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'Rate your nurse' website gets firm thumbs-down
8 July 2016A website listing New Zealand nurses' names and offering the chance to 'review' them is being called "completely inappropriate" by the New Zealand Nurses Organisation.
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Nursing shortage forecast cautiously more optimistic in short-term
12 May 2016With bumper numbers of new nurses graduating in recent years, a new nursing forecast model indicates that fears of a nursing shortage hitting as early as 2020 is now looking less likely.
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Kiwi nurse to lead 13 million nurses worldwide
8 December 2015Kiwi nurse Dr Frances Hughes is to lead the world's biggest nursing organisation representing more than 13 million nurses across 130 countries.
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Nurses delighted at 'barriers' bill passing first step
20 August 2015Removing legal barriers hindering nurse practitioners – such as those stopping NPs writing sick leave certificates or prescribing controlled drugs – are a step closer following a parliamentary vote yesterday.
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Nurse 'flu jab uptake fluctuates across country
7 May 2015The 'flu vaccination uptake amongst hospital nurses keep steadily increasing but still varies radically across the country.
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Mask wearing into third 'flu season in Northland DHB
7 May 2015Requiring 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.
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Nursing tales go live with launch of new website
11 March 2015Tales 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.
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Career advice downgrades nursing's job prospects
3 February 2015Nursing has dropped a notch from being a 'good' job prospect to a 'fair' one in the latest Occupation Outlook report released by the Ministry of Business, Innovation and Employment.
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Public Hospital nurse pay talks underway
3 February 2015Safe staffing is high on the agenda for national nurse pay talks underway as the days tick down to the current public hospital pay agreement expiring on 28 February.
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OPINION: Do patients deserve more than 9 out of 10?
27 January 2015*At first hearing, nine out of 10 nurses providing excellent care in a patient's dying days sounds pretty good but is it good enough?*
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First nurse leader for large Auckland PHO
19 January 2015One of the country's largest primary health organisations – Auckland's ProCare – has appointed its first ever nursing director. Lorraine Hetaraka Stevens
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Bouquets and a few brickbats for retiring Health Minister
3 March 2014Nursing leaders have praised the energetic-but-retiring Health Minister, Tony Ryall, for a number of his initiatives but reserved judgment on others.
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NZ tightens migration criteria for some overseas nurses
18 December 2014A review to consider closing New Zealand doors to overseas nurses – because of homegrown new graduates struggling to find work – has come out against taking that step.
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Treasury tells incoming Minister to learn from Mid Staffordshire tragedy
13 November 2014Treasury highlights the "critical importance" of focusing on patient safety and not just narrow government targets, in its briefing to the new Health Minister.
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New minister advised to speed up bill to remove nursing barriers
13 November 2014Both Treasury and the Ministry of Health are advising the new health minister to push ahead with the long awaited bill to remove barriers to health workforce flexibility.
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Fast looming nurse shortage not new news – lack of action is the concern
13 November 2014The "extremely slow" progress by Health Workforce New Zealand in responding to the fast looming nursing shortage has been criticised by nursing union NZNO.
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Poor turnout to elect new Nursing Council members
11 November 2014The Nursing Council can finally announce - after election results got caught up in a two-month limbo – that one new face and two sitting councillors have been elected to council as nurse representatives.
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Nursing leaders set out hopes for new Health Minister's agenda
6 October 2014Nurses' union NZNO hopes incoming Health Minister Jonathan Coleman pays close attention to health funding as "current financial constraints are creating unsafe working conditions for staff", while the College of Nurses is keen for him to remove barriers to workforce flexibility.
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Nursing Survey: what DO you do everyday?
2 October 2014Nurses nationwide are invited to take part in a major online survey hoping to pinpoint the real differences between a staff nurse and a specialist nurse’s daily work.
April 2017 VOL. 15 (2)
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Patients and PJs: an unhealthy relationship?
Getting hospital patients out of their pyjamas and into clothes has became a worldwide social media-led movement. FIONA CASSIE finds out about #endPJparalysis and the Christchurch nurse leader behind it.
