Ncah issue 20 2014

Issue 20 13/10/14 fortnightly

Midwifery & Maternal Feature New maternity postgraduate program focuses on wellness Psychological treatment reduces problem gambling Smaller pay rise for Queensland nurses and midwives Mental health nursing safety in the spotlight

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Nursing Careers Allied Health - Issue 20 | Page 3

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www.ncah.com.au www.ncah.com.au Issue 20 26January August Issue 13 October2013 2014 117––20 2014 Issue 17 – 26 August 2013

We hope you enjoy perusing the range of opportunities We hope you enjoy perusing included in Issue 17, 2013. the range of opportunities 20,2014.

2014.

1, included in Issue 17, 2013.

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

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The NCAH Magazine is the most widely distributed national The NCAH is the most widely distributed national nursing andMagazine allied health publication in Australia nursing and allied health publication in Australia For all advertising and production enquiries please contact For all advertising and8700, production us on +61 (0) 3 9271 email enquiries please contact us on +61 (0)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 prior written permission the publisher. with thethe Trade Practices Act 1974 ofof the publisher. Compliance thepublication Trade Practices Act 1974 of of advertisements containedwith in this is the responsibility advertisements contained in this publication is the responsibility of those who submit the advertisement for publication. those who submit the advertisement for publication.

Advertiser List Advertiser List Advertiser List Advertiser List AHNFlight Recruitment Care Australian Red Cross AHN Recruitment Ausmed CCM Recruitment International Belmore Nurses Bureau Ausmed Care StaffHealth Nursing Austra CQ Nurse Austra Health CCM Recruitment International Australian College of Nursing Education Cruises AustralianGroup College of Nursing Chadwick Employment Office International Australian Volunteers CQ Nurse Volunteers International Australian Geneva Health CCM Recruitment International First State Super CCM Recruitment International Griffith University CQ Nurse Katherine West Health Board CQ Nurse Health and Learn PRN Fitness Recruitment CRANAplus CRANAplus Miwatj Health Service Koala Nursing Agency Employment Offi ce Employment Office NSW Health - Murrumbidgee Local Health Lifescreen eNurse District eNurse Medacs Australia Kateat Cowhig Nurse Call International Kate Cowhig International Medibank Health Solutions Nursing and Allied Health Rural Locum Scheme Medacs Australia Medacs Australia Northern Sydney of Local Health District Oceania University Medicine No Roads to Health No Roads HealthHealth Rural Locum Oxford Aunts Nursing andtoCare Allied NSW Health - Illawarra Shoalhaven Scheme Queensland Health NSW Health - Illawarra Shoalhaven Oceania University of Medicine Quick and Easy Finance Oceania University of Oceania University of Medicine Medicine Oxford AuntsCare Care Smart Salary Oxford Aunts Oxford Aunts Care The Investors Club Pulse Staffing Pulse Staffing Pulse StaffiTransfer ng UK Pension Queensland Health Quick and Easy Finance Queensland Health Unified Healthcare Group Quick and Easy Finance TR7 Health University of New England Quick and Easy Finance Royal Flying Doctor Service UK Pensions Royal Flying Doctor Service TR7 Health Unified Healthcare Group TR7 Health UK Wimmera Healthcare Group UKPensions Pension Transfers UK Pension Transfers Unified Healthcare Group Unified Healthcare Group

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15/07/2014 10:58:53 AM 7 Nursing Careers Allied Health - Issue 20 | Page

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Locum Requests Now Open for 212 placements available from 1 January to 31 March 2015

Above: Mark Leddy uses the NAHRLS locum service to provide relief for his nursing staff in rural Victoria.

Following the success of the NAHRLS program and the importance of reaching the greatest area of need, they are doing things a little differently this financial year.

The NAHRLS Team have reopened their locum requests applications for the third quarter of this financial year.

This means that if your staff leave requirements fall between 1 January 2015 and 31 March 2015, you are now required to complete the online Client Job Order Form and submit your application for support on or before Friday 17th October 2014 to allow the NAHRLS team to prioritise placements for the quarter.

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There are 187 nursing and midwifery placements and 25 allied health placements available this quarter so it is important that you get your locum requests in as soon as possible.

Prioritisation of applications will take place from Monday, 20 October 2014 and successful applicants will be notified shortly thereafter.

To submit your locum support request scan the QR code and complete the online Client Job Order Form and the Team will advise if you are eligible to receive a priority placement this financial year.

For more information visit nahrls.com.au.

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Psychological treatment reduces problem gambling

By Karen Keast

A

n average of four to five sessions of psychological treatment for problem gamblers can improve gambling severity along with levels of depression and anxiety, according to new research.

Dr Jemima Petch, head of research at Relationships Australia, researched the effects of a diverse range of psychological treatments on 60 clients seeking assistance for gambling over a six-month period.

The Brisbane psychologist assessed participants for gambling severity, unhelpful beliefs around gambling, psychological distress, loneliness, alcohol problems, along with work, social and relationship issues.

Her study found 55 per cent experienced clinically meaningful improvement in their gambling behaviour, severe depression dropped from 36 per cent to 14 per cent while severe anxiety declined from 25 per cent to 13 per cent.

