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* News / ICN Congress Singapore: Call for Abstracts Released by katty: June 20, 2018, 05:04:25 PM
The International Council of Nurses (ICN) today announced the launch of its Call for Abstracts for the ICN Congress 2019 in Singapore.
 
With the theme, Beyond Healthcare to Health, the Congress will take place 27 June – 1 July 2019 at the Marina Bay Sands Expo and Convention Centre. The on-line submission system will be open from 1 September to 31 October 2018.
 
Hosted by the Singapore Nurses Association, this international gathering of thousands of nurses will explore the many ways in which nurses work to achieve universal access to health, not only providing healthcare but also addressing the social determinants of health, such as education, gender equality, poverty, etc.
 
The Congress will provide opportunities for nurses to build relationships and to disseminate nursing knowledge and leadership across specialties, cultures and countries.


The Council of National Nursing Association Representatives, ICN’s global governing body, will convene from 25-27 June 2019. Congress participants who are members of ICN member associations will be able to observe global nursing leaders, identify the profession’s priorities and future directions.
 
The main objectives of the ICN Congress 2019 are:
1. To demonstrate and advance the nursing contribution to universal health coverage and health for all.
2. To support nursing’s contribution to people-centred healthcare and to encourage problemsolving approaches to health priority needs.
3. To provide opportunities for an in-depth exchange of experience and expertise within and beyond the international nursing community.
 
Further information and regular updates on the Congress programme will be posted on the events page of the ICN website www.icn.ch
 
ICN’s Congresses are the world’s largest international events for nurses. Registration for the 2019 Congress in Singapore will open on 1 September 2019.
 
For further information contact Julie Clerget at: media@icn.ch
Tel: +41 22 908 0100
Fax: +41 22 908 0101
www.icn.ch
@ICNurses
#ICN2019
* News / Getting The Good Nurses We Need in Malta by katty: June 20, 2018, 02:15:58 PM
Advertisements are being made to attract trained nurses from other countries, including very faraway ones.

Now research shows that nurses unfamiliar with the training, or with the language of the country where they work, are more prone to make mistakes. I wonder who would fancy being the victim of nursing mistakes while receiving hospital treatment.

But we can avoid such mistakes by training immigrants who already live in Malta, and have the capability to learn. A young person from an African country, for example, can train in nursing in Malta, learning about our system. They can also be expected to learn the Maltese language during their training.

Passing in a nursing course, or any other professional course for that matter, should never be a walkover.

The course should not only teach, but also ensure that no qualification or warrant is given unless the students clearly prove themselves to be sufficiently skilled, ethical and conversant with the required language. And that independently of whether they are Maltese, European, African or Far Eastern.

Well-trained and well-screened nurses, familiar with our systems and culture, will be the ambassadors of their brand.
Source: Times of Malta
* News / Uganda: Nurses vow to go on strike over salary increments by katty: June 20, 2018, 02:12:36 PM
Nurses under their umbrella body of the Uganda nurses and midwives union have vowed lay down their tools by 23rd this month if government does not engage them in negotiating for their salaries.

In the next financial year’s, government is said to have included salary increment for doctors and nurses, however these say they have not been engaged in negotiating for this increment.

Speaking to media today, Justus Kiplangat the president of this union said that, they had a road map for salary increment which they wanted government to follow, but this has been disregarded and no communication has been, made by government in relation to their salary.
He said that if no progress is made before 23rd this month, all nurses will down their tools.

Source: 93.3KMF
* News / ANA Calls For An End To Immoral And Cruel Practice Of Separating Children by katty: June 20, 2018, 08:58:52 AM
Press Release:  The American Nurses Association Board of Directors issued the following statement today:

The American Nurses Association (ANA) adamantly opposes the Administration's policy and practices toward migrants and asylum seekers that result in the forcible separation of children from their families.  These actions put the welfare of immigrant children at risk and are causing irreparable harm, such as, negative physical and emotional symptoms from separation and detention, including anxiety, depression and post-traumatic stress disorder.  Unfortunately, the Department of Homeland Security has already acknowledged that 1,995 children have been separated from their families at the U.S.–Mexico border between April 19 and May 31. ANA condemns the use of this policy to create a deterrent for those seeking a safer and better place to live and believes that children should never be used as leverage or as a negotiating tool.  The Code of Ethics for Nurses with Interpretive Statements (ANA, 2015) calls on all nurses to always act to preserve the human rights of vulnerable groups such as children, women and refugees.  The United States of America is better than this.  We cannot continue with a policy that is so immoral and cruel to children and families.

