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NurseClick NOV EMBER 2 0 16

From the playground to the workplace – addressing bullying in the nursing profession

The National Nursing Forum 2016 a massive success!

Foundations for future health

Team Talk – every patient, every day


In this edition

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4

6

Welcome

Snapshot

Snapshot @ACN

Adjunct Professor Kylie Ward FACN, CEO of ACN

In the news

Australian College of Nursing Update

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9

11

Education @ACN

In focus @ACN

Events @ACN

Meet some of our exceptional nurse educators!

From the playground to the workplace – addressing bullying

The National Nursing Forum 2016 a massive success!

14

15

16

In focus @ACN

In focus @ACN

NMBA update

Foundations for future health

Team Talk – every patient, every day

Enrolled nurses and medication administration

GET THE TOOLS YOU NEED TO SHAPE YOUR FUTURE CAREER. Deepen your knowledge with a Master of Advanced Primary Health Care Practice. Find out more today.


Welcome

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Welcome Adjunct Professor Kylie Ward FACN, CEO of ACN

Publishing details Publisher Australian College of Nursing

Welcome to the November edition of NurseClick. Following recent media attention surrounding bullying in the workplace, it seems fitting to highlight the immense importance of fostering a supportive, inclusive and communicative work culture in this edition of NurseClick. Creating a respectful work environment that champions teamwork and communication will help establish a positive culture supporting the prevention and elimination of bullying behaviours. In our article, From the playground to the workplace – addressing bullying in the nursing profession, we provide an in-depth examination of the widespread and harmful effects bullying has on employees and health care delivery throughout the Australian health care system. This insightful article highlights the vital role nurse leaders play in the prevention of workplace bullying through supporting an open culture in which unacceptable behaviours are addressed expeditiously. In accordance with fostering a positive work environment and in reference to a newly introduced network-wide initiative, our wonderful nurse educator Trish Lowe MACN, outlines the importance of open communication amongst colleagues in her regular column, Vital Signs, this month. Within this insightful snapshot, Trish describes how the new Team Talk program has harnessed interdisplinary team conversations to enhance patient safety, quality and coordinated care.

In her winning article from our 2016 Community and Primary Health Care Nursing Week eBook, Clinical Nurse Consultant Christine Parrott further emphasises the value of effective communication within nursing practice. Reflecting on her experiences working with young people who are homeless and often disengaged from the health care system, Christine eloquently outlines how nurses can build the foundations for future health for disadvantaged communities.

Editors Sally Coen Wendy Hooke

As a leading provider of postgraduate and vocational education for registered and enrolled nurses, the Australian College of Nursing (ACN) enhances the future health of all Australians through building the skills and advancing the knowledge of current and future nurse leaders. In our article, Advance your knowledge and progress your career – Study with ACN, we profile some of our exceptional nurse educators who provide our students with the skills and support they need to excel in their chosen specialty.

Advertise with ACN Send your enquiries to samuel.eaton@acn.edu.au

November has been a wonderfully busy month for ACN, as we celebrated the beginning of the festive season and reflected on an incredible year with Members, Fellows and guests at our city Christmas Functions. I endeavour to connect with members in regional areas early next year, as we continue to provide a platform for nurses to come together and unite as a profession.

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.

Design 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.

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

Cover image: iStock ACN publishes The Hive, NurseClick and the ACN Weekly eNewsletter.

Order your FREE printed copy or download a PDF version.


Snapshot

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In the news Nat ional National Shingles Vaccination Program Australians aged 70 or older are now eligible for a free shingles vaccination to protect them from the virus, which can cause a painful rash. There will also be a five-year catch up program for people aged 71–79 years.

Older Australians are the happiest, study finds Mateship is what makes Australians happy and people over 65 years old are the happiest, according to a new national survey on the nation’s emotional wellbeing. The Australian Psychological Society’s (APS) Compass for Life Survey also found that people who connect with family, socialise with colleagues and are actively involved in their local community are the happiest people in Australia. Those who spend a lot of time on social media, which is designed to bring people closer together, feel higher levels of loneliness and negative emotions. Read more

Nearly half of Australian women are not up to date with cervical cancer screening Nearly half of Australian women are still not getting screened regularly enough for cervical cancer, according to the Australian Cervical Cancer Foundation. Approximately 43% of Australian women are not getting screened regularly enough for this debilitating disease. Read more

