Contact any of the following
for Further Jen Udy Judy
Harris Margaret Hearn Rachael Sullivan Merryll Frear Cherry Waldron Chris Tipa Julie Palmer
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IN THIS MONTH’S NEWSLETTER:
Page 1 Nursing Group contact details
Quote
Page 2 Minutes of the Nurse Project Meeting held on 02/06/04
Page 3 Medical Books (NZ) Ltd
Bicutural Workshop Meetings
July Meeting Agenda
Julie’s Column
Page 4 “Nurse Practitioner ….. A Green Light”
by Allison Freemantle R.N.
Bicultural Workshop Book Resources
Minutes of the Meeting held June 2nd, 2004
AT NOON
CONFERENCE ROOM, COMMUNITY HEALTH, DARGAVILLE HOSPITAL
Present: Julie Palmer, Geoff Nickerson, Margaret Hearn, Judy Harris, Fran Glamazina, Celeste Sherman, Kath Bowmar, Glenis Turner, Rachael Sullivan, Raewyn Fowlie & later, Mary Munn.
Apologies: Chris Tipa, Gay Gillette, Jen Udy, Trish Crompton Blessing of the kai: Raewyn
Welcome & Introductions by Julie Palmer of Te Roopu Kimiora Team – Keith Charles - paediatrician, Katrina Time – community nurse & Andrea Ringrose - counsellor. Group members introduced themselves.
Presentation by Te Roopu Kimiora – Child & Youth Mental Health Service:
A MS Powerpoint presentation, the first given by the team in Kaipara, provided the following information –
Mission Statement, Location (4 sites – Whangarei, Kaikohe, Whangarei & Dargaville, The Team of 20 – Referral sources, criteria and how the referral is processed – Services Provided – NH Support Services – Bridging the Gap to other Services i.e. schools CYFS Police WINZ etc. A paper copy of the presentation is available from KCI. Also shown was a Te Roopu Kimiora CD which gives statistics, explains the services, provides template referrals and a relaxation tape.
The service offered is mainstream, although efforts are being made to incorporate Maori kaupapa principles. Team Members expect to see the top 3% of children and youth with mental health problems, which in Northland equates to approx 1200. In reality, the service sees about 3-400 cases, which may indicate a high percentage of undiagnosed patients. With each presentation, referrals increase by approx 5%, and the team expressed concern that there is not enough personnel to handle a large influx. It was pointed out that if this was the case, the issue would need to be taken up with the DHB/MOH.
Minutes of the May 04 Meeting: M/S Glenis / Kath that they are correct. Carried
Matters Arising: - Nil
Business:
Dept/Services Updates:
KCI - Julie – is the link for the upcoming Sexual Health Roadshow on Chlamydia – details in May Korero. She has organised for Medical Books to visit Kaipara –date see below– let her know what you would be interested in seeing. She is also arranging for specialists consulting from OP to give presentations at DMC during lunchtime. Nurses from all services will be invited. Nursing Leaders got together recently to discuss implementing a shared/common orientation for Kaipara. Julie was congratulated for organising the photo competition and morning tea for International Nurses Day.
Kauri Coast Resthome/DMC – Judy – has two hats. The resthome has just passed certification. At DMC, she recently went to a Rural Nursing weekend with Trish & Alison in Tirau. Others present did not seem to know about this workshop and wondered when and where it was advertised.
PHN – Kath – Just signed off on the Child Protection Service and will be advertising for 1.5FTE position soon. Waiting to hear if the MENZB Vaccine rollout will be brought forward. For those who know her, June Hilton-Jones had twin girls.
PHN – Fran – Advising schools of the upcoming MENZB Vaccine rollout. There is complacency & ignorance regarding TB and other transmittable diseases in the community. Well Kids week in October–will look at burns. Last year did ATV’s.
Community Nursing – Glenis – of the 7 local DN’s, 2 are away on long term leave, including Dawn who usually attends this forum. ECLIPS hand held device trial now complete. Outcomes will be presented at the DN Conference in July.
Community Nursing – Rachael – involved in NH’s mock accreditation. Working on managing cellulitus in the community. DN’s would need upskilling for this. Decision on whether HSS will stay with community nursing or go to NASC pending. Nurses in Kaipara might be keen to see it go.
Discussion on poor attendance of this meeting :-
Disappointment was expressed at the poor attendance of Kaipara based nurses at this meeting. Issues brought up included:
· Forum was originally for Team Managers/Leaders. After feedback the TOR made attendance for all nurses inclusive.
