Ncah issue 15 2014 by Seabreeze Communications

Issue 15 04/08/14 fortnightly

Nurse Leaders Feature Research shows suicide stigma exists in health sector. NZNO launches petition for graduate nurses FGM Learning website launched Therapeutic alliance and mindfulness in mental health assessments

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Expand your professional skills and knowledge with the exciting concept of Education at Sea. For full conference information and details please visit www.educationatsea.com.au Cardiology Care in the 21st Century South Pacific Cruise: Oct 26th - 3rd Nov 2014 Mothers, Babies and the Health Care Professional "Child Health Nurses and Midwives - Where do we fit in" South Pacific Cruise: Nov 8th - 15th 2014 Midwives On Board! 2015 Contemporary Issues In Maternity Care South Pacific Cruise: Feb 8th - 18th 2015 Dual Diagnosis: the complexity and importance of care Thailand & Vietnam Cruise: Feb 11th - 18th 2015 Diabetes and Nutrition within the Ageing Population: Personalising your approach to Prevention, Treatment and Care South Pacific Cruise: Mar 14th - 22nd 2015 The Australian College of Emergency Nursing: TNCC Trauma Nursing Core Course Seventh Edition South Pacific Cruise: Mar 14th - 22nd 2015 Perioperative Nursing South Pacific Cruise: June 8th - 18th 2015 Nurses for Nurses Network 2015 Annual Conference Western Caribbean Cruise: July 12th - 19th 2015 For conference information and bookings please visit www.educationatsea.com.au Nursing Careers Allied Health - Issue 15 | Page 3

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www.ncah.com.au www.ncah.com.au Issue 15–04 26August August2014 2013 Issue 117– –20 January 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 15,2014. 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. If you have any queries about ourcontact publication or provided. If you any queries about ourplease publication if you would likehave to receive our publication, emailor us ifatyou would like to receive our publication, please email us careers@ncah.com.au at careers@ncah.com.au

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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)306 3 9271 email 1300 5828700, 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 priorPractices written permission the publisher. with thethe Trade 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.

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Therapeutic Alliance and Mindfulness in Mental Health Assessments By Glynis Thorp

dling their workload and they had the written ass nurses how do we learn and teach therasessment complete and ready to be sent back to peutic alliance? In fact can we teach it at all? the referee immediately. Throughout the session It is such an important part of a “helping” relationthey attentively listened to every response being ship, it is difficult to get anywhere without it. sure to leave sufficient time for the person to reCarlat (2012) describes the therapeutic allispond. Without disruption they also managed to ance as a feeling that you should create over the validate my presence by asking for my opinion course of the diagnostic interview: a sense of and seeking my advice. I felt included and that rapport, trust and warmth. It is thought that creI was an important contributor to this person’s ating rapport is an art and that it can be difficult health recovery plan. I also held information that to teach. may be critical to the success of the health plan With the current trend of completing uniand was given the opportunity to mention these form assessments throughout the mental health things so they could be included in the SMART industry, clinicians need to be mindful that it is (short, measurable, achievable, realistic and important to be true to themselves so that their time-bound) goals between the clinician and the personality is able to show through. If this does person seeking assistance. not happen then they might appear to be rigid, There are considerable differences between wooden and lacking warmth, which could hinder medical history taking and psychodynamic inthe therapeutic alliance. So how does a nurse terviewing. This relates to diagnosis and treatlearn how to do this? ment. Gabbard (2014) explains that a physician One way is learning from observation and evaluating a patient for appendicitis approaches then trialling your newfound skills. If you are forthe interview with a clear mindset: diagnosis tunate enough to work with a variety of people Improve the quality of care and safety of patients in your organisation with the precedes treatment. This can also be said for a you can observe behaviours and then decide Master of Quality Services (Health and Safety) at the University of Tasmania. nurse whose responsibility it is to assess the paif they promoted an alliance or if they were not Available fully online, this is a unique new degree developed in response to tient. The dynamic psychiatrist or mental health helpful in establishing rapport. Recently I obindustry demands - a course that will open up a world of opportunities to professional approaches the interview with the served an experienced clinician who managed to experienced clinicians and health professionals like you. understanding that the manner in which the histake notes and have a meaningful interview with tory is taken may in itself be therapeutic. There is someone seeking assistance. I observed that the For more information, email: W.L.Brown@utas.edu.au or phone 13UTAS undoubtedly some therapeutic action in listening person was able to take notes but also managed and accepting the patient’s life story and validatto stop and listen to establish rapport before writApplications now open. ing that the patient’s life has meaning and value. ing. They used an iPad and were thoughtful of all One very important fact to be considered of their behaviours including keeping their fingers Tomorrow starts by a clinician conducting an assessment is that close to the keypad with no soundtoday. audible. They they are serving as a witness who is recognizalso had autas.edu.au/2014 pro forma on their| 13UTAS iPad, which then ing and grasping the emotional impact of what only required them to write minimal information. has happened to the patient. The power of this This was a very timely and effective way of han-

