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	<title>NurseTalk NZ &#187; nursetalk</title>
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	<link>http://digitalis.co.nz/nursetalknz</link>
	<description>News, views, discussion and debate from a NZ nursing perspective</description>
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		<title>The whole shebang</title>
		<link>http://digitalis.co.nz/nursetalknz/2010/07/20/the-whole-shebang/</link>
		<comments>http://digitalis.co.nz/nursetalknz/2010/07/20/the-whole-shebang/#comments</comments>
		<pubDate>Tue, 20 Jul 2010 15:29:07 +0000</pubDate>
		<dc:creator>Newbie NP</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[healthcare]]></category>
		<category><![CDATA[nursetalk]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing assessment]]></category>
		<category><![CDATA[nursing views]]></category>
		<category><![CDATA[quality]]></category>
		<category><![CDATA[skills]]></category>

		<guid isPermaLink="false">http://digitalis.co.nz/nursetalknz/?p=143</guid>
		<description><![CDATA[I have just attended an excellent conference including a  presentation on performing pelvic exams on challenging patients. Which begs the question- why do &#8220;non-medical smear-takers&#8221; aka nurses NOT get taught to do bi-manual pelvic exams with their smeartaking? It is like teaching phlebotomy without teaching how to actually draw the blood. Can anyone tell me [...]]]></description>
			<content:encoded><![CDATA[<p>I have just attended an excellent conference including a  presentation on performing pelvic exams on challenging patients. Which begs the question- why do &#8220;non-medical smear-takers&#8221; aka nurses NOT get taught to do bi-manual pelvic exams with their smeartaking? It is like teaching phlebotomy without teaching how to actually draw the blood.</p>
<p>Can anyone tell me why this is so?</p>
<p>Every smeartaker should be able to complete the second phase of a smear- the bi-manual exam. It is not rocket science. It is a technique like many others nurses do- invasive- yes but you are already down there anyway! But not dangerous.</p>
<p>Makes me wonder who designed the original smeartakers courses in the<a href="http://digitalis.co.nz/nursetalknz/wp-content/uploads/2010/07/cervix.jpg"><img class="alignright size-thumbnail wp-image-144" src="http://digitalis.co.nz/nursetalknz/wp-content/uploads/2010/07/cervix-150x150.jpg" alt="" width="150" height="150" /></a> first place?</p>
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		<title>Clear as Mud?</title>
		<link>http://digitalis.co.nz/nursetalknz/2010/06/16/135/</link>
		<comments>http://digitalis.co.nz/nursetalknz/2010/06/16/135/#comments</comments>
		<pubDate>Wed, 16 Jun 2010 08:34:33 +0000</pubDate>
		<dc:creator>Newbie NP</dc:creator>
				<category><![CDATA[Clinical issues]]></category>
		<category><![CDATA[Education]]></category>
		<category><![CDATA[Professional Development]]></category>
		<category><![CDATA[nursing research]]></category>
		<category><![CDATA[nursetalk]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing news]]></category>
		<category><![CDATA[nursing views]]></category>
		<category><![CDATA[UK nursing]]></category>

		<guid isPermaLink="false">http://digitalis.co.nz/nursetalknz/?p=135</guid>
		<description><![CDATA[Nursing models have always made me shake my head in bewilderment.and this article has only made me feel better about my misgivings about the concept of a model espoused by one, to be followed blindly by many, with questionable value for patients.]]></description>
			<content:encoded><![CDATA[<p>Nursing models have always made me shake my head in bewilderment.and <a title="Nursing Models" href="http://www.nursingtimes.net/5015918.article" target="_blank">this article</a> has only made me feel better about my misgivings about the concept of a model espoused by one, to be followed blindly by many, with questionable value for patients.</p>
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		<title>Nurse Bloggers</title>
		<link>http://digitalis.co.nz/nursetalknz/2010/01/27/nurse-bloggers/</link>
		<comments>http://digitalis.co.nz/nursetalknz/2010/01/27/nurse-bloggers/#comments</comments>
		<pubDate>Wed, 27 Jan 2010 02:12:56 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[nurse bloggers]]></category>
		<category><![CDATA[nursetalk]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing news]]></category>
		<category><![CDATA[nursing views]]></category>