Big sugar hit for teenage boys Teenage boys are taking Australia’s biggest sugar hit, consuming an average of 25 teaspoons of added sugar a day. New data from the Australian Bureau of Statistics shows that adolescent boys aged between 14 and 18 consume the equivalent of two and a half cans of soft drink a day. Women aged between 19 and 30 are also sweet tooth’s, consuming 21 teaspoons of added sugars a day. Read more

Study confirms that intimate partner violence is a leading health risk factor for women Drawing on Australian and international studies, the Australian Institute of Health and Welfare has found an association between women experiencing partner violence and a wide range of health impacts. The study also found that physical and sexual partner violence is the leading risk factor contributing to disease burden in Indigenous women aged 18 to 44 years. Read more

NMBA position statement on nurses, midwives and vaccination The Australian Nursing and Midwifery Board of Australia (NMBA) has updated its position statement on nurses, midwives and vaccination. The position statement outlines NMBA expectations about providing advice on vaccinations to registered nurses, enrolled nurses and midwives. Read more

New ankle and knee imaging program NPS MedicineWise has launched a new health professional program on ankle and knee imaging. The program was developed in line with the Royal Australian and New Zealand College of Radiologists, Australian Physiotherapy Association and ACN’s Choosing Wisely Australia recommendations, as well as the Royal Australian College of General Practitioners clinical guidance for MRI referral. Read more

The shingles vaccine is the first adult vaccine for a new disease added to the National Immunisation Program, which now provides free vaccines for eligible people for 17 infectious diseases. Read more

Hospitals fail stroke survivors, study claims Australian hospitals are failing stroke survivors with poor rehabilitation services, a new report says. The Stroke Foundation has released the 2016 Rehabilitation Services Report, which says stroke patients in Australia are being denied the best care. Key findings include that half of stroke patients are discharged from hospital without information about the cause of their stroke, only half are assessed for mental wellbeing and one in five are discharged without getting medication essential to preventing further strokes. Read more


Snapshot

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World ICN contributes to influential report regarding the nursing profession The All-Party Parliamentary Group (APPG) on Global Health has released its report on the impact of nursing.

Genetic cause for shift work fatigue discovered Finnish researchers have now found that a melatonin receptor gene influences tolerance to shift work explaining why some people adapt easily to shift work while others find it much more difficult to manage. Read more

Facebook popularity is tied to a longer life American scientists, who studied Facebook activity and mortality rates, found that people who received a high number of friend requests were far less likely to die over a two-year period than those who did not. The findings, published in the Proceedings of the National Academy of Sciences, hint at deeper complexities in the relationship between humans’ health and their social networks – whether those networks are online or in person Read more

Music therapy reduces depression in children and adolescents, research finds Researchers at Bournemouth University and Queen's University Belfast have discovered that music therapy reduces depression in children and adolescents with behavioural and emotional problems. The researchers found that children and young people (aged eight – 16 years old) who received music therapy had significantly improved self-esteem and significantly reduced depression compared with those who received treatment without music therapy. Read more

Leader in fight against leprosy receives ICN Health and Human Rights Award Mr Yohei Sasakawa, Chairman of The Nippon Foundation, has been selected as the recipient of the International Council of Nurses' (ICN) Health and Human Rights Award for his outstanding contribution to the fight against leprosy and his exemplary achievements in the field of health and human rights. Read more

Smoking causes hundreds of DNA changes Smoking leaves an ‘archaeological record’ of the hundreds of DNA mutations it causes, scientists have discovered. Having sequenced thousands of tumour genomes, an international group of researchers found that a 20-a-day smoker would rack up an average of 150 mutations in every lung cell each year. The changes are permanent, and persist even if someone gives up smoking. Read more

Health anxiety may increase risk of heart disease

Judith Shamian, President of the International Council of Nurses (ICN), and Dr Frances Hughes, ICN’s CEO, took part in the consultation process for the APPG report, Triple Impact – how developing nursing will improve health, promote gender equality and support economic growth, which examines the status and potential of the nursing profession in the achievement of universal health coverage. Read more

World Health Organization calls for the prevention of junk food ads on kid’s apps Children need to be protected from pervasive junk food advertisements in apps, social media and video blogs, according to the World Health Organization (WHO). In a new report, Tackling food marketing to children in a digital world: trans-disciplinary perspectives, WHO examines the impact targeted junk food advertisements have on children and call for change. Read more

Excessive worrying over one's health might increase the risk of heart disease, a study has suggested.

Men welcome revolutionary male contraceptive

Norwegian researchers looked at health anxiety levels in 7,000 people who were followed for at least a decade and found that, while general anxiety is already recognised as a risk, health anxiety might also lead to an increased risk of heart disease.

