Health Times February 2019

February 2019

Midwifery Feature + Midwives are in a unique position to support grieving parents following stillbirth + Promoting good nutrition in pregnancy and beyond + The best job in nursing - one woman’s account of stomal therapy nursing + Australian midwives embark on PNG Buddy Program

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Australian midwives embark on PNG Buddy Program

T

he Australian College of Midwives (ACM) has partnered with the Rotary Club of Morialta (South Australia), the Rotary Club of Port Moresby and the PNG Midwifery Society, to facilitate a PNG Buddy Program in Port Moresby for a cohort of Australian midwives this year.

The PNG Buddy Program is set to improve maternal and newborn health outcomes in PNG by strengthening midwifery leadership and training so that all women have access to safe maternity care.

In March the first cohort of ACM Buddy Midwives will travel to PNG to meet their counterparts, be immersed in local culture and gain an understanding of current midwifery practice in PNG. Facilitator Helen Hall will lead the first cohort of six ACM Buddies, Lesley Brown, Bridget Ferguson, Jane Menke, Vanessa Page, Monica Scott and Michelle Mitchell, to provide support to their PNG Buddy Midwife and experience mutual learning.

Buddies will participate in a four-day leadership and training program in PNG where they will explore a variety of leadership topics including global maternal health, governance, teamwork, advocacy, communication, data sources and more.

There will also be a clinical immersion day where participants and their PNG Buddy will spend time in maternity hospitals in PNG. They will also plan how they will implement an ongoing peer support relationship.

PNG midwives play an essential role in optimal infant and maternal outcomes for their country, and the Buddy Program will address challenges by cultivating meaningful peer relationships, explained Ms Hall.

“There will also be challenges for the

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Australian Buddies, including negotiating cultural differences, maintaining communication when they return home and managing expectations.

“I’m confident they will also have many triumphs in progressing understanding and access to quality midwifery care in PNG and Australia.

“We’re hoping to achieve increased leadership capacity for all participants, which will benefit the midwifery profession and childbearing women in both PNG and Australia.

“I’m delighted to be involved, and I look forward to meeting all participants and sharing our collective wisdom, imagination and passion for progressing quality maternal and infant care in PNG,” said Ms Hall.

ACM Buddy Monica Scott feels a special connection with PNG, as she grew up in the country, and has a strong sense of responsibility toward its people.

“Despite PNG being our closest neighbour, the rates of maternal and neonatal morbidity are very high.

“It is a responsibility of midwives in Australia to share knowledge with our neighbours and help improve these rates.

“I feel connected to PNG, so this is where I feel I can offer support.

“I am looking forward to learning more about the culture women experience in PNG, which impacts on their health, with regards to birthing and mothering.

“It’s also important to look outward from my own experience and to learn more about others, so I can experience different ways of caring for women and babies,” said Ms Scott.

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Midwives are in a unique position to support grieving parents following stillbirth

W

hen a baby is stillborn, parents are left in shock and disbelief, as well as experiencing overwhelming feelings of grief.

Midwives are in a unique position to ensure parents are able to grieve fully, offering support and guidance during a devastating experience that no new parent is equipped to deal with.

“Midwives play an integral role in pregnancy, childbirth and beyond,” says Claire Foord, founder and CEO of Still Aware, who lost her own daughter through stillbirth in 2014.

“The birth of a baby who is stillborn brings with it additional layers of complexity but the process is still very much the same.

“Midwives can be a support to parents through treating parents as just that, parents - and validating the little life lost to stillbirth through treating a stillborn baby in the same way that a live baby is treated, with care and love.”

Stillbirth is a devastation that lasts a lifetime. Ms Foord says it is not unusual to see post-traumatic stress disorder occur even as years go by.

“Parents suffer insurmountable grief with anxiety and depression common. Stillbirth places significant strain on relationships and sometimes the need to grieve differently can place undue stress and it is not uncommon

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to see parents separate as a subsequence of such devastating loss.”

In subsequent pregnancies, after stillbirth, parents are often stressed and anxious.

