News bulletin 23 July

on 23 July


Welcome to the College of Nurses – News Update.
No. 212 Wednesday 23 Jul 2014


From NZ media this week

50 years of intensive care
Wellington Intensive Care Unit is hosting a cocktail party next month to launch its new charity trust and celebrate its 50th anniversary.

Rural nurses needed, as well as doctors
The Rural General Practice Network wants the effort being made to encourage young doctors to work in rural areas, extended to nurses as well.,-as-well-as-doctors

Petition to start growing a "sustainable" nursing workforce
Today the New Zealand Nurses Organisation is launching a petition aimed at achieving a nurse entry to practice (NEtP) position for every new grad nurse.

Nurse who punched patient lacked skill
A nurse who punched a patient failed to provide care and skill, a Health Commissioner has found.

Nursing graduates struggle to get jobs
Amid a regular stream of new graduates, fledgling nurses are struggling to get jobs, a Manawatu nurse graduate says as a petition lobbying for more graduate positions gets under way.

Nurses serving their community through faith
The New Zealand Faith Community Nurses Association will be looking at ways to keep the ministry sustainable at its annual conference in September this year.

Some nurses unwilling to wash uniforms
Some emergency department nurses fought a change that has them laundering their uniforms, Dunedin Hospital ED specialist John Chambers says.

Minister backs cuts to maternity units
Health Minister Tony Ryall has backed the Waikato District Health Board's decision to cut funding to the Morrinsville and Te Awamutu maternity units.

English car smoking ban a model for New Zealand
Tala Pasifika has welcomed the launch of a consultation bringing a ban on smoking in cars carrying children a step closer in England, saying its information will usher the measure along in New Zealand.

Govt lags on some targets
The Government is falling short of key targets it set itself for reducing child abuse and rheumatic fever.

Kidney service will boost transplants
The Government is setting up a National Renal Transplant Service to boost the country's low kidney transplantation rate.

International media

Nurses and midwives take health care pledge
Australia’s largest health union is calling on nurses, midwives and the public to pledge to take a stand against the Federal Government’s proposed health cuts.

Hospitals get guidelines on safe nurse numbers
Hospitals in England are being given strict guidelines on safe staffing levels for nurses - but they stop short of giving absolute minimums.

Nurse-Family Partnerships reduces preventable deaths among mothers, children
Preventable deaths among low-income mothers and their first-born children living in disadvantaged neighborhoods can be significantly reduced by the implementation of Nurse-Family Partnership, a nurse home visiting program, according to a st

Nurse Practitioners Gain Flexibility With New State Law
Starting July 15, nurse practitioners in Kentucky who have completed a four-year collaboration with a physician will be allowed to prescribe routine medications without a doctor’s involvement, a major shift that could help improve consumers’ access to care.

Under new law, nurses could make up for shortage of doctors
FRANKFORT, KY. — More than 420,000 Kentuckians have health insurance now because of the federal Affordable Care Act, many for the first time in their lives.
Now who is going to treat them?

Registered Nurses Increasingly Delay Retirement, Study Finds
Despite predictions of an impending nurse shortage, the current number of working registered nurses has surpassed expectations in part due to the number of baby-boomer RNs delaying retirement, a study by the RAND Corp. found.

Nurses could manage chronic care on doctors’ orders
NEW YORK (Reuters Health) - Expanding the role of nurses in managing chronic conditions such as diabetes, high blood pressure and high cholesterol could be an effective way to handle the shortage of primary care physicians, according to a new study.

Nurse will see you to keep doctor free
PATIENTS with minor conditions could be seen by nurses so GPs can focus on more complex cases under new plans.
Health bosses want to change how patients are seen as part of a consultation launched this week by the county’s NHS.

Nurses Expand Outpatient Care for Chronically Ill Adults
THURSDAY, July 17, 2014 (HealthDay News) -- Team care involving nurse-managed protocols is one model that may improve outpatient care for adults with chronic conditions, according to research published in the July 15 issue of the Annals of Internal Medicine. -
See more at:

Germany needs 300k nurses
SOME 300,000 Filipino registered nurses are needed in Germany, a provincial consultant said.
Herbert Walter, chair of the HDC-German Knowledge Sprachzentrum, a Cebu-based German learning center, visited the Cebu Provincial Capitol yesterday.

Nurse-led chronic-condition care could offset primary care shortage
Giving nurses a larger role in care for chronic conditions such as high blood pressure, high cholesterol and diabetes could help offset the primary care physician shortageaccording to a new study published in the Annals of Internal Medicine.

DHB specific

DHB caught out deleting public records
The national organ donation service at Auckland District Health Board has been put on notice by an official-information watchdog after it was caught out deleting public records.

