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Issue 31 - 16 Sept 2013

Latest New Zealand Nursing Research

Do you want to keep up to date with the latest NZ nursing research, that’s relevant to your teaching, your practice or your study?  Subscribe to Kai Tiaki Nursing Research Journal.
Articles include: The value of critical care outreach nurses and the early warning score tool, while a meta-study tries to find whether support for palliative care nurses leads to better quality of care. and why do Maori nurses smoke and what would make them stop? The first part of a two-part study examines the conflicted roles of smoker and health-care role model.
Subscribe by phoning 0800 28 38 48 
More information:

Articles - Eating Disorders

1. Treating men with eating disorders in the NHS
By Dalgliesh, Jane; Nutt, Katherine. Nursing Standard. 5/1/2013, Vol. 27 Issue 35, p42-46. 5p
Eating disorders are becoming increasingly common in men and can affect men at any age. However, research in this area remains scarce. This article explores the experiences of this group of men and considers whether they have differing care needs to those of women, and the potential implications of this for practice. These include the role of shame and stigma, risk assessment and the treatment environment. The authors highlight the importance of undertaking ongoing research in this area to provide evidence for the most effective and appropriate treatment for men with eating disorders.[ABSTRACT FROM AUTHOR] .

2.  Social emotional functioning and cognitive styles in eating disorders
By Harrison, Amy; Tchanturia, Kate; Naumann, Ulrike; Treasure, Janet. British Journal of Clinical Psychology. Sep2012, Vol. 51 Issue 3, p261-279. 19p
Objectives. Contemporary models of eating disorders (EDs) argue that both cognitive style (weak coherence and poor set shifting) and social emotional difficulties are involved in the maintenance of EDs. This study aimed to explore the factor structure of cognitive and social emotional functioning and to investigate whether a particular cognitive or social emotional profile was associated with a more severe and chronic form of illness. Design. A cross-sectional design was used to investigate cognitive and social emotional functioning in people with EDs compared to healthy controls (HCs) and those recovered from an ED.

3. Eating disorders in people with type 1 diabetes
By Weaver, Kathryn. Nursing Standard. 6/27/2012, Vol. 26 Issue 43, p43-47. 5p.
Individuals with type 1 diabetes are at increased risk of developing an eating disorder, the effects of which can be physically and psychologically damaging. Early detection of an eating disorder and appropriate treatment is therefore essential. This article explores the possible factors that may increase the risk of people with type 1 diabetes developing an eating disorder, and highlights the signs and symptoms to help healthcare professionals detect people at risk so they can encourage them to accept appropriate help.[ABSTRACT FROM AUTHOR] .

4. Family life cycle transitions and the onset of eating disorders: a retrospective grounded theory approach
By Berge, Jerica M; Loth, Katie; Hanson, Carrie; Croll-Lampert, Jillian; Neumark-Sztainer, Dianne. Journal of Clinical Nursing. May2012, Vol. 21 Issue 9/10, p1355-1363. 9p
:  The aim of this retrospective qualitative study is to understand how transitions in the family life cycle and responses to these events may relate to the onset of eating disorders in an attempt to generate new theoretical insights and inform future research in the area of eating disorder prevention. Background. Little is known about the contextual factors that occur throughout the family life cycle that may be risk factors for the development of eating disorders.

5. Is migraine a risk factor for the occurrence of eating disorders? Prevalence and biochemical evidences
By D'Andrea, Giovanni; Ostuzzi, Roberto; Bolner, Andrea; Colavito, Davide; Leon, Alberta. Neurological Sciences. Feb2012, Vol. 33, p71-76. 6p.
: The eating disorders (ED), anorexia nervosa (AN) and bulimia nervosa (BN), are severe psychiatric and somatic conditions occurring mainly in young woman. Although the aetiology is largely unknown, same evidences suggest that biological and psychological factors play a relevant role in the pathogenesis, along with monoamine, indole and same hypothalamic hormonal dysfunctions. To understand the possible relationship between migraine and ED, we have investigated the prevalence of migraine and the other primary headaches in a large group of AN and BN patients. In addition, we have studied the role of tyrosine metabolism in the same group of AN and BN young woman sufferers.

