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NurseClick M AY 2 0 16

School nurses: Health care beyond the classroom

Monitoring innovation in nursing and midwifery

Promoting self-management in chronic disease care

Virtual networking: Members breaking down barriers

In this edition






In focus @ACN

Policy @ACN

Adjunct Professor Kylie Ward FACN, CEO of ACN

The latest health care news

Health Budget 2016-17

School nurses: Teaching healthy habits beyond the classroom





26–28 October 2016

Vital Signs

Events @ACN

In focus @ACN

Membership @ACN

Monitoring innovation in nursing and midwifery

Call for abstracts closes this week!

Promoting self-management in chronic disease care

Virtual networking: Breaking down barriers in the Qld West Region




Events @ACN

Events @ACN

Membership @ACN

NMBA update

Community & Primary Health Care Nursing Week

ACN Nursing & Health Expo Melbourne

Meet ACN's new Fellows

Renew your registration by 31 May


Welcome Adjunct Professor Kylie Ward FACN, CEO of ACN

FREE Publishing details Publisher Australian College of Nursing

Welcome to the May edition of NurseClick. It has been a busy month for the Australian College of Nursing (ACN) so far, particularly with the Federal Budget announcements on 3 May. I was pleased to see that the package includes many promising health care initiatives, but concerned that many of the proposals are inadequate in meeting the need for health reform and funding. See ACN’s Budget response and breakdown on p7. I am excited to present a new column ‘Vital Signs’. Compiled by ACN Nurse Educator Trish Lowe MACN, this regular commentary is our chance to highlight the innovation and leadership that exists within the nursing and midwifery professions. If you know of any outstanding models of care or individual achievements within our field, I encourage you to share them with us. It is great to see our Community of Interests (COIs) sharing their expertise. Key Contact for ACN’s Chronic and Complex COI Thea Ogle MACN discusses the important role nurses can play in delivering patient-centred education programs in her article, ‘Promoting self-management in diabetes and other chronic disease care’. Last month, I had the privilege of participating as a guest speaker in the first virtual networking event for ACN’s Qld West Region, facilitated by the Region’s Key Contact Anne-Marie Goes


MACN. With many technical, geographical and time constraints conquered, Anne-Marie has kindly shared her experience and let us in on what has worked best for the group so, hopefully, other Regions can emulate its energy and efficacy. We recently welcomed two nurse leaders, Karina So FACN and Dr Elizabeth Emmanuel FACN, to ACN Fellowship. Karina and Elizabeth have shown an outstanding commitment to the profession and it is a privilege to be able to acknowledge and profile their achievements. I would also like to acknowledge the passion and commitment of our Members and Fellows who volunteered their time and expertise at ACN’s Nursing and Health Expo in Melbourne on 16 April. It was wonderful to see so many current and aspiring health professionals taking advantage of the valuable information offered in the seminars and from exhibitors. Following its inaugural success last year, we will again be celebrating the contribution of nurses in our communities for Community and Primary Health Care Nursing Week, 19–25 September. One of the ways we are asking people to get involved is through contributions to our Community and Primary Health Care Nursing Week: Nurses where you need them eBook. If you have a story to share that highlights the vital role nurses play in our communities, I encourage you to send in a submission.


Editors Karina Piddington Wendy Hooke Designers Nina Vesala Emma Butz Enquiries t 02 6283 3400 publications@acn.edu.au © Australian College of Nursing 2016 The opinions expressed within are the authors’ and not necessarily those of ACN or the editor. No part of this publication can be reproduced without permission from ACN. Information is correct at time of print.

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All files marked ‘file photo’ or credited to iStock are representative only and do not depict the actual subjects and events described in the articles. Cover image: iStock photo ACN publishes The Hive, NurseClick and the ACN Weekly eNewsletter.

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In the news Nat ional Researchers find an antibody that slows the spread of common cancers

New cancer data released

Australian scientists have unveiled a new development in immunotherapy that is set to pave the way for future cancer treatments. Researchers at the QIMR Berghofer Medical Research Institute in Brisbane have found that an antibody can slow the growth of common cancer cells.

The Australian Institute of Health and Welfare has released a new web report, Cancer web pages update 2016, which presents key data for 13 key cancers, all cancers combined and cancer in Indigenous Australians. For all cancers combined, the number of new cases of cancer diagnosed increased from 47,445 in 1982 to 122,093 in 2012.

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Half of older Australians living with disability

Supplements found to boost effectiveness of anti-depressants

Just over half (50.7%) of Australians aged 65 and over reported living with disability in 2015, compared to one in 8 (12.5%) aged under 65, according to new data published by the Australian Bureau of Statistics (ABS). First results from the 2015 Survey of Disability, Ageing and Carers show that almost 4.3 million (18.3%) Australians reported having disability.

Four nutritional supplements could make a big difference to the effectiveness of anti-depression medication, an international study by University of Melbourne researchers and colleagues from Harvard has found. Read more

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Aboriginal and Torres Strait Islander smoking rate drops below 40% For the first time the rate of smoking among Aboriginal and Torres Strait Islander people has dropped below 40% and a third of those who have previously smoked have now successfully quit, new data shows. However, the rate remains much higher than non-Indigenous Australians and it is unlikely the gap will close any time soon. Read more 4

One in four aged over 60 missing vaccines

Some hospitals spending twice per patient compared to others

Suppliers Guide hospitalsuppliers.com.au

In 2013–14, the running costs of public hospitals was $44 billion. This represented the largest proportion of the $154.6 billion that was spent on health by all governments, insurers and patients. The National Health Performance Authority has released a report which measures the efficiency of individual hospitals by calculating the cost of delivering a notional “average” service at each hospital. Read more

New 'parechovirus' can cause brain damage in babies, research shows

More than a quarter of older Australians are not having any of the vaccinations recommended for their age group. Health professionals are urging people 60 and over to check their vaccination records after a new poll found 28% of people aged 65–69 weren't up to date. Only 4% had been immunised against shingles and just a third for 33% for pneumonia. However, 70% had received an influenza jab.

A new virus that put 80 Australian babies in hospital can cause developmental delays and brain damage, leading doctors have found. New research has found more than half of the babies who had parechovirus in 2013 and 2014, went on to have developmental problems 12 months later.

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Are you looking to broaden your skills? RDNS offers a range of clinical, professional and wellbeing courses to suit your needs.

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World Gene therapy reverses sight loss and is long-lasting

Flu jabs 'more effective in morning' Morning flu jabs provoke a stronger immune response than those given in the afternoon, a study shows. The trial at 24 doctors' practices found people vaccinated before lunch produced the most defensive antibodies. The University of Birmingham team suggested immunising people in tune with the body's natural rhythm could be a cheap way to save lives.

A genetic therapy has improved the vision of patients who would otherwise have gone blind. A clinical study by British scientists has shown that the improvement is long-lasting and so the therapy is suitable to be offered as a treatment. The researchers will apply for approval to begin trials to treat more common forms of blindness next year.

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El Niño affects more than 60 million people A warming of the central to eastern tropical Pacific Ocean, El Niño 2015–2016 is affecting more than 60 million people, particularly in eastern and southern Africa, the Horn of Africa, Latin America and the Caribbean, and the Asia-Pacific region. Severe drought and associated food insecurity, flooding, rains, and temperature rises due to El Niño are causing a wide range of health problems, including disease outbreaks, malnutrition, heat stress and respiratory diseases. Read more

Zika Has Spread to 43 Countries The Zika virus is continuing to spread around the globe, as health responders scramble to contain outbreaks and understand the effects of the virus, including serious brain defects like microcephaly. The World Health Organization recently warned that there is potential for a “marked increase” in the number of infections, including in Europe and the U.S. Read more


Photo: CDC Global

WHO launches new vaccine swap to eradicate the last few strains of polio

Childhood obesity skyrockets in rural China

Health teams in 150 different countries have launched a vaccine switch in what they hope will be the final push against polio. The World Health Organisation (WHO) has said it is changing its strategy to eradicate the debilitating disease by tackling certain strains of the disease in hard-to-reach areas rather than conducting a mass immunisation programme.

