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Issue 42 - 4 Dec 2012

International Volunteers Day - 5 December 2012

We will celebrate those in our communities who gift their time to thousands of causes each year. Volunteers come out in huge numbers annual to help in the community sector. Events will be held throughout the country to recognise their dedication.

New NZNO Resource - Harmless nursing chat or alienating attitudes?

Six Scenarios explore some unsafe nursing views and ways to confront them. A DVD and workshop guide
To order:


1. Current nursing practice: challenges and successes
By JOOSTE, KARIEN. Journal of Nursing Management. Oct 2011, Vol. 19 Issue 7: p833-836
An introduction to the journal is presented in which the editor discusses reports published within the issue including one by Munck et al that highlights the need for the nursing staff to have regular training in handling medical devices with new technology, one by Miller et al on the perception differences in technology benefits among night- and day shift nurses and one by Suhonen et al on individualized care for older people..

2. The rise of practice development with/in reformed bureaucracy: discourse, power and the government of nursing
By RUDGE, TRUDY; HOLMES, DAVE; PERRON, AMÉLIE. Journal of Nursing Management. Oct 2011, Vol. 19 Issue 7: p837-844
Using a neo-Foucauldian approach, a critique of texts explicitly dealing with the definitional work for practice development (PD) was undertaken.
Background: PD has been taken up by many organizations as a way of focusing on nurses' practices to benefit patients and the organization. Evaluation Literature pertaining to the PD phenomenon was examined and the present study explores those texts accomplishing definitional work. The discourse corpus collected together articles in nursing journals, book chapters and textbooks. The corpus was analysed using the discourse analysis method. Key issues PD uses and manipulates its location in a network of managerialism, evidence-based nursing, safety and quality discourses in healthcare to verify (and confirm) its definition and its position as central to progress in nursing practice.
Conclusion: We argue that while PD is portrayed as 'emancipatory' and transforming, nurses bear the responsibility for the system and its failures in a web of intricate power relations. Implications for Nursing Management The present study offers a review of the PD ideology in nursing where a critical perspective has yet to be found. Nursing managers should understand that PD is not a panacea for improving patient care. [ABSTRACT FROM AUTHOR].

3. District nurses' conceptions of medical technology in palliative homecare
By MUNCK, BERIT; FRIDLUND, BENGT; MÅRTENSSON, JAN. Journal of Nursing Management. Oct 2011, Vol. 19 Issue 7: p845-854
The aim of this study was to describe district nurses' conceptions of medical technology in palliative homecare. Background Medical technology has, in recent years, been widely used in palliative homecare. Personnel with varying degrees of training and knowledge must be able to handle the new technology. Methods A descriptive design with a phenomenographic approach was chosen to describe qualitatively different conceptions of the phenomenon medical technology. Interviews with 16 district nurses working with palliative homecare were analysed and five descriptive categories emerged.
Results: Medical technology in palliative homecare led to vulnerability because of increasing demands and changing tasks. When medical technology was used in the home it demanded collaboration between all involved actors. It also demanded self-reliance and an awareness of managing medical technology in a patient-safe way. Medical technology provided freedom for the palliative patients.
Conclusions: To maintain patient safety, more education and collaboration with palliative care teams is needed. Next-of-kin are considered as an important resource but their participation must be based on their own conditions. Implications for nursing management District nurses need regular training on medical devices, must be more specialized in this kind of care and must not fragment their working time within other specialities. [ABSTRACT FROM AUTHOR].

4. Experience of using a personal digital assistant in nursing practice - a single case study
By JOHANSSON, PAULINE; PETERSSON, GÖRAN; NILSSON, GUNILLA. Journal of Nursing Management. Oct 2011, Vol. 19 Issue 7: p855-862
: The aim of this study was to describe one nurse's experience of using a personal digital assistant (PDA) in nursing practice. Background Nurses handle large amounts of information and a PDA may contain valuable information that nurses need in their daily work. Methods In this qualitative single case study, data were collected through an open-ended interview with one registered nurse and were analysed by content analysis. Results: The findings show that the PDA provides immediate access to information anywhere and at anytime, with advantages for both the nurse and for her patients. The PDA increased her confidence and efficiency in practice; it was easier to keep up-to-date and spend more time with the patient. Furthermore, the PDA was perceived as improving patient safety and patient participation.
Conclusions: The PDA requires improved content and more functions. Ease of use should also be improved. This study indicates that PDAs could be valuable and may inspire further research. Implications for nursing management The incorporation of a multifunctional PDA is an important issue for nursing management, as it could both change and provide new possibilities for nursing practice. The use of PDAs could also aid decision-making, improve patient safety and benefit patient outcomes. [ABSTRACT FROM AUTHOR].