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411-017 414-009 409-036 407-034 1PG FULL COLOUR CMYK PDF 412-010 408-012 415-011 413-013 alone cannot be underestimated as many people do not have someone to tell their story to or come from environments where listening is not something that is done well. McHugh and Slavney (1998) explain that every person has a story, and every story has the capacity to teach something about every one of us. There are as many stories as there are lives and there are many stories within each life. As a nurse you must be interested in people’s stories, not only the technical aspects of your role. It is very important to be aware of one’s own feelings during an interview. They can give clues as to what reactions the person creates in others. In order to be able to do all of this well, the technique of mindfulness can not only be useful to teach others, but it can also help with developing a therapeutic alliance with others if you are the clinician. Mindfulness as applied to mental health assessments requires ‘mindful listening’. Mindful

listening requires that the health professional make a choice to understand and empathise with the patient. It is suggested that in mindful listening we put ourselves in the shoes of the person who is talking to us and try to see the world from line eadthis their perspective. A strategy5to dhelp is to 201 weushould ced take n pause before we speak. Ideally, o ann a few moments to pause and reflect on the question and on how we want to answer. I have observed this in prominent individuals who have to face the media regularly. They are careful to think before they speak which gives an impression of thoughtfulness. As mental health professionals, we must continually strive to create a therapeutic alliance with our patients.

o Act n

For the full article visit NCAH.com.au

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FGM Learning website launched Female genital mutilation (FGM) is estimated to affect more than 125 million girls and women around the globe. A new website provides a platform for Australia’s nurses, midwives and other health professionals caring for those affected by FGM. By Karen Keast

(ACN) have joined forces to launch a new website he World Health Organisation (WHO) defor nurses, midwives and other health professionscribes female genital mutilation (FGM) as als who work with women and girls affected by, procedures that intentionally alter or cause injury and at risk, of FGM. to the female genital organs for non-medical reaACM professional officer Sarah sons. Stewart says FGM Learning There are no health benefits www.fgmlearning.org.au for girls and women but there aims to provide a national are health repercussions. site where nurses and FGM procedures, midwives can access which are mostly Adult carLocation: Acute Mental Health Inpatient Unit, continuing professionried out on young girls Mental Health Service Group, The Townsville Hospital, al development and between infancy and Townsville Hospital and Health Service. learning resources the age of 15, can related to FGM. cause severe bleedFurther your experience here. Major modern regional facility. It also enables ing Opportunities and problemsand rewards with attractive conditions/benefits offered. health professionals with Why urinating, cysts, make the move? Townsville is the largest urban centre north of the to network with one aninfections and infertility Sunshine Coast, yet offers a relaxed tropical/coastal lifestyle as the gateway other, providing as well as childbirth comto the Great Barrier Reef. Enjoy local attractions such as beaches, rivers, a forum they can share plications and an increased wetlands and national parks whilst benefiting from all thewhere conveniences of rerisk of newborn city livingdeaths. — culture, fine dining, and bustling nightlife.sources and professional supThe procedures, which are Salary Details: Remuneration value up to $123 431ports. p.a., comprising salary “The professional development area recognised as a violation of human rights, between $99 606 - $108 182 p.a., employer contribution to superannuation includes resources we find mostly women in the countries in Africa (upaffect to 12.75%) and29annual leave loading (17.5%) (Nursethat Grade 7).that have anything to do with educating health professionals and the Middle East where FGM is concentrated. Abilities/Duties: Operationally lead, manage and be the single point of about FGM - it could be anything from e-learning It’s estimated around 120,000 migrant womaccountability for operational matters within the Adult Acute Mental Health capacities that health professionals can access en inInpatient Australia Unit. have undergone the practice in online through to conferences being held,” she their country of birth but FGM procedures are Enquiries: Tony Swain (07) 4433 3083. says. also believed to be taking place on Australian Joband AdbyReference: TV138775. “Then we’ve got learning resources that can shores Australians overseas. be accessed at any6771 time - reports or journal arNSW community services minister Pru Application Kit: www.smartjobs.qld.gov.au or (07) 4750 ticles. Goward this year told ABC Radio there’s anecdoClosing Date: Sunday, 24 August 2014 (applications will “Every time we come across a journal article tal evidence show the is “more comremain tocurrent forpractice 12 months). that we think will be of use to a nurse or a website mon than the reports would suggest”. health • people that has really good resources for midwives, those Now, the• care Australian College of Midwives sort of artefacts will be linked onto the page. (ACM) and the Australian College of Nursing

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Page 12 | www.ncah.com.au

“The third area is general information and that’s all sorts of artefacts from where you can go and find a certain piece of legislation that would be appropriate right through to fact sheets or posters.” Ms Stewart says the website brings together a raft of information for health professionals.

