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Issue 6 - 20 May 2021

Check out Kai Tiaki online

New books

  1. Roth's companion to the Privacy Act 2020
  2. Nation dates: Timelines of significant events that have shaped the history of Aotearoa New Zealand
  3. Holistic nursing: A handbook for practice
  4. Hamric and Hanson's advanced practice nursing: An integrative approach
  5. Bioethics: A nursing perspective

Articles: Ransomware/Cyber Attacks

  1. Health Care Organizations: Soft Target during COVID-19 Pandemic
  2. Rising risk due to COVID-19 requires a nimble response from health systems

Articles: Resilience

  1. Psychiatric mental health nursing in the international year of the nurse and COVID-19: One hospital's perspective on resilience and innovation - Past, present and future
  2. Resilience to Combat the COVID-19 pandemic and beyond
  3. Building nurse resilience in the workplace

Articles: Nursing Praxis in Aotearoa New Zealand: Journal of Professional Nursing, Vol. 37, No. 1, May 2021

  1. Special issue to celebrate 35 years of publication of Nursing Praxis in Aotearoa New Zealand: Introduction
  2. Editorial-Tai timu tai pari: Nursing's role in health transformation
  3. Introduction to the articles: Nursing's essence and the health care needs of humanity
  4. Jocelyn Keith's prescient question about the human right to health and healthcare
  5. The right to health: Discrimination and our responsibilities
  6. Widening the lens of evidence-based healthcare
  7. The human right to healthcare and the nurse practitioner role
  8. Dr Irihapeti Ramsden's powerful petition for cultural safety
  9. Naku rourou, nau rourou, ka ora ai te iwi: With your food basket and my food basket, the people will all be well
  10. Te hikoi o Kawa Whakaruruhau inanahi ki aianei: The journey to cultural safety yesterday to today
  11. Challenging the status quo: Raising cultural safety, again
  12. Moving on: From debate to deeper conversations
  13. Dr Jill Wilkinson's discourse analysis of the sources of power and agency for nursing
  14. He waka eka noa: We are all in this together
  15. Rising above polarising discourses within nursing
  16. Pushing the boundaries: Consciousness and concerted action in times of quantum change
  17. Politics and paradigms: Challenging the status quo
  18. The need to release the potential of nursing has never been greater

Events

  1. New Zealand Medico-Legal Congress

National news

  1. Covid-19: Employers seek answers on vaccine-refusing employees
  2. A bill that doubles the amount of employer funded sick leave from five to 10 days has passed its third and final reading in Parliament today

International news

  1. World COVID Tracker - Reported cases and deaths

New books

Current NZNO members may borrow the following books for a period of 4 weeks. Please provide a street address so we can courier them to you.

1. Roth's companion to the Privacy Act 2020 [WX 173 ROT]

Roth, P & Stewart, B

LexisNexis, 2021

The Privacy Act 2020 repeals and alters the Privacy Act 1993 in many key respects. In particular, the legislation introduces significant new obligations and liabilities for agencies, including a tougher enforcement regime. This text is drawn from the authoritative publication Privacy Law and Practice.

2. Nation dates: Timelines of significant events that have shaped the history of Aotearoa New Zealand [DU 420 MCG]

McGuinness, Wendy

McGuinness Institute, 4th ed., 2020

Nation Dates presents timelines of significant events that have shaped Aotearoa New Zealand as a nation. The fourth edition includes four new timelines: Political Agreements, New Zealand Wars, Government Net Worth and COVID-19.

3. Holistic nursing: A handbook for practice [WY 86.5 DOS]

Dossey, B M & Keegan, L.

5th ed., 2009

Guides nurses in the art and science of nursing holistically, offering ways of thinking, practising, and responding, both personally and professionally to patients to enhance their psychophysiology.

4. Hamric and Hanson's advanced practice nursing: An integrative approach [WY 128 TRA]

Tracy, Mary F & O'Grady, Eileen T

6th ed., 2019

Explores how Advanced Practice Registered Nurses (APRN) are prepared, collating the latest trends and evidence of APRN competencies and roles.  Stresses the benefit of APRNs as direct care providers and leaders.

5. Bioethics: A nursing perspective [WY 85 JOH 2019]

Johnstone, Megan-Jane

7th ed., 2019

Addresses the ethical challenges, obligations and responsibilities nurses will encounter in practice. This edition examines the bioethical issues in health care with a focus on patients' rights, cross-cultural ethics, vulnerability ethics, mental health ethics, professional conduct, patient safety and end-of-life ethics.