Dr Petch also found clients’ severely impaired work and social functioning dropped from 59 per cent to 43 per cent, while the number of clients classified as problem gamblers dropped from 95 per cent to 40 per cent at six months.

She said the study found little improvement in stress, with 30 per cent of clients self-reporting severe stress, as well as no significant improvement in relationship distress, self-reported at 62 per cent, and drug and alcohol problems.

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Miwatj Health is an Aboriginal Dr Petch, who presented her research at the Controlled Health 49thCommunity Australian Psychological Society’s annual Organisation delivery primary health conference recently, said the results were a surcare service in the East Arnhem prise.

Region in the Northern Territory.

“It did surprise me because in our clinical psychology welooking get taught lot about evWe are training currently at afilling idence-based treatments for particular several positions to complementpsychodisorders andaimed cognitive muchlogical needed services at behavtherapyof is local consistently improving iour the health peopleseen as the first treatment in Aboriginal communities withinoption,” East Arnhem Region.she said.

“Typically that treatment ranges from, the shortest I’ve seen it for gambling is Ngalkanbuy Health run Centre six hours, but more • Midwife of them are 18 to 24 • Remote Registered School Nurse hours of intervention.

• Remote RN, Paediatrics “I knew that our Gunyangara Health Centre mean session attend• Senior Remoteance Registered was a lot Nurse lower than that so I was really curious Nhulunbuy Health Centre to see how our service would • Remote RN, Chronic Disease compare to cognitive behaviour • Registered Nurse, AOD therapy types of interventions which are typically a lot longer.

If you are interested in receiving the “In an organisation such as Selection our own, the notfull Job Description and for-profit sector, we tendremote to use an eclectic mix of Criteria for these roles in Ease interventions but even they are showing that they Arnhem Land. please contact the HR work so there’s something about seeking treatDepartment on 08 8939 1900 or ment, being engaged with a professional that I email: hr@miwatj.com.au think produces positive effects not just the treatAboriginal and Torres Strait ment itself.”

Islanders to apply.

Dr Petch saidare herencouraged study found engaging problem gamblers immediately in treatment is also vital, http://miwatj.com.au with between 10 to 20 per cent of problem gamblers initially failing to attend booked sessions or attending just one session of treatment with the service.

VACANCIES

411-017 414-009 409-036 420-009 419-007 407-034 1PG FULL COLOUR CMYK PDF 412-010 408-012 418-007 417-011 415-011 416-007 413-013 As a result, Relationships Australia instead used therapists to provide on-the-spot motivational gambling therapy sessions for callers to its Gambling Help Service.

“We had experienced telephone counsellors take each and every call from problem gamblers and offer to do an intervention on the phone with them then and there, and then to book them into face to face counselling if they wanted to continue, so already they were engaged in the service before they had to come to the building.”

ow! e n t c A dlin

dea 2015 unced anno

“We found that early drop-out rate or not turning up rate has dropped by a third so it’s definitely making a difference to try to engage with them and give them access to some help immediately.”

The APS annual conference, ‘Psychology meeting society’s challenges’, featured psychologists speaking on suicide, climate change, domestic violence, eating disorders, positive psychology and anti-doping in sport.

The event was held from September 30 to October 3 in Hobart, Tasmania.

Leave a comment on this and other articles by visiting the ‘news’ section of our website: www.ncah.com.au ToThe go UK to the article “Psychological Government has announced treatment reduces problem new restrictions from next April on civilgambling” servants (NHS, Policevisit: etc.) being directly, able to transfer their pensions to http://tinyurl.com/prolz7x Australia. This may also be expanded to the private sector.

It is now still possible to transfer for If youdetail or someone you love is more contact UKPTA suffering from gambling addiction, CALL US TODAY ON (08) seek help at 9309 4001 info@ukpensionsaustralia.com.au www.gamblinghelponline.org.au

Nursing Careers Allied Health - Issue 20 | Page 11

Sponsored Article

Midwifery courses in Australia Regional Health Screening Network Expansion Provides M Opportunities for Rural Nurses idwifery is an increasingly popular career path.

There are now more than 3100 practising midwives and more than 31,200 practising nurses and midwives registered with the Nursing and n order Board to meet needs of the ever expandMidwifery of the Australia. ing insurance market, UHG has expanded To life become a midwife, you must complete a their health screening network in regional program of study that has been approved byareas the through Board. targeted recruitment of nurses.

National The Health Screening Network is the mobile While each university may offer a different entity of Unified Healthcare Group. This network program philosophy, the core content and cliniis comprised of over 150 mobile health profescal requirements remain the same, and are sionals nationally, through which over determined by the Australian Nurs160,000 services are provided for ing and Midwifery Accreditation all leading insurance compaCommittee (ANMAC). nies on a yearly basis.