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Nursing Careers Allied Health - Issue 15 | Page 13

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are setting up a program for women.” Ms Stewart says FGM Learning aims to provide nurses and midwives with a reliable knowledge source to inform the care they provide to FGM affected women and girls. The end result is all about improved health outcomes, she says. “We want to provide the best care we can and even if you only care for one woman with “It’s important because there is a lot of FGM in 10 years - it’s such a personal thing, it can concern about FGM and there’s a lot of rehave such a huge impact on women,” she says. ally good work across Australia being done “You want to do the best job you can for that in all areas, not just in health but in all areas woman. certainly community groups as well.” “There’s the ongoing physical implications, the psychological and spiritual and cultural - it’s “But certainly in health with nursing and midnot just a quick injection. wifery and with medicine, the problem we have in “It’s an issue that impacts on every aspect of Australia is that people work in silo. the woman’s life.” “Not only do we not know what’s going on Health professionals wanting more informabut we’re not very good at sharing either and tion or to submit resources can email Ms Stewart there’s no central point where health professionLocation: Rehabilitation Mental Health Services, at sarah.stewart@midwives.org.au or Kathleen als can go. Mental Health Service Group, Townsville, McLaughlin at the Australian College of Nursing “Hopefully this website will bring together all on kathleen.mclaughlin@acn.edu.au. these things that are going on across coun- Service. Townsville Hospital and the Health try.” Salary Details: Remuneration value up to $149 668 p.a., comprising salary The website, while still in its infancy, is deof $131 177 p.a., employer contribution to superannuation (up to 12.75%) signed to highlight what resources exist and are and annual leave loading (17.5%) (Nurse Grade 9 [2]). being developed as well as identifying any areas Duties/Abilities: Accountable for leadership, innovation and excellence of need and opportunities for collaboration. inMsthe continuum of care for Rehabilitation Mental Health Services across Stewart says the website aims to curate multiple sites. Manage the operational delivery of clinical services in learning resources as part of a wider, health secpartnership with the relevant Clinical Medical Director. Be accountable tor collaboration. for the administration, direction and control of the asset management and is something we are particularly proud fi“That nancial management of one or more of the relevant cost centres in the of - that we’re working across organisations and Leave a comment on this and other program stream. Assist the Nursing Director (Grade 9 [3]) in the provision articles by visiting the ‘news’ across state barriers to do something that can of leadership of professional nursing services within the Mental Health section of our website: facilitate thisGroup. kind of collaboration is really quite Service exciting,” she says. Enquiries: Michael Catt (07) 4433 3088. www.ncah.com.au “Also, it’s not a place where people can go to Job Ad Reference: TV138793. say - I’m caring for this woman, what should I do? To 6771 go to the article Application or (07) 4750 “It’s not that Kit: kind www.smartjobs.qld.gov.au of a clinical question and “FGM Learning website launched” answer site, it’s more about sharing the learning Closing Date: Sunday, 24 August 2014 (applications will directly, visit: resources that people away and work remainsocurrent forcan 12 go months). with them either to educate themselves. http://bit.ly/1ulbQX8 health care •bepeople “Or they• might wanting to use policies or articles or research in their care or maybe they

Research shows suicide stigma exists in health sector By Karen Keast Well-presenting people who have survived a suicide attempt have encountered dismissive and negative attitudes in the health sector, according to the results of new research. SANE Australia, a national mental health charity, and University of England research found judgemental attitudes still exist among some allied health professionals, nurses and doctors when it comes to treating people who have attempted suicide. SANE Australia suicide prevention manager Sarah Coker said the study showed some health professionals had assumptions about how those who have survived suicide should present. “There were a few people who talked about because they were actually quite articulate and well-presented that they weren’t taken as seriously,” she said. “People thought - you can’t be that unwell, you look fine, you’ve got a successful job and a supportive family. “Even though they were talking about feeling suicidal or having recently attempted suicide, they weren’t always then referred into a mental health service or a hospital and they felt that they weren’t taken seriously. “So there’s almost a stigma that comes with looking quite well even though internally you’re not doing that well.” Ms Coker said the results came as a surprise. “This is recent research, this is people talking about the last few years,” she said. “Although I think there’s been a lot of progress, I think that there are still pockets out there where people perhaps don’t get the care that they should. “Health services are very stretched and I think everybody understands that but when somebody

Page 14 | www.ncah.com.au

has attempted suicide, that’s a time when people really do need care and support and need to be taken seriously.” As part of the study, 31 people from across Australia who have made an attempt on their life were asked to reveal their experiences, any support, whether they had talked to their family and friends about the attempt, and what helped or hindered their recovery. Eighty-seven per cent of participants said they were diagnosed with at least one mental illness while 15 reported one or more suicide attempts and 11 reported multiple attempts throughout their lives. Triggers included symptoms of mental illness, a lack of professional support, being bereaved by suicide, and drug and alcohol use. “There were lots and lots of examples where people tried to access supports, usually at hospitals where they had trouble actually either being admitted in the first place or staying in as long as they felt they needed - they felt they were discharged too early,” Ms Coker said. The research also challenged perceptions that suicide is ‘a selfish act’, with many survivors stating they made the attempt because they felt they were a ‘burden’ and believed their family and friends would be ‘better off’ without them. Ms Coker said health professionals need to be understanding of people’s pain and their experiences when it comes to attempted suicide. “I think that we need to reduce the stigma associated with suicide, so that people are more likely to go and get help and they feel that they will be heard and helped in that situation,” she said.

