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Issue 3 - 1 Feb 2012

Books recently added -NZNO library

These books can be borrowed for a period of 4 weeks, by NZNO staff and members.

1. Decision making and healthcare management for frontline staff
By Russell Curbutt
Radcliffe Publishing, 2011
Through correspondence between a lecturer and a practitioner, a descriptive model of the clinical landscape (topography) of the workplace that seeks to render it understandable is developed. This is used as a reference to facilitate enquiry. Skilled decision making is essential amongst service delivery staff so that they can be effective agents of change rather than simply  reacting to externally-imposed change. The model outlined in this book provides reference points to determine where information is needed and used to think through change and its wider implications for service delivery.

2. Sing no sad songs: Losing a daughter to cancer
By Sandra Arnold
Canterbury University Press, 2011
At the age of 22 Rebecca Arnold, an art student from Greendale in Canterbury, was diagnosed with a rare and vicious cancer. Thirteen month later this young woman was dead, her family left to cope with a tidal wave of grief and loss. This book is a heartbreaking and yet beautifully composed memoir by Rebecca's mother, Sandra Arnold. It is a haunting story of bereavement, survival, courage and acceptance

3. A centenary of nursing leadership in Canterbury 1908-2008: A history of the New Zealand Nurses Association and the New Zealand Nurses Organisation Canterbury Branch and Region
By Buckley, A; Trotter, J; Grofski, helen & Wootton, Rayna.
Published 2010
The Canterbury Branch of the Registered Nurses's Association was inaugurated on Thursday, 15th October, 1908 and the first meeting was held in Miss Cox's Hall in Hereford street. This booklet has been produced to mark the centenary of the Canterbury Branch of the Nurses Association from its inception in 1908 and traces its history through various changes in structure and name up to 2008. The history has been written in three stages:
1908 - 1956
1957 - 1983
1983 - 2008

4. Community pharmacist-led anticoagulation management service
By Shaw, Prof. John; Harrison, Dr. Jeff & Harrison, Jenny
This report details the evaluation of the Health Workforce New Zealand (HWNZ)-sponsored project 'Community-led Anticoagulation Management Service (CPAMS)'. The project was led by the Pharmaceutical Society of New Zealand (PSNZ). the overall aim of the CPAMS project was to investigate whether the role of community pharmacists should be extended to provide a new service to patients for the monitoring of anticoagulant (warfarin) therapy.


5. Editorial: Detailed guidelines for reporting quantitative research in Health & Social Care in the Community
By Campbell, Malcolm. Health & Social Care in the Community, Jan 2011, Vol. 19 Issue 1: p1-2

6. The impact of domestic abuse for older women: a review of the literature
By McGarry, Julie; Simpson, Chris & Hinchliff-Smith, Kathryn. Health & Social Care in the Community, Jan 2011, Vol. 19 Issue 1: p3-14
The consequences of domestic abuse are far reaching, impacting significantly on long-term health and emotional wellbeing of those affected. However, while the literature offers an insight into the scope and nature of domestic abuse among the younger population in the UK, there is currently little available data regarding older women and domestic violence. This is increasingly being recognised as a significant deficit in awareness and understanding within society as a whole and more particularly for those responsible for support and care provision. While research in this area may be scarce the work that has been undertaken to date would suggest that domestic abuse is both a significant and an under-recognised phenomenon, which has a wide-ranging impact on the lives and health of older women. It also suggests that older women's experiences of domestic abuse are markedly different from those in younger age groups and that these differences have not been adequately acknowledged or accounted for. Given that the UK has an ageing population and that emerging national policy initiatives are beginning to recognise domestic abuse as an issue for older women, it is fundamental that health and social care professionals are able to both identify domestic abuse and understand the particular experiences and needs of older women affected by domestic abuse. The aim of this literature review is threefold: (i) to provide a comprehensive summary of the impact of domestic abuse for older women particularly within the context of health, (ii) to explore the particular barriers to recognition and reporting abuse and (iii) to highlight the particular gaps in our knowledge and understanding from a policy and care provision perspective. A systematic approach to a review of the literature was used to identify key literature and available evidence relating to domestic abuse among older women. [ABSTRACT FROM AUTHOR].