There are two main Through this netpathways to becoming work Nurses, Paraa midwife in Australia. medics and PatholOne is to comogy collectors can plete a three-year work autonomously full-time Bachelor of and manage their Midwifery undergradown hours, completuate program. ing health screening Many Bachelor of services for life insurMidwifery direct-entry ance applicants. UHG programs focus on health evicurrently dispatches dence-based maternity professionals all aroundcare Ausprovided a woman-centralia whoaround are able to provide their tred modeltoand feature both theoretiservices clients, no matter how remote cal practicalis. components. theand community Programs designed to equip In recent are years, regional mininggraduates developwith thehas skills and knowledge to beinable to work ments resulted in an increase applications with women acrossofthe childbirth continuum. for life insurance those living in these regional They cover Previously topics ranging foundational communities. thesefrom insurance applianatomy and physiology to healthcare systems, cants would have to inconveniently travel into life science, maternal andmedical newborn capital cities complex to have their insurance recare, Indigenous social and emotional well-bequirements completed. ing, normal birth, medication, In direct response to thepharmacology growing needand for screening. medical requirements needing to be completed As part areas, of theUHG practical components, in regional has expanded their stunetdents may also have thehas option experiencing work of nurses.

There beenofspecific recruitament variety of settings fromof antenatal clinics and of nurses in areas Queensland, Western

I

Page 12 | www.ncah.com.au

wards to birthing units, postnatal wards, newborn nurseries and community health settings.

Some programs also promote continuity of care, otherwise known as caseload midwifery, where they enable students to follow the same Australia and Northern territory, including women throughout their pregnancy, birth andBunthe daberg, Kalgoorlie, postpartum period. Townsville, and even Alice Springs.

The second path to becoming a midwife is UHG’s Health Network expansion has had to complete a combined four-year Bachelor of a twofold effect, with both insurance applicants Nursing/Bachelor of Midwifery. reaping the benefit of having their medical reThe dual degree is designed to equip stuquirements conveniently completed at their dents with a broad range of skills across the homes or workplace, and similarly indisciplines of nursing and midwifery. creasing work opportunities to It enables graduates to nurses in these regional arwork as both a nurse and eas. midwife in a variety of The regional recruitpractice settings. ment drive has seen life The program can insurance applicants cover topics ranging have their appointfrom the principles of ments for medical nursing care through requirements comto mental health, pleted within 3 days, quality use of medirather than within 10 cines in nursing, nursdays as was previously ing management of both the case. chronic and looking older UHG illness are always people, labour and birth, at innovative ways to growand the challenges in maternity care and Network. UHG require competent, care. health professionals who well infant presented Registered nurses todeliver move ainto a believe they have what wanting it takes to supemidwifery career can alsofor pursue a rangeIfof edurior service experience our clients. you are cation pathways. interested in a position with the Health Screening Nursesplease can complete a Bachelor of MidwifeNetwork, visit www.healthscreening.com. ry, can apply to receive some credit for recauand to apply online. ognition of prior learning, or complete a Graduate Diploma or Master degree in midwifery.

A Graduate Diploma in midwifery varies between universities and can range from one year to 18 months and up to two years.

Topics such as the woman during pregnancy, labour and birth, woman and the newborn infant, contexts of midwifery practice, and clinical

418-012 419-028 420-014 1PG FULL COLOUR CMYK PDF Dr Sidebotham, a senior lecturer at Griffith challenges in maternity care and infant care are University’s School of Nursing and Midwifery, often featured in the program. says universities also vary when it comes to The Master of Midwifery enables midwives program philosophy, support for students and to advance the discipline of midwifery and prothe flexibility in the way their programs are demote excellence in midwifery practice. livered.

Students can either choose a coursework or “Those are things that students should rea research pathway through the Master, which ally question the faculty about,” she says. can take between 1.5 to 2 years to complete.

“They should ring up the program director In line with the Commonwealth’s reform of and say - what are your program values, how will the national maternity agenda, new midwifery you support me as a student, how will you enable programs are also beginning to enter the marme to meet the theoretical and clinical requireket. ments to become a midwife in your program?

Several universities in Australia are offering “Don’t just look at what the glossy brochures postgraduate programs in prescribing for midsay,” she advises. wives.

“Go to the open days, talk to the staff, try and The programs are designed to assist midtalk to students who are already in the program, wives seeking endorsement as prescribers and find out what the core values are of the program, prepares them for practice as autonomous prefind out whether this is the program that will enscribers in the Australian health care system. able you to be the midwife you want to be.”

Pharmacology of specific drugs, clinical history, physical examination, use of clinical investigations to inform prescribing choices and communication skills for effective prescribing are some of the areas covered in the prescribing programs.

Dr Mary Sidebotham, an ANMAC assessor and Australian College of Midwives’ Queensland branch vice president, says with universities differingLocations: in their approach to programs it’s Billa imporQLD - Emerald, Billa. NT - Darwin, Alice Springs tant that research midwives,Margaret their roles River. NSW - Dubbo.

WAstudents - Geraldton, Karratha, and the various settings they work in.

“If people are choosing what education pathway to take they need to be purposed in their choice - what do I want this degree for, • Solid nursing for health services (min 2yrs post grad) what job do I wantbackground to have at the end ofcheck it?