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Filipino nurses: our fastest-growing nursing workforce
Filipino nurses are fast becoming a mainstay of the New Zealand health and aged care sector. FIONA CASSIE gained some insights into the nursing culture in the Philippines – a country estimated to have up to a staggering 200,000 unemployed nurses – during a brief visit to Manila, including why we shouldn’t take this workforce for granted.
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International Nurses Day: make your voice heard
This year’s International Nurses Day (IND) toolkit has a Kiwi flavour. Nursing Review talks to JILL WILKINSON about her contribution to a resource used by more than 20 million nurses worldwide.
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HCA training: making a difference to both staff and patients
Nurse educator LYNLEY DAVIDSON outlines the impact a training framework for Waitemata District Health Board’s healthcare assistants has made on both HCAs and patient care.
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Time management: tips for busy nurse leaders
Nursing Review asked some nursing leaders to share some of their best time management tips.
February 2017 Vol. 15 (1)
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Baby booms to delirium: an experience of overseas dialogue in nursing practice
Two Kiwi nursing academics invited to China to teach an acute care nursing workshop were nonplussed to find themselves also quasi-advisors on managing nursing shortages in the wake of China’s one-child policy coming to an end.
August 2016 Vol. 16 (4)
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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.
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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.
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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.
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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.
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Nursing education: freeing up nursing to make a difference
Nursing Review looks back with recently retired SUSAN JACOBS on three decades of nurse education change.
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Super city collaboration for better mental health
A tsunami of mental health challenges on the horizon is helping to bring PHC nursing leaders across the Auckland isthmus together. FIONA CASSIE finds out more about the resulting collaborative project to upskill primary health nurses in mental health and addiction.
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Professional boundaries: how close is too close
When is a nurse at risk of jeopardising being a ‘good nurse’ in their eagerness to be a ‘good neighbour’ or ‘good teammate’? PATRICIA McCLUNIE-TRUST uses a case study to work through some of the professional boundary issues that nurses can face.
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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.
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Cultural safety and relational practice: ways of being with ourselves and others
How nurses relate to patients is integral to nursing. In their first article, KATRINA FYERS and SALLIE GREENWOOD looked at developing reflective skills to support self-knowledge and culturally safe practice. They now consider how self-knowledge enhances the concept of relational practice and draw examples from their research.
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Leading as One Team to address 'wicked' problems
KATHY HOLLOWAY looks at the importance of nurse leadership and teamwork when responding to the complex ‘wicked’ problems in the health system that have no easy answers.
April 2016 Vol 16 (2)
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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...
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Post-disaster self-care: do nurses practice what they preach?
How nurses responded to the challenges of post-quake Christchurch was the focus of a research project by the Joint Centre for Disaster Research. Nursing Review reports on centre researcher ZOE MOUNSEY’s presentation to the recent People in Disasters conference, where she shared insights on nurses’ coping mechanisms.
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Post-disaster: finding the time to care
Research into insights gained by a ‘rapid scan’ survey of Nurse Maude’s district nurses 18 months after the February 2011 Canterbury earthquake was also shared at the People in Disasters Conference.
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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’.
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International Nurses Day: resilience in the health system
To be a force for change nurses need to be part of a resilient health system. The sub-theme for this year’s International Nurses Day (IND) on 12 May is ‘Improving health systems’ resilience’. Nursing Review looks at the IND kit* on the theme and the tragic consequences when systems fail.
February 2016 Vol 16 (1)
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Q&A with Dr Frances Hughes
Find out more about kiwi nurse Dr Frances Hughes who is the southern hemisphere's first CEO of the International Council of Nurses. She took her up her Geneva-based post in February and on her 'bucket list' is learning another language...
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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.
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Māori and Pacific Nurses: Is burnout inevitable?
Nursing Review looks at the extra expectations that are often placed on Māori and Pacific nurses and shares some advice for nurses and workplaces on how to avoid the risk of burnout.
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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.
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Caring for colleagues: Noticing factors leading to disciplinary action
PATRICIA McCLUNIE-TRUST looks at caring for nursing colleagues who are close to the edge and shares insights gathered from her research into Health Practitioners’ Disciplinary Tribunal misconduct cases.
