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Issue 13 - 7 May 2013

Articles  -  Kidney Disease

1. Clinical digest. Clinicians urged to consider lower-potency statins for patients with kidney disease
Nursing Standard. 4/17/2013, Vol. 27 Issue 33, p16-17
The article discusses research which was reported in the article "Use of High Potency Statins and Rates of Admission for Acute Kidney Injury: Multicenter, Retrospective Observational Analysis of Administrative Databases" by C. Dormouth et al., was reported in the "British Medical Journal" and found that high potency statin drugs are associated with increased risk of kidney injury..

2. Risk Prediction Models for Patients With Chronic Kidney Disease
By Tangri, Navdeep; Kitsios, Georgios D.; Inker, Lesley Ann; Griffith, John; Naimark, David M.; Walker, Simon; Rigatto, Claudio; Uhlig, Katrin; Kent, David M.; Levey, Andrew S. Annals of Internal Medicine. 4/16/2013, Vol. 158 Issue 8, p596-603 (11p)
Patients with chronic kidney disease (CKD) are at increased risk for kidney failure, cardiovascular events, and all-cause mortality. Accurate models are needed to predict the individual risk for these outcomes. Purpose: To systematically review risk prediction models for kidney failure, cardiovascular events, and death in patients with CKD. Data Sources: MEDLINE search of English-language articles published from 1966 to November 2012

3. Medical Management to Prevent Recurrent Nephrolithiasis in Adults: A Systematic Review for an American College of Physicians Clinical Guideline
By Fink, Howard A.; Wilt, Timothy J.; Eidman, Keith E.; Garimella, Pranav S.; MacDonald, Roderick; Rutks, Indulis R.; Brasure, Michelle; Kane, Robert L.; Ouellette, Jeannine; Monga, Manoj. Annals of Internal Medicine. 4/2/2013, Vol. 158 Issue 7, following p535-543. (22p)
Optimum management to prevent recurrent kidney stones is uncertain.
Purpose: To evaluate the benefits and harms of interventions to prevent recurrent kidney stones

4. Recent Trends in Performance and Current State of Creatinine Assays
By Killeen, Anthony A.; Ashwood, Edward R.; Ventura, Christina B.; Styer, Patricia. Archives of Pathology & Laboratory Medicine. Apr2013, Vol. 137 Issue 4, p496-502. (7p)
Context.-Measured plasma or serum creatinine concentration is a primary component of equations used to calculate estimated glomerular filtration rate (eGFR). In recent years, most assay manufacturers have adopted creatinine calibration procedures that are traceable to the National Institute of Standards and Technology's Standard Reference Material 967. Objectives.-To examine the current performance of creatinine assays, to compare changes in assay performance since 2003, and to examine the reliability of laboratory eGFR calculations.

5. Aliskiren increased adverse events in patients with diabetes and kidney disease who were receiving ACE inhibitors or ARBs
By de Leeuw, Peter W. Annals of Internal Medicine. 3/19/2013, Vol. 158 Issue 6, pJC7-JC7. (1p)
The article offers information on relative efficacy and safety of adding aliskiren to the therapy in patients with type 2 diabetes and chronic kidney disease. It informs that 8606 adults of more than 35 years of age who had type 2 diabetes and albuminuria were diagnosed. The result showed that addition of aliskiren to standard therapy of patients with type 2 diabetes and chronic kidney disease, with or without cardiovascular disease increased the adverse effects..

6. Partners in Care: Patient Empowerment Through Shared Decision-Making
By Hain, Debra J.; Sandy, Dianne. Nephrology Nursing Journal. Mar/Apr2013, Vol. 40 Issue 2, p153-157. (5p)
The article discusses the significance of a patient-provider partnership and shared decision making. The article highlights the case of a 55-year-old female who had a history of chronic kidney disease (CKD) Stage 5, type 2 diabetes mellitus, anemia of chronic disease and CKD mineral and bone disorder and was benefited by the care and support provided to her by a nephrology nurse. Such nurses can act as patient advocates as they provide the best possible care for individuals with CKD..

