Ncah issue 12 2013

Issue Issue1212 17/06/13 17/06/13 fortnightly fortnightly

Mental Health Health Feature Feature Nurses Nurses applaud applaud plan planto tointroduce introduceschool schoolnurses nurses How nurses nurses can can care carefor forthe themental mentalhealth healthofofpeople peoplewith withchronic chronicdisease disease Nurses Nurses and and midwives midwivesabandon abandonaction actiontototurn turnaway awaylow-risk low-riskwomen women More incentives incentives the thekey keyto toboosting boostingrural ruraland andremote remotenursing nursing

CLINICAL NURSE CONSULTANT Mental Health Division As part of the acute unit senior management team, this position provides leadership in training programs for staff, nurse graduates, students and other professionals on specialist mental health topics across a range of settings; as well as a range of other specialist responsibilities.

Our service leads the state in key indicators and measures; our acute unit prides itself on its consumer focus and innovation that is best practice and evidence based. You will need to possess change Warrnambool Campus

management, project management, training and evaluation skills3280 and demonstrate a high level of Ryot Street, Warrnambool www.southwesthealthcare.com.au

expertise and commitment to mental health nursing.

2010 Regional Health Service of the Year

Salary and conditions will be commensurate with experience and/or qualifications and include access to salary packaging. The successful applicant will be required to provide a Working With Children & Police Record Check.

A position description and further details can be found at our website under Careers.

For additional information please contact Mr Chris Healey (Manager of Residential Services) on (03) 5563 1232 or via email chealey@swh.net.au Applications are to be submitted online via our website only under Careers and need to include: an application letter, full personal particulars, qualifications and experience; together with the names of three (3) referees by Friday 28 June 2013. Other documents you feel are relevant may also be attached: however this is limited to 5 documents and there is also a size limitation of no greater than 2 Mega Bytes.

Note: If you experience any difficulties with this website or completing the application process, please send an email to: humanresources@swh.net.au Please note this address is for enquiries only and applications cannot be submitted via this email.

Warrnambool Campus Ryot Street, Warrnambool 3280 www.southwesthealthcare.com.au 2010 Regional Health Service of the Year

www.ncah.com.au

Health Screening Consultants

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Exciting opportunities for Nurses, Paramedics, Nurse Vaccinators & Pathology Collectors looking for new challenges within a growing sector that allows freedom of choice are now available.

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Nursing Careers Allied Health - Issue 12 | Page 3

www.ncah.com.au Issue 12 – 17 June 2013 We hope you enjoy perusing the range of opportunities included in Issue 12, 2013.

If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at careers@ncah.com.au “FACT, NOT FICTION”

Advertiser List AHN Recruitment Austra Health Australian College of Nursing Canterbury District Health Board CCM Recruitment International

The NCAH Magazine distribution is independently audited by the Circulations Audit Board.

CQ Nurse

Total Audited Print and Digital Distribution: 28,090

Koala Nursing Agency

The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email careers@ncah.com.au or visit www.ncah.com.au If you would like to change your mailing address, or be included on our distribution, please email careers@ncah.com.au

eNurse Latrobe Regional Hospital Lifescreen Luxury Travel and Earn NSW Health - Bloomfield Hospital NSW Health - Hunter New England NSW Health - Northern Sydney Local Health District Oceania University of Medicine

Published by Seabreeze Communications Pty Ltd Trading as NCAH. ABN 29 071 328 053.

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All rights reserved. No part of this publication may be copied or reproduced by any means without the prior written permission of the publisher. Compliance with the Trade Practices Act 1974 of advertisements contained in this publication is the responsibility of those who submit the advertisement for publication.

Royal Flying Doctor Service South West Healthcare TR7 Health Unified Healthcare Group University of New England

Next Publication: Midwifery & Maternal Publication Date: Monday 1st July 2013 Colour Artwork Deadline: Monday 24th June 2013 Mono Artwork Deadline: Wednesday 26th June 2013

Page 4 | www.ncah.com.au

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We have current vacancies for •Midwives •Theatre & Recovery Nurses •Aged Care Nurses and Managers •Mental Health Nurses •Specialist Nurses •Medical and Surgical Nurses •ED Nurses •Allied Health Professionals

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Nursing Careers Allied Health - Issue 12 | Page 7

NSW hospitals straining under mental health burden

It is understood the number of patients suffering mental health problems in recent times is due to the rise in use of synthetic drugs...

Emergency departments in New South Wales hospitals are being inundated by mentally ill patients due to a lack of psychiatric beds.

An exclusive report by local newspaper the Newcastle Herald newspaper has revealed one in every 36 emergency department patients in the Hunter hospital last year was mentally ill, while at Calvary Mater Newcastle, it was one in every 15 patients.

It was also reported that three psychiatric patients endured more than two days stuck in emergency departments at Maitland and Calvary Mater hospitals, while 20 spent more than 24 hours in emergency departments at Maitland, Calvary Mater and John Hunter.