A new study has found that men have positive attitudes towards an innovative male contraceptive, Vasalgel.

Read more

The landmark study, published in Cogent Medicine, is the first insight into how men perceive the new contraceptive and gives promising signs that Vasalgel may revolutionise approaches to reproductive health. Read more


Snapshot

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Aus tr alian C ollege of Nur sing update

ACN launches 2017 National Nursing Forum

ACN welcomes amendment to Border Protection Act ACN welcomes the amendment to the Determination of Immigration and Border Protection Workers under the Australian Border Force Act 2015 by the Department of Immigration and Border Protection. The amendment has removed restrictions on health professionals speaking out on cases of physical or sexual abuse or medical negligence that occur at Australian offshore detention centres. ACN has previously raised concerns regarding the fragmented health care in immigration detention centres. We consider asylum seekers to be vulnerable to dehumanisation and its consequences, such as stigma, discrimination and exclusion. For this reason, ACN believes that the nursing profession has a moral obligation to protect asylum seekers’ human rights, including their right to quality health care. ACN CEO Adjunct Professor Kylie Ward FACN welcomed the amendment and said, “Nurses are ideally placed to act as advocates for quality and safe care, and should never be restricted in raising

concerns regarding patient care and wellbeing. The amendment is a positive move.” The amendment will ensure that nurses are able to fulfil their professional and ethical obligations under both the Nursing and Midwifery Board (NMBA)’s Code of Professional Conduct and Code of Ethics for nurses in Australia. Read the full media release.

ACN applauds establishment of the Victorian Clinical Council The Australian College of Nursing (ACN) is pleased to hear the Andrews Labor Government’s announcement of the establishment of the Victorian Clinical Council. The Council aims to put clinicians front and centre in providing clinical expertise to the Government, the Department of Health and Human Services, and health services on how to improve quality and safety, and provide better, safer care to all Victorians.

ACN CEO Adjunct Professor Kylie Ward FACN said, “The establishment of the Victorian Clinical Council is a positive step to health and aged care reform both in Victoria and nationally. ACN has been actively advocating for the nursing profession to be included on key decision making boards, most recently in the release of the White Paper, Nurses are Essential in Health and Aged Care Reform.” The Victorian Clinical Council will comprise a multidisciplinary membership of 60 stakeholders, including clinicians and patient representatives. Adjunct Professor Ward said, “ACN encourages nurses from all stages of their careers to register their interest for the Council. It is clear that the nursing profession can help lead discussion in standards and models of care that affect the health care of all Australians. ACN encourages nurses to register their interest for the new Victorian Clinical Council by email at VCC@dhhs.vic.gov.au or phone (03) 9096 2159.

ACN is excited and delighted to announce that the National Nursing Forum will be in Sydney next year! ACN’s signature event will be held at The Star Sydney from 21–23 August in 2017. This highly anticipated event will bring together nurses from all over the country to celebrate the passion, energy and innovation across all generations of nursing. It will be a fantastic opportunity for delegates to form valuable relationships and corporate partnerships with leaders from across the nursing and health professions. The 2017 National Nursing Forum was launched at the end of this year’s Forum, following an inspiring closing address by ACN CEO Adjunct Professor Kylie Ward FACN. Following the success of this year’s Forum, delegates can except another exceptional event that exceeds expectations on every level. Preparations are already underway for next year’s Forum, so make sure you keep an eye out for more exciting announcements and details to come in the lead-up to this highly anticipated event!


Education @ACN

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Advance your k nowledge and pr ogress your career. S tudy with AC N When you enrol with ACN for postgraduate or vocational studies, you can be confident that you have chosen a college that is recognised for providing courses with strong clinical focus and evidence-based practice. Leadership and management skills are embedded in all of our courses to advance nursing leadership at all levels. This results in confident leaders and decision makers who are familiar with advanced management skills and able to work within complex health environments. Our comprehensive courses are designed and developed by nurse educators to ensure that they build your clinical skills and advance your knowledge in your specialty area of practice. All our students are supported by leading tutors and educators, who have extensive experience in the nursing profession. As a student of ACN, you have the opportunity to extend your knowledge, skills and confidence by learning from contemporary and dynamic nursing and health care industry experts, educators and academics with advanced clinical, health and aged care experience in complex environments.

Meet some of our exceptional nurse educators!