“Stillbirth does not only effect the parents but has a flow-on effect to the broader family unit and community.

“There is much stigma believed to exist around stillbirth and this too can add additional strain due to perceived lack of understanding and empathy towards parents after stillbirth.”

Ms Foord says midwives are in a unique position to assist parents in creating lasting memories, by encouraging them to see and hold their babies.

“Midwives should offer the baby to the family, allow them to hold, cuddle, bath, dress and care for their child as you would if the child drew breath after delivery.

“It is suggested to offer all the different types of support available, from literature and support materials, to free counselling services and photography services and the use of cold or cuddle cots to enable the baby to stay with the family as long as possible.

“Offering parents their freedom to choose the journey for them among the turmoil and sorrow is important in this memory making process. When a child is stillborn it is

important to remember that there is still so much love among the sorrow and pain.”

Midwife and Associate Professor Jane Warland says she can still remember the first time she was unable to find a foetal heart and had to tell the mother that she was concerned.

“I have mainly cared for parents once the stillbirth is known and they are in labour in birth suite.

“The silence in the room is always deafening and there isn’t the normal hustle and bustle of live birth, no need to stimulate the baby to take their first breath.”

Professor Warland says the midwife should play the role of advocate for the parents when often they are unable to advocate for themselves.

“This means being proactive in guiding parents to be parents for their baby , bathing the baby, dressing the baby, singing to the baby and taking the baby home are all important parenting activities that the midwife can encourage the parents to do, to help them create special memories of their time with their baby.”

Having experienced the loss of her own baby through stillbirth, Professor Warland has a special insight into what parents are going through, and is able to offer an additional level of empathy.

“I haven’t always shared with parents my own experience, it has depended on the circumstances, the rapport I’ve developed and if I feel my own experience might help them make a decision that might be helpful, for example, inviting children in to see the baby.

“I knew some of the things I should be

doing, for example seeing and holding the baby.

“Don’t do anything that you would not do if the baby was alive.

“For example, you would never ask a mum about to give birth to a living baby if they wanted to see and hold the baby.

“Likewise, you would never say it was best for children not to see their baby sibling.

“Similarly, if the mum asks ‘can I bath the baby?’ again you would never say no, the answer would be ‘of course, it’s your baby go ahead’.

Everyday in Australia 6 babies are stillborn.

Australia’s stillbirth rates are 35% higher than top performing countries globally, with 1 in every 135 pregnancies in Australia ending in stillbirth.

Professor Warland says midwives also have a significant role to play in preventing the stillbirth from happening in the first place.

“Stillbirth can probably be prevented up to 50% of the time.

“Providing information based on Still Aware’s brochure ‘6 actions for a safer pregnancy’ helps to empower the woman to get to know her baby and immediately report concerns to her midwife which in turn means that the midwife can act to initiate investigations such as a CTG or ultrasound which may reveal a baby in trouble who needs to be born.”

HealthTimes - February 2019 | Page 15

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HealthTimes - February 2019 | Page 17

Promoting good nutrition in pregnancy and beyond

G

ood nutrition during pregnancy is vital for the health of women and developing babies, but foods consumed during pregnancy also influence the baby’s future health, according to nutritionists and dieticians.

“It’s another good reason to be mindful of food choices during pregnancy,” said Nutrition Australia’s Senior Public Health Nutritionist, Kasey Bateup.

It’s important that pregnant women eat a varied diet that includes the five food groups each day, advised Ms Bateup.

These include vegetables and legumes; fruit; whole grains; lean meats, poultry, fish, eggs, tofu, nuts and seeds; milk, yoghurt and cheese or dairy alternatives such as soy products.

However, be aware of kilojoule intake because the age-old adage that pregnant women need to eat for two is a myth.

“Kilojoule requirements for women of a healthy weight before pregnancy only increase modestly to around 1,400 kilojoules (350 calories) in the second trimester and up to 2,000 kilojoules (500 calories) in the third trimester,” said Ms Bateup.

