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Issue 21 - 9 July 2013

Articles - Models of Care

1. Models of care delivery in mental health nursing practice: a mixed method study
By CARLYLE, D.; CROWE, M.; DEERING, D. Journal of Psychiatric & Mental Health Nursing. Apr 2012, Vol. 19 Issue 3, p221-230
The aim of this study was to identify the conceptual models that underpin mental health nursing care in clinical settings. This study is a modification of a previous study which evaluated the influence of implicit models of mental disorder on processes of decision making within community-based teams

2. Evaluating new models of care in six steps
By Drinkwater, Chris. Pulse. 9/14/2011, Vol. 71 Issue 29, p42-43
The article discusses several steps, based on the Diabetes Year of Care Programme, on how general practitioners (GPs) can evaluate the effectiveness of new healthcare models. It suggests understanding various perspectives, looking at the entire system, and being clear on objectives. It adds that GPs should measure and set their baseline, measure the outcomes and quality for their patients, and be realistic on their timescales..

3. Challenges and Opportunities in Advancing Models of Care for Older Adults: An Assessment of the National Institute on Aging Research Portfolio
By Liggins, Charlene; Pryor, Lisa; Bernard, Marie A. Journal of the American Geriatrics Society. Dec 2010, Vol. 58 Issue 12, p2345-2349
To identify existing projects supported by the National Institute on Aging (NIA) that may relate to the recommendations for models of care (MOCs) presented in the 2008 Institute of Medicine Report, Retooling for an Aging America: Building the Healthcare Workforce. Cross-sectional analysis of NIA's grant portfolio. NIA. NIA grantees. One hundred thirty-five grants were identified. These grants represent fewer than 1% of the approximate number of grants NIA has funded over this same period of time (~24,000 grants). The challenge for the future will be determining which of the many components of comprehensive care systems are most effective for which subsets of the elderly population and assessing opportunities for enhanced collaboration between public and private aging research stakeholders.[ABSTRACT FROM AUTHOR] .

4. Nurses can adapt to new models of care
By Milton, Anne. Nursing Standard. 8/25/2010, Vol. 24 Issue 51, p12-14
: The author discusses the active role of nurses in the health reforms proposed by the British coalition government. She mentions that the job of nurses will be to build a health service that is patient-centred and responsible for social care system reforms. She discusses the role of nurses in commissioning..

5. Where should people with dementia live? Using the views of service users to inform models of care
By Forbat, Liz; Wilkinson, Heather. British Journal of Learning Disabilities. Mar 2008, Vol. 36 Issue 1, p6-12
We wanted to know what people with learning disabilities know about dementia. We asked service users what the word meant to them, if they knew anyone with dementia, and what it was like to share a house with someone who has dementia. We learnt that:
• Service users can know a lot about dementia.
• Living with someone with dementia can be really hard – and staff do not always have enough time for everyone else.
• Services should think more about how dementia affects everyone – not just the person who has the dementia.
This paper reports on research that illuminates how people with a learning disability understand dementia and indicates the implications of these understandings for developing appropriate models of care. As this new policy and practice area struggles to provide appropriate and effective models of care for people with a learning disability and dementia, an awareness of service users’ understandings of dementia leads to a number of important insights.

Articles - Nursing Innovation

6. Nursing innovation: developing practice now and in the future. (cover story)
By Anderson, Kathryn. Australian Nursing Journal. Feb 2013, Vol. 20 Issue 7, p26-29
: The article reports on topics which were discussed at the sixth International Congress on Innovations in Nursing, which was held in October of 2012 in Perth, Western Australia. Topics included improving the quality of nursing care, nursing research and innovation in nursing education. The event was attended by nursing clinicians, academics and researchers..

7. Tool to assess the cost and quality benefits of nursing innovation
By Ryrie, Iain; Anderson, Beth. Nursing Management - UK. Jul 2011, Vol. 18 Issue 4, p28-31
Understanding the economic value of nursing services in a time of unprecedented public sector cuts is a challenge. The economic assessment tool (EAT) (RCN 2011) has been designed by the authors of the article for this purpose and generates return on investment dividends for nursing innovations and services. The EAT, which is built on the discipline of improvement and uses many of its tools and techniques, involves four stages: mapping, costing, calculating and reporting. The nursing profession systematically captures a range of clinical data as part of routine care to which monetary values can be assigned. The EAT exploits these data and provides the profession with the economic evidence it might need to sustain quality nursing services in financially uncertain times.