		<guid isPermaLink="false">http://digitalis.co.nz/nursetalknz/?p=42</guid>
		<description><![CDATA[Here is an example of a rather  irreverant tongue- in-cheek blog-well I hope it is or my sense of what should be serious and professional is really out of whack!- that has some interesting news and views from a UK perspective- give it up for the Mental Nurse! Nothing wrong with a bit of subversive [...]]]></description>
			<content:encoded><![CDATA[<p>Here is an example of a rather  irreverant tongue- in-cheek blog-well I hope it is or my sense of what should be serious and professional is really out of whack!- that has some interesting news and views from a UK perspective- give it up for the <a title="Mental Nurse blogsite" href="http://www.mentalnurse.org.uk/" target="_blank">Mental Nurse!</a> Nothing wrong with a bit of subversive discussion as long as  respect is upheld for nursing as a profession.</p>
<p>I confess to having plagerised his guide to guest posting to help budding bloggers on this site&#8230;.hopefully we to will build up an expert team of smart, funny, slightly contraversial maybe, addicted bloggers!</p>
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		<title>Where oh where has our Chief Nurse gone?</title>
		<link>http://digitalis.co.nz/nursetalknz/2010/01/19/where-oh-where-has-our-chief-nurse-gone/</link>
		<comments>http://digitalis.co.nz/nursetalknz/2010/01/19/where-oh-where-has-our-chief-nurse-gone/#comments</comments>
		<pubDate>Tue, 19 Jan 2010 18:49:13 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[chief nurse]]></category>
		<category><![CDATA[gossip]]></category>
		<category><![CDATA[nursetalk]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nz]]></category>

		<guid isPermaLink="false">http://digitalis.co.nz/nursetalknz/?p=40</guid>
		<description><![CDATA[Nothing like an abrupt departure to get tongues wagging. It seems Mark Jones&#8217; sudden resignation from his position of NZ&#8217;s Chief Nurse is no exception. Unfortunately for him, the health journalists are beating up a wee storm about it. I know for sure he was in the Koru Lounge last week so a bit of [...]]]></description>
			<content:encoded><![CDATA[<p>Nothing like an abrupt departure to get tongues wagging. It seems <a title="Chief Nurse" href="http://www.nzdoctor.co.nz/news?article=9eaa4373-8c61-4aec-9e0f-4ef066c9c554" target="_blank">Mark Jones&#8217; sudden resignation</a> from his position of NZ&#8217;s Chief Nurse is no exception. Unfortunately for him, the health journalists are beating up a wee storm about it. I know for sure he was in the Koru Lounge last week so a bit of R&amp;R is obviously on the cards&#8230;.</p>
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		<title>Nurses do not &#8220;pop&#8221;</title>
		<link>http://digitalis.co.nz/nursetalknz/2010/01/18/nurses-do-not-pop/</link>
		<comments>http://digitalis.co.nz/nursetalknz/2010/01/18/nurses-do-not-pop/#comments</comments>
		<pubDate>Mon, 18 Jan 2010 09:53:51 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Clinical issues]]></category>
		<category><![CDATA[hospital]]></category>
		<category><![CDATA[nursetalk]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[safety]]></category>
		<category><![CDATA[skills]]></category>

