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Issue 26 - 5 August 2014

Articles – Documentation

1. Do emergency nurse practitioners provide adequate documentation?
By Neary, Anna. Emergency Nurse. Jul 2014, Vol. 22 Issue 4, p34-40. 7p
Documentation in healthcare services is important but often lacks detail. This article describes a pilot study of whether staff who have completed an emergency nurse practitioner course provide more detail in their patient assessments. Post-course audits demonstrate that standards of documentation had been maintained or had improved in some areas, but had declined in others

2. Role of effective documentation in emergency departments.
By Forge, Joyce. Emergency Nurse. Jun 2014, Vol. 22 Issue 3, p34-37. 4p.
: Lord Laming’s report into the death of Victoria Climbié highlights shortcomings in the safeguarding of children, in part due to poor record keeping and information sharing (House of Commons Health Committee 2003). This article presents findings from a survey of emergency department staff opinions about whether keeping records on children aged between birth and 16 years can safeguard them from harm. Staff members said that, while written records generally aid communication, the records they use did not focus satisfactorily on the children concerned and did not take into account some risks factors. The study led to a redesign of the record-keeping system

3. Maintaining best practice in record-keeping and documentation.
By Beach, Jane; Oates, Jennifer. Nursing Standard. 5/7/2014, Vol. 28 Issue 36, p45-50. 6p.
: This article considers best practice in record-keeping and documentation in the light of recent public inquiries and reports, renewed national interest in record-keeping standards, and the challenge of moving from paper to electronic healthcare documentation and digital storage of data. The nature of the nurse-patient relationship is also changing, and should be reflected in nurses' record-keeping practices. Collaborative approaches to the planning and evaluation of care, and more emphasis on patients having a greater sense of ownership of information held about them should be reflected in nurses' and other healthcare professionals' attitudes and approaches to this aspect of practice

4. Managing the routine consultation.
By Hunt, Katherine. Practice Nurse. 3/14/2014, Vol. 44 Issue 3, p10-13. 4p
:. The article focuses on the management of routine consultation in primary care nursing. Discussed are the essentials of consultation management including communication, practice skills, consent, confidentiality, time management and record keeping. The development of nursing practice is attributable to mentorship, online courses, study days and training programmes.

Articles – Osteoporosis

5. Osteoporosis drugs: Which one is right for you?
Harvard Women's Health Watch. Jul 2014, Vol. 21 Issue 11, p4-5. 2p
: The article offers information on the different types of osteoporosis drugs. Topics covered include the risks tied to bisphosphonate drugs, the use of dual energy x-ray absorptiometry (DEXA) to measure bone density, and the drug options for postmenopausal women who are not starting with a bisphosphonate. Also mentioned are intravenous infusion of zoledronic acid, injections of ibandronate, and denosumab.

6. Use of Calcium Supplements, Vitamin D Supplements and Specific Osteoporosis Drugs Among French Women Aged 75–85 Years: Patterns of Use and Associated Factors.
By Castro-Lionard, Karine; Dargent-Molina, Patricia; Fermanian, Christophe; Gonthier, Régis; Cassou, Bernard. Drugs & Aging. Dec 2013, Vol. 30 Issue 12, p1029-1038. 10p
  Despite the availability of effective preventive and curative medications for osteoporosis, and guidelines for its diagnosis and management, few individuals are treated for osteoporosis, even among those who have already had a fracture. Objectives: Our objective was to describe the patterns of use of medication for osteoporosis, i.e., calcium supplements, vitamin D supplements, and specific anti-osteoporotic drugs, such as bisphosphonates, in a large sample of French older women living at home, and to identify individual factors associated with use of these medications overall and in two specific clinical situations

7. Eat Right for Strong Bones That Will Last a Lifetime.
Tufts University Health & Nutrition Letter. Dec 2013, Vol. 31 Issue 10, p4-5. 2p
: The author discusses the importance of healthy diet in the prevention of osteoporosis. A study made by the National Osteoporosis Foundation (NOF) gives the data that about 10 million Americans are afflicted with osteoporosis, a condition that makes bones less dense and susceptible to fractures. It says that adequate calcium and Vitamin D intake are needed in fighting the condition.