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Articles: Ransomware/Cyber Attacks

6. Health Care Organizations: Soft Target during COVID-19 Pandemic

De Cauwer, H. G. & Somville, F.

Prehospital and Disaster Medicine. (2021). 36(3), 344-347.

Health care organizations have been challenged by the coronavirus disease 2019 (COVID-19) pandemic for some time, while in January 2020, it was not immediately suspected that it would take such a global expansion. In the past, other studies have already pointed out that health care systems, and more specifically hospitals, can be a so-called “soft target” for terrorist attacks. This report has now examined whether this is also the case in the context of the COVID-19 pandemic.

7. Rising risk due to COVID-19 requires a nimble response from health systems

Burik, D. & Butts, D.

Healthcare Financial Management. (2021). 75(3), 28-32.

Remote patient monitoring - a market valued at more than $956 million in 2020 - is projected to reach $4.1 billion by 2028. This phenomenon stems from increased demand for home care capabilities and the surge in patients suffering from conditions such as heart disease, diabetes and sleep disorders. Unfortunately, advancements in digital tech also expose hospitals to higher levels of cyber-security risk, as evidenced by an onslaught of ransomware attacks and a rise in healthcare data breaches in the second half of 2020.

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Articles: Resilience

8. Psychiatric mental health nursing in the international year of the nurse and COVID-19: One hospital's perspective on resilience and innovation - Past, present and future

Ward-Miller, S., Farley, E M., Espinosa, L., Brous, M E., Giorgi-Cipriano, J & Ferguson, J

Archives of Psychiatric Nursing. (2021, Jun), 35(3), 303-310.

Managing psychiatric patients during the current COVID-19 pandemic has challenged the psychiatric nurses' role within the therapeutic milieu fostering innovative practices to meet patient needs. Our behavioral health center met the challenges with resilience, creativity and commitment.

9. Resilience to Combat the COVID-19 pandemic and beyond

Heeyoung Lee

Archives of Psychiatric Nursing. (2021, Jun), 35(3), A2-A3.

The COVID pandemic has had a very negative effect on health—in particular, mental health. Since the beginning of the coronavirus pandemic, a large number of general populations report anxiety, depression, Post-traumatic Stress Disorder (PTSD), psychological distress, and stress (Xiong et al., 2020 ). Frontline healthcare providers—in particular, nurses—have exhibited anxiety and depression due to stressful situations in which they face not only the risk of infection, but also enormous work demands (Shechter et al., 2020)

10. Building nurse resilience in the workplace

Andersen, S., Mintz-Binder, R., Sweatt, L & Song, H

Applied Nursing Research. (2021, Jun). 59, Article 151433

The aims of the study were 1) to replicate the research based on the pilot study; 2) to increase resilience in nurses working on all units at four hospitals and 3) to determine which interventions were preferred and most effective.

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Articles: Nursing Praxis in Aotearoa New Zealand: Journal of Professional Nursing, Vol. 37, No. 1, May 2021

Note: Click the title of an article to read more on the Nursing Praxis website, or browse all articles and abstracts.

11. Special issue to celebrate 35 years of publication of Nursing Praxis in Aotearoa New Zealand: Introduction

Adams, S., & Hales, C.

Nursing Praxis in Aotearoa New Zealand: Journal of Professional Nursing. (2021). 37(1), 5-8. https://doi.org/10.36951/27034542.2021.01835

In November 1985, Nursing Praxis in New Zealand was launched as the first peer-reviewed nursing journal to be circulated in Aotearoa New Zealand. In 2020 we were proud to celebrate 35 years of continuous publication and renamed the Journal to Nursing Praxis in Aotearoa New Zealand, acknowledging our country’s bicultural partnership under Te Tiriti o Waitangi and our commitment to tangata whenua (Māori, the Indigenous people of the land).

12. Editorial-Tai timu tai pari: Nursing's role in health transformation

Broodkoorn, M.

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 9-11. https://doi.org/10.36951/27034542.2021.001

In this special edition of Nursing Praxis, contemporary perspectives have been sought on the writings of three nursing scholars (Jocelyn Keith, Irihapeti Ramsden, and Jill Wilkinson) and the respective themes from these articles. When reading these articles (published between 1987 and 2008) one might sense some relevance of their k?rero to the current day. Sadly, the familiarity of these writings probably reflects the lack of progress in thinking, actions, and outcomes of the past 35 years.