Emma Woodhouse MACN, Manager – Higher Education RN, MEd, major Leading and Managing Educational Organisations GC Perioperative Nursing, Diploma in Management, Cert IV TAE 40110 Emma began in the substantive role as Manager of Higher Education in 2015. Her experience spans over 25 years predominately in perioperative nursing practice. She is driven by the need for innovation and adaptive change management to ensure quality in health care through education.

Trish Lowe MACN, Nurse Educator – Higher Education RN, RM, BNurs, Grad Dip Mid, MMid, GC Neonatal Intensive Care Nursing, CertIVTAE, Immunisation for RNs Trish is responsible for the coordination of our Graduate Certificates in Neonatal Care and Aged Care Nursing. Trish is committed to advancing nurse leadership and advocating for the nursing and midwifery profession, by equipping nurses and midwives with the knowledge they require, to meet their mandatory registration requirements, especially pertaining to recency of practice and continuing professional development.

Musette Healey MACN, Nurse Educator – Higher Education RN, BN, MEd GradDip Nursing (Infant, Child & Youth Health) Cert IV TA, Member CNSA, Member PCNA Musette coordinates our Graduate Certificates in Cancer Nursing and Breast Cancer Nursing, and the Breast Cancer Nurse Practicum programmes. Musette has worked in the cancer and palliative care arena for 15 years and is also passionate about education as a key component to ensuring quality nursing care, improved patient outcomes and nurse satisfaction.

Annesa Conte MACN, Nurse Educator – Higher Education RN, MHPEd, Dip App Sc Nursing, BHSc, Grad Cert Intensive Care Nursing, Cert IV TAE Annesa coordinates our Graduate Certificate in Critical Care and teaches across courses. As a nurse educator, Annesa facilitates students learning, promotes critical thinking and problem solving in relation to patient management and care.

Ashley Page MACN, Nurse Educator – Higher Education RN, MHLM, DipProfPract, CertIVTAE

Ashley coordinates and tutors for our Graduate Certificates in Leadership and Management, and Drug and Alcohol. With five year's of experience in nurse education and previous roles in emergency nursing (15 years +) and management, Ashley is passionate about her role which provides the opportunity to interact with nurses at different stages of their career and help them put theory into practice.

Robyn Manning, Nurse Educator – Higher Education RN, MEd. (adult), Cert Orthopaedic Nursing (NSWCN) CertIVTAE

Robyn coordinates our Graduate Certificate in Orthopaedic Nursing. Robyn believes in the principles of adult education and encourages self-determination, reflection, the development of leadership skills and empowerment for nurses.


Education @ACN

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Kenneth Caldwell MACN, Nurse Educator – Higher Education

Sue Mapletoft MACN, Nurse Educator – Higher Education

RN, Grad Dip Critical Care N, Grad Cert Emerg N, BN, BSc, Cert IV TAE 40110

RN, RM, MNsg Infant, Child and Youth Health Cert CFH (NSWCN), IBCLC, CertIVTAE, MCAFHNA

Ken is responsible for coordinating and facilitating across our higher education and vocational education programs. He has strong curriculum development and compliance experience. His passion as a nurse over 28 years, is in the promotion of nurse leadership, and engagement of nurses in their learning to enhance nursing practice.

Maria Baric, Nurse Educator – Higher Education RN, MPH, BHSc, Certificate in Cardiac Nursing, Cert IV TAE

Maria coordinates our Graduate Certificates in Critical Care Nursing, and Community and Primary Health Nursing. With extensive clinical, management and nursing education experience, Maria’s skills include designing, delivering, assessing and evaluating programs in critical care and emergency nursing.

Sue coordinates our Graduate Certificate in Child and Family Health Nursing, and teaches short courses. She completed a Masters of Nursing with Distinction and is a past recipient of Western Sydney University Dean’s Medal and the Royal Alexandra Hospital for Children Award.

Sharron SmythDemmon, Nurse Educator – Higher Education RN, MCN, Grad Cert Education, DPSN, Cert IV TAE, MACORN, NSWOTA Sharron coordinates our Graduate Certificate in Perioperative Nursing. She also teaches professional issues subjects within our Entry to Practice for Internationally Qualified Nurses and Return to Register courses. Sharron has 30 years of nursing experience and sees nursing as not only a science but also an art, with compassion and empathy at its core.

Cherry Millar, Nurse Educator – Higher Education RN, GC Critical care (CON) & GC Health Professional Education Certificate Aspects of Maternity Nursing Cert IV TAE Cherry has been a nurse educator at ACN for over 14 years coordinating and facilitating across a wide range of postgraduate nursing programmes, including our Diploma and Advanced Diploma Programmes, Principles of Emergency Care Programme, and Graduate Certificates in Acute Care Nursing and Advanced Nursing.

