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Royal College of Nursing, Australia (RCNA) is the peak professional body for nurses. As a member you can influence a range of local and national issues by getting involved in the activities of RCNA. Read more

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A primary health care focus

It's like primary health care (PHC) has been rediscovered recently. First there was the first RCNA Primary Health Care Conference in Adelaide on 9 and 10 November. Then Professor Helen Kelleher spoke on this topic for the 8th Vivian Bullwinkel lecture at the Nurses Memorial Centre in Melbourne on 18 November. And then of course there is RCNA’s new Community and Primary Health Care Faculty, not to mention the release of the Draft National Primary Health Care strategy earlier in the year.

The importance of the key features of PHC, such as the social determinants of health, prevention of illness and promotion of health, equity of access cannot be underestimated. While the journey from the Alma Ata declaration of 1978 has been notable for its delays and missed opportunities, it is good to see that energy and resources are once more being directed to these vital aspects of health.

Nursing has from its earliest beginnings been associated with providing care for those who are disadvantaged by poverty and geography. Nurses should therefore be significant contributors to the PHC  agenda. A number of speakers at the RCNA PHC conference noted that nurses need to assume leadership roles in the PHC debate, and ensure that nursing and nurses are properly represented in all aspects of planning and implementing the necessary changes, and that the momentum is not lost by being sidetracked into discussions on primary care, which is different from PHC. We should also be working to make sure that our pre-registration nursing programs are preparing students for practice in PHC careers.

Given the cost of health care is not going to decrease in the short term, we will also need to be advocates for funding models that enable additional spending on PHC while at the same time maintaining the levels of acute and rehabilitative care that Australians expect. These ideas will be further progressed at RCNA’s National Summit to be held in Canberra on 27 – 28 May 2010. See you there!


Dr Stephanie Fox-Young FRCNA
RCNA President


What's new at RCNA?


Read!
Click here to read the latest RCNA media releases. 


Top links



Update - nurse practitioner and eligible midwife client access to MBS and PBS rebates

Roxon back-pedals on nurses power plan
Health Legislation Amendment (Midwives and Nurse Practitioners) Bill 2009 
Move to tie nurse practitioners to doctors is not ‘collaboration’ 
AMA welcomes amendment to the Health Legislation Amendment (Midwives and Nurse Practitioners) Bill 2009
Collaborative arrangements to have central role in new nurse practitioner and midwife legislation – RACGP
Curbed midwives push to break free 
Roxon denies bowing to doctors' pressure
Nurses welcome collaboration to Bill 
Women rally against midwife changes
Health overhaul frustration
 
Swine flu update

Australians don't sweat swine flu, but still prefer the jab
Vaccine 'works on swine flu mutations' 
World swine flu toll passes 6000 
Swine flu deaths soar – WHO
Study to test influenza responses 
Mutation in swine flu virus in Norway
Flu death alarm as winter nears – China
Scientists test Ukrainian 'super flu' that has killed 189 people
Swine flu kills four hajj pilgrims

What else happened this month?

Bondi kicks off Skin Cancer Action Week 
Headspace may be mental health model
Helpline for nagging pain
Multi-purpose services and PATS critical for rural health
National Health Reform Series
ANU weighs into debate on health reform


 

The big issue

Men’s health

November has become an important month for shining the spotlight on men’s health issues. Since the inception of Movember in 2003, November has become the month for raising awareness about the health issues specifically affecting men, and raising funds for important research and health programs.

This month the AMA released the 8th Indigenous Health Report Card titled The Health of Indigenous Males: Building Capacity, Securing the Future. The report demonstrates the disparity between the projected health outcomes of Indigenous males and their non-Indigenous peers, including a reduced life expectancy of up to 11.5 years.

In a move to encourage and empower Indigenous men, the Honourable Warren Snowdon, Minister for Indigenous Health, announced a new initiative that encourages men to manage their own health by seeking support in their own communities.

Read more on this topic

Closing the gap in Aboriginal health one step closer
Indigenous males - improving their health for longer lives and a better quality of life
Men’s business – Living Black
Men’s sheds: a catalyst for Indigenous men’s health - presentation from Rural Health Alliance conference 2009 
Development of a National Men’s Health Policy – summary of men’s health issues
Doctors focus on malaise of men 
Health Insite  topic – men’s health 
Men’s health research wins $3m
About Movember  
Movember: The Cause - Beyondblue
Movember - time to think about men's health


Policy in nursing

RCNA response to the NHHRC Final Report

Through the Advisory Council, RCNA has been reviewing the suite of recommendations contained in the National Health and Hospitals Reform Commission Final Report (NHHRC) A Healthier Future for all Australians, released in June 2009. The following provides a snapshot of some of the recommendations and issues being deliberated from RCNA’s Advisory Council perspective.