Many patients were so ill that they needed to be strapped down and sedated so they didn’t harm themselves or others. The number of violent incidents in which hospital staff are forced to manage patients in this way is understood to be on the rise.

Doctors reportedly said the high stress environment of emergency departments only increased distress in already agitated or psychotic patients.

Page 8 | www.ncah.com.au

Last year 6023 people mentally ill people were treated at Maitland, Calvary Mater, Belmont and John Hunter emergency departments, a rise of 121per cent from 2720 in 2007.

The biggest increase occurred following the opening of mental health facilities at Calvary Mater in 2009.

It is understood the number of patients suffering mental health problems in recent times is due to the rise in use of synthetic drugs over the past few years. This is frequently compounded by other substance abuse issues including alcohol.

The Newcastle Herald reported that according to data obtained under freedom of information laws (Government Information Public Access), 26,065 mental health patients were seen at Hunter emergency departments over the past six years.

A nurse, who did not want to be named, reportedly said the increase in emergency department presentations reflected the lack of resources for mental health in the community and a shortage of psychiatric beds.

It is an exciting time in the Western NSW Local Health District with the continued expansion of services across our region.

With expansion comes opportunity - the opportunity for health professionals seeking a career in mental health and drug & alcohol to join us.

Our services provide unique and contemporary models of care across a diverse geographical setting, from the regional cities of Bathurst, Dubbo and Orange - to the outback settings of Bourke and Lightning Ridge.

Many health professionals from across the globe have taken up the opportunity to join us in this exciting time of growth -

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Nursing Careers Allied Health - Issue 12 | Page 9

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Nursing Careers Allied Health - Issue 12 | Page 11

SEE WA IN A DAY Flight nurses positions Regional bases Come and enjoy this exciting role with one of the largest areomedical services in Australia, providing a range of emergency services and primary health care to the state of Western Australia.

Our operations are ever evolving and we are seeking Expressions of Interest from suitably skilled and motivated Registered Nurse / Midwives wanting to join our dynamic flight nurse teams at our regional > Education that pays bases within Western Australia. > True representation We believe that each and every nurse in AustraliaThe role of a Flight Nurse is fun, rewarding and challenging while valuing team work Membership benefits should have the opportunity to grow their career and and independent>practice.

If you are registered with AHPRA as a you registered to help grow further our profession. nurse and midwife, have 3-5 years post grad experience in emergency or critical care and great communication skills RFDS www.acn.edu.au | freecall 1800Central 061 660 The Royal Flying Doctor Service, Operations seeking Western (SA/NT), Operations is may have theto role for you. appoint an enthusiastic and passionate individual to the position of Senior 2 week orientation, Flight Nurse. Located in Port Augusta, this roleA comprehensive is responsible for the first line generous salary and salary packaging management of a quality nursing service for the Port Augusta Base. benefits, assistance with relocation and subsidised rental and utility costs along withwe district In return offer: loadings and gratuities are Responsibilities include: someremuneration of the incentives offered to the • Attractive and benefi ts (salary packaging); • First line management of Flight Nurses based in Port successful candidates.

• Company motor vehicle and relocation assistance Augusta; If you are seeking the opportunity to provided; • Participation in the development of the strategic worktraining in all our within WA, Derby, • Extensive andlocations orientation; direction for RFDS Flight Nurses; Jandakot, Meekatharra, Kalgoorlie and • A supportive environment wherelike stafftoare valued and • Roster development and coverage as required; Port Hedland and would know personal development is encouraged.

• Undertake Flight Nurse performance appraisals and AreDoctor you keen to utilise ALL your nursing skills? more about being a is flight nurse contact The Royal Flying Service, Central Operations (SA/NT), seeking to clinical competency testing; Gabrielle West, Director of Nursing on • Based in Adelaide appoint aninenthusiastic and passionate individual totothe (08) 9417 6300.

The career RFDSof areSenior open to a • Participation recruitment activities; If you are keen moveposition your into an organisation 6 month plus flight nurse contract forline • Attractive remuneration • Liaison with other Health Services; Flight Nurse.

Located in Port Augusta, this role is aresponsible for the first that makes real difference all Australians, apply now. applicants seeking to employment with • Provide support toof staff hours.nursing service for the • Diverse career opportunity management a after quality the Port RFDS.Augusta Base.

Please direct your confidential enquiries to: Opportunities exist for suitably qualified Nurses to joinInformation the Royal on Flying Doctor Central positions can Service, be obtained Qualifications and experience: Greg McHugh Ph: (08)environment, 8150 1313 In return weRosemary offer: Responsibilities include: Working in a diverse, fulfilling from Hunt, by phoning Operations in Adelaide. and rewarding RFDS nurses are • General and Midwifery Nursing qualifications, Applications to: 6300 Kate Guerin, HR (08) 9417 during offiCoordinator ce • Attractive remuneration and ts (salary packaging); based inhealth Port services.

