Nursing reports

NZNO Conference 2019: Wednesday 18 September

Media advisory 16 September 2019

Museum of New Zealand, Te Papa Tongarewa, Wellington

Leaving no one behind: Health for all

The New Zealand Nurses Organisation (NZNO) Annual Conference will take place 18 September 2019 in Wellington. Once again it will be a showcase of pride and celebration around nurses’ and nursing’s achievements, as well as a major forum for discussing issues facing nurses, midwives and health care workers.

NZNO Kaiwhakahaere Kerri Nuku said the conference theme: Leaving no one behind, Health for all, is fitting, given the inequalities and inequities our communities currently face.

“Growing inequalities can be attributed to apathetic politics that don’t address the issues or need for urgent change. This has led to many lagging behind and nurses need to be courageous and prepared to lead the change. This conference will be about inspiring collective action to ensure that as a union and professional organisation we leave no one behind.”

NZNO President Grant Brookes says the conference will be an opportunity to listen, debate, resolve differences and come together around new shared perspectives.

“I think sharing time together, celebrating our achievements and listening to cross sector leaders speak will help us raise our sights and embrace the vision: Leaving no one behind; Health for all.”

Keynote speakers:

8.40am: Dr Jamie Boyd – Opening address
Expanding historical nursing roles to include holistic healing practices in response to the health needs of communities

9.20am: Q&A with Hon Dr David Clark, Minister of Health

10:25am: Judge Andrew Becroft, Children’s Commissioner
Being Child-centred: Fad or Foundation?”

11:10a: Dr Sione Vaka, Senior Lecturer, AUT

11:45am: Annalyn Ulunga, Mercy Hospice
Hospice Nurses: Vital link in meeting cultural and palliative needs of terminally ill Tongan patients and their families

1:15p: Seletute Vave Patterson, Public Health Nurse, Auckland District Health Board
Starship Community: School-based health care through an equity lens

NZNO Awards

Three NZNO awards will be presented at the Conference dinner (Tuesday 17 September, 7pm, Te Papa):

  • NZNO Award of Honour
  • Service to Nursing and Midwifery
  • Service to NZNO.

Media releases about these awards (embargoed until 8pm) will be issued on Tuesday 17 September.

Media are welcome to attend and report on the conference. Please contact Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617, rob.zorn@nzno.org.nz.


Plunket nurses vote in favour of landmark pay offer

New Zealand Nurses Organisation media release, 13 September 2019

Plunket nurses, health workers and administrators voted on 12 September to accept a landmark pay offer. The Collective Agreement signed with Plunket covers 800 members of the New Zealand Nurses Organisation (NZNO), and is its largest single employer agreement.

The deal includes pay parity with DHB MECA rates, implementation of the living wage as a minimum starting salary, and, for the first time, paid parental leave topped up to 14 weeks to match average weekly earnings. The bargaining spanned 12 days and was concluded when additional funding was agreed between Plunket and the Ministry of Health.

NZNO Organiser Danielle Davies said the high level of member participation at every point of these negotiations was critical to the success of the bargaining.

“From the start of our campaign, members gave their bargaining team a strong mandate for what was required to get a deal over the line,” she said.

Ms Davies also acknowledged the current industrial environment’s impact on reaching a settlement.

“The past couple of years have been quite pleasing in terms of activism and industrial campaigning across the union movement.

“This increased member participation in bargaining and associated campaigns has been recognised by employers and Plunket has been no exception. When members are fully involved in bargaining things work out to everybody’s benefit.”

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Media inquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617.


NZNO challenges Presbyterian Support’s proposed staffing cuts

New Zealand Nurses Organisation media release, 6 September 2019

The New Zealand Nurses Organisation (NZNO) is challenging proposed staffing changes at two facilities run by Presbyterian Support Southland (PSS), saying they will reduce standards of patient care and put extra strain on nursing and care staff, and that they are being justified on out-of-date guidelines.