		<guid isPermaLink="false">http://digitalis.co.nz/nursetalknz/?p=33</guid>
		<description><![CDATA[Apparently health chiefs in an Auckland (NZ) hospital are reviewing their safety record as part of their continuing quality improvement plans. I wasn&#8217;t going to bring this to the blog but then I spied the last paragraph:  The hospital has been running a pilot to reduce falls&#8230;&#8230;&#8220;Nurses popping in every hour to have a chat [...]]]></description>
			<content:encoded><![CDATA[<p>Apparently <a href="http://www.times.co.nz/cms/news/2010/01/health_chiefs_review_safety_in_hospitals.php" target="_blank">health chiefs in an Auckland (NZ) hospital</a> are reviewing their safety record as part of their continuing quality improvement plans. I wasn&#8217;t going to bring this to the blog but then I spied the last paragraph:  The hospital has been running a pilot to reduce falls&#8230;&#8230;<em><strong>&#8220;Nurses popping in every hour </strong>to have a chat and see if patients have any needs seems to be a good way to stop falls,”  reports the clinical director of QI. In the four weeks prior to the pilot scheme, there were 15 falls in wards. Four weeks after the pilot, there was only one. (Wonder what didn&#8217;t get done whilst the nurses were&#8221;popping in&#8221;?<br />
</em></p>
<p>Excuse me, but care assistants may &#8220;pop in&#8221;, tea ladies may &#8220;pop in&#8221;, but nurses do planned assessments of their patients state of health whenever they see them. This is a clear case of poor use of language that continues to perpetuate the dumbing down of nursing. It brings to mind the 1997 British Columnia Nurses Union campaign:</p>
<p><em>&#8220;He thinks he’s having a conversation about the hospital Jell-O. She’s actually midway through about 100 assessments. In the seconds it takes to reach the bedside, a Registered Nurse will have made over 100 assessments. Any one of which could mean the difference between recovery and tragedy. Take away direct patient care from Registered Nurses and vital knowledge affecting the health of the patient is lost. Nurses are doing vital work. It’s that simple&#8230;..&#8221;</em></p>
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		<title>UK nursing crisis</title>
		<link>http://digitalis.co.nz/nursetalknz/2010/01/16/uk-nursing-crisis/</link>
		<comments>http://digitalis.co.nz/nursetalknz/2010/01/16/uk-nursing-crisis/#comments</comments>
		<pubDate>Sat, 16 Jan 2010 21:43:02 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Clinical issues]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[blog]]></category>
		<category><![CDATA[nursetalk]]></category>
		<category><![CDATA[nursing crisis]]></category>
		<category><![CDATA[UK nursing]]></category>

		<guid isPermaLink="false">http://digitalis.co.nz/nursetalknz/?p=27</guid>
		<description><![CDATA[Read here about nursing in the NHS and be glad that we are not yet in this state in NZ. Or are we? Maybe some hospital nurses in NZ would like to comment on this? It seems that number crunching by the Govt is crippling the system over in the Old Country. Let&#8217;s hope that [...]]]></description>
			<content:encoded><![CDATA[<p>Read <a title="Suzanne Gordon" href="http://www.suzannegordon.com/" target="_blank">here</a> about nursing in the NHS and be glad that we are not yet in this state in NZ. Or are we? Maybe some hospital nurses in NZ would like to comment on this? It seems that number crunching by the Govt is crippling the system over in the Old Country. Let&#8217;s hope that measuring quality by numbers doesn&#8217;t create a similar mess here.</p>
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		<title>NZ news on nursing&#8230;.</title>
		<link>http://digitalis.co.nz/nursetalknz/2010/01/16/nz-news-on-nursing/</link>
		<comments>http://digitalis.co.nz/nursetalknz/2010/01/16/nz-news-on-nursing/#comments</comments>
		<pubDate>Sat, 16 Jan 2010 01:28:05 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Clinical issues]]></category>
		<category><![CDATA[Political]]></category>
		<category><![CDATA[nursetalk]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing news]]></category>
		<category><![CDATA[nursing research]]></category>
		<category><![CDATA[nursing views]]></category>
		<category><![CDATA[NZ nurse]]></category>
		<category><![CDATA[NZNO]]></category>

