Ncah issue 11 2014

Nursing Careers Allied Health ncah.com.au

New Year New Career Breathing new life into Education Feature cardiorespiratory physiotherapy

Theatre & Critical Care Feature

Guide shows Physios how to harness socialdevastated media Paramedics at helicopter rescue death PACU nursing on a floating hospital ACT nurses reach pay deal Pharmaceutical researches Most life-saving nurses anddevice allied health workers experience violence develop Australian physiotherapists want prescribing rights Victorian neonatal intensive care under strain Tasmanian graduate nursing positions disappointing: ANMF Website targets medicine shortages

Issue Issue18 1 Issue 11 09/09/13 20/01/14 10/06/14 fortnightly fortnightly

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www.ncah.com.au www.ncah.com.au Issue 11 26January August 2013 Issue 10 June 2014 117–––20 2014 Issue 17 – 26 August 2013

We hope you enjoy perusing the range of opportunities We hope you enjoy perusing included in Issue 17, 2013. the range of opportunities 11,2014.

2014.

1, included in Issue 17, 2013.

If you are interested in pursuing any of these opportunities, Ifplease you are interested in pursuing any ofvia these contact the advertiser directly the opportunities, contact details please contact the advertiser directly via the details provided.

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The NCAH Magazine is the most widely distributed national The NCAH is the most widely distributed national nursing andMagazine allied health publication in Australia nursing and allied health publication in Australia For all advertising and production enquiries please contact For all advertising and8700, production us on +61 (0) 3 9271 email enquiries please contact us on +61 (0) 3 9271 8700, email careers@ncah.com.au or visit www.ncah.com.au careers@ncah.com.au or visit www.ncah.com.au If you would like to change your mailing address, Iforyou likeon toour change your mailing address, be would included distribution, please email or be included on our distribution, please email careers@ncah.com.au careers@ncah.com.au Published by Seabreeze Communications Pty Ltd Trading as NCAH. Published by 328 Seabreeze ABN 29 071 053. Communications Pty Ltd Trading as NCAH. ABN 29 071 328 053. © 2013 Seabreeze Communications Pty Ltd. 2014 Seabreeze Communications Pty Ltd. © 2013 All rights reserved. No part of this publication may be copied or All rights reserved. part of this publication may bepermission copied or of reproduced by anyNo means without the prior written reproduced byCompliance any means without prior written permission the publisher. with thethe Trade Practices Act 1974 ofof the publisher. Compliance thepublication Trade Practices Act 1974 of of advertisements containedwith in this is the responsibility advertisements contained in this publication is the responsibility of those who submit the advertisement for publication. those who submit the advertisement for publication.

Advertiser List AdvertiserList List Advertiser AHN Recruitment Care Chadwick Group AHNFlight Recruitment Ausmed CCM Recruitment International CPD Nursing Ausmed Austra Health CQ Nurse CQ Nurse Austra Health Australian College of Nursing Education Cruises Critical Care Education Services Australian College of Nursing Employment Office International Australian Volunteers HEALnet Australian Volunteers International Kate Cowhig International Healthcare Geneva Health CCM Recruitment International CCM Recruitment International Recruitment Griffith University CQ Nurse CQ Nurse Lifescreen Health and Fitness Recruitment CRANAplus CRANAplus Medacs Australia Koala NursingOffi Agency Employment ce Navitas Employment Office Lifescreen eNurse Oceania University of Medicine eNurse Australia Medacs Kate Cowhig International Oxford Aunts Care Kate Cowhig International Medibank Health Solutions MedacsTransfer AustraliaDirect Pension Medacs Australia Northern Sydney Local Health District Pulse Staffing No Roads to Health No Roads to Health Nursing and Allied Health Rural Locum Quick Easy Finance NSW and Health - Illawarra Shoalhaven Scheme NSW Health Illawarra Shoalhaven TR7 Health OceaniaUniversity Universityof ofMedicine Medicine Oceania Oceania University UK Pension Transferof Medicine Oxford Aunts Care Oxford Care OxfordAunts Aunts CareEngland University of New Pulse Staffi ng Pulse Staffing University ofng Tasmania Pulse Staffi Queensland Health Quick and Easy Finance Virginia Rigoni Consulting Queensland Health Quick and Easy Finance TR7 Health Waverley Hospital Quick andPrivate Easy Finance Royal Flying Doctor Service UK Pensions Royal Flying Doctor Service TR7 Health Unified Healthcare Group TR7 Health UK Wimmera Healthcare Group UKPensions Pension Transfers UK Pension Transfers Unified Healthcare Group Unified Healthcare Group

Mental Health feature Next Publication: Regional & Remote feature Next Publication: Education feature Next Publication: Education feature 23rdFebruary June 2014 Publication Date: Monday 3rd 2013

Publication Date: Monday 9th September 2013 Monday 16th Colour Artwork Tuesday 28th June January 2013 Publication Date:Deadline: Monday 9th September 20132014 Colour Artwork Deadline: Monday 2nd September 2013 18th June 2014 Mono Artwork January 2013 Colour Artwork Deadline: Deadline: Wednesday Monday 2nd29th September 2013 Mono Artwork Deadline: Wednesday 4th September 2013 Mono Artwork Deadline: Wednesday 4th September 2013

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Pharmacists deliver flu vaccines Pharmacists have administered more than 8500 immunisations as part of the Queensland flu vaccination trial.