Fran Stoddart, Nurse Educator – Higher Education RN, MNClinPract (Paeds), Grad Cert PIC, Cert IV TAE 40110, MACCYPN, MCCN

Fran Stoddart is paediatric nurse who is passionate about her specialty, and her profession. Her career in nursing spans 40 years, and includes clinical experience in paediatrics and paediatric critical care. She has worked in various substantive nursing roles as an expert clinician and nurse educator. In these roles Fran contributed to policy and clinical guideline development and practice development initiatives.

STUDYING WITH ACN IS YOUR KEY TO SUCCESS With 14 Graduate Certificates and over 70 single units to choose from, what will you study? READ MORE Advancing nurse leadership www.acn.edu.au


In focus @ACN

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From the playground to the workplace – addressing bullying in the nursing profession Whether it happens in the playground or the workplace, bullying can by enormously distressing and disturbing for anyone on the receiving end. ACN believes that all nurses have the right to work in environments free from bullying and associated forms of abuse and believes no form of such behaviour should be acceptable nor tolerated. Bullying is unacceptable regardless of workplace context, whether it is clinical practice, administration, academia or research. Workplace bullying both directly involves and affects the nursing profession and may be perpetrated by nurses and/ or other health professionals. A growing body of empirical evidence describes the widespread and harmful effects bullying has on employees and health care delivery throughout the health and aged care sectors (Farrell & Shafiei 2012, Hutchinson et al. 2010). ACN recently published a media release following the announcement of a four year study by James Cook University Researcher Peter Hartin that examines the incidence of bullying in the nursing profession. ACN CEO Adjunct Professor Kylie Ward says the research should be welcomed. “Bullying must be prevented to help ensure the best possible outcomes for nurses, patients, care recipients and the community. No form of bullying or harassment is acceptable in any workplace, let alone in a demanding and time critical environment such as health care and where patients’ care is paramount.


In focus @ACN

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“Bullying must be prevented to help ensure the best possible outcomes for nurses, patients, care recipients and the community.” ACN looks forward to the results of the proposed study with a view to ensuring nurses can work to their full potential and not be burdened by workplace bullying,” said Adjunct Professor Ward.

What are the effects of workplace bullying? Workplace bullying not only affects individual employees but also the wider health and aged care workforce. Individuals who are subjected to bullying and those who witness these behaviours may be negatively affected by psychological stress, lowered self-confidence and self-esteem, depression, anxiety and in extreme circumstances, posttraumatic stress disorder (PTSD) and thoughts of suicide. Organisations as a whole are negatively affected by lowered staff morale and motivation, increasing absenteeism and staff turn-over, which undermine organisational culture and productivity (Johnson 2009, Rodwell & Demir 2012, Safe Work Australia 2013, Wilkins 2013). Workplace bullying in health and aged care is known to pose a threat to the delivery of high quality, safe care by undermining positive practice environments. Workplace bullying disrupts effective teamwork and impedes the communication pathways and professional relationships that form the basis of safe care (Rosenstein & O’Daniel 2005, Vessey et al. 2009).

Addressing workplace bullying ACN believes that Australian nurses have a responsibility to uphold the profession’s values as expressed in the Code of Ethics for Nurses in Australia (Nursing and Midwifery Board of Australia (NMBA), 2008). The Code specifically identifies bullying behaviour as “… intrinsically disrespectful and ethically unacceptable” (NMBA 2008). Thus, the nursing profession is, by way of its code of ethics, committed to workplaces free of bullying behaviour. These fundamental values guide nurses’ collaboration in their practice across the profession. The elimination of workplace bullying requires a multidimensional approach that addresses the behaviour of individuals as well as any organisational, cultural and social factors thought to facilitate the conduct. Workplace bullying can also be eliminated or minimised by taking an active approach to identifying and addressing such behaviours and the situations and environments that create potential for bullying to occur. Education and training play an important role in the prevention and management of workplace bullying. Emphasising the impact bullying has on colleagues, the wider organisation and productivity together with clear roles and responsibilities of individuals, managers and supervisors in preventing and addressing bullying play an important role in the prevention and management of workplace bullying.

Progress your career with a Postgraduate Nursing degree from UNE.

While each of these factors plays an important part in addressing workplace bullying, establishing systems and processes will only be effective if these are monitored to evaluate effectiveness.