NZNO Organiser Simone Montgomery said that across its hospital services and two rest homes (Vickery Court in Invercargill and Rest Haven in Gore), the PSS proposals would cut net staff care by around 157 hours per week – and, she said, this comes after net care hours were cut by 114 per week last year.

“The staff reductions are being justified by the claim that PSS services are currently over-staffed according to the 2005 Aged Care Staffing Guidelines, but we have been saying for some time that these standards are hopelessly out-of-date and do not account for the increased number of people in aged care, or for their increasingly complex needs.

“The clear message in all of this to current staff, who are already overstretched, is that somehow they aren’t working well or hard enough, and that’s ridiculous.”

In March this year NZNO and E tū released their joint report: In safe hands? How poor staffing levels and rationed care are harming aged care residents and staff. The research surveyed 1194 people working in aged care facilities and found that three quarters (73.45 percent) of those surveyed either disagreed or strongly disagreed that staffing levels were sufficient to provide quality care for residents.

The report called for a review of the existing standards and that new resulting standards be made compulsory. The 2005 standards currently in place are voluntary.

The rationale for the staffing reductions is that DHB funding for aged care does not cover staff that would be considered ‘extra’ when staffing levels are compared to the 2005 Guidelines, but Ms Montgomery said the proper solution should be to seek increased funding and not reduce standards of care to save money.

“We think New Zealanders care very much about the health, wellbeing and dignity of our seniors and would agree that the way we care for them reflects back on all of us,” she said.

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Media inquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617.


NZNO releases DHB MECA independent review report

NZNO media release, 27 August 2019

The New Zealand Nurses Organisation (NZNO) has released the full but partially redacted version of an independent review into its bargaining processes for the 2017/18 District Health Board (DHB) Multi-Employer Collective Agreement (MECA). An independent review was commissioned due to the lengthy and complex nature of the negotiations and NZNO wanted to learn what had gone well and would could be improved for future bargaining.

The final independent review report was received by NZNO in late July and NZNO Chief Executive Memo Musa said the decision to release it fairly quickly in full was due to the high level of interest in its findings on the part of NZNO members and the public; and because NZNO wanted to be transparent about what the report found.

The released report includes the list of recommendations and NZNO’s response to them. Portions of the report itself have been redacted to protect the anonymity of both contributors to the review and the confidentiality of NZNO staff.

“We believe the review has been thorough and that it is very clear about what went well and about what NZNO can improve on for future bargaining. The report makes 15 recommendations and I am pleased to announce that we have adopted them all and that we’re already working to implement them.

“We accept we need to do some things better, but I think it is important that we don’t lose sight of the significant improvements we did achieve for nurses in 2018. I am very proud of the negotiating team and the report also clearly upholds their skills, experience and professionalism.”

He said that those improvements included pay rises of up to 15 per cent; Ministry and DHB commitment to safer staffing and the employment of nearly 500 new nurses; and a commitment to pay equity by the end of this year that would bring nursing wages into line with those of similar male-dominated professions.

“As an organisation, and as a result of improvements we will make arising from the review, NZNO feels very confident about its planning for the 2020 DHB-MECA negotiations, which is already underway.”

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Media inquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617.

-More information-

The independent review report is available at the NZNO website:

www.nzno.org.nz/Portals/0/publications/2019-08-27-DHB-MECA-Review-Report-Redacted.pdf


2019 PHARMAC Tapuhi Kaitiaki Awards presented

New Zealand Nurses Organisation (NZNO) media release, 10 August 2019

The Tapuhi Kaitiaki Awards were presented tonight during the Awards Dinner at the Indigenous Nurses Aotearoa Conference at the Pullman Hotel, Tāmaki Makaurau (Auckland).

The Awards are now in their second year and are one way in which PHARMAC supports Te Rūnanga of Aoteaoroa, NZNO to develop the Māori nursing workforce to achieve the best health outcomes. They are also to recognise the positive influence Māori nurses have on whānau and the role they play as key influencers of health.

The Tapuhi Kaitiaki Awards are in two categories, with winners sharing a $10,000.00 prize in each category.

