MNCLHD

MNCLHD

Thursday, August 31, 2017

Mental Health and the Older Person Virtual Issue

The International Journal of Mental Health Nursing has published a virtual issue on mental health and older people. Topics include the impact of falls on mental health, family carers' experiences, restraint use, suicide and delirium.
Read all the articles for free here.

Year of the Healthy Nurse

Nurses make up more than half of the health workforce and are responsible for providing the majority of health care worldwide. Current shortages in the availability of nurses are predicted to worsen, in part due to nurses having corresponding aging and chronic disease development in common with the populations they serve. Loss of productivity in the nursing workforce would substantially affect the availability and quality of health care globally.

The Journal of Advanced Nursing has published a virtual issue titled Year of the Healthy Nurse. Articles are free online until November 12, 2017.

Australia's Hospitals at a Glance 2015-16

Australia's hospitals 2015-16 at a glance provides summary information on Australia's public and private hospitals.
   * In 2015-16, there were 10.6 million hospitalisations (6.3 million in public hospitals, 4.3 million in private hospitals).
   * The average length of stay was over 5 days (5.7 days in public hospitals; 5.2 days in private hospitals).
   * 1 in 4 hospitalisations involved a surgical procedure.
   * 27% were emergency admissions.
   * 149,000 hospitalisations involved a stay in intensive care.    

Download reportAustralia's hospitals at a glance 2015–16

Better Caring Website

Better Caring is an Australian-first online marketplace linking independent care and support workers with clients.
Individuals can search and contact care workers directly, choose rates, hours and services, and manage and pay for the care online. There are no waiting lists and no cash handling. NDIS 
 funding can be used to create your own team of support.


www.bettercaring.com.au   

Monday, August 28, 2017

Changes in Portion Sizes

 New research from The George Institute for Global Health has revealed Australians are eating ever bigger portions of foods laden in fat, sugar, and salt. Researchers compared data from 1995 to 2012 and found portion sizes for a large proportion of Australia’s most commonly consumed junk foods had risen significantly. An average slice of cake has increased in size so much it now contains almost 1000 kilojoules more than it did two decades ago.

Zheng, M., Rangan, A., Meertens, B., & Wu, J. H. (2017). Changes in Typical Portion Sizes of Commonly Consumed Discretionary Foods among Australian Adults from 1995 to 2011–2012. Nutrients, 9(6), 577. (open access)  


Changing the Narrative in Aboriginal and Torres Strait Islander Health Research

 Changing the Narrative outlines the journey and the successes of the Lowitja Institute and the Cooperative Research Centres (CRCs).The book, has been prepared in partnership with the Australian Institute of Aboriginal and Torres Strait Islander Studies, showcasing how the combined efforts have pioneered a new way of doing health research in Aboriginal and Torres Strait Islander communities, and maps the evolution of a new, collaborative and culturally appropriate approach driven by Aboriginal and Torres Strait Islander cultures, knowledge and leadership.    

Australian Institute of Aboriginal and Torres Strait Islander Studies & The Lowitja Institute 2017, Changing the Narrative in Aboriginal and Torres Strait Islander Health Research: Four Cooperative Research Centres and the Lowitja Institute: The story so far, The Lowitja Institute, Melbourne.

Beyond Clinical Priority: Unplanned Surgical Cases

This paper in Australian Health Review describes the perceptions of operating theatre staff in Australia and The Netherlands regarding the influence of logistical or operational reasons that may affect the scheduling of unplanned surgical cases.

A questionnaire was developed and targeted anaesthetists, managers, nurses and surgeons. The survey found there were significant differences in perceptions of logistics delay factors across different professional groups when patients were waiting for unplanned surgery. "Queue positions of patients waiting for unplanned surgery, or emergency surgery, are determined by medical clinicians according  
to clinicians’ indication of clinical priority."

Fitzgerald, Anneke and Wu, Yong. (2017). Beyond clinical priority: what matters when making operational decisions about emergency surgical queues?  Australian Health Review, 41(4) 384-393.  (open access)

Planning and Evaluating Palliative Care Services in NSW

Local Health Districts (LHDs) provide palliative care services in settings such as homes, hospitals and clinics to patients with varying needs. There are several care providers that can be involved. This audit assessed whether NSW Health is effectively planning and evaluating palliative care services, in the context of rising demand, increasingly complex needs, and the diversity of service providers.