Pharmaceutical Society of Australia (PSA) Queensland branch president Professor Lisa Nissen said the immunisations have been conducted “without incident or adverse outcomes”.

“The pilot to date has been highly successful and what is pleasing is that many people being vaccinated have not been immunised previously or have not been immunised for a number of years,” she said.

The Queensland Pharmacist Immunisation Project (QPIP) began on April 1 across 80 community pharmacies at locations including Cairns, Townsville, Airlie Beach, Mackay, Bowen, Emerald, Rockhampton, Yeppoon, Mt Isa, Noosa, Maroochydore, Burpengary, Caloundra, Highfields, Robina and Redcliffe.

The scheme, an initiative of the PSA and the Pharmacy Guild in conjunction with the Queensland University of Technology and James Cook University, comes as the state experiences an increase in flu cases.

In April, Queensland Health reported 1560 influenza notifications - which is 2.3 times the five-year mean of about 672 cases.

For the full article visit NCAH.com.au Page 6 | www.ncah.com.au

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Conference inspires primary health care nurses

By Karen Keast

M

ore than 400 primary health care nurses have gathered to network, learn, discuss and be inspired as part of the Australian Primary Health Care Nurses Association’s (APNA) sixth national conference in Sydney.

The May 29-31 conference, which focused on the theme ‘thriving through change’, featured prominent international and local speakers covering topics ranging from leadership and essential practice skills to innovative nurse-led models of care, the challenges facing different care settings and enhancing patient outcomes.

APNA CEO Kathy Bell said primary health care nursing is a fast developing profession in the midst of major health reforms.

“

It’s really important that primary health care nurses have a voice, that they have access to really good professional development but also that they develop their leadership skills and have aspirations along the career journey,” she said.

The UK Government has announced new restrictions from next April on “I think for too longetc.) working civil servants (NHS, Police beingin general practice and primary health care able to transfer their pensions to has been seen as Australia.

This may expanded second bestalso - it’sbebeen seen as somewhere to the private sector. that people go to, not as a career choice but family-friendly hoursfor or for some other It is nowjust stillfor possible to transfer reason. more detail contact UKPTA CALL US TODAY ON (08) 9309 4001 “We’re really working to make it a setting info@ukpensionsaustralia.com.au

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ow! e n t c A dlin

dea 2015 unced no choice foran graduating nurses

of throughout their careers.

and nu

“We’re working towards having an educa framework and a career framework that r makes general practice and primary h care a place that nurses can contribute develop their skills and leadership throug their career.”

Ms Bell said there are still a lot of “unknow as a result of the recent federal budget, inc ing the controversial $7 GP co-payment the introduction of Primary Health Netw (PHNs).

“We know that well structured primary h care organisations can ensure that the c munity has good access to quality care bu need to make sure that those primary h care organisations are not just about me practitioners - that they do see the full prim health care team and by that we are ta about integrated care.

“So not just what happens in the GP gery but what happens out in all of the o parts of the community in health and we and community services that people inte with - workplaces, schools, etc, so that we tually have integrated care for the individu

Speakers at the conference included Madrean Schober, of the American Asso

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of Nurse Practitioners, who presented an international perspective on advanced practice ng in primary health care, and Queensland registered nurse and former Aboriginal Health er Renee Blackman who discussed making a difference in Indigenous primary health care.

e nurse leaders were also recognised at the 2014 APNA Best Practice Awards in Nursing, Permanent as part of the conference. Full time Staff Nurse Positions

ICU & Theatre, Galway, Ireland

About Galway University Hospitals

(GUH), Galway University Hospitals University rses to receive accolades include Lizcomprising Phillips offrom TheHospital ClinicGalway Werribee in Victoria, Jane (UHG) and Merlin Park University Hospital (MPUH), provide a comprehensive en from Inglerange Farm Family Practice in Adelaide, El Thompson from Hobart Sexual Health of services to emergency and elective patients on an inpatient, outpatient and dayfrom care basis across the twoMedi-Clinic sites. UHG and MPUH togetherFieldew from Westcare ice, Bernadette Nicholls Keilor Downs and Juliet approximately 3,000 whole time equivalent staff. It is a designated cal Centre inemploy Melton. supra regional centre, serves a catchment area in the region of one million people from Donegal to Tipperary North. HSE - West accounts for almost one quarter of the Irish population and Galway accounts this. also presented to Tracy Smith fromfor aaquarter ruralof practice

ards were in Northam, WestAustralia, Donna von Blanckensee based at Aldinga Beach, South Australia, Emma Galway University Hospitals also has strong links with the National University of Ireland, Galway, (NUIG) for the training of medical, nursing and Male other health h at Peter MacCallum Cancer Centre in Melbourne, and Ros at Hervey Bay’s Blue Care professionals and is the site for extensive academic training and research. e Bay Continence Advisory Service Benefits are as follows: • • • • • • • • • • • •

Salary: Salary: as per HSE scale commencing at €27,211 – €39,420 per annum per increases depending on years of experience.

