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Issue 16 - 20 September 2021

Read Kai Tiaki online

Articles: Nursing Economics [Journal]

  1. Future of Nursing 2020-2030: Increasing the Focus of Nursing and Health Care on Equity and Discrimination
  2. Using Nurse-Sensitive Indicators to Assess the Impact of Primary Care RNs on Quality Ambulatory Patient Care

Articles: Nurse Sensitive Indicators

  1. Nurse Sensitive Indicators and How COVID-19 Influenced Practice Change
  2. Nurse perspectives of nurse-sensitive indicators for positive patient outcomes: A Delphi study

Articles: Nurse Practitioners

  1. Nurse practitioners as antibiotic stewards: Examining prescribing patterns and perceptions
  2. Nurse Practitioner Handoff Communication: A Simulation Based Experience
  3. Reflections of Family Nurse Practitioner Students During the COVID-19 Pandemic: A Qualitative Study
  4. Out of the Shadows: Nurse Practitioner Leadership in Skilled and Long-Term Care Facilities
  5. Alignment of Nurse Practitioner Educational Preparation and Scope of Practice in United States Emergency Departments: A Systematic Review of the Literature

Articles: Vaping

  1. Lost in the clouds
  2. 5 Vaping Facts You Need to Know
  3. UCLA study finds even short-term vaping poses significant risk to health
  4. The question on our lips: how safe is vaping?
  5. Health Risks Of Vaping: Let’s Stick To The Science And Speculate Less
  6. Young Canadian e-Cigarette Users and the COVID-19 Pandemic: Examining Vaping Behaviors by Pandemic Onset and Gender
  7. Vaping among Canadian teens doubles in 2 years, new research shows Higher nicotine content in Canada compared with U.K. is blamed for rising use

Articles: Patient Safety

  1. The impact of distractions and interruptions in the operating room on patient safety and the operating room team: An integrative review
  2. Patient safety leadership walk rounds: Lessons learned from a mixed-methods evaluation
  3. Guest editorial: Defending patients’ dignity: An under recognised and under resourced nursing role
  4. Identifying barriers to patient advocacy in the promotion of a safety culture: An integrative review
  5. Documenting patient risk and nursing interventions: Record audit
  6. A survey of the impact of patient adverse events and near misses on anaesthetists in Australia and New Zealand

Events

  1. Equity in Health Conference
  2. New Zealand Nursing Leaders’ Summit
  3. 36th Industrial and Employment Relations (IER) Summit

National news

  1. Diabetes drug may be cancer ‘game-changer’
  2. COVID-19: Latest vaccine hesitancy data shows 79 percent of Kiwis keen to get the jab

International news

  1. Vaccination experts weigh in on how we can get to 80 per cent COVID jabs
  2. Why does coffee sometimes make me tired?
  3. Covid deaths rare among fully vaccinated – ONS
  4. Singapore reaches 80 percent double-vaccination rate but life is not returning to normal
  5. Privatised aged care assessments will result in poorer health outcomes

Articles: Nursing Economics

1. Future of Nursing 2020-2030: Increasing the Focus of Nursing and Health Care on Equity and Discrimination

Needleman, Jack. 
Nursing Economics. (2021). 39(4), 196-199.

The Future of Nursing 2020-2030 report responds to the heightened recognition of systemic racism and discrimination based on ethnicity, gender, and class; the impact of these systemic problems on health and access to health services; and the need for the nursing profession to be deeply involved in addressing these problems.

2. Using Nurse-Sensitive Indicators to Assess the Impact of Primary Care RNs on Quality Ambulatory Patient Care

Alley, Rebecca., Carreira, Elizabeth., Wilson, Cynthia & Pickard, Katelin.
Nursing Economics. (2021). 39(4), 200-207.

Creation of best practice care delivery models will influence registered nurses' participation as an equal partner in the interprofessional team. The Ambulatory Nursing Excellence Dashboard provides care teams meaningful, actionable data to inform care processes and drive improvements

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Articles: Nurse Sensitive Indicators

3. Nurse Sensitive Indicators and How COVID-19 Influenced Practice Change

Karen A. Grimley., Nicole Gruebling., Arati Kurani & David Marshall
Nurse Leader. (2021). 19(4), 371-377.