The number of overweight and obese children in rural China has soared, a new study has revealed. In the 29 years from 1985 to 2014, researchers have found that obesity rates have increased 17% for boys and 9% for girls between the ages of 7 and 18. Data was collected from 28,000 students living in rural areas of the eastern province of Shandong, and found that the issue has been rapidly increasing without cessation.

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Dementia rates are falling dramatically – but only for one gender As people live longer, many fear that there will be a rise in dementia cases. But the so-called “dementia time bomb” may not be as severe as once thought. A study, published in Nature Communication, confirmed that dementia rates have been falling – by an average of around 20% over a 20-year period. But the average masks are a more interesting trend: the reduction was predominantly observed in men. Read more

UK medical body backs e-cigarettes A major British medical organisation has called for the promotion of e-cigarettes as a safe alternative to smoking – a move at odds with Australian medical experts and authorities. The Royal College of Physicians on Thursday released a report concluding e-cigarettes were likely to be beneficial to UK public health, insisting their use should be encouraged. Read more

Postgraduate Certificate courses The Australian College of Nursing’s postgraduate courses are designed specifically for nurses and midwives by nurse educators. We offer a range of accredited graduate certificate courses that deliver advanced knowledge and clinical expertise. Our graduate certificate courses are available online, studied over four terms of ten weeks each. They have a strong clinical focus and include leadership subjects that help you prepare for a leadership position in your chosen specialty.



Aus tr alian C ollege of Nur sing update

Free entry!


ACN Grants and Awards opening 17 May The Australian College of Nursing (ACN) offers a number of grants each year for nurses to undertake research or CPD activities. ACN Fellows and Members are eligible to apply for all awards. Applications for the following grants will open on 17 May 2016 for study in 2017. The Sul Stuart-Fraser Scholarship: Funding to complete the ACN Graduate Certificate in Perioperative Nursing, beginning January 2017. There are two scholarships which are for ACN members or fellows only. Laura Saunderson Fund: Funding for continuing education for nurses working in aged care within Western Australia. Four scholarships available $1,000 each. Not restricted to ACN members. The ‘Ollie’ Nurse Practitioner Scholarship: Offered, in collaboration with the Australian College of Nurse Practitioners (ACNP), to a nurse practitioner for the purpose of growing the body of knowledge on the nurse practitioner role in Australia. Value $5,000 for ACN or ACNP Members or Fellows only. The Maylean Jessie Cordia Memorial Scholarship: In collaboration with the Cordia family, this scholarship offers a registered or enrolled nurse an opportunity to further his or her professional development in a chosen specialty area of nursing. Value $800 for ACN Members or Fellows only. For more details on all of ACN’s awards please refer to the ACN Grants and awards fact sheet. For further information email ACNgrants@acn.edu.au or call 1800 061 660.




ACN expresses serious concerns over fragmented health care in immigration detention centres In light of the tragic chain of events that contributed to the death of young asylum seeker Hamid Khazaei, as revealed by the Four Corners program, the Australian College of Nursing (ACN) reiterates its views on the health care of people in onshore and offshore Australian Immigration Detention Centres. ACN also has grave concerns regarding the moral and ethical rights and obligations of the healthcare professionals providing care. Four Corners has highlighted the inadequacies in the clinical management and delayed transfer of this young man, which played a significant role in his death. ACN advocates for the provision of equitable health care that includes culturally appropriate holistic health care. Access to comprehensive health care should be available to all persons regardless of visa status. Read the full media release here.

The May CPD deadline is almost here! See which CPD short courses are coming up near you by clicking on your state or territory below: ACT








You can also register for email updates to keep informed about what’s coming up near you.

Important dates: 8 May: National Nursing Forum Call for Abstracts closes 12 May: I nternational Nurses Day, ACN National Nurses Breakfast 17 May: ACN Grants and Awards open 31 May: Nurse and midwife registration renewal due 4 June: Term 3 enrolments close for all July commencing Graduate Certificate courses

Attend the Expo to expand your nursing and health career! Sunday 19 June 2016 8.30am – 1.30pm Perth Convention & Exhibition Centre With thanks to the support of

In focus @ACN

Health Budget 2016 -17 The Australian College of Nursing (ACN) welcomes the 2016-17 Federal Health Budget announcements that included some promising new initiatives in an otherwise conservative budget package. While these announcements are encouraging, they fall well short of meeting the need for continued health systems reform including new approaches to funding, innovative models of care and greater utilisation of the health workforce to improve service reach and impact. ACN reiterates it is essential to invest in nurse leaders to drive transformational change in the health and aged care system. The following is a summary of the health announcements in the 2016-2017 Federal Budget. For further information see acn.edu.au and the Budget website.

Budget Snippet s SAVINGS MEASURES • Aged Care Provider Funding – further revision of the Aged Care Funding Instrument The government will achieve savings of $1.2 billion over four years through changes to the scoring matrix of the Aged Care Funding Instrument (ACFI) that determines the level of funding paid to aged care providers. The government will also reduce indexation of the Complex Health Care component of the ACFI by 50 per cent in 201617 and establish a $53.3 million transitional assistance fund to support providers. Savings to be redirected elsewhere in the health portfolio. • 7

• Medicare Benefits Schedule – pause on rebate indexation extended The government will achieve savings of $925.3 million over two years from 1 July 2018 by extending the pause on indexation of Medicare Benefits Schedule fees for all services provided by general practitioners, medical specialists, allied health and other health practitioners until 30 June 2020.

SPENDING MEASURES • Aged Care Provider Funding – improving the targeting of the viability supplement for regional aged care facilities The government will provide $102.3 million over four years from 201617 to target the aged care viability supplement more effectively to areas of greatest need by replacing the current outdated remoteness classification system with the more up to date Modified Monash Model. This will bring the viability supplement into line with other health programs. • Healthier Medicare – trial of health care homes The government will provide $21.3 million over four years from 201516 to trial the Health Care Homes model of coordinated primary health care, which was recommended by the Primary Health Care Advisory Group’s Report — Better Outcomes for People with Chronic and Complex Health Conditions. The trial will support eligible primary care providers to deliver coordinated care, management and support to approximately 65,000 voluntary participants with chronic and complex conditions. Funding will be provided to health care practitioners by redirecting fee

for service payments for Chronic Disease Management Medicare items for participating patients. An evaluation of the impact of the pilot on improving participant health outcomes and reducing avoidable hospitalisations will be considered in 2018. • Home and Community Care Services in Western Australia – continuation The government will provide $392.9 million over two years from July 1, 2016, to continue the National Partnership Agreement for Home and Community Care services in Western Australia. The National Partnership Agreement (NPA) provides funding for entry-level community care services that support older people, and younger people with a disability, and their carers to remain living in their own homes and communities. The extension of the NPA will allow for continued negotiation to transition Western Australia Home and Community Care services to the Commonwealth Home Support Programme, in line with other states and territories. • My Aged Care – My Aged Care contact centre The government will provide $136.6 million over four years from 201617 to support the operation of the My Aged Care contact centre. The funding will assist the contact centre to meet the significant increase in demand for assistance from customers interacting with the aged care system. • Scholarships The government has outlined plans to improve access to training scholarships for health professionals through the delivery of scholarships by a single agency to the health workforce for the 2017 academic year. It is