• Solid venepuncture experience for blood screening services (min 2yrs exp) “If you want to be a midwife providing con• Excellent general medical knowledge and terminology temporary evidence-based services, along with impressive time management skills • Professional presentationmidwifery and communication, the•best pathway would be to do a three-year • National Police Check undergraduate Bachelor of Midwifery program,” • ABN she says.

• “A Bachelor of Midwifery covers absolutely everything that would enable somebody to take LeaFevre theDanielle full care of woman throughout the continuum of their childbirthing journey.”

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Nursing Careers Allied Health - Issue 20 | Page 13

New maternity postgraduate program focuses on wellness

By Karen Keast

G

riffith University will launch its new suite of postgraduate programs on primary maternity care next year.

In an Australian first, the university will offer a Graduate Certificate, Graduate Diploma and Master of Primary Maternity Care in line with the Commonwealth’s maternity reform agenda, and the increasing focus on providing woman-centred care within a continuity of care model in primary care.

Dr Mary Sidebotham, a senior lecturer at the School of Nursing and Midwifery, said the program reorientates maternity care, which has traditionally been led by doctors, placed in hospitals and situated around risk in Australia.

“We are moving from a highly medicalised model to a social model of childbirth that recognises that for the vast majority of women, pregnancy and childbirth is a normal life event and it’s something that’s focused on health and a wellness model - and that’s what primary care is all about,” she said.

“This program enables people to not just reorientate their thinking but it also enables people to do a paradigm shift and to be able to actually design and deliver maternity care services that are more in line with international best practice.

“We recognised that all around the country really there are people struggling to implement the evidence and actually design their maternity services around a wellness paradigm, and pro-

Page 14 | www.ncah.com.au

vide women, consumers of services, with choice with some control and certainly with continuity.

“This program has been designed to enable people to actually design, deliver, evaluate and implement those services.”

The programs feature caseload midwifery care models, implementing Indigenous birthing, re-establishing rural birthing services, providing services for socially disadvantaged and vulnerable women, and also boosting perinatal mental health.

Dr Sidebotham, a program director of the Master of Primary Maternity Care, said the programs, which will be delivered online, are aimed at midwives and other health professionals working in the field of primary maternity care.

She said the programs also feature a range of elective courses, enabling health professionals to choose a program pathway that suits their discipline while practitioners can also choose a coursework or a research pathway.

Dr Sidebotham said the programs have generated “an enormous amount” of interest, with the university looking to take up to 40 students in the first intake.

“We are having midwives who want to move into private practice, want to take advantage of becoming eligible, setting up a business and just are not quite sure how to go about that,” she said.

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“We have had interest from people currently working in continuity of care models that want to know how to maintain and sustain and build those models…and really need that supportive framework.”

As a result of the strategic importance of the programs for the implementation of maternity service reform across Australia, Dr Sidebotham said a limited number of Commonwealth-supported places are available.

“Unfortunately we can’t allocate Commonwealth places to the Graduate Certificate but anyone who is eligible for the Masters should come and do the Masters because the cost is considerably reduced by the allocation of a Commonwealth-supported place,” she said.

“People who aren’t eligible, who don’t have a first degree, however are able through recognition of prior learning and professional achievement to apply for the Graduate Certificate in Primary Maternity Care.

yours to

discover

“We would hope that once people successfully complete the Graduate Certificate they would transition into the Master of Primary Maternity Care and complete their degree pathway.

“Any transition into the Master of Primary Maternity Care with the advanced standing of completion of the Graduate Certificate may attract the Commonwealth-supported place in the second year of the program.”

For more information visit www.griffith.edu. au/health/midwifery/what-can-i-study

Leave a comment on this and other articles by visiting the ‘news’ section of our website: www.ncah.com.au To go to the article “New maternity postgraduate program focuses on wellness” directly, visit: http://tinyurl.com/k7xxsle Nursing Careers Allied Health - Issue 20 | Page 15

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Enrolled Nurses, Registered Nurses & Registered Midwives Positions available on the Gold Coast & Outback Australia If you wish to expand the horizons of your career, whilst undertaking new challenges,then joining the Nurse at Call family of professionals is for you!

We can offer employment in facilities situated on the Gold Coast and in South Brisbane. Or, for the more adventurous, positions in the Australian outback, rural, remote and coastal locations throughout Australia are also available.

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Immediate vacancies for dual RN/RMs! The Nurse at Call family of nursing & midwifery professionals enjoy a host of benefits unmatched by other agencies, including: • Top rates of pay • Free professional indemnity insurance • Free travel & accommodation (conditions apply) • 5 star personalised service Come and see why nurses are returning time and time again and reaping the rewards that a career with Nurse at Call has to offer!

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Opportunities for Clinical Nurses (Caseload Midwives) Maternity Group Practice, Maternity Services, Rockhampton Central Queensland Hospital and Health Service The Maternity Unit at the Rockhampton Hospital is seeking applications from experienced midwives to participate in the Midwifery Group Practice. Within the caseload midwifery model, the midwife will care for the woman through her pregnancy from antenatal care, birthing and post birth home care with close connections to the obstetricians and the multidisciplinary team.

