NCAH Issue 09 2013

www.ncah.com.auNursing Careers Allied Health - Issue 9

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Nurse Leaders special feature

Congress provides inspiration for nurse leaders

Patch Adams prescribes joy in Sydney

Physiotherapists criticise cap on self-education

Australia’s chief nurse Dr Rosemary Bryant: My career as a nurse leader

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Page 30 | www.ncah.com.au Nursing Careers Allied Health - Issue 9 | Page 3

Page 6 | www.ncah.com.auNursing Careers Allied Health - Issue 9 | Page 27

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For the full article visit NCAH.com.au

More than 500 nutrition experts from Australia and overseas will converge on Canberra later this month to explore the future challenges facing dietitians.

The Dietitians Association of Australia will hold its 30th national conference with the theme ‘re�ections for the challenges of tomorrow’ from May 23-25.

The conference will cover issues ranging from the future global food supply to new directions and innovations in practice that will help dietitians tackle future challenges, while strengthening the profession and expertise of dietetics in Australia.

DAA 2013 conference chair Kim Crawley said the future holds many challenges for dietitians.

Conference aims to inspire dietitians to embrace future challengesby Karen Keast

“We have a population that is ageing and is experiencing increasing rates of chronic disease and obesity,” she said.

“At the other end of the spectrum, some vulnerable populations are experiencing malnutrition. Society is being challenged with how to cost-effectively manage these issues.

“The skills and knowledge that dietitians have are well placed to contribute to the solution.”

Ms Crawley said the conference will feature a range of sessions focusing on the prevalence of malnutrition, nutrition support and the treatment of malnutrition.

“In addition, there are a number of sessions focused on food services and environmental sustainability,” she said.


A new wrap-around hospital gown that does away with the opening at the back has been unveiled in the United States.

The gown, which is made of a thicker cotton and polyester blend material, has been designed to keep patients warm and give them privacy while also enabling nurses to have uncompromised clinical access to patients.

The gown, which has been likened to a day spa robe, features an access �ap at the back, from the neck to the lower back, and also facilitates clinical access for IVs and other medical lines.

The Henry Ford Innovation Institute and the College for Creative Studies collaborated to create the double-breasted gown which will soon be rolled out at the Henry Ford Hospital in Detroit.

New hospital gown ditches breezy backby Karen Keast

Institute product designer Michael Forbes said patients disliked traditional hospital gowns and he said the new design gave them privacy.

“Our number one goal was to close the backside of the gown with our design,” he said in a statement.

“A simple change can have a large impact on the patients’ stay at a hospital. By creating a hospital gown that is safe, stylish and comfortable, we’ve made the patient feel more at home, like they’re wearing their own garments.”

The new gown has been designed to be user-friendly and features three snaps, instead of ties, to close the gown. The snaps can also be adjusted to create an extra-large size.

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We hope you enjoy perusing the range of opportunities included in Issue 09, 2013.

If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]

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A dearth of mental health acute beds in Victoria’s hospitals has been blamed for a spate of assaults on nurses in recent weeks.

Psychiatric nurses have been sexually assaulted by patients at Monash Medical Centre, where assaults broke out just days before management was forced to create a temporary ward for eight mentally ill patients due to drastic undersupply of beds.

The revelation followed reports of violent incidents at Dandenong Hospital and the Royal Children’s Hospital - where a nurse’s hair was pulled out and another was punched in the face.

Australian Nursing Federation Victorian branch assistant secretary Pip Carew reportedly said the attacks indicated unprecedented pressure

Mental health bed shortage behind assaultsby Karen Keast

on the hospital system. She said delays in getting the mentally unwell into the inpatient unit were typically the cause of a rise in violence.

Two nurses were attacked at the Royal Children’s Hospital by an aggressive patient from a low-security ward. It is understood the patient punched one nurse in the face and ripped another’s hair out during a fray in March.

At Dandenong Hospital, a nurse was threatened with a knife and another had part of her breast bitten off and needed plastic surgery. ANF Victorian branch assistant secretary Paul Gilbert said the hospital had left nurses to fend for themselves with no ‘Code Grey’ policy in place to deal with violent incidents.

but there’s nothing aged about our approach”“Amana Living might be aged care...


Filling management roles with nursing professionals who are properly prepared for leadership will be key to fostering healthcare staff retention going forward, according to a leading voice in nursing.

