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Issue 120 - 3 Dec 2009

Check out the full range of quizzes for nurses at

Earn free continuing professional development hours which meet Nursing Council requirements. A certificate is awarded on completion of each quiz.

The NZ College of Practice Nurses NZNO has just developed a Tool Kit to support nurses working in Primary Health Care. These tool kits have been formulated as a professional resource package, to support nurses working in primary care. The tool kits look at various avenues of primary care nursing including:

-         Clinical Practice

-         Research

-         Leadership / Management

-         Education

These tool kits can be accessed through our website:


1. A social ecological approach of community efforts to promote physical activity and weight management.
by Richards, E.L et al. Journal of Community Health Nursing, 2008 Oct-Dec; 25(4): p179-92
Obesity and physical inactivity are major public health problems in the United States. Campus-Community partnerships have the potential to address the community health and quality of life issues at the local level. The purposes of this study were: (a) to identify groups who are at risk for being overweight and physically inactive; (b) to identify a relationship between broad social ecological layers and weight and exercise levels; and (c) to identify community features that are associated with weight and exercise levels. Interventions for physical activity and weight reduction should consider the social ecological framework, including environmental and social influences.

2. Evaluation of the chronic disease self-management program with low-income, urban, African American older adults.
by Rose, MA et al. Journal of Community Health Nursing, 2008 Oct-Dec; 25(4): p193-202
A 1-group pretest-posttest design to assess for changes in outcomes at 10 weeks and 6 months was the method used to evaluate the standardized 6-session Chronic Disease Self Management Program (CDSMP) with low income, urban African American older adults. Participants included 153 older adults (primarily African American) with 1 or more chronic health conditions. Classes were provided in the community at senior citizen centers, senior housing, and churches. Significant improvements were noted in selected areas at 10 weeks and 6 months after the program completion. The CDSMP was feasible and well-received with the older adults who participated in the study.

3. Community perceptions of mental health needs in an underserved minority neighborhood.
by Roberts, K T et al. Journal of Community Health Nursing, 2008 Oct-Dec; 25 (4): p203-17
Accurate information is needed to facilitate health equity in underserved communities. This community-based participatory study asked residents about the meaning of mental health, their perceptions of community mental health needs, barriers to accessing mental health care, and acceptability of mental health services that are integrated in primary health clinics. Forty-five primarily African-American residents from urban communities participated in focus groups. Findings revealed high prevalence of substance abuse, depression, crime, and stigma about mental illness, with multiple access barriers. Participants were receptive to mental health care integrated in primary care, if others did not know they were receiving mental health care.

4. Evaluation of a tobacco prevention program for children:
by Talley, B et al. Journal of Community Health Nursing, 2008 Oct-Dec; 25(4): p218-28
This intervention study focused on evaluating the effectiveness of teaching tobacco prevention in children using ToPIC, an interactive program. The program was presented in 2 or 3 class sessions to increase awareness of health risks related to tobacco use. Participants consisted of 201 students from the Boys and Girls Clubs in 5 rural counties of a southeastern state. A significant increase in knowledge from pretest to posttest was found; t(200) =
-13.65, p < .0001. Children's responses to the effects of smoking correlated to the content material incorporated in ToPIC. Recommendations for program improvement are discussed.

5. News briefs
by Koon, K A. Journal of Community Health Nursing, 2008 Oct-Dec; 25(4): p229-30

Educational Campaign to Prevent Falls and Traumatic Brain Injury in Older Adults Featured by the Centers for Disease Control and Prevention; American Association of Colleges of Nursing Has Announced a Partnership With Robert Wood Johnson Foundation to Create New Nursing Scholarship Program; American Nurses Association Revising Position Statement on “Polypharmacy and the Older Adult”; Immunization Alliance Issues National Call to Action

Journals – Table of Contents

6. From Singapore Nursing Journal, The Official Quarterly Journal of The Singapore Nurses Association, Volume 36, No.4, October - December 2009
President's Message [Penny Seet's first term as President]
6B. Editor's Desk 
6C. Letter to the editor - "Plagiarism: An outdated concept?"
6D. 2009 President's award for nurses
6E. Nurses' Day dinner & dance on 24 July 2009 - Speech by Chief Nursing Officer Ms Pauline Tan
6F. 24th international council of nurses quadrennial congress
6G. Implementing quality care strategies for a cohort of case managed patients in an acute psychogeriatric unit
6H. Rapid Response Team - A proactive strategy in managing haemodynamically unstable adult patients in the acute care hospitals
6I. A life in the day of an APN
6J. A proposed framework for evaluating the impact of advanced practice nursing roles in Singapore
6K. No compromise [This article depicts the inner struggle a neophyte nurse encountered when she made a mistake during the attachment]
6L. A simple task [Serving water to patients - remember the guiding principles of respect individuality and culture, be proactive, and care from patient's perspective]