Photo by Michael Coghlan on flickr

encouraging that the government has reaffirmed their commitment to health scholarships as outlined in the previous year’s budget. This is a positive step towards the continuing development of nursing education and upskilling the future nursing workforce. ACN looks forward to seeing further detail on the implementation of a grants program for clinical practice. Read ACN’s full budget response and breakdown at acn.edu.au

Policy @ACN

School nurses: Teaching healthy habits beyond the classroom By Anita Pak, Liza Edwards MACN and Stefan Wythes

Nurses employed throughout Australia’s education system play an integral role in promoting and supporting healthy communities and the well-being, development and education of children within the school environment. The role also plays an invaluable part in ensuring children have the greatest chance of experiencing positive health outcomes later in life. School nurses are employed in both government and private primary and secondary school settings across metropolitan, rural and regional areas of Australia. The role is multifaceted and, at times, brings with it unique challenges. This includes assisting children with chronic and complex health conditions, children who come from culturally and linguistically diverse backgrounds and children whose circumstances are often complicated by societal issues such as poverty and family violence (Council on School Health 2008). As a health professional within the school system, the school nurse may also lead the development of school health policies. The scope of the school nurse encompasses a variety of areas and is vital not only in the identification, treatment and monitoring of health problems, but in preventative health. School nurses are well placed to contribute to the prevention of chronic illness at a young age. This is of particular importance when managing lifestyle conditions, especially in light of Australia’s increased rates of childhood obesity, with an estimated 1 in 4 (25%) of children and adolescents aged 5-17 being overweight or obese (Australian Institute of Health and Welfare 2016).


School nurses also play an integral role in improving asthma awareness in the education setting and highlighting the importance of early identification, which is well known to help prevent exacerbation of the condition. In Australia asthma management in schools is undertaken in accordance with asthma management plans and the school nurse often takes a proactive role in the long term care of students. School nursing services also help raise awareness of health problems amongst students, teachers and staff through health promotion, education and counselling. They play an important role in facilitating the referral of students experiencing health problems to appropriate health professionals vital in supporting what evidence suggests is a direct link between the health of children and their ability to learn (Bach 2011, American Academy of Paediatrics Council on School Health 2008). As an integrated part of the community and experts in prevalent environmental health issues, nurses play an important role in identifying actual and potential environmental health problems within the school and are able to interact with relevant health authorities to initiate management. Nursing services within school communities are perfectly placed to reduce the socio-economic divides that often influence the ability of children to access adequate health care. Students who are socio-economically disadvantaged often rely solely on school nurses for the provision of health care. All states and territories in Australia have different employment pathways for nurses pursuing a career in school nursing. For example, the Primary School Nursing Program (PSNP) in Victoria employs close to 76 full-time registered nurses (RNs) to provide care across 1750 state, catholic and independent primary

schools (Australian Nursing Federation 2008). The program functions as part of the wider community network of health and support services and aims to provide health checks, including vision and hearing assessments, for children starting school. Assessments are offered to all entrant students and to students where parent, teacher or the nurse expresses a concern. All students are offered health promotion and education activities (Australian Nursing Federation 2009). Similarly, the Victorian Secondary School Nursing Program (SSNP), initiated by the Department of Human Services in April 2000, employs 100 RNs across approximately two-thirds of Victorian government secondary schools with the program

targeted to Victoria’s most disadvantaged schools (Daly, Speedy & Jackson 2010). Nurses from a diverse range of professional backgrounds, including community health, midwifery, paediatrics and mental and adolescent mental health, are employed into the program (Department of Education, Training and Employment 2013). Likewise, the Australian Capital Territory (ACT) developed a School Youth Health Nurse (SYHN) program in 2009 dedicated to delivering primary health care in high schools. The program is guided by a Memorandum of Understanding (MOU) between the health and education departments. The program involves a team of RNs working with school principals, student welfare team members

Policy @ACN and senior members of the education department to tailor the care plans according to school needs, with each nurse allocated two schools to cover (Banfield, McGorm & Sargent 2015). Funding allocation for school nurses differs between each State and Territory and school type. For example, in Queensland, the allocation of nursing positions in public schools is determined by the state Department of Education, Training and Employment Workforce Modelling Unit, with the distribution of nurses prioritised by student need. If a state school chooses to employ a school nurse using school funds the Regional Clinical Nurse Consultant must be involved in the recruitment, selection and professional supervision of the RN. Many public and independent schools choose to employ an RN in a school nursing role to perform nursing roles outside of and in addition to nurses employed by the Department of Education (Department of Education, Training and Employment 2013). Health education and promotion in the secondary school setting is vital in helping young people learn how to care for themselves, make healthy lifestyle choices and plays a significant role in preventing or minimising negative health outcomes by focusing on relevant topics such as sexual health, drug and alcohol use and mental health (Victoria State Government 2013). It also provides the opportunity for nurses in the education setting to liaise with students, parents and teachers. Sonya Peters MACN, a school nurse working in South Australia, said school nurses had autonomy and a large scope of practice. “What makes the role great is knowing you have made someone’s day better,” she said. “The best thing is when a year 12 student leaves and you know you have supported them all the way, and then they come back and thank you for the effort you made”.


“Nursing services within school communities are perfectly placed to reduce the socio-economic divides that often influence the ability of children to access adequate health care.” Internationally, Finland is leading the way in which it is addressing health care within the school community. For example, Finland has recognised that most factors that influence the issue of childhood obesity lie outside the health sector and highlighted this in its Health and All Policies approach within the Health Care Act. National policy means that schools have an active role in teaching healthy eating habits. Under the Finnish Nutritional Recommendations 2014 this includes the provision of a healthy school lunch, reduced access to high fat and sugary foods in school vending machines, as well as taxes on sugary foods and drinks. Most importantly, each municipality has a school nurse which provides a yearly health examination and personalised health care advice. The initiative has been successful with the rate of obese and overweight five-year-olds dropping from 20% to 10% in the six years between 2009 to 2015 (World Health Organisation (WHO) 2015). The school environment can help promote health and well-being messages. School nurses function as leaders in their community. As a health professional within the school system, the school nurse may act as a leader in the development of school health policies. School nurses in Australia play an invaluable role in the provision of health services and ensuring children have the greatest chance of positive health outcomes at the earliest instance in life. References: American Academy of Paediatrics Council on School Health , Magalnick, H & Mazyck, D 2008, Role of the school nurse in providing school health services, Paediatrics, vol. 121, 5, pp. 1052-6. Asthma Australia 2016, Statistics, viewed 18 April 2016 <http://www. asthmaaustralia.org.au/nsw/about-asthma/what-is-asthma-/statistics> Australian Institute of Health and Welfare 2016, Who is overweight, viewed 18 April 2016 <http://www.aihw.gov.au/who-isoverweight/#children>

Australian Nursing Federation 2009, Primary Health Care in AustraliaA nursing and midwifery consensus view, April 2009, viewed 18 April 2016 < http://anmf.org.au/documents/reports/PHC_Australia.pdf> Australian Nursing Federation 2008, Submission to the House of Representatives Standing Committee on Health and Ageing, Inquiry into Obesity in Australia, viewed 18 April 2016 < http://www.aph.gov. au/Parliamentary_Business/Committees/House_of_representatives_ Committees?url=haa/./obesity/subs/sub103.pdf> Bach 2011, Healthier students are better learners: A missing link in school reforms close the achievement gap, Journal of School Health, vol 81, no. 10, pp. 593-598. Banfield M, McGorm K & Sargent G 2015, Health promotion in schools: a multi-method evaluation of an Australian School Youth Health Nurse Program, BMC Nursing, vol 14, 21, viewed 1 April 2016 < http:// bmcnurs.biomedcentral.com/articles/10.1186/s12912-015-0071-0>