Australian College of Nursing (ACN) CEO, Debra Thoms, told NCAH the recently published healthcare leadership framework from Health Workforce Australia (HWA) recognised the importance and complexity of nursing leadership.

A draft of HWA’s ‘Health LEADS Australia Consultation for an Australian Health Leadership Framework’ was released in November 2012. The draft is currently out for consultation.

The HWA framework’s aims include de�ning what leadership is in a complex health system; providing common goals for individuals, organisations and professions and identifying

Leadership the crux of staff retention the qualities required for strong leadership.

Thoms con�rmed the framework outlines �ve key areas in which healthcare leaders need to be competent: leading self, engaging others, achieving outcomes, driving innovation, and shaping systems.

The framework was signi�cant in light of projected nursing shortfalls going forward, Thoms said. She said good leadership would be critical in dealing with skills shortages in the healthcare system in future years.

“We know leadership impacts on staff retention.”

“In particular those middle management roles are very important in terms of staff retention; evidence shows that we respond most to the person we work directly for.”

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For the full article visit NCAH.com.auPatch Adams – the renowned doctor famous for believing that laughter is the best medicine – has spread his infectious cheer in Sydney.

Dr Hunter ‘Patch’ Adams, made famous in the 1998 �lm ‘Patch Adams’ featuring actor Robin Williams, delivered a series of workshops on the bene�ts of laughter, joy and creativity as an integral part of the healing process at the Australian Traditional Medicine Society’s (ATMS) second International Natural Medicine Summit held from May 3-5.

Dr Adams, who is based in Urbana, Illinois, in the United States, founded the Gesundheit! Institute, which operated as a free community hospital for 12 years, and he is now behind the construction of a Teaching Centre and Clinic in West Virginia which will offer around-the-clock free care in one of the poorest counties in the United States.

At the time of publishing, Dr Adams, who has more than 40 years’ experience working in medicine, was due to present a workshop titled ‘Living a life of joy’, and keynote sessions ‘Can’t wait to get old’ and ‘Medicine for fun, not funds’ as part of the summit’s theme on healthy ageing naturally.

“Whether I am speaking to hospital CEOs or university students, my audience is often left in a state of amazement – amazement caused not by our ideals or the breath of our work but by the passion and persistence we display in pursuing our goals and in living our lives,” Dr Adams said in a statement.

The list of high pro�le international and Australian speakers in the �eld of natural medicine to present at the summit included Dr Joe Muscolino, in a presentation on palpation as an assessment tool for orthopaedic remedial massage, Kira Sutherland and Raymond Smith, who both discussed the role of nutrition and physical activity in the prevention of chronic disease.

Patch Adams prescribes joy in Sydneyby Karen Keast

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by Karen Keast

The 2013 voluntary bonding scheme has opened for New Zealand nursing and midwifery graduates who want to work in hard-to-staff communities and specialities.

The �fth intake of the incentive-based scheme, which is also open to doctors, radiation therapists and medical physicists, pays nurses $2833 after tax and midwives $3500 after tax, at the completion of each of their third, fourth and �fth years of bonded service.

This year’s intake will focus on attracting nurses into hard-to-staff nursing specialties ranging from aged care to mental health, theatre, intensive care, cardiothoracic and surgical.

The Health Workforce New Zealand scheme will also work to recruit midwives to launch their careers in hard-to-staff communities such as Northland, Counties Manukau, Waitemata, Hawke’s Bay, Taranaki, Whanganui, Hutt Valley, Wairarapa, South Canterbury and West Coast district health boards and to Southland region and Taupo district.

So far the scheme has attracted 2060 health professionals into hard-to-staff areas and specialities that struggle with longer waiting periods, higher vacancy rates, increased locum use, and that have a greater dependency on overseas trained professionals than their counterparts.

The scheme, which made its �rst payments last year, has paid more than $7 million to 50 doctors, 288 nurses and 51 midwives, while radiation therapists and medical physicists were only added to the scheme last year and are not yet eligible for payment.

Scheme opens for graduate nurses and midwives


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Physiotherapists fear the Federal Government’s plan to cap the tax deductibility for work-related self-education expenses at $2000 per person will have far-reaching rami�cations for the health sector.

The Australian Physiotherapy Association says the move, which will affect nurses and allied health professionals from July next year, will act as a disincentive for physiotherapists to develop their expertise or pursue specialised education and could also impact on the quality of care for Australian patients.

