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Issue 8 - 8 March 2016

Share your research findings

Publicise your thesis or dissertation findings by sending it to the NZNO library ( for inclusion in the Thesis Collection and NZ Nursing Research Index

Criteria for inclusion:
“Research concerned with the practice of  nursing, nursing education, nursing policy or nursing management”

Articles – Melanoma and Ketruda

1. Pembrolizumab: First global approval
Poole, Raewyn
Drugs. Oct 2014, Vol. 74 Issue 16, p1973-1981. 9p
: Pembrolizumab [Keytruda (US)], a humanized monoclonal antibody against the programmed death receptor-1 (PD-1) protein, has been developed by Merck & Co for the treatment of cancer. Pembrolizumab has received its first global approval for the treatment of advanced, unresectable or metastatic malignant melanoma in the US, for use in patients with disease progression after prior treatment with ipilimumab and, for BRAF V600 mutation-positive patients, a BRAF inhibitor. It is the first anti-PD-1 therapy to receive regulatory approval in the US, and is currently under regulatory review in the EU. This article summarizes the milestones in the development of pembrolizumab leading to this first approval for the treatment of malignant melanoma

2. Pembrolizumab and nivolumab: PD-1 inhibitors for advanced melanoma.
By Ivashko, Igor N.; Kolesar, Jill M.
American Journal of Health-System Pharmacy. 2/15/2016, Vol. 73 Issue 4, p193-201. 9p
: The immunology of programmed cell death protein 1 (PD-1) inhibitors, as well as the clinical efficacy of pembrolizumab and nivolumab in the treatment of metastatic melanoma, is reviewed

3. A New Immunotherapy Drug Creates a Watershed for the Surgical Pathologist's Role in Patient Care.
By Cagle, Philip T.; Bernicker, Eric H.
Archives of Pathology & Laboratory Medicine. Nov 2015, Vol. 139 Issue 11, p1329-1330. 2p
: The author discusses the accelerated approval of an immunotherapy drug with companion diagnostic for the predictive biomarker by the U.S. Food and Drug Administration (FDA) and its implications for the practice of pathology. He cites Pembrolizumab as a monclonal antibody that blocks the interaction between PD-1 and its ligands PD-L1 and PD-L2 allowing the immune system to detect and fight cancer cells. He notes the expanded role of the surgical pathologist in lung cancer patient care.

Articles - Australian Nursing & Midwifery Journal. Mar 2016

4. ANMF defending registered nurses in aged care
Australian Nursing & Midwifery Journal. Mar 2016, Vol. 23 Issue 8, p4-4. 1p
The article reports that the Australian Nursing and Midwifery Federation has expressed its commitment to lobbying for the provision of registered nurses in residential aged care facilities. Topics discussed include the inquiry to be initiated by the federal Senate which aims to examine the structure of the sector's workforce and the previous New South Wales Parliamentary Inquiry into the retention of laws the require the presence of registered nurses in high-care nursing homes.

5. Humanitarian crisis a roller coaster ride for an Australian nurse
Australian Nursing & Midwifery Journal. Mar 2016, Vol. 23 Issue 8, p16-18. 3p.
A personal narrative is presented which explores the author's experience of providing medical care to Syrian, Iraqi, and Afghan refugees who are flocking to the Greek islands that are neighbouring Turkey.

6.  Documentation is crucial
By Starr, Linda.
Australian Nursing & Midwifery Journal. Mar 2016, Vol. 23 Issue 8, p19-19. 1p.
: The article focuses on an Australian coronial inquiry which delved on the goals and orders of a medical officer with regard to end of life care. Topics discussed include the fluctuation of the health condition of the subject, her expressed will not to be given life prolonging treatment should her health further deteriorate, and the decision of the attending staff to give her morphine for pain relief. Investigation into the lack of details in the medical record is then mentioned.