Social health

Cold, damp homes at root of hardship
In the second part of a series looking at issues facing struggling households, Stacey Knott examines the impacts of poor housing.

Study finds two thirds of children living in damp, cold homes
Two thirds of New Zealand children are living in damp, cold homes, increasing the chances they'll get sick as babies and toddlers.

Children's 'vulnerability' like revolving door
Children's "vulnerability" is more like a revolving door than a fixed state, a new report has found.
The report from the Growing Up in New Zealand study, which is tracking 6500 children born in Auckland and the Waikato in 2009-10, says many children who were counted as "vulnerable" on the basis of 12 risk factors when their mothers were pregnant had already lost those risk factors by the time they turned 2.

Power cost seen in health
The electricity market is maximising profit at the cost of people's health, even while demand is declining, energy analyst Molly Melhuish says.

Articles of interest

Effects of Nurse-Managed Protocols in the Outpatient Management of Adults With Chronic Conditions: A Systematic Review and Meta-analysis 
Background: Changes in federal health policy are providing more access to medical care for persons with chronic disease. Providing quality care may require a team approach, which the American College of Physicians calls the “medical home.” One new model may involve nurse-managed protocols.
Purpose: To determine whether nurse-managed protocols are effective for outpatient management of adults with diabetes, hypertension, and hyperlipidemia.

Efficacy of Diabetes Nurse Expert Team Program to Improve Nursing Confidence and Expertise in Caring for Hospitalized Patients With Diabetes Mellitus
Nursing care for hospitalized patients with diabetes has become more complex as evidence accumulates that inpatient glycemic control improves outcomes. Previous studies have highlighted challenges for educators in providing inpatient diabetes education to nurses. In this article, the authors show that a unit-based diabetes nurse expert team model, developed and led by a diabetes clinical nurse specialist, effectively increased nurses' confidence and expertise in inpatient diabetes care. Adapting this model in other institutions may be a cost-effective way to improve inpatient diabetes care and safety as well as promote professional growth of staff nurses. - See more at:

Nurses’ Self-Efficacy and Academic Degree Advancement -
The last decade has brought about a synergy of influences for registered nurses to advance their academic preparation. Literature indicates that there is correlation between self-efficacy and goal establishment and success. The purpose of this project was to evaluate the relationship between self-efficacy and advancing academic aspirations of registered nurses. Findings indicated that there was a trend toward a difference in the self-efficacy of nurses who began their career with a diploma or associate degree and went on for academic advancement and those who did not. –
See more at:

Weaving a healthcare tapestry of safety and communication
The most significant challenge for new nursing graduates is effective communication with other nurses and members of the healthcare team.1 Nurses are often the lead members of a healthcare team to initiate communication, yet, classroom education insufficiently prepares nurse graduates to manage the aspects of communication within the multidisciplinary patient care team. - See more at:

Encouraging clinical nurse empowerment
You're on your way home from a hectic and frustrating day at the hospital. Even though your unit was fully staffed, you're feeling stressed and disappointed. For weeks, you've been too busy to meet with your team to discuss their ideas for reducing patient falls on the unit. Today, you were informed that a meeting is no longer needed because a systemwide fall reduction plan will soon be implemented. - See more at:

Running on empty? The facts about nursing fatigue
Everyone experiences mild fatigue occasionally; it's the body's way of saying it needs rest and sleep. When fatigue becomes a persistent feeling of tiredness or exhaustion; however, it's a red flag that something's amiss. –
See more at:

Physicians report satisfaction with advanced practice professionals
Three-quarters of physicians who employed nurse practitioners and physicians’ assistants said the advanced practice professionals contributed to the productivity of their medical practices and that more patients received care, according to a survey by a healthcare staffing company.

Bullying in the Health Care Environment
Over the past several months, bullying has made national headlines. Once thought of as occurring only on the middle school playground, it has entered professional sports locker rooms, causing the suspension of professional athletes, cyberspace, contributing to the deaths of schoolchildren, and the workplace, causing disruption, threatening patient safety, and utilizing precious resources. Although bullying is widely recognized, a culture of silence perpetuates. Fear of repercussion contributes to underreporting and thus inadequate and ineffective interventions. This column focuses on the effects of bullying in the workplace, specifically the health care environment, and interventions to overcome its presence and perpetuation.

Rekindling the flame: Using mindfulness to end nursing burnout
As suggested in the literature, nursing burnout has been a prominent concern for the profession. Because of the complexities of today's healthcare environment-from patient care and clerical duties to digital storage systems and digital documentation-the work responsibilities of a nurse are challenging and technically complex, making the daily work load very demanding –

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 22 Jul 2014

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