· Purpose is to Integrate Nursing Services – this cannot happen if nurses do not prioritise this set time monthly meeting.
· Korero goes out a week before the meeting as a reminder. Follow-up ph calls etc should not be necessary. However,
meeting could be added to the white boards in DMC and the ward.
· Guest Speakers – had a paediatrician with us today – nurses could possibly make referrals to this service.
· Te Ha might not be in attendance as the Te Roopu Kimiora group are presenting there this afternoon. Jen and Dawn on
leave, there is an apology from the Ward, DMC are busy, Independent Nurses not here. The group is small enough to
notice absences.
· Kaipara is held up as the Nursing Model – but is it in reality? What achievements have actually been made?
There could be complacency due to work put in by nurses on previous projects only to see them not realised – i.e.
things won’t change - this is a negative self fulfilling prophecy.
· It is realised that clinical work will always take priority and that the no. of nurses interested in this forum may be small.
Should dept/services delegate someone to attend?
· Does the relevancy of the meeting to nurse’s daily practice need addressing? Should this forum be used to discuss and
further the projects identified by Julie?
Julie to do some analysis on the problem. The group will move forward.
Meeting Closed: 1.30 Next Meeting: Wednesday 7th July 2004 – 12.00 – 1.30 - Lunch Provided.
Medical Books (NZ) Ltd
The only New Zealand bookshops totally devoted to medicine, nursing and health publications - printed and electronic. A large stock of New Zealand and Overseas titles carried, but in stock or not - If it's published we can get it! Independent and 100% New Zealand owned.
THURSDAY, 22ND JULY
VIDEO CONFERENCE ROOM MOST OF THE DAY
Bicultural Workshop Meetings
Originally started in June 2000, This Kaipara Health site initiative offers a forum where participants can feel “safe” to discuss work place, national & local bicultural issues and protocols. Group membership is diverse and friendly. The meetings are well run and always informative
The next meeting is scheduled for:
12.30—1.30 on Wednesday, 25th August 04
Conference Room, Community Health
Guest Speaker: Robert Newson, Human Rights Commission
Lunch Provided
Please feel free to come and participate or just sit and
observe. New faces always welcome.
The group has organised the current Te Ara Reo Level One course with 30 people (staff/whanau & some community members) attending the dynamic kinesthetic classes that cover:
Pronunciation
Sentence Structure
Introducing yourself in Te Reo Maori
Whakapapa (geneology)
Marae Concepts
Waiata (song)
Those who have attended say things like: “if school had been like this, we would have all passed with A’s”!!.
At the April meeting, a video of the interview of the late Michael King by Kim Hill was viewed. (copies of this are available if you are interested)
A current topic for the group is discussion on the recognition of the Conference Room as a place where tikanga maori protocols take place.
Permission has been sought and granted (subject to conditions) from NH to commence a consultation process on what might be appropriate to signify this. (i.e. artwork, tukutuku panels, other?).
Some group members are having submissions heard before the Seabed and Foreshore Commission. Reference books on Treaty, bicultural and broader western culture subjects have recently been purchased & are available to borrow—see back page for details.
Rhonda Zeilinski announced her resignation from Te Ha at the June meeting and invited members to attend her powhiri (late August) for her new position as NIL for Tamaki PHO.
Other activities of the group over the past 4 years have included:
Powhiri & waiata practice
Marae visit (Jo Herbert’s farewell)
Development of the Orientation Framework for Local Maori Culture
Meeting Agenda for 7th July 2004
Wednesday 7th July 2004
Business Meeting 12.30—1.30pm
LUNCH AVAILABLE FROM 12.15
Apologies
Introductions (visitors from the Nursing Innovations Evaluation Team)
Previous Minutes
Matters Arising
General Business
Feedback on recent KCI Meetings from Jen, Nurse Representative on the Board
NIL Report/Presentation
Other
Dept/Service News/Panui
Next Meeting (August 4th)
Julie's Column
Tena kotou katoa
Thank you to Allison Freemantle for writing up a report on her recent attendance at the Emergency Nurses Conference in Tauranga at which Nurse Practitioners were discussed. See the back page.
Members of the Innovations Evaluation Team (see May Korero for details) will be visiting me on the day of our meeting and I look forward to introducing them to you all.
I will also be doing a Powerpoint presentation on progress made on the Kaipara shared orientation program.