Articles  - Documentation/Handovers

6. Evaluating handover practice in an acute NHS trust. (cover story)
By Gage, William. Nursing Standard. 7/31/2013, Vol. 27 Issue 48, p43-50. 8p
Good nursing handover is central to the delivery of high-quality care. However, there are no national tools available to audit and benchmark practice standards in this area. Following a review of the literature, evidence-based best practice standards were identified and used by the author to audit nursing handover in one acute NHS trust in the UK. Results of the audit were used to assure quality of care and identify areas for improvement.[ABSTRACT FROM AUTHOR] .

7. Documentation in a PICU setting: Is a checklist tool effective?
The Australian Journal of Advanced Nursing Volume 30 Issue 2, 2013
: To compare and contrast nursing compliance with, and completion of, two versions of a nursing care management form. The audit highlights areas and levels of compliance and non-compliance and provides the foundation for further document development.

8. Learning from error
World Health Organization training booklet, 2008

Chapter 1 provides an introduction to the concept of root cause analysis. Chapter 2 is a dramatized incident of how a series of errors led to the incorrect administration of vincristine. Chapters 3-8 analyse the drama in the light of five factors that can reduce error in health care.
Download at this link:

9. Developing a community mental health nursing handover form
By Burleton, Laurie. Nursing Standard. 5/29/2013, Vol. 27 Issue 39, p35-40
: While nursing handovers are predominantly used in ward settings, this essential form of communication is also used by community mental health teams to promote continuity of care. A community mental health nursing handover form was developed to overcome poor communication of patient information. It is expected that the form will increase efficiency and reduce handover time by focusing on pertinent and current patient information. Implementation of a community mental health nursing handover form requires the willingness of staff to be proactive and embrace change. The involvement of nurse leaders is essential to implement successful change, overcome barriers and motivate staff.[ABSTRACT FROM AUTHOR] .

10.  Improving Patient Handovers From Hospital to Primary Care
By Hesselink, Gijs; Schoonhoven, Lisette; Barach, Paul; Spijker, Anouk; Gademan, Petra; Kalkman, Cor; Liefers, Janine; Vernooij-Dassen, Myrra; Wollersheim, Hub. Annals of Internal Medicine. 9/18/2012, Vol. 157 Issue 6, p417-428. 12p
: Evidence shows that suboptimum handovers at hos-pital discharge lead to increased hospitalizations and decreased quality of health care. Purpose: To systematically review interventions that aim to im-prove patient discharge from hospital to primary care. Data Sources: PubMed, CINAHL, Psyclnfo, the Cochrane Library, and EMBASE were searched for studies published between January 1990 and March 2011. Study Selection: Randomized, controlled trials of interventions that aimed to improve handovers between hospital and primary care providers at hospital discharge. Data Extraction: Two reviewers independently abstracted data on study objectives, setting and design, intervention characteristics, and outcomes

11. Examination of current handover practice: Evidence to support changing the ritual
By Kerr, Debra; Lu, Sai; McKinlay, Louise; Fuller, Christine. International Journal of Nursing Practice. Aug2011, Vol. 17 Issue 4, p342-350. 9p
The aim of this study was to describe nursing handover practices for one organization and explore clinical nurses' opinions regarding the quality of the current shift-to-shift handover style. One hundred and fifty-three registered nurses employed in 23 wards in an acute tertiary hospital in Australia completed a survey. The survey collected information about demographic data, current methods and preferences for style of handover and opinions about the quality of nursing handover. This study found that existing handover practice is time-consuming, lacks patient involvement and essential information, and is varied in style. Only one ward (4.3%) conducted handover at the bedside. The majority (82%) expressed reluctance to change their current handover style. Modification of existing nursing handover is needed but might be challenging in view of the reluctance to change this ritual.[ABSTRACT FROM AUTHOR] .

Articles - Nursing Ethics, June 2013

12. Ethical, cultural, and spiritual dimensions of healthcare practice
By Mchale, Jean V. Nursing Ethics. Jun 2013, Vol. 20 Issue 4, p365-365
An introduction is presented in which the editor discusses various reports within the issue on topics including the challenges of accommodating diversity in healthcare delivery, healthcare delivery in Indonesia, and the context of spirituality in blood donation..