Improving health literacy in schools

Recommendation 11 proposes that health literacy be included as a core element of the national curriculum in primary and secondary schools. RCNA expert Advisory Council members have offered strong support for what is seen as an excellent recommendation and have proposed nurses take a leadership role in the implementation of this recommendation particularly in the delivery of health literacy in the schools. The Advisory Council has also noted that any initiative based on this recommendation should seek to engage the public in health choices, particularly targeting greater involvement of parents in family health decisions.

Person-controlled electronic health records

NHHRC recommendation 13 states that by 2012 every Australian should be able to own and control their own health records through a personal electronic health record. The RCNA offers strong support for this recommendation and the development of personal health records that will streamline patient health records and ensure timely and accurate access in patient information sharing. RCNA has highlighted the need to support up-skilling of the nursing profession in information technology, in order for this recommendation to be implemented effectively. Representing over 50% of the health care workforce, it is critical that nurses are empowered to be able to coordinate better continuity of care in this way.

Establishing primary health care organisations

Recommendation 21 recommends that the NHHRC promotes establishment of primary health care organisations (PHCO) to enhance service coordination and population health planning at the local level “evolving from or replacing the existing Divisions of General Practice”. While the RCNA Advisory Council agreed this would be a good regional strategic response to health planning and coordination, they stated their endorsement of this recommendation would be dependent on the provision of further detail. Endorsement would not be given for a PHCO concept based on medical models of health care delivery and planning. Furthermore, developing PHCOs exclusively from the Divisions of General Practice would be viewed as maintaining existing paradigms and counterintuitive to the Australian Government’s primary health care reform agenda.

RCNA is in the process of finalising a comprehensive response to the recommendations contained in the NHHRC report, which will be posted on our website in the very future.


Opportunities

Invitation to comment on the draft National Safety and Quality Healthcare Standards

The Australian Commission on Safety and Quality in Health Care (the Commission) has released a consultation document on the first set of draft National Safety and Quality Healthcare Standards (NSQH Standards). The draft Standards are being developed as the nationally agreed safety and quality standards for use by all jurisdictions and health care organisations.

The Commission is consulting broadly with stakeholders on the draft NSQH Standards before piloting and final consideration by Health Ministers in 2010. Written submissions are being accepted by post, fax or email and should be received by close of business on 29 January 2010 to be considered in the consultation process.

Click here for further information 

Minister launches new palliative care resources

Minister for Ageing, Justine Elliot today launched two new publications developed by Catholic Health Australia (CHA) to assist staff and volunteers in aged care homes who provide care and support for palliative care patients.

Minister Elliot launched Catholic Health Australia’s book, Provision of Palliative Care in Catholic Health and Aged Care, for staff in aged care facilities and a brochure entitled Catholic Palliative Care Services for consumers, at Parliament House in Canberra.

Click here to order a copy of the book
Contact CHA on (02) 6203 2777 for a copy of the brochure.

NSW positive ageing and applied research grants

NSW Ageing, Disability and Home Care (ADHC) is providing one-off grants of up to $50 000 to non-government and local government organisations to develop and implement creative and cultural projects for older people.

The Positive Ageing grants program is aimed at supporting projects that promote active ageing, opportunities for lifelong learning and positive images of older people in the community. The funds will be made available through a tender application process. Applications for funding for both programs close on 27 November 2009.

Click here to obtain application forms and guidelines 

New DVD for type 2 diabetes patients

The National Prescribing Service (NPS) and Diabetes TASMANIA have launched a new educational DVD aimed at people with type 2 diabetes, which addresses medicines use issues. The DVD is designed to be used by health professionals and community organisations when discussing the management of type 2 diabetes with newly diagnosed patients.   

The DVD comprises 11 segments which cover issues including the types of medicines used to manage type 2 diabetes, the best ways to manage medicines, and what patients should discuss with their healthcare providers. It is also being produced in Cantonese, Mandarin and German.