• First management of Flight remuneration and benefi benefi tshours (salaryor packaging); at the line forefront in delivery of Nurses aeromedical registered with AHPRA; your e-mail request to PO Boxsend 381,motor Marleston BC SA relocation 5033 • Company vehicle and assistance vehicle and relocation assistance Augusta; • Comprehensive experience in aeromedicine andbe a a registered Qualifications and experience: Must general nurse AND registered midwife. nursing@rfdswestops.com.au. provided; • Participation in the development of the strategic Email: careers@flyingdoctor.net critical care area experience essential; Comprehensive and/or post graduate qualifications in a critical care area essential.

Closing date for applications • Extensive training and orientation; orientation; is Monday direction for RFDS Flight Nurses; • Post graduate qualifications in critical care essential; 6th February 2012.

Applications close: 9 April where 2012 staff Please yourand confidential enquiries to • A supportive environment environment where staff are are valued valued and and • Roster direct development coverage as required; • Ability to lead and manage a group of staff; personal development is appraisals and • Undertake Flight Ph: Nurse performance is encouraged. encouraged.

Greg McHugh (08) 8150 1313 • Ability to work both independently and as part of a clinical competency testing; The Royal Flying Doctor Service is an Equal Opportunity Employer Applications to:team; HR Coordinator multi-disciplinary • Participation in recruitment activities; If you are keen to move your your career career into into an an organisation organisation • Confident in decision making abilities; RFDS Central Operations • Liaison with other Health Services; that makes a real difference difference to to all all Australians, Australians, apply apply now. now.

• Post graduate qualifications in aeromedicine desirable; PO Box 381 Marleston DC SA 5033 • Provide support to staff after hours.

• General computer literacy.

Please direct your confi confidential dential enquiries enquiries to: to: Email: careers@flyingdoctor.net Qualifications and experience: Greg McHugh Ph: (08) 8150 8150 1313 1313 BlazeS052637 The qualifi Royal Flying Doctor Service is Applications an Equal Opportunity Employer cations, • General and Midwifery Nursing to: Kate Guerin, Guerin, HR HR Coordinator Coordinator registered with AHPRA; PO Box 381, Marleston BC BC SA SA 5033 5033 • Comprehensive experience in aeromedicine and a Email: careers@flyingdoctor.net yingdoctor.net critical care area essential;

Grow your career by joining ACN!

Senior Flight Nurse > Port Augusta

Senior Flight Nurse Flight Nurses > Port Augusta

• Post qualifications in critical care essential; Page 12 | graduate www.ncah.com.au • Ability to lead and manage a group of staff; • Ability to work both independently and as part of a multi-disciplinary team;

Applications close: 9 April April 2012 2012 The Royal Flying Doctor Doctor Service Service is is an an Equal Equal Opportunity Opportunity Employer Employer

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| 1300 886 814 Nursing Careers Allied Health - Issue 12 | Page 13

Mental Health Nurses & Allied Health Professionals Permanent/Fixed Term, Full-time/Part-time Vacancy 78649 Rebuild our community while you build a new life in the Garden City of the future!

Full-time or part-time – you choose!

Short term or long term – again you choose!

You may or may not have heard about the Christchurch earthquakes but have you heard the buzz about the Christchurch Rebuild? Have you ever thought about being part of something big?

Specialist Mental Health Services here at the Canterbury District Health Board are changing and we need your expert skills as a Mental Health Nurse, or Allied Health Professional to help put the pieces together.

It’s no secret that the events of February 2011 devastated parts of the city but we are thrilled to be in the swing of building ourselves back up again. Just as the city needs builders and engineers; our community at risk need skilled Mental Health Professionals to help put their lives back together piece by piece.

At the heart of New Zealand’s South Island, Christchurch really does hold countless opportunities for work as well as play. Our unique position means that neither the beach nor the ski fields are very far away. Where else in the world can you work, rest and play all in the same week? Whatever lifestyle you love, you will find it here www.cdhbcareers.co.nz/Living-Here/Living-Here-__I.3082 The plan for the city is fresh, exciting, green and clean. Check it out at http://ccdu.govt.nz/ Covering a range of services from the Community Alcohol & Drug team, to Mothers & Babies and Youth Specialty teams we have diversity in spades. Whether your passion is for immediate care on the front line in Psychiatric Emergency or longer term empowerment of consumers under the care of our Community teams; you’ll find what you’re looking for with us.

Find out more about us at http://www.cdhbcareers.co.nz/ If you are passionate about people and an advocate for recovery in more sense than one; then join us now. Apply online now at cdhb.careercentre.net.nz To hear more call Jenni Stephenson, Recruitment Specialist (Allied Health), on +64 3 378 6675 or Nicki McNeill, Recruitment Specialist (Nursing), on +64 3 364 1569.

Page 14 | www.ncah.com.au

Latrobe Regional Hospital Mental Health Service The Latrobe Regional Hospital (LRH) Mental Health Service is the regional provider of The Latrobe Regional Hospital Mental Health Service is the regional provider of mental health services in Gippsland. LRH Mental Health Service operates an integrated mentalhealth healthprogram services in Gippsland.