7. Motivation to physical activity among adults with high risk of type 2 diabetes who participated in the Oulu substudy of the Finnish Diabetes Prevention Study
By Korkiakangas, Eveliina; Taanila, Anja M. & Keinänen-Kiukaanniemi, Sirkka. Health & Social Care in the Community, Jan 2011, Vol. 19 Issue 1: p15-22
: Type 2 diabetes can be prevented by lifestyle changes such as sufficient level of physical activity. The number of persons at high risk of or diagnosed with type 2 diabetes is increasing all over the world. In order to prevent type 2 diabetes and develop exercise counselling, more studies on motivators and barriers to physical activity are needed. Thus, the aim of this qualitative study was to describe the motivators and barriers to physical activity among individuals with high risk of type 2 diabetes who participated in a substudy of the Finnish Diabetes Prevention Study in Oulu and to consider whether the motivators or barriers changed during the follow-up from 2003 to 2008. Questionnaires with open-ended questions were conducted twice: in the first follow-up in 2003 altogether 63 participants answered the questionnaire ( n = 93), and in the second follow-up in 2008 altogether 71 participants answered the questionnaire ( n = 82). Thus, response rate was 68% in 2003 and 87% in 2008. The study was conducted in the city of Oulu in Finland. Qualitative data were analysed by inductive content analysis using the QSR NVivo 8 software. The results of this study showed that motivators to physical activity included weight management, feelings of physical and mental well being. In addition, social relationships associated with exercise were also motivators. In conclusion, we present that regular counselling is important in order to promote exercise among older people, and that motivators to exercise are strengthened by positive experiences of exercise as one grows older. [ABSTRACT FROM AUTHOR].

8. Reframing risk management in dementia care through collaborative learning
By Clarke, Charlotte L.; Wilcockson, Jane; Gibb, Catherine E.; Keady, John; Wilkinson, Heather & Luce, Anna. Health & Social Care in the Community, Jan 2011, Vol. 19 Issue 1: p23-32
: Risk management is a complex aspect of practice which can lead to an emphasis on maintaining physical safety, which impacts on the well-being of people with dementia. Education for practitioners in risk management is particularly challenging because of its conceptual nature and diverse perceptions of risk between and within professional groups. The practice development research reported here formed one part of a multisite study and contributed to developing a risk assessment and management framework for use by practitioners in partnership with people with dementia and their families. Practice development research uses learning theories in the process of the research, and in so doing its intent is to not only create new knowledge but to view the research process as also a process of learning for those involved. Twenty practitioners from varying professions participated in five Collaborative Learning Groups, each of at least 2 hours duration, which were held over a 7-month period. Data analysis highlighted contradictions in the care system and in the professional's intention to practice in a person-centred way. These were expressed through the themes of: Seeking Certainty; Making Judgements; Team Working; Managing Complexity; Gathering and Using Information. [ABSTRACT FROM AUTHOR].

9. Can we make sense of multidisciplinary co-operation in primary care by considering routines and rules?
By Elissen, Arianne M. J.; Van Raak, Arno J. A. & Paulus, Aggie T. G. Health & Social Care in the Community, Jan 2011, Vol. 19 Issue 1: p33-42
Although it is widely acknowledged that the complex health problems of chronically ill and elderly persons require care provision across organisational and professional boundaries, achieving widespread multidisciplinary co-operation in primary care has proven problematic. We developed an explanation for this on the basis of the concepts of routines (patterns of behaviour) and rules, which form a relatively new yet promising perspective for studying co-operation in health-care. We used data about primary care providers situated in the Dutch region of Limburg, a region that, despite high numbers of chronically and elderly persons, has traditionally few healthcare centres and where multidisciplinary co-operation is limited. A qualitative study design was used, in which interviews and documents were the main data sources. Semi-structured interviews were conducted with providers from six primary care professions in the Dutch region of Limburg; relevant documents included co-operation agreements, annual reports and internal memos. To analyse the evidence, several data matrices were developed and all data were structured according to the main concepts under study, i.e. routines and rules. Although more research is needed, our study suggests that the emergence of more extensive multidisciplinary co-operation in primary care is hampered by the organisational rules and regulations prevailing in the sector. By emphasising individual care delivery rather than co-operation, these rules stimulate the perseverance of diversity between the routines by which providers perform their solo care delivery activities, rather than the creation of the amount of compatibility between those routines that is necessary for the current, rather limited shape of multidisciplinary co-operation to expand. Further research should attempt to validate this explanation by utilising a larger research population and systematically operationalising the rules existing in the legal and - more importantly - organisational environment of primary care. [ABSTRACT FROM AUTHOR].

