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Issue 3 - 29 January 2016

Articles – Nursing Standard [RCN Journal]

1. Clinical update - Continence
Nursing Standard, 2016. 30(22), 17-17.
: Essential facts: Continence is the ability to voluntarily control emptying the bladder and bowels effectively, in a socially acceptable and hygienic way. According to NHS England, more than 14 million adults in the UK have bladder problems, while 6.5 million have bowel control issues. About 900,000 children and young people have difficulties. A normal bladder empties four to seven times each day and can hold up to a pint of urine.

2. Ease the path from acute to community
By Lynne Pearce
Nursing Standard, 2016. 30 (22), 18-19

Abstract: New guidance should ensure adults with social care needs are supported when they leave hospital. NICE offers guidelines on how to ensure patients have the social support they need to leave hospital in a timely way. Its new guidance acknowledges the patient’s ‘journey’ often begins with emergency admission, and emphasises the dedicated role of the discharge co-ordinator. Despite pressures, nurses can lead improvements.

3. A long way to go
By Karen Lannon. Nursing Standard, 2016. 30(22), 26-27
: Obstacles to abortion in Northern Ireland force many to make a stressful trip to England, says Karen Lannon. Working at Marie Stopes UK’s Manchester centre, I am just as likely to hear an Irish accent as a Mancunian one.

4. Shoulders back
By Jane Bates. Nursing Standard, 2016. 30(22)
: Poor posture is a feminist issue. This is the conclusion I have come to, having been upbraided by a physiotherapist for my slouchiness.

5. Readers panel - How to lift the alcohol burden
Have hospital services failed to respond to the rising toll of alcohol-related activity?
Nursing Standard, 2016. 30(22), 28-29
: A consistent basic level of support would be a start; More must be done to stop the abuse; It’s shocking many hospitals have no specialist service; As always, prevention is better than cure

Articles – Patient-centred Care

6. Patient-centred care: improving healthcare outcomes
Nursing Standard, 2015. 30, 4, 50-59
: Patient-centred care is a model of care that respects the patient’s experience, values, needs and preferences in the planning, co-ordination and delivery of care. A central component of this model is a therapeutic relationship between the patient and the team of healthcare professionals

7. Implementing culture change in long-term dementia care settings
Nursing Standard, 2016. 30(19), 44-50.
: The approach to nursing in long-term care settings for people living with dementia continues to evolve from a traditional, task-oriented culture to one that is person-centred. Such change can be difficult to manage and may encounter considerable opposition; having an understanding of change management and leadership styles may help to make this transition easier. This article discusses the differences between task-oriented and person-centred care, theories of management, motivation and leadership styles, and focuses on those that are most appropriate for this type of change

8. Patient-centred care: improving healthcare outcomes
Nursing Standard, 2015. 30(4), 50-59
: Patient-centred care is a model of care that respects the patient’s experience, values, needs and preferences in the planning, co-ordination and delivery of care. A central component of this model is a therapeutic relationship between the patient and the team of healthcare professionals. The implementation of a patient-centred care model has been shown to contribute to improved outcomes for patients, better use of resources, decreased costs and increased satisfaction with care

10. Starting a care improvement journey: focusing on the essentials of bedside nursing care in an Australian teaching hospital.
By Clarke, Tracy; Kelleher, Michaela; Fairbrother, Greg.
Journal of Clinical Nursing. Jul 2010, Vol. 19 Issue 13/14, p1812-1820. 9p
: Aims and objectives. To evaluate and improve patient assessment practices, care practices, recognition of patient deterioration and communication in the acute ward environment. Background. A growing recognition of patient safety-related concerns in acute hospitals, a nursing shortage and a reduction in availability of skill and experience levels at the bedside led a group of clinicians to explore the issues that impacted on patient care at a ward level within their organisation

Selected Articles – Journal of Clinical Nursing. Jan 2015

11. Factors influencing why nursing care is missed
By Blackman, Ian; Henderson, Julie; Willis, Eileen; Hamilton, Patricia; Toffoli, Luisa; Verrall, Claire; Abery, Elizabeth; Harvey, Clare.
Journal of Clinical Nursing. Jan 2015, Vol. 24 Issue 1/2, p47-56. 10p
Aims and objectives This study explores the reasons nurses identify missed care and what factors account for this variance in nursing practice. Second, the study seeks to understand if the identified reasons behind missed care interact with one another and form a multidimensional construct. Background This study draws on the results of previous research conducted by Kalisch in developing the MISSCARE research survey tool and now applies it to an Australian context. Design This study engages a nonexperimental exploratory approach where 16 latent variables are identified and estimated using structural equation modelling to determine the capacity each of these factors has in predicting the reasons for reported missed nursing care.