LRHMHS an community integrated mental mental mental across ten sites and provides operates inpatient and health program across ten sites and provides inpatient and community mental health care for adults, children and young people, and aged persons. LRH Mental Health heath care child aand youth, adult and aged service streams.and LRHMHS Service also for operates Community Residential Care care Unit and a Prevention Recovery also Unit. operates a Community Residential Care Unit and a Prevention and Care

Recovery Care Unit.

Eight community mental health centres are located in Traralgon, Sale, Bairnsdale, Orbost, Wonthaggi, Korumburra, Warragul and Yarram. Gippsland provides a fantastic rural The Latrobe Regional Mental Health Service is located in Gippsland – lifestyle with easy accessHospital to Melbourne.

home the to sandy snowfields, mountains and national parks.

Gippsland Under new 10beaches, year “Because Mental Health Matters” strategy, mental health services provides a fantastic rural lifestyle with easy access to Melbourne. are moving into an exciting period of reform. This reform will focus on early intervention, prevention, social inclusion and recovery. LRH Mental Health Service is implementing an Under the 10 year “Because Mental Health Matters” Mental exciting newnew specialist model of care in 2013 and we are seekingStrategy, dynamic staff to join our Health services are moving into an exciting period of reform. This reform will team. focus on early intervention, prevention, social inclusion and recovery. LRHMHS The following positions are currently being advertised: is implementing an exciting new specialist model of care in 2013 and we are seeking dynamic staff to join our team.

Community Clinician – Bairnsdale and Sale Senior Community Clinician – Traralgon

Intake Clinician – Traralgon We have positions in the following areas: Enrolled Nurse - Yarram – Child and Youth Mental Health Services (CYMHS) Community Clinicians

Community Clinician – Bairnsdale Community team Triage Clinician Psychologist - Inpatient Services Emergency Department ClinicianTraralgon

Senior Clinicians – Triage and Emergency Department Team Clinicians – Acute Care Team CASEA Clinician – Child & Youth Mental Health Clinician -CASEA – CYMHS and Schools Early Action program Mental Health Court Liaison

Child and Youth Mental Health Service – Korumburra, Bairnsdale, Warragul

Full time, part time, casual, temporary and permanent positions are available.

Associate Unit Manager – Macalister Aged Care unit

LRHMHS offers a supportive environment Post Graduate Diploma – Mental Health 2014with clinical educators, preceptors, clinical supervision, a nurse practitioner candidate program and professional

LRH Mental Health Service offers a supportive environment with clinical educators, development opportunities. preceptors, clinical supervision, a nurse practitioner candidate program and professional development opportunities,

Please visit www.lrh.com.au and go to our employment section.

Please visit www.lrh.com.au and go to our employment sections to view current For enquiries please contact Cayte Hoppner, Director of Mental Health on 03 vacancies and register your interest. For enquiries please contact Cayte Hoppner, 51738549 or choppner@lrh.com.au Director of Mental Health on (03) 5173 8549 or email choppner@lrh.com.au.

Nursing Careers Allied Health - Issue 12 | Page 15

How nurses can care for the mental health of people with chronic disease There is no health without mental health – that’s the view of the World Health Organisation. Now, the Australian College of Mental Health Nurses is launching online CPD aimed at improving the knowledge and skills of nurses to identify and manage mental health conditions associated with chronic disease, writes Karen Keast.

Poor mental health is not just an issue for mental health nurses.

Research predicts every nurse, at some stage, will work with a patient who is either at risk of developing, has developed or is showing early signs and symptoms of mental illness.

Studies show many physical health conditions increase the risk of mental illness while poor

mental health is also known to heighten the incidence of diseases such as cancer, heart disease and stroke.

Comorbidity of physical illness and mental health issues not only affects whether people seek help, it also impacts on their diagnosis and treatment, and influences both their physical and mental recovery.

With the growing incidence of chronic disease in Australia, the Australian College of Mental Health Nurses (ACMHN) is shining the spotlight on improving the identification, early intervention, treatment and management of mental illness in people with a chronic physical illness.

Nurse U Us and You

Northern Sydney Local Health District is one Sydney’s largest public health services, whic home to reputable and respected hospitals s as Royal North Shore, Ryde, Manly, Mona V and your new home at Hornsby.

The MHICU provides a best practice service for patient exhibiting challenging and complex behaviours and mental illnesses.

This facility has on-site child care and many more centres located close by, as well being located close to major transport hubs.

Contact us NOW!

For more information about this position, please contact Martyn Wilson - Senior Nurse Manager ectorate currently has a range of exci�ng posi�ons for our new Hornsby Ku-ring-gai redevelopment. O Ph: 0422 001 221 orposi�ons. email martwils@nsccahs.health.nsw.gov.au pists, and various administra�ve

Page 16 | www.ncah.com.au

me for Mental Health care provision. This new 47 bed facility houses an Adult Acute Ward, Child and A

And all nurses, not just mental health nurses, have an integral role to play.

job done – when you are looking after people’s physical needs.