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Requirements: e annual nursing awards are designed to recognise regular nurses doing extraordinary months experience in ICU or Theatres.

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Nursing Careers Allied Health - Issue 11 | Page 9

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Nurse recovers from stabbing

By Karen Keast

A

Queensland nurse is recovering after a male patient stabbed her in the face using forceps.

The nurse was on night duty in a ward at Brisbane’s Redcliffe Hospital when the 88-year-old man allegedly attacked her, inflicting injury to the 37-year-old nurse’s eye and face last week.

The nurse received treatment for cuts and bruises to the face and is now believed to be recovering at home.

Queensland Nurses’ Union secretary Beth Mohle said violence at work is “unacceptable”.

“The bottom line is everybody has a right to be safe at work and management has a responsibility to provide a safe system of work not only for our members but also for other patients as well,” she said.

Ms Mohle said the union attended a briefing at the hospital with staff and has taken the issue up with local management.

She said the QNU has also called for the director-general of Queensland Health to review safety policies at hospitals and health services.

“

We are very concerned that since they’ve decentralised the hospital and health services under national health reform, that there isn’t an overarching organisational strategy to deal with violence towards nurses and other health workers,” she said.

“We’ve written to him and we’ve called Page 10 | www.ncah.com.au

upon him to fast track a review of what’s currently happening, and what’s happening with coordination of efforts across hospital and health services to make sure that there’s an organisational-wide position and appropriate resourcing for that.

“We think there’s broader systemic issues,” she added.

“You have to be forever vigilant about these occupational violence issues because it’s just totally unacceptable that something like this should happen and that message has to just keep being sent repeatedly.”

Ms Mohle said the QNU first launched a zero tolerance to violence at work campaign in 1999.

“We will never take our attention away from it because you can’t be complacent about it at all,” she said.

“It’s something that we have to be forever vigilant about and everybody has absolutely got a right to their safety at work.”

Ms Mohle said QNU surveys of members have revealed a range of perpetrators committing violence against nurses, including visitors and patients.

But she said surveys also showed medical officers were “high on the list” of perpetrators verbally abusing nurses in the private hospital setting.

“I think that there’s multiple sources of perpetrators of violence at work and we just have to have a coordinated response to this to make sure that all of those potential sources are dealt with.”

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Nursing Careers Nursing Allied Careers Health Allied - Issue Health 11 |-Page Issue11 11 | Page 11

Queensland to recruit an extra 100 Having healthy ambulance officers conversations

By Karen Keast with patients

Q

“It’s not ueensland willNewreceive 155 A unique Zealand training program is a good deal for health,” she said. new changing and replacement ambuthe way nurses, GPs and allied lances andhealth recruit an extracommunicate 100 professionals with their Ms are Mohle ambulance patients. officersThese in healthy 2014-15. conversations ena-said while extra nursing positions change, would be created with the bling patients to drive their own behaviour expansion of several hospitals, the The boost,Byunveiled in the state govKaren Keast. budget had little to offer nurses and ernment’s 2014-15 budget, will coin“Our members justnurscan’t cide with the roll out a Docherty low-acuityis para“Primary care health arbara working tomidwives. turn to do more less,”in she medic service in the Townsville, Metro es and nurseswith who work general practitioner to patient interactioncontinue on its said.

South, Metro North and Gold Coast arpractice settings can make a huge differ head. eas after theThe success a recent to this by changing the way that they act former of practice nursetrial. and now director already had 1500 full-time have the conversations. of the TADS (Training and Development“We’ve Serequivalent nursing positions cut since The budget alsoBehavioural includes plans de- Zealand vices) Health to in New says their first budget outtaking of overaway 4000that in promin liver a mobile van pilot “It’s it’ssurgical vital nurses, GPs program and allied health - around 40around per cent the and ins for rural and remote communities, at anew health “One givingofadvice professionals learn an entire jobofcuts in health have been cost of $33.7 over four with years, tion, andfrontline expecting that way million of communicating pathe biggest nursing positions. and initiatives toabout optimise allied health ple are going to just obvio tients their unhealthy beissues for patients and professionals to improve patient access practitioners alike in primary follow and change their haviours.