ANA calls for the following actions:

Urges the Administration to immediately end the forced separation of families at the border;
Calls for reunification of separated families without delay; and
Calls on policy makers and administration officials to establish compassionate immigration policies that reflect the humanity and human rights of all people.

The American Nurses Association (ANA)  is the premier organization representing the interests of the nation's 4 million registered nurses. ANA advances the nursing profession by fostering high standards of nursing practice, promoting a safe and ethical work environment, bolstering the health and wellness of nurses, and advocating on health care issues that affect nurses and the public. ANA is at the forefront of improving the quality of health care for all. For more information, visit www.nursingworld.org.

SOURCE American Nurses Association
* Postgraduates / University of Ibadan 2018/2019 Postgraduate Diploma in Nursing Program by Idowu Olabode: June 19, 2018, 09:14:18 PM
Postgraduate Diploma in Nursing Is open to registered Nurses/midwives who possess degrees in health related areas including but not limited to Human Nutrition,Microbiology, Biochemistry, Health Education, Sociology, Psychology, Social Welfare and Guidance and Counseling from the University of Ibadan or other Universities recognized by the Senate of the University of Ibadan with a minimum of second class (Lower Division)

 Applications are invited from suitably qualified candidates for admission to Doctoral, Academic and Professional Master Degree and Postgraduate Diploma Programmes of the University of Ibadan, Ibadan in the 2018/2019 Academic Session.

For Information on:
1. Available Programmes
2. Admission requirements
3. Guide to Admissions
4. Closing Date for applications
5. To complete application forms and procedure

Please vist the Postgraduate School website at http://www.pgschool.ui.edu.ng/

There will be a Test of Proficiency in English Language for all Masters and Postgraduate Diploma applicants. Candidates for M.Phil, M.Phil/Ph.D, Ph.D and M.D are Exempted.

Some departments may still schedule their candidates for interview/Subject, test.

Please check for the date of test of proficiency in English Language on the Postgraduate School Website at www.pgschool.ui.edu.ng/news

Applicants will be required to print a photo card which will be submitted at the Examiniation/interview venue.

Signed
Olubunmi O. Faluyi MCIPM, MAUA
Registrar

Postgraduate Diploma in Nursing (PGDN) Programme


Admission requirements
Five (5) ‘O’ Level Credits at ONE sitting or ‘O’ Level requirement in respect of first degree course of study (in University of Ibadan
undergraduate Admissions).

Is open to registered Nurses/midwives who possess degrees in health related areas including but not limited to Human Nutrition,
Microbiology, Biochemistry, Health Education, Sociology, Psychology, Social Welfare and Guidance and Counseling from the University of Ibadan or other Universities recognized by the Senate of the University of Ibadan with a minimum of second class (Lower Division)

APPLICATION FORMS
Requests for application forms into higher degree programmes of the University are normally made every year. The procedure for obtaining Application Forms is available at www.pgschool.ui.edu.ng. Application forms cost N13,000 for academic programmes and N18,000 for professional programmes. Applicants for the degree of Master and Postgraduate Diploma are to pay an extra N3,000:00 for test of proficiency in English Language.

For a list of other courses such as Occupational Nursing among others, download the admission guide here
http://pgsui.com/application/CURRENT%20ADMISSION%20GUIDE%2018.pdf

Like our Facebook page https://www.facebook.com/nursesarenaforum/?ref=bookmarks
* News / New Drugs Promise Hope This World Sickle Cell Day by katty: June 19, 2018, 02:20:18 PM
This winter, Shakir Cannon, a 34-year old passionate advocate for sickle cell disease research and education, died unexpectedly from a respiratory infection complicating his sickle cell disease. We knew each other from Twitter and he taught me both about sickle cell and his other strong interest, racial health disparities. It seems fitting to write about Shakir’s lessons and a look ahead at drug development for this rare disease, caused by a genetic mutation, for this World Sickle Cell Day.