Hospitals and health systems have only now started to realize the impact of the COVID-19 pandemic on the quality of nursing care. Demographic data concerning staffing and NSIs, including performance and surveillance during COVID-19, were collected to gain a national perspective on the collective experience of chief nursing executives.

4. Nurse perspectives of nurse-sensitive indicators for positive patient outcomes: A Delphi study

Maree Steel., Philippa Seaton., Desma Christie., Janette Dallas & Irene Absalom
Collegian. (2021). 28(2), 145-156.

Patient safety, quality of care, and nurse-sensitive indicators are common areas of focus in international research relating to patient outcomes. Recent literature relating specifically to nurse-sensitive indicators has leaned towards an emphasis upon negative outcomes, such as ‘missed care’, ‘delayed care’, ‘failure to rescue’ or a reduction in adverse events rather than focus on nursing activities that lead to positive outcomes.

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Articles: Nurse Practitioners

5. Nurse practitioners as antibiotic stewards: Examining prescribing patterns and perceptions

Mary Jo Knobloch., Jackson Musuuza., Kelsey Baubie., Karen L. Saban., Katie J. Suda & Nasia Safdar 
AJIC: American Journal of Infection Control. (2021). 49 (8), 1052-1057.

Advanced practice providers in the outpatient setting play a key role in antibiotic stewardship, yet little is known about how to engage these providers in stewardship activities and what factors influence their antibiotic prescribing practices.

6. Nurse Practitioner Handoff Communication: A Simulation Based Experience

Keating, S., McLeod-Sordjan, R. & Lemp, M. C.
Journal of Nursing Education. (2021). 60(8), 476-477.

Inadequate communication as defined by the Institute of Medicine (IOM, 1999) during handoffs and transitions leads to delays in patient care, medication errors, inaccurate plan of care, as well as delays in hospital discharge (Shahid & Thomas, 2018). Handoffs during transitions are dependent on the interpersonal communication skills, knowledge, and experience of the clinician.

7. Reflections of Family Nurse Practitioner Students During the COVID-19 Pandemic: A Qualitative Study

Link, Tamara; Laham, Kelly; Hubbell, Sara; Baisden, Paula.
Journal of Nursing Education. (2021, Aug). 60 (8), 449-452.

To understand family nurse practitioner (FNP) students' academic experience during the COVID-19 pandemic, faculty developed an online reflective discussion board assignment.

8. Out of the Shadows: Nurse Practitioner Leadership in Skilled and Long-Term Care Facilities

Bergman-Evans, Brenda.
Journal of Gerontological Nursing. Vol. 47, Iss. 8,  (Aug 2021): 3-6.

Research studies of NPs in SNF/LTC settings have supported their efficacy in meeting the needs of residents/patients, including the areas of improving chronic disease care, promoting functional management, managing medications, addressing emergent/urgent health issues, and completing regulatory visits. Given the changes in resident and provider profiles in nursing homes, the increased expectations related to quality and cost-effective care, the expectations that all professionals and staff work to the full scope of practice, and the lessons learned from the coronavirus disease 2019 (COVID-19) pandemic for the need to be able to implement change quickly and efficiently, this editorial presents a rationale for the need of an advanced practice leadership role for NPs in LTC/SNF settings.

9. Alignment of Nurse Practitioner Educational Preparation and Scope of Practice in United States Emergency Departments: A Systematic Review of the Literature

Journal of Emergency Nursing: JEN. (2021, Jul). 47(4), 563-581.

National debate persists surrounding the expanded use of nurse practitioners in the emergency department. Current understanding of the alignment of nurse practitioner educational preparation and practice parameters in United States emergency departments is inchoate. The objective of this review was to seek evidence to support that nurse practitioner education and training align with current practices in the emergency department.

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Articles: Vaping

10. Lost in the clouds

North and South – April 2021

As a new generation succumbs to nicotine addiction, New Zealand’s approach to vaping has been bafflingly lax.