We have a range of flexible online postgraduate degrees for you, including:

Nurse leaders play a vital role in the prevention of bullying through the demonstration of a clear commitment to the elimination of workplace bullying and visibly supporting an open culture in which unacceptable behaviours are addressed expeditiously.

▪ Graduate Certificate in Clinical Education and Teaching

Visit our website to read our full media release and position statement on bullying in the workplace.

▪ Master of Philosophy (Nursing)

Reference

With our online* course delivery, upgrading your qualifications is more achievable than ever, no matter where you are in Australia.

Farrell, G.A, & Shafiei T 2012, ‘Workplace aggression, including bullying in nursing and midwifery: a descriptive survey (the SWAB study)’, International Journal of Nursing Studies, vol. 49, pp.1423-31. Johnson, S.L 2009, ‘International perspectives on workplace bullying among nurses: a review’, International Nursing Review, vol. 56, no. 1, pp. 34-40. Nursing and Midwifery Board of Australia 2008, ‘The Code of ethics for nurses in Australia, viewed 18 January 2016 < http://www.nursingmidwiferyboard.gov.au/ Codes-Guidelines-Statements/Professional-standards.aspx> Rodwell, J & Demir, D 2012, ‘Psychological consequences of bullying for hospital and aged care nurses’, International Nursing Review, vol. 59, pp. 539-46. Rosenstein, A.H & O’Daniel, M 2005, ‘Disruptive behaviour and clinical care: perceptions of nurses and physicians’, American Journal of Nursing, vol. 105, no.1, pp. 54-64.

▪ Graduate Certificate in Acute Care Nursing

▪ Master of Nursing (Clinical Practice, Learning and Teaching in Health Practice, Management and Leadership in Nursing, or General Program) ▪ PhD ▪ Individual Units of study available for CPD

Apply now to start in February 2017

1800 818 865 une.edu.au/pg-nursing

Wilkins, J 2013 ‘The use of cognitive reappraisal and humour as coping strategies for bullied nurses’, International Journal of Nursing Practice, vol. 20, pp. 283-92.

*Please note some units may have intensive school requirements.


Events @ACN

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The National Nursing Forum 2016 a massive success! ACN’s annual National Nursing Forum (NNF) was held from 26–28 October 2016. The Forum provided a platform for nurses from all over Australia and across all nursing disciplines to explore where nursing is as a profession today. It was an opportunity for delegates to share insights and discuss how nurses can harness their ‘now power’ to lead the development of solutions to Australia’s health and aged care challenges. ACN CEO Adjunct Professor Kylie Ward said that the Forum was a resounding success. “The NNF 2016 has brought together the nursing profession in Australia with a united vision and voice. All levels of nursing were represented, from nurses working in clinical settings to nurses involved in administrative, academia, education and executive roles. Members and delegates had the opportunity to harness their ‘power of now’ by sharing with internationally renowned speakers and connecting with colleagues.”

Dale Fisher, Chief Executive, Peter MacCallum Cancer Centre, spoke to delegates about ‘The Power of You’ and described her journey as a nurse working in a leadership position. As a dynamic country girl, Dale reminded us to never forget where we come from.

THE NATIONAL NURSING FORUM THE POWER OF NOW

ACN was also honoured that the Hon. Sussan Ley MP, Federal Minister for Health, Aged Care and Sport and the Hon. Mary Wooldridge MP, Victorian Shadow Minister for Health, addressed delegates at our signature event. Adjunct Professor Kylie Ward, delivered the closing address, which illustrated that all nurses are unique individuals and she encouraged nurses to work to their strengths. “When nurses lead, organisations follow,” she said. The National Nursing Forum will be held in Sydney in 2017 from 21–23 August 2017.

Minister for Health, Aged Care and Sport, The Hon Sussan Ley MP, giving an address at the National Nursing Forum

Members and Delegates at our Members and Delegates Session

ACN welcomed three internationally renowned keynote speakers on the final day of the Forum. Professor Wendy Cross FACN, Associate Dean, Nursing and Allied Health, Monash University, spoke to delegates about ‘The Power of Self’ and discussed how nurses can practice effective selfcare through self-awareness, reflection, insight, self-regulation, commitment and planning. Professor John Daly FACN, Dean of the UTS Faculty of Health and Head of the UTS/World Organization Collaborating Centre for Nursing, Midwifery and Health Development, gave an address about ‘The Power of Global’ and highlighted the intricacies of building collaborative global relationships as well as the importance of finding your voice as a leader.