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Empathy: Does nursing have a monopoly?
Are nursing students more empathetic than their medical colleagues? Former nurse and medical education advisor Dr Peter Gallagher* and colleagues set out to test this hypothesis. Nursing Review reports that the findings may surprise.
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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.
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HWNZ: Nurses still play pivotal role in healthcare
Nursing Review asked Health Workforce New Zealand for an opinion piece on HWNZ’s recent and future plans and on nursing’s role in that work and vision. Chair DES GORMAN and acting director RUTH ANDERSON responded.
December 2015 Vol 15 (6)
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2015: Report card on the year that was…
Nursing Review ended the year by asking a wide range of nursing and health leaders to assess and fill in a ‘report card’ on how they believed nursing and health fared in 2015.
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Gaining a nursing master’s before you master nursing?
Is New Zealand ready for new graduate nurses with master’s degrees? Fiona Cassie reports on the advent of graduate-entry nursing programmes.
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Why aren’t nurses keeping ahead of the IT tsunami?
Too few nurses are actively involved in the IT projects impacting on everyday nursing care of patients. Nursing Review reports on Kim Mundell’s recent speech to the National Nursing Informatics Conference on why more nurses need to be involved and what barriers may be getting in the way.
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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
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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.
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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)
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Q&A with Grant Brookes
Grant Brookes is the newly elected president of the New Zealand Nurses Organisation. Find out what motivated him to combine the 'gentle art of nursing with the rougher one of political activity' Also what magazine he is most likely to browse in the supermarket checkout...
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One-stop-shop for books, coffee and child health
Rotorua is well on the way to having a New Zealand-first – if not a world-first – combination of a child health hub and a public library. FIONA CASSIE talks to Gary Lees, the director of nursing for Lakes District Health Board to find out more.
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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.
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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.
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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.
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Steady but slow steps towards RN prescribing
Nursing Review updates the next steps towards widened registered nurse prescribing in, hopefully, 2016.
August 2015 Vol 15 (4)
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Nurse leadership: having the bottle to make a difference
Outrage at yet another bottle store opening in her down, but far from out, community stung Christchurch practice nurse KAREN CARPENTER into action. FIONA CASSIE talks to the Aranui nurse about her successful campaign, her resulting community leadership award and her realisation that nurses can make a difference.
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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.
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Career path: mental health nurse educator
A tight job market on graduation saw MEL GREEN enter mental health, then a supportive new graduate programme after realising how nursing can make a difference to people’s mental illness experience. Leadership opportunities saw her make it a career.
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Career path: aged residential care (clinical services manager)
Migrating to New Zealand saw JINSU SHINOY fall into a job in residential aged care and never look back.
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Where are our nursing leaders? Closer than you think
OPINION: JO ANN WALTON says it is time to stop hoping some ‘mythical matrons’ – a la Florence – will emerge to lead the nursing profession to new heights. Instead, she argues, it is time to recognise the everyday leaders working amongst us.
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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.
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Postgraduate funding steady for 2016
It is now around eight years since funding for postgraduate nursing study was decentralised to district health boards.
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Nurses unconvinced by positive PA evaluation
A positive evaluation of a Health Workforce New Zealand-funded physician assistant (PA) pilot in primary health has been released. HWNZ has no plans to take further steps to initiate a PA training programme but more US-trained PAs are being sought by practices and an application for regulation of the role is in the pipeline. FIONA CASSIE reports.
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Māori nurse educators: sustaining a Māori worldview
NGAIRA HARKER says a plan to foster and grow the Māori nurse educator workforce is critical to meeting future health workforce needs.
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Nurse attrition rate a cause for concern
The Nursing Council of New Zealand recently released the latest report in its Nursing Cohort longitudinal study, which includes an update on the number of nurses registered in the 2005/06 year who are still nursing in New Zealand. While the numbers, including new data on nurses first registered in 2012/13, are worryingly low, it’s not all doom and gloom. FIONA CASSIE reports.