7. Taking enrolled nursing into a new era
By Keast, Karen.
Australian Nursing & Midwifery Journal. Mar 2016, Vol. 23 Issue 8, p20-26. 7p
: The article focuses on efforts of the National Enrolled Nurse Association of Australia to reshape enrolled nursing education in the country. Topics discussed include the partnership between registered nurses and enrolled nurses in the delivery of direct patient care, the introduction of second level practitioner role in the 1950s, and efforts to educate enrolled nurses on how administer medicine. Modifications to the Health Training Package and standards of practice are mentioned.

Articles – Emergency Medicine Australasia. Feb 2015

8. Redesigning emergency patient flow with timely quality care at the Alfred
By Lowthian, Judy; Curtis, Andrea; Straney, Lahn; McKimm, Amy; Keogh, Martin; Stripp, Andrew.
Emergency Medicine Australasia. Feb 2015, Vol. 27 Issue 1, p35-41. 8p
: The 4 h National Emergency Access Target was introduced in 2011. The Alfred Hospital in Melbourne implemented a hospital-wide clinical service framework, Timely Quality Care ( TQC), to enhance patient experience and care quality by improving timeliness of interventions and investigations through the emergency episode and admission to discharge in 2012. We evaluated TQC's effect on achieving the National Emergency Access Target and associated safety and quality indicators

9. Age and admission times as predictive factors for failure of admissions to discharge-stream short-stay units
By Shetty, Amith L; Shankar Raju, Savitha Banagar; Hermiz, Arsalan; Vaghasiya, Milan; Vukasovic, Matthew.
Emergency Medicine Australasia. Feb 2015, Vol. 27 Issue 1, p42-46. 5p
: Objective Discharge-stream emergency short-stay units ( ESSU) improve ED and hospital efficiency. Age of patients and time of hospital presentations have been shown to correlate with increasing complexity of care. We aim to determine whether an age and time cut-off could be derived to subsequently improve short-stay unit success rates

10. Self-reported preparedness of New Zealand acute care providers to mass emergencies before the Canterbury earthquakes: A national survey
By Al-Shaqsi, Sultan; Gauld, Robin; McBride, David; Al-Kashmiri, Ammar; Al-Harthy, Abdullah.
Emergency Medicine Australasia. Feb 2015, Vol. 27 Issue 1, p55-61. 7p
: Disasters occur more frequently. Acute care providers are the first to respond to mass emergencies from the healthcare sector. The preparedness of acute care providers in New Zealand to respond to mass emergencies has not been previously studied. Objective To assess the self-reported training and experience of New Zealand acute care providers to respond to mass emergencies and the factors associated with strong preparedness

11. Why do patients choose to attend a private emergency department? 
By Shearer, Freya M; Bailey, Paul M; Hicks, Brontie L; Harvey, Brooke V; Monterosso, Leanne; Ross-Adjie, Gail; Rogers, Ian R.
Emergency Medicine Australasia. Feb 2015, Vol. 27 Issue 1, p62-65. 4p
: Objective Understanding the reasons patients decide to attend a particular acute care service, and their expectations of that service, is important in providing optimal patient care. The present study aimed to determine factors influencing patient decisions to attend a private Australian ED, an issue that has not been previously addressed in the literature

12. Communication between nurses and physicians: Strategies to surviving in the emergency department trenches 
By Abourbih, Daniel; Armstrong, Sherry; Nixon, Kirsty; Ackery, Alun D.
Emergency Medicine Australasia. Feb 2015, Vol. 27 Issue 1, p80-82. 3p
: The emergency department (ED) is a challenging and stressful work environment where communication lapses can lead to negative health outcomes. This article offers strategies to Emergency Medicine residents, nurses and staff physicians on how to improve communication to optimize patient care