Category 1 – Nurse Practitioner/Nurse Prescriber – acknowledges Māori nurses who are on a professional development journey to become a nurse prescriber to advance their clinical practice and expertise.

Jo Clark-Fairclough (Te Rarawa, Ngā Puhi, Ngāti Paoa) is a practice nurse at Te Hiku Hauora, a Māori iwi provider in Kaitāia, and one winner in this category. She says her motivation to become a nurse prescriber came from a lack of GP hours within the clinics she works at.

“This is a real barrier to young Māori receiving timely health care, and my becoming a nurse prescriber will improve health outcomes for our high Māori populations within Te Tai Tokerau.”

The other three winners in this category were:

  • Pirihira Puata (Ngai Takoto) a Nurse Prescriber at Mana Kidz, a free, nurse-led, school-based programme in the Counties Manukau Health region
  • Eve Pogai (Ngāti Kahungungu) a Practice Nurse on the Nurse Practitioner Pathway who works at Kids in the Hawke’s Bay
  • Aroha Ruha-Hiraka (Ngāti Awa, Tuwharetoa, Te Arawa, Tūhoe, Taranaki) a Practice Nurse on the Nurse Practitioner pathway

Category 2 – Māori Nurse Mātauranga – acknowledges nurses and tauira who wish to further their study and/or develop an innovative way to help whānau, hapū and iwi to access and understand their medicines.

One recipient in this category was Tamarah Thomason-Tata, (Rongowhakaata), a third year Bachelor of Nursing student at the Eastern Institute of Technology. She says she was quite surprised to receive this award, but that she feels very privileged and grateful to be a recipient.

“Awards like these help encourage Māori to excel in their chosen fields, whilst providing them financial means to further themselves. For myself these funds will go towards my student loan and state final exams – stepping stones to further my education and career.”

The other winners in this category were:

  • Tumanako Bidois (Ngāti  Rangiwewehi) who is completing her final year, Bachelor of Nursing at the University of Auckland
  • Serene Morrell (Ngāti  Kahungunu), a First year Bachelor of Nursing student at the Eastern Institute of Technology
  • Tracy Black (Ngai Tūhoe, Ngāti  Kahungunu, Te Whakatohea), a third year Māori nursing student at Te Whare Wānanga o Awanuiārangi
  • Logan Murray, (Te Rarawa), a second year Bachelor of Medicine/Bachelor of Surgery student at the University of Otago.

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Media inquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617.


Colonisation and archaic British law behind appalling Māori child state welfare: changes called for

New Zealand Nurses Organisation (NZNO) media release, 9 August 2019

Colonisation and the legacy of archaic British law were the starting points for our modern child welfare system that is inherently racist and disadvantages Māori in particular, the Indigenous Nurses Aotearoa Conference was told today.

Midwife and Māori health advocate Jean Te Huia took conference attendees on an historical journey from colonisation through to the present day about child welfare law and its impact on Māori.

She said early New Zealand simply adopted England’s poor and vagrancy laws which saw many parents locked away and their children becoming wards of the state. This systemic approach was applied mostly to indigenous populations in New Zealand, Canada and Australia and has continued into the modern era.

“One in 12 Māori boys in Aotearoa New Zealand were placed in care between 1960 and 1980. One in a 1000 Pākehā boys were placed in care during that time. And the statistics show that the children placed in welfare are the most likely to become the prisoners of the next generation.”

She said that today Māori represented 86 per cent of the children in state care which closely mirrors Māori imprisonment rates.

“A lot of people don’t know that 80 percent of Black Power members and 78 percent of Mongrel Mob members were wards of the state.”

She said the statistics are almost exactly the same in places like Australia and Canada.

Ms Te Huia, who is in the second year of her doctorate on this very topic, said a 2015 report by Child Health Commissioner Russel Wills, embargoed at the time, said child welfare was not working and that children were better off left with their parents than put into state care.

She called for three specific changes.