11. 5 Vaping Facts You Need to Know

Can e-cigarettes help you to stop smoking once and for all? Michael Blaha, M.D., M.P.H., director of clinical research at the Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, shares health information about vaping.

12. UCLA study finds even short-term vaping poses significant risk to health

Daily Bruin - 15 Sept, 2021

Vaping for a short period of time causes immediate harmful physiological changes that can lead to chronic diseases, such as lung disease and cancer, according to a new UCLA study. The study published Aug. 9 found that puffing on a vaping device for 30 minutes causes a measurable increase in the oxidative stress levels of nonhabitual e-cigarette or tobacco cigarette users.

13. The question on our lips: how safe is vaping?

Auckland Bioengineering Institute, UniNews, Health and medicine, 01 April 2021

We know the damage smoking causes, but we’re yet to conduct conclusive research about vaping. That’s the focus for Dr Kelly Burrowes for the next three years.

14. Health Risks Of Vaping: Let's Stick To The Science And Speculate Less

American Council on Science and Health - May 25, 2021

Despite increasing evidence that vaping is safer than smoking, uncertainty surrounds the long-term effects of electronic cigarette use. Many in the tobacco control field have used the lack of data to speculate about these unknown risks.

15. Young Canadian e-Cigarette Users and the COVID-19 Pandemic: Examining Vaping Behaviors by Pandemic Onset and Gender

D. Brett Hopkins &Mohammed Al-Hamdani
Public Health, 27 January 2021 | https://doi.org/10.3389/fpubh.2020.620748

The aim of this study was to test how youth and young adult e-cigarette users responded to the COVID-19 pandemic. The 2020 Youth and Young Adult Vaping Survey (N = 1,308) included 540 (44.7%) participants that reported differences in their vaping behaviors since the onset of the pandemic.

16. Vaping among Canadian teens doubles in 2 years, new research shows Higher nicotine content in Canada compared with U.K. is blamed for rising use

Adam Miller · CBC News · May 05, 2020

New research reveals vaping among Canadian youth has risen dramatically over the past two years, and experts say it shows no signs of slowing down unless stricter regulations are put in place immediately.

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Articles: Patient Safety

17. The impact of distractions and interruptions in the operating room on patient safety and the operating room team: An integrative review

Sonia Mackenzie & Paula Foran
Journal of Perioperative Nursing. (2020). 33 (3), e-34-e-43.

In the operating room (OR), distractions and interruptions are frequent, impacting patient safety, coordination and efficiency and causing errors and patient harm. The OR team is impacted while attempting to perform critical work. This review explores the impact of distractions and interruptions in the OR on patient safety and the OR team.

18. Patient safety leadership walk rounds: Lessons learned from a mixed-methods evaluation

Jacqui Wynne-Jones., Margot Martin-Babin., Brooke Hayward & Luis Villa
Kai Tiaki Nursing Research. (2020). 11(1), 24-33.

This evaluation, undertaken in 2019, aimed to assess the impact of a patient safety leadership walk rounds (PSLWR) programme implemented in a hospital in Auckland, New Zealand, and to provide useful recommendations for programme improvement.

19. Guest editorial: Defending patients' dignity: An under recognised and under resourced nursing role

Ostaszkiewicz, J.
Journal of the Australasian Rehabilitation Nurses Association. (2019). 22(2), 4-6.

Nurses are the primary custodians of patients dignity (Ostaszkiewicz 2017); however, the protective role nurses play is under recognised and under resourced. One reason for nurses’ lack of status and recognition of their role is due to the stigma associated with providing continence care.

20. Identifying barriers to patient advocacy in the promotion of a safety culture: An integrative review

Teena Shoemark & Paula Foran
Journal of Perioperative Nursing. (2021, June). 34(2), 36-42.

Promoting patient safety, through patient advocacy, is an important part of the perioperative nurse role. However, identified barriers to effective patient advocacy have also reflected deficits in the characteristics of safety culture. This integrative review aims to highlight these barriers and discuss strategies for promoting patient safety within the perioperative context by presenting links between patient advocacy and safety culture.

