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8 September 2020, Issue 15 - Maskwearing; Shiftwork; Spiritual care; New Zealand Medical Journal Articles and more....

Articles – Mask Wearing

1. How to Make Mask Wearing Easier.
Dickerson, James H.
Consumer Reports on Health, Oct 2020, 32(10), 11-11.

The article describes how to make mask wearing comfortable. Topics include position it right; layer up; and take steps to subdue fogging.

Health (Time Inc), Oct 2020, 34(8), 12-12.

The article explores how wearing a mask can lead to acne mechanica, unlike regular breakouts, which tend to be hormonally driven, acne mechanica is caused by friction. Topics include mineral sunscreen powder instead of a traditional lotion or cream-based sunscreen; and practice for good hygiene but it also will prevent oil and dirt from being reintroduced on skin.

3. 'Masks Work': CDC Urges Public to Follow Healthcare Worker Example: Are healthcare workers primarily infected in the community?
Evans, Gary
Hospital Employee Health, Sep 2020, 39(9), 1-4.

The article focuses on public health officials are citing a hospital study on the efficacy of mask use among healthcare workers and patients in preventing COVID-19 transmission to support recommendations for universal masking in the community. Topics include the views of Deepak Bhatt, Executive Director of Interventional Cardiovascular Programs at Brigham and Women's Hospital, on the results also apply to other situations in which social distancing is not possible.

4. Universal Masking Could Blunt COVID-19 Surge
AHC MEDIA; Hospital Employee Health, Aug 2020, 39(8), 1-2.

Growing evidence shows universal masking in public could dampen the feared "second wave" of COVID-19. Although the issue may be hopelessly politicized, universal masking is considered the best option to reopen the economy amid a continuing pandemic.

5. Factors Associated with Cloth Face Covering Use Among Adults During the COVID-19 Pandemic - United States, April and May 2020.
Fisher, Kiva A.; Barile, John P.; Guerin, Rebecca J.; Esschert, Kayla L. Vanden; Jeffers, Alexiss et al.
MMWR: Morbidity & Mortality Weekly Report, 7/17/2020, 69(28), 933-937.

On April 3, 2020, the White House Coronavirus Task Force and CDC announced a new behavioral recommendation to help slow the spread of coronavirus disease 2019 (COVID-19) by encouraging the use of a cloth face covering when out in public (1). Widespread use of cloth face coverings has not been studied among the U.S. population, and therefore, little is known about encouraging the public to adopt this behavior.

6. Wearing your medical mask safely.
Mathew, Shaini Paul
World of Irish Nursing & Midwifery, Jul/Aug 2020, 41-41
Medical masks have become a standard precaution measure in healthcare settings. Shaini Paul Mathew details how best to use them.

Articles – New Zealand Medical Journal, September 2020

NZMJ - Open Access Articles:

7. Editorial: Acknowledging and acting on racism in the health sector in Aotearoa New Zealand
Vanessa Selak, Jamie-Lee Rahiri, Rod Jackson, Matire Harwood
New Zealand Medical Journal (NZMJ), 133 (1520), 4 September 2020

The purpose of our editorial is twofold. First we will highlight some of the false beliefs that persist, and contribute to, ongoing racism within the health sector in Aotearoa New Zealand. Second we recommend some appropriate ways for the NZMJ and Pākehā health professionals/researchers to contribute to research and peer review that will support culturally safe research and equitable outcomes for Māori and other groups experiencing inequities.
NZMJ Article - Acknowledging and acting on racism

8. Racism and health in Aotearoa New Zealand: a systematic review of quantitative studies
Natalie Talamaivao, Ricci Harris, Donna Cormack, Sarah-Jane Paine, Paula King
New Zealand Medical Journal (NZMJ), 133 (1520), 4 September 2020

Racism is an underlying cause of ethnic health inequities both in Aotearoa New Zealand and internationally. It is timely to synthesise racism and health research within New Zealand particularly given the current policy environment and shift towards addressing the health effects of racism.
NZMJ Article - Racism and health in Aotearoa New Zealand

9. Estimated inequities in COVID-19 infection fatality rates by ethnicity for Aotearoa New Zealand Nicholas Steyn, Rachelle N Binny, Kate Hannah, Shaun C Hendy, Alex James, Tahu Kukutai, Audrey Lustig, Melissa McLeod, Michael J Plank, Kannan Ridings & Andrew Sporle
New Zealand Medical Journal (NZMJ), 133 (1520), 4 September 2020

