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Issue 29 - 15 March 2022

Read Kaitiaki online

Articles – Canadian Journal of Critical Care Nursing

  1. Barriers and facilitators in the provision of palliative care in critical care: A qualitative descriptive study of nurses’ perspectives
  2. The development and implementation of an evidence-based risk reduction algorithm for post-extubation dysphagia in intensive care
  3. Oxygen consumption as a physiologic parameter to differentiate between critically ill patients with and without sepsis
  4. The association between hyperglycemia on critical care admission and mortality in critically ill oncology patients
  5. Clinical experiences and reflections on awake non-intubated prone positioning for hypoxic patients amidst the COVID-19 pandemic

Articles – Working from Home

  1. Work/life burnout: the manager’s challenge
  2. Prepare now to address inappropriate office behaviour: Returning workers may need reminders on office policies and etiquette
  3. Yes, Zoom is convenient. But little by little it is diminishing our humanity
  4. Is working from home the answer?
  5. Fitness: How to stay active working from home
  6. 5 Challenges of Hybrid Work — and How to Overcome Them
  7. 4 Work from Home Problems and How You Can Avoid Them

Articles – Nursing Older People

  1. Demonstrating empathy when communicating with older people
  2. ‘Five things about me’ — enhancing person-centred care for older people
  3. Nutritional interventions in older people with COVID-19: an overview of the evidence
  4. Using video consultations to support family carers of people living with dementia

Events

  1. New Zealand Women in Medicine (NZWIM) Conference
  2. New Zealand Women’s Leadership Symposium
  3. Health and Safety Association NZ (HASANZ) Conference

National News

  1. Catching Omicron not ‘inevitable’: Why the virus should still be avoided

International News

  1. Medicinal cannabis being used by tens of thousands of Australians as access becomes easier
  2. Covid can shrink brain and damage its tissue, finds research
  3. Doing 30 to 60 minutes of one exercise weekly could help you live longer, study says

Articles – Canadian Journal of Critical Care Nursing 

1.Barriers and facilitators in the provision of palliative care in critical care: A qualitative descriptive study of nurses' perspectives

Vaughn, Lisa & Salas, Anna Santos
The Canadian Journal of Critical Care Nursing (Spring 2022). 33(1), 14-21.

Intensive care units are providing increasing amounts of palliative care. Accordingly, integrating palliative care as a component of comprehensive critical care has been identified as a necessity. The purpose of this study was to explore what critical care nurses perceive as barriers and facilitators in the provision of palliative care in the critical care setting.

2.The development and implementation of an evidence-based risk reduction algorithm for post-extubation dysphagia in intensive care

Barker, Jennifer., Davidson, Morgan., Fan, Eddy., Hellen, Shauna. & Williams, Trish
The Canadian Journal of Critical Care Nursing (Spring 2022). 33(1), 22-30.

Intubation and mechanical ventilation are often required to support critically inpatients. These are life-sustaining measures and when they are no longer necessary, patients need to be carefully transitioned back to breathing, eating, and talking on their own.

3. Oxygen consumption as a physiologic parameter to differentiate between critically ill patients with and without sepsis

Graham, Julie K. & Mayo, Ann
The Canadian Journal of Critical Care Nursing (Fall 2021). 32(3), 5-12.

Measuring oxygen consumption can be accomplished easily in the clinical setting by nurses and respiratory therapists, by way of indirect calorimetry. Our objective for this pilot study was to investigate the relationships between select demographics resting energy expenditure (REE), serum lactate, SOFA score, oxygen consumption [by way of measuring net oxygen consumed (VO ) and net carbon dioxide produced (VCO2)], and sepsis in an attempt to yield a set of physiologic parameters to differentiate between patients with and without sepsis.

4. The association between hyperglycemia on critical care admission and mortality in critically ill oncology patients

Oliveira, Aretha., Honorato, Jennifer Costa Sales., Reis, Fernanda Faria., Spitz, Viviane de Moraes., Silva, Monyque Evelyn dos Santos., et al.
The Canadian Journal of Critical Care Nursing (Fall 2021). 32(3), 13-17.

Hyperglycemia during an intensive care unit (ICU) stay is associated with increased mortality in critical cardiac and neurosurgical patients. However, its effects on patients with cancer are not well established. Critical care nurses must monitor and control alterations in glycemic levels to maintain physiological stability in oncologic patients.

5. Clinical experiences and reflections on awake non-intubated prone positioning for hypoxic patients amidst the COVID-19 pandemic

Kalan, Simmie. & Chapple, Rys.
The Canadian Journal of Critical Care Nursing. (Fall 2021). 32(3), 18-22.

In this article, we review the physiologic principles of ARDS and COVID-19, the beneficial effects of prone positioning on ventilation/perfusion mismatching, current recommendations for prone positioning of awake non-intubated patients, and the development of awake non-intubated prone positioning guidelines for critical care nurses. This new clinical practice has the potential to impact clinical staff caring for patients with COVID-19, as well as the institutions and systems in which we provide care.

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Articles – Working from Home

6. Work/life burnout: the manager's challenge

Harris, Robert
Supervision. Jan 2022. 83(1), 6-8.

The article discusses the implications of the Covid-19 pandemic on the life of everyone. Burnout, depressive symptoms, anxiety symptoms and post-traumatic stress symptoms working from home, impact on company employees, managers, who were facing the same mental, physical and financial stresses, and need to return to the office environment also are discussed.

7. Prepare now to address inappropriate office behaviour: Returning workers may need reminders on office policies and etiquette

Smith, Allen. 
HR Magazine. Fall 2021. 66(3), p7-8.