The audit found there is no overall policy framework for palliative and end-of-life care, nor is there comprehensive monitoring and reporting on services and outcomes. Local Health Districts’ ability to plan, deliver and improve their services is hindered by:
  • multiple disjointed information systems and manual data collection
  • not universally using a program which collects data on patient outcomes for benchmarking and quality improvement.

Thursday, August 24, 2017

Influenza Surveillance Reports

It is confirmed that 2017 is already its worst year for flu, and people are being warned that due to different strains circulating the country there’s a chance they could get a second dose.
Notifications data shows numerous strains are currently circulating the country, including three strains of influenza A, and influenza B. 

The current vaccine covers strains A (H1N1), A (H3N2), the B Brisbane strain and B Phuket strain.

Download the weekly Influenza surveillance reports here.   

Hospital Health Check

The Hospital Health Check was conducted by the Australian Medical Association and the Australian Salaried Medical Officers' Federation. The survey questioned more than 1,000 junior medical officers (JMOs) over rostering, access to leave, wellbeing, training, morale and hospital culture.
The report showed 71 per cent reported they were concerned about making clinical errors because of fatigue.

Download the Alliance NSW Hospital Health Check Survey Report here. 

Thursday, August 10, 2017

Quality improvement in mental health

The UK charity The King’s Fund has published this report examining how a systematic approach to quality improvement can enhance the quality of care in mental health. The report’s findings show that where providers have introduced a quality improvement approach reduced lengths of stay in inpatient care, improved staff morale and reduced absence, reductions in violent incidents involving staff, and shorter waiting times have been achieved. Guidance is provided for for mental health leaders wanting to embed quality improvement in their organisations, and seek to engage and empower frontline teams, service users and carers to develop solutions collaboratively.

Download the report for free here.    

Animated infographic about diabetic retinopathy

The Australian Indigenous HealthInfoNet has a new resource on its eye health section. To support the health workforce, a new animated infographic about diabetic retinopathy (DR) has been produced to add to the key fact sheets about this condition. This short animated 4-minute video has been designed by the HealthInfoNet and the Fred Hollows Foundation. It provides visually engaging evidence-based information to assist health care providers in their everyday practice.  Also included on the website is a key factsheet.

Diabetic retinopathy among Aboriginal and Torres Strait Islander people video 

Cannabis use in patients with first-episode psychosis

Cannabis use following the onset of first-episode psychosis has been linked to both increased risk of relapse and non-adherence with antipsychotic medication. Whether poor outcome associated with cannabis use is mediated through an adverse effect of cannabis on medication adherence is unclear.
This study published in Lancet Psychiatry examines medication adherence as a mediator of the association between continued cannabis use following illness onset and relapse, as indexed by admission to hospital, in patients with first-episode psychosis.

Schoeler, T. (et al)  (2017). Poor medication adherence and risk of relapse associated with continued cannabis use in patients with first-episode psychosis: a prospective analysis

The Lancet Psychiatry , 4 (8),  627 - 633 Open access

#hellomynameis

The “hello my name is” campaign was created by Dr Kate Granger MBE, a doctor in the UK who had terminal cancer. Together, with her husband Chris Pointon, Dr Granger asked frontline NHS staff to make a pledge to introduce themselves in future to their patients. She used social media to help kick start the campaign and created the hashtag #hellomynameis.
As a patient  Kate observed that many staff looking after her did not introduce themselves before delivering her care. It felt incredibly wrong that such a basic step in communication was missing and as a result, the campaign continues long after Kate has passed away. Kate believed it is not just about common courtesy, but it runs much deeper. Introductions are about making a human connection between one human being who is suffering and vulnerable, and another human being who wishes to help.
Read more about this campaign here.  


Adult Admitted Patient Survey

The third year of AdultAdmitted Patient Survey results from 28,000 patients in NSW is available on the interactive data portal, Healthcare Observer on the Bureau of Health Information (BHI) website. The Adult Admitted Patient Survey asks for feedback from people who have recently been admitted to a NSW public hospital. 
Results are available at a NSW, local health district, peer group and hospital level with an easy search option to find particular hospitals. 
BHI is a board-governed organisation that publishes independent reports about the performance of the NSW public healthcare system.