For the full article visit NCAH.com.au

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Associate Nurse Unit Manager Operating Suite (Grade 3B) • Perioperative Services / Mercy Hospital for Women • Full time 76 hours/fortnight (Part time negotiable) Mercy Health is a Catholic organisation employing over 5,000 people who provide compassionate and holistic care through our acute hospitals, aged care facilities, mental health programs, palliative and respite services, maternity and women’s health services, early parenting services and home care services. An opportunity exists for a motivated and experienced Registered Nurse with Post Graduate qualifications in Perioperative nursing, to become part of our leadership team. Our unit caters for women who require specialist surgical care in Obstetrics, Urogynaecology, Reproductive Medicine, Gynaecological Oncology, Endosurgery and General Gynaecology. As a highly organised and motivated team member, you will possess excellent clinical and interpersonal skills coupled with a strong customer care focus. This is a fantastic opportunity to join an award winning organisation and take the next step in your career. Attractive salary packaging benefits and a wide range of health and wellbeing initiatives are available. Enquires to: Louise Alexander, Nurse Unit Manager, Perioperative Services on 8458 4108 Quote Ref No: MHW 04 Applications Close: Friday 15 August 2014

For more information and to apply, please visit careers.mercy.com.au Nursing Careers Allied Health - Issue 15 | Page 15

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Dual Registered Midwife – Grade 2 PERMANENT FULL / PART TIME POSITIONS AVAILABLE 2.2 EFT We are seeking Dual Registered Midwives to join our professional team to provide antenatal, birth suite, postnatal, special care nursery, general surgical, medical and paediatric care. The positions include working a rotating 7 day, 24 hour roster with a requirement to work on call for night duty once per month. There is an opportunity to work within our midwifery domiciliary service and proposed antenatal program. Key Responsibilities include: • • • • •

Deliver patient focused Midwifery and Nursing care Work in a supported multidisciplinary team Promote evidence based Midwifery/Nursing practice. Provision of antenatal, birth room, postnatal and Level 2 special care nursery, general surgical, medical and paediatric care Current dual AHPRA registration as Midwife and Registered Nurse.

Attractive benefits offered by the organisation include: • Salary packaging, • Professional development and education programs, • Employee Assistance Program, • Comprehensive orientation program. • Accrued Day Off (full time employees only) • Flexible rostering • Opportunities for career progression • Free parking • Relocation costs will be considered and may be negotiated This is a great opportunity to work in a diverse clinical environment and join a reputable rural health service dedicated to the provision of quality patient centred care and to meet the needs of the community. For more information about these positions contact Hilton Jones, Nurse Unit Manager, Yandilla Ward on (03) 5381 9256 or email: hilton.jones@whcg.org.au. To download a position description and apply on-line, please go to www.whcg.org.au. Applications addressing the key selection criteria and resumes including the names of two professional referees should be forwarded by email to recruitment@whcg.org.au. Wimmera Health Care Group is committed to equal employment opportunity. Pre-employment check: All applicants must be willing to undertake a police check prior to commencement of employment. Page 16 | www.ncah.com.au

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Clinical Nurse Consultant - Palliative Care Permanent Part Time - 64hrs/fortnight An opportunity exists for a Clinical Nurse Consultant to lead our Palliative Care team. The preferred candidate will be able to strategically lead and develop Palliative Care at WDHS. A strong ability to provide clinical advisory and direction and to effectively develop our Advanced Care Planning strategy are essential requirements in this role. To be considered for this role you must be a registered nurse with post graduate palliative care qualifications and/or considerable experience in this field. To view the position description or to apply for this role, please visit our career’s page http://www.wdhs.net/careers/careers to submit your application. Excellence in Healthcare – Putting People First

Page 18 | www.ncah.com.au

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OPPORTUNITIES IN GALWAY IRELAND The Galway Clinic is a leading 146 bed, state of the art private hospital situated on the outskirts of Galway with a satellite Clinic in Limerick. Accredited by the Joint Commission International since 2007, the Galway Clinic is a leader in the application of new technology to a healthcare setting. The hospital has a wide range of services including six Theatres, five Inpatient Units, Emergency Care, Day care, Oncology, Radiology, Radiotherapy, Cardiothoracic Surgery, Robotic Surgery, ICU and Cardiac Cath Lab. RN Vacancies: Med/Surg, CCU, Cardiac Cath Lab, Theatre, ICU, Interventional Radiology Senior Nurse Vacancies: Clinical Nurse Manager - Oncology, Clinical Nurse Specialist Respiratory. Assistance with An Bord Altranais registration provided if required. To apply please email: Dawn Jenkins (dawn@ccmrecruitment.com.au) or Raquel Mitchell (raquel@ccmrecruitment.com.au) Free Phone AUS: 1800 818 844 or NZ: 0800 700 839 or +61 2 9328 1218

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EXPRESSIONS OF INTEREST Allied Health Roles For over 100 years Silver Chain has been changing and improving lives, today we are one of the largest community health and care providers in Western Australia (WA). The Country Services Division in WA is currently developing its Allied Health Service and need passionate Allied Health Professionals to become a part of this growth. Current Vacancies: Physiotherapist - Albany. Senior Allied Health Professional - Kalgoorlie. If you are passionate, dedicated and want to make a difference to Australian communities then please visit silverchaincareers.org.au today. You can make a difference. Nursing Careers Allied Health - Issue 15 | Page 19