The role requires enthusiastic and dedicated midwives to provide exceptional midwifery care. This is a fantastic opportunity to be part of a highly skilled and professional multi‑disciplinary team, utilising your enthusiasm and midwifery passion for the delivery of best practice in a supportive and professional environment.

As a Clinical Midwife your role is expanded to include responsibilities of mentorship of less experienced caseload midwives with a leadership focus.

Remuneration value up to $99,031 p.a., comprising salary between $81,025 ‑ $86,796 p.a., or salary rates between $ 40.86 ‑ $43.81 p.h., employer contribution to superannuation (up to 12.75%) and annual leave loading (17.5%) (Nurse Grade 6) JAR: RK08142860. A criminal history check may be conducted on the recommended person for the job A minimum of one year midwifery experience is highly desirable for this role.

Apply now Enquiries: Elizabeth Clare (07) 4920 6843 Application Kit: (07) 4920 5621 or www.health.qld.gov.au/workforus Closing Date: Tuesday, 28 October 2014

Nursing Careers Allied Health - Issue 20 | Page 17

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REGISTERED AND ENROLLED NURSES We are looking to employ experienced Registered & Enrolled Nurses to join our prestige agency on the beautiful Gold Coast!

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New maternity postgraduate program focuses on wellness We will provide you:

By Karen Keast

• Constant support from a local, knowledgeable and friendly team • Respect from Co-workers at all facilities due to Carestaff’s unparalleled

vide women, consumers of services, with choice riffith University will launch its new suite of reputation within the industry with some control and certainly with continuity. postgraduate programs on primary mater • Above award wages, paid weekly “This program has been designed to enable nity care next year.

• Ongoing training- in accordance with industry standards people to actually design, deliver, evaluate and In an Australian first, the university will offer • A Clinical Nurse in our office to provide you with ongoing support.

G

implement those services.” a Graduate Certificate, Graduate Diploma and You be asked the following questions when you apply: The programs feature caseload midwifery Master of will Primary Maternity Care in line with the • Are you eligible reform to workagenda, in Australia? care models, implementing Indigenous birthing, Commonwealth’s maternity and • When are you available to start? re-establishing rural birthing services, providing the increasing focus on providing woman-cen • What days are you available to work? services for socially disadvantaged and vultred care within a continuity of care model We look of ourwomen, fantastic nerable andteam. also boosting in primary care.forward to meeting you and having you as part perinatal mental health.

Dr Mary Sidebotham, a Carestaff do not provide Sponsorship. senior lecturer at the School Email: recruitment@carestaffnursing.com | Phone: 0755 766255 Dr Sidebotham, a program director of the of Nursing and Midwifery, Fax: 0755 766377 | Web: www.carestaffnursing.com Master of Primary Masaid the program reoriternity Care, said the entates maternity care, programs, which will which has traditionally Page 18 | www.ncah.com.au be delivered onbeen led by doctors, line, are aimed at placed in hospitals

420-017 1/2PG FULL COLOUR CMYK PDF “We would hope that once people success“We have had interest from people currently fully complete the Graduate Certificate they working in continuity of care models that want would transition into the Master of Primary Mato know how to maintain and sustain and build ternity Care and complete their degree pathway. those models…and really need that supportive “Any transition into the Master of Primary framework.”

Maternity Care with the advanced standing of As a result of the strategic importance of the completion of the Graduate Certificate may atprograms for the implementation of maternity tract the Commonwealth-supported place in the service reform across Australia, Dr Sidebotham Fiji, mentoring midwives? Or Cambodia, developing a first second year of the program.” said a limited number of Commonwealth-supaid training program? Kick-start your career in international ported places areby available. development volunteering in Asia or the Pacific. For more information visit www.griffith.edu. au/health/midwifery/what-can-i-study “Unfortunately we can’t allocate CommonNew opportunities are now available including: wealth places to the Graduate Certificate but • Sexual & Reproductive Health Adviser - Fiji anyone who isTrainers eligible(four for roles) the Masters should • Midwifery - Fiji Leave a comment on this and other • First - Cambodia come andAid doMentor the Masters because the cost is articles by visiting the ‘news’ section considerably reduced bythe the way allocation of a ComWe’ll support you all with airfares, accommodation of our website: www.ncah.com.au and allowances. Visit redcross.org.au/volunteeroverseas or monwealth-supported place,” she said. call (03) 9345 1834 to explore your options.

“People who aren’t eligible, who don’t have a To go to the article “New maternity firstAustralian degree, however are able through recognition Volunteers is an Australian Government initiative. postgraduate program focuses on of prior learning and professional achievement wellness” directly, visit: to apply for the Graduate Certificate in Primary australianaidvolunteers.gov.au http://tinyurl.com/k7xxsle Maternity Care.

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Nursing Careers Allied Health - Issue 20 | Page 19

Midwifery courses in Australia

M

idwifery is an increasingly popular career path.

There are now more than 3100 practising midwives and more than 31,200 practising nurses and midwives registered with the Nursing and Midwifery Board of Australia.

To become a midwife, you must complete a program of study that has been approved by the National Board.

