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Issue 36 NZNO Library e-newsletter - 10 Nov 2017

Articles - Burnout

1. The rise of burnout: An emerging challenge facing nurses and midwives
Fedele, Robert
Australian Nursing & Midwifery Journal, Nov 2017; 25(5): 18-23. 5p
Abstract
: The article investigates the rising number of nurses and midwives in Australia who suffer from burnout. Topics discussed include the symptoms of burnout, its impact on nurses and midwives' work and family lives and the factors behind the rise of burnout among midwives and nurses in the country. Also discussed is the difference between burnout and regular stress and the habits that can help alleviate burnout.

2. Prevalence of burnout syndrome in emergency nurses: A meta-analysis
Gómez-Urquiza, Jose Luis; De la Fuente-Solana, Emilia I.; Albendín-García, Luis
Critical Care Nurse, Oct 2017; 37(5): e1-e9. 9p
Objective:
To determine the prevalence of burnout (based on the Maslach Burnout Inventory on the 3 dimensions of high Emotional Exhaustion, high Depersonalization, and low Personal Accomplishment) among emergency nurses.

3. The effect of hardiness education on hardiness and burnout on registered nurses
By Henderson, Jaye.
Nursing Economic$. Jul/Aug 2015, Vol. 33 Issue 4, p204-209. 6p
Abstract:
The article discusses a study on the impact of hardiness education on burnout and hardiness of registered nurses. Topics include the negative effects of nurse burnout which include poor job performance, financial consequences for health care organizations, and nurse disengagement from patients. Also discussed is a study that used three survey methods to measure the effectiveness of hardiness education in nurse stress management and burnout prevention.

4. Predictors of burnout, work engagement and nurse reported job outcomes and quality of care: a mixed method study.
Van Bogaert, Peter; Peremans, Lieve; Van Heusden, Danny; Verspuy, Martijn; Kureckova, Veronika; Van de Cruys, Zoë; Franck, Erik
BMC Nursing, 1/18/2017; 18 1-14. 14p
Abstract
: High levels of work-related stress, burnout, job dissatisfaction, and poor health are common within the nursing profession. A comprehensive understanding of nurses' psychosocial work environment is necessary to respond to complex patients' needs.

5. The relationship of burnout, work environment and knowledge to self-reported performance of physical assessment by registered nurses
Fennessey, Anita G.
MEDSURG Nursing, Sep/Oct 2016; 25(5): 346-350. 5p
Abstract
: Physical assessment by registered nurses plays a key role in preventing sentinel events. Variables that may affect nurses’ ability to perform physical assessment consistently were examined.

Articles - New Zealand Medical Journal, 27 October 2017

6. Editorial: Time for healthy investment
Scott Metcalfe, Sanji Gunasekara, Kate Baddock, Lesley Clarke
New Zealand Medical Journal, Vol 130 No 1464: 27 October 2017

Abstract: As the term of the new coalition government begins, the New Zealand Medical Association (NZMA) urges all parties to invest in the health of New Zealanders. Last month’s release of the NZMA’s ‘Health as an Investment’ position statement makes this simple point: spending on health is a positive investment in the health, wellbeing and productivity of New Zealanders and our economy. Ultimately, health money saves money in many sectors.

7. Rationing access to deceased donor kidney transplantation: New Zealand charts her own course
Stephen Munn
New Zealand Medical Journal , 27th October 2017, Volume 130 Number 1464
Abstract
: Until a little over 60 years ago, kidney failure was a death sentence. Dialysis and transplantation have changed that sequitur irrevocably, but not without the creation of additional dilemmas. Dialysis is an effective means of prolonging life in such patients but it is not cheap. The controversies that surround access to kidney transplantation and the allocation of deceased donor kidneys to those deemed eligible are further complicated by the fact that money is not the currency that is limited. Rather there is an extreme imbalance between the number of kidneys available and the number of potential recipients that might benefit.

8.  The state of quality improvement and patient safety teaching in health professional education in New Zealand
Gillian Robb, Susan Wells, Iwona Stolarek, Gillian Bohm
New Zealand Medical Journal , 27th October 2017, Volume 130 Number 1464
Abstract
: This study investigated the teaching of healthcare quality and safety in all institutions providing training for medicine, nursing, midwifery, dentistry, pharmacy, physiotherapy, dietetics and 11 other allied health professions in New Zealand. Interviews were undertaken with 43 people who led the teaching programmes.