		<guid isPermaLink="false">http://digitalis.co.nz/nursetalknz/?p=23</guid>
		<description><![CDATA[Here&#8217;s a good nursing story on an interesting website I have never had the occasion to access  before.  It is always heartening to find a positive nursing story- check out the blogs whilst you are there. New research from the New Zealand Nurses Organisation (NZNO) reveals a snapshot survey of caregivers working in residential aged [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-thumbnail wp-image-24" title="A frosty day" src="http://digitalis.co.nz/nursetalknz/wp-content/uploads/2010/01/frost-cropped-150x150.jpg" alt="Frost" width="90" height="90" /> Here&#8217;s a good <a title="Nurse Neil" href="http://www.gaynz.com/articles/publish/36/article_8396.php" target="_blank">nursing story</a> on an interesting website I have never had the occasion to access  before.  It is always heartening to find a positive nursing story- check out the blogs whilst you are there.</p>
<p><a title="Research on NZ resthome caregivers" href="http://www.nzno.org.nz/activities/media_releases" target="_blank"> New research</a> from the New Zealand Nurses Organisation (NZNO) reveals a snapshot survey of caregivers working in residential aged care which indicates that caregivers are frequently undertaking clinical tasks more appropriately performed by Registered Nurses (RN). A &#8220;well, dhuh!&#8221; comes to mind. This issue is such an old and complex problem in terms of the stakeholders involved that, like funding streams for nursing roles in PHC or nurse prescribing, it may take even longer to untangle. Unless of course the large conglomerates that own resthomes take the ethical, moral and intelligent option of leading the way with complying with  sector standards, adopting career and clinical pathways, providing more RN hours and the money to grease the way. For this we will need the carrot and the stick.</p>
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		<title>NZ Hardest Working Nurse</title>
		<link>http://digitalis.co.nz/nursetalknz/2010/01/14/nz-hardest-working-nurse/</link>
		<comments>http://digitalis.co.nz/nursetalknz/2010/01/14/nz-hardest-working-nurse/#comments</comments>
		<pubDate>Thu, 14 Jan 2010 07:39:46 +0000</pubDate>
		<dc:creator>Newbie NP</dc:creator>
				<category><![CDATA[Nursing Achievements]]></category>
		<category><![CDATA[award]]></category>
		<category><![CDATA[nursetalk]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[NZ nurse]]></category>

		<guid isPermaLink="false">http://digitalis.co.nz/nursetalknz/?p=17</guid>
		<description><![CDATA[It seems that Gareth Morgan, author of Health Cheque has put together an award and lots of pingers for NZ &#8216;s hardest working nurse. This award seems to me  almost redundant in this day and age. Hard work is a given when it comes to nursing&#8230;with hospitals understaffed, a health workforce shortage, budgets tightened and [...]]]></description>
			<content:encoded><![CDATA[<p>It seems that <a title="Health Cheque" href="http://www.healthcheque.co.nz/" target="_blank">Gareth Morgan, author of Health Cheque</a> has put together an award and lots of pingers for NZ &#8216;s hardest working nurse. This award seems to me  almost redundant in this day and age. Hard work is a given when it comes to nursing&#8230;with hospitals understaffed, a health workforce shortage, budgets tightened and aging population of baby boomers who are more demanding and have higher expectations of the health services, nurses do not have a choice!</p>
<p>I don&#8217;t know about you, but this competition was totally under my radar&#8230;.sad but true, it again illustrates the lack of fanfare that  seems to accompany most things nursing, unless it is media worthy-i.e., strike action or involving murder, mayhem, litigation or scandal. What a great opportunity for nursing to raise the profile of of the profession, to educate the public as to the specialist expertise, skill, knowledge and dedication required to be a successful nurse. But nope- haven&#8217;t heard more than a <a href="http://www.scoop.co.nz/stories/GE1001/S00010.htm" target="_blank">whisper</a> on the major news waves<a href="http://digitalis.co.nz/nursetalknz/wp-content/uploads/2010/01/Nurses-tools-cropped-2.jpg"><img class="alignright size-thumbnail wp-image-19" title="Nurses tools " src="http://digitalis.co.nz/nursetalknz/wp-content/uploads/2010/01/Nurses-tools-cropped-2-150x150.jpg" alt="" width="150" height="150" /></a>&#8230;.or maybe I have just been distracted by the holiday season.</p>
<p>So now that we know about it, let&#8217;s at least <a title="Vote for a Nurse" href="http://www.healthcheque.co.nz/hardest.php" target="_blank">vote </a>for those nurses nominated. And congratulate those organisations/individuals who nominated them in the first place!</p>
<p>&#8220;<em>One of the key findings of Health Cheque, was that it was the hard working nurses that were largely holding the public health system together.&#8221;</em> Gareth Morgan- Health Cheque</p>
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		<title>Congratulations&#8230;..</title>
		<link>http://digitalis.co.nz/nursetalknz/2010/01/11/congratulations/</link>
		<comments>http://digitalis.co.nz/nursetalknz/2010/01/11/congratulations/#comments</comments>
		<pubDate>Mon, 11 Jan 2010 09:33:27 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Nursing Achievements]]></category>
		<category><![CDATA[award]]></category>
		<category><![CDATA[blog]]></category>
		<category><![CDATA[nursetalk]]></category>
		<category><![CDATA[nursing news]]></category>
		<category><![CDATA[NZ nurse]]></category>
		<category><![CDATA[NZNO]]></category>