5. Nurse adoption of continuous patient monitoring on acute post-surgical units: managing technology implementation
To report an exploratory action-research process used during the implementation of continuous patient monitoring in acute post-surgical nursing units.
Background:  Substantial US Federal funding has been committed to implementing new health care technology, but failure to manage implementation processes may limit successful adoption and the realisation of proposed benefits. Effective approaches for managing barriers to new technology implementation are needed.
Method: Continuous patient monitoring was implemented in three of 13 medical/surgical units. An exploratory action-feedback approach, using time-series nurse surveys, was used to identify barriers and develop and evaluate responses. Post-hoc interviews and document analysis were used to describe the change implementation process.
Results: Significant differences were identified in night- and dayshift nurses' perceptions of technology benefits. Research nurses' facilitated the change process by evolving 'clinical nurse implementation specialist' expertise.
Conclusions: Health information technology (HIT)-related patient outcomes are mediated through nurses' acting on new information but HIT designed for critical care may not transfer to acute care settings. Exploratory action-feedback approaches can assist nurse managers in assessing and mitigating the real-world effects of HIT implementations. Implications for Nursing Management It is strongly recommended that nurse managers identify stakeholders and develop comprehensive plans for monitoring the effects of HIT in their units. [ABSTRACT FROM AUTHOR].

6. Post-basic nursing students' access to and attitudes toward the use of information technology in practice: a descriptive analysis
By NKOSI, Z. Z.; ASAH, F.; PILLAY, P. Journal of Nursing Management. Oct 2011, Vol. 19 Issue 7: p876-882
Nurses are exposed to the changing demands in technology as they execute their patient-related duties in the workplace. Integration of Information Technology (IT) in healthcare systems improves the quality of care provided. Nursing students with prior exposure to computers tend to have a positive influence IT.
Methodology: A descriptive study design using a quantitative approach and structured questionnaire was used to measure the nurses' attitudes towards computer usage. A census of 45 post-basic first year nursing management students were participated in this study.
Results: The students demonstrated a positive attitude towards the use of a computer. But access to and use of a computer and IT was limited and nurses in clinics had no access to IT. A lack of computer skills was identified as a factor that hinders access to IT.
Conclusion: Nursing students agreed that computer literacy should be included in the curriculum to allow them to become independent computer users. The Department of Health should have IT in all health-care facilities and also train all health-care workers to use IT. Implications for Nurse Managers With the positive attitudes expressed by the students, nurse managers need to create a conducive environment to ensure such a positive attitude continues to excel. [ABSTRACT FROM AUTHOR].

7. Individuality in older people's care - challenges for the development of nursing and nursing management
By SUHONEN, RIITTA; STOLT, MINNA; PURO, MARKKU; LEINO-KILPI, HELENA. Journal of Nursing Management. Oct 2011, Vol. 19 Issue 7: p883-896
: Individualized care is enshrined in health-care policies and ethical and quality guidelines concerning older peoples' care but assessments of individualized care delivery are limited.
Methods: Using a descriptive survey design, Individualized Care Scale questionnaires ( n = 147) were used to collect data from 96 registered or licensed practical nurses (response 65%) working in the inpatient wards of four randomly selected long-term care hospitals in 2008. The questionnaires were analysed statistically.
Results: Nurses perceived that they supported older patients' individuality well in the clinical situation and maintained patients' decisional control over their care. Nurses also perceived that although they moderately supported their patients' personal life situation they did not actively encourage patients' families to take part in care.
Conclusions: This study revealed some shortcomings in the maintenance of individuality in older peoples' care and the need to change the focus of care from reactive management to a proactive prevention orientation to improve the well-being of older people. Implications for nursing management There is a need to examine the care structures and processes and the role of nurse professionals in older peoples' care under the guidance of nurse leaders and managers. [ABSTRACT FROM AUTHOR].

