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Issue 26 - 7 February 2022

Read Kaitiaki online

Articles: Journal of Advanced Nursing, February 2022

  1. Editorial:Valuing the paradigm of nursing: Can nurse practitioners resist medicalization to transform healthcare?

Articles: Burnout/Moral Distress

  1. Gentle gloves: The importance of self-compassion for mental health nurses during COVID-19
  2. Chronicling moral distress among healthcare providers during the COVID-19 pandemic: A longitudinal analysis of mental health strain, burnout, and maladaptive coping behaviours
  3. Mattering perception, work engagement and its relation to burnout amongst nurses during coronavirus outbreak
  4. Adapting to COVID-19 Stressors: The Role of Nursing
  5. Managing Moral Distress
  6. A longitudinal analysis of the role of potentially morally injurious events on COVID-19 related psychosocial functioning among healthcare providers
  7. Moral courage, moral sensitivity and safe nursing care in nurses caring of patients with COVID-19
  8. Moral Injury Signified by Levels of Moral Distress and Burnout in Health Science Clinical Educators

Articles: Journal of Infection Prevention, November 2021

  1. Re-visiting contact precautions – 25 years on
  2. Electronic hand hygiene monitoring systems can be well-tolerated by health workers: Findings of a qualitative study
  3. What are the predictors of hand hygiene compliance in the intensive care unit? A cross-sectional observational study
  4. Tuberculosis prevalence, knowledge of transmission and its association with vaccination of children
  5. Effect of school reopening on SARS-CoV-2 incidence in a low-prevalence region: Prospective SARS-CoV-2 testing in healthcare workers with primary school-attending children versus without children living at home

Articles: Australian Nursing and Midwifery Journal

  1. Aged care nurses in moral distress and burning out
  2. Not all PPE is created equal: making sure you use the right PPE for COVID-19
  3. COVID: “Tightening the screws” on existing workforce pressures

Articles: Medical Journal of Australia, 2022

  1. Using after action-reviews of outbreaks to enhance public health responses: lessons for COVID-19
  2. Drivers of the summer influenza epidemic in New South Wales, 2018-19
  3. The impact of re-opening the international border on COVID-19 hospitalisations in Australia: a modelling study

Events

  1. Consumer health forum: Health Quality & Safety Commission
  2. New Zealand Nursing Leaders’ Summit [Virtual event]

National news

  1. The best masks for the Omicron outbreak

International news

  1. The pandemic may have created a nation of problem drinkers - and many are women
  2. What you need to know about the fast-spreading BA.2 omicron variant
  3. School teachers unsure of best way to ventilate rooms in cold weather

 

Articles: Journal of Advanced Nursing, February 2022

1.Editorial:Valuing the paradigm of nursing: Can nurse practitioners resist medicalization to transform healthcare?

Carryer, J & Adams, Sue
Journal of Advanced Nursing. (2022, February) 78(2), e36–e38. https://doi.org/10.1111/jan.15082

A lay person commented recently to one of us that ‘seeing how nurse practitioners were so clever why didn't they rename themselves as something other than a type of nurse’. A sobering comment indeed, but one that has, on occasions, been uttered by nurse practitioners (NPs) themselves from around the world. In this editorial, we would like to tease out the thinking behind such notions and consider the implications for our discipline.

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Articles: Burnout/Moral Distress

2. Gentle gloves: The importance of self-compassion for mental health nurses during COVID-19

Gerace, A.

International Journal of mental Health Nursing (2022, Feb) 31(1), 3-7. https://doi.org/10.1111/inm.12934

It is hard to overestimate the deleterious mental health and well-being effects of COVID-19 on communities around the world. Nurses have reported elevated mental health concerns during the pandemic (Sampaio et al. 2020), often connected to perceived threat of virus transmission in the healthcare setting (Gázquez Linares et al. 2021)

3. Chronicling moral distress among healthcare providers during the COVID-19 pandemic: A longitudinal analysis of mental health strain, burnout, and maladaptive coping behaviours

Chloe A. Wilson., Hannah Metwally., Smith Heavner., Ann Blair Kennedy., Thomas W. Britt
International Journal of mental Health Nursing (2022, Feb) 31(1), 111–127. doi: 10.1111/inm.12942

The COVID-19 pandemic has presented many novel situations that have amplified the presence of moral distress in healthcare. With limited resources to protect themselves against the virus and strict safety regulations that alter the way they work, healthcare providers have felt forced to engage in work behaviours that conflicted with their professional and personal sense of right and wrong.

4. Mattering perception, work engagement and its relation to burnout amongst nurses during coronavirus outbreak

Salwa Ahmed Mohamed., Hendy, Abdelaziz., Omaima Ezzat Mahmoud., & Sayeda Mohamed Mohamed.
Nursing Open (2022,Jan), 9(1), 377-384. https://doi.org/10.1111/inm.12942

To assess the mattering perception, feelings of burnout and work engagement amongst nurses during coronavirus outbreak.

5. Adapting to COVID-19 Stressors: The Role of Nursing

Journal of Psychosocial Nursing & Mental Health Services (2022, Jan) 60(1), 13-16.