With nurses at the grassroots of health care provision throughout rural and regional Australia and across all health settings, the ACMHN knows how vital it is to educate nurses about the comorbidity of mental illness and chronic disease, and to equip nurses with the knowledge and skills to identify and better manage patients with mental health issues.

“Looking after their mental health needs is a really important part of being a nurse.”

“In a lot of ways, nurses are the gateway for people to receive mental health treatment,” says ACMHN professional development senior project officer Peta Marks.

“I think when we all learn about nursing and learn about holistic nursing, we understand there is that connection…but sometimes that can get a bit sidelined when you are working in a really busy place and focused on getting the

In the next few months, the ACMHN will launch its first series of online resources focused on chronic disease and mental health, which will enable nurses to attract continuing professional development points.

The free eLearning program will feature five 20-minute topics focused on the four chronic disease areas of cancer, cardiovascular disease, diabetes and respiratory disease.

The modules are aimed at providing nurses with the knowledge and the skills to identify and assess mental illness and mental issues in patients living with chronic diseases, support patients with chronic diseases to manage continued following page

Unit Manager 3 - MHICU

e of ch is such ale

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Your New Role This is a Nurse Unit Manager level 3 position that will see you manage and lead a dynamic multi-disciplinary team in the 12 bed Mental Health Intensive Care Unit at Hornsby Hospital. The MHICU is a tertiary referral service. You will drive best practice patient care and be responsible for service provision, delivery and management with your new team.

The Hornsby Lifestyle Come enjoy the tranquil settings of Hornsby Ku-ring-gai and become part of a team that will help you to reach your goals. We offer tailored opportunities for career and educational development, as well as an array of leave options to achieve real work/life balance.

To deliver our vision and to continue providing world class healthcare, we embrace the following values: Respect and Dignity, Teamwork, Safety, Fairness and Equity, Care and Compassion, Honesty and Accountability

You will be a dynamic nurse leader responsible for a medium-sized nursing and allied health workforce. As part of your role be involved rolesyou onwill offer in- in planning and evaluation of the service with the Clinical Director

Adolescent Ward, and

Nursing Careers Allied Health - Issue 12 | Page 17

co-existing mental illness and mental health issues while maintaining good mental health.

The program will also help nurses to work effectively and collaboratively with patients, carers, other health professionals and service providers to provide integrated care to patients.

The expert reference group behind the program includes Commonwealth Chief Nurse and Midwifery Officer Dr Rosemary Bryant and representatives from the ACMHN, including CEO Kim Ryan, the Australian Diabetes Educators Association, National Mental Health Consumer and Carer Forum, Australian Practice Nurses Association, National Mental Health Consumer and Carer Forum, Australian Cardiovascular Nursing College, Congress of Aboriginal and Torres Strait Islander Nurses, Thoracic Society of Australia and New Zealand, CRANAplus and Cancer Nurses Society of Australia.

The steering committee also involves representatives from the Mental Health Professionals Association, Australian College of Nursing, ACMHN board and MHPOD (Mental Health Professional Online Development).

Ms Marks, who has worked in mental health nursing for more than 20 years and runs a small, private practice, says the online resources are unique, delivering a case-based program providing CPD developed by nurses for nurses.

The interactive program uses video vignettes with real nurses and simulated patients.

“The nurses involved in the expert reference group are all really excited about the project and feel it’s quite unique because it is casebased,” she says.

“They believe it’s going to be really well targeted towards the nursing audience.”

Ms Marks says the program, which was discussed at the recent ICN Congress held Page 18 | www.ncah.com.au

in Melbourne, has already generated interest and the college hopes to attract 10,000 nurses to the program in its first year.

“I would be thrilled if we were inundated by nurses wanting to do the program,” she says.

“Mental health is something that every nurse needs to know about.

“We don’t expect comprehensively trained nurses to be experts in mental health but everyone does have a responsibility to know the basics to identify someone who might be at risk of developing mental health issues.”

Ms Marks says the health outcomes of comorbid mental health conditions, such as anxiety and depression, for people living with chronic disease include higher morbidity rates, a lower quality of life, fewer healthy behaviours, while it is also much more difficult for the person’s carers and family members to cope with dual issues.

“Picking up on mental health issues early makes a huge difference in terms of outcome, particularly in patients with chronic disease,” she says.

“Sometimes mental health is related to the biology of what’s happening but mostly it’s related to what the person is experiencing.

“One of the difficulties is trying to work out where normal sadness or worries about chronic disease end and where those mental health problems begin.

“Just because you have got cancer doesn’t mean you should be depressed. It’s really important to know those two things don’t necessarily go hand in hand.”

Ms Marks says she hopes the program will give nurses the confidence to raise some simple aspects of mental health with their patients, and provide nurses with skills they can use in a variety of situations, such as talking to someone who is agitated.

For the full article visit NCAH.com.au

RegiSteRed ANd eNRoLLed NuRSeS CHiLd ANd AdoLeSCeNt MeNtAL HeALtH SeRviCe Do you want to balance your career and lifestyle? Are you looking for a supportive and challenging work environment? If so, employment with Hunter New England Child and Adolescent Mental Health Services (CAMHS) could be for you.