The role of supplements during pregnancy While it’s best to meet nutrient requirements from foods, there is a role for supplements during pregnancy, said Ms Bateup, as long as they are pregnancy-specific and safe during

Page 18 | HealthTimes.com.au

pregnancy.

“Folic acid, which is added to most pregnancy supplements, should ideally be taken for three months leading up to conception to help reduce the risk of neural tube defects.

“Make sure pregnant woman seek advice from a doctor regarding vitamin supplements and other medications during pregnancy, said Ms Bateup.

Dietician and Nutritionist Stefanie Valakas has a particular interest in fertility, pregnancy and paediatric nutrition, and encourages women to take a prenatal supplement, probiotic and adequate omega-3 fatty acid post-conception and during pregnancy.

“Omega-3 fatty acid status before and during pregnancy has been shown to reduce the risk of early labour by 10-fold.

“It’s important to take a prenatal supplement that contains folate and iodine as well as Vitamin B3,” said Ms Valakas.

Foods to avoid during pregnancy Pregnant women often feel overwhelmed by the long list of foods they should avoid during their pregnancy, said Ms Bateup, so reminding them that it’s only for a short period is helpful.

Nutrition Australia advises that pregnant women avoid foods that may be contaminated with listerias, such as soft and semi-soft cheeses, soft service ice-cream, and unpasteurized dairy.

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especially if it’s uncertain how the food has been prepared or what ingredients have been used. It always pays to have a snack in a handbag for this reason,” said Ms Bateup.

The microbiome pregnancy

and

probiotics

of eczema in infants.

“Probiotics should be included before, during and after pregnancy to optimise the benefits passed onto the baby via delivery and breastfeeding,” said Ms Valakas.

in

It’s vital to build up a healthy gut microbiome in pre-conception and during pregnancy and lactation, said Ms Valakas.

“This (building the healthy gut microbiome) is important because the gut of the growing baby is sterile until exposed to the mother’s microbiota through vaginal delivery or breastfeeding.

“Exposing baby to a diverse range of bugs is important. Research has shown that for infants with a family history of eczema, taking a probiotic of Lactobacillus rhamanosus GG during pregnancy and during the post-partum period resulted in a reduction of the incidence

Midwives education

and

their

role

in

nutrition

A midwife is often the first healthcare professional a pregnant woman meets during her antenatal care, which makes them well placed to support healthy eating, said Ms Bateup.

“Encouraging (pregnant woman to consume) nutritious foods from the five food groups and limiting highly processed foods which have little nutritional value is a great place to start.

“While it’s appropriate for midwives and other members of the antenatal care team to encourage pregnant women to eat well, it’s not appropriate to promote dieting or weight loss

HealthTimes - February 2019 | Page 19

during this time.

“This includes recommending restrictive diets, taking detailed food diaries and counting kilojoules.

“If a pregnant woman develops gestational diabetes, or is losing weight during the second and third trimesters, it’s important that they are seen by an Accredited Practicing Dietitian to make sure they are meeting their energy and nutrient requirements,” advised Ms Bateup.

discussing contraception and normal postnatal hormonal physiology.

“Discussing the links between healthy eating and prevention of pregnancy complications such as anaemia, high BMI and adverse birth outcomes, hypothyroidism, gestational diabetes, baby’s immune system health and bone and brain development are good motivators to make changes,” said Ms Arthurson.

Tips on managing morning sickness

Diet diaries & healthy eating tips Clinical Midwife and Naturopath Meghan Arthurson said healthy eating and supplements during pregnancy improves stress and energy levels and helps women prepare both physically and emotionally for birth.

“I often use diet diaries as a tool to educate women about the importance of eating a varied diet and as an opportunity to discuss practical ways in which families can incorporate healthy eating habits,” said Ms Arthurson.

Nutrition in postnatal period

the

preconception

and

Ideally, it’s beneficial to provide healthy eating education in the preconception period to address deficiencies, explained Ms Arthurson, and ongoing support postnatally.