First was the abolition of Section 18A of the Oranga Tamariki Act 1989, which means subsequent children born to certain parents will always be taken into state care

“So we’re seeing second, third and fourth generation families all being in state care,” she said,

She also said Section 78 of the Act is a breach of human rights, where a child is uplifted at birth by order of the court on the basis of as little as an affidavit from single social worker. The parents aren’t consulted and never get a chance to argue their case.

Lastly she said it was appalling that legal aid has been removed for parents of such children who now have no financial means of defending themselves so they can get their children back.

“Child Welfare, Justice, the Family Courts and social workers all work in siloes so no one ever gets to see the whole picture,” Ms Te Huia said.

“It’s not until you bring all the statistics together and you look at the whole situation in the context of colonisation that you get a clear sense that this shouldn’t be happening.”

The Indigenous Nurses Aotearoa Conference is being held at the Pullman Hotel, Tāmaki Makaurau (Auckland), 9-10 August.

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Media inquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617.


Tauira (students) essential to raising Army of Māori Nurses

New Zealand Nurses Organisation (NZNO) media release, 8 August 2019

More Māori nursing students will be essential to raising an army of Māori nurses who are sufficiently culturally responsive to meet the increasing health needs of Māori, says Tracy Black (Ngai Tūhoe, Ngāti  Kahungunu, Te Whakatohea), Chair of Te Rūnanga Tauira.

Speaking today at the Te Rūnanga Tauira Professional Development Day, held at Waipapa Marae in Auckland, Ms Black said we need more Māori nurses working in primary, secondary and tertiary care.

“The Nursing Council of New Zealand register identified in 2017 that 7 per cent of the nursing workforce is Māori, but the Māori population is 15 per cent. That is a huge gap,” she said.

Around 115 Māori nursing students are attending the professional development day which is a precursor to the Indigenous Nurses Aotearoa Conference starting on Friday with the theme ‘Raising an Army of Māori Nurses’.

“Today is really about gathering the voices of the membership to decide on issues of focus. It’s about inspiring our new students, but also those who are completing year three and about to enter the workforce. We’re saying, ‘Keep going; we can do this’.

“We need to recruit more and also retain the Māori students we have because many are being managed out when they progress through their studies and come face-to-face with institutional racism in their schools. They can become fearful about speaking out; they become silenced or they leave.”

NZNO Kaiwhakahaere Kerri Nuku said there were some fantastic young Māori nurses coming through into the workforce.

“We need to ensure we support them so the system doesn’t chew them up and spit them out. They are the change agents for the future, and I honestly believe that when I look at the calibre of tauira we have coming through.

“So our job is to help make sure they don’t become disillusioned with a system that is so old and hard for them to work in as Māori. We need to make them feel valued and to know they have different skills and ways of communicating; that they look at the health system and know they are the ones to change it. Really, they’re a lot braver than I am.”

Tracy Black is a third year Māori nursing student at Te Whare Wānanga o Awanuiārangi. She says her dreams and aspirations about nursing have always been to make a difference for her whānau because they were dying from preventable illnesses such as heart disease.

“But as I’m walking through this journey my eyes are opening and I have a bigger whānau now. It bridges across all of Aotearoa where my people are dying from preventable illnesses, but have trouble accessing and understanding health services that are not always culturally responsive.

“So, wherever my people need me that’s where I will go.”

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Media inquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617.


Nurses conference to put ‘fire in the belly’ for Army of Māori Nurses

New Zealand Nurses Organisation (NZNO) media release, 8 August 2019

The Indigenous Nurses Aotearoa Conference begins at the Pullman Hotel in Auckland tomorrow. NZNO Kaiwhakahaere Kerri Nuku says the conference will be unique in that it is Māori-run and about maintaining the authenticity and integrity of Tikanga throughout. But she says most of all it will be empowering.

“The system in general has beaten down our confidence so we want the conference to be about “fire in the belly” and being proud to be Māori, advocating for the health of the people and communities who most need it.”

The theme of the conference is ‘Raising an Army of Māori Nurses’, which harks back to words spoken by Māori politician Apirana Ngata early in the 20th Century, who called for just such an army.