While each university may offer a different program philosophy, the core content and clinical requirements remain the same, and are determined by the Australian Nursing and Midwifery Accreditation Committee (ANMAC).

There are two main pathways to becoming a midwife in Australia.

One is to complete a three-year full-time Bachelor of Midwifery undergraduate program.

Many Bachelor of Midwifery direct-entry programs focus on evidence-based maternity care provided around a woman-centred model and feature both theoretical and practical components.

Programs are designed to equip graduates with the skills and knowledge to be able to work with women across the childbirth continuum.

They cover topics ranging from foundational anatomy and physiology to healthcare systems, life science, complex maternal and newborn care, Indigenous social and emotional well-being, normal birth, medication, pharmacology and screening.

As part of the practical components, students may also have the option of experiencing a variety of settings from antenatal clinics and

Page 20 | www.ncah.com.au

wards to birthing units, postnatal wards, newborn nurseries and community health settings.

Some programs also promote continuity of care, otherwise known as caseload midwifery, where they enable students to follow the same women throughout their pregnancy, birth and the postpartum period.

The second path to becoming a midwife is to complete a combined four-year Bachelor of Nursing/Bachelor of Midwifery.

The dual degree is designed to equip students with a broad range of skills across the disciplines of nursing and midwifery.

It enables graduates to work as both a nurse and midwife in a variety of practice settings.

The program can cover topics ranging from the principles of nursing care through to mental health, quality use of medicines in nursing, nursing management of both chronic illness and older people, labour and birth, and challenges in maternity care and infant care.

Registered nurses wanting to move into a midwifery career can also pursue a range of education pathways.

Nurses can complete a Bachelor of Midwifery, and can apply to receive some credit for recognition of prior learning, or complete a Graduate Diploma or Master degree in midwifery.

A Graduate Diploma in midwifery varies between universities and can range from one year to 18 months and up to two years.

Topics such as the woman during pregnancy, labour and birth, woman and the newborn infant, contexts of midwifery practice, and clinical

challenges in maternity care and infant care are often featured in the program.

The Master of Midwifery enables midwives to advance the discipline of midwifery and promote excellence in midwifery practice.

Students can either choose a coursework or a research pathway through the Master, which can take between 1.5 to 2 years to complete.

In line with the Commonwealth’s reform of the national maternity agenda, new midwifery programs are also beginning to enter the market.

Several universities in Australia are offering postgraduate programs in prescribing for midwives.

The programs are designed to assist midwives seeking endorsement as prescribers and prepares them for practice as autonomous prescribers in the Australian health care system.

Pharmacology of specific drugs, clinical history, physical examination, use of clinical investigations to inform prescribing choices and communication skills for effective prescribing are some of the areas covered in the prescribing programs.

Dr Mary Sidebotham, an ANMAC assessor and Australian College of Midwives’ Queensland branch vice president, says with universities differing in their approach to programs it’s important that students research midwives, their roles and the various settings they work in.

“If people are choosing what education pathway to take they need to be purposed in their choice - what do I want this degree for, what job do I want to have at the end of it?

“If you want to be a midwife providing contemporary evidence-based midwifery services, the best pathway would be to do a three-year undergraduate Bachelor of Midwifery program,” she says.

“A Bachelor of Midwifery covers absolutely everything that would enable somebody to take the full care of a woman throughout the continuum of their childbirthing journey.”

Dr Sidebotham, a senior lecturer at Griffith University’s School of Nursing and Midwifery, says universities also vary when it comes to program philosophy, support for students and the flexibility in the way their programs are delivered.

“Those are things that students should really question the faculty about,” she says.

“They should ring up the program director and say - what are your program values, how will you support me as a student, how will you enable me to meet the theoretical and clinical requirements to become a midwife in your program?

“Don’t just look at what the glossy brochures say,” she advises.

“Go to the open days, talk to the staff, try and talk to students who are already in the program, find out what the core values are of the program, find out whether this is the program that will enable you to be the midwife you want to be.”

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CPD Nurses Phone APP! Log diary to record your education www.cpdnursing.com.au Nursing Careers Allied Health - Issue 20 | Page 21

Psychological treatment reduces problem gambling

By Karen Keast

A

n average of four to five sessions of psychological treatment for problem gamblers can improve gambling severity along with levels of depression and anxiety, according to new research.

Dr Jemima Petch, head of research at Relationships Australia, researched the effects of a diverse range of psychological treatments on 60 clients seeking assistance for gambling over a six-month period.

The Brisbane psychologist assessed participants for gambling severity, unhelpful beliefs around gambling, psychological distress, loneliness, alcohol problems, along with work, social and relationship issues.

Her study found 55 per cent experienced clinically meaningful improvement in their gambling behaviour, severe depression dropped from 36 per cent to 14 per cent while severe anxiety declined from 25 per cent to 13 per cent.

Dr Petch also found clients’ severely impaired work and social functioning dropped from 59 per cent to 43 per cent, while the number of clients classified as problem gamblers dropped from 95 per cent to 40 per cent at six months.

