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Issue 32 - 5 October 2016

Inform your practice

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Kai Tiaki Nursing Research

September 2016 issue - OUT NOW

Articles – Shiftwork and Fatigue

1. Cognitive and Other Strategies to Mitigate the Effects of Fatigue: Lessons from Staff Physicians Working in Intensive Care Units
Henrich, Natalie; Ayas, Najib T; Stelfox, Henry T; Peets, Adam D.
Annals of the American Thoracic Society (Sep 2016): 1600-1606.
: Fatigue is common among physicians and adversely affects their performance.
Objectives: To identify strategies that attending physicians use when fatigued to maintain clinical performance in the intensive care unit (ICU). Methods: We conducted a qualitative study using focus groups and structured interviews of attending ICU physicians working in academic centers in Canada.

2. Sleep, Fatigue and Quality of Life: A Comparative Analysis among Night Shift Workers with and without Children
Fernandes-Junior, Silvio Araújo; Ruiz, Francieli Silva; Antonietti, Leandro Stetner; Tufik, Sergio; Mello, Marco Túliode.
PLoS One Jul 2016.
: The reversal of the natural cycle of wakefulness and sleep may cause damage to the health of workers.
Aims: Evaluate the sleep time, fatigue and quality of life of night shift workers and verify the relationship between these variables with the presence or absence of children in different age groups

3. Melatonin: resetting the clock of cancer progression?
Pinato, David J; Stebbing, Justin.
Lancet Oncology Jan 2016: 23-24.
: Initial evidence suggests that the addition of melatonin to chemotherapy or radiotherapy schedules improve tolerability by reducing haematological side-effects, neurotoxicity, and fatigue—common dose-limiting toxicities stemming from chemotherapy. Moreover, the broad antioxidant properties of melatonin have stimulated its consideration in the chemoprevention of cancer.

4. The Relationships of Nurse Staffing Level and Work Environment With Patient Adverse Events
Cho, Eunhee, PhD, RN; Chin, Dal Lae, PhD, RN; Kim, Sinhye, MSN, RN; Hong, OiSaeng, PhD, RN, FAAN, FAAOHN.
Journal of Nursing Scholarship Jan 2016: 74-82.
The purpose of this study was to examine the relationships of nurse staffing level and work environment with patient adverse events. The three most commonly nurse-reported adverse events included administration of the wrong medication or dose to a patient, pressure ulcers, and injury from a fall after admission.

5. An Official American Thoracic Society Statement: The Importance of Healthy Sleep: Recommendations and Future Priorities
Mukherjee, Sutapa; Patel, Sanjay R; Kales, Stefanos N; Ayas, Najib T; Strohl, Kingman P; et al.
American Journal of Respiratory and Critical Care Medicine 15, 2015: 1450-1458

Abstract: The aim of this AmericanThoracic Society (ATS) statement is to provide a review of the current scientific literature to assist health care providers, especially pulmonologists and sleep physicians, in making recommendations to patients and the general public about the importance of achieving good quality and adequate quantity of sleep.

6. Doing night shifts: the good, the bad and just coping
Kathy Oxtoby.
Nursing Standard. 31(4), 21 September 2016: 37-38
: Night working can negatively affect nurses’ health as well as personal and professional relationships, but it brings many benefits too. Working night shifts can play havoc with a person’s health and well-being. Research published in April found that female nurses in the United States, who worked rotating night shifts for 10 years or longer, had a 15% or higher increased risk of coronary heart disease compared with women who did not work night shifts.

Articles – Journal of Nursing Management [RCN]
Vol. 23, Issue 6, 30 September 2016

7. Signs of moral distress in nursing practice
John McKinnon.
Journal of Nursing Management, 23(6), 30 September 2016: 14
: Are we asking too much of inadequately supported nurses? Healthcare is in a turbulent place as society expects nurses to remain clinically robust while adapting to changes. That such changes have the potential to undermine care quality or nurses’ health is too often a secondary consideration

8. How to succeed at the confirmer stage
Erin Dean.
Journal of Nursing Management, 23(6), 30 September 2016: 18-19
: Sarah Alexander has acted as confirmer for three nurses during the revalidation process. Here she explains what she is looking for and what the role entails. As confirmers, we check that nurses have hit all the requirements necessary for revalidation, not that they are fit to practise

9. A real-time Excel-based scheduling solution for nursing staff reallocation
Outi Anneli Tuominen , Heljä Lundgren-Laine , Wiveka Kauppila , Maija Hupli , Sanna Salanterä
Journal of Nursing Management, 23(6), 30 September 2016: 22-29
: This article describes the development and testing of an Excel-based scheduling solution for the flexible allocation and reallocation of nurses to cover sudden, unplanned absences among permanent nursing staff.

10. Leadership in practice: an analysis of collaborative leadership in the conception of a virtual ward
Alayne Stockham.
Journal of Nursing Management, 23(6), 30 September 2016: 30-34
: This article describes how collaborative leadership was used to successfully implement a virtual ward in the primary care setting in south-east Powys, Wales. The journey demonstrates how collaborative leadership and working collectively enabled a new service to be developed, and established a mutual respect for different professionals’ roles.