Professional Development/Nurse Educators

7. Case Histories in the Education of Advanced Practice Nurses
By Winkelman, Chris; Kelley, Carol; Savrin, Carol. Critical Care Nurse. Aug 2012, Vol. 32 Issue 4, pe1-e18. (18p)
Case histories--rich, anecdotal narratives--are theorized to support the acquisition of cognitive, social, cultural, and emotional knowledge and motor skills through active learning. This manuscript focuses on the value of case histories in teaching and evaluating acute and critical care advanced practice nursing students. Information about the use of case histories in advanced critical care education and clinical practice is limited. Case histories support student-centered learning and development of clinical reasoning. An exemplar of a case history is provided, and application of case histories to both electronic and classroom settings is explored.

8. Action learning enhances professional development of research supervisors: an Australian health science exemplar
By Davis, Kierrynn; Brownie, Sonya; Doran, Frances; Evans, Sue; Hutchinson, Marie; Mozolic-Staunton, Beth; Provost, Stephen; van Aken, Rosalie. Nursing & Health Sciences. Mar 2012, Vol. 14 Issue 1, p102-108. (7p)
The worldwide academic workforce is ageing. At the same time, health and human services workforces are expanding. The preparation of educators to fill gaps in expertise and to position the health sciences for future growth is an urgent need. The findings from a recent action learning project that aimed to enhance the professional growth and development of higher degree researcher student supervisors in a School of Health and Human Sciences are presented. Seven early career researchers and the facilitator met for two hours every two to three weeks over 4 months between April and July 2010, in a rural and regional university in New South Wales, Australia. The processes initiated were a combination of experiential knowledge, referral to relevant published reports, use of an effective supervision checklist, and critical conversations. Learning outcomes centered on higher degree management and supervision pedagogy, communities of practice, knowledge translation, and the establishment of a research culture. The contextual barriers and implications of the methodology and learning outcomes for the professional development of health and human science practitioners, researchers and educators is also discussed.

9. The pivotal role of nurse managers, leaders and educators in enabling excellence in nursing care
By McSHERRY, ROBERT; PEARCE, PADDY; GRIMWOOD, KAREN; MCSHERRY, WILFRED. Journal of Nursing Management. Jan 2012, Vol. 20 Issue 1, p7-19. (13p)
The aims of this paper are to present the findings from a discursive analysis of key issues associated with providing excellence in nursing care; and to provide an exemplar framework to support excellence in nursing care and describe the potential benefits when excellence in nursing care occurs. Background The challenge facing the nursing profession is in ensuring that the core principles of dignity, respect, compassion and person (people) centered care become central to all aspects of nursing practice. To regain the public and professional confidence in nursing, nurse leaders, managers and educators play a pivotal role in improving the image of nursing. Key issues Excellence in nursing care will only happen by ensuring that nurse managers, leaders and educators are able to respond to the complexity of reform and change by leading, managing, enabling, empowering, encouraging and resourcing staff to be innovative and entrepreneurial in practice.

10. Working with Nurse Educators' Collective Wisdom: Implications For Recruitment and Retention
By Cash, Penelope A.; Doyle, Rose Marie; von Tettenborn, Linda; Daines, Donna; Faria, Vee. Nursing Economic$. Sep/Oct2011, Vol. 29 Issue 5, p257-264. (8p)
The article discusses a pilot study conducted on respondents from nursing schools affiliated with the Nurse Educators' Scholarship Project in British Columbia, Canada. It examined nurse educators' perceptions of their work environments, and identified the thematic exemplars considered important by the respondents in the workplace. The implications of the study results in view of the shortage of nurses and nurse educators are also explored..

11. Deliberate Practice of Motor Skills in Nursing Education: CPR as Exemplar
: Our study explored the effects of deliberate practice on the retention of cardiopulmonary resuscitation (CPR) psychomotor skills among nursing students. The practice sessions were short, six minutes a session one time a month. Differences in performance between students who had deliberate practice and a control group, with no practice beyond the initial training, were compared every three months for one year. The intervention group performed better than the control over the 12 months. There is a need in nursing education for deliberate practice of relevant and high-use skills for students to improve their performance and gradually develop their expertise