10. Healthy ageing in a salutogenic way: building the HP 2.0 framework
By Lezwijn, Jeanette et al. Health & Social Care in the Community, Jan 2011, Vol 19 Issue 1: p43-51
: Healthy ageing is influenced by a variety of interacting determinants. Because no one agency can tackle all these determinants, the promotion of healthy ageing requires an intersectoral approach. The aim of this article is to describe a theoretical basis, the development and possible applications of a framework within a municipality in the Netherlands. This framework supports intersectoral collaboration by guiding and stimulating the development, implementation and evaluation of health promotion activities for healthy ageing. It is based on the principles of health promotion and on the theory of salutogenesis and built upon three interrelated central concepts: (1) sense of coherence, (2) resources for health, and (3) health. The framework visualises the interrelationships of the three concepts within health promotion and salutogenesis. This visualisation makes explicit the value and the contribution with respect to content of intersectoral collaboration and the participation of older people in health promotion. The relationships between the concepts of the framework also indicate the need to undertake different types of research and gather different kinds of data to develop, implement and evaluate healthy ageing strategies. [ABSTRACT FROM AUTHOR].

11. 'I live for today': a qualitative study investigating older people's attitudes to advance planning
By Samsi, Kritika & Manthorpe, Jill. Health & Social Care in the Community, Jan 2011, Vol 19 Issue 1:p52-59
This article reports investigation of prevalent understandings and systems of beliefs that underpin older people's attitudes towards making plans for their future. The Mental Capacity Act 2005 (MCA) enables adults with capacity to make plans and decisions in advance, to arrange proxy decision-making and provides safeguards for those who might lose the capacity to make decisions for themselves in the future. This study explored the attitudes of a diverse sample of 37 self-declared well older people living in the community in England about their views on drawing up statements of wishes and documenting their decision-making preferences. The study was conducted in early 2009. Findings revealed that most individuals had a personal tendency or preference towards planning, guided by personality, beliefs, living situation and the relevancy of planning to their situation. Financial plans and funeral arrangements were most commonly drawn up with an absence of health and social care plans, which participants tended to postpone considering. Housing and residential care were important for all. Overall, few participants had heard of the MCA and most were unsure where to turn for support. Participants appreciated support when discussing these issues; some turned to family, while others felt professionals were a more appropriate source of advice. The family doctor was cited as trustworthy and a potential place to begin inquiries. Conceptualising onset of certain debilitating conditions also encouraged participants to think about planning for them. This study has implications for public education campaigns and health-related information that could potentially impact on many older people who are interested in making plans but are unaware that legal safeguards and practical support are available to aid this. [ABSTRACT FROM AUTHOR].

Journals - Table of Contents

12. From Primary Health Care, Volume 21, Number 9, November 2011
Find the millions who have declining lung function; Brutal reality of damage done by  smoking cigarettes.
12B. New service gives dying patients choice of going home; Nurses will replace answer machines for urgent health advice; Success in increasing awareness of ovarian cancer symptoms; Campaign to include lifesaving skills in the national curriculum; Queen's Nursing Institute appoints chair.
Campaign is launched to protect specilaist services; Good practice guide supports end of life care
. Everybody Out [Nurses in Northern Ireland have taken industrial action]
On the Web
Health trends in England; HPA will become part of Public Health England
Research news
. Herd immunity; Asthma education; Depression treatment; Breastfeeding support
Resources - Research Focus
12G. Risk-assessment tools for the prevention of pressure ulcers
12H. Postural Orthostatic Tachycardia Syndrome
Case management
12I. Managing community caseloads using hospital ward processes
Migrant Health
12J. Guidance for assessing overseas patients who live in the UK
Continuing Professional Development
12K. Pathophysiology or rheumatoid arthritis: nature or nurture?