Members and Delegates at our Gala Dinner

ACN President Adjunct Professor Kathy Baker AM FACN with our 2014 Emerging Nurse Leaders Program Cohort Graduates Meg Bransgrove MACN and Evan Casella MACN

RDNS Executive General Manager of Care, Quality and Innovation Fiona Hearn MACN at the inaugural meeting of the National Nursing Executive Group


Events @ACN

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ACN welcomes new Fellows at the National Nursing Forum The investiture of our newly appointed Distinguished Life Fellow, Honorary Fellow and Fellows was presented by the Hon Sussan Ley MP, Minister for Health, Aged Care and Sport, at the National Nursing Forum in Melbourne.  ACN would like to congratulate the following ACN Members whose professional commitment and achievements have been recognised through the granting of ACN Fellowship: Adjunct Professor David Plunkett FACN

ACN Vice President Professor Christine Duffield FACN giving an address

ACN Staff at the National Nursing Forum

Dr Elizabeth Emmanuel FACN Dr Drew Dwyer FACN Dr Elise Sullivan FACN Professor Jane Phillips FACN Rosemary Bryant AO FACN (DLF)  Mr John Buxton FACN (Honorary) Ms Karina So FACN Ms Karina So FACN and Professor Jane Phillips FACN were unable to attend this ceremony but were presented with their fellowship at our Sydney Christmas Function this month.

ACN CEO, Board Members and VIP Guests enjoying our Gala Dinner

Major partner

Principal sponsor

Morning tea partner

ACN Emerging Nurse Leaders Satchel sponsor

USB sponsor

Name tag sponsor

Notepad and pen sponsor

ACN Melbourne Region Key Contact Jenny Newton FACN and ACN Board Director Professor Elaine Duffy FACN


Events @ACN

ACN is impor tant to me becauseâ&#x20AC;Ś We asked delegates at the National Nursing Forum to put into words why ACN is important to them. Hereâ&#x20AC;&#x2122;s what they said!

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In focus @ACN

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Foundations for future health Christine Parrott, Clinical Nurse Consultant 

When a young person is homeless, health is not surprisingly a low priority. 2011 Census statistics revealed that in Victoria, approximately 6130 people under 24 were homeless (CHP, 2012). Christine Parrott Homelessness is not just living on the streets – it also includes those who are couch surfing, living in supported accommodation or in severely overcrowded accommodation. There is also a variety of reasons why these young people may be homeless. Whatever form it takes, homelessness has a significant impact on people. The earlier in their life they become homeless, the greater the risk to their health. Many risk-taking behaviours typically emerge during adolescence and we know that exposure to risk factors can pose a huge risk for future ill health. We also know that homeless young people tend to be less healthy – their risk of poor health results from life circumstances and emerging behaviours. Yet these young people have frequently disengaged from the health care system and don’t access mainstream services, apart from emergency departments. Through collocation at a youth homelessness service and through Clinical Refuge outreach, our service has the opportunity to connect with homeless youths and to improve their health. Modifying behaviour and targeting

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 My ACN member portal, members.acn. edu.au

Visit www.collegianjournal.com interventions at this age group can have a significant impact on their future health. We work in a nurse-led primary health care service. Our goal is to improve the health and wellbeing of young people aged 12–24 at risk of or experiencing homelessness, who we know to have poorer health. Young people are offered the opportunity to see a nurse when they attend the homelessness service and many accept our help, even if at first, it is only to pass the time! What we have found is that young people appreciate the opportunity to discuss health issues and their greater psychosocial history, but they tend not to disclose risky behaviours or concerns unless trust is built and they are prompted. Young people are listened to and offered interventions; interventions that are not forced upon them, but that they are permitted to choose. We are in a privileged position to build the foundations for the future health of these young people – for example through ensuring they are adequately

vaccinated or screened for sexually transmissible infections – and educating and seeking to prepare them for self-care and future health encounters. References Council to Homeless Persons, 2012, Homelessness in Victoria – Key Statistics, viewed 1 September 2016, <http://chp.org.au/wp-content/ uploads/2012/12/10122012_Homelessness-in-Victoria-with-2011-ABS-stats.pdf>

EDITOR'S NOTE Christine’s story features in our recently published 2016 Community and Primary Health Care Nursing Week eBook. The 2016 Community and Primary Health Care Nursing Week eBook showcases a collection of stories from and about community and primary health care nurses. This year, contributors focused their submissions on 'when' community and primary health nursing care is provided. Click here to visit our website and read the entire eBook.