June 2015 Vol 15 (3)
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InterRAI - the tight and tiring race to meet mandatory deadline
From 1 July – after a somewhat hurried and harried introduction – interRAI will be the mandatory clinical assessment tool for nurses to use in residential aged care facilities nationwide. FIONA CASSIE catches up with some nursing leaders as facilities head down the home straight in a race to meet the deadline to train nurses in an already time and resource-stretched sector.
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‘Job swap’ scheme filling GAP in aged care training
Two years on, Canterbury’s Gerontology Acceleration Programme (GAP) is seen as having a positive impact directly and indirectly on the aged care nursing workforces involved.
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'Just a rest home nurse': helping make aged care nurses more visible and valued
Professional isolation was highlighted as an issue for the aged residential care sector in Waikato back in 2011.
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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.
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Better LTC self-management - starting small and thinking big
Counties Manukau District Health Board is entering its fifth year of successive campaigns to foster community answers to better self-management of long-term conditions (LTC) and fewer hospital admissions. FIONA CASSIE finds out more about the latest campaign, Manaaki Hauora, and about 'Huff and Puff'; just one of the 20 plus projects now underway.
April 2015 Vol 15 (2)
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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.
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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.
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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.
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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.
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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.
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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)
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Q&A with Lorraine Hetaraka-Stevens
Lorraine Hetaraka-Stevens is the first nursing director for the country's largest PHO, ProCare. Check out who inspired her to go nursing, her wish list for nursing and why she'd like to head to Vietnam some day.
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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.
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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.
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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.
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Balancing the ‘e’ and ‘health’ in e-health
KATHY HOLLOWAY looks at e-health from a nursing perspective and the need to remember that the ‘e’ should stand not just for ‘electronic’ health but for ‘enhanced’ health.
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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)
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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Māori nursing history: Kaunihera celebrates 30th anniversary
It is 30 years since a group of Auckland Māori nurses hosted the first national hui for Māori nurses and the Te Kaunihera o Ngā Neehi Māori o Aotearoa (National Council of Māori Nurses) was incorporated. FIONA CASSIE talks to a founding member of Te Kaunihera, Linda Thompson*, about some of her personal memories of those early days.
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Te Kaunihera today – and the return of the nursing degree
One of the motivations for founding Te Kaunihera three decades ago was to see more Māori enter and graduate from nursing schools.
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Te Kaunihera o Nga Neehi Māori o Aotearoa: Te Timatanga - The Beginnings
LINDA THOMPSON a founding and current executive member of Te Kaunihera (The National Council of Māori Nurses) writes about the early days of Te Kaunihera - the council that was founded 30 years ago in the wake of a challenge that there were too few Māori Nurses.
October 2014 Vol 14 (5)
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Q&A with Anne Brebner
New Zealand College of Mental Health Nurses President Anne Brebner describes her career progression, what she loves most about being a nurse leader, and how she would improve the New Zealand health system.
August 2014 Vol 14 (4)
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Q&A with Margareth Broodkoorn
Find out what is top of MARGARETH BROODKOORN’s bucket list. And what three wishes Broodkoorn – the lead director of nursing on Ngā Manukura o Āpōpō (the national Māori nursing and midwifery workforce development programme) – would ask nursing’s fairy godmother to grant.
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More PHC nursing leaders needed with a capital ‘L’
Public Hospitals had matrons, but publicly funded, privately owned general practices have no such nurse leadership tradition. In 2014, more than a decade on from the Primary Health Care (PHC) Strategy launch, nursing leadership in the sector remains ad hoc. FIONA CASSIE finds out more and why there are calls for PHC nursing to have a consistent leadership structure across the country – and soon.
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Directors of nursing: Caught between a rock and a hard place?
Are today’s directors of nursing “disempowered” and “disconnected”? Kerri-Ann Hughes’ PhD research attempts to “make sense” of where (and if) nursing power sits in New Zealand’s public hospital system.
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Fast-track leadership path for new nurses
Catch them young. Waikato DHB last year launched a leadership programme for high-flying nurses who stood out in their new graduate year. Some are now moving on to do their PhDs and other DHBs are adopting the model. FIONA CASSIE finds out more about the unabashedly “elitist” programme.
