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Issue 28 - 03 March 2022

Read Kaitiaki online

Articles: Rapid Antigen Tests

  1. Scaling up COVID-19 rapid antigen tests: promises and challenges
  2. Diagnostic Strategies for Endemic Coronavirus Disease 2019 (COVID-19): Rapid Antigen Tests, Repeated Testing, and Prevalence Boundaries
  3. Detection of SARS-CoV-2 by rapid antigen tests on saliva in hospitalized patients with COVID-19
  4. Diagnostic accuracy of rapid antigen tests in asymptomatic and presymptomatic close contacts of individuals with confirmed SARS-CoV-2 infection: cross sectional study

Articles: Journal for Nurse Practitioners, January 2021

  1. Primary Care and Mental Health: Overview of Integrated Care Models
  2. Does Setting Matter When Treating Behavioral Health?
  3. Identifying and Managing Anxiety Disorders in Primary Care
  4. Perinatal Anxiety and Depression During COVID-19
  5. Disrupting the System: An Innovative Model of Comprehensive Care
  6. Depression in Primary Care

Articles: The Australian Journal of Advanced Nursing, June 2021

  1. Editorial: Taking care of the caretaker: Navigating compassion fatigue through a pandemic
  2. Enabling difficult conversations in the Australian health sector
  3. Barriers to the provision of optimal care to dying patients in hospital: A cross-sectional study of nurses’ perceptions
  4. Association between community-based nurse practitioner support, self-care behaviour and quality of life in patients with chronic heart failure
  5. The assessment of knowledge and practical skills of intramuscular injection administration among nursing staff: A cross-sectional study
  6. Bathing wipes, a valuable hygiene option for frail older persons at home: A proof-of-concept study

Events

  1. New Zealand Women in Medicine (NZWIM) Conference
  2. New Zealand Women’s Leadership Symposium
  3. Health and Safety Association NZ (HASANZ) Conference

National News

  1. Why are facemasks necessary on flights
  2. Teen smoking rates fall to all time low, vaping increases

International news

  1. How remote working could be changing children’s futures
  2. Why I’m scared about mask mandate rollbacks
  3. Life is returning to normal, but many older Australians still harbour “perfectly reasonable” fears about COVID
  4. Likelihood of dying from COVID-19 about one in 61,000 for Queenslanders who get booster shot, data shows

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Articles: Rapid Antigen Tests

1. Scaling up COVID-19 rapid antigen tests: promises and challenges

Peeling, Rosanna W., Olliaro, Piero L., Boeras, Debrah I. & Fongwen, Noah.
The Lancet Infectious Diseases. (2021, Sep). 21(9), e290-e295.

WHO recommends a minimum of 80% sensitivity and 97% specificity for antigen-detection rapid diagnostic tests (Ag-RDTs), which can be used for patients with symptoms consistent with COVID-19. However, after the acute phase when viral load decreases, use of Ag-RDTs might lead to high rates of false negatives, suggesting that the tests should be replaced by a combination of molecular and serological tests.

2. Diagnostic Strategies for Endemic Coronavirus Disease 2019 (COVID-19): Rapid Antigen Tests, Repeated Testing, and Prevalence Boundaries

Kost, Gerald J.
Archives of Pathology & Laboratory Medicine.  (2022, Jan). 146(1), 16-25.

Coronavirus disease 2019 (COVID-19) rapid antigen tests generate intrinsically fast, inherently spatial, and immediately actionable results. They quickly confirm COVID-19, but weakly rule out infection. Test performance depends on prevalence and testing protocol. Both affect predictive values.

3. Detection of SARS-CoV-2 by rapid antigen tests on saliva in hospitalized patients with COVID-19

Yang De Marinis., Pesola, Anne-Katrine., Anna Söderlund Strand., Norman, Astrid., Pernow, Gustav. et al.
Infection Ecology & Epidemiology. (2021, Dec). 11(1), 1993535.

The COVID-19 pandemic presents great challenges on transmission prevention, and rapid diagnosis is essential to reduce the disease spread. Various diagnostic methods are available to identify an ongoing infection by nasopharyngeal (NPH) swab sampling. In this study, we aimed to determine if the detection of SARS-CoV-2 can be performed alternatively on saliva specimens by rapid antigen test.

