Secondary/Emergency/Surgery

Specialties

  • gurney nurse

    Nurse budget blow-outs

    8 February 2017

    Increased patient demand and untaken annual leave contributed to some district health board's nursing budgets blowing out last year, according to nursing directors. More at risk patients requiring 1:1 watches and shorter patient stays were also contributing to pressure on nursing budgets, the directors of nursing told Nursing Review.

  • Michael heart

    Drunk ED patients more likely this side of Tasman

    21 December 2016

    As we head into the summer party season a snapshot survey shows New Zealand has double the rate of alcohol-related presentations in emergency departments than across the Tasman.

  • Shiftwork

    Shift working nurses: how fatigued are you?

    4 October 2016

    A national online survey into nurse fatigue is launching this week and shift working nurses are being urged to share their work and sleep patterns.

  • Screen Shot 2016 05 23 at 9.36.32 AM

    ED 'running man' May mayhem

    23 May 2016

    The phenomenon began in early May with some dancing Kiwi cops posting a challenge and not long after nurses, doctors and paramedics around the country joined in. Check out some nurse dance moves in the Running Man Challenge videos from local DHBs.

  • News.jpg

    Nurses cleaning hands more often

    5 May 2016

    Kiwi nurses have upped their game, with the latest national statistics showing that nurses are cleaning their hands nearly 85 per cent of the required times.

  • Caring_hands.jpg

    Missing out on the 'conversations that count'

    14 April 2016

    After nursing patients with chronic kidney disease for more than two decades, Suzanne Joynt has seen the comfort and support that advance care planning (ACP) about end-of-life care can provide for patients and their families. So when her stepfather was diagnosed with a terminal illness, she hoped other nurses would be aware of its benefits too.

  • flu-jab.jpg

    Hard-line 'vaccinate or mask' 'flu policy still in place

    12 April 2016

    The district health board that suspended two unvaccinated nurses last 'flu season for refusing to wear a mask is currently sticking to its controversial policy.

  • RN medal

    Pressure injuries: not just a nursing problem

    24 February 2016

    Investing in a national prevention programme could save 30,000 New Zealanders suffering a pressure injury each year, recommends a major report. The KPMG report, The Case for investment in: A quality improvement programme to reduce pressure injuries in New Zealand, was released recently by the Health Quality & Safety Commission, ACC and the Ministry of Health.

  • Michael-Geraghty.jpg

    ED silly season over for another year

    27 January 2016

    As the country heads back to work and school, memories of the festive season may already be starting to fade. For some, however, memories of a holiday trip to ED may not be forgotten so easily. Emergency nurse practitioner MICHAEL GERAGHTY shares an emergency nursing perspective of the summer silly season.

  • gurney nurse

    Stalled nurse endoscopy training to make fresh start

    18 August 2015

    A second attempt to get nurse endoscopy training underway – to help boost the colonoscopy workforce prior to introducing  national bowel cancer screening – is set to start in 2016. An attempt at fast tracking nurse endoscopist training was announced in mid-2014 by then Health Minister Tony Ryall. Training was due to start early 2015 but was stalled and recently a second start date was set for 2016.

  • Newspaper.jpg

    NZNO backing new DHB pay offer

    16 July 2015

    Nursing union NZNO is recommending nurses accept the 20 district health boards' new pay deal that includes an increased wage offer and a shorter contract term.

  • Kim Carter

    Coming out of your comfort zone

    15 July 2015

    KIM CARTER on why nurses may need to step out of their comfort zone to ensure good care for all clients across the spectrum of sexuality and gender identity.

  • Andy-McLachlan-200px.jpg

    Nursing, death and the cycle of life

    30 June 2015

    Cardiology NP ANDY McLACHLAN shares his career-changing first experience of death and contemplates nursing, humanity and the ‘great circle of life-death’.

  • Rosemary-Minto.jpg

    The prostate cancer testing dilemma – help is finally on its way

    3 June 2015

    ROSEMARY MINTO calls for nurses to be informed and take a lead in educating men and their whānau about prostate cancer. The NP, who sadly lost her own father to the most commonly diagnosed cancer in men, is a member of the Prostate Cancer Working Group, which is soon to release a long-awaited best practice pathway for prostate cancer testing and management.

  • nursing-jobs.jpg

    New grads competing with migrant nurses?

    19 May 2015

    More than 250 new graduate nurses have been struggling to find work in practice areas that remain open to migrant nurses.

  • flu-jab.jpg

    Nurse 'flu jab uptake fluctuates across country

    7 May 2015

    The 'flu vaccination uptake amongst hospital nurses keep steadily increasing but still varies radically across the country.

  • ICU nurse

    Mask wearing into third 'flu season in Northland DHB

    7 May 2015

    Requiring non-vaccinated nurses to wear masks when caring for patients is into its third 'flu season in Northland and is being widened to cover all clinical areas.

  • News.jpg

    DHB nurses urged to vote on 'so-so' pay offer

    5 May 2015

    Public hospital nurses are being asked to give union NZNO a "clear steer" on whether they will accept or reject a 1% pay offer now and 2% in following years.

  • Caring_hands.jpg

    ACP nursing: being brave, being open and really listening to patients

    16 April 2015

    JANE HANNAH, a heart failure nurse specialist, says some families expect her to arrive in 'black robes and carrying a sickle' when referred for an 'end of life' discussion.  But she says anxiety falls and patients are more satisfied with their care after having a 'conversation that counts

  • wheelchair

    Advance Care Planning: moving from telling to asking people

    16 April 2015

    Becoming a facilitator rather than a dictator of care…CHERYL CALVERT, a gerontology nurse specialist, shares the profound difference becoming an Advanced Care Planning facilitator has made to her practice

  • Margaret Woodcock 1960s small

    Nursing tales go live with launch of new website

    11 March 2015

    Tales of the days of nursing hostel curfews, starched caps and when 'doctors were God' can be heard online with the launch of New Zealand's first nursing oral history archive.

  • Andy-McLachlan-200px.jpg

    "Curiouser and curiouser": Is it time for a fresh look at the NP role?

    9 March 2015

    OPINION: The perpetually curious ANDY McLACHLAN (an Auckland cardiology NP) wonders about sharks in swimming pools and whether it may be time for a fresh look at the nurse practitioner role

  • Clowndoctors.jpg

    Clowning around on the ward

    7 April 2014

    CAMERON TAYLOR of Clown Doctors shares while a smile is good medicine on the ward as  April 7 is New Zealand Smile Day.