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Council on School Health 2008, Role of the school nurse in providing school health services, Paediatrics, vol 121, no 5, pp. 1052-1056. Daly J, Speedy S & Jackson D 2010, Contexts of nursing: an introduction, Elsevier Australia, Victoria, Australia. Department of Education, Training and Employment 2013, Education Queensland Nursing Services- The Role of the Education Queensland Registered Nurse- A Practice Model, viewed 18 April 2016 <http:// education.qld.gov.au/studentservices/learning/disability/specialists/ docs/eq-nursing-booklet.pdf> Victoria State Government 2013, School Nurses, viewed 1 April 2016 < http://www.education.vic.gov.au/school/teachers/health/Pages/ nurses.aspx> World Health Organisation (WHO ) 2015, Finland curbs childhood obesity by integrating health in all policies, viewed 18 April 2016 < http://who.int/features/2015/finland-health-in-all-policies/en/>

ACN would like to thank Sonya Peters MACN, registered general nurse, registered mental health nurse, for her contribution towards this article. Sonya is a school nurse living in South Australia. She oversees a school of 1600 R-12 students with boarding of 120. 45% of the students are international, with some originating from regional and remote areas.

Read the latest in nursing research and practice in ACN’s digital journal, Collegian. Access to the peer-reviewed publication is free for all ACN Members via the Life Long Learning Program portal, 3lp.acn.edu.au

Visit www.collegianjournal.com

In focus @ ACN

Vital Signs

Monitoring innovation in nursing and midwifer y By Trish Lowe MACN

Trish Lowe MACN

It has been said that ‘necessity is the mother of invention’ though no specific individual can be specifically attributed to this expression. Suffice it to say that humans have paid homage to this point of view since Plato – the most likely source – wrote Republic in 380 BC.

"Here is your opportunity to lead, inspire and inform." Barbara Jordan, the first African American woman elected to the Texas Senate (1966), managed to expand the concept, when she said ‘we do not reject our traditions, but we are willing to adapt to changing circumstances, when change we must’, reinforcing that innovation and change are essential to force conversion and optimise outcomes.

Apple Inc. co-founder Steve Jobs declared that ‘innovation distinguishes between a leader and a follower’ – and who could argue! How often have you heard of an innovative care model, attended a conference and been enthralled by a new development, or felt inspired by a client or colleague and felt compelled to act?

Trainers and Assessors

Well here is your opportunity to lead, inspire and inform.

do you meet the new Adult learners’ LLN requirements?

In this regular column, we will disseminate information about innovative nurse or midwifery led models of care, highlight the significant achievements of individual nurses and midwives and promote the academic and professional achievements of our students and colleagues.

In the ever-changing and diverse work environment, plus with the growing numbers of Assistants in Nursing in the workforce, being

language, literacy and numeracy skills, offered by The Australian College of Nursing (ACN).

able to address issues in language, literacy and numeracy skills is becoming more and more challenging. The National Foundation Skills Strategy for Adults (2012) requires that all trainers working in the Australian VET system have the skills and knowledge to support the development of adult learner language, literacy

This single unit of competency can be completed as a stand-alone unit via distance or face to face learning. Completing it will allow you to recognise core language, literacy and numeracy demands when conducting training and assessment. The cost is $275.00* and the

Just as vital signs indicate proof of life, so innovative models of care attest to the life, passion and commitment apparent within the nursing and midwifery profession. We hope you agree that the play on words is apt, when viewed in that context. Please email your ideas to patricia.lowe@acn.edu.au

and numeracy requirements. If you hold a Certificate IV in Training & Assessment completed prior to 2014, you may need to update your qualification to include the unit of competency TAELLN411 Address adult

unit is offered 7 times per year. For more information go to www.acn.edu.au/rto or call our Customer Service team on 1800 265 534 * Subject to change

Advancing nurse leadership 10


Events @ACN

Don’t miss your chance to be a par t of the Forum – call for abstracts closes this week! We are thrilled to announce four of our key speakers for the upcoming National Nursing Forum, The Power of Now. Visit the Forum page for your chance to be a part of the program this year. Abstract submissions close 8 May 2016.

26–28 October 2016



Master of Ceremonies Brian Dolan MACN (Associate) “This will be my third visit to The National Nursing Forum and I’m so excited to be MC this year. As a nurse, it’s always a joy to be among one’s own tribe, gaining new insights, meeting old and new friends and leaving the event both exhausted in body and renewed in soul! It’s amazingly addictive – just like ACN.” – Brian Dolan MACN (Associate). Brian trained as a psychiatric nurse in Ireland and did his general nursing at St Mary’s Hospital, London. Most of his clinical career was in emergency care as well as in academic general practice. He is Director of Health Service 360, which provides online 360 appraisals for nurses, doctors, allied health professionals and managers. He works with organisations undertaking leadership development, improvements in patient flow and systems reform. Brian is also Director of Service Improvement, Canterbury District Health Board, NZ where, as well as involvement in integrated health care development, his role includes running the Collabor8 lean thinking and leadership programme aimed at all staff across the Canterbury and West Coast health systems. He has run this course in the Nepean Blue Mountains Local Health District, where in 2013–14 they generated more than $7 million in cost savings/ avoidance (including $3 million in recurrent savings). Brian was awarded a Fellowship of the Royal Society of Arts in March 2016.

Keynote speaker Dale Fisher Dale Fisher is Chief Executive of the Peter MacCallum Cancer Centre, Australia’s only public hospital solely dedicated to cancer treatment, research and education and home to Australia’s largest cancer research program. Dale will lead the relocation of Peter Mac’s East Melbourne site to its new home in Parkville in 2016 as part of the $1.1 billion VCCC Project. Prior to joining Peter Mac, Dale was Chief Executive of The Royal Women’s Hospital for nine years. In recognition of her achievements in leadership and promoting excellence in women’s health to the Victorian community, Dale was inducted into the Victorian Honour Roll of Women in 2011 as part of the centenary celebrations for International Women’s Day.

Keynote speaker Dr Louise Schaper As the leader of Australia’s peak professional organisation for digital health, Dr Louise Schaper is a renowned advocate for the transformation of healthcare through technology and information. With her passion for innovation and commitment

to entrepreneurship, she has achieved a global reputation in the rapidly evolving field of health informatics. Louise sits on the Advisory Board for the Stanford Medicine X conference, is a National E-Health Transition Authority Clinical Leader, previously chaired the E-Health International Advisory Group of the World Federation of Occupational Therapists and is a graduate of Stanford University’s Executive Leadership Program.

Keynote speaker Adjunct Professor David Plunkett MACN David Plunkett started working at Eastern Health in 2002. He has held the position of Chief Nursing and Midwifery Officer since February 2010 and was appointed to his current role as Executive Director of Acute Health in May 2013. Previously, David has held senior roles at Epworth Richmond and Latrobe Regional Hospitals. He holds a Master of Business Administration and is a surveyor with the Australian Council on Healthcare Standards. David is also a fully qualified peri-operative nurse.

We look forward to welcoming these exceptional nurse leaders to our Forum this year. To be among the first to hear news about the Forum, click here to subscribe and receive regular updates.