“That’s a behaviours.” lot of and waiting times. healthy health care, in lifethe really,issue. is how There’s stuff in terms of ED targets Ms Docherty, an honorary to crack thehappening unhealthy behavelective surgery and all that but who rec Budget papers show atspending MsofDocherty, clinical lecturer the Univer-on ioursand which are so prominent ourearly members are just working health will increase 6.4 per cent to $13.6 ly spokeridicuon the topic at sity of Auckland’s School of and in premature lously hard as it is right now with less Health million in 2014-15, with acapital investAustralian Primary Nursing, says new language deaths,” staff. ment spending including $255.2that million Nurses Association’s (APNA) of patient engagement enables for Lady Cilento Children’s andprocess national conference, says the cu patients to drive Hospital the change “There’s method no reprieve there inwork, terms Centre for Children’s Health Research, often doesn’t resulting in from the earliest encounter is the key to transof makingoutcomes up thoseforlost nursing and $369.8 million for patients’ the Sunshine Coast patients. forming lifestyle behaviours. midwifery numbers.” Ms Mohle said Public University Hospital and $114.2 with 12 months until the million to hospital health services She says TADS research shows practi “One and of the biggest issues for for patients andless than state the issue most concapital purchases and health ers who enter a patient’s world, interpre practitioners alike intechnology primary health care, in lifeelection, cerning members their job security. equipment. really, is how to crack the unhealthy behaviours behaviouristhrough their own professional “Now I never thought see the actions day are mis and then applyI’dcorrective which are so prominent and early in premature when nurses andproductive midwivesopportunities. would say Queensland Nurses’ Union secretary crucial deaths,” she says. job security but that is the case in Beth Mohle said with capital spending Queensld,” she said. on hospitals already in are the focused pipelineonthere “People know that as soon as they en “A lot of us tobacco and alcowere few surprises the budget. general practice setting, for example, that hol, otherindrugs, obesity and diabetes.

B

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“There’s no confidence because they are destroying job security and confidence in turnedalways the questions around,” going to be targeted they are going to beyou Iwould really core-positions - where expect a nurseshe or explains. a midwife would not ened, asked they are smoking or drinkhaveif to worry about their job because there would always be a job for them. “That’s saidsocietal ‘what arehealth you enjoying going to and midor whether are overweight a they broader indicationorofwhether economic “Iand I think,about when nurses the gym?’ and the patient would say - ‘actually gamble,”wives she says. are feeling so at risk.”

I’m not going’.” s soon as Meanwhile, that happens the a barrier built ACTis budget has delivered $164 million over four years to Ms Docherty also mental asked a health young unit, $24.3 mmediately and they don’t want including to be health-related projects, $43.5 millionsays for ashe secure male patient, whoand had$11.7 been million drinkinginheavily ched to, they don’t be told what to million forwant the to Canberra Hospital redevelopment extra funding for and putting on weight, ‘how muchThe alcohol are they want to nurse-led actually findwalk a way driving in Belconnen the inofcentres and Tuggeranong.

Australian Nursing you drinking now?’. themselves. and Midwifery Federation’s (ANMF) ACT Branch welcomed the budget’s health spending but expressed concern at how maintained and expanded services will be staffed.

“This young man said ‘none’ and when I said o, one of the largest pieces of our research ‘what’s the benefit you are getting finding a way of legitimately entering “The key problem withtheir this budget is biggest that there appears to be from little acknowlnot drinking so much he immediated of personal behavioural edgement of thepractices staffing and pressures currently facedalcohol?’, by nursing and midwifery staff, ly of said ‘I am drinking; I love it, services,” I go out withsecretary my ing the conversation that was worse going to which may become asbe a result the- proposed expanded Jenny matesstill every Friday’. threatening and non-invasive.”

Miragaya said. “Nurses and midwives face the day-to-day challenges of increased workloads and inadequate staffing levels, particularly in the mental health and ma“So for it changed the outcome rough theternity university, Ms Docherty worked called sectors.”

Ms Miragaya staffing completely and workload issues toofbe resolved that study we were doing, just by changing the a World in Health Organisation project fothe 2015-16 budget. question.” ng on the provision of brief intervention ugh “short, sharp, snappy conversations” patients in primary health care, for beour change to tobacco, alcohol and other s.

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Docherty and her colleagues also emed on a project to canvass the thoughts of nd 2500 patients about what they wanted their practitioner to patient conversations.

a result, they found brief conversations an approach to behavioural interventions transfers the power in the change process the practitioner to the patient, from the et, can more likely result in positive patient yle choices.

Docherty says her research showed stions such as - ‘are you still going to the ?’ resulted in incorrect answers.

he patient would say ‘yes’ and then Nursing Careers Allied Health - Issue 11 | Page 13

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PACU PACU nursing nursing on aonfloating a floating hospital hospital

By Karen

By Karen Keast Keast

V V

“There wasn’t “There awasn’t lot youa could lot youdocould but just do but just ictorian ictorian nurse Michelle nurse Michelle McEwanMcEwan has has let themletknow themthat know youthat cared youabout caredtheir about their cared for cared some forofsome the world’s of the world’s poorest poorest situation.” people on people the threshold on the threshold of new lives. of new lives. situation.”

Ms McEwan Ms McEwan said other saidsurgeries, other surgeries, many many The Traralgon The Traralgon nurse, who nurse, provides who provides infu- infuof them of not them critical not or critical major,orwould major,have would a have a sions forsions rheumatoid for rheumatoid arthritis arthritis and osteopoand osteoposignificant impact on impact patients’ on patients’ lives. lives. rosis at rosis Lifescreen at Lifescreen AustraliaAustralia in her day in her job,day significant job, spent 11spent weeks 11on weeks board onthe board hospital the hospital ship, ship, Africa Mercy, Africa caring Mercy, for caring surgical for surgical patientspatients We hadWe young had adults young with adults a cleft with a cleft recovering recovering in the ship’s in thePost ship’s Anaesthesia Post Anaesthesia lip and lip over and there overthey there can they also can bealso os- be osCare Unit Care (PACU).

