News bulletin 24 February 2016

on 24 February


Welcome to the College of Nurses Aotearoa News Update.
No. 289 24 February 2016


From NZ media this week

Nurses 'going home exhausted and in tears' but more health 'savings' loom
Overworked nurses are already ending up in tears and there's no room for any more cuts, says the Nurses Union as the Government asks hospitals to save $138 million this year.

Nurse practitioner starts work at Marlborough After-Hours GP service.
The Marlborough After-Hours GP service has employed a nurse practitioner for the first time.
Diane Williams started at the after-hours in December.
Nurse practitioners are able to work independently of a doctor to assess, diagnose and treat patients.

Accentuating the positive out of earthquake adversity
An innovative study by Massey University researchers explores how nurses have coped in a positive way with the personal and professional effects of the Canterbury earthquakes.

Christchurch five years on: the effect of 'shared trauma'
Who cares for the support workers after a disaster?
As Massey University Associate Professor in Disaster Mental Health, Sarb Johal has advised and provided clinical support to counsellors working in Christchurch since the worst earthquake there five years ago. He has also been researching the effect of the shared trauma on the medical profession and their patients.

Coroner rules on failed melanoma diagnosis
Two nurses failed to document and follow up with a man whose bleeding lesion turned out to be a fatal malignant melanoma.

Nurse censured, must pay $10k costs after stealing food
A nurse at a retirement village has been censured and ordered to pay $10,000 in legal costs after stealing food, including sweet and sour fish, which was meant for patients.
The practitioner was charged with professional misconduct and appeared before the Health Practitioners Disciplinary Tribunal in November 2015.


Where are more Kiwi women dying of breast cancer?
When the two-yearly appointment came around, Melva Davis-Mahoney decided she wouldn't bother.
The Kaitaia mum had been a diligent breast screening attendee for a decade but the mammograms had always come up good.

Cancer death rates - how your region fares
Kiwis in New Zealand's cancer hotspots die at up to three times the rate of those in low-cancer regions, new figures reveal.
The statistics, obtained by Stuff, showed Northlanders were 1.3 times more likely to die of cancer than Kiwis living in Waitemata. That means for every 100,000 Northlanders, there are 33 extra cancer deaths.

Sigmoidoscopy bowel-screening method urged for New Zealand
An effective national bowel screening programme involving a single test, a sigmoidoscopy, could be introduced in New Zealand within 12 months.

Forget poo-tests says expert
New Zealand must change direction on bowel cancer screening and adopt a newer kind of test that will save more lives and cost less, a leading researcher says.

Sigmoidoscopy is nothing but a distraction
Bowel Cancer New Zealand believes screening using sigmoidoscopy is a distraction from the pressing need for a national screening program.

DHBs and PHOs

Overwhelming feedback to Labour MP's bad hospital experience 
A cancelled appointment for his father's heart treatment has prompted Palmerston North MP Iain Lees-Galloway to share his frustration in a video while also taking issue with plans to "trim fat" from district health board funding.

SDHB’s hit list to cut $4.1m
The existence of a list of cost-cutting "quick hits'' has been disclosed at the Southern District Health Board as it seeks to cull $4.1 million from its budget.

Waikato Hospital to phase out paper complaints in favour of online system
Hospital complaints written with pen on paper are being phased out, with the Waikato District Health Board heading to an online system.
The move is part of the board's patient quality strategy, designed to speed up the process when incidents are reported, but  has raised concerns from patient advocates that some patients aren't online and able to access the system. 

'Asian' is too broad a term, claims District Health Board
Definition seen as not fitting the diverse groups of people who access services.

Mental health

Christchurch kids struggling with PTSD
Hundreds of young Christchurch children are suffering post traumatic stress disorder (PTSD) linked to the earthquakes, but fewer than one in ten has access to counselling.

Youth expert warns next generation of Cantabrians may be 'costlier than rebuild'
Without Government intervention, the next generation of Cantabrians will be "costlier to New Zealand than any amount currently being spent on the rebuild", a leading youth expert warns.

What Does Employment Mean for People with Mental Illness?
There are calls for employers to better engage with potential staff who suffer from mental illness, to break down barriers and stigmas in the workplace.