“Often, I discuss healthy eating in the postnatal period, just before the woman leaves the hospital or at a home visit and mention how to prepare for the next baby as a part of

Page 20 | HealthTimes.com.au

Morning sickness can hinder good intentions when it comes to eating well, so being prepared is essential to maintaining proper nutrition.

Writing a list of snacks or meals that are appealing during a bout of morning sickness and putting it on the fridge is one way to avoid nutritional deficiency, explained Ms Arthurson.

“So, when a woman is feeling too nauseous or too tired to eat or cook her partner can pick something off the list.

“Having healthy snacks on hand, beside the bed or in a handbag, desk or car, can help to manage morning sickness by maintaining blood sugar levels and preventing sudden cravings for sugary foods,” said Ms Arthurson.

While midwives play an essential role in educating pregnant women on nutrition during pregnancy, an accredited practising dietitian is a critical part of any pregnant woman’s health care team, said Ms Valakas.

“Nutrition during the first thousand days of life is critical in reducing the risk of chronic disease in children.”

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HealthTimes - February 2019 | Page 21

The best job in nursing - one woman’s account of stomal therapy nursing

T

he best job in nursing, is how Carolyn Atkin describes her position as a Stomal Therapy Nurse.

“Every day is different and, despite the best of intentions, often does not go to plan but that is half of the fun!” says Ms Atkin.

“A typical day usually involves anything from seeing patients on the ward who have had a new stoma created and teaching them how to manage this, to reviewing a wound and providing strategies to support ward staff to manage this.

“Other aspects of a ‘typical day’ may include answering telephone queries from patients at home, or telephone follow ups of patients who have recently been discharged.

“Patients may be seen in outpatients for education and stoma marking before surgery or after surgery for follow up or because an issue has come up with their stoma management.”

Stomal therapy nurses (STN) are registered nurses who have undertaken further education, enabling them to provide expert advice to patients, carers and other healthcare professionals on all aspects of stoma and fistula management.

A stoma is a surgically created opening on the body allowing for the passage of waste.

Many stomal therapy nurses are also able to provide wound management and/ or continence clinical consultancy services.

They also contribute to the development and delivery of specialty related education programs, as well as participating in research.

“A stomal therapy nurse is a vital member of the healthcare team for any person living with a stoma,” says Ms Atkins.

“People who have a stoma have unique

Page 22 | HealthTimes.com.au

physical and psychological needs, particularly when a stoma is first created.

“Given the depth of knowledge and expertise, a stomal therapy nurse facilitates the patient with a stoma toward independence with their stoma and support them with any issues that arise during treatment and throughout the life of the patient.

“They are also an important resource for other healthcare professionals, providing expert clinical advice relating to stoma, fistula and wound management.”

Working across all areas of healthcare – inpatient, outpatient and the community – Stomal Therapy Nurses’ duties may range from some or all of the following: • Preoperative education and counseling for patients undergoing surgery that may involve the formation of a stoma, • Determining the best position for the stoma prior to surgery, • Postoperative education and support for patients and carers to promote independence in stoma care, • Ongoing support in outpatient clinics/community for people living with a stoma e.g. support for travel, parastomal hernia prevention and management, • Consultation service for management of fistula and/or wounds, • Liaising with community healthcare providers to ensure continued support, • Education – consumers, patients and other health professionals.

Due to the advanced and specialised nature of the role, a Stomal Therapy Nurse must

have a minimum of two years postgraduate experience and undertake a Graduate Certificate of Stomal Therapy Nursing or a Graduate Diploma in Wound Ostomy and Continence Practice.

Many stomal therapy nurses also undertake further postgraduate studies in wound or continence management, progressing their careers to become nurse practitioners.

“Choosing a nursing specialty is one of the most important decisions nurses can make in their career,” says Ms Atkins.

“I suggest talking to a stomal therapy nurse you know, maybe working with that person for the day if you have the opportunity to do so.

“This can always give you a great insight into the day to day life of a stomal therapy nurse.”