12. Preoperative education interventions to reduce anxiety and improve recovery among cardiac surgery patients: a review of randomised controlled trials 
By Guo, Ping.
Journal of Clinical Nursing. Jan 2015, Vol. 24 Issue 1/2, p34-46. 13p
: To update evidence of the effectiveness of preoperative education among cardiac surgery patients. Background Patients awaiting cardiac surgery may experience high levels of anxiety and depression, which can adversely affect their existing disease and surgery and result in prolonged recovery. There is evidence that preoperative education interventions can lead to improved patient experiences and positive postoperative outcomes among a mix of general surgical patients. However, a previous review suggested limited evidence to support the positive impact of preoperative education on patients' recovery from cardiac surgery

13. An investigation of factors that impact patients' subjective experience of nurse-led clinics: a qualitative systematic review 
By Jakimowicz, Samantha; Stirling, Christine; Duddle, Maree.
Journal of Clinical Nursing. Jan 2015, Vol. 24 Issue 1/2, p19-33. 15p
To systematically review the qualitative evidence on factors that affect the experience of patients attending nurse-led clinics and compare with key elements of person-centred care. Background As the number of nurse-led clinics increases in response to health system needs, evaluation has focused on clinical outcomes and cost. Patient experiences are less researched and yet, they are an important influence on clinical outcomes and an indicator of person-centred care. A detailed review of existing research in this area is needed

14. A prospective three-step intervention study to prevent medication errors in drug handling in paediatric care.
By Niemann, Dorothee; Bertsche, Astrid; Meyrath, David; Koepf, Ellen D; Traiser, Carolin; Seebald, Katja; Schmitt, Claus P; Hoffmann, Georg F; Haefeli, Walter E; Bertsche, Thilo.
Journal of Clinical Nursing. Jan 2015 Vol. 24 Issue 1/2, p101-114. 14p
: To prevent medication errors in drug handling in a paediatric ward. One in five preventable adverse drug events in hospitalised children is caused by medication errors. Errors in drug prescription have been studied frequently, but data regarding drug handling, including drug preparation and administration, are scarce. Design A three-step intervention study including monitoring procedure was used to detect and prevent medication errors in drug handling.

Journal  - Table of Contents

From Journal of Infection Prevention, January 2016

15A. Editorial: Norovirus: increasing the index of suspicion
15B. The Where is Norovirus Control Lost (WINCL) Study: an enhanced surveillance project to identify norovirus index cases in care settings in the UK and Ireland
15C. The antimicrobial stewardship program in Gulf Cooperation Council (GCC) states: insights from a regional survey
15D. Potential infection control risks associated with roaming healthcare industry representatives
15E. Are you serious? From fist bumping to hand hygiene: Considering culture, context and complexity in infection prevention intervention research
15F. IPA Spotlight: Reflections from Infection Prevention 2015: beating the bugs, improving the systems and thinking outside the box


16. Arthritis New Zealand Conference 2016
Date: Saturday, 5 March, 2016
Venue: Te Papa, Wellington
More information:

17. Inaugural World Indigenous Cancer Conference 2016 (WICC 2016)
Hosted by Menzies School of Health Research, and held in partnership with the International Agency for Research on Cancer (IARC). 
Date: 12 - 14 April 2016 
Venue: Brisbane Convention and Exhibition Centre, Queensland, Australia

18. Masterclass: Ethics in palliative care
Mary Potter Hospice

Date: 25 February 2016
Venue: The Chapel, Home of Compassion, Island Bay
This workshop will explore the ethical issues around death and dying; exploring professional boundaries and personal challenges for the health professional

19. Tackling child health inequalities – what can we learn from England’s experience?
Speaker: Professor Catherine Law CBE FMed Sci MD FRCP FFPH FRCPCH
Date: 26 February 2016: 10-11am
Venue: Nau Mai Meeting Room
Te Puni Kōkiri House, 143 Lambton Quay, Wellington
Cost: FREE


News – National

20. Zika virus outbreak raises Pacific, Americas travel concerns for pregnant women
Stuff - January 27 2016

Zika virus outbreak raises Pacific, Americas travel concerns for pregnant women
Pregnant Kiwi women are being urged to rethink their Pacific and South America travel plans amid a flood of cases of a tropical disease causing birth defects, paralysis, and even death. Dozens of cases of zika, a virus spread by infected mosquitos, have already been identified in New Zealand, but most were believed to be mild

21. Red Bull and Monster energy drink staple forces man to kick litre-a-day habit
Stuff – January 26, 2016

A Motueka man who was drinking as much as one litre of energy drinks per day says he suffered chest pains until he stopped guzzling the products. Nutrition experts and researchers are fizzing because there has been hardly any change in New Zealand attitudes towards health despite high-sugar or high-energy drinks being in the spotlight for years. Products with caffeine and other additives, such as guarana and taurine, must be appropriately labelled and the manufacturers must comply with marketing regulations.


News – International

22. Some antibiotics may alter children's gut microbiome for up to two years, links to asthma and obesity
ABC Science, 27 January 2016

Some types of antibiotics may alter the gut biology of young children for up to two years after they have taken them, according to a study of Finnish children.
Key facts
Study looked at long-term use of antibiotics and gut microbiome in children aged 2-7
Antibiotics used for respiratory infections changed composition of gut flora
Use of these antibiotics correlated with increased body weight and risk of asthma in the children
The use of these antibiotics, known as macrolides, was also associated with an increased risk of developing asthma and becoming overweight, reported a group of researchers in the journal Nature Communications.'s-gut-microbiome/7115348

23. Health effects of artificial sweeteners: Where do we stand?
by Sandee LaMotte, CNN - January 18, 2016
)Sugar -- how can something so good be bad for us? Actually, it's not, if you keep to the newest dietary guidelines recently announced by the USDA: only 10 teaspoons of sugar a day for the average person. Unfortunately, that equals just one 16-ounce bottle of regular soda.

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