News bulletin 14 October

on 14 October


Welcome to the College of Nurses Aotearoa News Update.
No. 272 14 October 2015


From NZ media this week

NZ third best place to die
New Zealand is the third best country in the world to die, a study has shown.
It comes in behind the UK and Australia in The Economist's 2015 Quality of Death Index, a study of palliative care in 80 countries around the world.

High interest in Māori grief support group
A unique grief support programme is attracting nationwide interest, its organiser says.

Rural hospital medicine specialists welcomed in Dargaville
Newly-appointed rural hospital medicine specialists were welcomed to Dargaville Hospital last week; with video conferencing technology fundraised by the Kaipara community linking up their welcome.

Mental health

Engaging with Māori, authentically and holistically
How Health Hawkes Bay’s Wairua Tangata primary mental health programme hit the right note

Labour: Dramatic increase in mental health patients seeking emergency treatment
The number of mental health patients seeking help at hospital emergency departments has significantly increased in the past four years, symptomatic of a "neglected health system under strain", the Labour Party says.


Labels on non-alcoholic beverages will now include Health Star Rating system
Non-alcoholic drinks in New Zealand will now carry a health rating - the latest triumph in the war on sugary drinks.
Late last month, all 20 of the country's district health boards agreed to scrap the sale of sugar-sweetened soft drinks, and health researchers are calling for the drinks to be legislated against.

100,000 more obese Kiwis in the next 10 years, new figures predict
One hundred thousand more New Zealanders are predicted to become severely obese over the next decade.

Education not poverty behind kids' obesity
Poverty has long been blamed for the rise in childhood obesity, but an Auckland University researcher rejects that debate.
Nichola Shackleton will present her new research during a talk at the university this afternoon, which has found that children's weight does not fluctuate with parents' incomes.|

Public health

Sugary drinks: What are the health costs?
A conference at Manukau Institute of Technology today, organised by FIZZ a group who want sugary drinks banned, has heard there is a clear link between them and various health problems.

From International media this week

International Council of Nurses’ Workforce Forum 2015 calls for safe staffing levels and a better future for patients and nurses Geneva, Switzerland; Helsinki, Finland;
7 October 2015 – The International Council of Nurses’ (ICN) 21st International Workforce Forum 2015 was held in Helsinki, 28-30 September 2015 to discuss the situation of human resources and working conditions in the nursing profession. A Communiqué was released following the meeting which called on all governments to recognise the imperative for nurses to be involved in healthcare decision making and reaffirm the value of nursing in the delivery of quality healthcare.

Nurses Hold the Keys to Promoting a Culture of Health
Nurses can have a profound effect on the health of patients, residents, and communities. But they need to be empowered to make connections and share their innovations, says the Robert Wood Johnson Foundation.

Nurses have drive-thru flu shots to keep people healthy
PUEBLO, Colo. -
A drive-thru is normally used to buy fast food, but a hospital in Pueblo is using a drive-thru for healthier reasons.

Role of nurses championed in getting correct diagnoses
The role of nurses in figuring out the source of patients' medical problems can't be underestimated, a nationwide authority on diagnostic errors said Wednesday.

Work and management

A Nurse’s Guide to Intergenerational Diversity
Nurses of today are confronted with the reality of working in diverse environments, and as the largest profession in the health care workforce, they need to take the lead in embracing the opportunities and challenges associated with this reality. This book is a guide for nurses to understand and respond appropriately to intergenerational diversity in their workplace. This guide is an important step towards more comprehensive future work in the field of diversity in Canadian nursing. The primary focus of this guide is intergenerational diversity, but it is important to acknowledge the significance of other forms of diversity and their roles in the workplace

Nursing in history

Waimate to remember lost nurses
The Waimate community is set to commemorate 100 years since the sinking of the Marquette troop ship, in which three nurses from the town perished.

Spy, nurse, hero: the many myths of Edith Cavell 100 years after her execution
OPINION: In the modern 21st century women have become equal with men in society and can join the army. Men can become nurses, challenging the idea of a sisterhood of selfless gentle maidens. New Zealand thinks of itself as a nation in its own right, rather than as the obedient lion cub of a British lion king. Stirring-up anti-German sentiments is inappropriate. And with the rise of secularism, religious messages at times of adversity have lost their punch.

Articles of interest

Ongoing Symptoms Reported by Breast Cancer Survivors: Palliative Implications
The focus of this article is to provide information for palliative care nurses to use in their practice. The underlying study explored ongoing symptoms in breast cancer survivors. The design was a cross-sectional electronic survey. The survey included the Therapy-Related Symptom Checklist (TRSC), Daily Activities Rating Scale, Health-Related Quality of Life-Linear Analog Self-assessment, and a Subject Characteristics and Health Form. Data were analyzed by Fisher exact test and regression, as well as descriptive analyses. The main research variables were symptom occurrence and severity, daily activities, health-related quality of life, age, education, treatment type, and time since treatment completion. The findings of the study included the following: time following the treatment's completion did not affect TRSC scores; high total scores on the TRSC related to high scores on the Daily Activities Rating Scale and to low scores on the Health-Related Quality of Life-Linear Analog Self-assessment. The odds of a low TRSC score increased with both a higher education level and increased age; however, the odds score diminished if treatment included chemotherapy. Skilled palliative nurses should be aware of the occurrence and severity of ongoing symptoms among breast cancer survivors in order to improve patient screening and tailor interventions for palliation of those symptoms.

Breast Cancer Risk Assessment in Primary Care
Abstract: Breast cancer is the most common cancer (when excluding skin cancers) in women and the second most common cause of cancer death in women, with a lifetime prevalence of 12.5% (American Cancer Society [ACS], 2013a,2013bNational Cancer Institute [NCI], 2012). Breast cancer screening reduces risk of cancer death, thereby increasing rate of survival to up to 89% for women with stage 1 and 2 breast cancer (Bleyer & Welch, 2012Howlader et al., 2012). Despite these data, undue harm may occur with unnecessary screening because overidentification of risk, and excessive, costly biopsies may result. Costs and benefits of screening must be weighed. Nurses at all levels can play a pivotal role in promotion of appropriate breast cancer screening and subsequently breast cancer prevention by using accurate screening tools, such as the Tyrer-Cuzick model. Although there are some limitations with this tool, screening at the primary care level has demonstrated improved clinical outcomes (Roetzheim et al., 2012). Its use can help nurses accurately assess a woman's breast cancer risk, by promoting appropriate screening at the primary care level (Roetzheim et al., 2012).

From the Ministry of Health

Tatau Kahukura: Māori Health Chart Book 2015, 3rd edition
Tatau Kahukura: Māori Health Chart Book 2015 (3rd Edition) presents a snapshot of the health of Māori compared with non-Māori.
The chart book presents key indicators relating to the socioeconomic determinants of health, risk and protective factors for health, health status, health service use and the health system.

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 13 October 2015

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