  • Michael-Geraghty.jpg

    Violence and the healthcare setting

    10 June 2014

    MICHAEL GERAGHTY, Nurse Practitioner in the Adult Emergency Department at Auckland City Hospital, calls for a zero tolerance policy against violence and verbal threats in our hospitals.

February 2017 Vol. 15 (1)

  • turtle

    iNature: can delivering nature digitally reduce anxiety and pain?

    Visiting American nursing professor Margaret Hansen has set out to establish whether delivering complementary therapies – like nature and music – through mobile technologies is a feasible way of reducing anxiety and pain for surgical patients.

  • asian baby

    Nursing in China: how does it compare?

    A baby boom, not retiring nurses, is one of the major nursing workforce issues in China. Chinese nursing director Zheng Ying Wang reflects on other differences and similarities in nursing practice between our two countries.

October 2016 Vol. 16 (5)

  • Antibiotics

    Antibiotic resistance: how can nurses help?

    Seventy-five years after the ‘wonder drug’ penicillin saved its first patients, we could be heading toward a post-antibiotic era in which common infections once again kill. Nurses have both a vested interest and a vital role in preventing this. FIONA CASSIE reports.

  • Babies in trolley

    Antibiotic resistance: nursing stories of before & after antibiotics

    NURSING REVIEW talked to nurse researchers and an infection control nurse specialist who share stories of fighting infection before antibiotics, the 'H-bug' epidemic of the 50s and today.

  • Child obesity

    Childhood obesity: empathy not judgement

    Nursing Review reports that nurses need to put away their own prejudices or guilt about weight and start conversations that will help families find a healthy way forward.

  • Northland huddle

    ED: starting the day with a culture-changing huddle

    Nurse manager PETER WOOD believes that a new move to start the day with an ED huddle – instead of a negative meeting focusing on breaches of the ‘shorter stay’ ED target* – has been a positive culture change for Whangarei Hospital.

  • Cold spray

    ‘Chilling out’ the pain

    This edition’s Clinically Appraised Topic (CAT) asks whether a cold spray helps to ‘chill out’ the pain of inserting IV cannula.

August 2016 Vol. 16 (4)

  • Bullying

    Bullying and the 'caring profession'

    Bullying is prevalent in New Zealand workplaces and the ‘caring profession’ is far from an exception. Nursing Review reports on some challenging research on nurse bullying, some nurse leader thoughts on bullying and a nurse manager’s project to encourage nurses to be kinder to each other.

  • Banner close-up

    Try a little kindness

    Nursing Review talks to nurse manager MIKAELA SHANNON about a project to encourage and role model caring and kindness between nurses.

  • Leaha North

    Career Path: clinical nurse coordinator

    LEAHA NORTH knew when she was a girl playing hospital with her dolls that she wanted to work with children. After returning from a lengthy OE mostly spent paediatric nursing, she is also keen to work on reducing Māori health inequalities.

  • Jo Prior

    Career path: charge nurse manager

    Graduating in a tight job market saw JO PRIOR cross the Tasman for her first job. That job sparked an interest in emergency nursing into a passion that has seen her working within or near an ED for most of her career.

  • Katrina OLeary

    Career path: clinical nurse specialist (trauma)

    “Get a master’s degree” is the single most important piece of career advice, believes clinical nurse specialist KATRINA O’LEARY, who discovered her love of study on arriving in New Zealand and is now contemplating her PhD.

  • Marianne Te Tau

    Career path: clinical nurse specialist (APAC)

    MARIANNE TE TAU’s career to date is being guided by the philosophy of reflective practice, pursuing professional development and being patient/whānau-centred.

  • Starched cuffs

    Starched cuffs to university caps: one nursing leader's journey

    After nearly 50 years in nursing and 35 years in nursing education JUDY KILPATRICK is set to retire at the end of the year. The self-declared “happy chappie” talks to FIONA CASSIE about a lucky career spanning starched cuffs, life-threatening illness and major milestones for the nursing profession.

  • Safe staffing

    Safe staffing: what forces make a shift safe or unsafe?

    Nurses driving home from work probably know whether a shift felt ‘safe’ or ‘unsafe’. PhD researcher RHONDA McKELVIE wants to talk to nurses about the forces influencing safe, or unsafe, staffing.

June 2016 Vol. 16 (3)

  • Bariatric

    The big and small of caring for the very large

    Chubby, obese, fat, bariatric, heavy. Finding the right words is just one of nurse researcher Caz Hales’ projects for improving the care of very large patients. FIONA CASSIE finds out more.

  • Stroke nursing

    Stroke nursing: the cinderella speciality no longer

    Every day around 24 New Zealanders –75 per cent of them aged over 65 – have a stroke. These 9,000 or so ‘brain attacks’ a year are the major cause of serious adult disability in the country, but stroke nursing is a specialty still relatively in its infancy in New Zealand. FIONA CASSIE finds out more from nurses working in the field.

  • Take note

    Take note: the legal importance of clinical notes

    Nurse-turned-lawyer Robin Kay looks at the value of good clinical notes and gives some guidance on how to write them.

April 2016 Vol 16 (2)

  • Carey Campbell

    Q & A with Carey Campbell

    Carey Campbell is director of nursing for Southern Cross Hospital's 800 nurses and chair of the private surgical hospitals directors of nursing group. Find out about her career to date, her wishes for the nursing workforce and why she wonders whether her love of fishing is compatible with one of her favourite movies...

  • Jabu Mlangeni Denise Kivell Jacqui Wynne Jones l r

    Patient safety: keeping it real by walking the wards

    Ensuring health leaders are in touch with what’s happening at the bedside is a major motivation of Counties Manukau’s Patient Safety Leadership Walk Rounds. Counties Manukau nursing and improvement leaders Jacqui Wynne-Jones, Lynne Maher and Bev McClelland contributed to this article, outlining the background, format and results of leaders ‘walking the wards’.

February 2016 Vol 16 (1)

  • Erin Dooley icon

    A day in the life of an ED nurse

    Finding a bed pronto for the guy clutching his chest while another patient's screams fill the waiting room is just part of the working day for Christchurch ED nurse Erin Dooley. Follow a day in her life as she switches from a FAST (focused assessment and supportive treatment) role to facing what seems a never-ending queue as triage nurse in one of Australasia's busiest emergency departments.

