News bulletin 26 November

on 26 November


Welcome to the College of Nurses – News Update.
No. 230 Wednesday 26 November 2014

From NZ media this week

Nurse's IT innovation improves arthritis care
Health Minister Jonathan Coleman says an innovative IT programme is enabling arthritis patients at the Hutt Valley DHB to self-monitor in the community, freeing up hospital resources for the sickest patients.

Advice on how to stay in the pink
To celebrate the 20th anniversary of the New Zealand Breast Cancer Foundation, the purpose-built pink caravan has been travelling the country. It is the first time the caravan has been used and it travels only to smaller centres.
Two specialist breast-cancer nurses travel with the caravan, helping spread awareness of the disease.

Nurse addicted to drugs jailed for 'huge breach of trust'
A registered nurse who systematically stole dozens of medical-grade painkillers to feed her addiction has been jailed.

Prison death inquest gets underway
Last year, following a complaint to the Independent Police Conduct Authority, police held a large investigation into allegations prison nurses and guards had failed in their duty of care, but decided there was not enough evidence to lay charges.

Elderly patient wasn't properly monitored - report
An 87-year-old man with dementia left the Waitemata District Health Board when he was not being properly monitored and suffered a brain injury and later died.

From International media

Getting nurse-patient ratios right
Nursing unions are campaigning strenuously in Washington, DC and state capitals for legislation mandating nurse-patient ratios in hospitals. They are right to highlight the connection between those ratios and quality healthcare, but the solution that they propose focuses on the wrong end of the problem and is generating a political stalemate rather than progress. The best way to address the problem is not through mandates but through optimal management of patient flow and transparency.

Royal Adelaide Hospital review finds culture of bullying 'risks patient care' in cardiothoracic, ICU units
An external review of a key area of the Royal Adelaide Hospital has found bullying and unprofessional behaviour remain rife.

Nursing group urges military not to punish Guantánamo nurse who refused to force-feed detainees
American Nurses Association: a nurse’s primary commitment is to the patient
Navy nurse could be discharged and lose his benefits and pension.

Doctors, nurses more than twice as likely to get flu shots than general population
Even though the Israel Medical Association has opposed the use of special tags to show which doctors and nurses have been immunized this season against the flu, between 28 percent and 36% of medical staffers in the general, geriatric, and psychiatric hospitals went for their protective shot by November 1.

Home visits from Staffordshire nurses cut A&E admissions
Over-run A&E departments have avoided 200 extra admissions after nurses started visiting patients at home in Staffordshire.

Minnesota legislator seeks stiffer penalties for attacks on nurses
Legislator says he wants to increase prison sentences, fines.

Study: American Seniors Face Health Care Gaps, Despite Medicare
– 19 percent of United States respondents reported cost as an obstacle in getting care last year. The next highest rate was in New Zealand, with 10 percent.

DHBs and PHOs

Health cost-cutting scheme HBL shelved
The Government is axing its controversial health cost-cutting entity, Health Benefits Ltd but still wants district health boards to save $620 million over four years.

Axing of HBL reflects poorly on Ryall - Labour
The axing of cost-cutting company Health Benefits Limited is a blot on former health minister Tony Ryall's record, the Labour Party says.

Public health

Canadian researchers back New Zealand ban on smoking in vehicles carrying children
The Smokefree Coalition and the Parents Centre media release, 24 November 2014
Breaking research from Canada lends unequivocal weight to calls for New Zealand to ban smoking in vehicles carrying children, says the Smokefree Coalition.

The flu is deadlier than cars and kills hundreds of Kiwis
The flu is more deadly than the roads in New Zealand, with a new study showing it is responsible for about 400 deaths a year.

Articles of interest

A systematic review on the transfer of information during nurse transitions in care
To examine the qualitative evidence on dynamics of knowledge transfer during transitions in care in acute care hospitals.
The most common transition between nurse care providers is the intershift handoff. As these handoffs tend to be time-consuming and costly, it is important to understand the dynamics of the transfer of information at this time and, by extension, improve quality and safety.

Nurses supporting life partners conversations about end-of-life care wishes: a literature review for guidelines
A literature review was conducted to establish what guidelines are available for nurses to encourage discussions between life partners about end-of-life care wishes.

A nurses'guide to the critical reading of research
A sound theoretical foundation to guide practice is enhanced by the abiility of nurses to evaluate and implement research. This article provides a structured route to questioning the methodology of nursing research as well as aiding the construction of nursing research.

Reports online

UK: Personalised Health and Care 2020: Using Data and Technology to Transform Outcomes for Patients and Citizens
Source: National Information Board via GOV.UK
From Executive Summary:
One of the greatest opportunities of the 21st century is the potential to safely harness the power of the technology revolution, which has transformed our society, to meet the challenges of improving health and providing better, safer, sustainable care for all. To date the health and care system has only begun to exploit the potential of using data and technology at a national or local level. Our ambition is for a health and care system that enables people to make healthier choices, to be more resilient, to deal more effectively with illness and disability when it arises, and to have happier, longer lives in old age; a health and care system where technology can help tackle inequalities and improve access to services for the vulnerable.

The purpose of this paper is to consider what progress the health and care system has already made and what can be learnt from other industries and the wider economy.

Direct link to document (PDF; 1.2 MB)

Competencies for the mental health and addiction service user, consumer and peer workforce
Consumer/service user/peer workforce development has reached the point that requires investment in a measured and sustainable way. This project funded by Te Pou, Northern Regional Alliance and Midland HealthShare Ltd to develop consumer/service user/peer workforce competencies is one step towards this.

In August 2014, 50 nursing leaders came together in Baltimore for a summit meeting on Nursing Ethics for the 21st Century. They had set for themselves an ambitious agenda that could culminate in changing the nation’s health care culture so that it more strongly supports basic ethics principles and more effectively enables nurses to practice more ethically. That long-term process starts with changing work environments for nurses across the board.

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 25 November  2014

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