Other items I will be talking to include:
Continuing Medical Education (CME) -
Talk by Geriatrician Tus Fernando on Strokes at DMC, 12.30, 22nd July.
(Lunch Provided)
Medical Books—July 22nd
ECLIPS
Feedback from the Chlamydia Roadshow
Health Promotion Stocktake
Agenda Items for the August Meeting
(I.e. MenzB Presentation by Trish)
Hope to see as many of you there as possible.
Julie
"Nurse Practitioner ..... A Green Light" by Allison Freemantle, R.N.
The recent Emergency Nurses Conference was held in Tauranga in May this year. There were many interesting lectures and discussions from various positions from how to intubate - including standing astride the patient and bending forward. There was an excellent lecture on paediatric assessment and sedation from an American male nurse, and a plastering workshop. The latest in emergency and monitoring equipment was on display also.
On day two of the conference, there was an outstanding forum discussion the role and future of Nurse Practitioner’s in New Zealand. Many interesting points were made including nurses seeking approval from Doctors as to whether or not Nurse Practitioners would be accepted. Another concern expressed was, that if after obtaining a master’s degree, would the financial rewards be sufficient? It was stated that obtaining a masters degree does not automatically guarantee one becoming a Nurse Practitioner as this decision is made by the Nursing Council. The analogy made was that one has to be able to “drive and have passed the theory before having a licence to drive”. So too, a nurse has to have her master’s degree, and be “being” a Nurse Practitioner in her scope of practice before her application will be considered by the Nursing Council.
Although this is an entirely new concept in New Zealand, it is not uncommon overseas. Nurse Practitioners have been well researched abroad and patient safety and outcomes have been very favourably compared to those of General Practitioners—and have even excelled Senior House Officers in some areas—namely xray interpretation.
I worked on a cruise ship in America with a Nurse Practitioner, and she worked in the role of covering every second night on call and alternate clinics for the Ship’s Physician, a role normally carried out by the second (or junior) doctor.
This is an exciting development for nurses who are interested in taking up the challenge. It is no longer a question of IF, but WHEN we see Nurse Practitioners in our community. We have the green light—we can go for it!
Bicultural Workshop Book Resources
KCI has recently purchased the following books, available on loan from Raewyn on extn 6822.
The Penguin History of New Zealand, Michael King
a new book for a new century, tells that story in all its colour and drama. The narrative that emerges is an inclusive one about men and women, Maori and Pakeha. It shows that British motives in colonising New Zealand were essentially humane; and that Maori, far from being passive victims of a 'fatal impact', coped heroically with colonisation and survived by selectively accepting and adapting what Western technology and culture had to offer.
The latter part of the book reveals how an insulated and dependent British colony transformed itself into an independent nation, open to and competing with technological and cultural influences sweeping the globe.
The three books below, one light-hearted and the other two giving completely opposite views, should tease you enough to get you started.
Old NZ by a Pakeha Maori , FE Maning, (1811-1883)
A British settler's view of Maori life and customs in the 1860's. Written in the 1860's by one who was there. Light-hearted and illuminating.
The Travesty of Waitangi - Towards Anarchy Stuart C. Scott, 1995
Tough-talking expose of the billions of dollars spent by the NZ taxpayer in so-called 'final' settlements that are anything but 'final'. Contains lots of history about past - and present - Claims.
You will be stunned at the amount of money involved, the majority of which most NZ'ers are unaware of. Scott reports some interesting 'conflict of interest' issues about the set-up of the Waitangi Tribunal that will make you wonder and tells us that much of the money seems to be going in directions other than the Maori population it was supposed to benefit.
History of New Zealand and its Inhabitants
Dom Felice Vaggioli, transl. John Crocket, 2000
An intriguing book written in the 1880's and first published in 1896, by an Italian monk living in NZ during the period 1879 - 1887, and reporting back to the Pope. His only prejudice is against any religion that isn't Catholic...
The British Government apparently ordered all copies of the book burned, but one copy survived in an Italian Monastry, and has been translated into English and published by Otago University Press. Vaggioli wrote what he saw. His views are just as sympathetic to Maori claims as Stuart C. Scott's are dismissive.
Also on the “to purchase” list is:
The Culture of Pain, David B. Morris, 1993.
The recipient of the 1992 Pen/Spielvogel-Diamonstein Award, this study combines modern medical knowledge with a detailed exploration of the definition in Western culture and literature to restore the bridge between pain and meaning.