The coronavirus disease 2019 (COVID-19) pandemic has influenced daily life in many ways, with significant effects on mental health and coping. Psychiatric nurses can leverage their expertise in supporting adaptive coping among individuals affected by the stressors of the pandemic. The current article uses the Roy Adaptation Model and a review of the literature to provide a framework for nurses to intervene and promote improved mental health across all settings.

6. Managing Moral Distress

Saver, Cynthia
Iowa Nurse Reporter Dec 2021-Feb 2022. 5(2), 14-15.

According to the American Association of Critical-Care Nurses (AACN) tool "Recognize & Address Moral Distress," moral distress occurs when someone "knows the right thing to do, but constraints, conflicts, dilemmas, or uncertainty make it nearly impossible to pursue the right course of action." In individuals, it can produce symptoms that are emotional (frustration, anger, anxiety, guilt, sadness powerlessness, withdrawal), physical (muscle aches, headaches, heart palpitations, neck pain, diarrhea, vomiting), and psychological (depression, emotional exhaustion, loss of self-worth, nightmares, reduced job satisfaction, depersonalization of patients) in nature.

7. A longitudinal analysis of the role of potentially morally injurious events on COVID-19 related psychosocial functioning among healthcare providers

Borges, Lauren M; Holliday, Ryan; Barnes, Sean M; Bahraini, Nazanin H; Kinney, Adam; et al.
PLoS One. (Nov 2021) 16(11), e0260033.

Medical leaders have warned of the potential public health burden of a “parallel pandemic” faced by healthcare workers during the COVID-19 pandemic. These individuals may have experienced scenarios in which their moral code was violated resulting in potentially morally injurious events (PMIEs). In the present study, hierarchical linear modeling was utilized to examine the role of PMIEs on COVID-19 pandemic-related difficulties in psychosocial functioning among 211 healthcare providers.

8. Moral courage, moral sensitivity and safe nursing care in nurses caring of patients with COVID-19

Khodaveisi, Masoud; Oshvandi, Khodayar; Bashirian, Saeid; Khazaei, Salman; Gillespie, Mark; et al.
Nursing Open (2021, Nov) 8(6), 3538-3546.

Evaluation of the moral courage, moral sensitivity and safe nursing care in nurses caring of infected patients by the COVID-19.

9. Moral Injury Signified by Levels of Moral Distress and Burnout in Health Science Clinical Educators

Kellish, Allison, DPT, PhD; Gotthold, Sara, BS; Tiziani, Marvelyn, DPT; Higgins, Patricia, MS; Fleming, Dana, DPT; et al.
Journal of Allied Health (2021, Fall) 50(3), 190-19.

Despite the importance of clinical education in the education of health science professionals, securing clinical placements and access to willing clinical educators has become increasing difficult in recent years. In this study, we examined the prevalence of moral injury in clinical educators to determine if a relationship exists between the moral distress, burnout, and their roles as clinical educators

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Articles: Journal of Infection Prevention, November 2021

10. Re-visiting contact precautions – 25 years on

Jennie Wilson & Jacqui Prieto
Journal of Infection Prevention. (Nov 2021), 22(6), 242-244. https://doi.org/10.1177/17571774211059988

So what is the purpose of contact precautions? Evidence for their effect in preventing transmission of pathogens is lacking, the categorisation of infections deemed to require contact rather than SP is opaque, and the risks of transmission associated with the overuse and misuse of PPE are clear.

11. Electronic hand hygiene monitoring systems can be well-tolerated by health workers: Findings of a qualitative study

D Kelly., E Purssell & N Wigglesworth
Journal of Infection Prevention. (Nov 2021), 22(6), 246-251. https://doi.org/10.1177/17571774211012781

Electronic hand hygiene monitoring overcomes limitations associated with manual audit but acceptability to health workers varies and may depend on culture of the ward and the nature of the system.

12. What are the predictors of hand hygiene compliance in the intensive care unit? A cross-sectional observational study

Caoimhe Madden, Sinéad Lydon, Chloe Walsh, Emily O’Dowd, Susan Fox, Akke Vellinga, Kathryn Lambe, Omar Tujjar, Cathriona Greally, Michael Power, John Bates, Paul O’Connor
Journal of Infection Prevention. (Nov 2021), 22(6), 252-258.

Although appropriate hand hygiene (HH) practices are recognised as the most effective preventative strategy for infection, adherence is suboptimal. Previous studies in intensive care units (ICUs) have found differences in HH compliance between those moments that protect the patient, and those that protect the healthcare provider.

13. Tuberculosis prevalence, knowledge of transmission and its association with vaccination of children

Anisha Das., Tejal Lakhan., & Sayeed Unisa
Journal of Infection Prevention. (Nov 2021), 22(6), 259-268.

Understanding the perceptions of patients regarding tuberculosis (TB) will enable better design of a comprehensive, client-oriented program for the disease. This study was conducted district-wise across India in 2015–2016 as part of the National Family Health Surveys (NFHS).