Articles – Moral Distress

8. Beyond moral distress: Preserving the ethical integrity of nurses.
By Woods, Martin.
Nursing Ethics. Mar 2014, Vol. 21 Issue 2, p127-128. 2p
The author reflects on the best way to deal with what is called nursing "moral distress," a phenomenon that refers to the existence of a moral element or threat to a nurse's moral integrity that causes feelings of anxiousness, or suffering. Topics include the causes of moral distress in nursing practice, how nurses should respond to such a dilemma, and the wide range of ethical situations leading to the experience of moral distress.

9. Moral distress and avoidance behavior in nurses working in critical care and noncritical care units.
By De Villers, Mary Jo; DeVon, Holli A.
Nursing Ethics. Aug 2013, Vol. 20 Issue 5, p589-603. 15p
: Nurses facing impediments to what they perceive as moral practice may experience moral distress. The purpose of this descriptive, cross-sectional study was to determine similarities and differences in moral distress and avoidance behavior between critical care nurses and non-critical care nurses

10. Moral distress: levels, coping and preferred interventions in critical care and transitional care nurses
By Wilson, Melissa A; Goettemoeller, Diana M; Bevan, Nancy A; Mccord, Jennifer M.
Journal of Clinical Nursing. May 2013, Vol. 22 Issue 9/10, p1455-1466. 12p
: To examine the level and frequency of moral distress in staff nurses working in two types of units in an acute care hospital and to gather information for future interventions addressing moral distress. Background In 2008, the American Association of Critical Care Nurses published a Position Statement on Moral Distress. Nurses working in units where critically ill patients are admitted may encounter distressing situations. Moral distress is the painful feelings and/or psychological disequilibrium that may occur when taking care of patients

Journal Table of Contents

11. From CANADIAN NURSE, Vol 110, No 5, June 2014
11A. Survey: Digital health tools making a difference
11B. Occupational hazards: Compassion fatigue, vicarious trauma and burnout
11C. Putting housing first [The At Home/Chez Soi project]
11D. When mental illness and the justice system intersect
11E. Creating a safe harbour [Volunteering on an international hospital ship]


12. Inaugural New Zealand Population Health Congress Connecting communities policy and science
Date: 6-8 October 2014
Venue: Aotea Centre, Auckland
More information:

News - National

13. Sunbed suspected of sparking blaze
ODT – 4 Aug 2014
Portobello volunteer firefighters at the scene of a fire on Harwood St, yesterday morning. Photo by Jamie Ramsay.  A sunbed is suspected of causing a fire which forced a couple to flee their Otago Peninsula home with only the clothes they were wearing, firefighters say

14. Childrens Action Plan
What’s changed for the five agencies responsible for vulnerable children?
The Chief Executives of the Ministries of Education, Health, Justice, Social Development and NZ Police are now jointly accountable for working together to develop, deliver and report on a cross-agency plan to protect vulnerable children and improve their wellbeing.

15. Access to primary care?survey: call for participants
Researchers from the University of Auckland's School of Population Health are seeking people aged between 16-64 years old with lived experience of disability to take part in focus groups who have accessed primary care. If you are interested, contact Tony Howe by phone on 09 625 0322 or email

16. Domestic Violence Report
‘The Way Forward - An Integrated System for Intimate Partner Violence and Child Abuse and Neglect in New Zealand’ was written by Ruth Herbert and Deb Mackenzie, in partnership with Violence Free Network Wairarapa (VFNW). VFNW is an interagency network of providers working to eliminate family violence in the Wairarapa region.

17. People need to speak out about workplace bullying
Waikato Times - 29/07/2014
OPINION: Recently, I had a fascinating conversation with former Hamilton City Council employee Allan Halse - a man who stood up and confronted bullying in his former workplace, and now acts as an advocate for others who have suffered from workplace bullying. The conversation itself was something I found fascinating because his description of the process of how a workplace bully works is one.

18. Warning of crisis in mental health
The Press 29/07/2014
More money is urgently needed to avoid a looming mental health crisis, says Canterbury District Health Board (CDHB) chief executive David Meates. Unprecedented growth in demand for mental health over the past three years showed no sign of slowing and was unsustainable, he said.

News International

19. Struggling to sleep at night? Blame your office
Windowless offices stop the bodyclock functioning correctly and can lead to disrupted sleep, researchers have shown.

20. Is exercise as effective as medication for treating many chronic health ailments?
By Dr. Zoe Oliver and Eddy Lang, Calgary Herald
The Global Burden of Disease study in 2010 showed that inactivity is the fifth most common modifiable risk factor for disease overall in North America, outranking poor dietary patterns and even heavy drinking.


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