One of our shared concerns was pain control. Severe pain in sickle cell occurs when the abnormal red blood cells lose their elasticity, collapsing into the sickle shape and blocking blood vessels, depriving them of oxygen. This results in severe pain, as is seen with gangrene as well.

Repeated episodes of oxygen deprivation (ischemia) can damage organs as well. If this happens to the spleen, the resulting dysfunction and cause increased susceptibility to severe infection and sepsis, especially from two respiratory pathogens,  Streptococcus pneumoniae and Haemophilus influenzae. Before effective vaccines that are now routinely given to young children, these pathogens used to be the major cause of death for young sicklers.

If the sickling strikes the brain, a stroke can occur, as happened with child violin prodigy Caesar Sant. In the lungs, the blockage is similar to a pulmonary embolism, or blood clot to the lung. In the bowel, it can cause dead gut, leading to sepsis as well as excruciating pain. Bone ischemia (lack of oxygen) can result in avascular necrosis, or bone death, and fractures.

Cannon had a stroke at age 3. Since then, he underwent blood transfusions every three weeks. But the transfusions cause a buildup of iron in the blood, and this required nightly subcutaneous injections for chelation therapy, to remove excess iron.

Treatment of pain in Emergency Rooms


Surveys show adults reporting pain on more than 50% of days and children on about 10%. African-Americans with SCD visit an emergency room two to six times more  than those without the disease.

Cannon tweeted, “Every 4 minutes, a Sickle Cell Disease (SCD) patient comes to an American ED for pain management.


Shakir Canon


What happens when a patient with sickle cell shows up in an Emergency Room with severe pain, often described as being akin to passing a kidney stone?

They wait…25% longer, even though their pain is often more severe.

They are often doubted. An emergency room nurse in Georgia told model Constance Bennett, “You’re too pretty to have a disease.”

Once they were believed, women still waited 20 minutes longer to receive pain meds than did men. In another study, patients with kidney stones receives pain meds 30” faster than those with sickle cell, although their pain scores were lower.

Even when they finally receive pain meds, it is likely to be inadequate.  Even with fractures, rather than sickle cell, African-Americans and Hispanics receive far less analgesics.

Opioid crisis


A looming problem is the growing crackdown on narcotic prescriptions.

Per WNYT, there were more than 20,000 deaths due to overdose from prescription pain relievers in 2015 alone.

Many patients with sickle cell disease are young and appear generally healthy, prompting them to be assumed to be drug-seeking rather than truly in pain. In fact, less than 10 percent of people with SCD develop and addiction, similar to that in the general public. Patients with sickle cell often receive an NSAID (non-steroidal anti-inflammatory drug) such as ketoralac (Toradol), which can cause kidney damage, instead of narcotics.

With his typical wry humor, Shakir tweeted, “Today is National Prescription Drug Take Back Day. Sorry, I have Sickle Cell, I will not be participating as I may need them.

Glimmers of progress


Stat New’s Sharon Begley (@sxbegle)  described care of people with SCD bluntly: “The U.S. health care system is killing adults with sickle cell disease.”

There is some encouraging news with, for the first time in decades, progress regarding novel treatments. Much of this is driven by better understanding of molecular biology and physiology, which in turn is resulting in identifying new targets for drugs.

Sickle cell is a genetic disease in which one amino acid, glutamate, is replaced by valine. This caused abnormal hemoglobin, which is what carries vital oxygen in our red blood cells, and these cells collapse, forming the characteristic sickle shape. Instead of being elastic and moving smoothly through our blood vessels, the deformed cells get stuck, blocking blood flow and causing the severe pain as the tissues are suffocated.

Until now, the mainstay of treatment was fluids and transfusions, but repeated blood infusions carries its own risk of immune reactions and iron overload. Hydroxyurea, a chemotherapy drug which increases fetal hemoglobin levels, was the only drug treatment until last year, along with bone marrow transplantation, which is risky and expensive. Gene editing with CRISPR might be able to repair the isolated genetic mutation responsible for SCD.

