MNCLHD

MNCLHD

16 May 2019

Referencing – and the referencing perfection complex

As a Librarian I get asked questions about referencing quite frequently and have personal experience of losing valuable marks for putting that one full stop in the incorrect place in a foot-note - never to be done again... The following is a story related to me by a co-worker.

Referencing – and the referencing perfection complex.

There is one thing that I really remember about my first week at university as an undergrad. I sat in lectures, in every single one of my four classes, where the academics up the front tried to scare me blind about the consequences of plagiarism and ‘bad referencing’. Not only could incorrect referencing harm my grades, but sage nods and stern faces accompanied the assurance that if I did not reference correctly it would also harm both my academic reputation and career. Understandably, and very quickly, I developed a reference perfection complex. I bought the referencing handbooks for all of the referencing styles that I ‘might’ ever be asked to use and I struggled to adhere to them with painful detail. I learnt all about commas and semi colons and the correct positioning of initials and titles. I became an expert in italics and positioning brackets in paragraphs. Yet, for all my attempts at gramatic perfection, my natural inclination towards free flowing writing could not be suppressed and what my lecturers had once assured me were ‘career damaging’ errors in citation continued to be found hiding on my pages. No matter how hard I tried, there was always at least one comma that was out of place. While my mind was thriving on the intellectual content of my assignments, my inner child was throwing a temper tantrum over my inability to just get it right.

A few years in to my studies, I was feeling particularly down. I had an assignment to write that was not going well and I just could not find the evidence to prove that what I believed to be correct was true. It was late at night, in the back of the library- just me, the security guard wandering outside and the incessant buzzing of the fluorescent lights. I was reading through the third page of references for a dry, government report when I found it-


In the middle of a government report- published by a well reputed government organisation, there was a glaring error: the author of the report had put their own email address at the end of a completely unrelated reference. Seeing that referencing error in a government report really brought something home for me. I had an ‘ah ha’ moment in the lonely library. When people talk about referencing as being important- it is. But when people talk about referencing as being the ‘be all and end all’ of an academic career- it isn’t. You can still get a job with well-respected government organisations even if you make a tiny referencing mistake- or a massive one! So don’t let your lack of DOI numbers get you down. Never stop learning.

Send us pictures of your biggest referencing fails to share the academic struggle. 

14 May 2019

Library Survey Results




Report on the MNCLHD Libraries 
Needs Assessment Survey

By Helen Miles, Melissa Buckman and Alycia Jacob

May 2019

Executive Summary

This report is of the 2019 MNCLHD Library Services Needs Assessment Survey. Primary objectives are to identify issues affecting the services users and potential users, to provide a way to measure services over time and to provide a safe feedback mechanism to users.

The main finding is that while the library service provides a quality service that facilitates access to evidence based information, and supports staff in their various patient care roles, there is a general lack of awareness around the library service that is available. Moving forward, this report supports the proposition that more information about the library service needs to be provided to staff, both on employment with the MNCLHD and on an ongoing basis.

The report also identifies areas that need improvement such as gaps in book resources.

One key area for improvement is in facilitating access to library services out of hours. Out of hours’ access needs to be improved to allow a user friendly experience for library clients. Swipe card access is already in place at the Coffs Harbour location, this should be available for Port Macquarie to ensure equal access for users across the LHD.

It is also recommended that:
  •  the Library have a presence at both general and nursing orientations to provide new staff with an awareness of Library Services available to them and also to provide a forum where they can put a face on the service which will encourage use.
  •  both Libraries have appropriate signage showing the location of the Library
  • both Libraries have 24-hour swipe card entry
  •  Library Services bi-monthly newsletter be distributed to all MNCLHD employees
  • Library staff work toward filling gaps in resource collections as identified by feedback 
Contact your network librarian for a full report.

MNCLHD Oral Health Services

Oral health is essential to general health, well-being and quality of life. A healthy mouth allows people to eat, speak and socialise with confidence, without pain, discomfort or embarrassment. The effect of oral disease on a person's everyday life is subtle and persistent, effecting eating, sleep, work and social roles. Read more on the outcomes and impact of oral disease at the Australian Government Department of Health site.

Dental care is free and is available at NSW Health public dental clinics for children aged under 18. Children under 18 may also be eligible for the Child Dental Benefits Scheme (CDBS), which can be used at public or private dentists. Utilising these services can help children get a better start in life with good oral care.