Adolescents, young adults and cancer: what GPs need to know

Although cancer in the adolescent and young adult age group is rare, a cancer diagnosis is the most common cause of death in this age group after accidents, murders and suicides. Being familiar with potential medical and psychosocial complications and providing support to families are essential in the primary care of adolescents and young adults with cancer. 
GPs have an important role in providing care for adolescents and young adults (AYAs) with cancer, and their role should be encouraged, even for patients with complex needs.

 Ng, M.,  Forsyth, V., Trahair, T., Carrington, N., Anazodo, A. (2017, August).  Adolescents, young adults and cancer: what GPs need to know. Medicine Today, 18(8). 14-22.
 

Thursday, August 03, 2017

Australian Women Against Violence

The Australian Women Against Violence Alliance (AWAVA) was established in March 2010 as one of five National Women’s Alliances funded by the Australian Government. AWAVA ensures that women’s voices, particularly marginalised women’s voices, are heard by Government.
The website under the Resources link includes a information on family violence, child protection and ending violence against women.
Australian Women Against Violence Alliance 

Combatting the Burnout Epidemic

AHRQ has been funding research on physicians’ working conditions to determine what causes burnout and explore interventions to combat it. Causes of burnout can include a lack of control over work conditions, time pressures, chaotic workplaces, and a lack of alignment of values between providers and their leaders. This blog post by Dr Gopal Khanna  & Dr. Arlene S. Bierman from the Agency for Healthcare Research and Quality looks at these issues and the professional and personal consequences for clinicians.

Combatting the Burnout Epidemic. AHRQ Views Blog. July 2017.  


Flooded with evidence: improving research implementation in nursing practice

The object of the study in this article was to identify barriers to implementing evidence-based practice initiatives in small to medium sub-acute facilities in Queensland. Three themes emerged which described the needs of clinicians when evidence-based practice initiatives were being implemented: (1) valuing evidence; (2) risk prioritisation; and (3) controlling the flow of evidence. A ‘Spillway Model’
was used as a mechanism for targeting clinical priorities using integrated risk management.

Moloney, C., Ralph, N., Taylor, M. (2017). Flooded with evidence: using a 'spillway' model
to improve research implementation in nursing practice. Australian Journal of Advanced Nursing, 34(1)  

New Approaches to Value in Health and Care

New Aproaches to Value in Health and Care was written for those seeking to add value to people’s lives and mobilise the value that people and communities themselves can create for health and wellbeing. Although this is a UK initiative, it is of value in that it bases core national outcomes on the health and wellbeing outcomes that are most important to people and communities.
Written as part of the Realising the Value program, the report makes a series of calls to action to ensure that the approach to understanding, capturing, measuring and assessing value in health and care takes full account of value.

Redding, Don. New approaches to value in health and care. The Health Foundation, 2016  

McMaster Optimal Aging Portal

The McMaster Optimal Aging Portal’s (Portal) professional bibliographic database contains high quality scientific evidence about optimal aging specifically targeted to clinicians, public health professionals and policymakers.
The objective of this work was to provide easy access to reliable health information based on good quality research that will help health care professionals to learn what works best for seniors to stay as healthy as possible, manage health conditions and build supportive health systems. The Portal is continually updated, freely accessible online, easily searchable, and provides email-based alerts when new records are added.
Access the McMaster University Optimal Aging Portal here.  

Heart Failure

The journal Clinical Pharmacology & Therapeutics has published a virtual issue on heart failure.
These articles are free to access for the month of August and after this date contact your library.
Access the virtual issue here.  

Health Care Access, Mental Health, and Preventative Health; Health Priority Survey Findings for People in the Bush

This report published by the Royal Flying Doctor Service, is from a collaboration between the National Farmers' Federation and the Country Women's Association of Australia. A survey of over 450 country people drawn from every state and territory, saw one-third of responses (32.5%) name doctor and medical specialist access as their key priority. 

The five most important issues identified by respondents overall were access to medical services; mental health; drugs and alcohol; cancer; and cardiovascular health. The areas of health that respondents identified money should be spent on included: access to medical services; mental health; health promotion and prevention activities; cancer; aged care; and travel and accommodation support for people needing to access health care outside of their community.
Download the report here.