21. Documenting patient risk and nursing interventions: Record audit

Kasia Bail., Eamon Merrick., Chrysta Bridge & Bernice Redley
The Australian Journal of Advanced Nursing. (2020). 38(1), 36-44.

The aim was to explore and compare documentation of the nursing process for patient safety in two nursing documentation systems: paper and digital records

22. A survey of the impact of patient adverse events and near misses on anaesthetists in Australia and New Zealand

R Harrison., H Lee & A Sharma
Anaesthesia and Intensive Care. (2018). 46(5), 510-515.

We conducted a cross-sectional online survey of members of the Australian and New Zealand College of Anaesthetists to investigate their experiences of adverse patient safety events and near misses, including their use of incident reporting systems and the organisational support available.

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Events

23. Equity in Health Conference

Working differently to achieve equitable outcomes

Date: 22 - 23 Nov 2021
Venue: Wharewaka o Pōneke, Wellington

24. New Zealand Nursing Leaders' Summit

Nurses leading change

Date: 28 Feb - 1 Mar 2022
Venue: Ellerslie Events Centre, Auckland

25. 36th Industrial and Employment Relations (IER) Summit

Critical updates on: 

- The vision for employment and workforce relations 

- Alternative engagement of workers  

- The evolving legislation for the Holidays Act  

- Working from home restrictions, opportunities and considerations 

- Changing trends & remedies among employment referees 

Date: 30 - 31 Mar 2022
Venue: Auckland

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National news

26. Diabetes drug may be cancer ‘game-changer’

Otago Daily Times – 17 Sept 2021

A University of Otago researcher is studying a common and inexpensive drug used to treat diabetes, to see if it can be repurposed to treat a subtype of lung cancer. She is investigating metformin — commonly used to treat type-2 diabetes — as a treatment for the lung cancer subtype ALK+ that predominantly affects non-smokers, young people and Maori, Pacific and Asian ethnic groups.

27. COVID-19: Latest vaccine hesitancy data shows 79 percent of Kiwis keen to get the jab

Newshub – 16 Sept 2021

The COVID-19 vaccination rollout has become "mission-critical" and New Zealand finally has a target to start opening up - at least 90 percent of Kiwis fully vaccinated. And new research shows getting it is possible but there's a lot of convincing to do - with the Prime Minister pleading to "do it for the kids".

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International news

28. Vaccination experts weigh in on how we can get to 80 per cent COVID jabs

ABC News – 15 September 2021

Vaccination experts say access to appointments will be the key to reaching targets that will allow the country to reopen. Getting 70 per cent and then 80 per cent of the country fully vaccinated is at the centre of the national reopening plan. But, authorities say getting that last 10 per cent on board is going to be a challenge.

29. Why does coffee sometimes make me tired?

Melbourne Age – September 15, 2021

“The paradox of caffeine is that in the short term, it helps with attention and alertness. It helps with some cognitive tasks, and it helps with energy levels,” said Mark Stein, a professor in the Department of Psychiatry and Behavioural Sciences at the University of Washington, in the US, who has studied the impact of caffeine on people with attention-deficit/hyperactivity disorder. “But the cumulative effect — or the long-term impact — has the opposite effect.”

30. Covid deaths rare among fully vaccinated – ONS

BBC News – 15 September 2021

Fully vaccinated people are much less likely to die with Covid-19 than those who aren't, or have had only one dose, figures from the Office for National Statistics (ONS) show.

31. Singapore reaches 80 percent double-vaccination rate but life is not returning to normal

ABC Science – Mon 13 Sep 2021

Having passed the 80 per cent double-vaccination mark last month, the example of Singapore suggests that achieving a milestone coveted by Australia is not a guarantee of returning to anything like pre-pandemic life.

32. Privatised aged care assessments will result in poorer health outcomes

AMA – 7 Sep 2021

The AMA is urging the Federal Government to scrap plans that could potentially privatise the assessment process for aged care services, warning the move would risk the health of older Australians and open the system up to conflicts of interest.

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