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Issue 16 - 23 May 2014

Discussion paper
Regulations to support the new Health and Safety at Work Act
Ministry of Business, Innovation and Employment 

Email your completed submission form:
by no later than Friday 18 July 2014
More information:


Selected Articles - Care Capacity/Safe Staffing

1. Building palliative care capacity in rural health: a collaborative approach.
By Recoche, Katrina; Lee, Susan; O'Connor, Margaret; Ross-Heazlewood, Mary; Doherty, Vicki; Hood, Kerry. Australian Nursing & Midwifery Journal. 01/05/2014, Vol. 21 Issue 10, p38
: The article discusses the Australian government's attitudes towards providing a needs based approach to palliative care in which people with life limiting illness are able to access palliative care appropriate to their needs and wishes in any inpatient or community setting. A palliative care education program for non specialist medical professionals which was established in 2009 by Monash University School of Nursing & Midwifery and Gippsland Region Palliative Care Consortium is discussed.

2. Safe staffing may cost diddly-squat
By Snell, Janet. Nursing Standard. 5/7/2014, Vol. 28 Issue 36, p24-25. 2p
:The new Safe Staffing Alliance chair Susan Osborne is keen to challenge people's preconceptions. She talked to Janet Snell. 

3. 2013: a year of nursing odes, ratios, close scrutiny and Robert Francis.
By Harrison, Sarah. Nursing Standard. 12/18/2013, Vol. 28 Issue 16-18, p16-18. 3p
: From high-profile reports and YouTube hits to unpaid working hours and concerns over safe staffing, the past year was an eventful one. Sarah Harrison looks back. 

4. Researchers and nurses debate merits of ward staffing levels.
By Triggle, Nick. Nursing Management - UK. Nov 2013, Vol. 20 Issue 7, p8-9. 2p.
: The article discusses efforts to set standards for safe staffing levels of nurses in hospitals in Great Britain as of November 2013. It highlights the policy of Scotland to require healthcare providers to use workforce planning tools to ensure they have the right numbers and composition of staff. The author says there is an increasing volume of evidence showing that numbers of nurses directly affect quality of healthcare services.

5. Care Capacity Demand Management (CCDM)
Newsletter April 2014
Read the newsletter here:;jsessionid=8D0CFD820EDD7EEBC892F5936185F7C8?contentType=27§ion=13414

Selected Articles - Emergency Nurse [RCN Journal]

6. Treatment for burn blisters: debride or leave intact?
By Murphy, Faye; Amblum, Jeshi. Emergency Nurse. May 2014, Vol. 22 Issue 2, p24-27. 4p.
: This article presents findings from a systematic literature review of whether blisters arising from minor burns should be de-roofed or left intact. It discusses the risks of infection, healing outcomes, discomfort, choice of dressings and costs associated with each method, and reveals that debriding blisters larger than the patient's little fingernail while leaving smaller ones intact is generally agreed to be the best option. The article also explains external factors that influence the choice of whether to debride or leave blisters intact, reviews policy at the trust where one of the authors works in the context of the research and makes recommendations for practice.

7. Improving communication between emergency department staff.
By Moore, Kate. Emergency Nurse. May 2014, Vol. 22 Issue 2, p29-36. 8p
: During redevelopment of the emergency department at the Royal Sussex County Hospital, Brighton, it was deemed vital that its internal communication system should be as effective as possible. An audit of staff perceptions of the existing communication system and a relevant literature review were undertaken, therefore, to inform a proposal for the development of a new online system. This article describes the development and implementation of the sys

8.Improving the management and care of people with sepsis.
By Fitzpatrick, David; McKenna, Michael; Rooney, Kevin; Beckett, Dan; Pringle, Norma.
Emergency Nurse. Apr 2014, Vol. 22 Issue 1, p18-24
: Many hospitals struggle to implement the full sepsis care bundle, but research suggests that many patients with sepsis are transported to hospital by ambulance. In 2011, the Scottish Ambulance Service introduced a pre-hospital sepsis screening tool (PSST) to expedite sepsis identification and care delivery. An online survey was set up to investigate medical and nursing staff perceptions and experiences of the introduction of a PSST. This article discusses the results, which show that participants perceive the PSST reduces time to treatment, improves continuity of care, benefits patients and is accurately applied by ambulance clinicians, but which also highlight problems with communication.

Selected articles - Nursing Forum Journal

9. An Investigation of the Effects of a Nonprofit Agency's Investigations on Quality of Care in Nursing Homes.
By Lorentz, Madeline; Finnegan, Brittany. N
Nursing Forum. Apr-Jun 2013, Vol. 48 Issue 2, p82-88. 7p
This study examined whether an agency's investigation of complaints in 40 nursing homes is positively correlated with the quality of nursing home care. Methods A quantitative methodology design using quantitative and qualitative data was used to assess the relationship between Agency X's investigation of consumers' nursing home complaints and the quality of nursing home care.
Conclusions Additional studies are needed to further explore the quality of care given in nursing homes. 