A health care company division leader complained to Weiss that he has too much on his plate: new business targets to meet, a new office-protocols checklist to memorize, employees working at various locations to supervise -- not to mention his own worries about COVID-19. Employees who have gotten used to working from home may need a refresher on professional expectations when they return to the workplace.

8. Yes, Zoom is convenient. But little by little it is diminishing our humanity

Luke Johnson
Sunday Telegraph. 07/11/2021, p24-24

Working from home may be the biggest permanent change for many people after the pandemic finally ends. Plenty have embraced it not because they dislike their workplace - but because they hate commuting.

9. Is working from home the answer?

John Larkindale
Public Sector. (Sept 2021). 44(3), 30.

John Larkindale asks whether working from home is really the best way forward for organisations and employees.

10. Fitness: How to stay active working from home

Ben Putland
LSJ: Law Society of NSW Journal. (Apr 2021). No. 76, 54

During the COVID-19 pandemic, many office workers discovered how working from home can mean less time commuting and more time to exercise. For others, working from home wreaked havoc on waistlines and weight scales. Personal trainer Ben Putland has tips to stay active even when the office is a few metres away.

11. 5 Challenges of Hybrid Work — and How to Overcome Them 

Martine Haas, 15 February 2022

Hybrid working arrangements can be daunting for those about to adopt them and challenging for those who already have. But the good news is that we’re learning quickly where the biggest obstacles lie and how to minimize them in advance and manage them as they come up. The most common challenges related to hybrid work fall under what the author calls the “5C challenges”: communication, coordination, connection, creativity, and culture.

Open access: https://hbr.org/2022/02/5-challenges-of-hybrid-work-and-how-to-overcome-them

12. 4 Work from Home Problems and How You Can Avoid Them

Porschia Parker-Griffin, 7 April 2021

Are you efficient when working from home? In comparison to working in your company’s office or lab, are you able to stay on track and maximize your time remotely? The COVID-19 pandemic has caused the majority of employees to shift to virtual work. 

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Articles – Nursing Older People

13. Demonstrating empathy when communicating with older people

Nursing Older People. (01 February 2022). 34(1), doi: 10.7748/nop.2022.e1378

This article focuses on why it is important to demonstrate empathy when communicating with older people and how this can be achieved. It explains the origin of the concept of empathy in nursing and provides different ways of characterising empathy.

14. ‘Five things about me’ – enhancing person-centred care for older people

Emily May Robertson & Joanne M Fitzpatrick
Nursing Older People. (01 February 2022). 34(1), doi: 10.7748/nop.2021.e1372

This article describes a quality improvement project that sought to develop patient profiles based on the concept of ‘five things about me’, thereby contributing to person-centred care for older people on a medical ward.

15. Nutritional interventions in older people with COVID-19: an overview of the evidence

Stacey Jones., Elizabeth Archer., Dilek Ongan., Cecilia Morais., Robert Speer., Amalia Tsagari., Harriët Jager-Wittenaar. & Mar Ruperto
Nursing Older People. (01 February 2022). 34(1), doi: 10.7748/nop.2021.e1368

Older people are a high-risk group for coronavirus disease 2019 (COVID-19) because of a range of factors, including age-related changes in anatomical pulmonary and muscle function, decreased immunity and increased inflammation. These factors partly explain why older people with COVID-19 experience more severe symptoms and higher mortality than younger adults and are more likely to require nutritional support.

16. Using video consultations to support family carers of people living with dementia

Gayle Madden., Tom Rose. & Lucy Crystal
Nursing Older People. (01 February 2022). 34(1), doi: 10.7748/nop.2021.e1346.

Established in 2019, the Lincolnshire Admiral Nurse Service supports family carers of people living with dementia through psychosocial interventions. In 2019-20, a practice development project underpinned by participatory action research was undertaken to trial the use of video consultations with carers.

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Events

17. New Zealand Women in Medicine (NZWIM) Conference

Rescheduled dates: 12th - 14th May 2022

Venue:  Museum of New Zealand, Te Papa Tongarewa: Te Whanganui-a-Tara Wellington

Theme: Kotahitanga me Manaakitanga - Celebrating strength in our unity, supporting our community.

18. New Zealand Women’s Leadership Symposium

Date: Thursday 28th July 2022

Venue: Aotea Centre, Auckland, 50 Mayoral Drive, Auckland CBD, Auckland 1010

19. Health and Safety Association NZ (HASANZ) Conference

Sharing Know How; Growing How To

Date: 16 - 18 November 2022

Venue: Te Papa

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National News

20. Catching Omicron not 'inevitable': Why the virus should still be avoided

Radio New Zealand – 9 March 2022
David Welch is a Senior Lecturer at the University of Auckland, Nigel French is Professor of Food Safety and Veterinary Public Health at Massey University

All the standard public and personal health measures will help us avoid getting infected and reduce transmission to the more vulnerable, thereby reducing the number of people with severe illnesses.

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International News

21. Medicinal cannabis being used by tens of thousands of Australians as access becomes easier

ABC News – 12 March 2022 

Data from the Therapeutic Goods Administration (TGA) shows prescriptions for medicinal cannabis doubled from 2020 to 2021, with more than 122,000 prescriptions written last year alone. It's a significant jump from just a few years ago. In 2018, roughly 2,500 prescriptions were written for the entire year.

22. Covid can shrink brain and damage its tissue, finds research

Worst effect on region linked to smell, while infected people typically scored lower on mental skills test

The Guardian – 7 March 2022

23. Doing 30 to 60 minutes of one exercise weekly could help you live longer, study says

CNN – 5 March 2022

You might have heard that strengthening exercises most benefit your muscular and skeletal health, but they could have two other big perks: helping you prevent disease and live longer. Now we may know how much time to spend on those exercises, according to new research published Monday in the British Journal of Sports Medicine.

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