“Back in the 1900s, with the onslaught of epidemics killing Māori, they raised and army of Māori nurses to go out there and work in the community. We need to be doing that again now because our people are dying at the same rates from non-communicable diseases such as heart disease,” Ms Nuku said.

“The system simply isn’t working for our people and we need to look at alternative approaches – and that’s about raising the Māori nursing workforce army.”

She says a major theme of the conference will be the Waitangi Tribunal’s recommendation for a complete redesign of New Zealand’s primary health system to better meet the needs of Māori  – a result of the Wai 2575 inquiry to which Te Rūnanga was a party.

“A particular issue for us is the 25 per cent pay disparity for nurses working in Māori organisations compared to those working in district health boards,” Ms Nuku said.

Today (Thursday 8 March) Te Rūnanga members and some conference attendees will visit Ihumātao to both show support and help where they can.

“We want to show Te Rūnanga’s solidarity with the peaceful protest of our brothers and sisters because our connection to the whenua is intrinsic to our health and wellbeing,” Ms Nuku said.

“But we also want to go there as health professionals to support and provide health care assistance. There are nurses actively working at Ihumātao and we want to provide some support to them as they need it.”

The Indigenous Nurses Aotearoa Conference will take place at the Pullman Hotel, Tāmaki Makaurau (Auckland), 9-10 August.

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Media inquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617.


Advisory: Indigenous Nurses Aotearoa Conference 2019

New Zealand Nurses Organisation media advisory, 6 August 2019

What: the Indigenous Nurses Aotearoa Conference 2019
When: 9-10 August
Where: Pullman Hotel, Tamaki Makaurau (Auckland)

New Zealand Nurses Organisation (NZNO) Kaiwhakahaere Kerri Nuku invites media to attend the Indigenous Nurses Aotearoa Conference 2019.

The theme of the conference is “Raising an Army of Māori Nurses”.

The opening address will be given by Annette Sykes at 10:35am on 9 August. A wide range of other speakers will also present over the course of the two days. Details can be found in the conference programme which is available at https://www.nzno.org.nz/hui.

Both days of the conference will also be livestreamed to this page.

The Tapuhi Kaitiaki Awards will be presented at the Conference dinner on Saturday 10 August. These are jointly awarded by PHARMAC and Te Rūnanga o Aotearoa/NZNO, and are in two categories: Nurse Practitioner/Nurse Prescribing Award; Māori Nurse Mātauranga. The winners will receive a share of $10,000 in each category.

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Media inquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617.


Middlemore so understaffed it may need to call on army

New Zealand Nurses Organisation media release, 26 July 2019

The New Zealand Nurses Organisation (NZNO) says an emerging crisis at Middlemore Hospital demonstrates the serious problems district health boards (DHBs) are facing in recruiting and retaining nurses.

On Tuesday ambulances to Middlemore were diverted to Auckland and Northshore Hospitals due to a lack of capacity, including lack of beds, understaffing and the emergency department being under pressure. Counties Manukau DHB has requested nurses from Auckland DHB to provide emergency relief.

However, it has been confirmed to NZNO that Auckland Hospital is also at full capacity and has suggested that Counties Manukau DHB request emergency assistance from the New Zealand Defence Force instead.

NZNO Organiser Justine Sachs said this sort of thing happening outside of a civil emergency situation should send alarm bells to those holding the purse strings and responsible for resource and workforce planning. 

“Nurses are at breaking point; many telling us they are leaving the profession or going to work overseas because of intolerable workloads.

“Delays caused by diverting ambulances to other hospitals puts patients at serious risk and puts pressure on other hospitals also struggling to cope because they are under-staffed and under-resourced.”

Ms Sachs said increased demand on the public health system should be expected during the winter season and that contingency plans that include having options for patients to being admitted in other hospitals and sufficient nurses on staff should be in place to cope with increased demand.

“Given the enormous stress on our under-resourced health system it’s frightening to contemplate how hospitals in the Auckland region would cope should there be a significant catastrophic event.”

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Media inquiries: Rob Zorn, NZNO Media and Communications Advisor: 027 431 2617.


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