News bulletin 3 December

on 3 December


Welcome to the College of Nurses – News Update.
No. 231 Wednesday 3 December 2014

From NZ media this week

Nurse practitioner sees need for more
Nurses treating and prescribing for patients could be the answer to Taranaki's GP shortage according to a local nurse practitioner - but more need to step up to the plate.

EIT welcomes new Head of Nursing
EIT’s new Head of School Nursing, Associate Professor Thomas Harding equates his role to that of a kaitiaki - a caretaker co-creating a nurturing environment where inclusive and collaborative values allow staff and students to flourish.

Nurses urge action on climate change
Nurses commenting on a Special Article published today in the New Zealand Medical Journal, Health and equity impacts of climate change in Aotearoa-New Zealand, and health gains from climate action, say if we want a healthy New Zealand we must reduce our greenhouse gas emissions.

Patient names included in presentation
Human error was to blame for the inclusion of patient names in hard copies of a hospital committee presentation, the Nelson Marlborough District Health Board chief executive says.

Organ donor numbers in New Zealand are on the way up this year.
So far, there have been 44 donors, compared to 36 last year and an average of 37 over the previous 21 years.
Organ Donation New Zealand (ODNZ) believes this has been helped by a quality improvement program it introduced in recent years, which is built around an Audit of all deaths in New Zealand public hospital intensive care units (ICUs).

Poor understanding of stroke signs causes concern in New Zealand
Latest figures show a lack of awareness and understanding in New Zealand of stroke signs, which will have a significant impact on stroke survivors having the best chance of recovery.

Beams, mats and socks prevent falls in hospital
Modern technology is keeping Te Awamutu resident Audrey Evans safe from falling during her stay in Waikato Hospital.
Like every patient, the 81-year-old had an assessment when she came into charge nurse manager Hayley Colmore-Willliams’ ward in the Older Persons and Rehabilitation Building.

Health workers feeling stressed
More than a third of Canterbury's health workers could be at risk of developing mental health problems, a survey shows.

Inquest told prisoner visibly unwell
Corrections officers have told an inquest into the death of an Otago prisoner that he was visibly unwell the day before he died.

Prisoner death: Staff 'lacked training'
Issues with training, procedures and health care coordination at the Otago Corrections Facility were highlighted again at a Coroner's Court hearing in Dunedin today, after a remand prisoner died of a drug overdose.

Inmate vomited blood before death
A witness has refused to give evidence today to an inquest into the death of Dunedin remand prisoner Jai Davis.
The corrections officer, whose name is suppressed, refused to read his brief of evidence on his counsel's advice, in case any questions he was asked incriminated him.

Jai Davis: Nurse admits 'oversight' in care
Former Otago prison nurse Jan Horne has rejected criticism about her care of inmate Jai Davis in the days before his death.

From International media

Physicans and Nurses Traumatized By Medical Errors
Medical Research : What is the background for this study? What are the main findings?
Dr. Laurent: Human error among healthcare professionals is a subject of current affairs and especially in ICUs which are among the services with a high risk of error. If the error affects the patient and his/her family, it will also have an impact on the caregivers involved, their colleagues, and even the entire service

Ottawa Hospital nurses making a new kind of house call (with video)
The Ottawa Hospital has launched a pilot project to improve patient care and reduce the number of people who return to hospital soon after an operation. Its low-tech approach? Have nurses call patients once they return home to make sure everything is OK. The Citizen’s Andrew Duffy explains:

Then and Now: How Nurses Shaped Care for HIV/AIDS Patients
It was June 1981 when a UC San Francisco nurse educator first heard of an unusual cancer that was being called Kaposi’s sarcoma. Angie Lewis was at a conference of Bay Area Physicians for Human Rights when she learned about this disease that seemed to be striking gay men in large urban settings.

Hospitals hire nurses from EU 'without adequate checks on their English'
NHS trusts are holding job fairs in Spain and Portugal and helping nurses with poor English fill in forms using automatic translation websites

Social health

Child health cripples poor
Melanie Morris estimates her son's asthma attacks can cost the family up to $400 a time.
Tyler was born with asthma and his Christchurch family has managed the condition with regular medication, a warm, dry home and having a plan in the event of an attack.

Child poverty declines, but inequality still high
Prime Minister John Key has reacted to today's report on child poverty, saying it show the numbers were "at least trending in the right direction, there's a reduction".

More work still to be done on child poverty
The New Zealand College of Public Health Medicine has welcomed a report which shows there has been a small reduction in the number of children living in poverty, but says much work still needs to be done.