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Career paths: Four nurses’ journeys
Nursing Review once again asked some nurses from across the country in senior roles to tell us what path they followed to where they are today. They each have a good story to tell, from schoolgirl volunteering to careers being diverted by motherhood, and of job options closed in their chosen area but opening in another, plus the importance of role models and mentors. They share tips on career planning and the skills, qualities, and qualifications helpful in their roles.
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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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Maintaining appropriate boundaries with patients
There’s a slippery slope between going the extra mile for a patient or their family and crossing the threshold into inappropriate behaviour. Nurse-turned-solicitor ROBIN KAY explores the boundaries of this tricky issue.
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Career path: mental health nurse case study
Role modeling by nurse leaders and pushes by a mentor helped Mental health nurse educator KATHY MOORE’s career “fall” into place.
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Career path: aged care nurse case study
Rest home nurse manager SUE MILTON sewed the seed for her passion for gerontology during volunteer work as a school girl.
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Career path: primary & pacific nurse case study
PHO clinical manager BARBARA VARDEY says until recently she has been an ‘accidental tourist’ along her career path.
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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.
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Canterbury PHC nursing stalwart moves on
Seventeen years after stepping into her pioneering role as a Canterbury primary health care nursing leader Shelley Frost has stepped down to concentrate on national roles
May 2014 Vol 14 (2)
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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.
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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.
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Capital and Coast DHB: Short Stay Unit
Traditional models of care also don’t fit non-traditional forms of acute care services.
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International Nurses Day ‘Heroes’
Once again, to celebrate International Nurses Day, Nursing Review invited district health boards across the country to contribute stories on nursing ‘heroes’ in their region. We received stories on some of the unsung, innovative, compassionate, high-achieving and dedicated nurses that make up the New Zealand nursing workforce.
March 2014 Vol 14 (1)
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Q&A with Denise Kivell
Find out the three 'masters' that director of nursing Denise Kivell serves. And the chair of NENZ (Nurse Executives of New Zealand) globetrotting dream meal...
January 2014 Vol 13 (8)
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A letter from London: who are health services serving?
JO ANN WALTON writes from London about lessons to be learned from yet another NHS bad news story – this time one where ‘bullied’ health staff falsified cancer patient waiting lists to keep funding flowing.
November 2013 Vol 13 (7)
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Q&A with Dr Kathy Holloway
Find out what three wishes Kathy Holloway would ask the fairy godmother of nursing to grant and why she would like more hours in the day.
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Taking care of business
TAIMA CAMPBELL praises the value of nursing getting involved in their own business.
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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.
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Chief Nurse says current priority finding work for new graduates
The cost savings of replacing retiring nurses with new graduates is being pointed out to district health boards (DHBs) by the Chief Nurse’s Office.
September 2013 Vol 13 (6)
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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.
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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.
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First PDRP fast-tracked in response to decade of discontent
Twenty-five years on, JOCELYN PEACH looks back at the discontent, health reforms, and courageous leadership that prompted the speedy development of the first PDRP (professional development and recognition programme) and the legacy of that 1988 action.
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Nurses blossoming through leadership programme
Margareth Broodkorn shares some inspiring stories of how the Ngā Manukura ō Āpōpō programme is building a new generation of much-needed Māori nursing and midwifery leaders.
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NEWS
NEWS: Nursing Council restructuring/ Challenge thrown to PHC nurses/
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BRIEFS
Appointments Update
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.
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Memo Musa: Morale, leadership, and football boots
FIONA CASSIE talks to new NZNO chief executive MEMO MUSA 20 days into the job about his new role, new constitutions, and nursing leadership … plus a little bit about football and gardening.
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BRIEFS
NEWS including: New graduate job data online/ Meningitis research highlights sharing drinks risk/ Nursing ePortfolio to be rolled out/ Kiwi nurse in Oz honours list
April 2013 Vol 13 (4)
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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.
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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...
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New leadership structure criticised and defended by FIONA CASSIE
The country’s once Magnet health service – Hutt Valley District Health Board – is being criticised for ‘eroding’ nursing power under its new merged leadership structure with neighbouring Wairarapa DHB.
