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Issue 22 - 19 November 2021

Read Kai Tiaki online

Articles: Insomnia

  1. Pediatric Insomnia
  2. Feasibility of an online cognitive behavioral therapy program to improve insomnia, mood, and quality of life in bereaved adults ages 55 and older
  3. Mental health survey of ITU staff reveals PPE and insomnia concerns
  4. Insomnia is likely to be a long-term side effect of stroke
  5. The assessment and management of insomnia: an update
  6. What Causes Insomnia?

Articles: Delegation

  1. How to delegate – and how not to: tips on team working and leadership
  2. The effect of delegation of therapy to allied health assistants on patient and organisational outcomes: a systematic review and meta-analysis.
  3. Intentions of Kentucky School Nurses to Delegate Diabetes-Related Tasks to Unlicensed Assistive Personnel.
  4. How new nursing roles affect accountability and delegation
  5. An analysis of delegation styles among newly qualified nurses
  6. Tips on how to delegate in a team – and how not to
  7. Why delegation is important for nurse leaders
  8. Direction and delegation for New Zealand nurses

Articles: Handovers

  1. Nursing handover involving consumers on inpatient mental healthcare units: A qualitative exploration of the consumers’ perspective
  2. One chance to get it right: improving clinical handovers for better symptom control at the end of life
  3. Using the Performance Improvement Process to Enhance Perioperative Hand-Over Communication
  4. Handover tips for every shift: Clear, concise communication is vital when changing shifts
  5. Virtual Handover of Patients in the Pediatric Intensive Care Unit During the Covid-19 Crisis
  6. Clinical handover from emergency medical services to the trauma team: A gap analysis

Events

  1. 2022 Rehabilitation Medicine Society of Australia and New Zealand 5th Annual Scientific Meeting
  2. Using restorative approaches to heal and learn: Humanising harm

National news

  1. All you need to know about my vaccine pass
  2. Understanding the Economic Impact of COVID-19 on Indigenous Peoples
  3. Equal protection for everyone: COVID-19 vaccine clinical study launched

International news

  1. Covid-resistant people inspire new vaccine tactic

 

Articles: Insomnia

1. Pediatric Insomnia  

Madeline Himelfarb & Jess P. Shatkin
Child and Adolescent Psychiatric Clinics of North America. (2021). 30(1), 117-129.

Insomnia is the most common sleep disorder among all ages; unfortunately, however, child and adolescent insomnia is infrequently addressed. This article is the result of a comprehensive literature review and serves as a guide to the disorder and how it presents differently across child development.

2. Feasibility of an online cognitive behavioral therapy program to improve insomnia, mood, and quality of life in bereaved adults ages 55 and older

Cassandra Godzik., Sybil Crawford & Elizabeth Ryan
Geriatric Nursing (2021). 42(1), 99-106.

The experimental study involved a 6-week online cognitive behavioral therapy program for insomnia (CBT-I) administered to older adults who reported: (a) loss of a loved one within the past five (5) years, and (b) experience of insomnia symptoms that they wanted to improve.

3. Mental health survey of ITU staff reveals PPE and insomnia concerns

Nursing Times - 23 July, 2021

Insomnia was experienced by more than three-quarters of intensive care unit (ITU) staff who took part in a global mental health study during the early stages of the coronavirus pandemic. The study, published in the British Journal of Nursing, found that out of the 515 health workers surveyed, 78% exceeded the threshold for insomnia.

4. Insomnia is likely to be a long-term side effect of stroke

Nursing Times, 30 May 2018

Stroke patients experience sustained problems with insomnia potentially reducing their ability to relearn key skills and putting them at increased risk of depression, according to researchers.

5. The assessment and management of insomnia: an update

Andrew D Krystal., Aric A Prather & Liza H Ashbrook
World Psychiatry. (2019, Oct.). 18(3), 337-352. doi: 10.1002/wps.20674.

Insomnia poses significant challenges to public health. It is a common condition associated with marked impairment in function and quality of life, psychiatric and physical morbidity, and accidents. As such, it is important that effective treatment is provided in clinical practice. To this end, this paper reviews critical aspects of the assessment of insomnia and the available treatment options.

6. What Causes Insomnia?

Sleep Foundation - Updated August 6, 2020

Insomnia is a sleep disorder that affects as many as 35% of adults. It is marked by problems getting to sleep, staying asleep through the night, and sleeping as long as you would like into the morning. It can have serious effects, leading to excessive daytime sleepiness, a higher risk of auto accidents, and widespread health effects from sleep deprivation.