There is limited evidence as to how clinical outcomes of COVID-19 including fatality rates may vary by ethnicity. We aim to estimate inequities in infection fatality rates (IFR) in New Zealand by ethnicity.
NZMJ Article - Estimated inequities in COVID-19 infection fatality rates

10. Assisted dying and evidence-based law-making: a critical analysis of an article’s role in New Zealand’s referendum
Ben P White, Lindy Willmott, Jocelyn Downie, Andrew Geddis & Colin Gavaghan
New Zealand Medical Journal (NZMJ), 133 (1520), 21 August 2020

Aim: To critically analyse the reliability of an article which claims to be evidence that the End of Life Choice Act 2019 provides a “potential hotspot for family, community and social discord that may not be easily remedied” should the legislation receive public support in New Zealand’s September 2020 referendum.
NZMJ Article - Assisted dying

11. The most commonly diagnosed and most common causes of cancer death for Māori New Zealanders
Jason K Gurney, Bridget Robson, Jonathan Koea, Nina Scott, James Stanley & Diana Sarfati
New Zealand Medical Journal (NZMJ), 133 (1520), 4 September 2020

Cancer is an important cause of morbidity and avoidable mortality for Māori, with more than a quarter of all deaths among Māori attributable to this disease. There is substantial evidence of enduring disparities in cancer incidence, mortality and survival between Māori and non-Māori, with cancer making an important contribution to the life expectancy gap between these groups.
NZMJ Article - Common causes of cancer death

Contact the NZNO library for copies of these NZMJ articles:

12. Inequity in one-year mortality after first myocardial infarction in Māori and Pacific patients: how much is associated with differences in modifiable clinical risk factors? (ANZACS-QI 49)
Janine Mazengarb, Corina Grey, Mildred Lee, Katrina Poppe, Suneela Mehta, Matire Harwood, Wil Harrison, Nicki Earle, Rod Jackson & Andrew Kerr
New Zealand Medical Journal (NZMJ), 133 (1520), 4 September 2020

In New Zealand, age standardised hospitalisation rates for ischaemic heart disease (IHD) and its most important clinical manifestation, myocardial infarction (MI), have steadily decreased over the last 10 years.

13. Inequalities between Māori and non-Māori men with prostate cancer in Aotearoa New Zealand
Richard Egan, Jacquie Kidd, Ross Lawrenson, Shemana Cassim, Stella Black, Rawiri Blundell, Jerram Bateman, John Broughton
New Zealand Medical Journal (NZMJ), 133 (1520), 4 September 2020

Prostate cancer is a major health concern globally. In 2015, prostate cancer was the most common incident of cancer in men, with an estimated 1.6 million cases worldwide, and fifth most common cause of cancer deaths for men, with an estimated 366,000 deaths worldwide.

14. Diagnosis of metastatic lung cancer from a colonic polyp: case report of a rare histological diagnosis
Hannah Scowcroft, Richard Flint
New Zealand Medical Journal (NZMJ), 133(1520), 4 September 2020

Lung cancer is the leading cause of cancer-related death in New Zealand, followed by colorectal cancer. Common sites of metastases for lung cancer include the brain, bone, liver, adrenal glands, contralateral lung and distant lymph nodes. Here, we present a rare case of non-small cell lung cancer metastasis found incidentally in a colonic polyp.

Articles – Spiritual Care

15. Demystifying spiritual care: let’s start with what it isn’t
Helen Wordsworth  
Nursing Standard. 35, 9, 19-20. doi: 10.7748/ns.35.9.19.s12

Meeting patients’ spiritual needs may or may not be about faith, but it’s always about learning what matters to patients and helping them find strength. What is spiritual care and how do I practise it? If this is a question you find yourself asking, it might be useful first to get some common misunderstandings about the nature of spiritual care out of the way, and then attempt to answer it.

16. Understanding the role of spirituality in providing person-centred care
Melanie Rogers  & John Wattis
Nursing Standard. Published online 08 April 2020. doi: 10.7748/ns.2020.e11342

An awareness of the concept of spirituality is integral to the provision of person-centred holistic care. This article discusses the challenges associated with the concept of spirituality, and describes the competencies and personal qualities that nurses require to achieve spiritually competent practice.