  • Joce Christmas Carols

    Fun in the ward: Stories of the good old, bad old days

    Nurse researcher JOCE STEWART believes some fun and camaraderie in the ward can only be healthy for both nurses and patients. Nursing Review shares tales of laughter, mischief and collegiality amongst nurses in the 1970s and 1980s from Stewart’s thesis oral history research.

  • Jan icon

    Self-care for nurses

    Nurse turned life coach JAN AITKEN reflects on how well nurses look after themselves and offers some advice on self-care for nurses.

  • Fiona Rowan icon

    When nurses grieve

    FIONA ROWAN asks how well the caring profession cares for its own when nurses lose loved ones and shares findings from her survey of 70 bereaved nurses that indicate New Zealand could do better.

  • Lynda Lovatt icon

    Are you match fit for nursing?

    LYNDA LOVATT – a nurse turned personal trainer – shares tips on being ‘match fit’ for the physical demands of nursing.

  • Ai gynae

    Gynaecological cancers: Silent no longer

    More than 1,000 New Zealand women are diagnosed with gynaecological cancers every year and around 400 die of them – the majority from ovarian cancer. Nursing Review seeks to raise awareness of this female-only group of cancers, including why labelling ovarian cancer the ‘silent killer’ is not helpful, what obesity has to do with endometrial cancer, and how a vaccine can save lives. FIONA CASSIE reports.

  • Jill icon

    The cancer that screening and vaccine can prevent

    The number of women who die from cervical cancer in New Zealand has dropped dramatically by 60 per cent since 1990. The human papillomavirus (HPV) vaccine, available free to all young women under 20, may in the future see even fewer women lost to this most preventable and most high profile of the gynaecological cancers.

  • Bryony icon

    We need to talk more about vulvas

    A “very, very distressing” cancer that nobody talks about. This is how Christchurch gynaecological oncologist Bryony Simcock opened her address on vulval cancer to last year’s NZNO Women’s Health section conference.

  • Vicky MiYeong You icon

    Nurses step up to meet demand for specialist eye treatment

    New Zealand’s ageing population is experiencing an upsurge in common age-related eye diseases. Clinical nurse specialist VICKY MIYEONG YOU reports on an innovation at Greenlane Eye Centre that has seen nurses trained to deliver collaborative specialist treatment for one of these diseases – wet macular degeneration.

  • Michael Geraghty icon

    ED silly season over for another year

    As the country heads back to work and school, memories of the festive season may already be starting to fade. For some, however, memories of a holiday trip to ED  may not be forgotten so easily. Emergency nurse practitioner MICHAEL GERAGHTY shares an emergency nursing perspective of the summer silly season.

December 2015 Vol 15 (6)

  • Electronic alerts

    Electronic alerts a step closer

    Paperless capture of vital signs is another step closer at Canterbury District Health Board with the rollout of electronic patient observations software and an early warning score (EWS) system now underway in the first ward. Nursing Review reports

  • Jill Clendon 02

    UPDATE: Time to rethink the 12-hour shift?

    Since Nursing Review published this shift work article earlier this year, New Zealand researchers have released a major literature review of the error rates of nurses working 12-hour shifts. 

  • RRR Dec 2015 COVER

    In Balance: The Fit Between Work and Other Life Commitments

    Is your New Year resolution to have a better “work-life balance” in 2016? As a Christmas and Summer bonus we have updated and re-published our first ever RRR professional development article & activity that looks at just that topic. 

October 2015 Vol 15 (5)

  • Gloved Hand

    Hand hygiene: to glove or not to glove?

    To glove or not to glove? Is it ‘nobler’ and safer for nurses to increasingly wear gloves when caring for patients? Fiona Cassie finds out the answer from British infection control researcher Dr Jennie Wilson.

  • flu shot

    Flu shot: masking the issue?

    Three Waikato DHB frontline staff were suspended this winter for refusing to wear a mask after declining the flu vaccine. FIONA CASSIE looks at the sometimes fraught issue of infection control campaigns that aim to reduce the risk of influenza by increasing the vaccination levels of nurses and other healthcare workers.

  • Diabetic foot ulcer

    Debridement: sloughing away to aid healing

    Debridement can be simple and slow or quick and complex. FIONA CASSIE finds out from wound care nurse specialist Emil Schmidt some of the ‘whys’ ‘wheres’ and ‘hows’ of simple debridement – and when to call in the experts.

  • patient in bed

    Pressure injuries: reporting brings results

    Attempts to have pressure injury data regularly collected and reported as a nationwide quality indicator have been unsuccessful to date. But four district health boards decided not to wait for the rest of the country. FIONA CASSIE finds out about the Northern Region’s successful campaign to reduce harm from pressure injuries. 

  • running heartbeat

    Raising legs helps heart return to a steady rhythm

    This edition's critically appraised topic (CAT) looks at research into a new addition to an established technique to restore a steady rhythm to a rapidly beating heart.

August 2015 Vol 15 (4)

  • Sue Clynes 02

    A day in the life of a Mercy Ship nurse

    Sue Clynes' clientele is the poorest of the poor living with heartbreaking conditions of the face and jaw. Find out more about her life living and working on board the Africa Mercy hospital ship as the volunteer nurse leader of the maxillofacial team.

  • To a Fereti

    Career path: clinical nurse director

    To’a Fereti shares her ‘accidental’ career path to be clinical nurse director in charge of 600 nurses – the first Pacific nurse to hold the post.

  • Jessica Ongley

    Career path: clinical nurse specialist on NP pathway (private surgical hospital)

    Nursing mentors have been instrumental in helping clinical nurse specialist JESSICA ONGLEY along her career path towards her ultimate goal of becoming a nurse practitioner.

  • Libraries laptop

    Libraries: informing nurses anytime, anywhere

    What do today’s modern libraries offer nurses who walk through their doors or, more frequently, login online? FIONA CASSIE talks to district health board librarians VIV KERR and PETER MURGATROYD.

  • Gradutate incomes

    Graduate incomes: How nursing stacks up… and falls down

    How does a young nurse’s income stack up against those of his or her peers who become teachers or lawyers? Do we lose more young nurses overseas than other professions? Why does the average income of nurse graduates plateau and fall after five years? FIONA CASSIE reports on two Ministry of Education studies about young graduates’ incomes and destinations.