Health Issues Highlighted in Child Poverty Monitor
Although the just released second annual Child Poverty Monitor has revealed a small decrease in the number of New Zealand children living in income poverty, researchers involved in its preparation say there is still much to address in terms of health impacts.

Asthma Foundation statistics support Child Poverty Monitor link between poverty and poor respiratory health
The latest figures from the Respiratory Health Impact Report commissioned by the Asthma Foundation support the Child Poverty Monitor figures noting poverty as a major driver for poor respiratory health in New Zealand.

Asian kids' health rates slip
Study shows ‘shocking’ rise in overcrowding, poverty-related illnesses in sector’s children.

Articles of interest

Nurse practitioners are not a consolation prize
Nurse Practitioner:
16 November 2014 - Volume 39 - Issue 11 - p 10-12
There are many forces trying to prove that nurse practitioners (NPs) are not qualified to practice independently, care for patients with chronic and complex illnesses, or lead a healthcare team. We are often referred to as “second rate” or a substitute for physicians now that there are not enough physicians to go around. More years of training for physicians versus NPs is a sticking point often used to back up this argument. Clearly, it takes more years of formal training to become a family physician than an NP.

The ‘Whys’ and ‘Why Nots’ of Nurse Job Satisfaction
Whether you are excited to go to work every day or have to drag yourself there by an act of sheer will, there are a number of factors affecting your job satisfaction. Some are more obvious than others, ranging from the work environment to your relationships with colleagues, to your career trajectory and your job’s effect on your physical and emotional health.

Nurses Creating Solutions for ER Wait Times
November 11, 2014 - More and more people are seeking care in emergency departments, leading to crowding and extended wait times that can adversely affect patient satisfaction and outcomes. Many nurses, including ER nurses, have come up with ideas to improve throughput and enhance care.

Nursing students' perceptions of their clinical learning environment in placements outside traditional hospital settings 
To explore students' opinions of the learning environment during clinical placement in settings outside traditional hospital settings.
Clinical placement experiences may influence positively on nursing students attitudes towards the clinical setting in question. Most studies exploring the quality of clinical placements have targeted students' experience in hospital settings. The number of studies exploring students' experiences of the learning environment in healthcare settings outside of the hospital venue does not match the growing importance of such settings in the delivery of health care, nor the growing number of nurses needed in these venues.

New publications

Good practice for handling feedback (PDF 513.4 KB)|
Publication code: 004 725
Publication date: 12 November 2014
ISBN: 978-1-910066-90-4
This guide has been prepared by the RCN to help frontline nurses and health care support workers understand how to deal with feedback, both good and bad, as well as concerns, complaints and compliments.

From the Ministry of  Health

Evaluation of the New Graduate Nurse employment scheme through the Very Low Cost Access initiative
This report presents the findings from the first two phases of evaluation of the new graduate nurse (NGN) employment scheme through the Very Low Cost Access (VLCA).
Report findings highlight that:

  • VLCA practices receiving 12 months funding for a NGN had high or very high proportions of high need enrolees
  • the initiative had helped to grow the Māori and Pacific nursing workforce
  • VLCA practices were well prepared for the arrival of the NGNs and had a good induction process to support them
  • the NGNs had been well integrated into practices and were valued members of practice teams
  • the NGNs had helped to increase time available to support patients’ social needs, staff available for appointments at the practices and performance on health targets
  • all of the NGNs who responded to the survey intended to remain in primary care following the end of the initiative.

Areas for improvement noted in the report include improving the nurse entry to practice (NETP) programme to be more aligned with the learning needs of nurses in primary care, and nursing leadership support for preceptors and NGNs.

Sustainability of the NGN role at the end of the scheme and the impact on service delivery will be areas the evaluation explores in its final phases. The summative evaluation report of the NGN scheme is scheduled for completion in April 2015.


The New Zealand Nursing Practice Survey
The New Zealand Nursing Practice Survey started in September and runs until 22nd December. This study is the first large scale study to apply a research framework to the many different nursing roles and titles we have in New Zealand and address the confusion about the difference between them. Professor Jenny Carryer and Dr Jill Wilkinson from Massey University are conducting the study.

Registered Nurses or Nurse Practitioners
currently employed in a clinical service environment are invited to participate in the survey. Nurses in any type of hands-on, management, leadership, research, or education roles, including senior nursing leadership roles are invited. We need as many nurses as possible to participate to get reliable research results.

Participate in the survey by opening this link

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 2 December 2014

If you have any feedback about content - what parts are most useful or what you would like added - please email

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