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Issue 15 - 16 May 2014

The NZNO Library is turning 30

The very first NZNA library was setup in 1984 and was  available for members  to use in January 1985. From the humble book to kindles, the worldwide web and extensive online databases, the world of libraries and information has changed rapidly, along with the NZNO library.

"Reading is to the mind what exercise is to the body."
Joseph Addison (1672-1719)
English Essayist, Poet, Playwright and Politician

Selected Articles - Electronic Health Records

1. Patient portals under the spotlight; your questions answered.
By: Castaneda, Reynald. New Zealand Doctor. 23/04/2014, p17-17
: The article presents questions and answers related to patient portals which include the presentation of business models by portal ambassadors, the equity issues in health plans and the access to healthcare.

2. New site helps to piece together the health IT jigsaw.
By Wilcox, Jon. New Zealand Doctor. 23/04/2014, p16-16. 2/3p.
: The article reviews the website of the IT Health Board at

3. Audit mechanism to deter abuse of right to access data.
By McMillan, Virginia. New Zealand Doctor. 23/04/2014, p17-17. 1/3p
The article reports on the audit mechanism developed by the Capital & Coast District Health Board (DHB) which aims to deter the abuse of right to access patient data by clinicians in New Zealand.

4. Are your health records safe?
By KOPF, JAMIE. Consumer Reports on Health. 01/05/2014, Vol. 26 Issue 5, p2-2. 1/3p
In this article the author offers her opinions on patient portals, which are web sites which allow patients to make or change appointments, exchange e-mail with health professionals and more, and introduces an article within the issue that is concerned with patient portals.

Selected Articles - Informed Consent

5. Factors associated with nurses’ opinions and practices regarding information and consent.
By Ingravallo, Francesca; Gilmore, Emma; Vignatelli, Luca; Dormi, Ada; Carosielli, Grazia; Lanni, Luigia; Taddia, Patrizia.
Nursing Ethics. May 2014, Vol. 21 Issue 3, p299-313. 15p
This cross-sectional survey aimed to investigate nurses’ opinions and practices regarding information and consent in the context of a large Italian teaching hospital and to explore potential influences of gender, age, university education, length of professional experience, and care setting. Most respondents regularly informed patients about medications and nursing procedures and asked for consent prior to invasive procedures, but some provided information to relatives instead of patients. Lack of time or opportunity was the main difficulty in informing patients. The work setting was the foremost factor significantly associated with participants’ opinions and practices

6. Promoting a patient's right to autonomy: implications for primary healthcare practitioners.
Part 1. By: Taylor, Helen.
Primary Health Care. Mar 2014, Vol. 24 Issue 2, p36-41. 6p.
It is an established legal and ethical principle that healthcare practitioners must respect a patient's right to autonomy. However, clinicians may sometimes find this difficult for various reasons. Patients may be unable or unwilling to contribute to decisions about their care, and practitioners can find it difficult to accept some of the decisions patients make, particularly if they appear unwise or even irrational. A lack of understanding of the law may contribute to the challenge of balancing an obligation to provide care. This article discusses the legal basis of patient autonomy and considers how this theory can be applied in practice. Part 2, in the next issue of Primary Health Care, will explore a range of situations in which practitioners may find respecting an adult patient's right to autonomy challenging

7. Promoting a patient's right to autonomy: implications for primary healthcare practitioners.
Part 2.
By Taylor, Helen. Primary Health Care. Apr 2014, Vol. 24 Issue 3, p34-40. 7p
The aim of this second of two articles is to consider a range of situations in which practitioners may find respecting an adult patient's right to autonomy challenging. There will be opportunities to reflect on practice, and consider how best to manage such situations should they arise. Completion of the learning activities in this article will enable the reader to recognise situations where making an assessment of a patient's capacity would be appropriate, determine who should make the assessment of capacity, take reasonable measures to support patients with impaired capacity in the decision-making process, recognise situations where it is appropriate for decisions to be made on behalf of a patient and identify situations where it will be necessary to undertake further action in relation to a proxy decision

8. Consent - basic concepts for clinical nursing practice.
By Teng, Jayr.
Australian Nursing & Midwifery Journal. Mar2014, Vol. 21 Issue 8, p38-38. 1p.
: The article reports on the concept of informed consent in medicine, discusses the challenges that the concept poses for registered nurses and discusses the proper use of consent forms. A discussion of Victoria, Australia's Guardianship and Administration Act of 1986, which establishes the individuals who are eligible to make informed consent decisions on behalf of patients who lack the capacity to understand and consent to medical treatment, is presented.

9. Informed consent remains a work in progress.
By Traynor, Kate.
American Journal of Health-System Pharmacy. 12/15/2013, Vol. 70 Issue 24, p2173-2174. 2p
The article discusses the issue of informed consent in the U.S. It talks about its provision to give patients information they need to decide to participate in a clinical study. It presents the results of research conducted on the consent process including the identification of adverse events in relation to the experiment and randomization. It also looks into the Clinical Implementation of Pharmacogenetics PG4KDS) study conducted by Pharmaceutical Sciences head Mary Relling.

