced maternity enrolled nurses have been laid off at Wairau Hospital and will be replaced with midwives.

A Motueka home birth that ended in tragedy has prompted Wellington's coroner to call for back-up midwives at all home births.

New graduates needed for future nursing workforce  
The New Zealand Nurses Organisation (NZNO) believes new nursing graduates need to be employed to ensure the future of the nursing workforce.

From international media sources

 Hospitals Begin to Require BSNs, Aren’t Waiting on BSN in 10 Legislation (USA)
As more hospitals seek the American Nurses Credentialing Center’s coveted Magnet recognition, a recent but quiet trend has been slowly making its way into the nursing world: hospitals are requiring their nurses to either return to school for their bachelor’s degrees or have a BSN before applying. Hospitals are not waiting for the outcome of the highly publicized "BSN in 10" bills - S4051/A2079B in New York and S620 (nee S2529)/A3768 in New Jersey - that are still awaiting closure in both legislatures, it seems, and are taking it upon themselves to get the ball rolling.

Nurses Use Simulation to Identify, Treat Early Signs of Sepsis (USA)
This summer, nearly 150 nurses from Oakland, Calif.-based Alta Bates Summit Medical Center used simulation training at Samuel Merritt University to raise the level of education and experience in early identification of sepsis.

New York Nurses Take the Reins After Achieving Magnet (USA)
Magnet coordinators share how their nurses have changed since achieving Magnet status and how they have embraced Transformational Leadership, one of the 5 Forces of Magnetism. From participating in decision-making on professional practice councils to reaching out to the community to increase health awareness, obtaining Magnet has motivated nurses to push the boundaries of their practice.
Making It Stick: Magnet Redesignation Takes Commitment (USA)
Hospitals that achieve the American Nurses Credentialing Center’s prestigious Magnet designation don’t have much time to bask in the glory. With only about 4% of the nation’s hospitals earning this recognition of excellence, organizations that reach this goal might receive accolades and, more importantly, start to see dramatic improvements in both employee and patient satisfaction. But these palpable results add to the pressure to get redesignated at the end of the four-year cycle.

Newly Qualified Nurses And Midwives Forced To Emigrate Again
- A National Scandal  (Ire)
- Most of this year’s 1,600 new graduates being recruited by the NHS

Don't leave these graduates nursing a grudge (Ire)If we don’t keep nurses here, we’ll end up with the crippling shortages we had a decade ago
Young, qualified and emigrating (ire)

Four recently qualified nurses talk about their expectations in starting their nursing studies and their experiences of finding work

Nursing union worried about graduate prospects (Aus)
The Nursing and Midwifery Federation says it would be short-sighted of the South Australian Government to fail to provide enough positions for all this year's nursing graduates.

Future Geriatric Care Should Focus On Systems, Not Technology, Say Nurses (USA)
Nurse.com: "The most important advances in geriatric care, say gerontological nurse researchers and practitioners, are not new technologies and procedures but changes in thinking about older patients. http://www.medicalnewstoday.com/articles/205782.php

No 'dumbing down' for health visitor expansion, says Milton (UK)

Health minister Anne Milton has insisted there will be no “dumbing down” in the training of the 4,200 extra health visitors the government plans to recruit.

Nurses vital to success of GP commissioning (UK)

Nurses are “essential” to the success of the GP consortia commissioning system being introduced as a key part of the NHS white paper reforms, ministers and GP leaders have said.


Doctors, Nurses And Urgent Care Centers Address Increasing Demand (USA)
The (Lynchburg, Va.) News and Advance reports on doctor shortages in Virginia: "Attracting more physicians to the area, and keeping them, is a challenge that has become more urgent. So much so that Centra is in the midst of creating a formal Physician Recruiting Office, where staff will work to convince physicians to consider coming to Lynchburg for their residency or to practice.

Hospital Healthcare Leaders Call For System-Wide Programs For Medication Reconciliation, A Key Factor For Improving Patient Safety (USA)
The American Association of Critical-Care Nurses (AACN) added its bold voice to hospital healthcare leaders by endorsing a white paper that calls for system-wide programs for medication reconciliation the process of verifying that current patient medications are correct, medically safe and necessary.

Ageing population means change for nursesA predicted big increase of people dying at very old age will mean changes for nurses who care for the elderly, a new report suggests.

New education standards give clarity to nurse role (Ire)On 16 September we launched our new standards for pre-registration nursing education at Queen’s University, Belfast.http://www.nursingtimes.net/5020665.article?referrer=e1 

Nurses to conduct forensic examinations (AUS)The State Government says nurses will soon be given the legal power to conduct forensic examinations on sex assault victims.