7. From Safeguard, Issue 118, Nov/December 2009

7A. Home safe [How to keep safe when travelling in  South America]
7B. Workplace death toll for the year starting July 2009; Hutt Valley City Council rehab workshops; Industry winners
7C. Proposed ACC changes
7D. Q&A: Routine health monitoring of staff and exit health tests
7E. Lock-out/tag-Out: Keep your hands out
7F. Recent NZ health and safety prosecutions
7G. Rehabilitation: don't wait on the courts
7H. Ready to work [A former process operator who says all he needs is a job - any job - to regain his life after a debilitating accident]
7I. Promising results [The Puataunofo Manukau project]
7J. Drug and alcohol workplace challenges
7K. Off work can be bad medicine [ACC reports on its Better@Work programme]
7L. Life in the Health and Safety Sector [Karen Smith - Carter Holt Harvey, Nelson]
7M. Competent or suitably qualified [Neville Rockhouse reports on his recent attendance at the 2009 INSHPO annual business meeting in Calgary, Canada]
7N. Machine head [An engineer with a passion for making machines safe shares his tips]
7O. Pedal to the metal [A new interactive induction tool for the metal manufacturing sector]
7P. Testing their mettle [A report on a major information and compliance project involving DOL and ACC]
7Q. Putting the heat on plastics [EPMU new booklet on chemical hazards in the plastics manufacturing industry]
7R. On the radar: Incoming products and services
7S. A changing environment [The professional development of Occupational Health Nurses]

Conferences, Training and Seminars

8. “Practical ENT – Insights and Perspectives”
63rd Annual General and Scientific Meeting
New Zealand Society of Otolaryngology Head and Neck Surgery
Tuesday 2nd – Friday 5th March 2010
Venue: Copthorne Hotel, Paihia, Bay of Islands, New Zealand
More information:

9. The Safeguard National Health & Safety Conference
Date: 15 & 16 June 2010
Venue: SKYCITY Convention Centre, Auckland.
More information:

News – National

10. Union speaks out on cancer scare
The Press - 3 December 2009
Canterbury hospitals should stop using a powerful cleaning agent while an Australian hospital investigates its possible link with cancer, a union official says. Thirty-five cleaners and patient-care assistants at Royal Perth Hospital say their cancers were caused by phenol-based disinfectants used by the hospital for 25 years.

11. Hutt Hospital gets tough on bully doctors
The Dominion Post - 2 December 2009
Hutt Hospital is cracking down on bullying by senior doctors, which has included yelling at colleagues and humiliating them in public. In a report to Hutt Valley District Health Board yesterday, chief medical adviser Robert Logan said several senior medical staff were guilty of "problem behaviours".

12. Boost for Nursing, midwifery courses
The Press - 25 November 2009
Numbers will be boosted on nursing and midwifery courses at the Christchurch Polytechnic Institute of Technology (CPIT) next year. Under the Government's youth opportunities scheme, the polytechnic will receive an extra $600,000 to fund an additional 70 student places.

13. Group calls for retention of hospital's site
The Press - 24 November 2009
A decision on the future of the Princess Margaret Hospital in Christchurch is still months away, but a health advocacy group is already campaigning against a land sale. Canterbury District Health Board (CDHB) chief executive David Meates said yesterday a decision on the site would not be made for at least five months.

News - International

14. Bug repellent 'linked' to birth defect
AAP - December 1, 2009 
Pregnant women may wish to avoid insect repellent after a study found a link to an increasingly common birth defect, experts say. European researchers have found an association between mums who used the repellent in the earliest phase of pregnancy and an increased rate of "hypospadias" in the penises of their male children.

15. Private, public patients costs similar
AAP - December 1, 2009 
A private hospital patient costs the federal government almost exactly the same as a non-insured patient treated in a public hospital. The difference was just $3, according to research by the Australian Institute of Health and Welfare (AIHW) which calculated costs flowing to the federal government from private versus public patients.

16. Overhaul of state flu strategy urged
The Age - December 1, 2009
VICTORIA and Australia must substantially rewrite their pandemic flu plans, say two doctors who advised the State Government's emergency operations centre at the height of the swine flu scare. In an article published yesterday in the Medical Journal of Australia, the two emergency physicians said the early border control measures such as infra-red cameras and questionnaires were ineffective and ''cast the modern traveller as the enemy of the people''.

17. Swine flu `is no worse than seasonal strains'
The Australian - December 1, 2009
THE dominant expert view that swine flu is much more dangerous than seasonal strains is under attack from Australian research, which has found little to no difference in patients infected by the two types. In results that could undermine uptake of the swine flu vaccine, researchers tracked the progress of all patients admitted to a major
Sydney hospital during the recent epidemic, finding the course of the illness was "comparable to those of the current circulating seasonal influenza in Sydney". The findings threaten to debunk the firming medical orthodoxy that swine flu hits patients much harder than the strains that circulate every winter, particularly children and pregnant women.

18. Study: Early autism intervention in toddlers is effective
CNN - November 30, 2009
Researchers have shown for the first time that if a child is diagnosed with autism as early as 18 months of age, offering the toddler age-appropriate, effective therapy can lead to raised IQ levels and improved language skills and behavior. "Early intervention can be very effective for toddlers with autism," says Geraldine Dawson, chief science officer of the advocacy group Autism Speaks, and one of the two lead authors of a study published Monday in the journal Pediatrics.


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