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Issue 12 - 17 April 2012

Royal College of Nursing Journals

The following RCN journals can be accessed via the Gale - Academic OneFile database. This database can be accessed by members via the online journals page. Click on login and enter your membership number and password; then select Start Searching Academic OneFile.
http://www.nzno.org.nz/services/library/online_journals
- Cancer Nursing Practice
- Emergency Nurse
- Learning Disability Practice
- Mental Health Practice
- Nursing Children and Young People
- Nursing Older People
- Nursing Management
- Primary Health Care

Articles

1. Editorial - Career pathways under threat
Nursing Children and Young People, Vol. 23(10), Dec. 2011: p3
Abstract:
This is the last issue of 2011 and it is hard to remember a year so challenging. There were times when it felt like our specialism was not fully understood as highlighted in the National Confidential Enquiry into Patient Outcome and Death report of a lack of children's nurses to care for children post-operatively (news page 4). Not only are we too few, but preparing children's nurses to be fit for practice is increasingly generic as pre-registered programmes are streamlined to cut costs

2. Inquiry uncovers poor care for young surgical patients: 'disturbing' lack of children's nurses found on shifts
Nursing Children and Young People, Vol. 23(10), Dec 2011: p4
Abstract:
A lack of children's nurses and poor pain management are among the findings of a study into the care of children undergoing surgery. The National Confidentiality Enquiry into Patient Outcome and Death (NCEPOD) examined the care of children and casenotes of 378 deaths at 373 hospitals in England, Wales and Northern Ireland. Overall it found there was room for improvement in 26 per cent of patients

3. Qualification and skills for health visitors will be subject to review.
Nursing Children and Young People. Vol. 23(10), Dec 2011: p4
Abstract:
The Nursing and Midwifery Council (NMC) in the UK is to review the regulation of health visitors and school nurses.
NMC chief executive Dickon Weir-Hughes told the UNITE and Community Practitioners' and Health Visitors' Association conference in Brighton that the current arrangements are a 'shambles'. Speaking to Nursing Children and Young People, Professor Weir-Hughes said: 'The review will investigate whether there is any added benefit to the public of having the separate specialist community public health nurses (SCPHNs) part of the register.

4. Critically ill babies are being put at risk by 'needless cuts'.
Nursing Children and Young People. Vol. 23(10), Dec 2011: p5
Abstract:
One third of neonatal units in England are cutting their nursing workforce, according to the charity Bliss. It found 140 nursing posts have been cut through redundancies, vacancy freezes or down banding--demoting nurses already in post--or replacing nurses who leave with less qualified nurses. It also found more than half of neonatal units are not meeting standards set out in the NHS Toolkit for High Quality Neonatal Services which states that 70 per cent of those registered are qualified in neonatal care.

5. Cardiac surgery units will need to provide more information.
Nursing Children and Young People. Vol 23(10), Dec. 2011: p5
Abstract:
Children's Cardiac centres in the UK are being asked to provide fresh evidence about standards for research and innovation as part of a review of services.

6. Nurse-led initiative focuses on parents to lessen health-related school absences: project success centres on telephone advice and involves pharmacy and GP support. Jennifer Sprinks and
Nursing Children and Young People. Vol 23(10), Dec 2011: p6
Abstract:
School Nurses in Portsmouth have been at the forefront of an initiative aimed at tackling high pupil sickness absence rates. In 2009, a review of school attendance led by Portsmouth City Council revealed a significant rise in absence in infant, primary and secondary schools in the local area

7. Viroflu and Inflexal V safety alert.
Nursing Children and Young People. Vol 23(10), Dec 2011: p8
Abstract:
The Department of Health has warned about safety concerns with the influenza vaccine Viroflu, which is also available in the UK as Inflexal V.

8. Nurse prescribing.
Nursing Children and Young People. Vol 23(10), Dec 2011: p8
Abstract:
The Medicines and Healthcare products Regulatory Agency (MHRA) is consulting on a review of the medicines legislation.

9. Research and commentary: study shows inconsistencies with existing reference ranges for heart and respiratory rates. 
Nursing Children and Young People. Vol 23(10), Dec 2011: p11
Abstract:
Assessment of heart rate (HR) and respiratory rate (RR) are basic measurements of seriously unwell children and in those being monitored in intensive care units. While there are multiple reference ranges cited in the literature, most are based on expert opinion and consensus.