4. Diagnostic accuracy of rapid antigen tests in asymptomatic and presymptomatic close contacts of individuals with confirmed SARS-CoV-2 infection: cross sectional study

Schuit, Ewoud., Veldhuijzen, Irene K., Venekamp, Roderick P., Wouter van den Bijllaardt., Pas, Suzan D. et al.
BMJ : British Medical Journal (Online). (Jul 27, 2021). Vol. 374, n1676.
  

To assess the diagnostic test accuracy of two rapid antigen tests in asymptomatic and presymptomatic close contacts of people with SARS-CoV-2 infection on day 5 after exposure.

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Articles: Journal for Nurse Practitioners, January 2021

5. Primary Care and Mental Health: Overview of Integrated Care Models

The Journal for Nurse Practitioners. (2021, Jan.) 17(1), 10-14.

Primary care nurse practitioners are in a visible and critical position to screen, diagnose, and treat common mental health conditions. Integrated care models occur on a continuum from simple communication between providers to fully integrated interprofessional teams. This clinical feature introduces the primary care nurse practitioner to various integrated care models and provides a brief overview regarding screening, diagnostic, and intervention recommendations, as well as potential future directions for education, training, and research.

6. Does Setting Matter When Treating Behavioral Health?

The Journal for Nurse Practitioners. (2021, Jan). 17(1), 16-17.

The complex and inefficient systems by which health care is delivered in the United States are a study in disparities. Two of the most perennial of these disparities are the difference in the delivery of behavioral versus nonbehavioral care and the one that divides the care that is delivered in rural settings from that found in suburban and urban settings. How do we deliver behavioral health in urban versus rural settings, and what are the key differences?

7. Identifying and Managing Anxiety Disorders in Primary Care

The Journal for Nurse Practitioners. (2021, Jan). 17(1), 18-25.

Anxiety disorders are among the most common psychiatric diagnoses and present in patients as excessive fear and worry. Many seeking care for symptoms of anxiety disorders have a chief concern other than anxiety. Because most individuals first seek treatment for anxiety disorders in primary care, it is important to screen, assess, diagnose, and potentially initiate treatment for them in these settings.

8. Perinatal Anxiety and Depression During COVID-19

The Journal for Nurse Practitioners. (2021, Jan). 17(1), 26-31.

To optimize the quality of perinatal care during the pandemic, appropriate mental health interventions must be implemented to prevent and alleviate perinatal anxiety and depression and improve maternal and infant outcomes. Measures include increased screening, nonpharmacologic and/or pharmacologic interventions, and the use of telehealth for care delivery.

9. Disrupting the System: An Innovative Model of Comprehensive Care

The Journal for Nurse Practitioners. (2021, Jan). 17(1), 32-36.

Despite health care reform, our nation continues to struggle containing health care costs while meeting the needs of persons with behavioral health disorders and comorbid chronic care conditions. The purpose of this article is to propose that dually certified primary care and psychiatric mental health nurse practitioners may be the disruptive innovation that becomes the solution for improving the coordination and care for high-need patients while containing costs.

10. Depression in Primary Care

The Journal for Nurse Practitioners. (2021, Jan). 17(1), 37-43.

Depression is a heterogeneous disorder with a wide range of presentations. Most patients with depression are seen in primary care, where it is often unrecognized; thus, screening for depression is important. Primary care providers are central to screening, diagnosing, and subsequently treating or referring these patients.

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Articles: The Australian Journal of Advanced Nursing, June 2021

11. Editorial: Taking care of the caretaker: Navigating compassion fatigue through a pandemic

Benita N Chatmon & Ecoee Rooney
The Australian Journal of Advanced Nursing. (2021, June). 38(3), 1-4
.

Ask many nurses how they are doing, and there is a sense of uncertainty and hesitancy. Statistics show that approximately 32 percent of HCPs reported insomnia, while 40 percent exhibited anxiety symptoms. Similarly, more than 46 percent reported depression and 69 percent had high levels of stress.

12. Enabling difficult conversations in the Australian health sector

Christine King & Brett Williams
The Australian Journal of Advanced Nursing. (2021, June). 38(3), 5-13.

Research on difficult conversations is mainly about the impacts of avoiding difficult conversations, with little research on enabling difficult conversations except for improving communication. Objective: This study aimed to identify the ideal environment for enabling difficult conversations to take place in healthcare settings.

13. Barriers to the provision of optimal care to dying patients in hospital: A cross-sectional study of nurses' perceptions

Jan Shepherd., Amy Waller., Rob Sanson-Fisher., Katherine Clark & Jean Ball
The Australian Journal of Advanced Nursing. (2021, June). 38(3), 14-24.