Articles – Nursing Ethics

13. Values in nursing students and professionals 
By Jiménez-López, F. Rosa; Roales-Nieto, Jesus Gil; Seco, Guillermo Vallejo; Preciado, Juan.
Nursing Ethics. Feb 2016, Vol. 23 Issue 1, p79-91. 13p
: Many studies have explored personal values in nursing, but none has assessed whether the predictions made by the theory of intergenerational value change are true for the different generations of nursing professionals and students. This theory predicts a shift in those personal values held by younger generations towards ones focussed on self-expression. Research question: The purpose of the study was to identify intergenerational differences in personal values among nursing professionals and nursing students and to determine whether generational value profiles fit the predictions made by the theory

14. Nursing students’ perceptions of patient dignity
By Papastavrou, Evridiki; Efstathiou, Georgios; Andreou, Christos.
Nursing Ethics. Feb 2016, Vol. 23 Issue 1, p92-103. 12p
: Respecting patients’ dignity has been described as a fundamental part of nursing care. Many studies have focused on exploring the concept of patients’ dignity from the patient and nurse perspective, but knowledge is limited regarding students’ nursing perceptions and experiences

15. Caring for tomorrow’s workforce
By Monteverde, Settimio.
Nursing Ethics. Feb 2016, Vol. 23 Issue 1, p104-116. 13p
: Preparing tomorrow’s healthcare workforce for managing the growing complexity of care places high demands on students, educators, and faculties. In the light of worrying data about study-related stress and burnout, understanding how students manage stressors and develop resilience has been identified as a priority topic of research. In addition to study-related stressors, also moral stressors are known to characterize the students’ first clinical experiences

Journal - Table of Contents

From Nursing Older People, Volume 28, Issue 2, 26 February 2016

16A. Use of new technology to help patients receive care at home
 [Devices such as wearable monitors and virtual assistants are being piloted at seven sites in England]
16B. Faster access means quicker discharge [Medway Maritime Hospital has launched an acute frailty service to ensure older patients are seen promptly by specialist consultants]
16C. Care at the end of life
16D. Comprehensive geriatric assessment during emergency admission
16E. Cognitive impairment in older people living in the community
16F. Managing verbal agitation in people with dementia and delirium


17. New Zealand Association for Clinical Research Annual Conference
: Clinical Excellence
Date: 18-19 August 2016
Venue: The Pullman Hotel, Auckland
More information:

Ministry of Health – Latest publications

18. Evaluation of the Establishment of Clinical Exercise Physiologist role in New Zealand - 17 February 2016
19. Health of the Health Workforce Report 2015 - 15 February 2016
20. Guide to PRIMHD Activity Collection and Use - 12 February 2016
21. Pertussis Control Strategies 2015: A consistent approach for New Zealand
[09 February 2016]
22. Indicators for the Well Child/Tamariki Ora Quality Improvement Framework – September 2015 - 04 February 2016

News – National

23. Rheumatic fever hospitalisations down by nearly half
One News – 7 March 2016
The Government says its $65 million investment to prevent rheumatic fever is making a real difference to those most at risk with a 45 per cent reduction in hospitalisations from the disease in three years.

24. Doctor's forgetfulness leaves man paralysed
Newshub - 7 Mar 2016
A man went days without diagnosis of a condition that left him paralysed from the waist down after his doctor's office forgot to tell him about his blood results.A new report from Health and Disability Commissioner Anthony Hill has found an otherwise healthy 21-year-old man was not told about serious problems with a blood sample by his GP, and eventually ended up a tetraplegic after an emergency trip to the hospital days later.

News – International

25. Deadly superbugs from hospitals get stronger in the sewers and could end up in the Pacific Ocean
Los Angeles Times
very day Southern California hospitals unleash millions of gallons of raw sewage into municipal sewers. The malodorous muck flows miles to one of the region's sewage plants, where it is treated with the rest of the area's waste and then released as clear water into a stream or directly to the Pacific. Scientists at the Environmental Protection Agency recently announced they had discovered a lethal superbug — the same one that caused outbreaks at UCLA and two other Los Angeles-area hospitals — in sewage at one of those plants. They declined to name the facility.


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