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Issue 28 - 22 August 2014

Articles – New Zealand Doctor, August 2014

1. Does long-term running or walking damage the hip?
By Steve Targett. New Zealand Doctor, 13 August 2014
  There is mixed evidence in the literature about the long-term effects of walking or running on the risk of hip osteoarthritis (OA) or total hip replacement (THR). Some studies show no effect, some an increase and some a decrease in rates of OA or THR. A study published in 2013 looked to answer this question by retrospectively analysing data from three different, large, prospective, cohort studies – the first and second National Runners’ Health Studies (43,000 and 33,000 participants, respectively) and the National Walkers’ Health Study (16,000).

2.  $3 million provided toward easing the move to portals
By Liane Topham-Kindley. New Zealand Doctor, 13 August 2014
Are patient portals a must-have connection tool for GPs? That was the topic of a key session at the RNZCGP’s annual conference in Christchurch last month. HOs will get $3 million from the Ministry of Health over the next 12 months to accelerate the rollout of patient portals. Most of the money will be used to give clinical leaders with portals experience, time out to assist their colleagues, IT Health Board director Graeme Osborne says.

3.  O’Malley challenges GPs to get on board with framework
By Liane Topham-Kindley. New Zealand Doctor, 13 August 2014
: GPs have been challenged by a senior Ministry of Health official to have input into the framework replacing the PHO Performance Programme. The framework will only be as good as the players in the field make it, deputy director-general sector capability and implementation Cathy O’Malley said at the RNZCGP conference. An opportunity will be lost if they do not get involved, Ms O’Malley said.

4.  A ‘professional conversation’ with a senior colleague
By Jo Scott-Jones. New Zealand Doctor, 13 August 2014
It is hard to approach any colleague with advice on their clinical management, especially a senior one. Jo Scott-Jones suggests how to handle it. In an ideal world, we would all be so quality focused that having our faults and clinical omissions pointed out to us would be seen as a truly positive professional experience. In reality, it can be really hard to approach any colleague with advice or an update around clinical management

Articles - International Journal of Nursing Practice, June 2014

5.  Factors affecting metacognition of undergraduate nursing students in a blended learning environment
By Li-Ling Hsu & Suh-Ing Hsieh.
International Journal of Nursing Practice (2014), 20(3), 233-241.
This paper is a report of a study to examine the influence of demographic, learning involvement and learning performance variables on metacognition of undergraduate nursing students in a blended learning environment. A cross-sectional, correlational survey design was adopted. Ninety-nine students invited to participate in the study were enrolled in a professional nursing ethics course at a public nursing college. The blended learning intervention is basically an assimilation of classroom learning and online learning.

6.  Difference in perception between nurses and patients related to patients' health locus of control
By Ayman M. Hamdan-Mansour, Lily R. Marmash, Rana Alayyan & Saba Y. Hyarat.
International Journal of Nursing Practice (2014), 20(3), 242-249.
Patient's health locus of control (HLOC) belief associates with superior health outcomes and patient satisfaction. Higher levels of HLOC beliefs among patients and nurses contribute positively in developing the partnership model of care. The purpose of this study was to examine the differences between nurses and patients' perception of patient's health locus of control at the Jordanian general health-care settings.

7.  Towards patient-centred care: Perspectives of nurses and midwives regarding shift-to-shift bedside handover
By Debra Kerr, Sai Lu & Louise McKinlay
International Journal of Nursing Practice (2014), 20(3), 250-257
:The aim of this descriptive qualitative study was to explore perspectives of nurses and midwives towards the introduction of shift-to-shift bedside handover. Semistructured interviews with nurses (n?=?20) and midwives (n?=?10) occurred 12 months after the introduction of bedside handover.