  • test-paper.jpg

    Postgraduate funding steady for 2016

    It is now around eight years since funding for postgraduate nursing study was decentralised to district health boards.

  • fad diet

    Fad diets article feedback

    The last edition of Nursing Review contained an article called ‘Fad diets: what do dietitians say about the latest crop?’ that looked at some of the latest dietary trends; in particular, the Paleo diet, the 5:2 intermittent fasting diet, the no-sugar approach and the low-carb, high-fat (LCHF) approach.

June 2015 Vol 15 (3)

  • E Cigarettes ICON

    E-cigarettes: lifesavers or smokescreen?

    When it comes to smoking cessation tools, it seems there are mixed signals around e-cigarettes. Some argue they could be lifesavers for tobacco smokers struggling to quit; others argue they are a smokescreen for a new generation of problems. *So what knowledge should nurses have on the subject? Nursing Review attempts to clear the air.* 

  • Healthier eating ICON

    Fad diets: what do dietitians say about the latest crop?

    Any diet that bans fruit has to raise eyebrows. The same goes for a diet that advocates lashings of cream and butter with every meal. The demonising of one food group as the source of all dietary evil, or the fixation on another as a saviour, is often the key selling point for the latest fashionable weight loss diet.

  • Chronic Pain ICON

    Chronic pain - the other long-term condition

    Nursing Review talks to pain management NP Sue King about not only the pain associated with the more common long-term conditions but also about chronic pain as a long-term condition in its own right – and how nurses can best help their patients manage it.

  • Syringe.jpg

    LARK leadership and catheters recharge career

    After two decades in aged care without any study, Sabya Mohan is now enrolled for not one but two diplomas and is on the clinical nurse specialist pathway. She tells FIONA CASSIE how Waikato’s LARK leadership programme, and her change project on catheterisation, reinvigorated her career.

April 2015 Vol 15 (2)

  • Jocelyn Peach ICON

    Q&A with Dr Jocelyn Peach

    Find out more about one of this country's most experienced directors of nursing: her drivers and her fundamental nursing philosophy.

  • CarynBraunAntarctica ICON

    A day in the life of a nurse in Antarctica

    Penguin & whale spotting at lunchtime...Caryn Braun spent the Antarctic summer as a flight nurse at McMurdo Station for the United States Antarctic Programme. Find out about the day in the life of a nurse in Antarctica.

  • Jan Millar

    Nurses Day 'hero': helping families navigate child cancer

    Canterbury's paediatric oncology NP Jan Millar helps families keep their heads above water while they are being swept along by the turbulent current that is child cancer.

  • Melody Mitchell

    Nurses Day 'hero': Positive impact of being Māori and nurse manager

    Waikato Hospital's Melody Mitchell says being a Māori nurse in management (managing 270 surgical nursing staff) gives her a unique opportunity to articulate her community’s needs.

  • Debbie Hailstone

    Nurses Day 'hero': passionate hand hygiene champion

    Hand hygiene compliance has almost quadrupled in Middlemore Hospital's emergency care department since Debbie Hailstone provided evidence to staff of the bugs lurking on their phones and keyboards.

  • Bev Gray

    Nurses Day 'hero': Five decades of nursing

    Rotorua nurse Bev Gray is retiring after 50 years of nursing including setting up the city's first coronary ICU to public health nursing and says, given the chance, she would choose nursing all over again.

  • Brittany Jenkins ICON

    Nurses Day 'hero': home-grown but US-accented Coaster

    US-born Kiwi-trained nurse Brittany Jenkins is a West Coast hero for developing a resuscitation service for health practitioners stretching from Karamea to Haast.

  • Sue Patience

    Nurses Day 'hero': Dialysis nurse steps up in blackout

    The hero nomination of home dialysis nurse Sue Patience is the result of her dedicated support of patients caught by last year’s Auckland power outage and her earlier work for evacuated Christchurch earthquake dialysis patients.

  • NZmoney.jpg

    Nurses asked to maximise the health dollar

    This International Nurses Day, nurses are being asked not to leave health system finances just to the bean-counters in the back room. Instead, the International Council of Nurses (ICN) says nurses should be actively engaged in thinking about how each dollar can be best spent to improve health care. Nursing Review reports.

  • H906

    In coats of grey and scarlet - New Zealand nurses at war

    One hundred years ago the first ever contingent of the New Zealand Army Nursing Service sailed out of Wellington clutching bouquets and waving multicoloured streamers. FIONA CASSIE tells the tale of how nursing fought hard for the right to accompany their boys to war and, like them, serve while battling heat stroke and dysentery in the East and trench foot on the Western Front.

  • marquette

    Tragedy on the Marquette

    In October 1915 the then infant New Zealand Army Nursing Service suffered its greatest ever disaster, then or since. A torpedo struck the transport ship SS Marquette, leading to the death of 10 nurses and to great feats of bravery and tenacity by the 26 surviving nurses. FIONA CASSIE draws on nursing histories to recreate the tragic tale. 

  • hello my name is

    Gidday my name is... Not forgetting the ‘niceties’

    Patients shared stories across the Auckland isthmus recently during the inaugural region-wide Patient Experience Week. LYNNE MAHER tells FIONA CASSIE why nurses and other health professionals need timely reminders that patients seek courtesy, communication and compassion as part of good clinical care.

  • Jill Clendon ICON

    Nursing tales go live with launch of new website

    Tales of the days of nursing hostel curfews, starched caps and when “doctors were God” can be heard online with the launch of New Zealand’s first nursing oral history archive.

  • News-phone.jpg

    Nursing procedures - a one-stop online shop for half the country

    Keeping nursing procedures up to date can be a tedious and neverending task. For the past three years, however, the five Midland region DHBs have been using a ‘Kiwified’ online nursing procedure service that is shortly to go live across the South Island. FIONA CASSIE finds out more.

  • Liz Manning ICON

    Tips for a top nurse portfolio

    LIZ MANNING shares some simple tips on how to keep your nursing portfolio manageable, succinct, and of a good quality.

  • Delirium

    Teamwork to reduce risk of delirium

    This edition’s critically appraised topic (CAT) looks at how best to reduce the risk of delirium in elderly patients without turning to drugs.