13.  Caring ethics and a Somali reproductive dilemma
By Narruhn, Robin; Schellenberg, Ingra R. Nursing Ethics. Jun2013, Vol. 20 Issue 4, p366-381
The use of traditional ethical methodologies is inadequate in addressing a constructed maternal–fetal rights conflict in a multicultural obstetrical setting. The use of caring ethics and a relational approach is better suited to address multicultural conceptualizations of autonomy and moral distress. The way power differentials, authoritative knowledge, and informed consent are intertwined in this dilemma will be illuminated by contrasting traditional bioethics and a caring ethics approach. Cultural safety is suggested as a way to develop a relational ontology. Using caring ethics and a relational approach can alleviate moral distress in health-care providers, while promoting collaboration and trust between providers and their patients and ultimately decreasing reproductive disparities. This article examines how a relational approach can be applied to a cross-cultural reproductive dilemma.[ABSTRACT FROM PUBLISHER] .

14. Equality for followers of South Asian religions in end-of-life care
By Samanta, Jo. Nursing Ethics. Jun 2013, Vol. 20 Issue 4, p382-391
: Significant minority populations confer richness and diversity to British society. Responsive end-of-life care is a universal need that has ascended the public agenda following myriad reports of inadequate provision. Nevertheless, the potential exists for unwitting discrimination when caring for terminally ill patients on the basis of their religion or faith. Recent implementation of the Equality Act 2010, together with the government and professional initiatives, promises to positively impact upon this area of contemporary relevance and concern, although the extent to which facilitative policies can truly enhance patient care will depend upon how these are translated into care at the bedside. The contributions of health professionals will be central in meeting the challenges and seizing the opportunities for meeting the religion and faith interests of patients of South Asian descent.[ABSTRACT FROM AUTHOR] .

15.  Spirituality and post-graduate students’ attitudes towards blood donation
By Almeida, Rodrigo Gs; Martinez, Edson Z; Mazzo, Alessandra; Trevizan, Maria A; Mendes, Isabel Ac. Nursing Ethics. Jun 2013, Vol. 20 Issue 4, p392-400
: College students have become more representative as blood donors, mainly to help other people. This study ascertained the association between spirituality and adherence or intention to donate blood in post-graduate students. In this quantitative and cross-sectional study, participants were 281 students from a post-graduate programme at a Brazilian public university. Spiritual Well-Being scores were similar between individuals who are not adept and those who donate periodically. In conclusion, in the sample, spirituality and blood donation are not associated, but spiritual well-being and gender are. To enhance blood donation, further research is needed.[ABSTRACT FROM AUTHOR] .

16. Bioethics education of nursing curriculum in Korea: A national study*.
By Choe, Kwisoon; Kang, Youngmi; Lee, Woon-Yong. Nursing Ethics. Jun 2013, Vol. 20 Issue 4, p401-412
: The aim of this study is to examine the current profile of bioethics education in the nursing curriculum as perceived by nursing students and faculty in Korea. A convenience sampling method was used for recruiting 1223 undergraduate nursing students and 140 nursing faculty in Korea. Experience of Bioethics Education, Quality of Bioethics Education, and Demand for Bioethics Education Scales were developed. The Experience of Bioethics Education Scale showed that the nursing curriculum in Korea does not provide adequate bioethics education. The Quality of Bioethics Education Scale revealed that the topics of human nature and human rights were relatively well taught compared to other topics. The Demand for Bioethics Education Scale determined that the majority of the participants believed that bioethics education should be a major requirement in the nursing curriculum. The findings of this study suggest that bioethics should be systemically incorporated into nursing courses, clinical practice during the program, and during continuing education.[ABSTRACT FROM AUTHOR] .

17. Nurses’ roles in informed consent in a hierarchical and communal context
By Susilo, Astrid P; Van Dalen, Jan; Scherpbier, Albert; Tanto, Sugiharto; Yuhanti, Patricia; Ekawati, Nora. Nursing Ethics. Jun 2013, Vol. 20 Issue 4, p413-425
Although the main responsibility for informed consent of medical procedures rests with doctors, nurses’ roles are also important, especially as patient advocates. Nurses’ preparation for this role in settings with a hierarchical and communal culture has received little attention. We explored the views of hospital managers and nurses regarding the roles of nurses in informed consent and factors influencing these roles. We conducted a qualitative study in a private, multispecialty hospital in Indonesia. Semi-structured interviews were conducted with seven managers. Two rounds of focus group discussions with nurses (n = 27) were conducted. Constant comparative approach was used in the analysis. Nurses can act as manager, witness, information giver, and advocate in the informed consent process. These roles are influenced by nurses’ preparedness, hospital culture and policy, patients’ understanding, family involvement, and cost-related issues. In preparation for these tasks, nurses should acquire communication skills, clinical knowledge, and legal and ethical knowledge.[ABSTRACT FROM PUBLISHER] .