CAMHS is an integrated mental health service for children, adolescents and their families and carers. It provides inpatient, outpatient, community and specialist services.

The Child and Adolescent Mental Health inpatient unit is currently recruiting Registered and Enrolled nurses. Part and full time positions are available.

Mental health or paediatric experience is highly regarded but not essential to working in this specialty. Nurses interested in starting out in CAMHS as well as those with existing CAMHS expertise are invited to consider the change to HNE CAMHS. If you think this opportunity might be for you or would like to find out more please phone : Nurse Manager Child and Adolescent Mental Health Services 02 4985 5800 Email your expression of interest with CV to ExpressionOfInterest@hnehealth.nsw.gov.au Let your career take you on an unforgettable journey...

Nursing Careers Allied Health - Issue 12 | Page 19

Nurses and midwives rally for better pay and ratios

by Karen Keast New South Wales nurses and midwives have not ruled out resorting to industrial action in their campaign for improved ratios and pay.

New South Wales Nurses and Midwives’ Association (NSWNMA) general secretary Brett Holmes said it will be up to members to decide whether to take industrial action.

“I can’t rule out what the members will ultimately decide about that but nurses are passionate about these issues,” he said.

“They are coming to the understanding that the solution for the problem will be a political one where politicians feel enough pressure for them to want to change the legislation and the wages policy legislation, which is being used to hide behind in order not to address safer staffing levels.

“There will be further meetings of our members to decide actions and we will announce those as they get closer but politicians can expect to see nurses in their local areas much more frequently.”

The nursing and midwifery union has accused the O’Farrell Government of attempting to force a new sub-standard award on nurses and midwives through the Industrial Relations Commission.

The union’s warning comes after members recently rallied outside the electorate offices of up to 50 Liberal and National MPs across the state, calling for a government re-think.

Mr Holmes said nurses and midwives had made an impact outside MPs’ offices, voicing their opposition to the government’s “dictatorial” plan.

“Those MPs that were present and knew we were coming and hid away or closed their offices are fully aware that nurses are passionate about the issue and are not going to go away just because the government Page 20 | www.ncah.com.au

thinks it can push through those award changes,” he said.

The government has applied to the IRC to create a new award with a 2.25 per cent pay rise but no improved ratios.

Nurses are lobbying for a 2.5 per cent annual pay rise, equating to a $70 a week or $3800 per year pay rise for experienced full-time nurses and midwives.

Nurses and midwives are also calling for the introduction of compulsory minimum ratios to children’s hospitals, wards, neo-natal intensive care units and paediatric critical care units, along with compulsory minimum ratios in all hospitals, including smaller rural hospitals and multipurpose services.

For the full article visit NCAH.com.au

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Nursing Careers Allied Health - Issue 12 | Page 21

Research finds alcohol in youth predicts violence two years later

by Karen Keast Psychology researchers have discovered a link between alcohol use during early and midadolescence and violence just two years later.

Australian Catholic University researchers Professor Sheryl Hemphill and Dr Kirsty Balog, from the School of Psychology, investigated the longitudinal relationships between alcohol consumption and severe interpersonal violence among young Australians.

The study used the data of 849 Victorian adolescents, who had been followed over a five-year period from year seven until year 11 at secondary school as part of the International Youth Development Study, and found alcohol use in year seven and year nine can predict violence two years down the track.

The research also discovered a bidirectional relationship between heavy episodic drinking and violence, prompting researchers to consider further investigation of the role that social and family contexts have in influencing the relationship between alcohol use and violence.

In their report, the researchers state their findings suggest the risk processes begin in late childhood or very early adolescence, and they recommend targeting the common risk factors for alcohol and violence at this time.

those problems that we see in society and how we can improve them.”

Dr Balog, who has a background in psychological and psychophysiological research, said the study follows the release of the Australian Institute of Health and Welfare’s National Drug Strategy Household Survey in 2011, which found about one in five Australians aged 14 years or older drink at levels that put them at risk of alcohol-related disease or injury throughout their lifetime.

The AIHW survey also discovered about two in five Australians aged 14 years or older had a pattern of drinking which placed them at risk of alcohol-related injury from a single drinking occasion, at least once in the past year.

A Postdoctoral Research Fellow within the Senior Proven Researcher Team at the School of Psychology, Dr Balog completed her psychology undergraduate studies at Swinburne University and her PhD at the University of Western Australia.

Dr Balog has worked on projects focusing on substance use and mental health and her upcoming research projects will investigate problem online and antisocial behaviours among youth, such as online gambling and sexting.

Dr Balog, who is based in Melbourne, said while previous published research had found mixed results, their research showed alcohol consumption and violent behaviours impacted on the developmental periods of early to late adolescence.

“It’s such a problem in Australia really. Every news bulletin usually has alcohol and violence involved,” she said.