While it does incorporate direct patient care, Ms Atkins says the stomal therapy nurse role differs from that of a general nurse due to its consultancy focus, and the degree of autonomy and working across the hospital.

“It incorporates some of the managerial and educational aspects of nursing as well as having clinical care and service development components,” she says.

“The personality traits needed to make a good stomal therapy nurse are empathy, excellent communication skills and as a welldeveloped emotional IQ to guide practice.

“A stomal therapy nurse needs to be organized but flexible and have the ability to adapt to change.”

Working with clinicians across all areas of

healthcare, a stomal therapy nurse needs the ability to be able to function within a team, but also independently, as well as a commitment to ongoing professional development within the specialty.

“Keeping up to date with such things as new products, surgical techniques and wound management developments.”

Ms Atkins says almost all of her career highlights involve patients.

“Helping people gain independence with stoma management and ‘get on with living’, whether that is simply helping them changing stoma products to give more security against leaks, teaching them stomal, or simply helping to dispel any myths or preconceived ideas about living with a stoma. “(Another highlight was) sitting beside a patient in her late 30’s at her request to provide support as she explained to the surgeon that she had decided she did not want any further surgical intervention.

“Afterwards she told me that she wouldn’t have been strong enough to have that conversation with the surgeon without my support.”

Ms Atkins says being a Stomal Therapy Nurse enables you to follow your patients throughout their health continuum, providing support and care as their lives change.

“As well as the patients, you get to work with a team of dedicated health professionals who are all committed to providing the best care possible.”

HealthTimes - February 2019 | Page 23

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Page 24 | HealthTimes.com.au

MENTAL HEALTH NURSES WANTED Kimberley Mental Health Drug and Alcohol Service (KMHDS) The KMHDS provides a service to the whole of the Kimberley Region - which includes Derby, Port Hedland and Kununurra. The service provides Adult inpatients, Community Child and Adolescent Mental Health, Adult Mental Health and Alcohol/Drug Community Services. There is also in-reach to smaller communities within the region.

We currently have a number of full time permanent Registered Nurse Positions on the Mental Health Inpatient Unit (known locally as Mabu Liyan) Which is located in Broome Hospital. The Mental Health Inpatient Unit is a 13 bedded Unit. It is an authorised Unit with 2 HDU MH beds. You will have the opportunity to work alongside our team of Aboriginal Mental Health Workers, Social Worker Department and Occupational Therapists. We support staff with external Clinical Supervision and Professional Development Opportunities.

Our values and purpose of the service are to improve promote and protect the health of

country Western Australians.

We stand for quality Health Services for all.

Improving the health of Aboriginal people and those most in need.

A fair share for country health - supporting our workforce with excellence and stability.

Broome is located on the North West coastline of WA. This includes the highlight of Cable Beach where you can enjoy a camel ride at sunset. In Broome you are in the heart of Pearling industry and are witness to amazing sunrises and sunsets which complement the Red Rock and cliffs. Fishing, Boating and Camping are obviously other options in the Kimberley.

Among the benefits of working in the Kimberley are:

Assisted Leave Concession (this annual financial assistance with Leave) this applies after

one year service with the Kimberley.

Assistance with relocation.

Assistance with power bills 6 months of the year.

Attractive Salary Packaging arrangements.

If you require further information about these positions please contact Andrew Shaw Clinical Nurse Manager Mabu Liyan, on 91944111.

HealthTimes - February 2019 | Page 25

Nutritional psychiatry and the mood-food connection

C

onventional wisdom tells us we are what we eat, and a lack of nutrients has been shown to contribute to poor mental health in those with anxiety and depression, but food as a powerful antidepressant is yet to be widely accepted by mainstream medicine.

At present, cognitive behavioural therapies and pharmacology are the traditional treatments of choice. However, while health professionals are far from referring patients with mental health complaints to dieticians for treatment, it is an exciting time to be involved in nutritional psychiatry.