10. Holistic interventions in complex care: a multifaceted support system is needed for children with neurological impairments. 
Nursing Children and Young People. Vol 23(10), Dec 2011: p13
Abstract
: Children's Nurses are used to the phrase 'children with complex needs'. I believe, however, that this says more about how we provide support to the child than it does about the individual. Problematic complexity can be a factor of poor service design and is not inherent in the child at all.

11. Treating buckle fractures in children with removable splints: Elizabeth Wright discusses a cost-effective change in the way torus fractures are treated that is welcomed by patients and families. Elizabeth Wright.
Nursing Children and Young People. Vol 23(10), Dec 2011: p14
Abstract
: Buckle fractures of the distal radius are unique to children. Immobilising the limb in a plaster cast is the traditional treatment. An alternative is to use a removable wrist splint and this has been adopted at the author's clinic. In this article, literature on the change of practice is reviewed, the change is described and the outcomes evaluated, It was found that treatment with the wrist splint was cost-effective and was preferred by children, families and carers

12. Clinical competency in children's nursing: a legal commentary: nurses should be aware of their limitations and abilities and not take on a task or role for which they do not feel competent. Marc Cornock.
Nursing Children and Young People. Vol 23(10), Dec 2011: p18
Abstract:
Competence can be defined as having the requisite knowledge, skills, judgement, and experience to undertake a role or task. This article--part ten and the last in the series--discusses competency and why it is important for children's nurses to consider their skills and knowledge before taking on a procedure or role.

13. Promoting independence for children on long-term ventilation: Sue Lawrence outlines the challenges faced by individuals, families and carers and looks at the preparation needed for one young person's trip to France.
Nursing Children and Young People. Vol 23(10), Dec 2011: p20
Abstract:
It is the responsibility of children's nurses to enable children and young people who are on long-term ventilation (LTV) to live independent and varied lives. This article considers the common challenges faced by such children and reflects on personal experience in planning and undertaking a respite week for a young person on LTV with Duchenne's muscular dystrophy without his parents

14. How to encourage children to use mobile phones safely: targeted health promotion activities can be used to support the healthy use of technology. Karen Moyse and
Nursing Children and Young People. Vol 23(10), Dec 2011: p24
Abstract:
The safe use of mobile phones is part of the health promotion duty of children's nurses and those nurses working in schools. In this article the author advocates that children and young people should be encouraged to keep and use their mobiles in a safe place, avoid lengthy and incessant calls, provide their number only to those they feel they can trust and switch off the phone as soon as possible. They need to take care with the type of messages they send and to tell someone they can trust about any cyberbullying. The nurse can also help with school policies and can attend groups in schools and youth organisations to discuss the positive and negative aspects of mobile phone technology.

Journal - Table of Contents

15. From Australian Nursing Journal, Volume 19, Number 9, April 2012
EDITORIAL
15A.
Reform in aged care
PROFESSIONAL & INDUSTRIAL
15B
. Health care workers and vaccination; Employers pushing Workchoices agenda
FEATURE - AGED CARE CAN'T WAIT
15C
. Our older Australians: Worth caring for
REFLECTIONS
15D
. Recognising difference: the need to develop culturally appropriate care
MY CAREER
15E
. Mental health nurse practitioner candidate; Indigenous midwifery graduate
RESEARCH
15F
. Nursing exodus likely; Hierarchical management failing gen Y nurses
ETHICS
15G
. Nurses and ethical conflict with employer organisations; A question of nursing ethics
CLINICAL UPDATE
15H
. care of the Type 1 Latex Allergy Patient
AGED CARE FOCUS
15I
. Aged care and sexuality; Management of clients with Alzheimer's dementia and co-morbid depression; getting older, feeling safe, taking risks.
15J. Health life with cranberry; Managing terminal dermentia; Impact of a death on other residents in aged care
15K. Sarcopenia in older adults; Exercise to reduce effects of sarcopenia
15L. First in aged care education: uni and industry collaborate; Community geriatric care
15M. AsthmaWise: helping older adults manage their asthma