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NEWS BRIEFS
NEWS briefs including: *New nurse leaders appointed/ *About 200 nurses affected by migration changes/ *New STI resource for health professionals***
February 2013
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Counting nurses in his sleep
Des Gorman, chair of Health Workforce New Zealand (HWNZ), says that he’s losing sleep worrying about the looming nursing shortfall. FIONA CASSIE talks to him about his disappointment at last year’s nursing criticism of HWNZ’s performance and why nursing will be a top priority in 2013.
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More from Des Gorman: chauvinism, prescribing, nurse practitioners and physician assistants
Des Gorman rejects nursing criticism that HWNZ’s innovations have been poorly planned and taken a fragmented approach.
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What next for nursing & HWNZ?
Nursing and Health Workforce New Zealand agree on the urgency of nursing issues and are gingerly moving forward after meeting in the wake of nursing’s severe criticism of HWNZ’s performance to date.
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A nurse's dozen
When Geoff Annals stepped into the NZNO chief executive’s job in 2001 – a year of strikes and strife – it was a fill-in post for three months. Leaving nearly 12 years later he talks to FIONA CASSIE about some of the good, the bad, and the cyclical in nursing in that time.
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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.
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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.
December 2012
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Gen Y nurses: happy to be nurses … but for how long?
Most young nurses are passionate about their career choice for now, at least. As many feel little long-term loyalty to a profession that leaves them feeling tired, stressed, and underappreciated, FIONA CASSIE talks to researcher Dr Isabel Jamieson about the workforce implications of her survey of more than 350 Generation Y nurses.
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Letter from the Editor
Communication – one of the 6Cs
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Lessons from the disaster zone – twice over
Dr Frances Hughes doesn’t court disasters but they have a habit of finding her. The former chief nurse was in New Jersey on a Fulbright scholarship studying post-disaster lessons when Hurricane Sandy hit. FIONA CASSIE reports on her latest literal lesson.
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News Briefs
*HWNZ ‘trivialising’ nursing concerns /*Poaching’ of ENs to Oz could grow /*Nursing Council ‘effective’ but needs greater transparency /*Three-way contest now for NZNO presidency / Appointments****
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Nursing Council merger push still divides
The push to merge the Nursing Council’s regulatory and support services with the 15 other regulatory authorities continues with a detailed business case being developed.
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ICN: NZ voice at International Council of Nurses
FIONA CASSIE catches up with International Council of Nurses director Marion Guy about her role on the 113-year-old federation of nursing organisation’s board and efforts to make ICN more sustainable.
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To boldly go … nurses buying a general practice
KIM CARTER two years ago boldly went where few nurses have gone before. She shares tips and encouragement for nurses considering following in her pioneer footsteps and buying a general practice.
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Q&A with Jo Goodhew
Check out what nursing skill that former nurse and associate health minister Jo Goodhew think has helped her political life.
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Nurses' review the year that was: 2012
Nursing Review asks senior nurses in fields from health promotion to family planning and education to aged care to give a report card on how health and nursing fared in 2012 and what they want for 2013.
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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
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Child Protection White Paper: nurses and resources missing in action
Nursing leaders are concerned at the failure to mention nursing or to address poverty and resource issues in the Government’s new Children’s Action Plan.
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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
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Change management: A classic theory revisited
Reading, Reflection, and application in Reality. By Shelley Jones. A professional development activity proudly brought to you by Nursing Review
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HWNZ: getting to the hub of the matter
Regional training hubs − what are they, and what role will they play in new graduate and postgraduate nurse education?
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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.
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TPPA trade-off sees loss of cheap drugs?
Understand the Trans-Pacific Partnership Agreement (TPPA) FIONA CASSIE finds out more from public health campaigner Deborah Gleeson on why she believes nurses should know more.
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Using iPads on nursing student clinical placements
BEV MacKAY and JANE ANDERSON report on an action research project exploring using iPads to enhance teaching support for NorthTec nursing students on clinical placements.
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How to keep nurses nursing when the economy recovers
Economic uncertainty has seen the nursing workforce swell in recent years. An economic upturn could see the workforce deflate just as rapidly.