8. Turning on nursing innovation to improve care and efficiency
By Davis, Carol. Nursing Management - UK. Jun 2011, Vol. 18
Issue 3, p6-7
The article discusses how nursing managers are in a position to effect innovations for addressing some of the pressing issues health and social care issues affecting patient care and efficiency by making use of the NHS staff's talents and skills. Details related to the NHS Innovation Challenge Prizes, the Innovation in Outcomes Competition launched by Health secretary Andrew Lansley, the role of the NHS Innovations South East (NISE), and the North West NHS Innovations Awards are provided.

9. Lessons from eleven primary health care nursing innovations in New Zealand
By Nelson, K.; Wright, T.; Connor, M.; Buckley, S.; Cumming, J. International Nursing Review. Sep 2009, Vol. 56 Issue 3, p292-298
: In New Zealand in 2003, 11 primary health care (PHC) nursing innovation projects and an evaluation of the initiative were funded by the Ministry of Health to develop and explore the ways new models of nursing practice could help address health inequalities and contribute to PHC. Design and
Methods: A research-and-development approach was used in the evaluation. Data were gathered from interviews with national stakeholders, workshops with personnel from all projects, visits to each project site and case studies of four projects. Analysis involved assessing each project individually as well as the projects as a whole.
Context: The initiative was one of many international and local PHC developments in this period designed to reduce health inequalities and improve patient care and health outcomes.

Articles - Health & Social Care in the Community [Journal]

10. A systematic review of issues around antenatal screening and prenatal diagnostic testing for genetic disorders: women of Asian origin in western countries
By Yu, Juping. Health & Social Care in the Community. Jul 2012, Vol. 20 Issue 4, p329-346
Antenatal screening has become standard practice in many countries. However, not all pregnant women choose to be tested. In the UK, the incidence of some birth defects is found to be higher in babies of Asian women than in those of women from other ethnic groups, while there is some evidence suggesting that ethnic minorities, especially Asian women, are less likely to undergo antenatal screening and prenatal diagnosis, the reasons for which are unclear. This study aims to identify and describe the literature on issues around antenatal screening and prenatal diagnostic testing for genetic disorders among women of Asian descent in western countries.

11. Making sense of domestic violence intervention in professional health care
By Husso, Marita; Virkki, Tuija; Notko, Marianne; Holma, Juha; Laitila, Aarno; Mäntysaari, Mikko. Health & Social Care in the Community. Jul 2012, Vol. 20 Issue 4, p347-355
: Intervening in domestic violence in the health care and social service settings is a complex and contested issue. In this qualitative, multidisciplinary study, the barriers to but also the possibilities for health care professionals in encountering victims of violence were scrutinised. The focus was on omissions in service structure and practices. All four frames underlie the tendency for healthcare professionals to arrive at sense-making practices where it is possible to focus on fixing the injuries and consequences of domestic violence and bypassing the issue of violence as the cause of symptoms and injuries.

12. Second-hand smoke exposure and household smoking bans in Chinese families: a qualitative study
By Abdullah, Abu S.; Hua, Fu; Xia, Xiao; Hurlburt, Sarah; Ng, Patrick; MacLeod, William; Siegel, Michael; Griffiths, Sian; Zhang, Zhiyong. Health & Social Care in the Community. Jul 2012, Vol. 20 Issue 4, p356-364
As workplace smoking restrictions spread, smoking in the home is becoming the predominant source of exposure to second-hand smoke (SHS) among children and other non-smokers in the household. This study explored issues around children's exposure to SHS. The findings suggest that there are gaps in knowledge of the health consequences of smoking and SHS among the participants. Although there was a lack of knowledge about the health risk of exposure to SHS, most were willing to protect their child from the SHS exposure. In 16/31 households, families had partial home-smoking restrictions; there were no complete restrictions in any of the smokers' homes.

13. Assessing the impact of a restorative home care service in New Zealand: a cluster randomised controlled trial
By King, Anna I. I.; Parsons, Matthew; Robinson, Elizabeth; Jörgensen, Diane. Health & Social Care in the Community. Jul 2012, Vol. 20 Issue 4, p365-374
: Due to the ageing population, there is an increased demand for home care services. Restorative care is one approach to improving home care services, although there is little evidence to support its use in the community setting. The objective of this trial was to evaluate the impact of a restorative home care service for community-dwelling older people. The primary outcome measure was change in health-related quality of life (measured by the Short Form 36 [SF36] Health Survey). Secondary outcomes were the physical, mental, and social well-being of older people (Nottingham Extended Activities of Daily Living