The first new drug in decades to be approved for treating sickle cell disease is L-glutamine, marketed as Endari by Emmaus Life Sciences. This amino acid is taken by mouth twice daily. Small clinical trials showed a modest reduction in pain (median, 3 vs. 4) and hospitalizations (median, 2 vs. 3), 4.5 day shorter hospital stays, and a greater reduction in acute chest syndrome (9% vs. 23%).

The drug costs $40,000 per year—but Dr. Zaidi notes this is less than a hospitalization.

Other new targets for drugs are well-reviewed by pediatric hematologists Drs. Ahmar U. Zaidi and Matthew Heeney. I like their focus on different mechanisms of action:

—Drugs that induce fetal hemoglobin or modify it to help it better carry oxygen. Intriguingly, studies are looking to repurpose metformin, a widely used drug for diabetes, for this.

—Interfering with the tendency of patients to coagulate blood too readily. Drugs in this class include Rivaroxaban and apixaban, N-Acetylcysteine (used for thinning mucous), heparins and anti-platelet drugs.

—Drugs that cause vasodilation, so that the sickled cells can’t clog the vessels. Besides novel agents, nitrous oxide and magnesium sulfate are two older medicines being looked at for repurposing for SCD.

—Anti-platelet drugs

—Nitric acid pathway stimulators which may help reduce the “stickiness” of the sickled cells to the blood vessel lining (endothelium), as well as other anti-adhesion agents

—Anti-inflammatory drugs. Rather than NSAIDS, statins (Simvastatin and atorvastatin), inhaled anti-asthmatics, and other drugs might have additional value for SCD.

Conclusion


Drug development takes years from identifying a chemical to safety and efficacy testing. The ability to now focus on specific targets in the cascade from the initial genetic mutation that causes sickle cell anemia through the cell deformities to blocking blood vessels, which causes the pain and injury, is an enormous breakthrough in our efforts to treat this devastating disease. For now, we need to focus on the lack of experienced doctors, disparities in access to care and treatment of pain in African-Americans, and the devastating effects the poorly orchestrated “war on drugs” is having on patients with sickle cell disease.

Source: https://www.forbes.com/sites/judystone/2018/06/19/new-drugs-promise-hope-this-world-sickle-cell-day/#7a2b203069ed
* News / DENOSA Decries Shortage of Nurses in South Africa by katty: June 19, 2018, 01:21:24 PM
The severe shortage of nurses in South Africa is a “ticking time bomb” that requires urgent attention, said Democratic Nursing Organisation of South Africa (Denosa) in an interview with Xinhua.

Sibongiseni Delihlazo, national communication manager of Denosa, cited poor working conditions, inadequate resources and the burden of disease as contributing factors behind the shortage.

Denosa has issued a report, warning the healthcare industry is in an incredible dire state as nurses were moving abroad.

“The shortage of nurses will explode in our faces one day. For instance, one nurse in a Kimberly hospital was looking after 27 patients alone. It’s very frustrating for healthcare workers because their capacity is not resulting in the positive outcomes in terms of health for patients,” Delihlazo said.

While some believe the system was collapsing, Health minister Aaron Motsoaledi conceded that it was “very distressed” and “going through a hard time.”

“The system finds itself extremely overloaded. This has resulted in very long waiting times in most of the facilities and lowering of quality in others,” Motsoaledi said.

As a result of the worsening conditions, skilled midwives were no longer willing to remain working in maternity units.

“Very few nurses are willing to work in maternity wards. In Tembisa hospital in 2017, they advertised 24 midwifery positions, and only five people applied.

“The situation is frustrating and demoralising for nurses. Midwives are moving to other general wards. Midwifery is a serious challenge because you have babies and mothers that die in maternity wards,” Delihlazo said.

While the population was growing, institutions of higher learning were not producing enough nurses to deal with the challenge.

The closure of nursing colleges after 1994 has been blamed for the current shortage.

In his 2011 State of the Nation Address, the then President Jacob Zuma acknowledged the shortage and made an undertaking that 106 colleges would be re-opened to tackle the problem.