Click here to see the resources online or order the DVD by phoning Diabetes TASMANIA on 03 6215 9000

Readthesigns campaign – promoting help seeking and suicide prevention

Studies show that men are less likely to seek mental health assistance in adulthood, despite many suffering from mental health issues like depression and anxiety. Readthesigns is a joint initiative of Lifeline Australia and the MTAA Superannuation Fund and is aimed at helping young men recognise and cope with mental health challenges. The goal of the campaign is to reduce the stigma surrounding mental health and young men and equip men with the resources and knowledge to enable them to help each other, and themselves. The Readthesigns campaign uses distinctly male language to appeal directly to men. 

Click here to visit the readthesigns website  

Review of the Aged Care Funding Instrument – release of terms of reference

Minister for Ageing, Justine Elliot released the terms of reference for the Government’s review of the Aged Care Funding Instrument (ACFI) on 6 November 2009.

The ACFI was introduced on 20 March 2008 to replace the Resident Classification Scale as the means of allocating Australian Government care subsidies to residential aged care facilities. It was designed to have funding more accurately matched to the care needs of residents and to allow aged care workers to spend less time filling out paperwork and more time providing care. When ACFI was introduced the Government committed to a review once aged care providers had experience with its operation to make sure that it is delivering as it was designed to do. 

Click here to read the media release
Click here to see the terms of reference 

A guide to what works for depression – Beyondblue

This booklet, written for beyondblue by Anthony Jorm, Nick Allen, Amy Morgan and Rosemary Purcell, provides a comprehensive review of all known treatments for depression, including medical, psychological and complementary and lifestyle interventions. 

Click here to download the booklet
 
HIV management: A guide for clinical care - updated ASHM resource

The Australasian Society for HIV Medicine has updated the HIV Management: a Guide for Clinical Care monograph. This clinical resource has been extensively reviewed and updated to incorporate the latest advances and research in the management of HIV. It is an invaluable reference handbook for HIV S100 community prescribers and clinicians. The resource aims to improve the care and wellbeing of people with HIV infection in Australasia.

The 2009 edition is divided into the following three sections: mechanisms, phases and diagnostic; therapeutics and monitoring; and clinical manifestations of HIV disease.

The 2009 update has been overseen by an Australian HIV expert steering committee, and has been produced with assistance from The Australian Government Department of Health and Ageing. It is now available to order in hardcopy and online via the ASHM website.

Click here to order your free copy or for further information.

Free six-week program for clients with a chronic condition

Living a Healthy Life with Long-Term Conditions is run by ACT Health in association with Arthritis ACT and SHOUT Inc, and is a free, six-week course  for clients with a long-term condition such as obesity, heart disease, diabetes and arthritis. The course is led by a health professional and a peer leader and aims to teach strategies to manage the symptoms associated with chronic conditions, such as pain and fatigue management, cognitive symptom management, dealing with negative emotions, communicating with health providers, physical activity and nutrition, action planning and problem solving and peer support.

The course will run for two and half hours a week for six weeks and will be offered at a range of venues across Canberra commencing February.
 
For further information, contact:
Community Health Intake:  6207 9977 Monday-Friday 0800-1700 or
Virginia Rasheed mobile:  0402 399 863

Inaugural Australian Obesity Summit, 29 -30 March 2010

One of the greatest public health challenges confronting Australia and other industrialised nations is the obesity epidemic. In an effort to relieve the cost of obesity to the Australian public health system the Australian government is investing millions of dollars in the prevention and management of obesity related chronic diseases. Ongoing obesity research and review of public health policies present the perfect opportunity to discuss and share insights on alternative strategies and the shift from treatment to prevention.

The Summit will take place from 29 – 30 March 2010 Crowne Plaza Darling Harbour, Sydney Australia. 

Click here for more information


International nursing news

International Council of Nurses
New fact sheet: Harmful use of alcohol
World Health Organisation
World Diabetes Day
Somalia - struggling to reach the sick: a photo story

Other
Women often deprived of health care
Experts warn antibiotic-proof bacteria threaten global health
CGFNS International launches International Standards For Professional Nurses program in Vietnam

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Royal College of Nursing, Australia (RCNA)
PO BOX 219 | Deakin West | ACT 2600
nurseclick@rcna.org.au | free call 1800 061 660
Hannah Collett
Communications  Officer
Royal College of Nursing, Australia (RCNA)
PO Box 219 | Deakin West | ACT 2600
e hannah.collett@rcna.org.au | p +61 2 6215 8317

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