  • Jonathan Coleman ICON

    Turning around the ocean liner - the shifting of resources to the primary health sector

    Nursing Review caught up with Minister of Health and former GP, Hon Dr JONATHAN COLEMAN, recently to talk about his plans to move more funding from the secondary to the primary health sector, and his views on the nursing and physician assistant roles.

February 2015 Vol 15 (1)

  • Clown doctor

    Day in the life of a ... clown doctor

    Zack McCracken was a nurse for 15 years before she left to pursue her love of acting. Now she combines her passion for theatre and healthcare by working as a clown doctor.

  • Shiftwork

    Coping with shiftwork: is there a perfect roster?

    Shiftwork isn’t natural, and long-term it isn’t healthy – but it is essential for modern health care. So the challenge is to minimise the risks and maximise any lifestyle benefits. FIONA CASSIE talks to a sleep physiologist and nurse leaders to find out how to do just that.

  • Mental health matters

    Mental health matters: boosting nurses’ wellbeing

    Four years on, Christchurch’s nurses are still driving on bumpy roads to workplaces that are often temporary or under repair before returning to a home that may still be cracked or leaking. And with a $650 million rebuild, redevelopment and reshuffle of hospital services underway over the next four years and increasing demand for mental health services, it seems there is little relief in sight.

  • All Right Canterbury

    Wellbeing messages relevant to all

    FIONA CASSIE talks to SUE TURNER, manager of Canterbury’s All Right? wellbeing initiative, about one small silver lining of the quakes – people’s awareness of their own mental health – and how All Right? is helping people restore and maintain their personal wellbeing.

  • tiny adventures

    Free app for fun times with kids

    A toolkit of quick, fun activities for kids first developed to help quake-stressed parents is now a free smartphone app available across the country.

  • Pelvic floor

    Keeping leakage at bay

    Is one-off advice on pelvic floor exercises enough to keep urinary incontinence at bay? This edition’s critically appraised topic (CAT) looks at whether pelvic floor muscle training makes a difference.

  • Pay talks

    A decade on: MECA pay talks underway again

    On 28 February the fourth national MECA pay agreement between 20 district health boards and the New Zealand Nurses Organistion expired. FIONA CASSIE backgrounds the talks and some of the history leading up to the latest negotiations.

December 2014 Vol 14 (6)

  • Simulation

    Simulation the answer to relieve pressured nurses?

    Can you halve the time student nurses spend on the ward or with a nurse in the community and still train a clinically competent nurse? A major US study has proven you can by replacing half the traditional clinical placement hours with quality simulation scenarios. 

  • health records

    Update on sharing electronic health records

    The vision for the end of 2014 was for all New Zealanders to have electronic access to their core personal health information*. The reality is that it is still some time away. NURSING REVIEW gives you an update on where sharing electronic health records between patients, practices, pharmacies, hospitals, and other health professionals is up to.

  • bye bed chart

    Bye bye bed chart, hello electronic 'obs'

    The country's first public hospital is a step closer to farewelling the paper chart at the end of the bed and replacing it with electronic recording of nursing observations and automatic alerting of a high-risk early warning score (EWS). FIONA CASSIE finds out more.

  • Falls

    Electronic whiteboard frees up nursing time

    JODIE and PETER WOOD report on how a Whangarei Hospital orthopaedics ward developed a customised electronic whiteboard to give nurses patient details at a glance and help free up more time for direct patient care.

  • 30 min

    Smartphone speeds up ED to ward bed transition

    Whangarei nurse PETER WOODS outlines how using a smartphone cut out the 'middleman' and got ED patients more quickly allocated a ward bed.

  • Stressed 01

    Nursing research finds presenteeism steps up risk of missed care

    "One nurse … six bells ... maths doesn't work" – New Zealand's first missed care research finds, not surprisingly, that missing patient care is a reality in Kiwi nursing, although relatively rare. FIONA CASSIE talks to research leader Dr Clare Harvey about the trends found, including the high level of 'working-when-sick' reported and its link to increased missed care.

  • Stressed nurse

    Wearing two hats at one time: nurse managers on the ward

    FIONA CASSIE reports on KERRI-ANN HUGHES’ initial research findings into the support and barriers that help and hinder nurse managers in their work.

  • Chaos nurse

    Turning ward chaos into order: data is the key

    If your ward is chaos, the best argument for more staffing is hard data, says Cherrie Lowe, the Australian nurse founder and CEO of patient acuity software system TrendCare. FIONA CASSIE reports on Lowe's presentation to the recent NZNO nurse managers conference, including a major benchmarking study analysing 9.9 million nursing shifts.

  • Thelma Glasgow

    Day in the life of a … nursing veteran

    Thelma Glasgow started training at Rotorua Hospital with her twin sister back in 1964 and 50 years later the theatre clinical nurse educator is still nursing fulltime. Find out about her nursing day now and nursing days in decades past.

October 2014 Vol 14 (5)

  • Black finger nail

    Ouch: crushed fingers and purply-black nails

    Fingers may be small but wounds to them can be disproportionately painful and debilitating. FIONA CASSIE seeks first aid advice for nurses from emergency NP Margaret Colligan on crushed fingers and other common finger wounds.

  • Frypan fire

    Burn injuries: spills, flares, flames, and the wounding results

    Every year, more than 20,000 claims are made to ACC for burn injuries. Burn clinical nurse specialists Deborah Murray and Jackie Beaumont see many of the worst of them. FIONA CASSIE gets advice from the pair about first aid and management of minor burns for nurses in the community and discovers there is no such thing as a ‘simple’ burn.

  • Donna1web

    “One hell of a mission to cut your teeth on.”

    Returning Red Cross nurse Donna Collins says the true heroes of fighting Ebola are the national nurses who have lost colleagues, faced eviction by landlords, and have been ostracised by their villages, yet they keep turning up for work each day. Back safely from Sierra Leone, Donna talks to FIONA CASSSIE about the testing, sometimes fearful, but ultimately very satisfying mission to help the Ebola-stricken nation.

  • Ebola Washing HandsPPE

    Ebola: how prepared is New Zealand?

    As Nursing Review went to press, three nurses in Western hospitals had acquired Ebola after caring for patients originally infected in West Africa. Though the chance of an Ebola victim arriving in New Zealand still remains very slim, both the Ministry of Health and the Infection Control Nurses’ College believe the devastating West African epidemic is a good wake-up call.

  • Hand Hygiene

    Out, damned spot! Out, I say!