14. Assessing patterns of home and community care service use and client profiles in Australia: a cluster analysis approach using linked data
By Kendig, Hal; Mealing, Nicole; Carr, Rachel; Lujic, Sanja; Byles, Julie; Jorm, Louisa. Health & Social Care in the Community. Jul 2012, Vol. 20 Issue 4, p375-387
: The planning and delivery of care systems require knowledge on the ways in which individuals access available services that are funded by a range of health and community services. The aims of this study were to identify distinct groups of Home and Community Care (HACC) clients in New South Wales, Australia, based on patterns of actual service use, and to understand the health and social needs and resources of client groups that access different mixes of services. Multiple data sets linked at the individual level - including the 45 and Up Study community survey, the HACC Minimum Data Set and the Admitted Patient Data Collection for hospitals - provide an innovative basis to investigate the complexity of access to service use.

Journal - Table of Contents

15. From Nursing Times, 3-9 July 2013
Fresh attack on contract by 2016 [Further cuts to the Agenda for Change pay framework]; Norecambe chief nurse may keep payout even if not seconded; Top RAF nurse wins sexual discrimination case
ICUs cut infection by more than 60%; Breast cancer drugs offered if familial risk; Community project alleviates eczema; MHRA suspends use of starch drips; Prenatal iron leads to higher birthweight; NICE issues guidance on chronic hepatitis B
15C. NMC makes some progress but performance no better overall; Community trust and helpline back campaign
15D. Joint nurse and police pilot to run in four areas; Lessons from Francis can reach beyond hospitals, says DH nurse
15E. Nurse shortage in NE Scotland nearing "crisis"; "Peer support in mental health needs a welcome, not wariness"
It is dangerous to think that ending hydration is simple; Patient transfer is a safety issue, not just routine
15G. Hydration - the missing part of nutritional care
15H. Maintaining hydration in enteral tube feeding
15I. Improving the accuracy of BP measurement
15J. A guide for HCAs on safe patuient transfers
15K. Improving recovery with critical care rehabilitation


16. Geneva Health Forum 2014
Geneva, Switzerland
Date: 15-17 April 2014
More information:

17. Australasian Nurse Educators Conference
: Te Papa, Wellington, Aotearoa New Zealand
Date: 9 - 11 October 2013
More information:

News - National

18. Finding the truth about fluoride
NZ Herald - Saturday Jul 6, 2013
Less than half the population now drink fluoridated water and more councils are being challenged to turn off the tap. Are we going to pay for it with more fillings and lost teeth? Geoff Cumming investigates the myths behind the fluoride debate
Expand Anti-fluoride campaigners Mark Atkin and Mary Byrne offer free bottles of artesian water at Wainuiomata Mall. Photo / Jamie Adams To see how easily the truth about fluoride can go from pearly white to shades of grey, look no further than the sparkliest weapon in the pro-fluoride arsenal: areas with fluoride in the water supply have lower rates of tooth decay than areas without. Every few years, authorities wheel out new studies clearly demonstrating that fluoridated water helps to produce healthier teeth: drawing not just on foreign academic papers but on the teeth of New Zealanders

19. Trim milk could be making you fat - research
NZ Herald - 8 July 2013
For years, people have swapped creamy whole milk for a watery bottle of trim to help boost their weight loss efforts. But new research has discovered that drinking skinny versions could be making people bigger, not smaller

20. 'Legal high' addiction rate shocks health professionals
Manawatu Standard - 05/07/2013
The speed at which people are becoming addicted to synthetic drugs has shocked alcohol and drug services, who say people are becoming hooked on "legal highs" in a matter of weeks or months. MidCentral District Health Board's Alcohol and Other Drug Service's Ann Flintoff said they first saw an increase in the number of patients in November and December, shortly after 28 synthetic cannabinoids were banned. At that time, they saw three or four people a week. Seventeen people had been seen by the service in the past month, and there was a steady flow before that, she said

21. New rest homes to be smokefree
Manawatu Standard - 06/07/2013
Future rest home developments in Manawatu will be required to be smokefree, under a new clause rolled out by the MidCentral District Health Board. Existing aged-care providers can sign up to be smokefree on a voluntary basis, and MidCentral deputy chief executive Mike Grant said a "high number" have already signed up to the initiative

News - International

22. Warning over 'epidemic’ of skin allergies from chemical in cosmetics and household products
A chemical found in everyday cosmetics and household cleaning products may be responsible for an “epidemic” of painful skin allergies, doctors have warned.

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