Fears Canterbury mental health services may be slashed amid budget cutbacks
A Canterbury District Health Board member is claiming that key services will have to be cut if the Ministry of Health doesn't take its head out of the sand.
Mental health services in Canterbury, already under severe strain, could be slashed as a result of Government demands for wide cutbacks of $163 million from the national health budget.

Fears underfunding of Wellington health services will 're-traumatise' Syrian refugees
Syrian refugees scarred by torture, war and the loss of loved ones may be re-traumatised because our health system is underfunded, health leaders say.
Up to a third of the approximately 85 Syrians arriving in Wellington, Porirua and Hutt Valley next week are suffering severe trauma, depression and anxiety, Refugee Trauma Recovery manager Jeff Thomas said.

New Research Shows Effect of Earthquakes And Recovery on Cantabrians’ Mental Health
The All Right? campaign has released its latest survey on Cantabrians’ mental health as the region recovers from the earthquakes.
The research was carried out by Opinions Market Research in November 2015. It consisted of a survey of a representative sample of 800 randomly selected individuals, aged 15 years or older living in Christchurch and the Waimakariri and Selwyn Districts, as well as eight focus groups.

Mentally ill will be taken to health centres not detained in police cells
The practice of detaining mentally ill people in police cell-blocks while they await psychiatric assessment is being phased out.
People picked up by police because they were exhibiting mental distress such as self-harming or a psychotic episode are instead be ferried to health facilities for help under a new principle agreed to by police and the Ministry of Health.

Last-minute health funding found for Wellington's new Syrian refugees amid threats from GPs
Last-minute health funding for the first emergency intake of Syrian refugees is expected to be confirmed only two days before they land in Wellington.


Government launches new effort to slash child obesity
The Government has launched a new campaign to slash obesity and boost learning among Kiwi kids.
Bringing together a team of 75 researchers from several universities, the programme is the second to last of New Zealand's 11 big-issue National Science Challenges to get off the ground.

Launch function: Initiative to support obese patients
A collaboration between researchers from Victoria University of Wellington, the University of Otago, Wellington and the health care industry is aiming to better support obese patients in a range of healthcare settings, and is being launched early next week.


Patients left in lurch as Bayer pulls free anti-coagulant
Fifteen hundred patients with blood problems have been left in the lurch by a big pharmaceutical company pulling a free anti-coagulant drug.

Fears of drug cost rise under TPP
University of Otago academic Prof Pauline Norris is concerned New Zealand's overall drug costs will rise under the proposed Trans Pacific Partnership agreement.

Public health

Study targets indigenous disease prevention
A multinational study, led by Massey University’s Dr Lee Stoner, has identified key priorities that could help prevent heart disease and obesity-related diabetes in indigenous populations.

Research into children's literacy, obesity and mental health gets $34m
A new research project aims to cut the number of children who struggle to read and make New Zealand the only country in the world to successfully reduce childhood obesity.

From International media this week

Condition Critical: Nurses changing role at DHMC
As the population ages, nurses are playing an increasing role in health care -- whether at the bedside, training, or through use of new technology, like cloud-based patient monitoring. And because of that, nurses are also having a greater role in research to affect changes across entire health care system.  

Not enough doctors? Nurses fill the gap ….
Way out in rural Washington state, nurse Tara Zamarron stood in a friend’s living room and donned a cap and gown she had received in the mail. She flipped on a video camera and appeared on screen 3,000 miles away. In a disjointed but jubilant virtual graduation ceremony, she joined the latest batch of nurses setting off to treat their own patients by earning online master’s degrees.

Increase in nurses abusing drugs, medication meant for patients
1,116 nurses are in treatment programs overseen by the state

Advanced nursing program tackles Oklahoma's primary care shortage
ALVA — Working nurses will be trained to provide primary health care in underserved areas through a new program at Northwestern Oklahoma State University.

Striving for Neonatal Excellence
NICU nurses use evidence based practices to care for the tiniest patients
Nurses know the value of evidence-based practice. Quality care supported by research is essential to all patients, including the very youngest.
At each neonatal intensive care unit across Main Line Health, which is headquartered in Bryn Mawr, Penn., nurses incorporate the latest findings into daily practice. Barbara Mahoney, BSN, MHA, NE-BC, nurse manager, explained, "When we look at any clinical issue, we try and see what research is out there. Where are we compared to other NICUs?"