(ACN) have joined forces to launch a new website he World Health Organisation (WHO) defor nurses, midwives and other health professionscribes female genital mutilation (FGM) as als who work with women and girls affected by, procedures that intentionally alter or cause injury and at risk, of FGM. to the female genital organs for non-medical reaACM professional officer Sarah sons. Stewart says FGM Learning There are no health benefits www.fgmlearning.org.au for girls and women but there aims to provide a national are health repercussions. site where nurses and FGM procedures, Location: Acute Mental Health Inpatient Unit,midwives can access which are mostlyAdult carHealth continuing professionriedMental out on young girls Service Group, The Townsville Hospital, al development and between infancy and Townsville Hospital and Health Service. learning resources the age of 15, can Further your experience here. Major modern regional facility. related to FGM. cause severe bleedOpportunities and rewards with attractive conditions/benefits offered. It also enables ing and problems make cysts, the move? Townsville is the largest urban centre north healthof the professionals withWhy urinating, Sunshine Coast, yet offers a relaxed tropical/coastal lifestyle as the gateway to network with one aninfections and infertility to the Great Barrier rivers, a forum other, providing as well as childbirth com- Reef. Enjoy local attractions such as beaches, wetlands and national parks whilst benefiting from all thewhere conveniences they can of share replications and an increased city living — culture, fi ne dining, and bustling nightlife. sources and professional suprisk of newborn deaths. The procedures, which are Salary Details: Remuneration value up to $123 431 ports. p.a., comprising salary betweenas$99 606 -of$108 p.a., employer contribution to superannuation “The professional development area recognised a violation human182 rights, (upaffect to 12.75%) annual leave loadingincludes (17.5%) (Nursethat Grade 7). that have anyresources we find mostly women inand the 29 countries in Africa thing and to dobewith healthofprofessionals andAbilities/Duties: the Middle East where FGM is concentrated. Operationally lead, manage theeducating single point about FGM it could be anything e-learning It’s estimated around 120,000 migrant womaccountability for operational matters within the Adult Acute Mentalfrom Health capacities that health professionals can access en Inpatient in Australia Unit. have undergone the practice in their country of birth but FGM procedures are Enquiries: Tony Swain (07) 4433 3083. online through to conferences being held,” she says. also believed to be taking place on Australian Joband Ad by Reference: “Then we’ve got learning resources that can shores AustraliansTV138775. overseas. beor accessed at any time - reports or journal arNSW community services minister Pru Application Kit: www.smartjobs.qld.gov.au (07) 4750 6771 ticles. Goward this year toldSunday, ABC Radio anecdoClosing Date: 24there’s August 2014 (applications will “Every time we come across a journal article tal evidence to show the is “more comremain current forpractice 12 months). that we think will be of use to a nurse or a website mon than the reports would suggest”. health • care • people that has really good resources for midwives, those Now, the Australian College of Midwives sort of artefacts will be linked onto the page. (ACM) and the Australian College of Nursing

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are setting up a program for women.” Ms Stewart says FGM Learning aims to provide nurses and midwives with a reliable knowledge source to inform the care they provide to FGM affected women and girls. The end result is all about improved health outcomes, she says. “We want to provide the best care we can and even if you only care for one woman with “It’s important because there is a lot of FGM in 10 years - it’s such a personal thing, it can concern about FGM and there’s a lot of rehave such a huge impact on women,” she says. ally good work across Australia being done “You want to do the best job you can for that in all areas, not just in health but in all areas woman. certainly community groups as well.” “There’s the ongoing physical implications, the psychological and spiritual and cultural - it’s “But certainly in health with nursing and midnot just a quick injection. wifery and with medicine, the problem we have in “It’s an issue that impacts on every aspect of Australia is that people work in silo. the woman’s life.” “Not only do we not know what’s going on Health professionals wanting more informabut we’re not very good at sharing either and tion or to submit resources can email Ms Stewart there’s no central point where health professionat sarah.stewart@midwives.org.au or Kathleen als can go. Location: Rehabilitation Mental Health Services, McLaughlin at the Australian College of Nursing “Hopefully website will bring together Mental this Health Service Group,allTownsville, on kathleen.mclaughlin@acn.edu.au. these things that are going on across the counTownsville Hospital and Health Service. try.” Salary Details: value up to $149 668 p.a., comprising salary The website, while Remuneration still in its infancy, is deof $131 177 what p.a.,resources employerexist contribution to superannuation (up to 12.75%) signed to highlight and are and annualasleave (17.5%) (Nurse Grade 9 [2]). being developed well asloading identifying any areas Duties/Abilities: Accountable of need and opportunities for collaboration.for leadership, innovation and excellence in the continuum of careaims for toRehabilitation Mental Health Services across Ms Stewart says the website curate multiple sites. Manage the health operational delivery of clinical services in learning resources as part of a wider, secpartnership with the relevant Clinical Medical Director. Be accountable tor collaboration. for the administration, directionproud and control of the asset management and “That is something we are particularly fi nancial management of one or more of Leave the relevant cost centres in the of - that we’re working across organisations and a comment on this and other program stream. Assist the Nursing Director articles (Grade 9by[3]) in the provision visiting the ‘news’ across state barriers to do something that can of leadership of professional nursing services within the Mental Health section of our website: facilitate this kind of collaboration is really quite Service Group. exciting,” she says. Enquiries: Michael Catt (07) 4433 3088. www.ncah.com.au “Also, it’s not a place where people can go to Ad Reference: TV138793. say -Job I’m caring for this woman, what should I do? To go to the article Application Kit: ofwww.smartjobs.qld.gov.au or (07) 4750 6771 “It’s not that kind a clinical question and “FGM Learning website launched” answer site, it’s more Sunday, about sharing the learning Closing Date: 24 August 2014 (applications directly, will visit: resources so that people away and work remain current forcan 12gomonths). with them either to educate themselves. http://bit.ly/1ulbQX8 health carebe • people “Or they •might wanting to use policies or articles or research in their care or maybe they