In focus @ ACN

Promoting self-management in diabetes and other chronic disease care By Thea Ogle MACN, Key Contact – ACN Chronic and Complex COI

Diabetes is Australia’s most common chronic disease, affecting approximately 1.7 million Australians (Diabetes Australia 2016). With more than Thea Ogle MACN 100,000 Australians developing diabetes in the past year, the disease places a substantial burden on individuals, communities and the health care system. Diabetes Australia estimates that the total annual cost of diabetes in Australia is $14.6 billion, increasing in accordance with the predicted increased incidence of the disease (Diabetes Australia 2016). One of the most effective ways to reduce the burden of any chronic disease is to identify modifiable factors that will reduce the severity of the disease and the likelihood of exacerbations of the disease (Australian Institute of Health and Welfare 2014). In the case of diabetes management, these include monitoring blood sugar levels effectively, eating a healthy diet, exercising and managing existing complications such as neuropathy or impaired perfusion (Diabetes Australia 2016). Nurses, GPs and pharmacists are ideally placed to provide education to patients with existing (or potential) disease so that they understand their role in avoiding or self-managing disease and have access to the tools and resources available to assist them (American Diabetes Association 2012).


Education programs developed to promote diabetes and other chronic disease self-care should be patient centred, with an initial focus on identifying the patient’s health literacy in relation to their disease, the patient’s current understanding of their role in managing their own disease and ascertaining their awareness of the tools and resources available to help manage their disease (American Diabetes Association 2012; Meer 2015). Age, cultural identity, socioeconomic status and educational level will all impact on patients’ individual health literacy and their ability to effectively utilise available resources to self-manage their disease (American Diabetes Association 2012). Once these needs have been determined, education should be delivered that is consistent with the needs of individual patients and their carers, so that less health literate patients are not overwhelmed with information that is above their level of understanding and more health literate patients do not feel patronised by simplistic information that they are already familiar with (American Diabetes Association 2012). Another strategy to encourage patients to effectively self-manage their conditions is to identify and, if necessary, build on their sense of self efficacy in managing their disease (Lorig, Ritter, Moreland & Laurent 2015). Patients’ perceptions of competence in managing their disease is usually strongly correlated with their degree of health literacy, but can also be affected by previous health experiences or the quality of support from carers and other relationships (Sieber, Newsome & Lillie 2012). The likelihood that health promoting behaviours will be adhered to is also closely related to the value that patients place on the behaviour and their outcomes (Strychar, Elisha,

& Schmitz 2012). Collaborative approaches whereby educators work with patients to identify protective behaviours and associated consequences, and assign value to these behaviours and consequences have been demonstrated as consistently more effective in improving long term health outcomes for people living with diabetes and other chronic health conditions (Sieber, Newsome & Lillie 2012). If you would like to know more about helping your patients to self-manage diabetes or other chronic diseases, the following websites have some useful information: • Health Promotion, Chronic Disease and Self Management Strategies for Nurses: This 48-minute video provides a step by step tutorial in working with patients to identify health promoting behaviours collaboratively

“Nurses, GPs and pharmacists are ideally placed to provide education to patients with existing (or potential) disease so that they understand their role in avoiding or self-managing disease.”

Diabetes Australia 2012, Diabetes in Australia, viewed 4 April 2016 <https://www.diabetesaustralia.com.au/diabetes-in-australia> Diabetes Australia 2012, Managing Type 2 Diabetes, viewed 4 April 2016 <https://www.diabetesaustralia.com.au/managing-type-2> Lorig, K., Ritter, P.L., Moreland, C. & Laurent, D.D. 2015, ‘Can a Box of Mailed Materials Achieve the Triple Aims of Health Care? The Mailed Chronic Disease Self-Management Tool Kit Study’, Health Promotion Practice, vol. 16, no. 5, pp. 765-774.

• The Principles of Self-Management, The Flinders Program: This page outlines the seven Principles of Self-Management.

Meer, M. 2015, ‘Empowering patients with diabetes’, British Journal of Nursing, vol. 24, no. 16, pp. 828-828.

• Strategies to Support Self-Management in Chronic Conditions: Collaboration with Clients: This PDF contains guidelines about effective client collaboration and some useful tools to use with clients.

Strychar, I., Elisha, B. & Schmitz, N. 2012, ‘Type 2 Diabetes SelfManagement: Role of Diet Self-Efficacy’, Canadian Journal of Diabetes, vol. 36, no. 6, pp. 337-344.

References American Diabetes Association 2012, ‘National standards for diabetes self-management education and support’, Diabetes Care, vol. 35, no. 11, pp. 2393-2401 <http://care.diabetesjournals.org/ content/35/11/2393.full> Australian Institute of Health and Welfare 2014, Australia’s Health 2014, Canberra, viewed 4 April 2016 <http://www.aihw.gov.au/publicationdetail/?id=60129547205>

Sieber, W., Newsome, A. & Lillie, D. 2012, ‘Promoting self-management in diabetes: Efficacy of a collaborative care approach’, Families, Systems & Health: The Journal of Collaborative Family Healthcare, vol. 30, no. 4, pp. 322-329.

Thea Ogle MACN is the Key Contact for the Australian College of Nursing’s Chronic and Complex Community of Interest. She is a registered nurse at The Wesley Hospital, Brisbane, and a Research Assistant at the Queensland University of Technology, Brisbane.

Membership @ ACN

Vir tual networking: Breaking down barriers in the Qld West Region members circle

The ACN Qld West Region #13 is vast, spreading from Toowoomba west to the Northern Territory border and north to the Gulf. An entirely virtual networking model was the only potentially viable solution and the power of technology was harnessed to truncate geographical challenges.

By Anne-Marie Goes MACN, Key Contact – ACN Qld West Region

It’s happened. It’s real. We did it. Members of the Australian College of Nursing (ACN) in the Qld West Region logged in for our inaugural ‘virtual networking’ event on Thursday, 7 April. We’ve even given it an accronym: VNE. The ACN Qld West Region member networking platform is up and running. I took on the Key Contact role in August 2015, six months after relocating to the region. I met some Qld 13

West Region Members at the 2015 NNF in Brisbane, where a wonderful networking breakfast was arranged for Region members. Enthusiasm for networking was clearly articulated by Qld West Region members, but two barriers were evident as themes in their dialogue: time and geographical logistics. It was evident to me then that my years of experience in networking in the Qld Chapter Committee in metropolitan Brisbane had failed our member colleagues living and working in regional and remote practice contexts. Since then, however, the ACN subnetworking groups changed from large state chapters to smaller regions.

Stage 1 was to embrace a social media platform that was not a duplicate or double up of ACN’s wonderful social media platforms. I established a virtual meeting place for ACN Qld West Region members in a closed Google+ Community. By ‘closed’ I mean members of this G+ community live and work in ACN’s designated Region #13 – Qld West Region. Stage 2 was the ‘virtual networking’ event (VNE) strategy. This was aimed at offering both asynchronous (G+ community) and synchronous (live feed) networking for the ACN Qld West Region members. As a synchronous (live feed) networking strategy, the VNE element of the model needed structure in order to be respectful of members’ time constraints.