9. The outcomes of patients returned to general practitioner after being declined hip and knee replacement
Toni Anitelea, Ella Iosua, Ayaaz Ebramjee, David Gwynne-Jones
New Zealand Medical Journal , 27th October 2017, Volume 130 Number 1464
Abstract
: The aim of this article is to determine the outcome of patients waitlisted for hip and knee replacement surgery who were returned to GP due to resource constraints.Three hundred and seventy-four (31%) of patients listed for total hip or knee replacement in Dunedin were returned to their GP over the two-year period 2013–15 due to lack of capacity to meet the four-month target for surgery. At a minimum follow-up of 12 months, 122 (33%) remain in the community without further contact

10. Deceased donor kidney transplantation in New Zealand: use and audit of a survival prediction tool
Frances Dowen, Nicholas Cross, Philip Clayton, Helen Pilmore
New Zealand Medical Journal , 27th October 2017, Volume 130 Number 1464
Abstract
: New Zealand follows the guideline that only patients with projected five-year survival of 80% are listed for deceased donor kidney transplantation. An algorithm derived from US data estimates survival after transplantation, however, this may not be as applicable to the New Zealand population. We review use of the US derived algorithm in New Zealand.

11. Gene expression profiling of breast tumours from New Zealand patients
Anita Muthukaruppan, Annette Lasham, Cherie Blenkiron, Kathryn J Woad, Michael A Black, Nicholas Knowlton, Nicole McCarthy, Michael P Findlay, Cristin G Print, Andrew N Shelling
New Zealand Medical Journal , 27th October 2017, Volume 130 Number 1464
Abstract
: New Zealand has one of the highest rates of breast cancer incidence in the world. We investigated the gene expression profiles of breast tumours from New Zealand patients, compared them to gene expression profiles of international breast cancer cohorts and identified any associations between altered gene expression and the clinicopathological features of the tumours.

12. Is cardiomegaly on chest radiograph representative of true cardiomegaly: a cross-sectional observational study comparing cardiac size on chest radiograph to that on echocardiography
Jane McKee, Katherine Ferrier
New Zealand Medical Journal , 27th October 2017, Volume 130 Number 1464
Abstract
: A chest x-ray (CXR) is a common tool used in medicine. When a chest x-ray is interpreted, comment is often made of the heart size, the term ‘cardiomegaly’ being used to indicate the person has an enlarged heart. This study looked at the heart size on CXR in patients who had suffered a heart attack compared to echocardiography, which is often considered to be the “gold standard” in measuring a person’s heart

13. Health data research in New Zealand: updating the ethical governance framework
Angela Ballantyne, Rochelle Style
New Zealand Medical Journal , 27th October 2017, Volume 130 Number 1464
Abstract
: Demand for health data for secondary research is increasing, both in New Zealand and worldwide. To support the ethical governance of patients’ data, we argue in favour of the establishment of: (1) a specialist Health and Disability Ethics Committee (HDEC) to review applications for secondary-use data research; (2) a public registry of approved secondary-use research projects (similar to a clinical trials registry); and (3) detailed guidelines for the review and approval of secondary-use data research

14. Iron-pill inhalation
Matlawene J Mpe, William Diprose
New Zealand Medical Journal , 27th October 2017, Volume 130 Number 1464
Abstract
: Aspiration of iron tablets is rare but constitutes a medical emergency. It can induce severe and potentially fatal chemical injury to the tracheo-bronchial tree. Prompt recognition and management will minimise both the acute and chronic complications. The diagnosis can be challenging; symptoms and signs are nonspecific.