Public dental services are free for adults holders of a current Government Health Care Card, Pensioner Concession Card or Seniors Health Card.

Public dental clinics in the Mid North Coast Local Health District are located in
Coffs Harbour, Nambucca Heads, Kempsey and Port Macquarie. Child-only clinics are available in Wauchope and Laurieton.

Please advise your eligible patients to call 1300 651 625 to make an appointment with public oral health services.

02 May 2019

Psychedelics to treat mental illness? Australian researchers are giving it a go

An estimated one in ten Australians were taking antidepressants in 2015. That’s double the number using them in 2000, and the second-highest rate of antidepressant use among all OECD countries.

Yet some studies have found antidepressants might be no more effective than placebo.

Later this year, a phase 2 study of psilocybin-assisted therapy for anxiety and depression in 30 terminally ill patients will begin at St Vincent’s Hospital in Melbourne.

This trial, due to be completed in 2021, will look at the effects of psychedelic psychotherapy in people with terminal conditions other than cancer, in addition to those with cancer.

Read the full article here

                                                       Source: shutterstock.com

12 April 2019

CHHC Health Services Library April 2019 Newsletter



5 ways to re-energise on a night shift

For many nurses and midwives working night shifts, it can be challenging to keep energy levels up and remain mentally alert. The ANMJ suggest five ways to re-energise and combat night shift fatigue here.

                                                          source: ANMJ

11 April 2019

Recent article from Critical Care Medicine on the dangers of medication errors in the transition of care


Evaluation of medication errors at the transition of care from an ICU to non-ICU location
Tully AP, Hammond DA, Li C, Jarrell AS, Kruer RM 
Critical Care Medicine. 2019;47(4):543-9.

Transitions of care are a known source of risk. These are points where there can be a failure to communicate important information, failure to adequately transfer or hand over care of a patient between individuals, teams, units or services. This study looked at the specific issue of medication errors for patients transferred from intensive care units (ICUs). The study was a 7-day point prevalence study that encompassed 958 patients who were transferred from an ICU to a non-ICU location in a group of hospitals (34 in the USA and 2 in the Netherlands).

Source: Waitemata District Health Board website

The authors report that 450 patients (45.7%) had a medication error occur during transition of care. Further, among those patients who experienced a medication error, an average of 1.88 errors per patient occurred. The most common types of errors were continuation of medication with ICU-only indication (28.4%), untreated condition (19.4%), and pharmacotherapy without indication (11.9%). Seventy-five percent of errors reached the patient but did not cause harm. Renal replacement therapy during ICU stay and number of medications ordered following transfer were identified as factors associated with occurrence of error. Orders for anti-infective, hematologic agents, and IV fluids, electrolytes, or diuretics at transition of care were associated with an increased odds of error. Factors associated with decreased odds of error included daily patient care rounds in the ICU and orders discontinued and rewritten at the time of transfer from the ICU.

Request the article through the Library Website

Have you checked your immunisation history?

Australians are being encouraged to check their immunisation history as the country reaches a five year high in measles cases.

Australia was declared measles-free just five years ago, with due diligence and high vaccination rates holding the virus at bay. There have been 92 confirmed cases of measles nationally this year in early April, compared to an annual total of 103 for 2018, and 81 for 2017.

Because measles is so highly infectious, outbreaks occasionally happen when people travelling overseas catch the virus and bring it back into Australia. Globally there are hundreds of thousand of cases of measles and tens of thousand of deaths.

The measles virus is so contagious that in areas where vaccination rates are not very high - over 90%, there is a high risk of measles once more becoming a threat to the Australian community. Currently that is what is now happening around the world.



A sharp increase in measles cases has prompted Government immunisation warnings. On Monday, Health Minister Greg Hunt urged all Australians to check their measles immunisation history and book in for a catch-up vaccination if necessary. "In particular, any individual planning to go overseas and those born between 1966 and 1994 are at higher risk and should be take action to protect themselves and their community," Mr Hunt said.

For more on this serious health issue you can read more on ABC News

02 April 2019

Chlorhexidine bathing: No benefit in non-critical care units


No benefit of chlorhexidine bathing in non-critical care units
Mimoz O, Guenezan J
The Lancet. 2019;393(10177):1179-80.

Chlorhexidine versus routine bathing to prevent multidrug-resistant organisms and all-cause bloodstream infections in general medical and surgical units (ABATE Infection trial): a cluster-randomised trial
Huang SS, Septimus E, Kleinman K, Moody J, Hickok J, Heim L, et al
The Lancet. 2019;393(10177):1205-15.