10. Maintaining Patients' Privacy and Confidentiality With Family Communications in the Intensive Care Unit.
By McCullough, Jayne; Schell-Chaple, Hildy.
Critical Care Nurse. Oct2013, Vol. 33 Issue 5, p77-79. 3p
The article discusses how health care providers can share information about a patient in the intensive care unit with the patient's family and patient-designated significant others. The importance of maintaining patients' privacy and confidentiality to actively engage these people in their loved one's care is stressed. This approach allows the patients' family to participate in care planning and shared decision making.

Journal - Table of Contents

11. From the Journal of Infection Prevention May 2014

. A personal experience of care and the lack of it
Journal of Infection Prevention May 2014 15: 82-83,
11B. Patient perspective: is hand hygiene really the most important thing we do?
Journal of Infection Prevention May 2014 15: 84-86, first published on February 11, 2014 doi:10.1177/1757177414521261
11C. Implementation of a patient-held urinary catheter passport to improve catheter management, by prompting for early removal and enhancing patient compliance
Journal of Infection Prevention May 2014 15: 88-92, first published on November 28, 2013 doi:10.1177/1757177413512386
11D. Educational innovation for infection control in Tanzania: bridging the policy to practice gap
Journal of Infection Prevention May 2014 15: 94-98, first published on December 17, 2013 doi:10.1177/1757177413516525
11E. Do ward and department managers know their responsibilities in relation to the management of sharps, and is this reflected in the way that they practise sharps management? Journal of Infection Prevention May 2014 15: 99-103, first published on February 11, 2014d
11F. Identification and control of a gentamicin resistant, meticillin susceptible Staphylococcus aureus outbreak on a neonatal unit
Journal of Infection Prevention May 2014 15: 104-109, first published on February 11, 2014 doi:10.1177/1757177413520057


12. Evidence2Action Symposium 2014: The secrets of success
Organiser: Families Commission
Date: Wed 4 Jun, 2014
More information:

13. Centre for Asian and Ethnic Minority Health Research National Symposium
The theme for this symposium is improving the health and wellbeing of Asian and ethnic minority communities through building stronger multidisciplinary and intersectoral networks
Date: 4 July 2014
Venue: Tamaki Campus, School of Population Health, University of Auckland
More information: health/our-research

News - National

14. Budget 2014 announcements

15. Clare Collins: Five healthy foods to put in your supermarket trolley
NZ Herald - Wednesday May 14, 2014
If you eat to improve your health, here are five foods to put in your supermarket trolley every week. All pack a proven punch if you have them regularly

16. Bay's heart technology a first for NZ
Bay of Plenty Times - Tuesday May 13, 2014
New technology being used in Tauranga Hospital for patients at risk of sudden cardiac arrest is a New Zealand first. The breakthrough implant technology helps to prevent sudden cardiac death in people at risk, while still allowing full-body MRI scanning in the future

17. EU: Google must yield on personal results  
The Press - 14/05/2014
People should have some say over the results that pop up when they conduct a search of their own name online, Europe's highest court has said.  In a landmark decision, The Court of Justice of the European Union said Google must listen and sometimes comply when individuals ask the internet search giant to remove links to newspaper articles or websites containing their personal information. Campaigners say the ruling effectively backs individual privacy rights over the freedom of information

18. Drugs tested on coma patients
ODT - Wed, 14 May 2014
Thousands of critically ill or unconscious patients have been enrolled without their consent in clinical trials to test treatments in New Zealand hospitals. A medical ethics committee delayed approving a drug company's application in March for an antibiotics trial at Auckland and Christchurch hospitals so it could obtain legal advice from Crown Law. The lead researcher for the trial told the health and disability ethics committee that, in line with similar applications approved in the past, the aim was to get permission from relatives of the patient and then "retrospective" consent once they had recovered.  Provisional approval for the new trial has since been granted but a patient rights' advocate says the DHBs involved have forgotten the lessons of the Cartwright Inquiry which established the current system of informed consent for healthcare and research.

19. Call for more research on norovirus risk  
More money needs to be invested in wastewater treatment research so communities can prepare for the highly infectious stomach bug norovirus, a leading scientist says. Graham McBride, principal scientist of water quality at Niwa, said not enough was known about the effects of the disease at different doses, or how it acted in water.

20. HQSC - Updated Resources on Reducing Harm From Falls
The 10 Topics are a set of learning activities, launched mid-2013 and integrated with falls prevention initiatives in the national patient safety campaign Open for better care . Anyone involved in the care of older people at risk of falling – or interested in how older people can ’keep on their feet’ – will find the topics useful as up-to-date information. The topics bring together evidence, clinical guidelines and recommendations for best practice with resources to support your falls prevention improvement projects. The topics provide an update and can be used in team meetings, and in group or self-directed study.

News - International

21. Life expectancy in Canada hits 80 for men, 84 for women
For both sexes in Canada, life expectancy is up at birth
Life expectancy in Canada and other countries around the world is growing, according to a new report from the World Health Organization, with most of the progress apparent in low-income countries

22. Migraines Linked to Increased Risk of 'Silent Strokes'
Treating migraines might reduce stroke risk, researchers suggest
THURSDAY, May 15, 2014 (HealthDay News) -- Older people who have migraines may be twice as likely to have "silent strokes," according to a new study. Silent strokes are symptomless brain injuries caused by a blood clot that disrupts blood flow to the brain. Researchers cautioned that these brain injuries are a risk factor for future strokes



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