		<guid isPermaLink="false">http://digitalis.co.nz/nursetalknz/?p=10</guid>
		<description><![CDATA[Congratulations go to Marion Guy, a registered nurse from Tauranga, who has gained admission to the New Year&#8217;s Honours list of 2010. Marion, who is immediate past President of the New Zealand Nurses Organisation, has recently been elected to the new National Health Board (NHB- sounds like a UK thing!). Marion is also a nurse [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: left;">Congratulations go to Marion Guy, a registered nurse from Tauranga, who has gained admission to the New Year&#8217;s Honours list of 2010. Marion, who is immediate past President of the <a title="NZNO" href="http://www.nzno.org.nz/" target="_blank">New Zealand Nurses Organisation</a>, has recently been elected to the new <a title="National Health Board" href="http://www.scoop.co.nz/stories/GE0912/S00010.htm" target="_blank">National Health Board</a> (NHB- sounds like a UK thing!). Marion is also a nurse leader in her own region, as a DHB and PHO Board member.</p>
<p>Sadly for nursing, Marion was one of two nursing <a href="http://digitalis.co.nz/nursetalknz/wp-content/uploads/2010/01/P10602602.jpg"><img class="alignleft size-thumbnail wp-image-13" title="Kiwi Christmas flower" src="http://digitalis.co.nz/nursetalknz/wp-content/uploads/2010/01/P10602602-150x150.jpg" alt="Pohutakawa blossom" width="150" height="150" /></a>recipients on the Honours List, despite us all knowing of the many nurses out there working hard for patients and communities. Perhaps that is a sad reflection on the invisibility of nursing. I am sure the proponents of the silence of nurses voices, <a title="Suzanne Gordon; From Silence to Voice" href="http://www.suzannegordon.com/?page_id=9" target="_blank">Suzanne Gordon for example</a>, would agree with this sentiment.</p>
<p>Great to see nurses acknowledged at those kiwi icons-<a title="Topp Twins" href="http://topptwins.com/" target="_blank">the Topp Twins</a> -concert last week.Mind you, she had to have her purseknapped by the duo first!</p>
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		<title>A Nursing View</title>
		<link>http://digitalis.co.nz/nursetalknz/2010/01/11/hello-world/</link>
		<comments>http://digitalis.co.nz/nursetalknz/2010/01/11/hello-world/#comments</comments>
		<pubDate>Mon, 11 Jan 2010 07:09:40 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[nursetalk]]></category>

		<guid isPermaLink="false">http://digitalis.co.nz/nursetalknz/?p=1</guid>
		<description><![CDATA[Welcome to a blog that will provide news,views, discussion and debate from a NZ nursing perspective.]]></description>
			<content:encoded><![CDATA[<p>Welcome to a blog that will provide news,views, discussion and debate from a NZ nursing perspective.</p>
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