News bulletin 18 September

on 18 September

Welcome to the College of Nurses – News Update.
No. 170, Wednesday 18 September 2013 

From NZ media this week

Nurse guilty of misconduct for failing to admit mistake
A former nurse who gave a patient the wrong medication and then took two days to own up to her mistake has been found guilty of professional misconduct.

SDHB supports Cook Islands nursing
A visit to Rarotonga to help nurses there may be the start of a long-term support relationship between the Southern District Health Board and Cook Islands nursing. 

Nursing in a sick state, survey shows
Nurses confronted with a raft of unsettling changes have admitted morale is low within their profession.

Health programme succeeds
More than half the newly released prisoners in a health pilot were still enrolled with a GP six months after it ended, exceeding the expectation of programme co-ordinator Susie Lawless.

Health advice going high tech
New Zealanders will soon be able receive health and injury advice via text, online-chat, phone, email and smart phone applications. 

Patient survey shows high levels of trust
A new patient experience survey released today shows New Zealanders report they are getting better health services says Health Minister Tony Ryall. 

Scripts thrown away as patients struggle to pay up
Thousands of dollars of taxpayer-funded drugs are swirling down the drain as people struggle to pay for their prescriptions. 

Mental health 

Help often unavailable for depressed young Kiwis
The New Zealand Association of Counsellors (NZAC) has backed calls for more support for young people dealing with depression. 

Hairdressers learn to help the suicidal
Hairdressers are the new front line in a campaign to strengthen "natural helpers" for suicide risks.

Public health

Massey study exposes workplace cancer risks
Many New Zealanders are exposed at work to substances proven to cause cancer, a Massey University study has found, with hundreds dying each year.

New Zealand failing in obesity prevention
A disinvestment in obesity prevention and failure to enact any major healthy food policies is contributing to New Zealand’s worsening obesity statistics compared to other OECD countries, according to researcher, Professor Boyd Swinburn, and serious action will be needed to reverse this trend.

Doctors at Starship Children's Hospital in Auckland say a third baby has died in a whooping cough epidemic.They say very young babies are highly vulnerable to whooping cough (pertussis) and better overall vaccination levels are needed to protect them.

International media

Docs, nurses bullied into poor care 
A quarter of doctors and surgeons and a third of nurses surveyed have been bullied to behave in ways that are bad for patient care, according to a new U.K. survey released Monday
To learn more:
- read the research 

Link to the report available at the bottom of the press release document, above. 

Nurse Practitioners Try New Tack To Expand Foothold In Primary Care
Nurse practitioners say efforts to expand primary care to millions of Americans under the health law are hampered by insurance industry practices that limit or exclude their participation. 

Hospitals, Nurses Clash Over How To Keep Patients From Falling
Gene White of Des Moines, Wash., has had a litany of health problems in recent years: testicular cancer; cancer in his nervous system; pneumonia; the fungus Aspergillus infecting his lungs. The retired airline pilot says he got great care at Swedish Medical Center and the other Seattle hospitals that helped him survive those life-threatening diseases. 

Fellowship Program Improves New Nurse Retention, Nets Savings
Why do new nurses often leave their jobs in the first year? And w hat can be done tokeep their careers on track, improve nurse retention and keep the costly issue of turnover in check?A new study published in the July-August issue of Nursing Economic$ may help to answ er thesequestions.

Nurse practitioners are increasingly focused on promoting patient adherence, study finds
As a reorientation towards outcomes takes root in the healthcare industry, NPs are spending more time on patient education and helping their patients stay on medication 

American Psychiatric Nurses Association Identifies Urgent Need for Competency-Based Suicide Prevention Training for Psychiatric Mental Health RNsThe American Psychiatric Nurses Association has issued a position paper, Competency-based Training for Nurse Generalists: Inpatient Intervention and Prevention of Suicide, which is printed in the July/August issue in the Journal of the American Psychiatric Nurses Association.

Articles of interest 

Combating workplace violence with peer mentoring
Nursing Management
September 2013 
Volume 44  Number 9
Pages 30 - 38

Hospitals are complex organizations with hierarchical structures that can be breeding grounds for miscommunication and maladaptive behavior, which can lead to workforce violence. Reports of these negative workplace activities include gossiping, criticism, innuendo, scapegoating, intimidation, passive aggression, withholding information, insubordination, bullying, pranks, and verbal and physical aggression.1 Workforce violence can include any behavior that causes the victim to believe that he or she's been harmed.2 Examples of violent workplace activities in healthcare settings have been researched and reported internationally.3-5 

A Pilot Study of Staff Nurses' Perceptions of Factors That Influence Quality of Care in Critical Access HospitalsJournal of Nursing Care Quality
December 2013  
Volume 28  Number 4
Pages 352 – 359
 Knowledge is limited about quality of care (QOC) in rural hospitals, including the smallest hospitals, critical access hospitals. Staff nurses from 7 critical access hospitals identified items important for QOC across 4 levels of care: patients, microsystems, organizations, and environments. Several items were unique to critical access hospitals. Most QOC items were at the microsystem level, yet few of these items are routinely measured. These findings offer beginning evidence about how to advance QOC evaluations in rural hospitals.

Culture Change in Infection Control: Applying Psychological Principles to Improve Hand Hygiene
Journal of Nursing Care Quality December 2013  
Volume 28  Number 4 
Pages 304 - 311
 Hand hygiene occurs at the intersection of habit and culture. Psychological and social principles, including operant conditioning and peer pressure of conforming social norms, facilitate behavior change. Participatory leadership and level hierarchies are needed for sustainable patient safety culture. Application of these principles progressively and significantly improved hand hygiene compared with the hospital aggregate control. Changes to hand hygiene auditing and response processes demonstrate ability to improve and sustain adherence rates within a clinical microsystem. 

Publications and Reports online

The quest for integrated health and social care
A case study in Canterbury, New Zealand This paper tells the story of the journey made by the District Health Board for Canterbury, New Zealand, towards its goal of providing integrated care for all. It looks at the drivers for change, the leadership values shown by key players and considers the lessons that can be learned from the Canterbury experience.

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 17 September 2013

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