This really required a designated ‘leader’ who would be the timekeeper and maintain alignment with the VNE format that was established (as the first format trial). So, the role of ‘virtual network leader’ came to be: and yes, the acronym VNL! (I would like, down the track, to see this VNL role swap around so that other members gain speaking confidence and experience in leading a VNE) Embedded in this model has been consideration of viability at handover of the ACN Qld West Region Key Contact role and sustainability of the momentum of ACN Qld West Region members’ networking. This has required consideration of succession planning and account logins. Succession planning has happened from the ‘get-go’ (thanks Cath for your enthusiasm). But the ability to handover the ‘engine room’ of the model requires that any techonology or platform used cannot be connected to an individual’s personal login or personal account. At present the model is using (+/- trying) Gmail, Dropbox, Google+, SoundCloud, and Zoom. Zoom is favourable because the technology allows for

Membership @ ACN

computer screen sharing with participants. This is valuable because PowerPoint was used to ‘set the scene’ and for goal posts. With the Zoom capability for screen share turned on, the participants’ live video stream windows are automatically reduced to a corner of the screen, thereby placing the focus on the PowerPoint presentation. The computer screen function is easily cancelled, reverting to larger images of live stream participants. There have been some mistakes along the way, some improvements made, some challenges circumnavigated and some challenges still in view, but it’s happened. It’s real. We did it in the comfort of our own home, with no cost, no parking hassles, no awkward silences and no ‘it’s dragging on’ feeling. A huge thank you to ACN Chief Executive Officer Adjunct Professor Kylie Ward (and Executive Assistant Tiffany Wallace) for braving the unknown and joining us. Kylie truly does ‘walk the talk’. Kylie was our inaugural guest speaker. In a semi-structured interview format, Kylie answered our questions with professional grace and enthusiasm. Below are some extracts from that inaugural Qld West Region VNE guest speaker interview. A special thank you as well to Cath Frame MACN, Cheryl Ross MACN, Ariela Rother MACN and Nikki Hoey MACN (student) for logging in, participating and for the great feedback. Where to from here? We would like a steady growth of interest from our Qld West Region ACN members, which will be evident by growth in the ‘virtual’ ACN Qld West Region members networking circle. We would like VNE technology to stay favourable to our needs, but you will have to wait for the next installment to hear how it’s going.

The QLD West Region will hold its next meeting at 7.30pm on Thursday, 5 May. Visit the event page for more information.


Interview with ACN CEO Adjunct Professor Kylie Ward FACN at the inaugural virtual networking event of Qld West Region Members Circle VNL (Virtual Network Leader): Hi Kylie and welcome to the ACN Qld West Region members circle inaugural virtual networking event. We are so pleased you could join us today. We know you have been really busy, Kylie, so to be here tonight is absolutely wonderful. Kylie (ACN CEO, Adjunct Professor Kylie Ward): It is a pleasure to be here. Thank you for asking me. It is an absolute privilege. VNL: What’s beautiful as well, Kylie, is that we did not have to twist your arm! Can you tell us why you jumped at the opportunity? Kylie: Well, because you have invited me! But also because, well, as the CEO it is not about being insular and sitting in a seat. I have been a Member and Fellow for years for the Australian College of Nursing and for both predecessor organisations. The opportunity for me to connect with members is vital and important and is absolutely, for me, the core of the business; the heart and soul. So I was completely privileged and didn’t want to miss the opportunity. VNL: That’s great. So, Kylie, you took over last year as ACN CEO and we met you at the National Nursing Forum in Brisbane. What has been the most rewarding aspect of your transition to ACN CEO? Kylie: Well, I started in November but I really loved getting to the Forum to meet people in October. It has been busy. I look at Tiffany now [laughter]. We have certainly been busy. And the most rewarding part of the role in this first 110 days really has been the eagerness of people who want to do something different; who want to go forward; who want to be engaged. And the team at both Sydney and Canberra offices; they’re amazing people. As a member and

“The opportunity for me to connect with members is vital and important and is absolutely, for me, the core of the business; the heart and soul.” sitting out in the community, it is so refreshing to know who is in the core of the Australian College of Nursing working for us. And now I am part of that team. Everyone I talk to wants to be part of that and wants to make the Australian College of Nursing something special and take it forward. They really understand the importance of the professional elements and the importance of the profession moving forward. So we have a lot of work to do as a result. I am not having to push our College, people are bringing so many ideas to me which is fantastic. VNL: That’s great. And travel has been a big part as well. The ACN voice is getting international, crossing International waters, correct? Kylie: Yes, I am heading off to Geneva, Switzerland, next month for ICN (International Council of Nurses). I need to get out and about in Australia more, so this virtual connection in the digital world is essential for us and we need to create more opportunities for Regions. You know, you are early adopters and that is wonderful. I will definitely be part of your promotion of this but we need to physically get out and about in Australia as well. Next month, I head over to Geneva and connect with ICN and go to their meetings. So, to have Australian representation, understand the region, look at the first world, the third world, what we can do, what we can give, what we can get and promoting Australia to the world.

VNL: That sounds exciting. Now, Kylie, we’ve been rocked by the murder of one of our own – Gayle – and, as practicing nurses in regional and remote areas, in this region in particular, and for all nurses, we’d be interested to hear what’s been happening on the ACN side. You know, we did see on the website and in a Twitter post that you have been in talks with the Federal Health Minister. So can you share a bit of that with us? What’s been happening after that event? Kylie: Yes. This is just an example of what an excellent team we have. Whilst I was overseas last week the team… well, I was on social media and anyone who knows me on Facebook knows all my friends are nurses. So you hear. Certainly professionally as well as personally, I was aware of the devastating news and it did shock the profession, the industry and the community. And so the team did some work with a media release, making sure that we were at the forefront. I flew back in on the weekend, so I was able to attend the Rural and Remote Roundtable with Senator Fiona Nash. And we were very fortunate to get invited. It was a limited invitation to meet with the Federal Minister Fiona Nash. She was excellent. There were all rural and remote groups, and then there was the Australian College of Nursing. So I was able to put forward some concerns. We had gathered some concerns from the Communities of Interest and had a quick sweep of what was important and where we wanted to stand. Some of these things where we don’t have position statements, we need to move very quickly.

Membership @ ACN

“The opportunity for me to connect with members is vital and important and is absolutely, for me, the core of the business; the heart and soul.” Things that I put forward as important to us as ACN – and the nursing community in general – was to look at the elimination of single post health care facilities to eliminate individual nurses attending call out for on-call, rather to have a second person, to (not) put nurse and all health care worker safety and security at risk. And we promoted an implementation group, or taskforce, to get together, and for ACN to have a voice on that. So I am hoping that we get included in that. We supported all of the valuable ideas put forward to the Minister. VNL: That’s good to hear, Kylie. Kylie: And I do hope that represents your concerns and the concerns of your colleagues around the country. VNL: Yes. And this has certainly opened dialogue that has likely been occurring, but has raised the dire need for that dialogue to go further, so that is really great. Now, Kylie, we talked about this amongst ourselves here. Hopefully membership will increase as colleagues in the region recognise the WIFM [what’s in it for me] and the more members in this region, the more dialogue that will be shared. And the dialogue might generate professional stories that really should be shared with ACN colleagues through print or electronic media and ACN platforms. What do you think about that? Kylie: In terms of membership, as the preeminent professional organisation for nursing, it is imperative that we continue to grow membership. The power of the membership is in our ability as a leading


organisation to influence politics, politicians and policy. So that is very much where we have a collective voice and the opportunity for input. And, you know, this last couple of weeks, with the tragic loss of Gayle, have highlighted safety and security as a great example of a long-standing issue that we have an opportunity for reform now. We get a platform to really be able to promote some sustainable and strategic solutions. So how do we get that voice? How do we get that communication? I think it is part of our professional responsibility. I have worked with academia, and more so in industry as DON (Director of Nursing) and Executive DON. How do we, as leaders, really embed in our workforce and/or in our students, the importance of being professionally aligned and what that means. So I think then membership grows. And I think it is contagious. And I think it is about role modelling. And so people see themselves there, and what they can value-add. I think the opportunity that ACN gives with the Key Contacts is an opportunity to meet leaders, because anyone that is going to be part of these groups is a natural leader. You are going to want to be contributing or hungry to connect with people. So it gives you, outside of your organisation, an opportunity to get exposure, or to be with people or make a difference. And sometimes in our organisations we just don’t get that. And I know myself, it has felt quite lonely at the top in those organisations. So it is definitely on our agenda – as absolutely prominent – to be far more influential in the policy and advocacy space. But what we need to know is, what do we stand for? There are so many things. So, as the preeminent peak professional body,