Nurses Call On Independents And Liberals To Support Landmark Health Reforms, Australia
The Australian Nursing Federation is pleased major reforms to the health system have finally begun with legislation that sees the Commonwealth Government take majority funding responsibility for public hospitals...

Safe Work Australia Week: Protect Nurses In The Workplace (Aus)
Nurses continue to suffer from a wide range of work place hazards including back and muscular, needles and sharps injury and high levels of stress.

Urgent Action Needed To Treat Depression In Cancer Patients (Aus)
The Australian College of Mental Health Nurses and the Australian Nursing Federation are concerned that systematic failures are leading to a lack of depression diagnosis for women with breast cancer

Patients want choice of nurse, says RCN (UK)
The government’s planned extension of patient choice should be based on information about the quality of nursing as well as medical care, the Royal College of Nursing has said.

Nursing seen as hard, nasty and menial (UK)
Leading nursing figures are establishing a not for profit body to attract recruits put off by the widely held opinion that nurses are “unambitious”, “put upon” and “passive”, Nursing Times can reveal.http://bit.ly/95ehtU 

Police seek nurses to assist at watch houses (Aus)A proposal has been made to the government to have nurses working in police watch houses, the Northern Territory Police Commissioner says.http://bit.ly/cDz9tL  

Public health NZ

Higher risk of zinc deficiency in NZ Pacific children: Otago research
Pacific Island schoolchildren in New Zealand are at a higher risk of zinc deficiency than children of other ethnicities, according to latest University of Otago research.

One in five New Zealanders has unsafe or unregistered drinking water, a Ministry of Health survey shows.

Syphilis is making an alarming comeback in New Zealand, and Palmerston North is not immune. There's been a fourfold increase in the number of cases over a four-year period to a national total of 144 reported last year. Four were in the MidCentral Health district.

New documentary chronicles Maori battle with smoking
Te Hotu Manawa Maori
Wednesday 27 October 2010, 4:30pm Media release from Te Hotu Manawa Maori
A new documentary - A Killer Legacy - which will screen on Maori Television on 11 December will highlight the devastating impact that smoking has had on the Maori population; especially Maori women. The project has been funded by national Maori health provider Te Hotu Manawa Maori and the Heart Foundation of New Zealand.


Workplace issues 

Diana Clement: Engage staff to heal toxic workplaceWarning: the workplace you are about to enter is toxic. The employees are the living dead and the customers are suffering.http://bit.ly/doQ7O5

 Articles of interest 

Workplace Transformation: Pathway to Excellence Program Aims to Improve Conditions for RNs
Judith Messer, RN, BSN, RNC-OB, director of women’s services at Las Colinas Medical Center in Irving, Texas, felt her jaw drop as she held the phone. Las Colinas had just joined an elite group of 56 hospitals nationwide that had earned the Pathway to Excellence designation. "It is a stringent application process, and I was nervous as I waited for the results," Messer says. "The Pathway designation is a big achievement for the nurses and staff and it compliments them for all of the effort they put into making it a great place to work."http://bit.ly/985fPu 

Sustainable Rural Telehealth Innovation: A Public Health Case StudyObjective. To examine adoption of telehealth in a rural public health district and to explain how the innovation became sustainablehttp://bit.ly/bLzAKr

 New publications 

Creative Solutions to Enhance Nursing Quality
Creative Solutions to Enhance Nursing Quality
serves as a resource to guide institutions through the Magnet journey, providing valuable information and insights that may actually hasten the Magnet designation process by enabling institutions to appropriately and thoroughly evaluate possible solutions.Each creative solution entry begins with a narrative description of the creative solution and the environment in which it was developed, a summary of how it was originally used to enhance quality, and its overall efficacy in meeting its purpose. The next section provides the nurse leader with the essential ingredients and step-by-step instructions for the implementation of the creative solution including a timeline, noting specific anticipated milestones. Finally, there is a brief discussion of how to adapt the creative solution to certain environments along with advice on how to achieve enculturation.