Journal - Table of Contents

Nursing Review, October/November 2017

15A. Ed’s letter: Spring inspiration
15B. News briefs: Safe staffing ratios make nurses “happy again”, says visiting US union leader; RN prescribing reaches first anniversary; New grad jobs up once again but more than 270 new nurses still job-hunting;
Research-missed nursing cares due to low staffing increases patient mortality
15C. Bulleting Board: New President for College of MH nurses-Suzette Poole; Cook Islands nurse appointed WHO chief nurse-Elizabeth Iro; NP, 29, awarded Young Nurse of the Year 2017-Jess Tiplady
Rural MH nurse wins scholarship-Roberta Kaio; Aged care nurse receives palliative nursing scholarship-Kat Groenewald; Nurse innovators among $20,000 Clinicians’ Challenge finalists; Maori nurse leader takes out NZNO’s top award-Kerri Nuku
15D. ‘Magic wand’ numbs kids’ pain -Describes trialling a pain-numbing device with Christchurch’s child cancer patients]; Creating a village-Caring for a child with complex needs is a 27/7 job for families
15E. Dying wish prompts innovation [A woman’s wish to spend her dying days at home saw Christchurch’s Nurse Maude nurses go into overdrive]; Nurse-led pressure injury intervention saves millions
15F. Not one bug but two: lessons learnt from recent gastro outbreaks
15G. How to be a dab hand at hand hygiene
15H. Code of Conduct refresher [A refresher on the 2012 code and its supporting documents]
15I. Professional Development Learning activity
15J. All nurses are empathetic… aren’t they?
15K. Webscope: Infection control and health sites [IFIC; Child Health Research Review; Health Navigator-New app for parents of neonatal babies]
15L. Clinicians clamour for collaborative ‘clinical cockpit’ app
15M. The wicked problem of falls
15N. Bringing the joy back into work [White paper by Massachusetts-based Institute for Healthcare Improvement]
15O. A good attitude, good shoes and home baking: a student’s tips on preparing for your first clinical placement; Interprofessional study: how well do health professional graduates work together?
15P. Health inequity: a tale of two neighbourhoods
15Q. Upcoming conferences

Conferences 

16. NZ Resus 2018 – Coming of Age 
Improving outcomes for 21 years
This conference will appeal to those who provide urgent medical care outside of hospital, and part of the programme will include a stream for first aid and out-of-hospital response.
Date: 19-21 April 2018
Venue: Te Papa, Wellington
More information: http://www.confer.co.nz/nzresus2018/

17. Goodfellow Symposium 2018
Date: 24th & 25th March 2018, 8.30-5.30pm
Venue: Vodafone events centre
770 Great South Rd, Wiri, Manukau
Programme Overview: https://www.goodfellowunit.org/symposium/programme
Keynote speaker: The human brain is not designed for thinking
https://www.goodfellowunit.org/symposium/human-brain-not-designed-thinking
Discounted early bird registrations for Nurses
https://www.goodfellowunit.org/symposium

18. National Rural Health Conference 2017
"Healthy Rural Communities – Mauri Ora, Whanau Ora, Wai Ora"
Date: Friday, March 31 2018 and Saturday, April 1 2018
Venue: TSB Arena-Shed 6 complex
Programme: http://www.nationalruralhealthconference.org.nz/nrhc17/programme/programme
Register: http://www.nationalruralhealthconference.org.nz/nrhc17/registration/registration

News – National

19. Alcohol causes seven cancers, top doctors warn
NZ Herald - 9 Nov, 2017
The more alcohol you drink, the more likely you are to develop at least seven types of cancer, oncologists warn. Drinking - even small or moderate amounts - was especially closely associated with increased risks for esophogeal, mouth, liver, colorectal and breast cancers, and is responsible for more than five per cent of cancers and cancer deaths worldwide.
http://www.nzherald.co.nz/lifestyle/news/article.cfm?c_id=6&objectid=11942030

20. The Good Doctor I Sunday I TVNZ - Nov 5, 2017
We all try to live up to our family’s expectations, but Dr Matire Harwood has exceeded hers. This week, the clinical researcher, GP, mother of two and kapa haka teacher, won a prestigious scientific award - the L’Oreal UNESCO For Women in Science fellowship. She’s part of the medical establishment but she’s also an activist, fighting for Maori to have equal treatment in our health system
https://www.youtube.com/watch?v=HHSPg0vbvB4

21. Patients call for better Crohn's disease treatment
Karen Brown – Radio New Zealand - 2:20 pm on 2 November 2017
Patients and their doctors are calling for better care for a hidden but debilitating condition that hits young people and extremely hard.
Almost 21,000 New Zealanders have Inflammatory Bowel Disease (IBD) - better known as Crohn's disease and ulcerative colitis - a fifth of them children, according to a new study.
Young adults in particular are affected with onset occurring typically between the ages of 15 and 35
http://www.radionz.co.nz/news/national/342937/patients-call-for-better-crohn-s-disease-treatment

News – International

22. Insurers discriminating against people who get genetic test results could hobble research, bioethicists warn
Sydney Morning Herald – 8 November 2017
Edwina Sawyer has been denied life insurance by half a dozen policyholders, but she's not sick. She doesn't smoke or drink excessively, and has taken drastic preventative measures to guard against cancer. Ms Sawyer and her brother both tested positive for Lynch syndrome, a mutation in one of their 'mismatch repair' genes that normally function to protect a person from cancer.
http://www.smh.com.au/national/health/insurers-discriminating-against-people-who-get-genetic-test-results-could-hobble-research-bioethicists-warn-20171102-gzd7vu.html

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