What are the views of Generation Z New Zealand Registered Nurses towards nursing. Isabel Jamieson

Background: The aim of this research was to explore the views of Generation Z New Zealand Registered Nurses towards nursing, work and career. It builds on previous work that examined the views of Generation Y nurses.

Method: Nation-wide on-line survey via purposive sampling.

Inclusion criteria: All Registered Nurses (born 1991-1999) who were members of the New Zealand Nurses Organisation.

This paper: Will report the findings of the open text question: Can you tell us about your experiences, both professional and personal, during the Covid-19 pandemic?

Findings: Manifest content analysis of 462 replies is in progress. Initial coding of categories using Graneheim and Lundman’s (2004) framework has revealed: a pleasant working environment v a chaotic workplace, high stress levels, fear of the unknown, a negative impact on their personal lives and a dauting time v a fulfilling time.


Dr Isabel Jamieson, RN, PhD, MNurse(Melb), CertAT,  is currently employed by the Ara  Institution of Canterbury (Ara), Department of Health Practice as a principal nursing lecturer and as a senior lecturer, University of Canterbury, Christchurch New Zealand. Other roles include Chair of the department’s research committee, thesis supervisor and thesis examiner. Her research interests include health care workforce issues, clinical models of teaching and learning, nursing student’s readiness to practice as well as the graduate nurse experience. Isabel’s clinical background was perioperative nursing, surgical assisting, and infection control.

 

Equity in major trauma outcomes. Owen Ashwell

Background: Trauma is a considerable health burden globally: injuries have a substantial impact on health, both as a leading cause of premature death and because of disability following a trauma.
The POMRC chose to examine what factors impact on Māori and non-Māori mortality from major trauma, given this is an important health area that no one has comprehensively reviewed previously.
Methods: This analysis included data relating to all events of major trauma in the New Zealand Major Trauma Registry (NZ-MTR) from 1 July 2015 to 30 June 2019. We also analysed additional data from the National Health Index (NHI), including domicile codes, deprivation decile and ethnicity. Statistical methods included tabulating risk factors by ethnicity, calculating Māori to non-Māori mortality hazard ratios (HRs) using Cox regression, and using logistic regression to estimate odds ratios (ORs) for binary outcomes.
Results: The main determinants of 30-day mortality following major trauma were: older age, more comorbidities, more severe injury (based on Injury Severity Score [ISS], Glasgow Coma Scale [GCS] score and requiring intubation) and not receiving an index CT scan.

  • Inequity in mortality was clear for Māori youth aged 15–18 years, who were over three times more likely to die in the 30 days following major trauma than non-Māori in the same age group.
  • Māori were 37% more likely than non-Māori to not receive a CT scan.
  • Māori were 56% more likely than non-Māori to die in the first 30 days following major trauma that did not involve serious traumatic brain injury (sTBI).

Conclusion: The analysis in this report point to important areas in which improvements could lead to a reduction in inequities experienced by Māori following major trauma, as the report recommendations reflect. These recommendations will be discussed during the presentation.

 

Owen is a New Zealand registered nurse who has worked as a staff nurse, clinical nurse educator and charge nurse in the Post Anaesthetic Care Unit (PACU) at Wellington hospital, as well as varied nursing roles overseas, including the Scottish Liver Transplant Unit in Edinburgh, Scotland. Owen is currently the Senior Specialist Advisor for the Perioperative Mortality Review Committee, and works as a Specialist in the Adverse Events programme, part of the Health Quality & Safety Commission.

Working in chaos. Rebecca Porton-Whitworth

Background

At 1.40pm on the 15th March 2019 a lone gunman entered the Al Noor Mosque in Riccarton, Christchurch and opened fire during Friday prayers.  He then drove to the Linwood Islamic Centre again shooting those engaged in prayer.
The attacks ultimately killed 51 people and injured 49.
This presentation covers a reflection from a perioperative clinical nurse specialist on the many challenges faced by the perioperative team in managing and caring for the mass casualties from the Christchurch mosque shootings which was published in the Dissector in March 2020.  This presentation was prepared and presented at the Tongariro Cardiac Meeting in March 2021.
It addresses the mass casualty response by CDHB, flow of patients through the operating theatre, patient identification, forensic specimen collection, responses by different members of the perioperative team including sterile services and our operating theatre assistants.  As well as addressing communication and wellbeing.

 

The second part of the presentation looks at working in chaos. Again, this is based on an article published in the Dissector in March, 2020.  Mass casualty events are a global phenomenon which tests major trauma systems.  Each incident poses different challenges and injuries from differing environments.  It is important that we learn through debriefing and sharing of information so that lessons learnt can be incorporated into future planning.  An established trauma system delivers a continuum of care for patients and provides a synchronised approach to trauma care offered by first responders, hospitals, community providers and government (HQSC, 2019).  The outcome results in lives being saved, reduced disabilities and a more effective healthcare system.

It addresses the effects of Terrorism on the Healthcare Community and The Aftermath.
There are several key phases to recognise by medical staff in their response following a terrorist incident.

Phase 1: Chaos

Phase 2: Casualty receiving phase

Phase 3: Consolidation

Phase 4: Definite Care

Phase 5: Rehabilitation

Staff Support

Rebecca RComp, BHSc, MNurs (Hons) has worked extensively for nearly thirty years within the perioperative environment working in a variety of specialties and roles.  She graduated from Christchurch Polytechnic in 1992 and has work within the public and private sector in New Zealand as well as overseas.  This is where she developed her passion for cardiothoracic surgery working in both the paediatric and adult acute and acquired congenital.  She has continued a variety of postgraduate education and is tertiary qualified at Masters Level with First Class Honours.  This set her on a new path working as a Registered Nurse First Surgical Assistant within the cardiothoracic specialty.   She is currently working as a Clinical Nurse Specialist of Cardiothoracic and Vascular Theatres at Christchurch Public Hospital and continues to work as an RNFSA.  She has also been involved in volunteer work with the Mutima Project which travelled to Zambia to perform heart surgery and the Friends of Fiji Heart Foundation.  She joined the Dissector editorial team in 2019.