Community Health and Wellness, 4th Edition
Primary Health Care in Practice
Anne McMurray and Jill Clendon advance the discussion of health as a product of the interaction between people and their environment. The social, cultural and political determinants that affect individual and community health are explored from a multidisciplinary perspective and based on extensive research. Gender and cultural inclusiveness provide an essential backdrop to evidence-based policy, research and the provision of equitable health care for all.Written in an engaging style, this new edition features a common case study running throughout the text. ‘The Miller Family’ case study evolves so that the issues examined in each chapter are played out by each of the family members. The extended family crosses Australia and New Zealand and provides examples of Primary Health Care issues in both countries including accessing care, child health services, adolescent health, contemporary family issues, ageing, cultural support and inclusive healthcare.http://bit.ly/aXaRiR 

Project Planning and Management: A Guide for CNLs, DNPs and Nurse Executives  Project Planning and Management: A Guide for CNLs, DNPs and Nurse Executives provides a step-by-step approach to developing, implementing and evaluating a project plan. This book serves as a guide to refining the idea or question, reviewing relevant evidence to support a best practice intervention, and outlining process dynamics, outcomes management and evaluation strategies. Features throughout the text include chapter objectives, key terms, summaries, evidence-based examples, boxed articles, case studies, review questions, as well as power point presentations and exam questions. This is the perfect resource for capstone courses and field studies as well as an ideal reference for professionals.

Leading and Managing in Nursing
Leading and Managing in Nursing, 5th Edition, by Patricia Yoder-Wise, successfully blends evidence-based guidelines with practical application. The new edition is designed to prepare you for the nursing leadership issues of today and tomorrow, providing just the right amount of information to equip you with the tools you need to succeed on the NCLEX and in practice. This thoroughly updated edition is organized around the issues that are central to the success of professional nurses in today's constantly changing healthcare environment, including patient safety, workplace violence, consumer relationships, cultural diversity, resource management, and many more.
  • Merges theory, research, and practical application for an innovative approach to nursing leadership and management.
  • Offers a practical, evidence-based approach to today's key issues, including patient safety, workplace violence, team collaboration, delegation, managing quality and risk, staff education, supervision, and managing costs and budgets.
  • Features easy-to-find boxes, a full-color design, and new photos that highlight key information for quick reference and effective study.
  • Research and Literature Perspective boxes summarize timely articles of interest, helping you apply current research to evidence-based practice.
  • Includes critical thinking questions in every chapter, challenging you to think critically about chapter concepts and apply them to real-life situations.
  • Provides Chapter Checklists for a quick review and study guide to the key ideas in each chapter, theory boxes with pertinent theoretical concepts, a glossary of key terms and definitions, and bulleted lists for applying key content to practice.
  • Features new chapters on Patient Safety and Workplace Violence, illustrating the nurse manager's role in ensuring patient and worker safety.
  • Includes Need to Know Now, bulleted lists of critical points that help you focus on essential research-based information in your transition to the workforce.
  • Gives current research examples in The Evidence boxes at the end of each chapter, illustrating how to apply research to practice.
  • Provides casrevised Challenge and Solutions case scenarios of real-life leadership and management issues, giving you contemporary scenarios covering current issues in nursing leadership and management.

From the Ministry of Health 

Food and Nutrition Guidelines for Healthy Children and Young People (Aged 2–18 Years): A background paper - Draft for Consultation SummaryFood and Nutrition Guidelines for Healthy Children and Young People (Aged 2–18 Years): A background paper - Draft for Consultation. This is one of a series of five population group-specific background papers on food and nutrition which include advice on physical activity.

Consultation on a funding model for emergency ambulance services
Emergency ambulance services provide essential first responses to medical and accident emergencies. Every day, hundreds of New Zealanders rely on emergency ambulance services (both road and air) to treat and/or safely transport them to healthcare facilities around the country. Currently, both ACC and the Ministry of Health fund these services, using two different approaches.

The National Ambulance Sector Office (NASO) is consulting on the development of a joint ACC and Ministry of Health funding model for emergency ambulance services.

Visit NASO (www.naso.govt.nz/index.php/funding-model/) for the consultation document and information on how to participate in the consultation process.http://www.moh.govt.nz/moh.nsf/indexmh/ambulance-services-funding-consultation   

Proposed Amendments to Regulations under the Medicines Act 1981Report of the Analysis of Submissions and Final Decisions

Date of publication (online): November 2010
Summary of publicationIn February 2010, the Ministry of Health released a consultation paper, Consultation on Proposed Amendments to Regulations under the Medicines Act 1981, describing a set of proposals designed to modernise provisions in the Medicines Regulations 1984 and the Medicines (Standing Order) Regulations 2002. Changes were recommended to labelling, advertising, dispensing and prescribing requirements. Feedback on proposals was sought by 26 March 2010.