Mimoz and Guenezan's commentary on the article by Huang, observes that universal decolonisation has been advocated as a way to reduce health-care-associated infections and limit the transmission of multidrug-resistant organisms. The commonplace strategy has been bathing patients with chlorhexidine (a broad-spectrum antiseptic). This practice has been increasingly used in intensive care units (ICUs) globally. The efficacy of chlorhexidine baths has varied across different trials, with the greatest benefit seen among patients with the greatest risk of infection and few studies have examined the effect of this practice outside ICUs, in lower infection risk venues, and the findings have not been consistent.

Source: Critical Care stock

Huang et al report on the ABATE Infection trial that endeavored to evaluate the use of chlorhexidine bathing in non-critical-care settings. This trial was a cluster-randomised trial involving 53 hospitals and had a 12-month baseline period, a 2-month phase-in period, and a 21-month intervention period. The trial found little difference across the three periods, leading them to find that ‘Decolonisation with universal chlorhexidine bathing and targeted mupirocin for MRSA carriers did not significantly reduce multidrug-resistant organisms in non-critical-care patients.’

Contact the Library for a copy of the article and commentary or use your CIAP log in.


25 March 2019

Hastings Macleay Clinical Network - New Books List




18 March 2019

Recent systematic review on falls and delirium

Falls and delirium are relatively common – and can have serious consequences for the elderly. This recent study reports on a systematic review about the association between falls and delirium in older people (aged 65 years or older). The review results ‘suggest that falls and delirium are inextricably linked’. The authors propose that this indicated ‘a need to further refine fall risk assessment tools and protocols to specifically include delirium for consideration as a risk factor’.

Source: https://betterhealthwhileaging.net

If you work with the aged you'll be interested in this article. 

The Overlap Between Falls and Delirium in Hospitalized Older Adults: A Systematic Review
Sillner AY, Holle CL, Rudolph JL
Clinics in Geriatric Medicine. 2019 [epub].

Please request it from your network Library service

11 March 2019

When hospitals lead to harm: Opioid year of action

This year there will be more than 2.5 million surgeries in Australia. The prescribing, administration and dispensing of opioids will follow many of these procedures.

Due to unrealistic expectations of pain management, overprescribing and lack of evidence-based educational programs for health professionals, use will grow into dependence and harm for some people.

Since the inaugural multidisciplinary and collaborative Medicines Leadership Forum in Canberra in July 2018 framed the issue of hospital-initiated opioid harm from a pharmacy perspective, SHPA has released a landmark report detailing the problems Australia faces, and solutions that could help turn the tide.

Read more here on Hospital and HealthCare.



22 February 2019

** Reminder ** MNCLHD Libraries Needs Assessment Survey

We are carrying out an evaluation of the library’s services, to see if we can improve facilities and services and keep them up to date with staff needs. Thank you for taking the time to fill in this questionnaire; it should only take five – ten minutes of your time. Your answers will be treated with complete confidentiality and will be entirely anonymous. Hardcopies are available in both CHHC and PMBH library. If you have any questions about this questionnaire, please contact 6656 7161 or 5524 2192.

Survey will be open until COB 15th March 2019

Please take our survey here or click on the pic below:




19 February 2019

Caesarians increase risk of postnatal depression

A major new study conducted by the University of York, and published in the Journal of Health Economics, provides new evidence that emergency C-sections put new mothers at greater risk of experiencing mental health problems after giving birth.

The study has revealed first-time mothers who give birth via unplanned caesarean section are 15% more likely to experience postnatal depression. Furthermore, the numbers of C-sections performed worldwide have increased dramatically in many developed countries over the past few decades

The author of the study is calling for more mental health support for women whose babies are delivered via emergency caesarean section, or C-section — a surgical procedure usually carried out because of complications during labour.

Read more here at Hospital and Healthcare.

                                                           Source: Hospital and Healthcare

‘Year of the Nurse’ in 2020

Nursing Now, the three-year global campaign aiming to improve health and lift the profile of nursing, has welcomed backing by the World Health Organization (WHO) to designate 2020 the ‘Year of the Nurse’.

“There are 20 million nurses and midwives globally, who make up half of the professional health workforce. This is a wonderful opportunity to show people what an exciting career nursing is and highlight what nurses can do to help achieve health for all.”

Read full article here on ANMJ and more at Nursing Now 

                                                                   Source: ANMJ