13. Introduction to the articles: Nursing's essence and the health care needs of humanity

Woods, M.

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 12-13. https://doi.org/10.36951/27034542.2021.002

Nursing, like life itself, should be positioned within an underlying philosophy, which for me, has always commenced with the ‘spirit’ or ‘essence’ that motivates all nursing actions. This ‘essence’ is first and foremost a moral one where nurses everywhere are charged with the task of meeting the care-based health needs of humankind in an ethically mindful fashion

14. Jocelyn Keith's prescient question about the human right to health and healthcare

Adams, S., Cook, C., Jones, S.

Nursing Praxis in Aotearoa New Zealand, (2021). 37(1), 14-18. https://doi.org/10.36951/27034542.2021.003

In January 1987, Jocelyn Keith (now Lady Keith CBE) was a lecturer in the Department of Community Health at the Wellington School of Medicine and presented a paper at the conference of the Australian and New Zealand Association for the Advancement of Science. An introduction to "The right to health or the right to health care", as it was published in the July 1987 issue of Nursing Praxis, sets up a complex problem: What constitutes appropriate healthcare to protect the right to health and wellbeing, in the light of Aotearoa New Zealand's obligations as a signatory to international declarations and covenants; and our Government's obligations to honour Te Tiriti?

15. The right to health: Discrimination and our responsibilities

Neville, S.

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 19-20. https://doi.org/10.36951/27034542.2021.004

Successive governments have progressed and refocussed Aotearoa’s health agenda toward primary and public health. However, our obligations to the rights of Indigenous peoples, through Te Tiriti and the cultural safety expectations that contribute to improved health equity for M?ori and P?keh? (white European ethnicity) have not enjoyed the same attention. In terms of our treaty obligations, racism continues to promulgate health disparities in M?ori with devastating consequences.

16. Widening the lens of evidence-based healthcare

Cook, C.

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 21-22. https://doi.org/10.36951/27034542.2021.005

We see clearly that Aotearoa New Zealand’s health system is built on the evidence-based medicine/practice movement (which Keith (1987) refers to as science), which is assumed to solve the ethical dilemmas health professionals face of where to focus their attention. However, the discourse of science privileges biomedical-pharmaceutical knowledge and has not led to enhanced healthcare in terms of reduced health and socio-economic disparities, including the number of children living in poverty

17. The human right to healthcare and the nurse practitioner role

Bournival, M-L.

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 23-24. https://doi.org/10.36951/27034542.2021.006

Jocelyn Keith's observation in 1987 that social, political, and economic conditions impact on the uptake of healthcare interventions feels surprisingly current. Health determinants have been extensively researched and there is an evidence-base as to where inequities fall, so why are there still significant gaps in health outcomes? Have health policies and reforms addressed the core issues in service delivery?

18. Dr Irihapeti Ramsden's powerful petition for cultural safety

Hunter, K., Roberts, J., Foster, M., & Jones, S.

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 25-28. https://doi.org/10.36951/27034542.2021.007

"The way in which people measure and define their humanity" (Ramsden, 1990a, p. 35) - is the central tenet of this article. “Moving on” was a speech given by Dr Irihapeti Ramsden to Diploma of Nursing graduands at Nelson Polytechnic on 17th November 1989.

19. Naku rourou, nau rourou, ka ora ai te iwi: With your food basket and my food basket, the people will all be well

Wilson, D

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 29-30. https://doi.org/10.36951/27034542.2021.008

This whakataukī signifies the importance of nurses working with Māori to improve equity and wellness while drawing on the attributes, knowledge, and skills nurses bring to their practice with whānau Māori.

20. Te hikoi o Kawa Whakaruruhau inanahi ki aianei: The journey to cultural safety yesterday to today

Hughes, H.

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 31-32. https://doi.org/10.36951/27034542.2021.009

How far have we all journeyed as nurses since Dr Irihapeti Ramsden, then Education Officer, M?ori Health and Nursing, Ministry of Education, delivered her October 26, 1989 address. Experientially, as a seasoned Māori nurse educator with a history of 50 plus years in the profession, I do believe that there has been much movement forward by those who have deemed it necessary to become enlightened about the historical and present struggles that continue to impact upon the health of tangata whenua in this land (Walker, 1990).