The Ministry received 84 submissions on the proposals from a wide cross-section of affected stakeholders. This publication summarises feedback on each proposal, and the Government's final decisions on changes to regulations made under the Medicines Act.http://www.moh.govt.nz/moh.nsf/indexmh/proposed-amendments-regs-medicines-act-submissions-report   

Online reports 

The Future of Nursing: Leading Change, Advancing Health

With more than 3 million members, the nursing profession is the largest segment of the nation’s healthcare workforce, but a number of barriers prevent nurses from being able to respond effectively to rapidly changing healthcare settings and an evolving healthcare system. According to a new Institute of Medicine report—The Future of Nursing: Leading Change, Advancing Health—these barriers need to be overcome to ensure that nurses are well-positioned to lead change and advance health.http://bit.ly/aSxLbd 

Online resources 

RCN mentorship resources. 1: An overview of the RCN mentoring framework (PDF 464.5 KB)
Part 1 of the RCN mentorship resources. The RCN mentoring process has been designed to give representatives the support they need to build on the learning outcomes from Modules 1, 2 and 3 of the learning and development pathway, and to develop their practice skills in the workplace. This publication is part of a series of eight supporting resources.


RCN mentorship resources. 2: RCN mentoring relationship standards (PDF 60.6 KB)
Part 2 of the RCN mentorship resources. The RCN mentoring process has been designed to give representatives the support they need to build on the learning outcomes from Modules 1, 2 and 3 of the learning and development pathway, and to develop their practice skills in the workplace. This publication is part of a series of eight supporting resources.http://bit.ly/aWLiHx  

RCN mentorship resources. 3: The RCN mentorship development programme (PDF 236.6 KB) 
Abstract:Part 3 of the RCN mentorship resources. The RCN mentoring process has been designed to give representatives the support they need to build on the learning outcomes from Modules 1, 2 and 3 of the learning and development pathway, and to develop their practice skills in the workplace. This publication is part of a series of eight supporting resources.http://www.rcn.org.uk/__data/assets/pdf_file/0004/343291/003810.pdf  

Hand-off Communications
Joint Commission Center for Transforming Healthcare.The Joint Commission Center for Transforming Healthcare aims to use rigorous quality improvement methodologies to tackle pervasive quality and safety issues. This report details the early progress of the Center's second major initiative, improving handoff communication.http://bit.ly/9pfQy7  

Public Health Association Conference 2010 PresentationsLinks to these presentation will remain live until the end of November 2010. From that time, individual presentations may be requested from the Office Manager: raeanna@pha.org.nz. Download presentations from here: http://www.pha.org.nz/conf10presentations.html

Further reading 

Citation: Wellard SJ, Stockhausen LJ.  Overseas trained nurses working in regional and rural practice settings: do we understand the issues? Rural and Remote Health 10 (online), 2010: 1458. Available from: http://www.rrh.org.au
Introduction:  Issues associated with the employment of overseas trained nurses (OTNs) in regional and rural practice settings have received little professional attention in Australia. The global nursing workforce crisis has dominated discussion about the migration of nurses. This review explored the contemporary understandings of the employment of OTNs in Australian regional and rural practice settings.

The official website of the book "Hidden in Front of Us" by Anthea SimcockWelcome to the Hidden in Front of Us website. This amazing book was launched on the 24th of August 2010 at Parliament by Tony Ryall, Minister of Health.

Twenty four adult survivors of child abuse share their experiences of being children who desperately needed an adult to stand up for them. They also share their ideas about what could have been done to help. Their words and stories provide an insight into what each of us can do when we have a concern about a child.

This book may be the most important you’ll ever read because it may help you save a child’s life, or at the very least preserve the wealth of potential that is lost every time a child is harmed.

Professional development 

Rural health forum 2010 30 Nov – 1 Dec Intercontinental, WellingtonFinding Practical solutions to the challenges of delivering consistent and comprehensive healthcare to rural communitiesMore info at : http://bit.ly/9oXwrH 

Professional development - Australia
As we come to the end of the Great Way to Finish The Year Campaign most of you will be looking towards December as the earliest time you could book a conference and for good reason.
As spring gives way to summer and the holidays approach, December is a great time to book a conference. Take some time out of the daily grind to learn new skills and meet like-minded professionals in your local area.
Below is a list of conferences occurrng throughout Australia in December. Highlights include Wound Management and Skin Integrity, Improving Your Knowledge of Medicines and the Law and Nursing Conference among others.

To find out why booking an Ausmed Conference is A Great Way To Finish The Year visit, http://cl.publicaster.com/ClickThru.aspx?pubids=7090%7c66687%7c77181&digest=HFRDBPlUqZKGESU7ze%2bgng&sysid=1 

Social media 

Follow Snips on Twitter
http://www.twitter.com/ @SnipsInfo will find us.

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