where can we penetrate? Where can we make a difference? Our voice isn’t industrial. We don’t want to play in that area. I’m not going to fight about wages – that is not our role. So what is the professional space? And how can we take that forward? And then the value-add to membership; I can tell you in terms of the WIFM [what’s in it for me], we are doing a lot of work to value-add to membership. This includes free education/CPD and there are lots of things that we have coming. We are working on the databases and 3LP to be able to offer greater benefits to members as part of the enhanced member value. There’s certainly lots to look forward to. And, if you have any ideas, please let me know. I want to be a CEO who is accessible. And Tiffany works closely with me to capture all feedback. Tiffany (EA to CEO): Yes, we need to know what you – members – want so that we can offer it to you. VNL: Wow, that sounds awesome. How exciting. Kylie: Can I just ask? Do the regions, as a title, really matter or are we being old-fashioned with artificial boundaries? VNL: The Regions don’t matter, but I think the Regions need to be a voice for the members in the region. So I guess if we had people from urban areas saying “can we pop in”, then we may be missing that connectivity of regional members who do have, potentially, different dialogue to share. Kylie: The reason I ask is that I have heard some criticism about Regions, whether people like the term, the words, the limitations. So I am taking all of that feedback on board and we put the survey out for Communities of Interest and Regions, and are just filtering through that to see how we can strengthen them, give them credibility, and get the leadership opportunities in there and promote that to the broader community. VNL: Thank you very, very much for your time Kylie.

If you are a nurse working in a general practice setting, the Nursing in General Practice (NiGP) Handbook is essential reading, and it’s FREE. The handbook contains details about employing and supporting RNs and ENs, the current regulatory environment, how to maximise the benefits, including the Practice Nurse Incentive Program and the range of MBS items that support nursing services in general practice.

NURSING IN GENERAL PRACTICE eral practice team A guide for the gen

Order your FREE printed copy or download a PDF version.

Events @ACN

Community & Primary Health Care Nursing Week The Australian College of Nursing (ACN) Community and Primary Health Care Nursing Week: Nurses where you need them national campaign will take place from 19–25 September 2016 and its intentions are to: • Raise awareness of the current and potential contribution of community and primary health care nursing and its impact on the health and wellbeing of individuals and communities; • Inform the general public in order to increase their health literacy about community based health care options; • Inform nurses of community and primary health care nursing roles and career opportunities; • Inform state and territory governments as funders of many community and primary health care services and drivers of state health reform of the capacity of community and primary health care nurses; • Inform the federal government as a funder of community and primary health care services and general practice based services and as a driver of national health reform of the capacity of community and primary health care nurses; and • Inform other health professions active in community and primary health care to raise their awareness of community and primary health care nursing services.


Nurses where you need them 19–25 SEPTEMBER 2016

How to get involved: There are a range of activities that ACN is encouraging nurses and the broader community to become involved in over the week. As part of the celebrations, ACN is seeking your interest in contributing to the Community and Primary Health Care: Nurses where you need them 2016 eBook, a collection of stories from Community and Primary Health Care Nurses. This year, the eBook stories focus on the 'when' which may refer to a phase in life such as prenatal, early childhood, adolescence, ageing or dying. Alternatively, the 'when' may relate to a point in time when nurses care for individuals – such as when there are drug and alcohol issues, settling as a refugee, transitioning home after hospitalisation, during incarceration and a myriad of other times. If you have an interest in sharing a story that describes a time ‘when’ your nursing care has impacted on the health and wellbeing of individuals and/or communities, then we encourage you to please submit your story. SUBMIT YOUR STORY

Here are some other ways to get involved: • Wear an orange scarf or t-shirt during the week of 19–25 September 2016 to show your support of Community and Primary Health Care Nurses. • Hold an event during the week to get your town or city on the virtual map of supporters across the country and to share readings from the eBook to promote and discuss the important roles in Community and Primary Health Care Nursing. Events you can host may include a social gathering, morning or afternoon teas, public lecture or informal networking function. REGISTER AN EVENT

• Nursing organisations can join ACN as a supporter of the week to raise awareness and the profile of Community and Primary Health Care Nurses. Supporters will be acknowledged on the ACN website and in the eBook. REGISTER AS A SUPPORTER

• Spread the word to your networks! #nurseswhereyouneedthem

Read the 2015 eBook

Events @ACN

AC N Nur sing & Health E xpo Melbourne

The La Trobe University team won the award for best booth.

On Saturday, 16 April, 3,700 eager Victorians converged on the Melbourne Convention and Exhibition Centre for the 2016 ACN Nursing & Health Expo. The crowd was buzzing with energy as aspiring nurses, undergraduate nursing students and nurses connected with exhibitors who were on hand to offer valuable advice and provide information about upcoming graduate programs, as well as education and employment opportunities. Visitors also attended complimentary seminars that were held throughout the day covering topics such as CV and interview skills, leadership in nursing, transition to practice and The Graduate Nurse/Midwifery Program Computer Match 2016. The seminars provided attendees with practical up-to-date information to assist them in furthering their career. ACN would like to thank our members and fellows who volunteered their time to assist onsite at the Expo, your support and expertise helped us make


the day a success. We would also like to congratulate the team at La Trobe University who took out best booth for their impressive display! Donâ&#x20AC;&#x2122;t forget to save the date for our next ACN Nursing & Health Expo which will be held at the Perth Convention & Exhibition Centre on Sunday, 19 June 2016. Doors will be open from 8.30am to 1.30pm and, as always, there will be a great range of exhibitors and seminars on offer. Download the Expo eGuide for more information. ACN would like to thank the Department of Health and Human Services Victoria for their support of the Melbourne Expo.


Leader ship in pr ac tice for nur ses: A clinical per spec tive "As a nurse, leadership skills and leadership roles within practice are constantly evolving and are always an important component of an RNâ&#x20AC;&#x2122;s practice."

By Toniele Shearer, Course Coordinator, Bachelor of Nursing with Clinical Honours, University of Tasmania

Ongoing workforce and practice reforms in health care have created a challenging dynamic in practice settings which has required many early to mid-career registered nurses (RNs) to act in leadership positions for which they are often underprepared. This situation has the potential to impact on the quality of clinical services and the safety of patient care, both of which are key priorities in the health care industry. Examples of the type of leadership that RNs are being asked to undertake include leadership


of wards, service sections and discrete programs. These roles require the ability to make strategically-informed operational decisions that enhance the quality and safety of care delivery and involve the coordination of direct service delivery, clinical staff coordination, high level and immediate problem solving, quality assurance and improvement. The Bachelor of Nursing with Clinical Honours (Leadership in Practice) offered by the University of Tasmania responds to an identified gap in the preparation of nurses for leadership at the level described. It has been an outstanding and ongoing opportunity to engage with Industry partners in developing, implementing and evaluating a course that develops important clinically relevant leadership capacity. Leadership in Practice (H4C) enhances and incorporates current leadership activities that participating RNs are undertaking and this includes professional development within the clinical environment. The course complements and capitalises on workplace activities and

Explore your leadership potential.

requirements and provides a supportive and direct pathway for RNs to transition into clinical leadership roles. The course is one year full-time and is fully workintegrated. The delivery method is fully online, augmented through your practice. The online units are modularised, which means learning will be self-paced. The online learning environment allows access to the resources at any time and there is a dedicated facilitator available to interact with students online. As a nurse, leadership skills and leadership roles within practice are constantly evolving and are always an important component of an RNâ&#x20AC;&#x2122;s practice. If you have been considering your current position or your future development as a leader, please contact us to discuss how our Clinical Honours course can enhance and support your nursing practice.