Journal - Table of Contents

18. From Employment Today, August 2013
Take a break [Stress is a modifiable health risk]
Feature articles
Virtual reality [Online auction site Trade Me is a fun place to work, but staff are also committed to providing an awesome service. Helen Frances talks to HR manager Fiona Ireland about work and play the Trade Me way.
18C. Dealing with difficult customers [Equipping staff to cope with the stress of handling difficult customers is as important as providing steel cap boots and hard hats, says John Faisandier. He outlines an approach to dealing with difficult customers in a sustainable way.
18D. Fit for work [With many of its staff working in pressured and challenging environments, the Department of Corrections has implemented a comprehensive, organisation-wide wellness programme. Bridgette Fennessy explains the approach taken, and outlines some of the success stories so far]
18E. Health and wellness: risky business [A US study has identified three categories of serious, modifiable health risk that have an impact on business. The good news is you can do something about them. Kathryn Owler outlines the steps to designing a successful wellness programme]
18F. Safety culture: a state of mind [Getting safety culture right is a powerful leadership tool to improve business productivity, quality, engagement, and financial performance. But what exactly do we mean when we say ‘safety culture’? Hamish Brown explains]
18G. Get your skates on[ In today’s globally connected workplace, there’s a pressing need to build capabilities for managing, developing and mobilising talent across organisational levels and geographic regions, says Georg Hirschi]
18H. Well connected [Is there a right to ‘link in’ on your way out? And who actually owns an employee’s LinkedIn connections? Bridget Smith takes a look at who owns what, and other problematic social media issues]
18I. Redundancy rationale [The courts are delving deeper into the ‘business reasons’ for redundancy, say Anthony Drake and Joey James. This should send a compelling message to employers that the commercial reasons underpinning redundancy will be closely scrutinised]
18J. At what cost? [Karen Radich and Peter Franks examine costs in the Employment Relations Authority and find that while the Authority is consistent in its approach, the median costs award for the successful party is only 35 percent]

Conferences & Seminars

19. National Dementia Cooperative Knowledge Exchange Forum 2013 | Auckland
: 21–22 November 2013
Venue: Tamaki Campus; The University of Auckland
The National Dementia Cooperative’s 2013 Knowledge Exchange Forum (Sharing evidence, Supporting action) will provide access to some of the latest New Zealand implementation and innovation stories and bring together creative and committed practitioners in the field.
More information:

20. Workplace carcinogens: A discussion forum | Wellington
This forum is jointly sponsored by the Cancer Society of New Zealand and the Centre for Public Health Research, Massey University
Date: 28 November 2013
Venue: Te Papa, Wellington
Registration fee: $80.00
Register your interest :

News - National

21. Stroke victim's visit to doctor a life-saver
ODT - Tue, 10 Sep 2013

Dunedin man Ricky Te Whare said if he had gone to bed, like he had wanted, he would have died.
Wife Sheryl made him see a doctor, even though she could not pinpoint anything wrong with him

22. Couple's journey with dementia
Stuff - 14/9/2013

Ursula Cobb is slowly losing her mind and it frustrates her. Three years ago, at just 59 years old, the Feilding woman was diagnosed with early onset dementia. Mrs Cobb and her husband, Bernard, are speaking about their journey with dementia for Alzheimer's Awareness month.
Her diagnosis didn't come as a shock to her husband, who had an inkling there was a problem whenever his wife forgot a lunch date or indicated the wrong way when she was driving

News - International

23. High workloads will see more nurses quit
Friday 6th September, 2013

The Australian Nursing and Midwifery Federation (ANMF) has warned that a new workforce survey reveals an increased number of experienced nurses and midwives will leave the profession over the next 12 months due to high workloads caused by inadequate nurse to patient ratios

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