8. Being a seasoned nurse in active practice
By FRIEDRICH, LISA A.; PRASUN, MARILYN A.; HENDERSON, LISA; TAFT, LOIS. Journal of Nursing Management. Oct 2011, Vol. 19 Issue 7: p897-905
The purpose of this qualitative study was to discover what rewards and inspires seasoned nurses to continue to practice in acute care after the normal age of nurse retirement, and to identify best practices in retention.
Background: An aging population and an aging nursing workforce are twin issues that bring urgency to this issue. Seasoned nurses have much to contribute to the workforce, but very few studies have examined strategies to retain them. Methods: A grounded theory approach was used in two phases to explore the meaning of being a seasoned nurse. In phase 1, 13 nurses over the age of 62 years were queried about the meaning of being a seasoned nurse actively engaged in acute care nursing. The second phase included 12 nurses in active practice anticipating retirement (aged 55-62 years). Semi-structured interviews were conducted, audiotaped, transcribed and analysed.
Results: A concept map with four major themes emerged from the data. The themes were identified as (1) pre-existing attitudes and experiences, (2) retention factors, (3) important needs, and (4) unique contributions.
Conclusions: Seasoned nurses enjoy, and engage in, nursing and derive benefits from continued practice. Further research is needed to determine the relative importance of the factors identified as important to nurses as they anticipate, and experience, retirement. Implication for nurse managers An understanding of these factors can be used to aid nursing leaders to retain seasoned nurses in practice beyond retirement age. [ABSTRACT FROM AUTHOR].

9. How to make a workplace health promotion questionnaire process applicable, meaningful and sustainable
By NILSSON, PETRA; ANDERSSON, H.I.; EJLERTSSON, GÖRAN; BLOMQVIST, KERSTIN. Journal of Nursing Management. Oct 2011, Vol. 19 Issue 7: p906-914
In workplace health promotion, a questionnaire could be of great use. Unfortunately, fatigue regarding answering questionnaires has recently become greater than before. An action research approach could be a possible way of increasing employee participation.
Aim: This study reports an attempt to explore key aspects for participation in, and commitment to, a workplace health promotion questionnaire process.
Method: The study was conducted at two wards in a Swedish hospital. Data was collected during an action research process. Data were analysed with regard to a framework of questions.
Findings: The three key aspects for participation in, and commitment to, a workplace health promotion questionnaire process were: an applicable questionnaire, a meaningful questionnaire process and a continuous and sustainable questionnaire process. A structure is presented as practical advice to managers, describing how such a process could be established to be applicable, meaningful and sustainable. Conclusion: This study has identified key aspects and prerequisites for questionnaire processes. The prerequisites - share decision-making, involve a core group and follow a structure - are discussed and proposed for managers and workgroups to consider in further workplace health promotion questionnaire processes. Implications for nursing management The key aspects and prerequisites presented could provide a stimulating standpoint or advice, useful for planning and accomplishing workplace questionnaire processes. [ABSTRACT FROM AUTHOR].

10. Experiences of psychiatric nurses exposed to hostility from patients in a forensic ward
By TEMA, T.R.; POGGENPOEL, M.; MYBURGH, C.P.H. Journal of Nursing Management. Oct 2011, Vol. 19 Issue 7: p915-924
Hostile behaviour is becoming a way of life in South Africa. Hostility prevails at all settings, including in the health sector. In a forensic ward psychiatric nurses are subjected to hostile behaviour by the patients.
Aim: The aim of the present study was to explore and describe the psychiatric nurses' experiences of hostile behaviour by patients in a forensic ward and make recommendations for nurse managers to empower these psychiatric nurses to cope with the patients' aggression.
Method: Qualitative, in-depth, phenomenological interviews were conducted with nine psychiatric nurses exposed to hostility from patients in a forensic ward. Recommendations were derived from the results from nurse managers to assist psychiatric nurses. Results It became apparent from the findings that psychiatric nurses in a forensic ward work in a stressful environment. Hostile behaviour in the forensic ward is consistently experienced by the psychiatric nurses as hindering therapeutic relationships. The psychiatric nurses experienced being disempowered.
Conclusion: Psychiatric nurses experience hostile behaviour by patients in a forensic ward as disempowering. Implications for nurse management Nurse managers can facilitate psychiatric nurses' empowerment by providing them access to: information, support, resources, opportunity and growth. [ABSTRACT FROM AUTHOR].