Cruise your way to professional development Nursing Conferences and Seminars Cruising Worldwide Destinations Upcoming events in topic areas include: Emergency, Diabetes, Wound Care Public Health & Tropical Medicine

For more information please visit www.educationatsea.com.au


In focus @ACN

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Vital Signs

Team Talk – every patient, every day By Trish Lowe MACN

The aim of Team Talk is twofold:

Harnessing interdisciplinary team conversations to enhance patient safety, quality and coordinated care In 2014–15, 10.2 million episodes of care were provided Trish Lowe MACN within Australia’s public and private hospitals (Australian Institute of Health and Welfare (AIHW) 2016, p. X). Of these, 8.8% resulted in hospital acquired complications and 5.6% were associated with one or more adverse events, such as falls, infections and medication errors (AIHW 2016, p. 213). Therefore, maximising health system efficiency and optimising patient outcomes, through the provision of safe, high quality care, remains the responsibility of all health professionals. The Sydney Children’s Hospitals Network (SCHN) has introduced a network-wide initiative called Team Talk; every patient, every day. Team Talk sessions are structured, interdisciplinary team conversations, which focus on safety and care coordination of every patient across the Westmead and Randwick sites.

1. To improve Patient Safety and situational awareness 2. To ensure patients receive coordinated, efficient care. Two separate projects were been undertaken during 2015 to test these aims and trial the program. The Home for Lunch project worked with general medical wards on both the Westmead and the Randwick sites. The major focus of this project was interdisciplinary communication and coordination of patient care to enable timely and efficient discharge. Home for Lunch was focussed on the following key objectives: • Increase the admitted Emergency Treatment Performance (ETP) for two general medical wards (C3W and HB) by 10% by June 2016; • Reduce average length of stay of inpatients on C3W and HB by 10% by June 2016; • Improve patient satisfaction regarding the discharge process by 10% (baseline 66%) by June 2016. The second initiative was the Patient Safety Huddle, implemented on two wards on each site as part of an investment in a quality improvement training program. The Patient Safety Huddle aims to: • Identify patient(s) who have high potential to deteriorate; • Review safety issues arising in the past 24 hours including any reported incidents; • Assess whether the ward/clinical area is likely to be safe for our patients today.

Whilst evaluation continues, success of these programs has been attributed to input from an implementation lead, trained in Accelerated Implementation Methodology (AIM), allocated to each site, executive sponsorship, collaborative leadership between nursing and medical staff, and senior clinicians acting as clinical champions. For further information, please contact Sharon Roumanos (SCHN Whole of Health Program Officer) or Christie Graham (SCHN Clinical Redesign Manager) on SCHN-WoHP@health.nsw.gov.au or (02) 9845 0548. Reference: Australian Institute of Health and Welfare (AIHW) 2016, Admitted patient care 2014–15: Australian hospital statistics, AIHW, Canberra, viewed 4 August 2016, http://www.aihw.gov.au/publication-detail/?id=60129554702


NMBA update

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Enrolled nur ses and medication adminis tr ation The NMBA has received a few queries from nurses and employers recently about enrolled nurses (ENs) and medication administration. We would like to make it clear that ENs who don’t have a notation on their registration are able to administer medicines. There are no longer any endorsements for ENs. Prior to the commencement of the National Scheme in 2010, ENs who were educated to administer medications had an endorsement on their registration. When we moved to national registration of nurses and midwives this changed. Since 2010, enrolled nurses who are not educated to administer medications have a notation on their registration that states “does not hold a boardapproved qualification in administration of medicines”. Since 2010, the title “endorsed enrolled nurse” is no longer used. Enrolled nurses who do not have a notation have completed medication administration education at some time in their career and are able to administer medications. The NMBA expects all enrolled nurses to work within their current education, training and competence. We have published a revised fact sheet, Enrolled nurses and medication administration, to make this area clearer for ENs and their employers.

Advertising obligations The NMBA has published further information to help nurses and midwives to better understand their advertising obligations. We would like to remind nurses and midwives that the requirement is on you to substantiate any claim you make that your treatments benefit patients. If you do not understand whether the claims you have made can be substantiated based on acceptable evidence, then remove them from your advertising. For the latest information published by the NMBA on advertising obligations please refer to further information on advertising and therapeutic claims. This information does not replace the NMBA’s guidelines for advertising regulated health services, which should be your first point of reference to understand your obligations. You may also wish to seek appropriate advice, for example, from your legal advisor and/or professional association.


Nurseclick November 2016