    MARGARETH BROODKORN takes a look at the chequered history of hand washing and asks whether today's health professionals have progressed that much?

  • Medication.jpg

    Do daily 'vitamins' make a difference to the tube-fed?

    CYNTHIA WENSLEY in this Clinically Appraised Topic (CAT) looks at whether or not enriching tube feeding with immune-boosting nutrients reduces infection.

August 2014 Vol 14 (4)

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    Nurse endoscopists: the evolution of a new nursing role

    If New Zealand is to cut back the death rate from our second biggest cancer killer – bowel cancer – we need a bigger endoscopy workforce. After some years of investigation and preparation, Health Minister Tony Ryall fast-tracked the pace recently by announcing training of New Zealand’s first nurse endoscopists is to get underway early next year. FIONA CASSIE talks to Jenni Masters and Ruth Anderson about the big steps required to shift from wanting a new nursing role to making it a viable reality.

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    Successful returns from hospital to home

    Can we do more to prevent readmissions after hospital discharge?

  • NickyGraham.jpg

    Career paths: Nicky Graham

    Surgical nursing director NICKY GRAHAM’s initial career path diverted from paediatric to adult surgery and she hasn’t looked back.

June 2014 Vol 14 (3)

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    Not just a smoker’s cough

    Not ignoring “just a smoker’s cough” and other symptoms could see more of the 2000 Kiwis diagnosed with lung cancer each year living longer and better quality lives. FIONA CASSIE talks to lung cancer and respiratory nurse specialists about how nurses can play a part.

May 2014 Vol 14 (2)

  • Focus-heart.jpg

    Caring about or caring for patients?

    Is a nurse showering a patient or brushing their hair an indulgence we can longer expect in today’s hectic wards? Is team nursing and delegation of more and more personal care to health care assistants the logical and inevitable next step? FIONA CASSIE finds out more about models of care in today’s acute hospitals.

  • Donna-Galloway.jpg

    Team model shaken, showered, shifted & survived

    There are probably fewer more challenging tests of teamwork than a 6.3 magnitude earthquake turning your ward into an indoor waterfall, followed by having to evacuate patients on mattresses down a sodden stairwell in ongoing aftershocks.

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    Nurses want to shower their patient

    Asking a hospital aide to shower a surgical patient with wound dressings, drains, drips and feeding tubes is no easy step for nurse or aide.

  • Mikeala-Shannon.jpg

    Capital and Coast DHB: Short Stay Unit

    Traditional models of care also don’t fit non-traditional forms of acute care services.

  • Nurse-clown.jpg

    Clowning around on the ward

    CAMERON TAYLOR of Clown Doctors shares why a smile is good medicine on the ward - for nurses and patients.

  • Lisa-Skeet.jpg

    Right nurse, right place, and right time?

    Five years down the track, implementing Safe Staffing Healthy Workplace Unit’s safe staffing tools in public hospitals is still a steady work in progress. FIONA CASSIE talks to unit director LISA SKEET about early pockets of success, TrendCare naysayers, and the need for DHBs to turn hard data into more nurses on the floor.

March 2014 Vol 14 (1)

January 2014 Vol 13 (8)

  • BertTeekman2013.jpg

    Rationed time leads to rationed care?

    Missed care, rushed care, and tick box care plans … Researcher BERT TEEKMAN set out to find out was happening to bedside nursing and decided your average ‘med/surg’ nurse was definitely more sinned against than sinning under today’s managerial-focused health system. FIONA CASSIE finds out more.

  • MelissaLee.jpg

    Ms “Median” profiles

    We profile two nurses still nursing 20 plus years on after graduating in the early 90s when jobs were even tougher to get than now.

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    News Briefs

    NEWS

November 2013 Vol 13 (7)

  • SSIsSterile.jpg

    Campaign aims to reduce surgical infections

    Surgery can be traumatic enough for a patient without an infection setting them back weeks, months, or even disabling them for a lifetime. LINLEY BONIFACE* of the Health Quality & Safety Commission backgrounds the national campaign to prevent surgical site infections and the role that nursing plays.

  • what-not-to-do-steri-Copy.jpg

    Simple tear but complex wound

    Skin tears affect our most vulnerable – the very old and very young. Wound care consultant Elizabeth Milner outlines a STAR approach to skin tears.

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    Healing ambitions

    Helping prevent and heal faster debilitating and costly leg ulcers is the aim of the first trans-Tasman clinical guidelines for venous leg ulcers. Two years on from launching the Australasian guidelines, the push is on to get wider implementation. Some of Australasia’s experts in the field provide an update.

  • gurney nurse

    Taking action on Stop Pressure Injury Day

    PAULA MCKINNEL of the New Zealand Wound Care Society sets the scene for November 21’s worldwide Stop Pressure Injury Day.

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    Maggots mixed munching

    Does using maggots on sloughy ulcers make a positive difference?

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    Post-disaster resilience

    Disaster veteran and nurse leader Frances Hughes shares the findings of her Fulbright research into post-disaster responses and building resilient RNs.

  • Care rationing: “we can’t change what we don’t acknowledge”

    JO ANN WALTON* argues that the public ­­– and some health colleagues – still need to be educated on the vital role of both “essential” and “inessential” nursing care.

OPINION 2014

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    OPINION: Violence and the healthcare setting

    Michael Geraghty, Nurse Practitioner in the Adult Emergency Department at Auckland City Hospital, calls for a zero tolerance policy against violence and verbal threats in our hospitals.

  • Michael-Geraghty.jpg

    OPINION: Don’t drink and fry ... how about not drinking till drunk?

    Former barman and now ED nurse practitioner MICHAEL GERAGHTY wonders when Kiwis will grow out of defining a great night as waking up feeling sick with no memory of the previous night and no cash in their wallet.

  • Andy-McLachlan-200px.jpg

    Lifestyle advice: Would you follow advice from...you?

    ANDY McLACHLAN – Scotsman, cardiology NP and past-consumer of deep-fried pizza and hamburgers the size of your head – recently got lectured by an after-hours pharmacist while picking up his type 2 diabetes medication. As a reformed character with great blood sugar, cholesterol, a BMI of 24 (and only succumbing to the occasional pink iced bun) McLachlan suggests sensitivity is needed for when and how health professionals’ offer lifestyle advice to patients.