“Our team mission is to improve the lives of young people and to understand more about

Page 22 | www.ncah.com.au

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Nurses applaud plan to introduce school nurses

by Karen Keast Almost 300 nurses would be employed at primary and intermediate schools in low socioeconomic communities across New Zealand, under a Green Party plan.

The party has announced its $30 million plan, which would inject 280 public health nurses to care for 112,000 children in 650 schools, as part of its child poverty strategy.

Green Party co-leader Metiria Turei said children in the most deprived neighbourhoods are three times more likely to be admitted to hospital for preventable illnesses than children from the least deprived neighbourhoods.

“Nurses already do a fantastic job in low decile secondary schools and some primary schools,” she said.

“But schools shouldn’t have to dip into their operations grants to fund this service.

“Our proposal is for a formal national framework for school nursing where every child from a lower decile school can be guaranteed a basic level of care from a nurse.

“We propose engaging the profession to establish a scope of practice and model of care specific to primary school nursing.”

The New Zealand Nurses’ Organisation has welcomed the blueprint, which was one of the union’s key recommendations in its submission to the government’s Green Paper on Vulnerable Children last year.

The union, which represents more than 46,000 nurses and health workers, has called for a fulltime government-funded nurse in every early childhood centre and school across New Zealand in a bid to provide better health outcomes.

NZNO nursing policy adviser and researcher Dr Jill Clendon said locating a nurse at every school and early childhood centre would improve access to health care for children, young people and their families.

Page 24 | www.ncah.com.au

… where the nurse is able to assess and focus care on the specific needs of children and whánau in a community, health outcomes improve.

– Dr Jill Clendon NZNO Nursing Policy Adviser Dr Clendon said nurses were able to work with teachers and social workers in the facilities to provide preventative health education and can advocate, assess and provide brief intervention and referral while coordinating care for those experiencing difficulties.

Evidence demonstrates that health outcomes and access to health care for children improves with school-based nursing services, she said.

“Evidence from New Zealand shows that where the nurse is able to assess and focus care on the specific needs of children and whánau in a community, health outcomes improve,” she stated in the union’s submission.

“When the nurse at a nurse-led clinic in a primary school in Auckland focused care on education and interventions for families managing asthma, skin conditions and ear conditions, significantly decreased visitation to the city’s children’s hospital was observed for ENT services and decreased visitation was observed for general medical services for children from the area.”

Figures show every year an average of 10 children in the country die at the hands of the people closest to them while suspected abuse or neglect notifications have grown 205 per cent from 2004 to 2010.

In 2008-2009, there were 13,315 hospital admissions for children aged under five for conditions that could have been avoided and 1,286 hospital admissions for children and young people aged from newborns to 24 which were a result of assault, neglect or maltreatment.

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Nursing Careers Allied Health - Issue 12 | Page 25

Midwifery leader pioneers new era for rural hospital

by Karen Keast Hazel says it is exciting to reinstate the hospital’s birthing services, which includes the employment of at least four full-time equivalent (FTE) midwives for generalist ward work as well as six FTE midwives for Beaudesert’s group midwifery practice.

The Metro South Health hospital is also undergoing a refurbishment to overhaul the birthing facilities which have been used for other purposes in recent years, and it could soon be the first rural hospital in the state to allow access to privately practising midwives.

Hazel Brittain

“Women will be able to have a choice of having a privately practising midwife if they want to,” Hazel says.

When Hazel Brittain moved from the United Kingdom to work as a midwife in Australia, her first position was located at a hospital in the small rural Queensland town of Beaudesert.

“Many women want to birth their baby in a hospital but their midwife can’t come with them.

There are many hospitals around us who are now taking this option up.

“Maybe I had been watching too much A Country Practice in the UK,” she laughs.

“It’s exciting for women to have more options and it’s exciting for midwives as well.”

“But I love it here – I stayed here for 10 years and then I left about 13 years ago.”

An Adjunct Associate Professor at Griffith University’s School of Midwifery, Hazel is also the president of the Queensland branch of the Australian College of Midwives and was recently recognised for her leadership in the field when she was awarded the college’s inaugural Midwifery Leadership Award.

Twenty-three years after first arriving, Hazel is once again back at Beaudesert Hospital but this time as Nursing and Midwifery Director and Facility Manager, faced with the task of reinstating birthing services at the hospital before the end of June, 2014.

“I worked here as a Director of Nursing 13 years ago, when the hospital was a very busy little hospital, which had a 24-7 operating theatre running and we had about 400 to 450 babies born every year,” she says.

“The services have dwindled away a little so I am back now to help revitalise the service again. It’s a very exciting opportunity.”

Hazel briefly returned to Beaudesert in 2010 to set up the town’s group midwifery practice outreach service, which provides continuity of care midwifery services for women.

Page 26 | www.ncah.com.au

Hazel says while midwifery has come a long way in Australia, there is still more work to be done.

“I think we need more continuity models, we need more choice for women,” she says.