11. Implementation of a structured programme of preceptorship for newly qualified midwives in a maternity unit
Jean Mason Mitchell & Sarah Davies
Journal of Nursing Management, 23(6), 30 September 2016
: This article discusses the application of a structured approach to the development and implementation of preceptorship programmes with an evidence-based content to support newly qualified midwives (NQMs). The development of a programme of preceptorship for NQMs is discussed and recommendations made for current practice.

Articles – Nursing Older People [RCN], September 2016

12. Culture change in care homes: a literature review
Deirdre Wild , Angela Kydd.
Nursing Older People. 28 (7), September 2016: 35-39
: This article is the first of a two-part series that explores a programme of culture change in care homes. A UK care home company sought the authors’ expertise to design and facilitate an independent programme of learning to encourage and support staff in two of its homes to become the architects of their own quality improvement

13. Culture change in care homes: development and facilitation
Deidre Wild , Angela Kydd
Nursing Older People, Vol. 28, Issue 8, October 2016: 31-37
: This article is the second of a two-part series that explores a programme of culture change in care homes. In this article, the authors describe their independent development and facilitation of a flexible learning programme for care homes, designed to meet a quality improvement request made by a care home company.

Journal Table of Contents

Journal of Continuing Education in Nursing
September 2016, Vol. 47, Issue 9

14A. Editorial: National Peer Review Week [Patricia S. Yoder-Wise, RN, EdD, NEA-BC, ANEF, FAAN]
14B. Administrative Angles: Developing a Program Evaluation Plan: Options and Opportunities [Barbara G. Lubejko, MS, RN]
14C. Clinical Updates: Meeting Education Needs of Flexible Staffing: Begin With the End in Mind [Jaclyn S. Schindler, MPH, FNP-BC]
14D. Leadership and Development: A New Approach to Evaluating Performance [Michael R. Bleich, PhD, RN, FAAN]
14E. Teaching Tips: Integrating Systems Thinking Into Nursing Education [Janet M. Phillips, PhD, RN, ANEF; Ann M. Stalter, PhD, RN]
14F. CNE Article: Effect of Evidence-Based Practice Programs on Individual Barriers of Workforce Nurses: An Integrative Review [Reginald Middlebrooks Jr., LCDR, NC, USN, DNP, MSN, RN, CRNA; Heather Carter-Templeton, PhD, RN-BC; Angela R. Mund, DNP, MS, APRN, CRNA]
14G. CNE Quiz: CNE Quiz: Effect of Evidence-Based Practice Programs on Individual Barriers of Workforce Nurses: An Integrative Review
14H. Knowledge and Competency of Nursing Faculty Regarding Evidence-Based Practice
[Roxana Orta, DNP, MA, Ed, ARNP-BC; Patricia R. Messmer, PhD, RN-BC, FAAN; Guillermo R. Valdes, DNP, MSN-HCS, RN-BC; Marian Turkel, RN, PhD, NEA-BC, FAAN; Sheldon D. Fields, PhD, RN, FNP-BC, AACRN, FNAP, FAANP; Christina Cardenas Wei, PhD, RN, PMHNP]
14I. Empowering Patients, Engaging Teams: An Interprofessional Continuing Education Pilot [Aislynn R. Moyer, DNP, RN]
14J. Working Toward a Competency-Based Preceptor Development Program [Vera Gueorguieva, RN, MN; Ann Chang, RN, MSN, CPHON; Bonnie Fleming-Carroll, RN (EC), BSc, MN; Karen M. Breen-Reid, RN, BScN, MN; Mary Douglas, RN, KRN, MN, TNCC; Sandhaya Parekh, RN, MN]


15. Public Forum: What matters to you?
Date:  Monday 28 November 2016
Venue: Ellerslie Event Centre, Auckland
Cost: $23 per person. Includes a soft drink. Other food and drinks available for purchase.
An advance care plan describes what is important to you when you are ill or dying. Having a plan is particularly important if you become too unwell to tell your loved ones and health care team what you want yourself.
To register:  and select ‘Evening Function Only’.

16. The 6th World Congress of Clinical Safety
: 6 (Wed) - 8 (Fri) September 2017
Place: Ambasciatori Palace Hotel, Rome, Italy
Abstract submission:   From 1 February 2017 to 31 March 2017

17. HealthyWork Conference 2016
HealthyWork – The heart of good business

Date: 18 November 2016
Venue: SKYCITY Convention Centre, Auckland
More information:

News – National

18. Show of support for midwives
ODT - 5 October 2016

Squeals and burbles from happy toddlers and babies in the Octagon sent a clear message to all, Otago midwives said yesterday. More than 100 parents, their children and a large group of Otago midwives gathered in the Octagon at noon to show support for the profession after recently released research was critical of midwifery.

News – International

19.  Qld kids at high-risk of obesity, disease
SkyNews Australia - 5 October 2016

A third of Queensland's kids are on a fast-track to obesity and chronic disease because they're spending too much time on electronic devices.And more than half of the state's kids aged five to 17 aren't physically active every day -

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