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Issue 41 - 13 Dec 2016

The NZNO Library has re-opened for 2017

Hope you had an enjoyable Christmas/New Year

Articles – Unnecessary testing/procedures

1. The twin traps of overtreatment and therapeutic nihilism in clinical practice
Mamede, Sílvia; Schmidt, Henk G
Medical Education, Jan 2014; 48(1): 34-43. 10p
: The modern version of the Hippocratic Oath requires doctors to swear that they will apply, for the benefit of the sick, all measures that are required, avoiding the twin traps of overtreatment and therapeutic nihilism. This paper explores the magnitude of the problem of overtreatment and undertreatment and the potential sources of these treatment errors.

2. Diagnostics, over-testing, and patient-centered care
Peraino, Robert A.
MLO: Medical Laboratory Observer, Jul 2016; 48(7): 34-34. 1p.
: Over-testing is not the answer.  Additionally, the emphasis on screening well patients who do not have known risk factors can lead to some with abnormal results, and an abnormal result yields more and more testing and unwarranted management, sometimes including dangerous over-prescription. 

3. Can we cut back on lab testing?
Levine, Norman
Dermatology Times; May 2016; v.37. n.5, 9-9. 1p. (Opinion)
: Some evaluations may be too much of a good thing
An interesting recent study in the allergy literature2 concludes that no diagnostic testing may be necessary oruseful in patients with chronic urticaria after a medical history and physical examination fail to direct one to an underlying cause of the eruption.

4. The top 5 tests you probably don't need
Harvard Health Letter. Oct 2013, Vol. 38 Issue 12, p1-7. 2p.
: The article discusses the top five health screenings that may be unnecessary. It mentions the electrocardiogram, whole-body computed tomography (CT) scan, coronary calcium score, chest screening, and tuberculosis (TB) skin test. Suzanne Salamon, instructor at Harvard Medical School, states that those screenings lead to the discovery of too many harmless variations of normal body parts which then lead to expensive, anxiety-producing, and unnecessary procedures

Articles –
International Journal of Nursing Knowledge, October 2016

5. NANDA-I NIC and NOC, the EHR, and meaningful use
By Flanagan, Jane; Weir-Hughes, Dickon.
International Journal of Nursing Knowledge. Oct 2016, Vol. 27
Issue 4, p183-183. 1p
: The article discusses the contribution of NANDA International (NANDA-I) Nursing Interventions Classification (NIC) and nursing outcomes classification (NOC) (NNN) in improving patient outcomes. Topics discussed include the linkage of using standardized nursing languages (SNL) in the electronic health record (EHR) to improved patient outcomes, the adoption of American EHR provider's solutions by hospitals in Europe and Great Britain, and the focus on NNN accuracy, teaching and evaluating nurses.

6. Respiratory Nursing Diagnoses: Presenting Evidence for Identification of the Defining Characteristics in Neonatal and Pediatric Populations.
By: Avena, Marta J.; Luz Gonçalves Pedreira, Mavilde; Herdman, T. Heather; Gutiérrez, Maria G. R.
International Journal of Nursing Knowledge. Oct 2016, Vol. 27 Issue 4, p184-192. 9p
: Purpose To identify and summarize clinical data supporting selection of nursing diagnoses related to the respiratory system for pediatric and neonatal populations. Method A literature review conducted in indexed publications was used.

7.  Nursing students' and tutors' satisfaction with a new clinical competency system based on the nursing interventions classification
By Iglesias-Parra, Maria Rosa; García-Mayor, Silvia; Kaknani-Uttumchandani, Shakira; León-Campos, Álvaro; García-Guerrero, Alfonso; Morales-Asencio, José Miguel.
International Journal of Nursing Knowledge. Oct 2016, Vol. 27 Issue 4, p193-200. 8p
: Purpose To assess students' satisfaction with their clinical tutors, their clinical practices, and tutors' satisfaction with the new approach of clinical placements and tutorship. Methods A cross-sectional study was used, with a study population of second and third year nursing students and clinical tutors

8. Adequacy of the Activities in the Nursing Intervention Exercise Therapy: Ambulation for Medical-Surgical Patients With Impaired Physical Mobility.
By Costa, Renata Bulhões; Santos, Eduarda Ribeiro; Lopes, Camila Takao; Bergamasco, Ellen Cristina.
International Journal of Nursing Knowledge. Oct 2016, Vol. 27 Issue 4, p201-204. 4p
: To evaluate the adequacy of the activities in the nursing intervention Exercise Therapy: Ambulation for medical-surgical patients with impaired physical mobility. Methods A methodological study with 60 medical-surgical nurses in a large hospital in São Paulo, SP, Brazil. Nurses judged the appropriateness of the 20 activities that comprise the intervention, classified as major or minor.