The move also comes as a huge blow to the Australian College of Physiotherapists, which established a two-year Specialised Training Program that costs physiotherapists $13,200 to complete.

The program is open to physiotherapists with recognised post graduate quali�cations spanning eight physiotherapy disciplines including continence and women’s health, sports, musculoskeletal, gerontology, paediatric, neurological, ergonomics and occupational health, and cardiorespiratory.

Australian College of Physiotherapists president Dr Peter Fazey said the government’s plan will serve as a “major disincentive” to post graduate education.

“Fellowship is the highest clinical quali�cation in Australia and equips graduates to perform high level work as consultants, treating and providing second opinions in the most dif�cult cases to industry, insurers and in legal proceedings,” he said.

“Formal post graduate education, such as the college’s training program, is much more expensive to run than short professional development courses, consequently tuition fees are much higher.

“Reducing access to post entry level education would have the effect of reducing the standards of the profession not to mention the quality of healthcare provided to all Australians.”

APA president Marcus Dripps said the government’s �gures quoted $900 on average is claimed for educational expenses - an “extraordinarily low” �gure for the health industry.

“Registered health professionals are required to undertake at least 20 hours of professional development every year to ensure that they continue to provide excellent clinical care,” he said.

Mr Dripps said the purpose of continuing professional development was to ensure health professionals are equipped with the most current and progressive training.

“A fundamental aspect of any profession is to embrace lifelong learning, this decision impacts on this,” he said.

“Postgraduate physiotherapy master’s courses in Australia are already in a precarious �nancial position due to declining enrolments.

“This could push some of those courses out of business if students are unable to deduct their not insubstantial educational expenses.”

Dr Fazey said education and professional development, while both important in maintaining and improving skills, are fundamentally different in structure and cost.

“Post graduate education and training is not a luxury but a necessity to ensure we maintain the highest standards in all aspects of healthcare,” he said.

“It must be encouraged and facilitated or the health of all Australians will be compromised.”

Physiotherapists criticise cap on self-educationby Karen Keast

International Keynote SpeakersProfessor Irene Higginson | Professor Eric Cassell | Associate Professor Amy Chow

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“Nursing in some countries is not as well-resourced or indeed developed as it is in this country…so being president of the ICN holds quite a bit of weight in many countries,” she says.

“It’s important that when I go somewhere, for example I went to Rwanda a couple of years ago, it forces and gives nursing a profile in the country…not just for nursing itself but for our patients.”

When the ICN holds its 25th Quadrennial Congress in Melbourne this month, Rosemary will step down as president and she also plans to retire from her Commonwealth role within the next 12 months.

As she prepares to bow out after reaching the pinnacle of her profession, Rosemary advises nurses and midwives aspiring to become nurse leaders to equip themselves with a vast range of experience.

“One of my fundamental pieces of advice is that you need a very solid clinical background of working and providing nursing care for people,” she says.

“Also being able to work across different settings and to get a broad base of experience that does really help in terms of consolidating your leadership directions, from my perspective.

“And it doesn’t hurt to have some leadership training; that’s important.”

Rosemary says the future of nursing remains “very bright”.

“We are an essential part of the health care system and the challenge probably lies in nurses being able to be more flexible and to enhance their practice and to meet the needs of the community,” she says.

“If I look back over 50 years of nursing, nursing has changed dramatically.

“We have been flexible and adopted but it is going to be even more important in the future.”

the degree of Doctor of the University by both the Queensland University of Technology and Flinders University.

Rosemary now advises the Minister for Health and the Department of Health and Ageing on a range of nursing and midwifery issues.

“It has a really very broad scope and so that encompasses a very wide range of advice, and advice that is around workforce issues; having the right number of nurses with the right qualifications in the right place is one of the ongoing challenges we have in nursing (world-wide).

“And then developing the nursing workforce is another really important area, particularly from the Commonwealth perspective…because we are facing an increase in the number of aged persons in the community and we are also having an increase in the incidence of chronic disease amongst our population.

“If you take just these two issues alone…it’s clear there’s a need for one; an increased number of nurses working in those two fields, and secondly; a need for nurses to be sufficiently educated in carrying out those roles.”

Rosemary says a range of Commonwealth initiatives have been delivered in the past few years to advance the nursing and midwifery professions, from opening up the Medicare Benefits Schedule and the Pharmaceutical Benefits Scheme to nurse practitioners and eligible midwives.