Unit (PACU). tracised,” tracised,” she said. she said.

“ “

In her first In her volunteering first volunteering nursing nursing role, therole, the “A simple “A surgery simple surgery changeschanges their whole their whole nurse ofnurse 28 years of 28cared years for cared patients for patients as as andlook look it changes and it changes their whole theirlife.” whole life.” they recovered they recovered from surgeries from surgeries to repair to repair cleft lip cleft and lip palate, and obstetric palate, obstetric fistulas fistulas and and Ms McEwan Ms McEwan worked worked alongside alongside other Ausother Aushernias.hernias. tralian nurses, tralian nurses, volunteering volunteering in the wards in the wards and alsoand in theatre, also in theatre, along with along health withprohealth proMs McEwan Ms McEwan said it was saidheartbreaking it was heartbreaking to to fessionals fessionals and other andvolunteers other volunteers from 34from 34 see people see who people hadwho suffered had suffered due to adue lackto a nations lack nations on the board on thethe board ship,the as ship, part of asits part of its of surgical of surgical care. care.

10-month 10-month field service field at service Pointe atNoire, Pointethe Noire, the second second largest city largest in the cityRepublic in the Republic of the of the She said Shemany said of many the of patients the patients were were Congo, Congo, Central Central Africa. Africa. women women who had whoexperienced had experienced obstetricobstetric fistulas, fistulas, often after often repeated after repeated prolonged prolonged obobThe floating The floating hospital,hospital, from international from international structedstructed labours labours involvinginvolving the lossthe of their loss of their medicalmedical charity Mercy charityShips, Mercyaimed Ships,toaimed pro- to probabies. babies. vide more vide than more 3300 than free 3300 surgeries free surgeries during during the mission. the mission.

“So these “Sowomen these women have nohave children no children and and then they then arethey left are having left a having fistulaa where fistula where The hospital The hospital ship also ship works alsotoworks treat to lifetreat lifethey leak they urine leakallurine of the all time of theand time they and they threatening threatening tumours, tumours, plastic plastic reconstrucreconstrucare ostracised are ostracised from their from community,” their community,” she she for tion tion severe for burn-related severe burn-related injuries, injuries, cata- catasaid. said. ract removal, ract removal, correction correction for orthopaedic for orthopaedic deformities deformities such assuch club as foot, club bowed foot, legs bowed legs “It was “Itheartbreaking was heartbreaking for these for womthese womand other and severe otherabnormalities, severe abnormalities, and it proand it proen. A lot en.ofAthem lot ofwere themvery were distant very distant and and dental vides videscare. dental care. it was quite it wasemotional quite emotional to just to look just after look after them. them.

For the full For article the fullvisit article NCAH.com.au visit NCAH.com.au Page 14 | www.ncah.com.au Page 14 | www.ncah.com.au

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Website targets medicine shortages A new website for pharmacists, doctors and consumers will highlight Australia’s prescription medicine shortages.

The Medicines Shortages Information Initiative features an online information portal and an alert service for subscribers for the latest information on medicine shortages, sent directly to their computer or mobile device.

The initiative, a partnership between Medicines Australia, the Generic Medicines Industry Association and the Therapeutic Goods Administration, aims to provide health professionals and consumers with information on current, anticipated and resolved medicine shortages as well as information on discontinued medicines.

The site enables pharmacists and doctors to easily search for information such as the status and duration of medicine shortages, and where possible will feature links to information about substitute medicines or therapeutic alternatives.

The initiative also includes a protocol for communication and management of shortages agreed between the Australian prescription medicines industry and the TGA. For the full article visit NCAH.com.au Nursing Careers Allied Health - Issue 11 | Page 15

Senior Nursing Opportunities

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With a population of over 33,380 (regional population over 90,000), Warrnambool is a popular seaside city and is located 264 kilometres southwest of Melbourne. The city boasts excellent sporting, education, social and cultural facilities. There are several thriving industries within and surrounding Warrnambool, which have expanding workforces. In addition, Warrnambool is becoming a preferred coastal retirement centre.

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Page 16 | www.ncah.com.au

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Nursing Careers Allied Health - Issue 11 | Page 17

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Victorian neonatal intensive care under strain Overwhelmed doctors and nurses are struggling to meet demand due to capacity shortfalls at Victoria’s neonatal intensive care units.

As reported by The Age newspaper, leaked documents show that in late May Melbourne’s four specialist units at the Royal Children’s, Royal Women’s, Monash Medical Centre and Mercy hospitals were collectively caring for 204 babies.

The system’s maximum ‘’flex up’’ capacity is set at 195 neonatal intensive-care and special-care nursery cots.

Overcrowding had resulted in restrictions on new patients, meaning high-risk pregnant women and critically ill babies were faced with the prospect of having to go interstate for treatment. It is also understood that while women had been flown interstate to give birth in previous years in such crises, hospital chief executives had been told by the government not to do this because it was ‘’too politically sensitive in an election year’’.