12. Becoming a Nurse Faculty Leader: Practices of Leading Illuminated Through Advancing Reform in Nursing Education
By Stiles, Kim; Pardue, Karen T.; Young, Patricia; Morales, Mary Lou. Nursing Forum. Apr-Jun 2011, Vol. 46 Issue 2, p94-101. 8p
The purpose of this study was to explore the lived experience of becoming a nurse faculty leader. In a recent study of 24 nurse faculty leaders across the United States about their experience of becoming a leader, many of the participants hesitated to call themselves leaders. This interpretive phenomenological study explored the meaning and significance of nurse faculty leadership. Exemplars of participant leadership development experiences are provided to assist readers in determining how the findings relate to their own practice. The data revealed that leadership emerges as an embodied practice when nurse educators become involved in advancing reform. Practical leadership strategies for advancing reform in nursing education are presented. Leadership is learned through three everyday practices of advancing reform in nursing education: being involved with others; struggling to serve as a symbol and preserve authenticity; and creating an environment for change

Journal - Table of Contents

13. From Nursing Praxis in New Zealand, March 2013
Cultural safety: A vital element for nursing ethics
13B. The journal - Kai Tiaki's role in developing research capability in New Zealand nursing 1908-1959
13C. Cigarette smoking and the frequency of colposcopy visits, treatments and re-referral

Conferences & Seminars

14. Panel discussion: Reclaiming Women's Rights
What are the challenges that impede the full implementation of CEDAW in NZ?
: 21 May 2013
Venue: Victoria University, Rutherford House, 23 Lambton Quay, Wellington
More information: Page 14 of the Circular - link below

15. Wellington Medico Legal Society
Perspectives from the National Health Board
13 May 2013
Venue: The Wellington Club
More information:
Phernne Tancock - Secretary to the Society

16. The Third Sector: New Zealand’s NFP Summit
Empower your non-profit organisation with the skills, knowledge and necessary networks to succeed during regulatory change and the current economic climate
Date: 18 - 19 Jun, 2013
Venue: Amora Hotel, Wellington
More information:

News - National

17. Asthma takes toll on productivity
NZ Herald - Tuesday May 7, 2013
Family struggle with finances as child's illness demands days off, in just one example of lost work time.Two-year-old Berkeley Ballinger-Judd is helped by his father, Rob, to take his asthma medicine as mum Jenner and younger brother Clarke watch. Photo / Richard Robinson Asthma sufferers are costing the country hundreds of millions of dollars in lost productivity each year and one Auckland family say they are feeling the pinch as they struggle to take care of their seriously ill toddler. Today is World Asthma Day. Globally, about 235 million people suffer from the respiratory disease

18. Unit has food and insulation for the needy
Waikato Times - 07/05/2013
Waikato's poorest communities will be warmer this winter and less hungry following a free home insulation and food in schools initiative run by Waikato DHB's Maori health unit, Te Puna Oranga.
About 400 homes in Waikato have been insulated as part of the DHB's Project 270 that looks to cut down on poverty rates across the region and general manager Ditre Tamatea said there were still spaces available. "We can still take on another 100 referrals for free home insulation over the next three weeks but you've got to be quick. First in, first served but that's only within Hamilton," Mr Tamatea said

19. Upgrade brings Waikato Hospital's ICU into 21st Century
Waikato Times - 07/05/2013
Patients admitted to Waikato Hospital with critical injuries will soon have access to a state-of-the-art intensive care unit. The hospital has invested $13.5 million in upgrading its critical care department, including investment in a new ICU to replace the aging facilities at its current home in the Menzies Building. The new unit will be located alongside the hospital's high dependency unit in the Meade Clinical Centre - the centre piece of the hospital's $130m building programme, due for completion in April 2014.

News - International

20. Crunch time looms for aged care nursing pay rises
Australian Nursing Federation - 6th May, 2013
Legislation must be passed through parliament before the end of June for the government’s pledged $1.2 billion in pay rises to flow through to the pay packets of Australia’s 350,000 aged care nurses and workers from July. Australian Nursing Federation Assistant Federal Secretary Yvonne Chaperon said it’s vital the legislation is passed before June 27, parliament’s last sitting day in the lead up to the election, to ensure the government’s $3.7 billion Living Longer, Living Better aged care reform package is implemented

21. Premature babies need safe nurse ratios
ANF - 20th February, 2013

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