Emergency Nurse New Zealand
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August | 2018 EMERGENCY NURSE NEW ZEALAND The Journal of the College of Emergency Nurses New Zealand (NZNO) ISSN 1176-2691 EMERGENCY NURSE NEW ZEALAND COLLEGE OF EMERGENCY NURSES NEW ZEALAND - NZNO AUGUST 2018 In this issue Features Compassion fatigue: CENNZ National P 6 P 12 the cost of caring Committee Nominations Author: Suzanne Hamilton What is the AENN Group? P 30 Understanding Some P 8 Commonly Used Statistics: Diagnostic Studies Snippets Winter 2018 Author: Jane Key P 31 Regulars A Word from Regional Reports P 3 P 13 the Editor Chairperson’s NEW FEATURE P 5 P 29 Report What are you looking at? P 2 EMERGENCY NURSE NEW ZEALAND COLLEGE OF EMERGENCY NURSES NEW ZEALAND - NZNO AUGUST 2018 A Word from the Editor: nursing education has seldom been Editorial Committee raised. I understand the issues of safe Matt Comeskey staffing and pay equity are important and Emergency Nurse N.Z. is the official Editor | Emergency Nurse NZ immediate concerns – but it saddens me journal of the College of Emergency [email protected] that the erosion of our ongoing education Nurses of New Zealand (CENNZ) / Letters to the Editor are welcome. Letters should is not being addressed. We need to be New Zealand Nurses Organisation be no more than 500 words, with no more than 5 vigilant that we don’t undermine the references and no tables or figures. (NZNO). The views expressed in this value of our professional development by focusing exclusively on equally critical publication are not necessarily those of Welcome to this, the first digital edition issues. either organisation. All clinical practice of the Emergency Nurse New Zealand We should insist that the support of articles are reviewed by a peer review Journal. Inside you will find some professional development always be familiar and regular work alongside some committee. When necessary further included in any discussion related to our new features. Digital publication will expert advice may be sought external pay and conditions. allow us to include web links and access to this group. to files directly from the online pdf. Your Whatever the outcome of industrial All articles published in this journal ideas, critique and feedback are welcome. action, and at the time this is written remain the property of Emergency Let’s make the journal a true reflection the outcome is very uncertain; my hope of the work we do and a platform for is that we remain respectful of voices Nurse NZ and may be reprinted in other learning and quality improvement. and opinions different from our own. publications if prior permission is sought The best and safest decisions are made Industrial action - (just like the proverbial and is credited to Emergency Nurse when people respectfully disagree but elephant in the room) is hard to ignore. NZ. Emergency Nurse NZ has been are prepared to defend their corner while In the discussion of pay and conditions continuing to seek common ground and published under a variety of names amongst my colleagues and on the understand the others point of view. since 1992. internet it struck me, that funding for P 3 EMERGENCY NURSE NEW ZEALAND COLLEGE OF EMERGENCY NURSES NEW ZEALAND - NZNO AUGUST 2018 Subscription: Journal Coordinator/Editor: Dr. Sandra Richardson: PhD. Senior Lecturer. Centre for Postgraduate Matt Comeskey: Nursing Studies, University of Otago. Subscription to this journal is through a Nurse Practitioner, ADHB membership levy of the College of Emergency Email: [email protected] Deborah Somerville: MN. Senior Nurses New Zealand - NZNO (CENNZ). Lecturer. Faculty of Medical and Health The journal is published 3 times per year Peer Review Coordinator: Sciences, University of Auckland. and circulated to paid Full and Associated Matt Comeskey: members of CENNZ and other interested Nurse Practitioner, ADHB Submission of articles for subscribers, libraries and institutions. Email: [email protected] publication in Emergency Nurse New Zealand. Copyright: This publication is copyright in its Peer Review Committee: entirety. Material may not be printed without All articles submitted for publication should the prior permission of CENNZ. Margaret Colligan: MHsc. Nurse be presented electronically in Microsoft Practitioner. Auckland City Hospital Word, and e-mailed to mcomeskey@adhb. Website: www.cennz.co.nz Emergency Department, ADHB govt.nz. Guidelines for the submission of articles to Emergency Nurse New Zealand Lucien Cronin: MN. Nurse Practitioner. were published in the March 2007 issue of the Auckland City Hospital Emergency journal, or are available from the Journal Department, ADHB Editor Matt Comeskey at: mcomeskey@ Prof. Brian Dolan: FRSA, MSc(Oxon), adhb.govt.nz Articles are peer reviewed, and MSc(Lond), RMN, RGN. Director