11. The first evaluation of the advanced practice nurse role in Finland - the perspective of nurse leaders
By FAGERSTRÖM, LISBETH; GLASBERG, ANN-LOUISE. Journal of Nursing Management. Oct 2011, Vol. 19 Issue 7: p925-932
The aim of this study is to explore and describe nurse leaders' (NLs) experiences of the role of advanced practice nurses (APNs).
Background: The first group of advanced practice nurses (17) in Finland graduated in 2006 and were thereafter employed by seven different organizations in more or less clearly defined advanced practice nurses roles.
Methods: Seven nurse leaders at the relevant organizations were interviewed a year after the introduction of the advanced practice nurses role. Content analysis was used to analyze the data. Results: All of the nurse leaders emphasized the importance of the advanced practice nurses role in their organization. The advanced practice nurses' scope of practice comprised a more autonomous and independent role than registered nurses. Advanced practice nurses are an important resource in the care of patients with chronic diseases and acute health problems. An important aspect regarding support for the advanced practice nurses role is the provision of information to all health-care personnel and patients about the role and clearly defined areas of responsibility.
Conclusions: Advanced practice nurses are an important resource in the development of evidence-based nursing and improve the availability of health-care services for patients. Implications for nursing management Nurse leaders are responsible for creating sustainable structures and the prerequisites needed for advanced practice nursing through the formation of supportive organizational systems. [ABSTRACT FROM AUTHOR].

12. Building foundations for the future: the NHS Scotland advanced practice succession planning development pathway
By CURRIE, KAY; GRUNDY, MAGGIE. Journal of Nursing Management. Oct 2011, Vol. 19 Issue 7: p933-942.
To highlight implications for managers from the implementation of a national advanced practice succession planning development pathway within Scotland. Background Internationally, advanced practice posts have often developed in an ad-hoc manner, with little organizational attention to succession planning. Evaluation of a pilot national succession planning development pathway identified mechanisms which facilitate or hamper effective planning for advanced practice roles. Methods: A responsive evaluation design incorporating semi-structured questionnaires to pathway participants ( n = 15) and semi-structured telephone interviews with case-site pathway participants ( n = 7) and their line managers. Results Managers believed the development pathway was worthwhile; however, there was limited strategic planning to match individuals' development to service need. Practitioners generally perceived managers as interested in their development, although levels of practical support varied. There is concern from both managers and practitioners regarding ongoing funding for advanced practice development.
Conclusion: The present evaluation study reiterates the need for organizational commitment to succession planning including robust service needs analysis mechanisms and adequate funding for development processes. Implications for nursing management Nurse managers are viewed as the 'gatekeepers' to opportunities for developing advanced nurse practitioners; scare resources must be targeted effectively to support succession planning through the development of selected individuals for future advanced practice posts, justified by service need. [ABSTRACT FROM AUTHOR].