She said the study found little improvement in stress, with 30 per cent of clients self-reporting severe stress, as well as no significant improvement in relationship distress, self-reported at 62 per cent, and drug and alcohol problems.

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Dr Petch, who presented her research at the 49th Australian Psychological Society’s annual conference recently, said the results were a surprise.

“It did surprise me because in our clinical psychology training we get taught a lot about evidence-based treatments for particular psychological disorders and cognitive behaviour therapy is consistently seen as the first treatment option,” she said.

“Typically that treatment ranges from, the shortest I’ve seen it run for gambling is six hours, but more of them are 18 to 24 hours of intervention.

“I knew that our mean session attendance was a lot lower than that so I was really curious to see how our service would compare to cognitive behaviour therapy types of interventions which are typically a lot longer.

“In an organisation such as our own, the notfor-profit sector, we tend to use an eclectic mix of interventions but even they are showing that they work - so there’s something about seeking treatment, being engaged with a professional that I think produces positive effects not just the treatment itself.”

Dr Petch said her study found engaging problem gamblers immediately in treatment is also vital, with between 10 to 20 per cent of problem gamblers initially failing to attend booked sessions or attending just one session of treatment with the service.

OLOUR CMYK PDF As a result, Relationships Australia instead used therapists to provide on-the-spot motivational gambling therapy sessions for callers to its Gambling Help Service.

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“We had experienced telephone counsellors take each and every call from problem gamblers and offer to do an intervention on the phone with them then and there, and then to book them into face to face counselling if they wanted to continue, so already they were engaged in the service before they had to come to the building.”

“We found that early drop-out rate or not turning up rate has dropped by a third so it’s definitely making a difference to try to engage with them and give them access to some help immediately.”

The APS annual conference, ‘Psychology meeting society’s challenges’, featured psychologists speaking on suicide, climate change, domestic violence, eating disorders, positive psychology and anti-doping in sport.

The event was held from September 30 to October 3 in Hobart, Tasmania.

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Nursing Careers Allied Health - Issue 20 | Page 23

Smaller pay rise for Queensland nurses and midwives More than 33,000 Queensland public sector nurses and midwives will receive a 2.2 per cent pay rise from April next year, less than the three previous years’ pay rises at 3 per cent.

The April 1 pay rise comes alongside a $500 productivity bonus set to be paid to Queensland Health nurses and midwives as part of the 2012 EB8 agreement on March 31.

Health Minister Lawrence Springborg, who recently announced the pay rise in a letter to the state’s nurses and midwives, said the 2.2 per cent wage rise was consistent with pay increases to other Queensland Health employees.

In a statement, the government said enterprise bargaining will follow the award modernisation process, which will determine whether any benefits or entitlements apply beyond 2.2 per cent.

The state’s nurses and midwives’ three-year enterprise bargaining agreement was set to be renegotiated in March but has instead been delayed until later next year.

The Queensland Nurses’ Union (QNU) labelled the pay rise substandard.

QNU secretary Beth Mohle said the pay increase falls “well under” the Consumer Price Index (CPI) recommended figure of 3 per cent.

“Our members will be shocked to learn this decision has been made without consultation or negotiation and they will certainly not put up with going backwards in terms of pay,” she said.

“This is especially the case given we negotiated 3 per cent per annum increases under the current enterprise bargaining deal and our members have worked so hard to demonstrate quantifiable productivity enhancements as part of this agreement.”

Ms Mohle said the pay rise was also made without any talks between the government and the QNU.

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“This is not industrial relations or negotiating as we know it,” she said.

“This government is ignoring long established and proven channels and has taken matters firmly into their own hands.

“Sadly, they also do not appear to comprehend the significant benefits of a collaborative approach to industrial relations.”

Ms Mohle said members believed the government’s “real agenda” was aiming to avoid a dispute with nurses and midwives in the lead up to the next state election, expected to be held between March and June next year.

“If negotiations had continued as scheduled, this would have been the third state election in a row during which negotiations were underway to improve public sector pay and conditions.’’

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Nursing Careers Allied Health - Issue 20 | Page 25

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Older people with depression more likely to fall Allied health professionals and nurses should treat depressive symptoms in older people with a combination of physical exercise and psychosocial therapies, according to new research.

The message comes after Neuroscience Research Australia (NeuRA) researchers found older people experiencing depression are at a greater risk of falling.

In a study of 488 older people aged 70 years and over living in the community in Sydney, researchers found depressive symptoms, antidepressant use, reduced balance and poor cognitive functioning are all linked to an increase in falls in older people.

Researchers found the risk of falls increased 55 per cent for participants with two of the risk factors in the study while the risk surged to 144

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per cent for participants with three to four of the risk factors.

Depression and antidepressants also increased the risk of falls independently of poor cognitive and physical functioning.

NeuRA research fellow and study co-author Dr Kim Delbaere, an emerging leading international researcher in the area of falls in older people, said with antidepressant medication linked to an increase risk of falls, health professionals should consider treating depressive symptoms using non-pharmacological approaches.

Dr Delbaere said therapies should instead focus on a combination of physical exercise, such as resistance and balance training, and psychosocial therapies, such as mindfulness.