“We need more places to take up the privately practising midwives option, wherever women want them, and that homebirth becomes something that’s more mainstream if women want to have a baby at home and if everything is looking good.

“In the end, I would like to see women make more of the choices rather than having things thrust upon them.”

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22/05/13 10:21 AM Nursing Careers Allied Health - Issue 12 | Page 27

Nurses and midwives abandon action to turn away low-risk women

by Karen Keast Nurses and midwives have shelved industrial action which would have capped new low-risk antenatal admissions at Nepean Hospital’s Women and Children’s Service.

Nurses and midwives had planned to refer low-risk women from outside the catchment to other public hospitals amid concerns over a staff shortage of 21 full-time equivalent (FTE) midwives.

“We are ultimately trying to achieve an outcome which delivers safe patient care and we do support nurses and midwives standing up on behalf of their patients and standing up to protect their professional integrity by taking legitimate action.”

Mr Holmes said the service had endured critical staff shortages after a Birthrate Plus miscalculation.

The cap, which was expected to affect about 1000 women a year, would not have applied to current patients, new high-risk pregnancies or obstetric emergencies.

He said Nepean was operating with about 140 FTE midwives, and he said a shortage of midwives was also affecting services at Westmead and Dubbo.

The New South Wales Nurses and Midwives’ Association (NSWNMA) urged nurses and midwives not to proceed with the action after Nepean Blue Mountains Local Health District invoked the dispute clause in the award, calling for the status quo to continue until further discussions take place to resolve the dispute.

Mr Holmes said fewer universities were now offering post graduate midwifery degrees in line with the growing popularity of direct-entry three-year Bachelor of Midwifery degrees.

NSWNMA general secretary Brett Holmes said the service’s nurses and midwives believed critical staff shortages were compromising patient safety.

“With 21 vacancies it means that people are doing extra shifts, there’s a reliance on extra support from casuals and agencies but because of budget restrictions there’s a great reluctance on behalf of management to use those,” he said.

“That means that midwives believe that they are not in a position to provide the level of care that they believe the patients are deserving.

“Midwives are always very reluctant to take action that may have an impact on their delivery of services but it’s got to such a point at Nepean that they have been asking for this to be fixed since 2012.

Page 28 | www.ncah.com.au

“That leaves many people who are registered nurses who would like to go and do midwifery a smaller number of opportunities to do that,” he said.

“Ultimately, that will have a long term impact on the numbers of midwives who have dual registration and a breadth of skills across nursing and midwifery.”

Mr Holmes said many registered nurses with midwifery qualifications are also unable to fulfil their recency of practice requirements, forcing them to give up their midwifery qualifications, there was also limited availability of supervised practice, which was time consuming and unpaid, and no re-entry program in Australia for midwives.

“There does need to be a re-entry program developed for midwives so when they have been out of the workforce for those five magical years…they can get back in,” he said

Nursing Careers Allied Health - Issue 12 | Page 29

More incentives the key to boosting rural and remote nursing

by Karen Keast More incentives are needed to attract nurses and midwives to rural and remote communities across Australia, according to the Australian Nursing Federation.

The union says a shortage of highly trained nurses and midwives in hard-to-staff areas is creating increased workloads for nurses working in rural and remote communities and compromising safe patient care.

ANF federal secretary Lee Thomas said the union has called for the Federal Government to remove HECS fees in a bid to entice more graduates to work in rural and remote communities.

“Rural nurses and midwives are vital in delivering quality care throughout regional communities with often limited access to health services, yet they just don’t have the incentives to allow them to move into rural practice,” she said.

Queensland, to boost vital health services in areas where they are most needed.

“One solution the ANF has recommended is for the removal of HECS fees as an incentive for nursing and midwifery graduates to work in short staffed areas, such as rural and remote communities.”

She said the government must find funding solutions to tackle the nation’s nursing crisis, which extends to Australia’s rural and remote areas.

The comments come after the Federal Government announced a $179 million investment as part of the Rural Health Outreach Fund and the Medical Outreach – Indigenous Chronic Disease Program, to provide more health professionals and services to rural Australia.

The funding boost aims to increase access to maternity and paediatric services, eye health, mental health and support chronic disease management and equates to about 250,000 visits to doctors, nurses or allied health professionals.

The funding will be supplied to organisations, including Rural Health West in Western Australia and CheckUP Australia in Page 30 | www.ncah.com.au

Ms Thomas applauded the funding but said more needs to be done to attract nurses and midwives into high-need workforce areas.

“As Australia’s largest health union, the ANF is becoming increasingly concerned by the growing shortage of nurses and midwives and the underemployment of graduates in health and aged care,” she said.

“As a nation, we need to start building a future nursing and midwifery workforce to replace the current staff, retiring over the next 15 to 20 years, with 90,000 highly trained nurses expected to retire.

“Rural and remote communities in particular are areas of real need for highly-trained nursing and midwifery professionals.

“Unfortunately, this is leading to increased workloads for the existing nursing workforce, compromising safe patient care for rural and remote communities.”

Nursing Careers Allied Health - Issue 12

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