NZNO launches petition for graduate nurses By Karen Keast The New Zealand Nurses Organisation has launched a petition calling for the government to fund a one-year nurse entry to practice program for all new graduate nurses. The NZNO petition comes amid concerns large numbers of graduate nurses are failing to secure work in a clinical setting due to a limited number of Nurse Entry to Practice (NEtP) program places while employers are also seeking candidates with experience. In the latest ACE employment round only 233 of the 645 applicants secured jobs - leaving 412 new graduate nurses without jobs. NZNO associate professional services manager Hilary Graham-Smith said the petition, launched on July 21, has already received thousands of signatures and many supportive comments. “The comments tell the story both of new grads who have been unsuccessful in applying through ACE and struggling to find work and students who are worried about their job prospects,” she said. “Parents, partners and family members have also taken the opportunity to sign the petition and express their concern for the future of the nursing workforce.” In the petition, Christchurch final year student nurse Sasha Boiko said graduate nurses need to be given a chance. “Please make our voices heard - we can advocate, protect, prevent, manage and respect,” she said. “We need a chance to start growing in skills and become not a drop in the ocean, but a river full of strength, force and maintenance of human life.” Ms Graham-Smith said every new graduate

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nurse should be supported and mentored in their first year of nursing. “NZNO believes this is vital,” she said. “The first year in practice is a time of growing skills and confidence and learning to practice as an RN.” Ms Graham-Smith said new graduates who gain employment outside of the NEtP program are often placed in unsafe clinical environments without the support of an experienced RN - from night duty on their own in rest homes with hospital beds to being the only RN on day shift responsible for unregulated staff.

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Only 50 Australian Government funded nursing and midwifery placements remain for this financial quarter

Above: Mark Leddy uses the NAHRLS locum service to provide relief for his nursing staff in rural Victoria. Over 70% of our nursing and midwifery placements have been awarded to eligible health services around Australia for this financial quarter. This means that the NAHRLS programme will be supporting over 130 nurses and midwives to take leave between 1 July and 30 September 2014. There are only 50 placements remaining for this period so if your staff require leave between 1 July and 30 September 2014, complete the NAHRLS online Client Job Order Form and submit your application

for support today. But be quick, placements are filling up fast. NAHRLS has continued funding by the Australian Government to fill 750 nursing and midwifery locum placements from July 2014 which is divided into each financial quarter until June 2015. All applications undergo prioritisation before each quarter commences. For more information scan the QR code or visit nahrls.com.au.

Nursing Careers Allied Health - Issue 15 | Page 23

Therapeutic Alliance and Mindfulness in Mental Health Assessments By Glynis Thorp

s nurses how do we learn and teach therapeutic alliance? In fact can we teach it at all? It is such an important part of a “helping” relationship, it is difficult to get anywhere without it. Carlat (2012) describes the therapeutic alliance as a feeling that you should create over the course of the diagnostic interview: a sense of rapport, trust and warmth. It is thought that creating rapport is an art and that it can be difficult to teach. With the current trend of completing uniform assessments throughout the mental health industry, clinicians need to be mindful that it is important to be true to themselves so that their personality is able to show through. If this does not happen then they might appear to be rigid, wooden and lacking warmth, which could hinder the therapeutic alliance. So how does a nurse learn how to do this? One way is learning from observation and then trialling your newfound skills. If you are fortunate enough to work with a variety of people you can observe behaviours and then decide if they promoted an alliance or if they were not helpful in establishing rapport. Recently I observed an experienced clinician who managed to take notes and have a meaningful interview with someone seeking assistance. I observed that the person was able to take notes but also managed to stop and listen to establish rapport before writing. They used an iPad and were thoughtful of all of their behaviours including keeping their fingers close to the keypad with no sound audible. They also had a pro forma on their iPad, which then only required them to write minimal information. This was a very timely and effective way of han-

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dling their workload and they had the written assessment complete and ready to be sent back to the referee immediately. Throughout the session they attentively listened to every response being sure to leave sufficient time for the person to respond. Without disruption they also managed to validate my presence by asking for my opinion and seeking my advice. I felt included and that I was an important contributor to this person’s health recovery plan. I also held information that may be critical to the success of the health plan and was given the opportunity to mention these things so they could be included in the SMART (short, measurable, achievable, realistic and time-bound) goals between the clinician and the person seeking assistance. There are considerable differences between medical history taking and psychodynamic interviewing. This relates to diagnosis and treatment. Gabbard (2014) explains that a physician evaluating a patient for appendicitis approaches the interview with a clear mindset: diagnosis precedes treatment. This can also be said for a nurse whose responsibility it is to assess the patient. The dynamic psychiatrist or mental health professional approaches the interview with the understanding that the manner in which the history is taken may in itself be therapeutic. There is undoubtedly some therapeutic action in listening and accepting the patient’s life story and validating that the patient’s life has meaning and value. One very important fact to be considered by a clinician conducting an assessment is that they are serving as a witness who is recognizing and grasping the emotional impact of what has happened to the patient. The power of this