However, former president Zuma left office without delivering on the promise.

Responding to the issue, health department spokesperson Foster Mohale said: “the department is currently working on the ratios that will determine the required standards for the work loads of nurses and other health professionals.” – Xinhua
* News / Doctor Dies, 3 Nurses Slump in Kogi Over Unpaid Salaries, Overwork by katty: June 19, 2018, 11:26:45 AM
It was a dark Monday at the Kogi State Specialist Hospital Lokoja as the Head of Department of Internal Medicine, Dr Chukwudibe Rosemary suddenly died over alleged unpaid salaries.
 
This is also as another doctor, Idris Nuhu and three nurses slumped due to alleged exhaustion.
 
It was gathered that one attendant also slumped and was currently on admission alongside the nurses.
 
Sources said all of them have not been paid since February.
 
It was further gathered that the deceased doctor, who was admitted on Sunday evening for heart related issues, suddenly developed complications around 2 am while his colleagues were battling to save him.
 
Sources at the hospital said that all the three nurses had been on duty since Saturday morning and were exhausted due to workloads, which had increased in the last two months due to the strike of Joint Health Sector Union, JOHESU.
 
Meanwhile, Dr Moses Adaudi,the Secretary, Association of Residence Doctors, Kogi State Specialist Hospital unit, who confirmed the incident said that the death of the Doctor was as a result of lack of Intensive Care Unit at the hospital where she could have been treated when she developed complications.
 
“There was no oxygen spanner to place her on oxygen, even when she was to undergo some tests, there was no money to carry out the test,” he said.
 
He called on the state government to make the welfare of civil servants a top priority.
 
By: John Akinfehinwa
Daily Post News
* News / @Fmohnigeria Press Statement: Are We In Democracy or Autocracy by katty: June 19, 2018, 10:29:43 AM
The attention of the Federal Ministry of Health has been drawn to one and a half pages of press Statement in the Nation Newspaper of Monday 11th June, 2018, titled: "Are we in a democracy or autocracy" issued by the Senior Staff Association of Universities Teaching Hospitals, Research Institutes and Associated Institutions (SSAUTHRIAI) in which the Honourable Minister of Health, Prof. Isaac Adewole id being accused for the non-payment of salaries to JOHESU members that embarked on a needless strike action between 18th April, 2018 to 3rd June, 2018 (47Days).
 
It is pertinent to note that No Work No pay law of the Federal Government subsists and has been applied to all striking workers irrespective of their labour Union.
 
This Law was applied to National Association of Resident Doctors (NARD) of Nigeria when they embarked on a nationwide strike in the August to early September 2017.
 
Consequently, the implemented No Work No Pay law is not peculiar to JOHESU. It was also applied to Nurses at LUTH, Idi-Araba, Lagos. It is therefore very important to note that the Law has been in existence long before this administration but if the previous administrations lacked the political will to implement this law, it does not mean that the law is not in existence.

The FMOH would like to refer SSAUTHRIAI to the circular with Ref, No 58598/s.1/11/182 of 22nd June, 2016 Issued by the office of the Secretary to the Government of the Federation (SGF) titled "INCESSANT STRIKE ACTIONS IN MINISTROES, DEPARTMENTS AND AGENCIES: IMPLEMENTATION OF "NO WORK NO PAY" POLICY OF THE FEDRAL GOVERNMENT" in which all the Ministers, permanent Secretary and Heads of Government Agencies were directed to strictly enforce the provision of the circular.
 
It is therefore unfortunate and callous of SSAUTHRIAI to unjustly put the blame of the consequences of their strike action on the Honourable Minister of Health.
 
The fact that the Governing Boards of the Hospitals have been constructed and inaugurated does not erode the powers of the Federal Ministry of Health from exercising her supervisory functions, providing leadership and direction over the Federal Health Institutions with the sole aim of delivering quality health services to the public.
 
The FMOH would like neither the state once more that we have neither sighted nor in procession of any agreement between FMOH and JOHESU prior to that of 30th September, 2017.
 