13. 13th IVNNZ Inc Conference
Organised by Intravenous Nursing New Zealand 
: 30 to 31 March 2012
Venue: Rotorua, New Zealand

14. Australasian Association of Bioethics & Health Law Conference
12 to 14 July 2012
Venue: Auckland, New Zealand

15. 8th Australasian Viral Hepatitis Conference
Date: 10 to 12 September 2012
Venue: Auckland, New Zealand

16. CHIK's Health-e-Nation 2012
The theme for this year's meeting is Health Connections that Matter. High profile local & International speakers will challenge our thinking and deliver meaningful insights on steps we can take to ensure the Australian Healthcare market connects industry, Governments & communities in a way that 'matters'. Join us as we probe the key connections and new business opportunities being enabled with PCEHR, together with online health consultations and care options to maintain independence and choice for the aged, frail and disadvantaged.
Date: 28th - 29th March, 2012
Venue: Gold Coast, Australia

News - National

17. 10 top budgeting tips
Sunday, January 29, 2012 10:40
If the only resolution you make for 2012 is to follow these tips from finance expert Justine Davies, then you are certain to be hundreds of dollars better off

18. Health Board keen to hear from outpatients
Waikato Times - 30 Jan 2012
Waikato District Health Board is set to canvass public opinion about outpatient services at Waikato Hospital.
The board wants feedback from former outpatients to ensure it is delivering high levels of customer service when the $130 million Meade Clinical Centre opens in August. Board spokeswoman Mary Anne Gill said it was changing some processes to make the best use of the new facility. "We want to ensure that our customer service is as high quality as our brand new building," she said.

19. Misdiagnosis highlights need for more ED staff
ODT - 30 Jan 2012
A woman whose broken back was misdiagnosed at Dunedin Hospital's emergency department as abrasions and bruises says the department must get the extra specialists that doctors say it needs.

20. Older workers suffer discrimination - study
Stuff - 30/1/2012
Older employees are being dumped, denied training and even verbally abused, according to a study showing almost one in three have encountered discrimination at work. Australia's Financial Services Council (FSC) on Monday released research showing 28 per cent of older workers had been subject to varying forms of discrimination. Examples of discrimination included being the first to be made redundant, being denied training and development opportunities, verbal abuse and not having health and physical needs taken into account.

21. Cancer's fear factor tops all diseases, study finds
New Zealand Herald - 3 Jan 2012
New Zealanders fear cancer more than any other disease or debilitating illness, a study has shown. A Southern Cross Health Society survey of nearly 1500 adults with health insurance found cancer was the most feared health problem, ahead of brain injury, stroke, heart attack and blindness.

News - International

22. Experts split on $1bn mental health body
Brisbane Times - January 30, 2012
A new commission to streamline mental health services in Queensland would be created as a stand-alone department under a re-elected Labor government. As the unofficial election campaign continued, Premier Anna Bligh today pledged to set up the Queensland Mental Health Commission within the first 100 days of a new parliamentary term. Although the announcement did not include the provision of any extra money, Ms Bligh said the commission would include staff reassigned from Queensland Health and the Department of Communities and would manage a budget of about $1 billion.

23. High cost of visiting the doctor is turning people away from treatment Mark Metherell, Bianca Hall
Sydney Morning Herald - January 31, 2012.
THE number of patients putting off a visit to the doctor because of the cost has risen sharply, souring the federal government's boasts of fee-free access to Medicare. The latest figures, revealed in the Productivity Commission's report on government services, show that nearly 9 per cent of patients deferred seeing their GP in 2010 because of the out-of-pocket expense.

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