September 2013 Vol 13 (6)

  • AmioIkihele

    Career paths: the short, sweet, and roundabout

    We look to nurses as learners, educators, and leaders in this edition. Read on about teaching fledgling nurses in the classroom and on the ward, fostering leadership skills, nurses sharing their career tales, and milestones past and future in the recognition of competence and professional development.

  • HCAs.jpg

    Taranaki’s ‘modern apprenticeship’

    18 months on, FIONA CASSIE checks up on Taranaki’s radical new ‘hands-on’ nursing degrees to see how the ‘modern apprenticeship’ is bedding in.

  • Sonia Gamblen2012

    You trained to be a nurse: what gives you the right to lead?

    Director of nursing SONIA GAMBLEN asks whether being a good nurse qualifies you to become a manager and leader, and she reflects on what characteristics and skills that nurse leaders need to foster or acquire.

July 2013 Vol 13 (5)

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    Q&A with Dr Deborah Rowe

    Find out what Nursing Council chair, neonatal ICU nurse, nursing school lecturer and nurse consultant Dr Deborah Rowe squeezes into her spare time. And what she dreams of doing in Ireland someday.

April 2013 Vol 13 (4)

  • IV nurse

    International Nurses Day Heroes

    To celebrate International Nurses Day this year Nursing Review invited district health boards across the country to contribute stories on nursing ‘heroes’ in their region. We got stories back on just some of the unsung, innovative, compassionate, high achievers and dedicated nurses that make up the New Zealand nursing workforce.

  • p SueGlover

    A day in the life... Of a public hospital CNS/RN first surgical assistant

    We look at a day in the life of Sue Glover - one of the country's new Registered Nurse First Surgical Assistants working with mostly children before, during and after their heart surgery.

  • Gary Lees

    Q&A with Gary Lees

    Gary Lees came to New Zealand to take up his current position as nursing director of Lakes DHB and went on to become chair of nurse leaders group NENZ. Find out how an interest in psychology lead him to nursing, how he helps out his kids on a Sunday and why his chain mail shirt is getting rusty...

  • surgery

    Wake up and smell the coffee

    CLINICALLY APPRAISED TOPIC (CAT): Is ‘prescribing’ a post-surgery long black good for the bowels as well as morale?

  • ICU nurse

    Preop clinic making its mark

    Clinical nurse specialist Shelley McMahon reflects on the ongoing development of Northland’s Nurse-Led Preoperative Assessment Clinic.

February 2013

  • Sandra RichardsonSandy

    Two years on and not forgotten

    It is two years since the first quake victim was carried into Christchurch Hospital’s emergency department – a young girl scooped up by a stranger from the rubble. FIONA CASSIE talks to ED nurse researcher SANDY RICHARDSON about her personal research project collecting more than 90 stories from staff working in ED on 22 February 2011 – and why after the heroic phase comes the flat.

  • Red Cross

    Bed baths to beat bacteria

    CLINICALLY APPRAISED TOPIC (CAT): Does bathing patients with antiseptic cloths reduce bloodstream infections?

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    Is 60 the new 50? The ageing nurse workforce

    You’re as old as you feel. Whether nurses feel wiser or worn -  more and more are nursing into their 60s and beyond. Persuading even more baby boomers to delay retirement is increasingly high on the agenda as we face the double whammy of an ageing population – more nurses due to retire at the same time as more demand for health services. Nursing Review looks at what nursing can do to better support older nurses to keep nursing.

  • Carolyn Sengelow

    Taking each year as it comes

    Reluctant to miss out on her OE, Carolyn Sengelow headed off to London to nurse nearly 40 years after starting her nursing training.

  • Anna Clarkson

    INSOMNIA: is it worth losing sleep over?

    Had a good night’s sleep recently? No? You are not alone – about one in four Kiwis have chronic insomnia at some point in their lives.

  • Janet BarkerHelicptr

    A day in the life...of a FLIGHT NURSE

    We look at a day up in the air and down on the ground for Whangarei Flight Nurse JANET BARKER that starts with a 5.30am phonecall about a 200 kg patient in need...

  • Jan Aitken

    Eating: getting it right…most of the time

    Eating healthily ain’t rocket science. And it isn’t about fad diets either. But it does take organisation. Nurse-turned-life coach Jan Aitken shares tips for becoming a healthier eater.

December 2012

  • Red Cross

    Ambulance service wins award for tracking patients

    A Christchurch system tracking ambulance patients’ journeys from initial call to ED and beyond, including multiple callouts, recently won an Australasian ambulance award for excellence.

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    Emergency Medicine: ED's reluctant 'frequent fliers'

    So-called ‘frequent fliers’ to emergency departments are often very unwell with complex health needs and feel they have little other option, a nurse research team has found. FIONA CASSIE talks to leader researcher Dr Kathy Nelson about some of her initial findings.

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    Rehabilitation: stopping the dominos toppling

    Timely phone calls after discharge can help the frail elderly stay well and stay home. FIONA CASSIE reports on Dr Claire Heppenstall’s PhD research into the frail elderly recently presented to the College of Nurses symposium.

  • Pen-and-paper.jpg

    Peripheral cannula: using that old line…

    CLINICALLY APPRAISED TOPIC (CAT): How do you decide when you need to replace a peripheral IV line?

  • kids with hoops

    Child protection: being safe not sorry: training to protect...

    The White Paper for Vulnerable Children was a major new policy plank for 2012 and training all ‘front line professionals’ in detecting child abuse and neglect is one of its key aims. FIONA CASSIE finds out more about why child protection training is important for nurses.

November 2012

  • laptop

    NP survey shows NP ‘unemployment’

    A nurse practitioner survey found five of the country’s NPs are still hunting for NP positions.

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    Doing the right thing

    How should nurses behave? The Nursing Council recently released its 21st century guide to what patients should and shouldn’t expect from their nurse. FIONA CASSIE looks at what’s new in a new Code of Conduct underpinned by traditional values

  • brain cogs thinking

    Nurse 'productivity': not repeating mistakes of the '90s

    The past two decades have drawn on factory theory to measure and improve nurse productivity. FIONA CASSIE talks to Nicola North about the need to take a ‘big picture’ systems approach to ensure the mistakes of the 1990s are not repeated.

  • Red Cross

    Mass rest home evacuations: how did the elderly fare?