Out of 15points demand by JOHESU, the Federal Government has met 14 and the only one left had been referred to the high level body (HLB) which was still being deliberated upon by JOHESU and Federal Government before the unfortunate call for a strike action.
 
The FMOH hereby calls on JOHESU or any of its affiliate Unions to publish such agreement if indeed it exists.

For the avoidance of doubt, the Federal Government will continue to enforce the law of No-Work-No-Pay at all times bearing in mind that health sector is one of the essential services that ate prohibited by law from embarking on strike action.
 
Nevertheless, the Federal Ministry of Health will continue to engage the Staff, Labour unions and all other stakeholders to ensure a conducive work environment for quality service delivery.
 
Signed:
Permanent Secretary
Federal Ministry of Health
* Articles / Men in Nursing Profession Earn More Than $6,000 More Annually Than Women by katty: June 19, 2018, 10:19:33 AM
 Press Release: In a profession dominated by women, men in nursing earn more than $6,000 more a year than their female counterparts, according to a Nurse.com by OnCourse Learning survey of more than 4,500 nurses across the country.

The Nursing Salary Research Report, which included registered nurses from all 50 states, showed men earn an average of $79,688 compared to $73,090 for women. Men make up almost 12% of the U.S. nursing workforce.

"Even taking into account total hours worked, years of nursing experience, age, education level and certification status, men still are making more money than women," said Robert G. Hess Jr., PhD, RN, FAAN, Nurse.com by OnCourse Learning's Executive Vice President and Chief Clinical Executive, Healthcare. "And from our robust research, salary is the most important job factor for nurses across all demographics."

Reaction to salary gap


The fact that men earn higher salaries is something Brent MacWilliams, PhD, MSN, RN, APNP, APN-BC, president of the American Association for Men in Nursing, would like to see change.

"Traditionally, men have gravitated toward acute care, high-paid specialties and to management/administration, which are all higher paying," he said. "Based on this survey, it seems clear men are being paid significantly more than women in the profession doing comparable work. I would call on employers to assess their current workforce for gender gaps and raise salaries to create parity."

Negotiation is key


One important aspect of earnings is men are more likely to negotiate their salaries, the survey found. While 43% of men "most of the time or always" negotiate, only 34% of women do so.

"This could account for higher salaries for men in nursing, as well as other professions," Hess said.

Millicent Gorham, MBA, FAAN, executive director of the National Black Nurses Association, said closing the pay gap is critical.

"I want to see an equitable solution," she said. "My main takeaway from this survey is that women need to learn to negotiate for everything."

Lifelong learning


Fifty percent of overall respondents said pursuing higher education, certification or training to boost salary was a consideration or goal.

"It is heartening that the survey found many nurses are planning on pursuing higher levels of education, which is what the Institute of Medicine called for in its 2010 report on the future of nursing," said Susan C. Reinhard, PhD, RN, FAAN, senior vice president and director, AARP Public Policy Institute and chief strategist, Center to Champion Nursing in America. "Research has linked greater levels of education for nurses with safer, high-quality care. Higher degrees also give nurses more career choices and can lead to better-paying jobs."

Attaining professional certifications is one way female nurses can close the salary gap. Survey results showed men with specialty certifications had a salary only $1,252 higher than certified female nurses.

Other findings


Additional findings in the survey include:

*Millennials have the highest proportion of bachelor's-prepared nurses (63%) among four generations surveyed.

*Baby boomers have the highest percentage of professional certifications (43%).

*The average one-way commute for nurses is 16 miles. The farthest nurses are willing to commute is 26 miles.

Survey methodology
The survey data, which was analyzed by a doctorally-prepared nurse, was made available to registered nurses via an email campaign and social media posts. The overall audience sample is representative of each state's percentage of RNs compared to the overall U.S. nursing workforce.

The survey has a 95% confidence interval and a 1.5% margin of error on its sample size.

Nurse.com by OnCourse Learning publishes a popular blog, along with relevant nursing content in its award-winning digital publications and various nursing survey studies annually. This content is shared with a social media audience of more than 550,000 followers.

For media inquiries, contact:
Barry Bottino, Communications Director
847-908-8007
197208@email4pr.com
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