10. A Concept Analysis of Patient-Centered Care.
By Lusk, Janet M.; Fater, Kerry.
Nursing Forum. Apr-Jun 2013, Vol. 48 Issue 2, p89-98. 10p
Patient-centered care ( PCC) has moved to the forefront of health care over the last decade as a healthcare improvement recommended by the Institute of Medicine. 
Purpose The purpose of this article is to describe a concept analysis using Walker and Avant's method as an organizing framework. In this review, nursing and interprofessional literature, including psychology, medicine, social science, physical therapy, and occupational therapy, are examined. 
Findings suggest that PCC is integral to the provision of quality care, promoting positive outcomes for patients, organizations, and healthcare professionals. An operational definition of PCC, including attributes, antecedents, and consequences, is developed, and this definition correlates with Jean Watson's caring theory in nursing practice today. Model and contrary cases illustrate the concept. Practice Implications Defining measurable variables can link associated nursing care with improved patient outcomes

11. Professional Comportment: The Missing Element in Nursing Practice.
By Clickner, Deborah A.; Shirey, Maria R.
Nursing Forum. Apr-Jun 2013, Vol. 48 Issue 2, p106-113. 8p
The aim of this concept analysis of professional comportment is to elucidate the dimension of nursing practice that fosters cooperation, collaboration, effective communication, and team cohesion among nurses.
Background: Professional comportment is a concept that has not been developed or analyzed, and its integration into nursing practice is unclear and not specified. The body of knowledge concentrating on the spectrum of professional comportment, civility, and lateral violence is presently incomplete. Analyzing and developing the concept of professional comportment will satisfy a gap in the literature. A concept analysis of professional comportment will clarify for the nurse the power of words, behaviors, and communication needed to achieve effective communication and civility.

12. From Frontline Nurse Managers to Academic Program Directors: Research, Strategies, and Commonalities.
By Mintz-Binder, Ronda Debra. Nursing Forum. Apr-Jun 2013, Vol. 48 Issue 2, p114-124
: Frontline nurse managers, whether in service or academia, are facing very similar stressors related to the ever-expanding job duties that also include providing a positive nurturing work environment for employees. This article compares the recent research across these two areas of critical nursing management from a role analysis perspective. Conclusion Recommendations for encouraging healthy work environments, enhancing personal growth, leadership development, encouraging succession planning, and innovatively partnering toward the future are included.

Journal - Table of Contents

13.  Selected articles From Nursing Management [RCN]

13A. Using a national guideline to prevent and manage pressure ulcers
By Julie Neilson , Liz Avital , Jane Willock , Nigel Broad

13B. Development of a community nursing drug chart
By Jennifer Cassam , Chetan Shah , Philippa Lewis , Samar Al-Tahan , Kate Pickard

13C. Leadership support for ward managers in acute mental health inpatient settings

13D. The RAFAELA system: a workforce planning tool for nurse staffing and human resource management
By Lisbeth Fagerström, Kjersti Lønning, Marit Helen Andersen


14.  Migrant-Cross-Cultural Encounters: A Multidisciplinary Conference
Date: 24th to 26th November 2014
Dunedin, New Zealand
More information:

15. “ENT in the 21st Century -Innovation, Collaboration and Integration”
67th Annual General and Scientific Meeting of the New Zealand Society of Otolaryngology Head and Neck Surgery
Date: 13-16 October 2014 | Energy Events Centre, Rotorua, New Zealand
More information:

16. Palliative medicine
Australian and New Zealand Society of Palliative Medicine conference 2014
Date: 2–5 September 2014
Location: Australia
More information:

17. Pain management
NZAMM–AFMM Scientific Meeting.  “Nerves ’n Pain”.
Date: 5–7 September 2014
Location: Rotorua
More information:

News - National

18. Hospital workers 'abused, bashed'  
Too many workers in New Zealand's hospitals are being punched, threatened and sexually assaulted by aggressive patients, health professionals say. A report published in the New Zealand Medical Journal today found 93 per cent of hospital workers had experienced verbal anger from a patient in the last year, and 65 per cent had experienced physical aggression.

19. How parents' diet affects baby's health
NZ Herald - Thursday May 22, 2014
Chromosomes and genes contain the blueprint for your physical characteristics. But your parents' health and diet before you were conceived can also affect how your genes are expressed - and impact your long-term health. There's a good explanation for this

20. Children trip up rheumatic fever campaign  
Stuff - 22/05/2014
The multimillion-dollar fight against rheumatic fever is being undermined by children not taking their medicine. The Ministry of Health is now looking for bright ideas on encouraging families to stick to the antibiotics treatment.  Tens of millions of dollars are being spent on picking up sore throats - one of the first causes of rheumatic fever - in deprived communities. However, ministry documents show concerns about the prevention campaign being undermined, with one study showing fewer than one in three children who were prescribed antibiotics for rheumatic fever had taken them all.

News - International

21. Ditching the diet already? Don’t worry, you have still done your heart some good
The Telegraph - 21 May 2014
Dieting at any age is good for adults even if they put the pounds back on, researchers have found. It has lasting benefits for their heart and arteries and reduces their risk of developing diabetes. The effect was observed in people who dropped a body mass index category – from obese to overweight or from overweight to normal – at any time during their adult life, regardless of whether they remained at the new weight

22. The health benefits of standing up to bullies
The Telegraph - 21 May 2014
Standing up to bullies is good for your health, according to a study that found those who are made miserable by taunting are more likely to suffer heart problems in later life. Researchers at Duke University in North Carolina discovered that bullied children experienced higher than normal levels of a condition called low- grade systemic inflammation, which persists into adulthood.

23. Electronic cigarettes help smokers quit in 'real world,' study finds
Los Angeles Times - 20 May 2014
A new study based on real-world data from England lends support to the idea that electronic cigarettes can help smokers quit using regular cigarettes. Among a sample of 5,963 adults who tried to kick the habit without prescription medications or counseling, those who turned to e-cigarettes were about 60% more likely to succeed than those who used nicotine replacement therapy or went cold turkey. Researchers from University College London published their results online Tuesday in the journal Addiction.

24. Big four ways to avoid the 'Big C'
by Cathy Johnson
Worried by the thought that "everything gives you cancer"? In fact the big four proven cancer causes are lifestyle factors you can do something about.


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