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Nursing Council Of New Zealand

 

Pānui May 2023

 

E huri tō aroaro ki te rā, tukuna nga ātārangi ki muri i a koe.

 

Turn your face to the sun and the opportunities the future presents, and let the shadow of the Covid years fall behind you.

 

Today is International Nurses Day, with 2023’s theme being “Our nurses. Our future”.

 

On this day we recognise the valuable and critical contribution that nurses across the motu, with the diverse backgrounds, we bring to our work make to the health and wellbeing of all in our communities.

 

I would especially like to acknowledge those nurses who have recently led with courage and resilience in the aftermath of the recent cyclone. Even with some having faced personal loss, you were, and still are, vital to the ongoing recovery process. There is more on their work below.

 

I also know that all nurses have continued to face many challenges from the COVID-19 pandemic. The Council would like to acknowledge and recognise the professionalism, compassion, and care you showed during this time, and that you continue to deliver every day at work by providing quality healthcare across the board.

 

There have been many changes in the past year which have also had an impact on the nursing sector including the establishment of Te Whatu Ora and Te Aka Whai Ora in health, and Te Pūkenga in education. We have been working with all three organisations so they understand the roles and responsibilities the Council has in setting and upholding nursing standards, in collaboration with the sector, ensuring the high level of professionalism that New Zealand nurses are internationally recognised for. We are also taking part in discussions with these organisations about the very real issues affecting nurses on the frontline and in the sector, and providing the necessary workforce data so this information can inform their policies and decisions.

 

We will shortly be releasing our new Enrolled Nurse scope statement, developed in collaboration with Enrolled Nurses and others in the sector. It is a testament to their contribution that we will have a scope well placed to meet the needs of what it means to be an Enrolled Nurse now and into the future. There is an update on that work below.

 

Elections for the Council’s Board will soon get underway and you will receive an information pack about that shortly. Nurses make up the majority of the Board’s members, helping to steer the Council and its work so I encourage you to take part in the elections.

 

Aotearoa New Zealand was the first country in the world to register nurses, and on behalf of the Council, we hope you celebrate the wonderful contribution you make and the nursing legacy of which you are part.

 

Ngaira Harker

Council Chairperson

Nurses lead in the recovery effort

Lead Nurse Dione Neri (left) and Nurse Director Marion Terry.

In the aftermath of Cyclone Gabrielle, nurses in Wairoa were on their own with those working at the hospital having lost all connection with the outside world.

 

Nurse lead Dione Neri says it was early in the morning when the impact of the cyclone was felt in the town, as the river burst its banks, flooding roads and houses in its path. The hospital is on an elevated site and its generator kicked in when the power went down.

 

“We had no cell phone coverage, no server, no connection with Hawkes Bay, no connection with anybody. We were just on our own,” she said. “We were business as usual and just got on with it.”

 

Located on the hospital campus is the Queen Street general practice. Its Nurse Director Marion Terry says the team swung into action.

 

“Patients didn’t ring, couldn’t ring, so they just presented at the practice. They had a system to triage those coming in. Surprisingly the numbers were quite low and just dropped right back, almost like people were in shock.”

 

Fortunately, the practice’s server was still operational so, with Te Whatu Ora’s agreement, they were able to share data with the hospital’s acute ward and assist doctors and nurses in looking after their patients.

 

Marion and Dione say the flooding was a shock as it happened so quickly but that did not prevent them from getting on with what had to be done.

 

“We’re there to provide a frontline health service,” says Marion. “That doesn’t change in a cyclone or a flood or whatever. We continued to provide services and we stepped up visits to the evacuation sites.”

 

One Wairoa nurse’s family home was hit by the flooding and her colleagues leapt into action.

 

“Her family home was totally awash so our nurses went there and cleaned it out. They went there for a few days and scrubbed her house out, ripped everything out, and cleaned it until it was finished,” says Marion.

 

Dione says the community, which will shortly be reconnected with Hawkes Bay, is still hurting.