9. Is impaired comfort a nursing diagnosis?
By Pinto, Sara Maria Oliveira; Caldeira Berenguer, Sílvia Maria Alves; Martins, José Carlos Amado.
International Journal of Nursing Knowledge. Oct 2016, Vol. 27 Issue 4, p205-209. 5p
: Objective Discussion of the 'Impaired Comfort' nursing diagnosis. Methods Discussion paper based on the authors' ongoing PhD research about the development of comfort as a complex intervention. Findings When the patient has impaired comfort, the nursing intervention should be specific to the etiological factor

10. Nursing diagnosis based on signs and symptoms of patients with heart disease 
By Costa, Cíntia; Costa Linch, Graciele Fernanda; Nogueira de Souza, Emiliane.
International Journal of Nursing Knowledge. Oct 2016, Vol. 27 Issue 4, p210-214. 5p.
: The aim was to identify the main signs and symptoms of cardiac patients hospitalized in a unit of intensive cardiology care in order to infer the main nursing diagnoses (NDs). METHODS We performed a cross-sectional study; the sample consisted of 77 randomly selected records. Those records included only patients hospitalized for cardiovascular causes and with electronic chart available.

11. Nursing interventions and outcomes for the diagnosis of impaired tissue integrity in patients after cardiac catheterization: Survey 
By Pezzi, Marian Valentini; Rabelo-Silva, Eneida Rejane; Paganin, Angelita; Souza, Emiliane Nogueira.
International Journal of Nursing Knowledge. Oct 2016, Vol. 27 Issue 4, p215-219. 5p
: Purpose Determine the outcomes and interventions for patients undergoing cardiac catheterization with nursing diagnosis of impaired tissue integrity. Methods Survey with e-questionnaires sent for expert nurses in two rounds

Articles – Mindfulness

12. Mindfulness, moral distress and dementia care 
By Gallagher, Ann.
Nursing Ethics. Sep 2016, Vol. 23 Issue 6, p599-600. 2p.
: In this article, the author focuses on the Wellcome Collection debate held in Great Britain which focused on the mindfulness, moral distress and dementia care. It mentions lecture given by professor Ruby Wax on the theme "The Art of Failing". It states role of mindfulness in enabling people to make time and practice self-compassion

13. Mindfulness-based stress reduction for military women with chronic pelvic pain: A feasibility study 
By Crisp, Carol D.; Hastings-Tolsma, Marie; Jonscher, Karen R.
Military Medicine. Sep 2016, Vol. 181 Issue 9, p982-989. 8p
: One of the most common reasons women seek gynecologic health care services is for chronic pelvic pain (CPP) and women in the military are no exception. For women diagnosed with CPP, the burden can be difficult as they struggle to perform military obligations. A chronic low-grade systemic disease believed triggered by inflammation, CPP is difficult to diagnose and treat.

Journal - Table of Contents

From Registered Nurse Journal, July/August 2016

14A. Editor’s note: Knowledge is at the heart of good health, health care
14B. President’s view: Health equity and why it must always come first
14C. CEO dispatch: Speaking truth to power: A moral duty for every nurse
14D. Your say: Readership survey revealed
14E. Nursing in the news: Improving long-term care with BPGs; Hospital marks two years of saving lives with cord blood; Singing RN brings joy to patients
14F. Nursing notes: Nursing leaders receive recognition; easier access to naloxone can save lives; Toronto’s Centre for Addiction and Mental Health (CAMH) opens sweat lodge
14G. Putting your best foot forward [Diabetic foot care]
14H. The other side of caring [Nurses show how their experiences on the receiving end of care have changed the way they practise]
14I. Healthy habits start at school [Public health nurses working in schools]
14J. Policy at work: The looming Health Accord deadline; Supervised injection services; RN/NP backgrounder
14K. New opportunity grows from grief [A family tragedy forever changed Lorna Larsen’s life]
14L. What nursing means to me… [Registered Nurse, Catherine Thibeault]


15. Safety 360 Conference
Four summits - Safety Leaders, Hazardous Substances Management, Occupational Health and Health and Wellbeing
Date: 21-22 March 2017
Venue: Ellerslie Events Centre, Auckland
More information:

16.  Optimising patient experience through digital innovation
: 27-28 February 2017
Venue: Stamford Plaza, Auckland
More information:

News – National

17. The Choose Wisely campaign
- Aims to promote a culture where low value and inappropriate clinical interventions are avoided, and patients and health professionals have well-informed conversations around their treatment options, leading to better decisions and outcomes. The Council of Medical Colleges (CMC) is facilitating this initiative in New Zealand as part of our commitment to improving the quality of care for all patients

18. Experts reveal what to eat to avoid the hangover from hell
NZ Herald - Tuesday Dec 13, 2016

We all know the cardinal rule when it comes to alcohol - don't drink on an empty stomach. But with party season now in full swing, what are the best damage limitation meals - especially when time is tight after work? Here, Rob Hobson, head of Healthspan Nutrition, reveals the meals to minimise a sore head - and the foods you should always avoid

19. Slip, slop, slap and wrap urged as summer sun heats up
Newshub- 11 Dec 2016

The early summer sun is already catching some Kiwis off guard, and the Cancer Society says people need to be stocking up on summer essentials like sunscreen. New Zealand has the highest rate of melanoma cancer in the world, with more than 400 people dying a year

News – International

20. Cholesterol drugs offer fresh hope in fight against Alzheimer's disease
Sydney Morning Herald - December 13, 2016
Cholesterol-lowering drugs taken by millions of Australians might protect against Alzheimer's disease, a large study suggests. A new analysis of 400,000 Americans who took statins during a two-year period found that for many people, the higher their use, the lower their risk of Alzheimer's disease over the following five years.


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