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Articles: Delegation

7. How to delegate – and how not to: tips on team working and leadership

Jennifer Trueland
Nursing Management. (2021, Oct). 28(5), 6-8. doi: 10.7748/nm.28.5.6.s2

Delegation helps individuals and teams develop skills and confidence. Here’s what you need to know to do it well. Delegation is an important part of nursing and something every nurse, from newly qualified to chief nursing officer, has to do. But what is good delegation and what isn’t – and how can you make it work for you, your team and for patients and their families?

8. The effect of delegation of therapy to allied health assistants on patient and organisational outcomes: a systematic review and meta-analysis.

Snowdon, David A; Storr, Beth; Davis, Annette; Taylor, Nicholas F & Williams, Cylie M.
BMC Health Services Research. (2020). 20, 1-16.

Allied health assistants (AHAs) are support staff who complete clinical and non-clinical tasks under the supervision and delegation of an allied health professional. The purpose of this systematic review was to investigate the effect of allied health professional delegation of therapy to AHAs on patient and organisational outcomes

9. Intentions of Kentucky School Nurses to Delegate Diabetes-Related Tasks to Unlicensed Assistive Personnel.

Lineberry, Michelle; Noland, Melody & Wilson, John F.
Journal of School Nursing, (2021, Apr). 37(2), 99-108.

Using the theory of planned behavior as a framework, aims were to (1) determine the nature and extent to which health services related to diabetes were being delegated to UAP in Kentucky schools, (2) describe the attitudes of Kentucky school nurses regarding the delegation of diabetes health services to UAP, and (3) examine the relationship of selected variables to school nurses' intentions to delegate diabetes health services.

10. How new nursing roles affect accountability and delegation

Nursing Times, (2018,Mar).

With the emergence of healthcare support staff, the boundaries of the role of registered nurses have been blurred. Often healthcare workers are now allocated tasks that were once the responsibility of qualified nurses. With this change comes a greater need to tackle issues around accountability, responsibility and delegation

11. An analysis of delegation styles among newly qualified nurses

Magnusson, C., Allan, H., Horton, K., Johnson, M., Evans, K., & Ball, E.
Nursing Standard. (2017). 31(25), 46-53. doi: 10.7748/ns.2017.e9780

The aim of this research was to explore how newly qualified nurses learn to organise, delegate and supervise care in hospital wards when working with and supervising healthcare assistants. It was part of a wider UK research project to explore how newly qualified nurses recontextualise the knowledge they have gained during their pre-registration nurse education programmes for use in clinical practice.

12. Tips on how to delegate in a team– and how not to

Trueland, J.
Nursing Standard. (2021, Oct.) 36(10), 14-16. doi: 10.7748/ns.36.10.14.s11

Delegation is a part of leadership for nurses at all levels and is fundamental to effective patient care. Nurses share their advice on delegating appropriately and with confidence. Delegation is an important part of nursing and something every nurse, from newly qualified to chief nursing officer, has to do.

13. Why delegation is important for nurse leaders

Trueland, J.
Primary Health Care. (2021, Oct.) 31(5), 9-11. doi: 10.7748/phc.31.5.9.s3 

No one has the time and resources to do everything themselves, so being able to delegate is a vital skill in nursing. Here’s what you need to know to do it well. Delegation is an important part of nursing and something every nurse, from newly qualified to chief nursing officer, has to do.

14. Direction and delegation for New Zealand nurses

Hughes, M., Kirk, R., & Dixoninto, A.
Kai Tiaki Nursing Research. (2018, Sept)

The purpose of this study into how enrolled nurses (ENs) and registered nurses (RNs) communicate during direction and delegation was to explore nurses' perceptions about their everyday direction and delegation experiences.

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Articles: Handovers

15. Nursing handover involving consumers on inpatient mental healthcare units: A qualitative exploration of the consumers’ perspective

Ellen Van de Velde., Ann Van Hecke., Naomi Van Cleemput., Kristof Eeckloo., & Simon Malfait
International Journal of mental Health Nursing. (2021, Dec). 30(6), 1713-1725.

Handovers between nurses are a significant cause of communication problems and possible consumer safety issues. A potential solution for both problems is the nursing handover involving consumers, in which the consumer is present at the time of handover. This practice invites consumers to be more involved in their care process and supports a recovery-oriented practice.

16. One chance to get it right: improving clinical handovers for better symptom control at the end of life

Goldraij, Gabriel., Tripodoro, Vilma Adriana.,  Aloisio, Melisa., Castro, Sandra Analía., Gerlach, Christina; et al. 
BMJ Open Quality. (2021, Sep). 10(3).

Poor communication contributes to morbidity and mortality, not only in general medical care but also at the end of life. This leads to issues relating to symptom control and quality of care. As part of an international project focused on bereaved relatives’ perceptions about quality of end-of-life care, we undertook a quality improvement (QI) project in a general hospital in Córdoba city, Argentina.