 

“We’re a pretty low socio-economic community so it’s the access to everything, the affordability to everything that’s the problem.”

 

In the face of such challenges, both nurses take a pragmatic approach, roll up their sleeves, and get on with the job.

 

Nēhi kei te manawa o te tiaki hauora – nurses at the heart of healthcare.

 

New Enrolled Nurse Scope statement

Design Group members from left: Coral Wiapo, Dr Lorna Davies, Carolyn McCullough, Margaret Pearce, Sue Hayward, Suzanne Rolls, Michelle Prattley, Robyn Hewlett, Kerri Nuku. Absent: Mairi Lucas, Johanna Rhodes.

A new Enrolled Nurse Scope Statement has been approved by the Nursing Council’s Board.

 

The statement, which describes the practice of enrolled nursing, will be publicly launched later this month at the NZNO Enrolled Nurse Conference. It will come into full effect in early 2024 when the accompanying new education standards and competencies are completed.

 

The new Enrolled Nurse scope statement was developed by a Design Group including enrolled nurses, representatives from Te Poari o Te Rūnanga o Aotearoa, employers, and educators. We on this from December 2022 to February 2023, and the Design Group has revised and strengthened the scope to reflect sector feedback.

 

The feedback was very positive about how the new statement recognises the importance of Te Tiriti o Waitangi, Kawa Whakaruruhau, and cultural safety. There was also recognition that the statement provided a broader, more flexible, and future-focused scope, with opportunities to develop enrolled nursing to better meet population health needs – especially equitable outcomes for Māori across diverse health settings.

 

Phase 2 of the review will establish appropriate competencies and education standards. This will further define the characteristics of competent enrolled nursing practice and appropriate educational preparation.

 

Following discussions within the Design Group, the Nursing Council agreed to seek views on the ‘Enrolled Nurse’ title and how this part of the nursing profession could be described in the future. We would like to be clear that the Council is not proposing a change to the name at this time. Rather, we have been collecting perspectives that could inform discussion amongst Enrolled Nurses and other members of the profession.

 

We also received feedback on the need for us to complete development of new Registered Nurse competencies, and recommendations for a review of the Registered Nurse Scope Statement. We will be working to ensure that the Registered Nurse competencies project aligns with the Enrolled Nurse Scope review.

Better data about the nursing profession

The information you provide to the Nursing Council when you register and when you renew your Annual Practising Certificate is one of the biggest sources of information about the profession. It helps everyone understand the makeup of the nursing workforce, where in the country nurses are practising, and how many nurses work in particular practice areas and employment settings. It is used for planning, employment negotiations, research, and more.

 

Over 2023, we are going to be looking at the types of data we hold and how we can communicate it more effectively. This will involve a major review of our workforce survey later this year, and some early changes to the information we ask for when you renew your APC. As part of this, we are encouraging all nurses to login to your MyNC portal and update your gender and ethnicity details if they are missing or incorrect.

 

More information about our plans .

 

Registered Nurses can offer letter of support to change gender on certificate

From next month, regulations come into force that allow people, through a self-identification process, to amend their sex or gender on their birth certificate.

 

The changes by the Government will replace the current Family Court process.

 

Children and young people will have access to this process but they are required to have letters of support from a suitably qualified third party. These include a group of professionals from within the health sector such as Registered Nurses, Nurse Practitioners, doctors, psychologists, psychotherapists, social workers, and some qualifying counsellors.

 

To be able to offer this service, you need to be registered and have a current practising certificate. You can also decline to offer a letter of support. The Department of Internal Affairs will develop and share guidance on this for you.

 

If this is of interest to you, you can find out more here:

 

No new HPDT decisions to report

There are no new decisions to report from the Health Practitioners Disciplinary Tribunal.

The Nursing Council of New Zealand

Te Kaunihera Tapuhi o Aotearoa

 

Level 5

22 Willeston Street

Wellington 6011

New Zealand

04 385 9589