A new funding scheme is also working to support the careers of nurses who work in GP practices, while the Workforce Compact will soon increase the salaries of nurses working in the aged care sector.

As ICN president, Rosemary has spent 12 years on the board of the federation of more than 130 national nurses associations, first founded in 1899.

It’s a role she says works to bring nursing and healthcare to the fore, particularly in developing countries.

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Australian civilian nurses who served in the Vietnam War are suffering the same physical and mental conditions as other Vietnam veterans but have been forgotten when it comes to compensation and medical treatment.

The Australian Nursing Federation says Australia has failed to of�cially recognise and compensate the SEATO nurses under the Veteran Entitlements Act (VEA) because of a bureaucratic loophole.

More than 450 Australian nurses, doctors and other health professionals volunteered in Vietnam’s civilian hospitals from 1964 to 1972 as part of the South East Asia Treaty Organisation.

The nurses, of which the union says “fewer and fewer remain”, have since suffered post-traumatic stress disorder, auto immune disease, non-Hodgkin’s lymphoma and cancers.

As Australia paused on Anzac Day to remember the past and present servicemen and women who fought and died in war, the ANF called on Prime Minister Julia Gillard, Coalition leader Tony Abbott and the key independent MPs to formally recognise SEATO nurses.

“They tended to shocking injuries, ranging from mine blasts and grenades, bullet wounds and horri�c burns from napalm bombings,” ANF federal secretary Lee Thomas said in a statement.

“The SEATO nurses were sent by the Australian Government to serve in civilian surgical and medical teams in South Vietnam during the war and spent much of their time working in appalling conditions, with a lack of proper medical supplies.

“This was a frightening experience for them but in the true ANZAC spirit, it never lessened their courage and resolve to answer their call of duty and treat the sick and the injured.

“When they returned home, they suffered the same physical and mental conditions to other Vietnam veterans, such as post-traumatic stress disorder, auto immune disease, non-Hodgkin’s lymphoma and cancers.”

Ms Thomas said because SEATO nurses were not “technically” under the command of the Australian Defence Force, they have since been denied access to bene�ts and entitlements under the VEA.

“This is nothing short of a national disgrace,” she said.

The ANF has campaigned for the plight of SEATO nurses for the past 15 years and aims to continue the �ght in the lead up to the September election.

Ms Thomas said Australian nurses had supported our troops in con�ict zones across the world for hundreds of years, tending to the sick and wounded.

“We should never forget the courage of the country’s military and civilian nurses,” she said.

“These brave nurses are still serving in war zones today in places like Afghanistan, supporting Australia’s war efforts and the ANF and our members commend them on their commitment to nursing.”

Lest we forget non-military nursesby Karen Keast

This is nothing short of a national disgrace.

– Lee Thomas ANF Federal Secretary

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The upcoming International Council of Nurses’ (ICN) 25th Quadrennial Congress will inspire nurse leaders to think beyond their boundaries, according to Australia’s chief nurse.

As the countdown begins to the May 18-23 event in Melbourne, Australia’s �rst Commonwealth Chief Nurse and Midwifery Of�cer Dr Rosemary Bryant, who is also the 26th president of the ICN, said the event will provide more than 5000 nurse leaders access to nursing innovation, new nursing roles and cutting edge research.

“There will be examples of how nurses have been able to implement various programs or carried out innovative research from around the world,” she said.

“From my perspective, they are often very inspiring in terms of two things - making you think beyond your own boundaries of your country, and to think beyond your own practice, which gives you ideas to enhance your practice or issues about changing your speciality to another speciality.

“Sometimes nurses don’t want to do the same job every day for 40 years, so they may look to change what they do, to stay in nursing but to go into a different �eld.”

The Australian College of Nursing will host the congress, last held in Australia more than 50 years ago, which will feature the theme ‘equity and access to healthcare’, shining the spotlight on gender equity and the global epidemic of non-communicable diseases.

Dr Bryant will preside over the congress, her last of�cial ICN event, before stepping down from the board of the federation of more than 130 national nurses associations, which represents more than 13 million nurses across the globe, after 12 years.

Speakers at the �ve-day event will include HRH Princess Muna Al Hussein of Jordan,

who founded the School of Nursing of Mu’tah University and has worked to establish an effective nursing workforce in the country, and UNAIDS Regional Support Team for Eastern and Southern Africa director Dr Sheila Tlou.