Providing Cultural Competency Training for Your Nursing Staff
With 40% of the U.S. population currently consisting of either immigrants or first-generation Americans, and with people of color actually outnumbering Caucasians in some parts of the country, it’s imperative that health care facilities provide cultural competence training for their nurses, to ensure that all patients receive quality care. After all, nurses are on the front lines of patient care and are often the first professionals that patients encounter when they enter the health care system. Fortunately, there are a variety of training options your organization can choose from to help your nursing staff develop these essential cross-cultural skills.

Transgender Patients Face Challenges at the Hospital
After a skiing accident in January left him with a smashed knee, Beck Bailey, a transgender man in Greenfield, Mass., spent 15 days in a Vermont hospital undergoing a handful of surgeries. As part of his normal routine, Mr. Bailey gives himself regular shots of testosterone. But the endocrinologist on duty in Vermont told him that patients should not take testosterone post surgery.

5 ways to ensure transgender patients are treated with respect
Emergency Nurses Association responds to horror story of trans patient's humiliation
A medical journal article detailing how a transgender patient was treated like a "freak show" in a U.S. emergency department has prompted the Emergency Nurses Association (ENA) to call on its members to show sensitivity and respect for transgender patients.

UND tries to address nursing shortage with well-educated graduates
Despite UND's four-story, $124 million School of Medicine and Health Sciences nearing completion, it won't play a big role in addressing the state's nurse shortage.

Robot nurses to the rescue
Rimo (below), the Robotic Rounding Nurse, can be used to provide audio-visual medical education on demand, saving the need for human nurses to repeat themselves in case patients forget something or need clarification. It may also be able to help patients order food.

Articles of interest

Health literacy: how nurses can make a difference
To be a call to action to nurses and all health professionals to implement proven effective evidence based strategies that can decrease health literacy demands on health consumers, and improve health outcomes and the provision of safe person-centred health care.
Download Article

Can Generation Y nurses supply areas of shortage? New graduate challenges in today’s job market
Workforce attitudes, such as intent to stay, leave temporarily, or exit permanently from nursing, develop at an early career stage. This paper explores the mismatch between the challenges faced by nursing graduates (of whom many belong to Generation Y) in obtaining a Registered Nurse (RN) position following graduation and the continuing shortages in nurse workforce in aged care and mental health areas.
Download Article

Developing nursing leadership in social media
A discussion on how nurse leaders are using social media and developing digital leadership in online communities.
Social media is relatively new and how it is used by nurse leaders and nurses in a digital space is under explored.

Online resources

National Library of Medicine Launches Image Database
From U.S. National Library of Medicine:
The National Library of Medicine is pleased to announce the launch of MedPix®, a free online medical image database originally developed by the Departments of Radiology and Biomedical Informatics at the Uniformed Services University, Bethesda, Maryland, USA.
The MedPix collection categorizes and classifies the image and patient data for each of several subsets of image database applications (e.g. radiology, pathology, ophthalmology, etc.). The content material is both high-quality and high-yield and includes both common and rare conditions. Most cases have a proven diagnosis (pathology, clinical follow-up). The teaching file cases are peer-reviewed by an Editorial Panel.

From the Ministry of Health

Health of the Health Workforce Report 2015
This Health of the Health Workforce Report 2015 is Health Workforce New Zealand's second update on the state of the health and disability workforce. It is a companion document to the Role of Health Workforce New Zealand, which provides background and contextual information.
The workforce is made up of a wide variety of occupational groups that will increasingly work together as models of care move out of hospitals and closer to home. The five main occupational groups discussed in this report are:
doctors and dentists – the medical workforce
allied health, science and technical workers
kaiāwhina (non-regulated) workers.
The 2014 report has had a significant impact across the health sector in raising understanding of the issues facing New Zealand’s health workforce and the various ways the sector and the Ministry of Health is addressing those issues.  The 2015 report contributes to the development of strategies and programmes to improve New Zealanders’ health and wellbeing.
Health Workforce New Zealand’s focus continues to be on strengthening the health and disability workforce by improving the recruitment, retention and distribution of health professionals.  It works across the sector and at a regional level to align workforce development with service demand.

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 23 February 2016.

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