Instead, doctors and nurses have been catering to the needs of sick babies in cramped conditions, meaning mothers and newborns were potentially at risk.

For the full article visit NCAH.com.au Page 18 | www.ncah.com.au

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Nursing Careers Nursing Allied Careers Health Allied - Issue Health 11 |-Page Issue19 11 | Page 19

Queensland to recruit an extra 100 Having healthy ambulance officers conversations

By Karen Keast with patients

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ueensland

will

receive

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“It’s not a good deal for health,” she

A unique training program new New andZealand replacement ambu- is said. changingand the way nurses, and allied lances recruit an GPs extra 100 health professionals with their Ms Mohle said while extra nursing ambulance officerscommunicate in 2014-15. patients. These healthy conversations are enapositions would be created with the bling to drive in their behaviour change, expansion of several hospitals, the The patients boost, unveiled theown state govBy Karen Keast. budget had little to offer nurses and ernment’s 2014-15 budget, will coinmidwives. “Our members just can’t cide with the roll out a low-acuity para“Primary nurs-with less,” she arbara Docherty working toMetro turn continuecare to health do more medic service in the isTownsville, essaid. and nurses who work in general practitioner to patient onarits South, Metro North and interaction Gold Coast practice settings can make a huge difference head.after the success of a recent trial. eas to this by changing thehad way that actually The former practice nurse and now director “We’ve already 1500they full-time have the conversations. ofThe the budget TADS (Training and Development Serequivalent nursing positions cut since also includes plans to devices)aBehavioural Health van in New Zealand says their first budget out of over 4000 in liver mobile surgical pilot program “It’s - taking thatcent prominence it’s rural vital nurses, GPs and allied health at a health aroundaway 40 per of the for and remote communities, around giving advice and instrucprofessionals learn an entire in health have been frontline cost of $33.7 million over new four years, “One job cuts tion, and expecting that peoway of communicating with paof the biggest nursing positions. and initiatives to optimise allied health ple are going to just obviously tients about theirtounhealthy for patients and professionals improvebepatient issues access andThere’s change atheir haviours. practitioners alike in “That’s primary thefollow issue. lot unof and waiting times. healthy behaviours.” health care, in life really, how stuffis happening in terms of ED targets Ms Docherty, an honorary to crack the behavand elective surgery and all of that but Budget papers show spending on unhealthy who ridicurecentclinical will lecturer at the6.4 Univerwhich are so prominent our membersMs areDocherty, just working health increase per centiours to $13.6 on the the sity of in Auckland’s early in premature lously hard lyasspoke it is right nowtopic withatless million 2014-15,School with of capital and investAustralian Primary Health Care Nursing, says a new language deaths,” staff. ment spending including $255.2 million Nurses Association’s (APNA) sixth of patient engagement that enables for Lady Cilento Children’s Hospital and national no conference, current patients for to drive the change “There’s reprieve says therethe in terms Centre Children’s Healthprocess Research, method often doesn’t work, poor from the million earliest encounter is the key toCoast transof making up those lostresulting nursingin and $369.8 for the Sunshine outcomes for patients. forming University patients’ lifestyle behaviours. midwifery numbers.” Ms Mohle said Public Hospital and $114.2 with less than 12 months until the million to hospital and health services for She says TADS research shows practition“One of the biggest issues for technology patients and state election, the issue most concapital purchases and health erscerning who enter a patient’s world, interpret the practitioners alike in primary health care, in life members is their job security. equipment. behaviour their ownI’d professional lens really, is how to crack the unhealthy behaviours “Now I through never thought see the day and then nurses apply corrective actionswould are missing which are so prominent early insecretary premature when and midwives say Queensland Nurses’andUnion crucial opportunities. deaths,” she says. job productive security but that is the case in Beth Mohle said with capital spending Queensld,” she said. on hospitals already in the pipeline there “People know that as soon as they enter a “A lotfew of us are focused on tobacco were surprises in the budget.and alcogeneral practice setting, for example, that they hol, other drugs, obesity and diabetes.

B

Page 20 | www.ncah.com.au

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“There’s nobe confidence because theytoare jobquestions securityaround,” and confidence in I turned the she explains. are going to targeted - they are going be destroying really core asked positions - where you would always expect a nurse or a midwife would not screened, if they are smoking or drinkhave worry about job because there would always be ayou jobenjoying for them.

“That’s “I said ‘what are about going to ing ortowhether they aretheir overweight or whether athey broader indication of economic and societalthe health think, and- ‘actually midgym?’I and thewhen patientnurses would say gamble,” she says. wives are feeling so at risk.”

I’m not going’.”

“As soon as that happens a barrier is built Meanwhile, has todelivered million fourasked years to Ms$164 Docherty says over she also a young up immediatelytheandACT they budget don’t want be health-related projects, including $43.5 for apatient, securewho mental unit, $24.3 male had health been drinking heavily preached to, they don’t want to be told whatmillion to million forwant the Canberra $11.7 extra funding forare andand putting onmillion weight,in‘how much alcohol do - they to actually Hospital find a wayredevelopment of driving the nurse-led walk in centres in Belconnen and youTuggeranong. drinking now?’.The Australian Nursing it for themselves. and Midwifery Federation’s (ANMF) ACT Branch welcomed the budget’s health spending“So, butone expressed concern atofhow and expanded services willand be staffed.

