Professional Nursing Today - Volume 19, Issue 2, 2015
Volume 19, Issue 2, 2015
Author Annelie MeiringSource: Professional Nursing Today 19 (2015)More Less
The theme for Nurses Day 2015 : Nurses, the force for change : care, effective, cost effective. How can we ensure that this theme is really the inspiration that will guide our actions during the next 12 months, and return us to the essence of our profession? Patients and the needs of communities must remain the focus of health-care delivery, and it is of the utmost importance that nurses provide effective care cost-effectively. Prof Busisiwe Bengu, South African Nursing Council Chairperson, delivered this message on Nurses Day : "It stands to reason that nurses have to lead health-care delivery this year through efficient service delivery, effective management, (being) an effective health workforce and (embracing) the value of nursing". She added a powerful message : "Let us, as nurses, claim our caring and cost-effective position while carrying the burden of our healthcare system through task shifting".
Author H. WeyersSource: Professional Nursing Today 19, pp 4 –7 (2015)More Less
A high rate of phlebitis was identified in children in a 26-bed paediatric ward over a period of one year. Vein infusions orperipheral catheters are major causes of phlebitis in paediatric patients, and are a serious clinical challenge. Numerous events of phlebitis in the paediatric ward led to an investigation ways to minimise these events. The primary aim of the trial was to implement a plan or device for the management of peripheral lines in children, in order for nurses to be able to prevent phlebitis by monitoring and evaluating the clinical condition of the insertion site and detecting any problems at an early stage. Different methods and ideas were used and implemented to try to minimise or prevent causes of phlebitis, including a small immobilising device, strapping of the hand and arm to reduce movement or friction, more frequent checks (a new quality improvement programme), and the insertion of peripheral lines into the scalp, which in itself caused much additional emotional problems for the child, as well as the parents. Eventually, we started using a new device called the Grip-Lok® Arterial Securement Device, which resulted in the outcome for which we were hoping. The data produced by the trial and the initial methods showed some improvements, but resulted in problematic unintended consequences.
Author W. KotzeSource: Professional Nursing Today 19, pp 8 –12 (2015)More Less
We are attending a gala dinner tonight, and I have been invitedto deliver the Charlotte Searle commemorative lecture. Theterm "gala" indicates festivity! The term "commemorative"asks for celebration in memory of something or someone. Itasks us to reflect and remember, and to celebrate in doingso! Colleagues, we have good reason to engage in festivity.However, we must never forget the nursing heroes whopaved the way over decades for what we celebrate tonight.As nurses of South Africa, we are blessed with roots and ahistory of which we can really be proud.
Author K. OuthoffSource: Professional Nursing Today 19, pp 13 –15 (2015)More Less
Acute non-specific low back pain, usually a result of muscle strains and ligament sprains from lifting, exercising or moving unexpectedly, is commonly encountered in primary care. At any given time, approximately one in five adults will report low back pain. Although non-specific low back pain is usually self-limiting and improves with time, there is an array of treatment options to facilitate this process and to minimise potential suffering, disability and absenteeism from work. This article will provide a review of such treatment options.
Author D. RegensbergSource: Professional Nursing Today 19, pp 17 –19 (2015)More Less
Author BDP. AdamsSource: Professional Nursing Today 19, pp 22 –27 (2015)More Less
Progestogen-only injectable contraceptives (POICs) are slow-release reversible preparations that last for 2-3 months. Two are available in South Africa, namely depot edroxyprogesterone acetate (DMPA), marketed as Petogen® and Depo-Provera® (Schedule 4), and norethisterone enantate (NET-EN), marketed as Nur-Isterate® (Schedule 4). They provide safe, convenient and acceptable contraception with high use-effectiveness. An overview of the similarities and differences between DMPA and NET-EN are outlined in order for practitioners to assist women in the selection of an acceptable POIC. Particular information on bleeding profiles, managing overdue injections and controlling breakthrough bleeding is outlined. Recommendations are given for adolescents and older women. The POIC effects on certain diseases are discussed.
The Vaccine and Cervical Cancer Screen project : experiences from a primary school-based vaccine implementation studying Gauteng and the Western Cape, South AfricaSource: Professional Nursing Today 19, pp 28 –31 (2015)More Less
Cervical cancer remains a highly prevalent and lethal disease in South Africa. Although the national Department of Health runs a formal cervical cancer screening programme, it has not been fully implemented and therefore screening is limited and opportunistic, resulting in some populations being over- and others under-screened. Unfortunately, it is usually the most destitute populations who are not screened. It is unlikely that formal population-based screening will be fully implemented in South Africa in the foreseeable future as this has not been achieved in any other developing country or low-resource setting. Therefore, there is a need to investigate alternative options with regard to cervical cancer prevention.
Author B. AdamsSource: Professional Nursing Today 19, pp 32 –34 (2015)More Less
Implanon® NXT is a subdermal hormonal contraceptive implant licensed for use in South Africa. It is a long-acting contraceptive, effective for three years, with more than 99% efficacy in a population of users. It has a rapid onset of effectiveness and is quickly reversible. It offers safe and convenient contraception with higher use effectiveness than most other reversible contraceptive methods. Implanon® NXT is useful in women who require long-term contraceptive effectiveness without the finality of sterilisation. Age restrictions are not applicable. It can be used by women from menarche to menopause.
Author G. GeyerSource: Professional Nursing Today 19, pp 36 –37 (2015)More Less
A child with pneumonia was accidentally strangled with his infusion line in his oxygen tent. The charge nurse was completing the handover report for the night shift at the time of the incident, when the infant's parents alerted her and went to the room of the baby. The baby was resuscitated, but suffered brain damage and died shortly thereafter. The registered nurse in charge of the ward at the time of the incident and the nursing auxiliary who left the room just before the parents discovered the line around the baby's neck gave evidence at the inquest which followed. Before the incident, the nursing auxiliary was busy in the room in which the baby lay, making the bed of another patient who had been discharged. The light of the room was switched off, and only the light from the corridor shone into the room. The nursing auxiliary reported that she had observed the baby through the closed oxygen tent while passing by the cot. The baby moved his hand and the nurse assumed that he was fine.