17. Using the Performance Improvement Process to Enhance Perioperative Hand-Over Communication

Sclafani, Michaela.
AORN Journal: The Official Voice of Perioperative Nursing. (2021, Apr). 113(4), 412-418.

According to The Joint Commission, a handoff (or hand over) is the "transfer and acceptance of patient care responsibility achieved through effective communication. However, there is a risk for miscommunication and patient harm with each hand over. Because some perioperative hand overs are inevitable (eg, transfer of care from the preoperative area to the OR, RN circulator breaks), perioperative leaders should facilitate safe patient hand overs and implement effective communication strategies.

18. Handover tips for every shift: Clear, concise communication is vital when changing shifts

Nursing Standard. (2021, Feb).  36(2), 38-38. doi:10.7748/ns.36.2.38.s15

Clear, concise handovers are critical for maintaining patient safety, especially when staff are working flat out. Here are some tips for making handovers as effective as possible.

19. Virtual Handover of Patients in the Pediatric Intensive Care Unit During the Covid-19 Crisis

Mohamad-Hani Temsah., Abouammoh, Noura., Ashry, Ahmed., Al-Eyadhy, Ayman; Alhaboob, Ali., et al.
Journal of Multidisciplinary Healthcare. (2021, Jun). 14, 1571-1581. 

A key measure to mitigate coronavirus disease 2019 (COVID-19) has been social distancing. Incorporating video-conferencing applications in the patient handover process between healthcare workers can enhance social distancing while maintaining handover elements. This study describes pediatric intensive care unit (PICU) physicians’ experience using an online video-conferencing application for handover during the COVID-19 pandemic.

20. Clinical handover from emergency medical services to the trauma team: A gap analysis

Javidan, Arshia P., Nathens, Avery B., Tien, Homer., da Luz, Luis T.
CJEM : Journal of the Canadian Association of Emergency Physicians. (2020, Sep). 22(S2), S21-S29. doi: 10.1017/cem.2019.438.

There has been limited evaluation of handover from emergency medical services (EMS) to the trauma team. We sought to characterize these handover practices to identify areas of improvement and determine if handover standardization might be beneficial for trauma team performance.

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Events

21. 2022 Rehabilitation Medicine Society of Australia and New Zealand 5th Annual Scientific Meeting

Date: Tuesday 7 - Friday 10 June 2022

Venue: Gold Coast Convention and Exhibition Centre, Queensland, Australia

Topics will include:

  • Musculoskeletal Rehabilitation
  • Neurological Rehabilitation
  • Pain Rehabilitation
  • Visit the website

22. Using restorative approaches to heal and learn: Humanising harm

Date: 24 Mar 2022
Time: 9:00am - 4:00pm
Venue: Pipitea Marae & Function Centre, 55–59 Thorndon Quay, Pipitea, Wellington

Due to the ongoing COVID-19 restrictions, this in-person hui has been postponed to 24 March 2022. All existing registrations will automatically be transferred to the new date.

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National news

23. All you need to know about my vaccine pass

Otago Daily Times – 17 November 2021

The My Vaccine Pass, launched today, is an official record of Covid-19 vaccination status, allowing access to things like concerts, festivals, gyms and sports events, as per the new Covid protection framework. 

24. Understanding the Economic Impact of COVID-19 on Indigenous Peoples

APEC SOM Steering Committee on Economic and Technical Cooperation – October 2021

The report shows that understanding the economic impact of COVID-19 will allow economies to identify the unique vulnerabilities of their Indigenous populations and target policy responses to avoid the negative consequences of past economic shocks. As an outcome of the project, this report will help to inform the shape of future collaboration between Indigenous Peoples.

25. Equal protection for everyone: COVID-19 vaccine clinical study launched

Malaghan Institute - 26 August 2021

Not everyone responds the same way to a vaccine. Safeguarding our community from infectious diseases like COVID-19 means ensuring everyone is equally protected. In early June, Vaccine Alliance Aotearoa New Zealand – Ohu Kaupare Huaketo (VAANZ) launched a COVID-19 clinical study at two sites in Rotorua and Christchurch to provide valuable information on how our uniquely ‘Kiwi’ population responds to the Pfizer-BioNTech COVID-19 vaccine.

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International news

26. Covid-resistant people inspire new vaccine tactic

BBC News – 11 November 2021

Understanding how some people naturally resist Covid infection, despite clearly being exposed to the virus, could lead to better vaccines, say researchers. A team at University College London said some people had a degree of Covid-immunity before the pandemic started.

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