alone cannot be underestimated as many people do not have someone to tell their story to or come from environments where listening is not something that is done well. McHugh and Slavney (1998) explain that every person has a story, and every story has the capacity to teach something about every one of us. There are as many stories as there are lives and there are many stories within each life. As a nurse you must be interested in people’s stories, not only the technical aspects of your role. It is very important to be aware of one’s own feelings during an interview. They can give clues as to what reactions the person creates in others. In order to be able to do all of this well, the technique of mindfulness can not only be useful to teach others, but it can also help with developing a therapeutic alliance with others if you are the clinician. Mindfulness as applied to mental health assessments requires ‘mindful listening’. Mindful

listening requires that the health professional make a choice to understand and empathise with the patient. It is suggested that in mindful listening we put ourselves in the shoes of the person who is talking to us and try to see the world from their perspective. A strategy to help this is to pause before we speak. Ideally, we should take a few moments to pause and reflect on the question and on how we want to answer. I have observed this in prominent individuals who have to face the media regularly. They are careful to think before they speak which gives an impression of thoughtfulness. As mental health professionals, we must continually strive to create a therapeutic alliance with our patients.

For the full article visit NCAH.com.au

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New nursing jobs at Townsville Hospital Eighty graduate and experienced nursing jobs will be created as part of 200 new positions at Queensland’s Townsville Hospital this financial year. The hospital added 16 full-time equivalent (FTE) nursing positions during 2013 to its 2500 nursing workforce and now plans to add an extra 80 nursing positions. The employment boost comes after the Townsville Hospital and Health Service cut 197 FTE positions in 2012 as part of a service redesign. The hospital and health service has now secured funding for new services, and after adding 178 positions to its ranks in 2013, it plans to add a further 200 jobs throughout 2014-15. In a statement, the health service has confirmed around 80 of the new positions will be graduate and experienced nurses. “There are vacancies in a range of specialties now, and the new services making up the 80 new vacancies are sub-acute, paediatric intensive care, paediatric oncology, short-stay day surgery and operating theatres,” it states. Chief executive Julia Squire said the increases are funded and sustainable. “It means there is more stability for staff, more and better care for patients and growth for the Townsville economy,” she said. “That’s a three-way win - for patients, staff and the wider community, and I am truly delighted about that.”

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

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London paramedic campaign to land Down Under The London Ambulance Service will arrive on Australian shores in September as it ramps up its campaign to recruit Australian paramedics. The ambulance service, one of the world’s busiest which receives around 4000 calls a day, hopes to interview and assess up to 245 Aussie paramedics when it flies a team to visit Melbourne, Sydney, Adelaide and Brisbane from September 8-19. The Australian visit comes after the service announced earlier this year it wanted to recruit Australian and New Zealand paramedics in a bid to bridge its paramedic shortage. “We’re looking to recruit paramedics from Australia where the skills and training closely match those in the UK,” service operations director Jason Killens said in a statement. “We’ll be in Sydney, Adelaide, Melbourne and Brisbane for interviews and assessments but medics need to apply now.” Mr Killens said successful candidates will experience fast-paced work in a range of diverse settings. “This month alone, we’ve treated patients at music concerts in Hyde Park, Tour de France, which came through London, and after a collision between a barge and a river bus on the Thames, and hot-weather related incidents amongst just some of our thousands of calls.”

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As part of its recruitment campaign, ‘London - no ordinary challenge’, the service hopes to fill about 250 vacancies for registered paramedics, and is recruiting paramedics from Northern Ireland and Australia. Australian paramedics who secure jobs with the service will be required to complete a short conversion course enabling them to treat patients in the UK. The service wants to employ more paramedics to meet year-on-year increases in demand and its campaign is also a move towards employing more registered health care professionals to oversee patient care. Paramedic candidates are being offered support with their application, visa and relocation costs, while the service will also cover the Health and Care Professions Council paramedic registration fee. Verity Reinke is one former Aussie paramedic who has joined the ranks of the service’s 3300 frontline staff at 70 ambulance stations across 620 square miles. As one of the faces of the recruitment campaign, Ms Reinke describes moving from Adelaide to London as “an incredible change”. “There are better opportunities for career progression here than anywhere else and being exposed to more diverse cases and more exciting challenges is really improving my clinical skills,” she said. “Nothing can beat the experience of working in this city - it’s busier, faster and more exciting than anywhere else.” The London Ambulance Service will visit Sydney from September 8-9, Adelaide from 1213, Melbourne from 15-16 and Brisbane from 18-19. To apply visit www.noordinarychallenge.com

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NURSE Unit UNIT Manager MANAGER Nurse

WOMEN’S AND Operating Theatre/CSSD/DPU CHILDREN’S Benalla, Victoria UNIT Sale, Victoria