17. Responding to people who are experiencing spiritual pain
Barry Gerard Quinn
Nursing Standard. Published online: 05 March 2020. doi: 10.7748/ns.2020.e11523

This article examines the meaning of spirituality and how spirituality may – or may not – relate to religious beliefs. It describes a whole-person approach to understanding the physical, social, emotional and spiritual dimensions of pain, and how this may assist nurses in recognising and addressing patients’ spiritual needs. The article also explores attributes, skills and resources that can support nurses in responding to spiritual pain, including a caring presence, courage, compassion, and respect for other people’s beliefs and values.

18. Editorial: Does ‘spiritual care’ make you squirm?
Flavia Munn.
Nursing Standard. Published 04 December 2019. 34, 12, 5-5. doi: 10.7748/ns.34.12.5.s1
Is spirituality a core part of your being, or is the word hard to swallow due to its religious connotations and your personal beliefs?

19. Embedding spiritual care into everyday nursing practice
Janice Clarke & Kath Baume
Nursing Standard. Published online: 04 November 2019. doi: 10.7748/ns.2019.e11354

This article also describes techniques for discussing spirituality with patients, and explains how touch can be a useful therapeutic intervention that can enhance patients’ spiritual well-being. This article explains how patients’ spiritual needs can be embedded into everyday nursing practice, rather than being seen as an additional task for nurses to undertake.

20. Patients’ spiritual needs: The conversations that can help
Jennifer Trueland
Nursing Standard. Published: 05 December 2018. 33, 9, 74-77. doi: 10.7748/ns.33.9.74.s21

This vital, but often daunting, area of care starts with talking to people about what matters to them. An encounter when she was just 18 years old sparked Linda Ross’s career-long interest in spirituality. Working in a facility providing long-term care for older people, she met a woman who had a poor quality of life. ‘Her eyes were dull, she had essentially “switched off”,’ she recalls.

Articles – Shiftwork

21. Shift work in nursing: closing the knowledge gaps and advancing innovation in practice
Chiara Dall'Ora & Anna Dahlgren
International Journal of Nursing Studies, Article in Press, 7 August 2020.

Nurses in hospitals across the world work shifts in order to provide patient care across 24 hours of the day. Shift work, which for nurses often includes practising overnight, causes the disruption of several natural processes, leading to circadian misalignment, disturbed sleep, and light induced suppression of melatonin levels at night (Kecklund and Axelsson, 2016). These are all potential pathways to the development of fatigue, declines in alertness and performance, and several diseases.

22. Fatigue and Recovery in Shiftworking Nurses; A scoping literature review
Jane Gifkins., Dr Amy Johnston., A/ Prof. Rebecca Loudoun &  Prof. Ashlea Troth
International Journal of Nursing Studies (2020), Article in Press

Objectives: To identify factors impeding or enhancing recovery from fatigue in shiftworking
nurses. Design: Scoping literature review methodology was implemented to identify key concepts around recovery from fatigue in shiftworking nurses to provide a narrative around these paradigms.


23. Webinar: Overcome the Overwhelm
Facilitated by Lauren Parsons - Lauren Parsons Wellbeing
Date: 16 September 2020
Starts: 12:00pm - Ends: 1:00pm
HRNZ Webinars:

News – National

24. Covid-19: 'Am I going to survive?' The lingering effects of coronavirus and the long, hard road to recovery
Stuff - Sep 06 2020

"Am I going to survive?" They were the first words Australian man Viswanathan Nair had spoken in weeks. His voice was hoarse and he was gasping for air as a nurse checked his vitals at a Melbourne hospital’s intensive care unit.
Stuff Article: COVID-19 Am I going to survive

25. Symptom-free bus passenger without mask spread COVID-19 to two-dozen others – study
Newshub - 02/09/2020

If you're still unconvinced wearing a mask on public transport is necessary, new research into the source of an outbreak of COVID-19 in China might change your mind.  A single person who didn't even realise they were infected with the deadly virus managed to pass it onto 23 other people on a bus making a round trip to a religious event in China on January 19. According to the report in journal JAMA Internal Medicine, the asymptomatic patient wasn't wearing a mask - at that stage, there had only been about 500 confirmed cases in the entire world.
Newshub: Symptom-free bus passenger without mask spread COVID-19

26. Study finds flavoured vapes could produce toxic compounds
Newshub - 05/09/2020

A new study from the Duke University School of Medicine has found chemicals in vapes can mix to form "unexpectedly toxic compounds" that can trigger heart, breathing and blood vessel issues.
Newshub: Study finds flavoured vapes could produce toxic compounds

News – International

27. Coronavirus updates LIVE: Victoria braces for mass business closures; NSW investigates source of hospitals cluster; Australian death toll at 762
Melbourne Age Blog: COVID-19

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