14. Effect of school reopening on SARS-CoV-2 incidence in a low-prevalence region: Prospective SARS-CoV-2 testing in healthcare workers with primary school-attending children versus without children living at home

Melvin Frie., Lisa M Havinga., Janneke Wiersema-Buist., Charlotte G Veldman., Marjan JT de Vries., Lilli Rurenga-Gard., Alex W Friedrich., & Marjolein Knoester
Journal of Infection Prevention. (Nov 2021), 22(6), 269–274.

Coronavirus disease 2019 (COVID-19) often presents asymptomatically or milder in children compared to adults. In the Netherlands, the first action of loosening the partial lockdown that had been implemented to reduce SARS-CoV-2 transmission was the reopening of primary schools on 1 May 2020. We subsequently conducted a prospective cohort study among healthcare workers (HCWs) with primary school-attending children versus HCWs without children living at home. In our region with a low population density and low SARS-CoV-2 prevalence, reopening of primary schools did not lead to an increase in infections.

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Articles: Australian Nursing and Midwifery Journal

15. Aged care nurses in moral distress and burning out

ANMJ Staff - January 27th, 2022

As the Omicron wave spreads through private aged care facilities aged care nurses across the country are in moral distress and are burning out because of dangerously low staffing levels, a national survey has revealed.

16. Not all PPE is created equal: making sure you use the right PPE for COVID-19

Micah DJ Peters & Casey Marnie
ANMJ - January 21st, 2022

Correct use of appropriate personal protective equipment (PPE) is part of any respiratory protection program to help reduce exposure to dangerous airborne particles including SARS-CoV-2, however some PPE items are not regulated medical devices and aren’t appropriate for use in clinical settings.

17. COVID: ‘Tightening the screws’ on existing workforce pressures

Ben Rodin
ANMJ - January 20th, 2022

An Australian nurse researcher and co-author of a new study looking at nursing workforce shortages during COVID-19 has said that the pandemic has exposed pre-existing healthcare pressures, exposing shortfalls in the retainment and recruitment of workers.

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Articles: Medical Journal of Australia, 2022

18. Using after action-reviews of outbreaks to enhance public health responses: lessons for COVID-19

Craig B Dalton., Martyn D Kirk & David N Durrheim
The Medical Journal of Australia (2022) 216 (1), 4-9

To identify lessons for our future response to the pandemic and routine and emerging infectious diseases, we assessed findings from 14 Australian outbreak reviews.

19. Drivers of the summer influenza epidemic in New South Wales, 2018-19

Celeste K Marsh., Vicky Sheppeard., Sean Tobin., Robin Gilmour & Ross M Andrews
The Medical Journal of Australia (2022) 216 (1), 33-38.

Travel related factors were early drivers of the 2018-19 NSW summer influenza epidemic; local transmission sustained the outbreak despite unfavourable conditions later in summer. Our findings prompted re-evaluation of recommendations for pre-travel vaccination in NSW.

20. The impact of re-opening the international border on COVID-19 hospitalisations in Australia: a modelling study

Mark J Hanly., Timothy Churches., Oisin Fitzgerald., Jeffrey J Post., C Raina MacIntyre & Louisa Jorm
The Medical Journal of Australia (2022) 216 (1), 39-42.

In scenarios assuming a highly transmissible SARS-CoV-2 variant (R0 = 3.5 or 7.0), opening the international border on either scale was followed by surges in both infections and hospitalisations that would require public health measures beyond mask wearing and social distancing to avoid overwhelming the health system. Reducing the number of hospitalisations to manageable levels required several cycles of additional social and mobility restrictions.

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Events

21. Consumer health forum: Health Quality & Safety Commission 

A network of consumers including whanau, individuals, groups and organisations, is being developed

22. New Zealand Nursing Leaders' Summit [Virtual event]

Nurses leading change

Date: 28 Feb - 1 Mar 2022
Venue: Ellerslie Events Centre, Auckland

Key Topics include:

- The role of nursing leaders in championing improvements to health equity

- How nursing leadership can raise the level of nursing practice

- Nursing’s role in leading health system reform and transformation

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National News

23. The best masks for the Omicron outbreak

Consumer NZ – 26 January 2022

When you’re shopping for your next mask, here are the key things to consider.

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International news

24. The pandemic may have created a nation of problem drinkers -- and many are women

CNN – January 25, 2022

During the pandemic's repetitive grind, enjoying an occasional glass of wine with the girls has been replaced by Zoom wine hour, or worse, drinking in solitary confinement. "The data we have shows that drinking is definitely up since the start of the pandemic -- around a 14% increase in the number of drinking days per month," said Dr. Sarah Wakeman, medical director of the Substance Use Disorders Initiative at Massachusetts General Hospital.

25. What you need to know about the fast-spreading BA.2 omicron variant

New Scientist – 28 January 2022

Another year, another variant. Even before the omicron wave is over, the rising number of cases caused by a variant of omicron known as BA.2 is causing concern.

26. School teachers unsure of best way to ventilate rooms in cold weather

New Scientist – 26 January 2022

As school absences soar in England because of covid-19 – and classroom mask-wearing guidelines are lifted – many teachers aren't sure how best to improve ventilation amid winter temperatures.

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