Prepare yourself for a future in leadership with online, flexible learning. Leadership in Practice for Registered Nurses (H4C) Apply now utas.edu.au/courses/H4C

For more information, visit utas.edu.au/courses/H4C CRICOS Provider Code: 00586B

Membership @ACN

Meet AC N’s new Fellows The Australian College of Nursing (ACN) is proud to announce the ratification of two new ACN Fellows, Dr Elizabeth Emmanuel from Queensland and Ms Karina So from New South Wales. Both of these outstanding nurses bring an enormous amount of knowledge and skill to the ranks of ACN Fellows.

Karina So FACN My dad introduced me to nursing when I graduated from high school in Hong Kong in the early 70s. It was just like yesterday when I arrived at the nurses’ quarter with a suitcase ready to start three years of general nursing training in a public hospital. After graduation, I continued to study midwifery and later worked in the University of Hong Kong Intensive and Coronary Care Unit. In 1981, I migrated to Australia with the intention to further my nursing study. Throughout my nursing career, I have embraced formal and informal study and engaged in professional development activities. Learning is fun but required self-discipline and determination. Later, I was awarded the Life Membership of the NSW Urological Nurses Society. I have specialised in urology as a Clinical Nurse Consultant at Concord Repatriation General Hospital for over 20 years. On completion of the Master of Nursing Nurse Practitioner program at the University of Sydney, I became endorsed and have been re-graded as a Urology Nurse Practitioner. In the inpatient and outpatient settings,


I work independently and collaboratively providing assessment, advice and treatment therapies to patients with acute and chronic urological conditions. I am a Clinical Lecturer of the Sydney Medical School. My relation with ACN started in 1989 when I was admitted to the College of Nursing NSW as a member. In becoming a Fellow of ACN I am committed to being a nurse leader promoting equal access to quality and safe health care and nursing as a caring profession.

Elizabeth Emmanuel FACN I was born in a small town in Tanzania. Since then I have lived and travelled to various parts of the world. So I truly feel like a global citizen. My major achievements stem from following my dreams. No matter what obstacles stood in my way, I would find a way around it. From childhood, I wanted to do something in nursing or medicine. My initial nursing studies took me to the Nightingale School at St Thomas Hospital in London. This was not enough, so I pursued mental health training, followed by

midwifery education. The burning desire for various learning and clinical experiences then took me to tertiary studies in Canada and Australia. Completing my doctoral studies, however, was the icing on the cake. Now I can safely say I have done it all. Rather than be a specialist in one area I felt compelled to have a taste of everything, as would a generalist. I love the work of a clinician but after many years of this, I moved towards academia for a change. I have not looked back since. What I enjoy the most now is nurturing the next generation of nurses and watching them blossom. ACN Fellowship is important to me for many reasons. Not only will it allow me to remain connected to the wide community of nurses, but also enable me to give something back to the profession. In particular, I want to focus on strengthening the voices of nurses, many of whom have no voice or are too preoccupied with the pressures and constraints of work.



This highly interactive two day short course for early and mid-career nurses enables participants to build their confidence as leaders and further develop their leadership skills. DATES: 10–11 May 2016 Canberra ACT

ACN Fellowship is a prestigious member status awarded to nurses in recognition of significant professional achievement. For a list of the selection criteria and application procedure please download an ACN Fellow application form here. For all other inquires please contact the Membership Services Team on 1800 061 660 or via membership@acn.edu.au.


24–25 May 2016 Brisbane QLD 1–2 June 2016 Melbourne VIC

For more information visit www.acn.edu.au

NMBA update

A busy year so f ar for NMB A… Over the last year the Nursing and Midwifery Board of Australia (NMBA) completed reviews of a number of registration standards, standards for practice and guidelines all of which are now on the NMBA website. With the implementation of revised registration standards, standards for practice and guidelines for nurses and midwives starting in June 2016 the NMBA is holding stakeholder information forums in each state and territory. More information on the stakeholder information forums is available on the NMBA website.

NMBA Priorities for the coming year The NMBA has funded a number of projects for the coming year that will inform and support the Board in carrying out its regulatory functions. Internationally qualified nurses and midwives The NMBA has work underway to develop an outcomes-based model for the assessment of internationally qualified nurses and midwives (IQNMs), and orientation program to the Australian health context for IQNMs. Midwife standards for practice The NMBA is developing the midwife standards for practice during 2015/16. This project includes a review of the NMBA competency standards for midwives and the development of evidence-informed standards for practice for midwives. National health support service for nurses and midwives The establishment of the national health support service for nurses and midwives follows the project


the NMBA completed on health impairment: referral, treatment and rehabilitation for health professionals in 2014/15. Review of the code of conduct for nurses and the code of conduct for midwives The review of the code of conduct for nurses and the code of conduct for midwives continues to be progressed. This work includes a review of the professional boundaries guides for nurses and midwives. Next registration standard up for review A review of the Registration standard for endorsement for scheduled medicines registered nurses (rural and isolated practice) is being progressed during the year. To keep up to date on all NMBA projects read our regular newsletters or the see the News section of http://www.nursingmidwiferyboard.gov.au. Nursing and midwifery regulation at work in Australia, 2014/15 The NMBA recently released a profession summary for 2014/15. This summary highlights our the work of Board in 20141/15 and provides useful workforce data and trend analysis. Below are some of the main highlights from the summary: • 370,303 nurses and midwives registered in Australia on 30 June 2015. • 89.5% of nurses are female. • 26% of nurses and midwives are aged between 50 and 59. • 7% increase in midwives with scheduled medicine endorsement. • Review completed of five mandatory registration standards. • First national conference held.

• 492 mandatory notifications; a 21% decrease compared to 2013/14. • 72% of panel hearings resulted in disciplinary action. • 79% of tribunal hearings led to disciplinary action. • 250 cases of immediate action. The summary is available to download on the NMBA website. See the News section of www.nursingmidwiferyboard.gov.au.

Don’t forget to renew your registration with the NMBA by 31 May The NMBA reminding all nurses and midwives that they are due to renew their general or non-practising registration by 31 May 2016. Look out for renewal reminders from the NMBA and the Australian Health Practitioner Regulation Agency (AHPRA) from late March. Hot tip! It is important that you read the online renewal mandatory disclosure questions carefully as they may have changed since the last time you renewed your registration. Renewing online is the best way to renew your registration – it’s quick and easy Accessing online renewal is as easy as 1, 2, 3. • Go to online services. • Enter your AHPRA User ID: <UserID> • Enter your date of birth and password. Need to reset your password? Go to the reset your password page to reset your password and get a new one emailed within 15 minutes.

Profile for ACN Australian College of Nursing

NurseClick May 2016  

NurseClick is the Australian College of Nursing's monthly e-zine focusing on topical articles related to nursing practice, policy developmen...

NurseClick May 2016  

NurseClick is the Australian College of Nursing's monthly e-zine focusing on topical articles related to nursing practice, policy developmen...

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