What is psychiatry?

nutritional

Nutritional psychiatry is a relatively new field of study that focuses on food and supplements as an alternative treatment for mental health conditions. Research is still in its infancy, but developments are emerging that show a link between nutrition and remission in depression and anxiety.

What we eat plays an enormous role in supporting or negatively impacting our mental wellbeing according to Dietitian Kara Landau of Uplift Food.

“Diet is essential to preventing inflammation, which has been shown to be connected with anxiety and depression and to ensure adequate vitamins and minerals are present for hormone regulation.

“Our diet, and in particular, a gut-healthy

Page 26 | HealthTimes.com.au

diet, plays an integral role in managing our mood.

Our gut and our brain are directly connected, and with 90 per cent of our mood-calming serotonin found within our gut, it is clear that how we nourish our gut can play a profound role in preventing anxiety and depression,” said Ms Landau.

In treating a patient with depressive symptoms, Ms Landau recommends an anti-inflammatory and gut-friendly diet, including prebiotics and probiotics, dietary fibre, omega 3’s, and Vitamin D. The inclusion of Vitamin B and magnesium are also important as they are known to play a part in the serotonin pathway.

“I would strongly recommend a gut-healthy diet made up of prebiotic rich ingredients, and this would include foods that contain prebiotic fibres and resistant starches, as well as polyphenolic compounds.

“Prebiotic rich ingredients include Jerusalem artichokes, asparagus, onions, green bananas (can be found in a flour form), roasted and then cooled potatoes, raw oats (i.e. overnight oats).

“I also recommend probiotic-rich foods and beverages such as kefir and skyr.

“Foods rich in healthy fats such as omega-3 rich salmon and algae-based products, monounsaturated foods such as avocados and extra virgin olive oil, Vitamin B6-rich foods such as pistachios, and Vitamin D, ideally attained from sunshine, but otherwise foods such as

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salmon, eggs (in the yolk) and even high vitamin D mushrooms.”

It is just as important to remove certain foods, said Ms Landau, as high glycaemic index and refined carbohydrate-rich foods are known to cause inflammation in the body.

Lifestyle factors, such as being active, minimising stress and having a supportive social network, are also crucial in the treatment of depression and anxiety, according to Ms Landau.

“I would advise social and lifestyle orientated supportive environments, including finding people and activities that create calming environments. Being active and outdoors can often assist people, alongside the other dietary and lifestyle recommendations,” said Ms Landau.

Nutritional psychiatry and research A 2017 SMILES (Supporting the Modification of lifestyle in Lowered Emotional States) trial by the Food and Mood Centre showed

that in a group of people who had dietary support, one third met criteria for remission of major depression, compared to only eight per cent of those in a social support group.

Sports Dietitian Aidan Muir of Fuel Your Life says the study, which was based on a modified Mediterranean diet, is a considerable achievement toward progressing awareness of nutritional psychiatry.

“The theory as to why it was so effective is because the diet has an anti-inflammatory effect that may reduce inflammation in the brain which could be an influencing factor in depression and anxiety.

Dietitian Emily Hardman says research also suggests eating a diet high in processed foods with added fat, sugar and salt, can increase and exacerbate symptoms of anxiety and depression.

“When you are feeling tired, anxious or stressed, your emotional hunger signals can push you to choose these ‘comfort’ foods.

However, rather than making you feel better,

HealthTimes - February 2019 | Page 27

these foods often leave you feeling physically and mentally worse.”

Dietary advice to for optimal mental health The quality of one’s diet is directly related to their risk of depressive symptoms according to Ms Hardman, who said many dietary strategies could assist in managing mood, feelings and energy levels.

Eat regularly Eat regularly and choose foods that are slowly digested by the body to help stabilise blood sugar and energy levels. Eating infrequently will lead to tiredness, irritability, and choosing foods that will spike your energy levels (which are not the best choice).

Aim to eat every three to four hours and include a sustaining carbohydrate, such as whole grain bread and cereal, rolled oats, fruit and vegetables, with your meal or snack.