    FIONA CASSIE reports on  Canterbury DHB nurse leader, Becky Hickmott's and researcher Dr Claire Heppenstall's presentations (to the Baby Boomers & Beyond Symposium) on how  elderly evacuees fared after the mass rest home evacuations that followed the  February 2011 quakes in Christchurch.

  • medical-gloves.jpg

    A day in the life... of a PRIVATE HOSPITAL PERIOPERATIVE NP

    Find out what fills the day of perioperative NP Teena Robinson from walking the dog in the morning to investigating ongoing nausea in a patient three days post-knee surgery.

September 2012

July 2012

  • Focus-heart.jpg

    Cardiac Nursing: NP making a heartfelt difference

    Anxious patients with chest pain who used to wait up to 100 days for review at Counties Manukau District Health Board are now being seen in less than 20 days.Nearly half of heart attack patients who used to wait up to six months for a cardiologist review are now seeing a nurse practitioner or CNS instead. FIONA CASSIE talks to cardiac nurse practitioner Andy McLachlan about the difference nurse-led clinics are making.

  • Stethoscope.jpg

    Bi-level ventilation: breathing new life into patients

    Respiratory nurse practitioner Diana Hart helps the morbidly obese breathe easily again at night. FIONA CASSIE learns more about her successful bi-level ventilation clinics.

  • Red Cross

    Capsule endoscopy nursing: small camera, big role

    After more than two decades of nursing, enrolled nurse Kay Bone has recently stepped up into a new time-saving role for West Coast capsule endoscopy patients and has been endorsed at an “accomplished” level of practice. FIONA CASSIE finds out more.

  • laptop

    New nurses' guide to not losing face through Facebook

    The first social media guide to help Kiwi nurses avoid stepping over the professional line in their online life has been released.

May 2012

March 2012

  • Brain.jpg

    Nurses and smoking: where does duty of care end?

    About one in seven nurses smoke. Should they know better? Quitting is easier said than done. FIONA CASSIE talks to smokefree nurse advocates and nurse smokers about the battle to quit. And shares some top tips and research for nurses wanting to quit.

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    Shiftwork nursing: Sugar, snacking and erratic eating

    A pilot study into erratic eating in shiftworking nurses and doctors raises questions about the health risks of shiftwork. FIONA CASSIE talks to researcher Anne Jaquiery.

  • surgery

    Nursing footwear & foot health: treating your feet

    People often start to appreciate their feet once something goes wrong. Nursing Review talks to AUT podiatry professor Keith Rome about foot health and how good footwear maintains it.

  • apple-paper.jpg

    Body image: love the body you’re in

    Nursing Review talks to Professor Jenny Carryer – who has an enduring research and personal interest in the topics — about eating, exercise, body-size, and health.

  • Jump-for-joy.jpg

    Work-life balance 'in balance': the fit between work and other life commitments

    RRR PROFESSIONAL DEVELOPMENT ARTICLE:  Work-life balance? We attach great cultural significance to the close of one year and start of another, whether dated by the Gregorian or Chinese calendar, Matariki or a more personal anniversary. Times of transition prompt review and reflection, prediction, and planning. Many of us will have taken stock of last year, wondered how we did it all, and resolved to better balance ‘work’ and ‘life’. In this learning activity, we’ll take a look at what work-life balance means – theoretically, critically and personally – by reviewing some of the themes most relevant to the experiences of nurses in New Zealand.   BY SHELLEY JONES

  • HCAs.jpg

    A modern nursing apprenticeship: back to the future?

    Taranaki’s radical new nursing degree sees first year students into hands-on practice from just week two of training. Nursing Review finds out more.

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    Patients as best teachers

    Listening to patients and their whānau is a learning experience nurses can’t afford to ignore. Nursing Review talks to Taima Campbell about her keynote address to last year’s Australian Nurse Educators Conference.

  • Red Cross

    Red Cross nursing: “I just go where they ask me”

    FIONA CASSIE talks to recent Florence Nightingale medal winner Andrew Cameron about the momentous and mundane of being a Red Cross nurse.

  • IV drip

    Hip surgery: to transfuse or not to transfuse?

    CLINICALLY APPRAISED TOPIC (CAT): What impact does restricting access to blood transfusions have on post-hip surgery patients?

  • RN medal

    Nursing long hours linked to increased drinking

    Working long and irregular hours increases the risk of harmful drinking, according to recently released research from the Australasian nurse and midwives e-cohort study.

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    Falls dominate serious and sentinel events

    Falls continue to dominate the latest serious and sentinel events report for New Zealand’s public hospitals.

October 2011

  • SimDawn Tucker

    Keeping it real simulation in education

    Mannequins can now convulse, blink, pee, sweat and respond to intravenous drugs. FIONA CASSIE finds out more about simulation – both low-tech and high-fidelity.

  • SimStarship

    Starship simulation – high fidelity and child actors

    A busload of kids draped in bandages hop and stumble into Starship, some crying, some not. And probably some giggling, as the “injured” are not accident victims but students of a local school roleplaying to test Starship emergency department’s contingency plans.

July 2010

  • New NPs easing the pain

    Screening for patients at the greatest risk of post-surgery pain will be one of the first projects for the country’s newest pain nurse practitioner.

June 2010

  • A job in a thousand

    Six-month-old Brian Shortland (with the help of dad Richard Shortland) receiving the 1000th vaccination from Kim Hunter.

April 2010

  • Pain not only skin deep

    When managing malignant wounds a holistic approach is needed, reports Annie May in Australia’s Nursing Review

September 2009

  • RN medal

    NZ nursing history: 100 years of NZNO

    In 1909 New Zealand nurses formed the first national voice for nursing. For much of its first 100 years this voice recoiled at becoming a union but eventually evolved into the dual professional and industrial roles of today’s New Zealand Nurses Organisation. Fiona Cassie in 2009 looked back at NZNO's history.

January 2010

  • Not to offer NRT a sentinel event?

    Pictured from left are Evelyn Hikuroa, leader of the NSFANZ Maori strategy and senior lecturer at Manukau Institute of Technology; Grace Wong, director of NSFANZ and senior lecturer at Auckland University of Technology; and Pauline Allan-Downs, member of the Ministry of Health Smoking Cessation ABC Approach Steering Group.

  • Trial of physician assistants ahead

    American-trained physician assistants are to be recruited for a pilot of the role at Counties Manukau District Health Board in early 2010.