For the full article visit NCAH.com.au

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Nursing Careers Allied Health - Issue 20 | Page 27

Mental health nursing safety in the spotlight

By Karen Keast

A

n innovative new model of conflict and containment being rolled out at many psychiatric wards in the United Kingdom has taken centre stage at the Australian College of Mental Health Nurses’ (ACMHN) conference.

Len Bowers, Professor of Psychiatric Nursing at London’s Institute of Psychiatry, discussed his research into the development of the Safewards model at the 40th international mental health nursing conference, held from October 7-9 in Melbourne.

Professor Bowers designed Safewards to improve safety for patients and staff in psychiatric wards.

The model outlines how mental health services create potential flashpoints for conflict and showcases strategies designed to empower staff to prevent, manage and contain situations before they escalate.

Professor Bowers said positive results of the Safewards trial were announced last year, with the model implemented in many psychiatric services in the UK and also sparking interest from Australia.

“More than half of the psychiatric services have committed to implementing Safewards and we know of many wards where that implementation is underway,” he said.

“However only two wards so far have posted evidence of implementing all 10 Safewards interventions.

“As for Australia, we are aware of interest from Brisbane and Tasmania, in the former case there is a declared intent to implement.”

Professor Bowers said nurses in the UK have also enthusiastically embraced the model.

Page 28 | www.ncah.com.au

“I haven’t known of a previous mental health inpatient nursing initiative that has gripped nurses’ imagination and elicited their creativity quite like Safewards,” he said.

“Safewards really works - it makes you and patient safer, what’s more it frees up loads of nursing time that can be invested in more positive activities.”

“Secondly, although it requires a little care and effort, Safewards is easy to implement, has a good fit with nursing identity, and is welcomed by patients.”

Professor Bowers said while mental health nurses often have most of the skills they need for interacting with patients, there are a few common stumbling blocks.

“Two common mistakes are to assume that we have all of them (skills), or to allow the sheer rush and pace of events on a ward to propel us into ignoring what we know,” he said.

In line with its 40th year celebrations, the ACMHN conference focused on ‘honouring the past, shaping the future’ and featured a range of international and national speakers.

For more information visit www.safewards.net

For more articles visit NCAH.com.au

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Nursing Careers Allied Health - Issue 20 | Page 29

Dietitians respond to celebrity chef attack It may focus on fresh fruit and vegetables but the Paleo diet fails to serve up all the nutrients our bodies need, as recommended in the revised Australian Dietary Guidelines (ADGs).

Instead, the Paleo diet dishes up a high protein, high fat, low carbohydrate diet with no dairy products or grains.

That’s the message from the Dietitians Association of Australia (DAA), Australia’s peak body for nutrition and dietetic professionals, in the wake of celebrity chef Peter Evans’ criticism of the DAA and the Heart Foundation over the benefits of the Paleo diet.

The chef accused the DAA of “fearmongering” through warning about the dangers of the Paleo diet.

He also attacked the organisation for continuing to back the ADG which he labelled “may be the biggest con that has even been put on a population which influences schools, childcare centres, hospitals, aged care homes”.

“This needs to be addressed for our kids and the future generations and I have no delusion that this will happen overnight and we have been chipping away slowly at this, but now, hand me the bloody sledgehammer,” Mr Evans wrote on his Facebook page.

Clare Collins, a spokesperson for the DAA and Professor of Nutrition and Dietetics at the University of Newcastle, said while the Paleo diet places an emphasis on eating a wide variety of vegetables and fruit, it promotes eating too much red meat.

“If you look at the World Cancer Research Fund’s report, the risks for bowel cancer increases once your red meat intake goes over 500 grams per week,” she said.

“Now, the Paleo promotes eating as much red meat as you like and what’s disturbing is that a lot of the images, when this is promoted on television, show very fatty meat.

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“It increases your risk for bowel cancer and the large amounts of saturated fat on fatty meats is bad for your heart.”

Professor Collins said the Paleo diet also excludes all grains and dairy.

“For Palaeolithic man, it didn’t really matter about his bones, he wasn’t living long enough to get osteoporosis,” she said.

“Omitting dairy from modern day man is crazy, you need a good source of calcium - so if you don’t drink dairy or eat yoghurt or cheese, one of the soy milks that has calcium in it or if you aren’t willing to do that then you really need to consider a calcium supplement.

“The evidence also shows that the larger your wholegrain intake, the higher your dietary fibre intake and the lower your bowel cancer risk.”

Professor Collins said much of the Paleo diet was inconsistent with the ADGs. “I was part of the membership team who undertook the 20 plus systematic reviews that looked at 55,000 abstracts, we generated 200 evidence statements that the National Health and Medical Research Council (NHMRC) used to update and revise the Australian Dietary Guidelines,” she said.

“They’re our framework, they are designed to lower health care costs, improve the dietary patterns of Australians, to improve people’s health and well-being, and we should not ignore those.”

Professor Collins said Accredited Practising Dietitians (APDs) are qualified health professionals who base their decisions and advice on scientific fact.

For the full article visit NCAH.com.au

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