“This young man said ‘none’ when I said of the largest pieces our maintained research ‘what’s the biggest benefit you are getting from was finding a way of legitimately entering their “The of keypersonal problem with thispractices budget and is thatnot there appears to alcohol?’, be little he acknowldrinking so much immediateworld behavioural edgement the staffing pressures nursing and midwifery lyfaced said -by ‘I am drinking; I love it, I go outstaff, with my starting theofconversation that was goingcurrently to be which may become as a result of the proposed expanded services,” secretary Jenny mates every Friday’. non-threatening andworse non-invasive.”

Miragaya said. “Nurses and midwives still face the day-to-day challenges of increased workloads anduniversity, inadequate staffing worked levels, particularly in the mental health ma- of “So it changed completely the and outcome Through the Ms Docherty ternity sectors.”

MsOrganisation Miragaya called forfostaffing workload issuesjust to by bechanging resolvedthe thatand study we were doing, on a World Health project incusing the 2015-16 question.” on the budget. provision of brief intervention through “short, sharp, snappy conversations” with patients in primary health care, for behaviour change to tobacco, alcohol and other drugs.

411-036 408-011 1/4PG 410-015

Ms Docherty and her colleagues also embarked on a project to canvass the thoughts of around 2500 patients about what they wanted from their practitioner to patient conversations.

As a result, they found brief conversations and an approach to behavioural interventions that transfers the power in the change process from the practitioner to the patient, from the outset, can more likely result in positive patient lifestyle choices.

Ms Docherty says her research showed questions such as - ‘are you still going to the gym?’ resulted in incorrect answers.

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“The patient would say ‘yes’ and then Nursing Careers Allied Health - Issue 11 | Page 21

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Radiography Radiography under stress at at under stress WAWA hospital hospital

Radiography Radiography servicesservices at one of at Western one of Western Australia’s Australia’s key hospitals key hospitals are under are strain under strain after radiographers after radiographers left theirleft positions their positions in in protest. protest.

Radiographers at Sir Charles Radiographers at Sir Charles GairdnerGairdner in Western off HospitalHospital in Western AustraliaAustralia walked walked off job hospital at the hospital earlier this month the job the at the earlier this month amid of claims of “chronic understaffing” at amid claims “chronic understaffing” at the outpatient clinic. clinic. the outpatient

With allWith appointments, other than all appointments, otherforthan for critical or country patients,patients, having having been been critical or country cancelled, and hundreds of patients afcancelled, and hundreds of patients affected, fected, it could itbe months before normal could be months before normal radiography servicesservices resume resume at Sir Charles radiography at Sir Charles GairdnerGairdner Hospital,Hospital, according to the Health according to the Health ServicesServices Union ofUnion Western Australia. of Western Australia.

As reported

by Newby Limited’s perthnow.

As reported New Limited’s perthnow. com.au,com.au, union secretary Dan HillDan indicated union secretary Hill indicated that staffing had become a criticalaissue atissue at that staffing had become critical the hospital. the hospital.

Website: Website: www.oxfordaunts.co.uk www.oxfordaunts.co.uk Phone:Phone: +44 1865 +44 791017 1865 791017

Oxford Oxford AuntsAunts CareCare

Page 22 | www.ncah.com.au Page 22 | www.ncah.com.au

Hill reportedly said thesaid Health Hill reportedly the DepartHealth Department had agreed hire extra staff.

Howment had to agreed to hire extra staff. However heever added fullthat services would would he that added full services not resume until these were in were in not resume untilemployees these employees place. Before measures could becould im- be implace. such Before such measures plemented, the hospital would have to have gain to gain plemented, the hospital would an exemption from thefrom Government’s staff an exemption the Government’s staff hiring freeze.

Appointments would conhiring freeze.

Appointments would continue totinue be postponed while the hospital to be postponed while the hospital applied applied for an exemption to the freeze. for an exemption to the freeze.

For the full For article the fullvisit article NCAH.com.au visit NCAH.com.au

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Nursing Careers Allied Health - Issue 11 | Page 23

Conference inspires primary health care nurses

tion o nursin worke

By Karen Keast

Nine held a

M

ore than 400 primary health care nurses have gathered to network, learn, discuss and be inspired as part of the Australian Primary Health Care Nurses Association’s (APNA) sixth national conference in Sydney.

The May 29-31 conference, which focused on the theme ‘thriving through change’, featured prominent international and local speakers covering topics ranging from leadership and essential practice skills to innovative nurse-led models of care, the challenges facing different care settings and enhancing patient outcomes.

APNA CEO Kathy Bell said primary health care nursing is a fast developing profession in the midst of major health reforms.

“

It’s really important that primary health care nurses have a voice, that they have access to really good professional development but also that they develop their leadership skills and have aspirations along the career journey,” she said.