Journal - Table of Contents

13. From The Journal of Advanced Nursing, Volume 68, Number 12, December 2012
The guiding of research funding: corrosive competition or stability, sustainability and serendipity
Are nurses prepared to respond to a bioterrorist attack: a narrative synthesis
The appropriateness of, and compliance with, telephone triage decisions: a systematic review and narrative synthesis
Original Research
Challenges to nurse prescribers of a no-antibiotic prescribing strategy for managing self-limiting respiratory tract infections (pages 2622–2632)
13E. The relationships of social support, uncertainty, self-efficacy, and commitment to prenatal psychosocial adaptation (pages 2633–2645)
13F. The mediating effects of perceived parental teasing on relations of body mass index to depression and self-perception of physical appearance and global self-worth in children (pages 2646–2653)
13G. The meaning and consequences of tuberculosis among Somali people in the United Kingdom (pages 2654–2663)
13H. Patients’ views of patient-centred care: a phenomenological case study in one surgical unit (pages 2664–2673)
13I. Evaluation of a bibliotherapy manual for reducing psychological distress in people with depression: a randomized controlled trial (pages 2674–2684)
13J. Patient and visitor violence in the general hospital, occurrence, staff interventions and consequences: a cross-sectional survey (pages 2685–2699)
13K. Procedural pain and anxiety in paediatric patients in a Mexican emergency department (pages 2700–2709)
13L. Impact of skill mix variations on patient outcomes following implementation of nursing hours per patient day staffing: a retrospective study (pages 2710–2718)
13M. “I can’t just follow any particular textbook”: immigrants in cardiac rehabilitation (pages 2719–2729)
13N. Fathers’ emotional involvement with the neonate: impact of the umbilical cord cutting experience (pages 2730–2739)
13O. The experiences of medically fragile adolescents who require respiratory assistance (pages 2740–2749)
Research Methodology
Psychometric properties of the Dutch version of the American nursing activity scale in an intensive care unit (pages 2750–2755)
13Q. Instrument validation: hospital nurse perceptions of their Behavioral Health Care Competency (pages 2756–2765)
13R. Peer-led diabetes self-management programme for community-dwelling older people in China: study protocol for a quasi-experimental design (pages 2766–2777)
13S. Assessing acute coronary syndrome patients' cardiac-related beliefs, motivation and mood over time to predict non-attendance at cardiac rehabilitation (pages 2778–2788)
Discussion Paper
How can we maximize nursing students’ learning about research evidence and utilization in undergraduate, preregistration programmes? A discussion paper (pages 2789–2801)
13U. Principle-based analysis of the concept of telecare (pages 2802–2815)


14. The Physioforward Conference
Hosted by the School of Physiotherapy at the University of Otago. The event follows the Centenary Alumni Celebrations for the School of Physiotherapy and will showcase innovative and thought provoking physiotherapy research from across the world and New Zealand. The fundamental theme is the future of physiotherapy practice in a changing health delivery climate. This conference will be divided into four themes key to the physiotherapy profession both clinically and at a research and policy level. These themes are: prevention, intervention, participation and evaluation
Date: 5th   to  6th April 2013
Venue: Dunedin, New Zealand

15. 8th National Immunisation Workshop and Conference
The conference will present recent research from areas of disease control, global approaches to immunisation, post marketing surveillance, immunisation communication using social media, adult vaccination and specialised programmes and future vaccines
Date: 10th   to  12th September 2013
Venue: Auckland, New Zealand


News - National

16. Kiwi smokers wanted for research
The Press - 3 Dec 2012

University of Canterbury researchers are looking for 400 smokers across the country for a study on the costs of cigarettes. The price of cigarettes is set to rise 10 per cent on New Year's Day and will increase by another 10 per cent each year for the following three years.

17. Dunedin doctors clean up their act
Sun, 2 Dec 2012

The number of Dunedin Hospital doctors washing their hands leapt by 20% in the latest "hand hygiene audit". The compliance rate for Dunedin doctors was 60% in the October audit, compared with just 40% in the previous check, carried out in the middle of the year. For all staff, compliance was 63%, an increase of about 10% on the previous audit.

18. Cigarette plain packaging comes into effect in Australia
TVNZ - 1 Dec 2012

Anti-tobacco campaigners in Australia are welcoming the beginning of mandatory plain-packaging on tobacco products from today, but say there is still more that could be done.

19. Dead patient's lost notes might have altered treatment
STUFF - A rest home failed to keep proper paperwork on events surrounding the death of a grossly overweight resident, before losing her notes. Wellington coroner Ian Smith has released his findings into the death of Joan Thomson, 72. He found that if better documentation had been kept on her health, she might have been admitted to hospital.

News - International

20. Dancing with Molly
The Age - December 4, 2012

Health experts say it is less harmful than alcohol, so why is ecstasy illegal?

21. Large Gene Study Links Plaque In Heart Disease To Inflammation
Medical News Today - 2 December 2012

By linking 15 new genetic regions to coronary artery disease, a large international study sheds new light on the underlying causes of this most common form of heart disease, which results from the build up of fatty material or plaque on the insides of the blood vessels of the heart. One finding suggests some people may be genetically predisposed to the disease because they have inherited gene variants related to inflammation.


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