21. Challenging the status quo: Raising cultural safety, again

Roberts, J.

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 33-34. https://doi.org/10.36951/27034542.2021.010

Recently I undertook doctoral research (Roberts, 2020) exploring experiences and preparedness of nurse educators in working with M?ori undergraduate nursing students. I wanted to know if we were in fact, culturally safe in the classroom, and, as a Pākehā, I wanted to learn how the nursing education sector could better serve Māori nursing students and by extension, whānau, hapū, and iwi.

22. Moving on: From debate to deeper conversations

Richardson, F.

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 35-36. https://doi.org/10.36951/27034542.2021.011

In 2021 health inequities continue, racism continues, there has been little enduring change. To achieve cultural safety in health services tauiwi need to be present, active, and engaged in bringing about equitable healthcare delivery.

23. Dr Jill Wilkinson's discourse analysis of the sources of power and agency for nursing

Rook, H., Hales, C., Milligan, K., & Jones, S.

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 37-41. https://doi.org/10.36951/27034542.2021.012

Over two decades ago the Ministerial Taskforce on Nursing (the Taskforce) (Ministry of Health, 1998) made recommendations to the Minister of Health (the Honourable Bill English) to enable nursing to reach its full potential. Wilkinson describes the conflicted course of the 1998 Taskforce, emerging from her 2007 doctoral thesis The New Zealand nurse practitioner polemic: A discourse analysis

24. He waka eka noa: We are all in this together

Bickley Asher, J

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 42-43. https://doi.org/10.36951/27034542.2021.013

Nothing in nursing occurs in isolation from what's happening in the world at large. Look at the way the current COVID-19 pandemic has turned the spotlight on nurses' work. By comparison, the inside story of Aotearoa New Zealand nursing leaders jostling for control seems lame.

25. Rising above polarising discourses within nursing

Rook, H.

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 44-45. https://doi.org/10.36951/27034542.2021.014

Reflecting on both Wilkinson's arguments and global nursing activism, it is clear that discourses of autonomy and unionism need not be dichotomous rivals, and both can offer much to the profession. Fortunately, the creativity and collegiality shown by nurses in Aotearoa during the COVID-19 crisis show that they can transcend polarising discourses.

26. Pushing the boundaries: Consciousness and concerted action in times of quantum change

McKelvie, R.

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 46-47. https://doi.org/10.36951/27034542.2021.015

Quantum changes such as implementing advanced roles and new scopes of practice, initiatives like the Care Capacity Demand Management programme, and graduate entry to nursing programmes, will and always should be subject to critique and challenge from inside and outside the nursing profession.

27. Politics and paradigms: Challenging the status quo

Adams, S.

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 48-49. https://doi.org/10.36951/27034542.2021.016

The healthcare sector remains dominated by the biomedical-pharmaceutical-technical discourse, including general practitioner-led primary care. All too easily, nurses are unconsciously hooked into this paradigm, with little critique or awareness of alternative ways of meaningfully delivering services.

28. The need to release the potential of nursing has never been greater

Carryer, J.

Nursing Praxis in Aotearoa New Zealand. (2021). 37(1), 50-51. https://doi.org/10.36951/27034542.2021.017

Reading these powerful papers in previous issues of Praxis provides a salutary glimpse into the arduous journey that has been nursing in Aotearoa (NZ) in the last 30 years or so. Underlying all of these papers is a recognition that biomedicine alone will not achieve health for all.

Events

29. New Zealand Medico-Legal Congress

This congress will examine relevant changes in legislation, look at pertinent case law and supply updates on key developments that have implications for medical and legal professionals.

Date: 26-27 July 2021
Venue: Te Papa, Wellington

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National news

30. Covid-19: Employers seek answers on vaccine-refusing employees

Radio New Zealand, 20 May 2021

Employers and lawyers are increasingly concerned and unsure about what to do if an employee refuses to receive a Covid-19 vaccination.

31. A bill that doubles the amount of employer funded sick leave from five to 10 days has passed its third and final reading in Parliament today.

Radio New Zealand, 19 May 2021

The Holidays Increasing Sick Leave Amendment Bill passed 75 to 33 with Labour, and the Greens voting for the bill and ACT and National voting against.

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International news

32. World COVID Tracker - Reported cases and deaths

The figures below are based on data from the Johns Hopkins University Center for Systems Science and Engineering. These numbers are updated every 15 minutes but may differ from other sources due to differences in reporting times.

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