“I think for too long working in general practice and primary health care has been seen as second best - it’s been seen as somewhere that people go to, not as a career choice but just for family-friendly hours or for some other reason.

“We’re really working to make it a setting Page 24 | www.ncah.com.au

of choice for graduating nurses and nurses throughout their careers.

The things

“We’re working towards having an education framework and a career framework that really makes general practice and primary health care a place that nurses can contribute and develop their skills and leadership throughout their career.”

Nur Bolle Servi Medic

Ms Bell said there are still a lot of “unknowns” as a result of the recent federal budget, including the controversial $7 GP co-payment and the introduction of Primary Health Networks (PHNs).

“We know that well structured primary health care organisations can ensure that the community has good access to quality care but we need to make sure that those primary health care organisations are not just about medical practitioners - that they do see the full primary health care team and by that we are talking about integrated care.

“So not just what happens in the GP surgery but what happens out in all of the other parts of the community in health and welfare and community services that people interact with - workplaces, schools, etc, so that we actually have integrated care for the individual.”

Speakers at the conference included Dr Madrean Schober, of the American Associa-

Awa ern A Birch Wide

h

tion of Nurse Practitioners, who presented an international perspective on advanced practice nursing in primary health care, and Queensland registered nurse and former Aboriginal Health worker Renee Blackman who discussed making a difference in Indigenous primary health care.

Nine nurse leaders were also recognised at the 2014 APNA Best Practice Awards in Nursing, held as part of the conference.

The annual nursing awards are designed to recognise regular nurses doing extraordinary things, through innovation and spirit, to improve the health of their communities.

ation really health e and ghout

Nurses to receive accolades include Liz Phillips from The Clinic Werribee in Victoria, Jane Bollen from Ingle Farm Family Practice in Adelaide, El Thompson from Hobart Sexual Health Service, Bernadette Nicholls from Keilor Downs Medi-Clinic and Juliet Fieldew from Westcare Medical Centre in Melton.

wns” cludt and works

Awards were also presented to Tracy Smith from a rural practice in Northam, Western Australia, Donna von Blanckensee based at Aldinga Beach, South Australia, Emma Birch at Peter MacCallum Cancer Centre in Melbourne, and Ros Male at Hervey Bay’s Blue Care Wide Bay Continence Advisory Service

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Most nurses and allied health workers experience violence New Zealand nurses, allied health professionals, physicians and clinical support workers are being threatened, assaulted, humiliated, sexually harassed and stalked, according to new research.

University of Otago researchers found 94 per cent of health care workers were verbally abused in the past year, 65 per cent experienced physical aggression and 38 per cent were physically abused.

The survey also shows 65 per cent experienced humiliation in the past year, 56 per cent witnessed destructive behaviour, 43 per cent experienced an attempted assault, 39 per cent were sexually harassed, 29 per cent were injured, 12 per cent were stalked and 10 per cent were sexually assaulted.

Researchers surveyed 227 workers at an unnamed district health board in a bid to determine the extent, type and variation of violence across different occupations in the hospital setting and found “significant levels” of aggression.

For the full article visit NCAH.com.au Page 26 | www.ncah.com.au

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EARN SOME EXTRA $$$ Nursing and Midwifery Educators and Clinical Specialists NCAH is looking to hire expert nurses and midwives to write nurse practice related articles on a freelance basis.

If you are an experienced Australian nurse educator or nurse specialist, and you are interested in writing to complement your income on a very flexible basis we would love to hear from you.

Nursing and Midwifery experts are sought to write articles covering one or more clinical areas including but not limited to: • Accident & Emergency • Aged Care • Paediatric Nursing • Healthcare IT & Information • Midwifery & Neonatal nursing • Neurology • Nurse Leadership and Management

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Please send expressions of interest to careers@ncah.com.au Applications must include a CV and covering letter detailing your professional experience.

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If you are a Nurse or Midwife seeking a new perm RN - Scrubattention Scout, permanent opportunity, VIC � Receive personalised from your own Academic Advisor. opportunity in 2014 or you have an interest in a RN & EN’sposition neededinforregional a rangeor ofremote locations, permanent contract locations � OUM Graduates are eligible to sit for the AMC exam or NZREX. opportunities Medical. across Australiawith thenAspen we would love to speak to you � OUM Graduates are employed in Australia, New Zealand, Samoa and USA. about your options.

At Medacs Healthcare, we care about our Nurses. If your current nursing agency is not meeting We always have a range of exciting perm or your temp needs, give us a callopportunities today! nursing/midwifery available!

OCEANIA UNIVERSITY OF MEDICINE

NOW INTERNATIONALLY ACCREDITED For more information, talk to Contact Us

Jennifer Gavenlock or Helen Donna nurses@medacs.com.au In AU 1300 665 343 or NZ 0800 99 01Email: 01 www.RNtoMBBS.org Gould in the Medacs Healthcare Telephone: 1800 059 790

For more information, talk to

Contact Us

Ryan in the Medacs Healthcare Nursing team. team.

Nursing

Telephone: 1800 059 790 www.medacs.com.au www.medacs.com.au

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BENDIGO VIC 3550