we aim to advise authors of the outcome of of Service Improvement.Canterbury the peer review process within six weeks of District Health Board. our receipt of the article Nikki Fair: MN. Clinical Nurse Specialist. Middlemore Hospital CENNZ NZNO Membership: Paediatric Emergency Care, CMDHB Membership is $25.00 and due annually Paula Grainger: RN, MN (Clin), PhD in April. For membership enquiries Candidate. Nurse Coordinator Clinical please contact: Jo King Projects, Emergency Department, Email: [email protected] Christchurch Hospital. Design / Production / Distribution: Libby Haskell: MN. Nurse Practitioner. Children’s Emergency Department Sean McGarry Starship Children’s Health, ADHB. Phone: 029 381 8724 Sharon Payne: MN. Nurse Practitioner. Email: [email protected] Hawkes Bay Emergency Department, HBDHB. P 4 EMERGENCY NURSE NEW ZEALAND COLLEGE OF EMERGENCY NURSES NEW ZEALAND - NZNO AUGUST 2018 Chairperson’s Report Greetings to Emergency Nurses of Aotearoa. It is a privilege to take over the Chair of the College of Emergency Nurses New Zealand (CENNZ) from Rick Forster. Rick has left the world of emergency nursing to a position that will support him to achieve Nurse Practitioner registration. On behalf of CENNZ I would like to thank Rick for the huge contributions he has made to the College and emergency nursing. We’ll miss you, go well. data, we must report, we must publish and as a last year. They are the Charge Nurse Managers College we must work together to achieve a safe Network and the Nurse Practitioners Network. The mission of the College is to promote working environment that enables us to focus The committee believes that growing strong excellence in emergency nursing. Our key work on our core business. That business is providing collaborative links across our small country involves supporting individuals, groups, education, excellent emergency nursing care. In the coming enhances our ability to contribute to the direction advocacy, position statements, influencing policy months, the CENNZ committee will look to engage of emergency nursing. with Worksafe NZ on this issue and it is our hope and submission work. But most important, is our In the coming months, our CENNZ representatives that we can develop a productive relationship. duty to speak loudly on all things that impact on from the Northland, Auckland and Southland emergency nurses, emergency departments This is the inaugural electronic publication of regions will complete their terms on the National and patients and to be recognised as the leading Emergency Nurse New Zealand. It is somewhat committee. Nominations and elections will authority on these things. To do this effectively of a milestone for the journal so congratulations therefore be held shortly. we must articulate from a position that is to both the retiring editor Michael Geraghty and If you feel you have the passion, enthusiasm, energy supported by evidence. For this reason, I would new editor Matt Comesky. Going electronic is a and credentials to represent your area and would like to acknowledge and applaud the work of Dr timely initiative that was mandated by the College like the opportunity to contribute at a National level Sandra Richardson and her colleagues from the membership. It is also an environmentally and please consider stepping up for the challenge. It is Christchurch emergency department. Sandra is a financially responsible move. nurse researcher in the Christchurch emergency a rewarding role. The financial savings from this have contributed department and I feel very fortunate to say that I look forward to connecting with many emergency to the College’s ability to invest more in education, she is also a member of the CENNZ committee. nursing colleagues at the Emergency Nurses grants and promoting nurse networks. We are The study undertaken by her and her research Conference in Hawkes Bay. group, “Violence and aggression in the emergency currently working to establish grants that will department is under-reported and under- fully fund NZ nurses to attend a highly regarded appreciated “(2018), was published in the June emergency nurse leadership course in Australia. edition of the New Zealand Medical Journal. This We have also established a financial incentive work gained considerable traction in the media to have your work published in the Emergency Jo King and provided a platform for many emergency Nurse Journal. A gratuity will now be paid to the nurses across New Zealand to speak on this lead nursing article published in each edition of Chairperson issue. Thank you for raising the profile on violence the journal. Along with this, CENNZ has supported College of Emergency Nurses New Zealand and aggression and I believe our challenge is to the establishment of two new emergency nursing