Take up the opportunity to become a valued member of a dedicated team Central Gippsland Health Service (CGHS) is a subregional health service and which provides excellent person centred care to theincommunity. the major provider of health and aged care services the Wellington Shire. We

serve an immediate population of approximately 42,000 in Central Gippsland,

and reach a wider community in East Gippsland and parts of innovation South Gippsland Benalla Health offers a work environment that encourages and in terms of more specialized services such as perinatal services, critical excellence. They support staff to achieve best practice outcomes forcare our and surgery. The Women’s & Children’s Unit is located at the Sale campus of CGHS. community by ensuring that all obstetric staff hasservices, access to an innovative The Unit provides perinatal and Level 2 neonatal education care as well program. If youand believe that youbyhave skillsofand experience to be a as paediatrics is supported a fullthe range services. charismatic we invite you to apply for this position. Reporting toleader the Director of Nursing, the Nurse Unit Manager, Women’s and Children’s Unit operates in a complex environment characterised by a need:

Due to the retirement of the current incumbent, Benalla Health are seeking a • To work as part of a large multidisciplinary team that provides services across a broad suitably qualified Nurse Unit Manager for their Theatre Department. The range of acute, emergency, inpatient, outpatient, rehabilitation, palliative, primary successful needservices to be a resilient, highly motivated leader, who health andapplicant communitywill support can demonstrate the capacity to communicate with precision and manage • To provide leadership and management support for unit staff; change whilst being mindful of operational and staffing needs. • To balance competing priorities and work demands and to identify and respond Additional posttograduate qualifications Perioperative management appropriately critical and urgent clinicaland needs; experience would be advantageous. • To support the management team in appropriately prioritising patient need and to operate efficiently and effectively with a view to meeting community needs and Benalla Health are committed to service; offering employees: providing a financially sustainable

• To understand and operate in a work environment driven by the need to meet clinical Work/Life balance options; • quality and safety guidelines; and • • To work Short term accommodation options; closely and in collaboration with internal and external stakeholders. • To beAccess to a team of experienced professionals; considered for the position you will: • • Be A supportive learning environment; a Registered Nurse and Midwife holding current registration with the Nursing and •

Midwifery Board of Australia;

Access to professional development; and

• Hold relevant postgraduate qualification/s and or technical qualifications or working and • towards Salary Packaging incl. Remote Area Housing for eligible staff. • Have membership of relevant professional college/organization.

Applications Close: AHPRA Friday 22nd Augustwith 2014 Applicants must hold current registration an eligible work permit for Australia Applicants must hold current AHPRA registration with an eligible work

permit for Australia W: www.ahnr.com.au W:E: www.ahnr.com.au E: ahnr@ahnr.com.au T: 1300 509 ahnr@ahnr.com.au T: 1300 981981 509 Nursing Careers Allied Health - Issue 15 | Page 29

Pay offer infuriates paramedics

aramedics are “infuriated” at the state government’s latest pay offer as the dispute over wages and conditions enters its 23rd month, the Ambulance Employees Association Victoria says. Premier Denis Napthine and Health Minister David Davis recently announced a new offer including a $3000 sign-on payment for full-time paramedics, a six per cent wage increase for 2014, with a three per cent wage rise for 2015 and another three per cent increase earmarked for 2016. AEAV general secretary Steve McGhie labelled the new offer a stunt designed to “con” the public. “It’s infuriated our members even more so,” he said. “The members are tired and they are weary in regard to a two-year campaign and they are annoyed it’s taken this long but they are there for the long haul. “They’re in it to make sure that paramedics in this state are respected and paid appropriately in comparison to other states. “They were tired and a little bit of campaign fatigue had set in but with what the government did last week with their public announcement, I think it’s shaken them up a bit and they’ve come out with all guns blazing.” Mr McGhie said the union is concerned at the proposed dates for the pay rises. “We think they’re too far into the future,” he said. “They have got an expiry date on the proposed agreement of November 2017 - that causes us some concerns.

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“The reason for that is the current agreement expired on November 2012, so even though effectively they are portraying it as a three year agreement it goes over a five year period. “It’s a 12 per cent wage increase over five years not over three years because they have missed out on three years of wage increases effectively, because their last wage increase was August 2011.” Mr McGhie said the union also refuses to agree to the government’s proposal to remove union facilitation clauses from the agreement. “That means paramedics having delegates represent them at agreement meetings and disciplinary meetings and things like that, trade union training, all of those things they want removed,” he said. Another main sticking point is the government’s proposed rural relieving model for paramedics, Mr McGhie said. “They want to be able to move paramedics around rural areas of the state just to fill vacancies, not by agreement, by compulsory moving them, if they give them appropriate notification,” he said. “That could mean rural paramedics could be sent hundreds of kilometres away from where they would normally work, even kept away from their family because of the type of roster they’ll be sent to work on and we say there’s no agreement to that. “If people want to do it by agreement we’re happy for that but not to make it compulsory against every rural paramedic - our members are just up in arms about it.”

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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 • Nurse Leadership and Management

• Critical Care • Cardiac Care • Continence • Neurology • Practice nursing

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

Nursing Careers Allied Health - Issue 15

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The employment experts for Nurses around Australia Specialising in a range of permanent & temporary roles for Nurses & Midwives in Australia and across the world. If you are a Nurse and/or Midwife seeking a new permanent opportunity or you have an interest in a contract position in regional, rural or remote locations across Australia then we would love to hear from you so we can discuss your options. We always have a range of exciting permanent or temporary nursing/midwifery opportunities available!

For more information please call our nursing recruitment team today!

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