Nurses play a central role in caring for dying patients and can offer a unique perspective about the factors that impact the quality of end-oflife care delivered in hospitals.

14. Association between community-based nurse practitioner support, self-care behaviour and quality of life in patients with chronic heart failure

Sheau Huey Chen., James Boyd., Sean Randall & Andrew Maiorana
The Australian Journal of Advanced Nursing. (2021, June). 38(3), 25-32.

 To evaluate the effects of a community-based chronic heart failure management program, delivered by nurse practitioners, on self-care behaviour, quality of life and hospital readmissions. Nurse practitioners have an advanced scope of practice, making them well credentialed to support patients with chronic heart failure.

15. The assessment of knowledge and practical skills of intramuscular injection administration among nursing staff: A cross-sectional study

Urska Fekonja., Zvonka Fekonja & Dominika Vrbnjak
The Australian Journal of Advanced Nursing. (2021, June). 38(3), 33-42.

This study aimed to assess the level of knowledge and practice of intramuscular injection among nurses and nursing assistants in primary healthcare.

16. Bathing wipes, a valuable hygiene option for frail older persons at home: A proof-of-concept study

Vickie Archer., Wendy Smyth & Cate Nagle
The Australian Journal of Advanced Nursing. (2021, June). 38(3), 43-46.

To explore experiences and attitudes of frail older persons to using bathing wipes as a hygiene option at home.

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Events

17. New Zealand Women in Medicine (NZWIM) Conference

Rescheduled dates: 12th - 14th May 2022

Venue:  Museum of New Zealand, Te Papa Tongarewa: Te Whanganui-a-Tara Wellington

Theme: Kotahitanga me Manaakitanga - Celebrating strength in our unity, supporting our community.

18. New Zealand Women’s Leadership Symposium

Date: Thursday 28th July 2022

Venue: Aotea Centre, Auckland, 50 Mayoral Drive, Auckland CBD, Auckland 1010

19. Health and Safety Association NZ (HASANZ) Conference

Sharing Know How; Growing How To

Date: 16 - 18 November 2022

Venue: Te Papa

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National News

20. Why are facemasks necessary on flights

Stuff – 28 February 2022

We know Covid-19 is mostly spread through particles that escape from an infected person’s mouth or nose when they breathe, talk, cough or sneeze. These can be big particles (droplets) that quickly fall to the ground, or very small particles (aerosols) that linger in the air. Wearing a mask will help stop you spreading it, because your mask will catch many of those virus particles before they’re released into the air. Face masks equally play a role in protecting you from the virus. The mask can act as a shield to help prevent you from inhaling those particles.

21. Teen smoking rates fall to all time low, vaping increases

One News – 28 February 2022

Smoking rates among 13 and 14-year-olds have fallen to a record low while vaping has risen, according to the 2021 ASH (Action for Smokefree 2025) Year 10 Survey.

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International news

22. How remote working could be changing children’s futures

BBC News – 25 February 2022

I work a lot. In part due to my own (not-so-balanced) habits, and also because I work with teams across the globe, I admittedly don’t turn off as much as I should. I worry my son notices. He’s only two, but he sees me on my devices far more often than I’d like – and perhaps far more regularly than he should.

23. Why I'm scared about mask mandate rollbacks

Opinion by Kara Alaimo
CNN – 22 February 2022

The US Centers for Disease Control and Prevention (CDC) is expected to announce more relaxed guidance on indoor masking as soon as this week, on the heels of decisions by Democratic leaders in states from New York to California to loosen mask restrictions. These policies ignore the reality that 18 million Americans under age 5 are ineligible for coronavirus vaccines -- including my own two daughters.

24. Life is returning to normal, but many older Australians still harbour 'perfectly reasonable' fears about COVID

ABC News – 25 February 2022

It has taken Christine Banks many years, but drawing on her "grit and determination" and undergoing therapy has enabled her to counter the effects of conditions she suffers, such as PTSD and depression. She is 61 and has been triple-vaccinated against COVID-19 but she still fears what catching the virus could do to her health, particularly if she contracted long COVID.

25. Likelihood of dying from COVID-19 about one in 61,000 for Queenslanders who get booster shot, data shows

ABC News – 17 Feb 2022

The likelihood of someone who has had the booster shot dying from COVID-19 is about one in 61,000. Boosted Queenslanders accounted for only 10.7pc of COVID-19 deaths during the past two months.

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