8. Evaluation of interrater reliability assessing oral health in acute care settings
By Hanne Konradsen, Ingelise Trosborg, Linda Christensen and Preben Ulrich Pedersen.
International Journal of Nursing Practice (2014), 20(3), 258–264
Oral health is increasingly important in relation to illness prevention, treatment and rehabilitation. The aim of this study was to test interrater reliability nurses in-between of Revised Oral Assessment Guide (ROAG) among patients acutely admitted to hospital with a medical condition. All patients were assessed twice. Percent agreement and Cohen's Kappa coefficient was calculated. Substantial differences were found between observers' ratings. If ROAG is to be implemented, it must be preceded for example by specific education, visual guidance or selection of most important elements in the screening tool

9.  Impact of psychosocial status and disease knowledge on deferoxamine adherence among thalassaemia major adolescents
By Manal Ibrahim Al-Kloub, Taghreed Nayel Salameh & Erika Sivarajan Froelicher
International Journal of Nursing Practice (2014), 20(3), 265–274
: This cross-sectional study aimed to explore the relationship between psychosocial status, disease knowledge and adherence to deferoxamine treatment in adolescents with thalassaemia major. A purposive sample of 36 adolescents with transfusion dependence, ages 12?19 years, was recruited

10.  The efficacy of education programme for preventing constipation in women
By Sultan Ayaz and Filiz Hisar
International Journal of Nursing Practice (2014), 20(3), 275–282
This study was performed to evaluate the efficiency of the education programme for prevention of constipation in women. This study was performed as a pre-test–posttest design. Thirty-five women were included who have constipation problem. Data were collected by questionnaire: Constipation Severity Instrument (CSI), Constipation Visual Analogue Scale (CVAS) and Bristol Stool Chart (BSC).

Journal Table of Contents 

11. From The Tube: NZNO Gastroenterology Section, 38(2), May 2014

11A. Chair report – Cathy Whiteside
11B. Editor’s report – Lorna Scoon
11C. Draft statement on the nurse endoscopist role in New Zealand
11D. Quality colonoscopy: To and from the caecum[ By Jenni Scoble]
11E. Endoscopic ultrasonography at Christchurch hospital [By Donna Somers]
11F. Endostim: treatment of gastro oesophageal reflux disease [By Kate Lodge]
11G.  Endoscopic removal of foreign objects from the gut presents challenges [By Glenda Rickerby]
11H. Inflammatory bowel disease nursing [By Lisa Owen, Wellington Hospital]
11I. Reducing readmission rates in the bowel screening pilot programme [By Thema Turner]
11J. Report from London September 2013 [By Nichola Olds-Read]
11K. Capsule endoscopy reading: Encompassing our expertise [By Dale Cornelius]
11L. Bizarre bezoars: Conference report 2013 [By Debra Motu]
11M. Contact details for gastroenterology units in New Zealand


12. Practice Managers & Administrators Association of New Zealand Conference 2014
Date: 4-6 September 2014
Venue: Rotorua , NZ
More information:

News – National

13. Fluoride 'safe and effective' in community water – report
A review of the science around the fluoridation of public water supplies has reaffirmed the belief that the levels of the chemical used in New Zealand's water systems does not pose a risk to health.

14. Bowel  test has promise
ODT – 22/8/2014
University of Otago researchers have found new ways to detect changes occurring on the surface of the bowel, which may lead to better treatment for hundreds of children with Crohn's disease and colitis.

News - International

15. Too little salt in the diet may be a bad thing, research suggests
By The Canadian Press, Postmedia News,  August 18, 2014
TORONTO — A pair of large international studies are questioning the validity of the notion that the less salt a person consumes, the better. In fact, the Canadian-led research suggests too little salt in the diet may even be a bad thing

16. Antibiotics wrongly prescribed by many GPs, survey finds
The Guardian – 19 August, 2014
Doctors giving out antibacterial medication, even when unnecessary, to satisfy patients or cover uncertain diagnosis. Almost half of British GPs have admitted prescribing antibiotics even though they know they will not treat the patient’s condition, a survey shows. Ninety per cent of doctors who responded to a recent questionnaire said they felt pressure from patients to hand out the antibacterial medication.

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