Nurses will also have the opportunity to explore a range of sites showcasing Australia’s nursing services, range of models of care, nurse workforce design, and clinical settings.

The event will also feature an international student assembly, the announcement of the prestigious Florence Nightingale International Foundation Achievement Award and the Christiane Reimann Prize recipients.

To register for the congress visit http://www.icn2013.ch/en/registration

Congress provides inspiration for nurse leadersby Karen Keast

Join the RevolutionWaitemata District Health Board has a new state-of-the-art Elective Surgery facility opening in mid 2013, and invites Expressions of Interest from Nurses with surgical ward or operating theatre experience.We are revolutionising our approach to elective surgery; to process and rehabilitate patients faster, and to build consistent teams with stronger bonds. If you would like to be a part of the future of surgical nursing at Waitemata DHB, fi nd out more under the ‘Hot Jobs’ tab on our website.

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nursing when I was in my early 20s, which was a common time when people did leave.

“For me, I could see the difference that nurses could make to individuals’ lives, both patients and their families.

“I am not doing that on an individual basis now but what I am doing is helping to provide the structure in which nurses can work to their potential and provide that care for the community.

“That I think is what is at the heart of every nurse and there are 330,000 of us across the country; that’s what I guess drives us.”

Born in Melbourne, Rosemary completed her initial nursing training at Brisbane’s Princess Alexandra Hospital before spending a few years overseas but she spent most of her clinical career, about 20 years, in Adelaide, where she obtained the position of Director of Nursing at the Royal Adelaide Hospital.

Rosemary then moved to Victoria and became the Chief Nurse at the state’s Department of Health, before relocating to Canberra in 2000, where she held the position of the executive director of the Royal College of Nursing, Australia, for eight years.

Rosemary then went on to serve as the second vice president of the International Council of Nurses from 2005 to 2009, during which time she was also appointed to the newly created advisory role of Commonwealth Chief Nurse and Midwifery Officer, which she has now held for almost five years, and was elected president of the ICN in 2009.

Along the way, Rosemary has worked in private consulting undertaking projects on nursing and health, including consulting to the World Health Organisation, and was recognised as a Fellow of The Australian College of Nursing, was made an Emeritus Director of Nursing at Royal Adelaide Hospital and was awarded

How do you become a nurse leader on a national and international scale? Karen Keast profiles the illustrious career of Australia’s preeminent nurse leader Dr Rosemary Bryant.

Rosemary Bryant was a teenager contemplating a career post-school when she decided to follow in the footsteps of several of her fellow classmates who were determined to become nurses.

“There were three others in my class at school who had a definitive view that they wanted to be nurses,” she recalls.

“I thought ‘that sounds okay to me. I will try that’.

“And here I am, 50 years later still doing it.”

Today, Dr Rosemary Bryant holds prestigious national and international positions, as Australia’s first Commonwealth Chief Nurse and Midwifery Officer and as the 26th president of the International Council of Nurses (ICN), working on issues vital to nurses and midwives and also health care provision.

“I have been a nurse for a long time,” Rosemary says, speaking from her Department of Health and Ageing office in Canberra.

“The things I really like about this role (Chief Nurse) and about the ICN role is that I am able to influence what happens to nursing.

“That’s important for nurses themselves but it’s also very important for the standard of nursing care that we are able to provide for the country, which is particularly important for me as a nurse.

“I think when I look back on my early years; that’s what really drew me to nursing.

“Although I really fell into it in a way, the fact that I started in it and made it my career I guess is a testament to how I really started to think about

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Nurse Unit Manager (ICU)Warrnambool, Victoria Warrnambool is a thriving seaside city with a catchment area of 110,000 people and South West Healthcare’s new hospital is considered one of the most modern and technologically advanced health services in regional Australia. Our 165 bed hospital has recently completed a $155 million redevelopment which included a state-of-the-art , 6 bed (with additional beds for future expansion), Intensive/Critical Care Unit.The Nurse Unit Manager (NUM) is responsible for the effective and efficient management of the human, physical and financial resources within the Unit. The NUM actively leads the ICU/CCU team in a consultative and participative manner ensuring well planned and coordinated services to clients and their families and providing clinical leadership to foster patient focused and outcome directed nursing care.To be considered for this challenging role, candidates will need:• Current registration as a Division 1 Nurse with AHPRA

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