Nursing Education - American Nurses Association

The Essential Genetic and Genomic Competencies for Nurses With Graduate Degrees, co-published by the American Nurses Association (ANA) and the International Society of Nurses in Genetics (ISONG), is now available on the American Nurses Association website at the following link.
1) Navigate to the ANA NursingWorld/Ethics/Genetics & Genomics webpage. http://nursingworld.org/MainMenuCategories/EthicsStandards/Genetics-1
2) Click on the first title under "Current Publications" "ANA and the International Society of Nurses in Genetics are Pleased to Announce a New Publication." The title is a hyperlink taking you to the site which gives a description of the document and how it was developed. http://nursingworld.org/MainMenuCategories/EthicsStandards/Genetics-1/ANA-and-ISONG-Announce-New-Publication.html
3) The second title under "Current Publications" is a hyperlink taking you to the actual document for the Essential Genetic and Genomic Competencies for Nurses With Graduate Degrees. http://nursingworld.org/MainMenuCategories/EthicsStandards/Genetics-1/Essential-Genetic-and-Genomic-Competencies-for-Nurses-With-Graduate-Degrees.pdf
The primary purpose of these graduate-level competencies was to establish essential genetic and genomic competencies for individuals prepared at the graduate level in nursing. The overarching goal is to improve the genetic/genomic competence of nurses in advanced clinical, educational, academic and research leadership roles. These graduate-level competencies are currently endorsed by 19 nursing and professional organizations. A list can be found on page 18 of the competencies document.

Training/Conferences

17. Conference 2012: Community, choice and collaboration
The 20th Hospice NZ Palliative Care Conference
Date: 14 – 16 November 2012
Venue: The Langham Hotel, Symonds St, Auckland
This is your opportunity to hear from top international and NZ based speakers, network with over 400 palliative care professionals from a range of disciplines, and make connections with suppliers in the area of palliative care.
More Information: http://www.hospice.org.nz/conference-2012

18. Palliative Care Lecture Series 2012
This education opportunity is designed for healthcare professionals with an interest in palliative care.  The series is designed to suit the needs of a multidisciplinary audience
Date: The series is delivered by phone teleconference on the first Thursday of each month, from 7.30-8.30am, from February to December. 
More information: http://www.hospice.org.nz/cms_show_download.php?id=231

19. Alzheimers New Zealand Conference 2012
Future Faces of Dementia explores all facets of dementia care, education, strategy, philosophy, and research. Leading dementia experts will present engaging thought provoking and relevant materials. Those most affected by the disease will share their experiences, offering a renewed perspective.
Date: 24-27 May 2012
More information: http://conference.alzheimers.org.nz/

News - National

20. Hospice NZ Standards for Palliative Care Launch
Thursday, 12 April 2012, 3:53 pm
Hospice NZ is delighted to announce the launch of its Standards for Palliative Care. Dr Paul Hutchison, MP for Hunua and Chair of the Health Select Committee will officially llaunch the Hospice NZ Standards for Palliative Care in Wellington on 13 April, at Te Papa.
Hospice New Zealand’s vision is that all people in New Zealand have equitable access to the best possible care as they approach the end of their life and die. The Standards aim to improve the quality and equity of palliative care services available in New Zealand. The 14 standards are based on the Palliative Care Australia standards but adapted to suit New Zealand. They can be used to support quality management and improvement activities at a local, regional or national level, regardless of the care setting - wherever palliative care is needed and delivered
http://www.scoop.co.nz/stories/GE1204/S00041/hospice-nz-standards-for-palliative-care-launch.htm

21. Inquiry into hip implants needed - Labour
NZ Herald - 16 April 2012
An inquiry is being called for after the recall of a second metal-on-metal hip replacement device. Labour's health spokeswoman Maryan Street criticised the Government's move to block a health select committee inquiry into the devices and said New Zealand should follow overseas governments' lead and launch an inquiry.
http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=10799250

22. Investment in science and innovation
Monday, 16 April 2012, 9:37 am
Press Release: New Zealand Labour Party 
Investment in science and innovation will transform our economy
Investing in science and research is the way to create innovative industries that lead to higher productivity and higher earnings for New Zealanders and the country as a whole, says Labour Leader David Shearer.
http://www.scoop.co.nz/stories/PA1204/S00173/investment-in-science-and-innovation.htm

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