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Thrown in the deep end: learning nursing leadership the hard way
Sonia Gamblen talked to 13 clinical nurse managers about the often ad hoc and haphazard path from bedside nurse to ward leader. Her research findings prompted a call for improved leadership and management training for nurses and her own local solution.
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Q&A with Dame Margaret Bazley
The former chief nurse on how nursing helped underpin her top civil service career. She also shares her leadership philosophy and her love of rugby and gardening.
September 2012
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Auckland DHBs slower off mark with safe staffing tools
Better patient workload prediction and improved rostering of staff to match can help meet the challenging demands of the modern health care system, says Jane O’Malley, Ministry of Health Chief Nurse.
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NZQA review changes overseas-trained nursing pathways
Nursing schools and the Nursing Council continue to agree to disagree over the reasons behind a review of two bridging degree programmes for overseas nurses but all say they are now ready to move on.
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HEALTH LITERACY: patient-centred communication is still the answer
This edition's RRR (Reading, reflection and application in reality) looks at what health literacy means for nursing and finds that patient-centred communication is still the answer.
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‘Dishing the dirt’ on hand hygiene
Keeping your hands clean? Maybe not. National statistics show Kiwi nurses are missing one in three occasions they should be reaching for the hand gel. FIONA CASSIE looks at the Hand Hygiene New Zealand programme.
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Pressure Injuries: an ugly sore on the health system
They rarely grab the headlines but thousands of New Zealanders each year get preventable pressure injuries – and some die. FIONA CASSIE looks at new guidelines, the new name, and new efforts to heal this health system scar.
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Sensitivity over nurse sensitive indicators
Pressure injuries are one barometer for the quality of nursing care.
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Q&A with Jenny Carryer
Find out why this Nursing Professor and executive director of the College of Nurses Aotearoa (NZ) loves to zumba and whether she'd recommend nursing to the next generation.
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Shape-up call for primary health care
New Zealand Nurses Organisation policy advisor Jill Clendon took a look at the New Zealand general practice model of primary health care and found it lacking at the recent primary health care nurses conference.
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Staffing pressure and ethical clashes behind moral distress
Research indicating nearly half of nurses have considered quitting their job because of moral distress hit a chord recently. FIONA CASSIE talks to researcher Martin Wood about moral distress and why we can’t keep ignoring its toll.
July 2012
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The whānau ora approach to nursing chronic conditions
If your car is your home, it’s tough getting diabetes under control. FIONA CASSIE looks at a whānau ora approach to chronic conditions at one of the country’s first whānau ora centres.
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The "non--nursing" whānau ora model: Te Puna Hauora
Lyvia Marsden brings 50 years of nursing to the ‘non-nursing’ whānau ora model she developed for North Shore’s Te Puna Hauora. FIONA CASSIE talks to the president of the National Council of Māori Nurses and other Te Puna nurses about their approach to chronic conditions and whānau ora. And how nurses can't be all things to all people.
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Diabetes nursing: checked out but not checked off
From July 1, free Get Checked diabetes annual reviews are no longer. Funding for the maligned scheme gave a kickstart to many nurse-led diabetes clinics in primary care. What happens next?
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Q&A with Geoff Annals
NZNO chief executive Geoff Annals first career choice was farming. Find out how he got from a high country farm to the head of the country's largest nursing organisation and union.
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The nurse practitioner will see you now...
JILL WILKINSON and ANGELA BATES profile a nurse practitioner-led health centre looking after many of central Wellington’s homeless and high needs population.
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NEWS BRIEFS
News briefs including: Nurse researchers seek more dementia carers/ Online cultural competency training/ Dementia Co-operative in action/ Nurse heads new Health Promotion Agency/Correction / Auckland DHB nurse shortages
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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.
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NP champions to replace NPAC
Nurse practitioner champions and the National Nursing Organisations group are proposed to take over the work of the Nurse Practitioners Advisory Committee (NPAC-NZ) that has been wound up after a decade’s work.
May 2012
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How busy is your ward?
SAFE STAFFING/ HEALTHY WORKPLACE: We report on a new electronic ‘tick-box’ tool that instantly signals hospital wide if your busy ward needs nursing help.
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Telehealth research: empowering patients and freeing up nurses?