Love your fruit and veg Fruit and vegetables contain a variety of vitamins, minerals, antioxidants and fibre. Aim to have two serves of fruit and five serves of vegetables every day. The more colour and variety, the better it will be for your health.

Healthy fats The brain relies on healthy omega-3 and omega-6 fats to function optimally. Include a variety of healthy fats such as extra virgin olive oil, nuts and seeds, and oily fish in your diet every day.

Look after your gut The gut microbiota is a community of bacteria that live in your gut. A healthy gut is linked to a healthy mind. The bacteria in your gut feed on the food you eat, therefore the food you eat influences the health of your gut microbiota.

A balanced diet that promotes good gut health has been associated with lower rates of mental

Page 28 | HealthTimes.com.au

illness including depression and anxiety.

Stay hydrated Adequate water is essential for the mind to help you to think, concentrate and focus. It also helps to keep your digestive system healthy and functioning optimally. Aim for six to eight glasses of water every day.

Moderate coffee Caffeine is a stimulant which means it will give you a quick burst of energy. However, energy levels often drop off soon after.

Overconsumption of caffeine can leave you feeling anxious, depressed, irritable and unable to sleep. Aim for no more than two coffees per day (ideally in the morning).

Nutritional psychiatry treatment for mental health

as

an

adjunct

Nutrition’s role in the prevention and treatment of depressive illness is not as strong as it needs to be, according to Ms Landau. “I hope that in the coming years, as the discussion gains more attention, practitioners will begin to look at nutrition psychiatry as an adjunctive treatment to the range of other solutions currently being utilised with patients.”

Mr Muir agrees: “I think most health professionals considerably underrate the link between diet and mood. Most people understand that it is a factor, but very few understand how significant a role it plays.

“Making information available and encouraging GP’s to refer to a dietitian as part of the treatment plan for depression and anxiety is a step in the right direction.”

A UNI THAT KNOWS YOU WANT TO ADVANCE “The qualification helped my career by allowing me to move forward and experience more senior positions. I was able to go from being a registered nurse to a clinical nurse in a specialist field with more responsibility.” – Tania, Master of Mental Health Nursing If you’re looking to advance your career in Australia’s complex and dynamic healthcare environment in clinical nursing, management or mental health nursing, a postgraduate degree from CQUniversity can help you.

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HealthTimes - February 2019 | Page 29

Great jobs for health professionals (you won’t find anywhere else)

Registered Nurse – Theatre/Periop WA. Join a team that is passionate about providing excellent levels of care and expand your clinical skills in these short term contract roles.

Community Team Leader (RN) WA. Coordinate, lead and deliver CHSP, Home Care Packages and centre based activities in the Kununurra and surrounding areas.

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General Manager - Aged Care NSW. Exciting leadership opportunity with a leading Aged Care provider offering premium salary and flexible working arrangements!

These and hundreds more great job opportunities at

HealthTimes.com.au Page 30 | HealthTimes.com.au

Nursing in Jeddah s a u d i

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Coming this April - Hospital Representaaves from the King Faisal Specialist Hospital & Research Centre - Jeddah, Saudi Arabia.

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Informaaon sessions & Interviews 7 April – Sydney 9 April – Melbourne 10 April – Brisbane 12 April – Auckland This is your chance to have all your quessons answered direct from the source. The hospital is currently undergoing a mega expansion project bringing it to a bed capacity of 2000 beds which will cover all specialiies except mental health.

Benefits include: Salary paid tax free, Fully furnished accommodaaon provided, Flight paid at beginning and end of contract, Annual return flight home upon re-contraccng, Full medical insurance, Sign on bonuses, Year-end bonuses and Severance pay, Generous annual leave and more Nurses from all specialiies are encouraged to apply* Specialised vacancies include: ICU, Emergency, Oncology, Paediatrics, Research Specialist *except mental health and aged care

To register your interest or apply, please contact us: dawn@ccmrecruitment.com.au raquel@ccmrecruitment.com.au AUS Free Call 1800 818 844 NZ Free Call 0800 700 839

HealthTimes - February 2019 | Page 31

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