Can telehealth monitors in the home help nurses and doctors care for more patients with chronic conditions? Preliminary results from the country’s second telehealth research project – ASSET – indicate the answer is probably “yes”. FIONA CASSIE reports.
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Two innovative prescribing initiatives to reduce medication incidents
Creative nursing approach to improving medication safety: Wairarapa DHB
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Map of Medicine development at MidCentral DHB
Map of Medicine** is an electronic collection of evidence-based care “maps” connecting all the knowledge and services around a clinical condition.
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Innovative NETP clinical coach role
We employ clinical coaches as part of our Nurse Entry to Practice (NETP) programme that was first established back in 2004.
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Rapid Rounds and Nurse Facilitated Discharge innovations free up patient bed days
Rapid Rounds
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Celebrating leadership in everyday nursing
JO WALTON dares nurses to become everyday leaders, regardless of their role.
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Taima Campbell: Time for a change
FIONA CASSIE talks to former Auckland District Health executive director of nursing Taima Campbell about her decade at the helm, Māori workforce development and her plans for the future.
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Successful ‘joint’ effort by elective surgery team
A joint care clinic launched last year at Palmerston North Hospital for patients scheduled for hip and knee joint replacement surgery has proved so successful that it has been extended to include shoulder joint patients, as well.
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A (night) in the life... of a Patient At Risk (PAR) nurse
Night duty on the PAR team sees Sarah Imray wake to the sound of her children back from school and return home to wave them off to school. In between she is called out across Wellington Hospital to patients recently discharged from ICU to patients with alarmingly high EWS (early warning scores).
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Q&A With Carolyn Reed
Find out why Nursing Council CEO Carolyn Reed spends so much time mid-air over Cook Strait and how she likes to spend her Sundays.
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Professional indemnity insurance for nurses – are you covered?
By Taima Campbell, co-chair (Maori Caucus) of College of Nurses Aotearoa and former Auckland DHB director of nursing
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News Briefs
News briefs including: More nurses in schools/ Oz aged care package get nurses’ backing/ Innovative RNFSA and HCA training underway/ NZ hospital productivity ‘bucks trend’/ Toolkit to improve elective patient flow/ New ACC patient handling guidelines/ Strong cultural life enhances Māori elders
March 2012
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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.
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Stress-proofing yourself
Annette Milligan, a nurse entrepreneur who has run stress management courses and seminars for 24 years, shares some of her top stress-proofing tips.
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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
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Overcoming 'Imposter syndrome': your voice does count
So you want to make friends and influence people? Nurse leader JO ANN WALTON shares her top tips for making your voice count.
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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.
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Personality testing: finding a nurses’ ‘instinctive style’
What is your ‘instinctive style’? A trial of a personality test by one of the country’s largest general practice group indicates nurses gravitate to roles that reflect their ‘innate strengths’.
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Q&A with Jane O'Malley
Find out more about Ministry of Health chief Jane O'Malley's nursing career spanning New York to Greymouth and her favourite movies of all time.
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Nursing research: e-cohort nurses' survey funds run out
A lack of funding has seen the longitudinal e-cohort survey of New Zealand and Australian nurses come to a halt after only five years.
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Workforce planning looks to the future
BRENDA WRAIGHT of Health Workforce New Zealand and chief nurse JANE O’MALLEY share their overview of nursing workforce strategies past and into the future.
December 2011
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So you are a nurse specialist – what does that mean again?
*Kathy Holloway’s timely PhD research has helped shape New Zealand’s first national process for endorsing specialty standards. Fiona Cassie reports.*
August 2011
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What is cultural safety and why does it matter?
FRAN RICHARDSON shares her research into cultural safety including how nurses use cultural safety in their everyday practice
March 2010
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Nursing leadership more important than ever, says former chief nurse
Tough times in the health sector are not the times to disinvest in quality nurse leadership, says recently resigned chief nurse Mark Jones. Jones told Nursing Review that embedding nursing leadership more deeply in the sector was one of the unfinished pieces of work from his time as chief nurse.
September 2009
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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
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Moving to the other side, OR NOT
RUSS MURPHY shares his first-hand experience of life as a health sector manager