Are there smartphone apps specifically for people who experience eating disorders?

Q: Are there smartphone apps specifically for people who experience eating disorders?
A: Yes. Three*
1. Rise Up + Recover www.recoverywarriors.com/app
2. Recovery Record – RR www.recoveryrecord.com
3. MindShift www.anxietycanada.com/resources/mindshift-cbt

Q: Is this the shortest blog post in the history of humans?
A: No. Please read on for elaboration, geeky stuff and a disclaimer (look for the red asterisk* below).

Elaboration

Recently I was chatting with someone who experiences an eating disorder and was asked whether there were any apps specific to their circumstances. I was a bit busy at work, and only had time to to check-out Australia’s digital mental health hub Head To Health, and found nothing specific to eating disorders there. A few things pop-up on a google search, but when you’re a health professional you need to be careful about prescribing digital technologies. As articulated in editorials, letters, journal articles and blogs, health professionals have a responsibility to do no harm, and provide credible, evidence-based information if giving advice re apps, websites or other digital technologies.

Geeky Stuff

Fairburn and Rothwell (2015, p. 1038) took a systematic approach to clinical appraisal of eating disorder apps, and concluded, “The enthusiasm for apps outstrips the evidence supporting their use.” Ouch.

But that was way back in 2015, some people are still giving eating-disorder-specific app development a go, and digital therapeutics evolve quickly, so I thought it was worth doing a search of credible sources anyway.

After searching Head To Health, later (in my own time boss) I had a look at the Queensland Eating Disorder Service (QuEDS) resource page, the Butterfly Foundation website, and the Eating Disorders Victoria site and couldn’t find recommendations for apps. I then signed-up for ORCHA (“the world’s leading health app evaluation and advisor organisation“) and did a search there – that yielded poor results. Searching ORCHA for “eating disorder” was too broad and yielded a list of food/diet-related apps. Searching ORCHA for “anorexia nervosa” yielded two apps that had a green rating – one was a NHS/UK-only app, and when I clicked the other one on the App Store the top review spoke about their weight-loss. It might be a good app, but I’m afraid to share it here. That sort of thing would probably be laughed-off with an eye roll by someone who is living with an eating disorder and is in a good head space, but could really throw a spanner in the works for someone who isn’t in a good head space. The mortality rate of eating disorders is a worry, so primum non nocere.

Then I stumbled into the Centre for Eating and Dieting Disorder (CEDD) website and found a resource called “Navigating Your Way to Health” and, lo and behold, found this on page 33:

Using apps can be a handy way of helping you in your journey to recovery. We’ve listed some FREE apps here that might be useful. The following apps have been designed to help people with eating disorders to empower you to be in control of your recovery.
> Rise Up + Recover 
> Recovery Record – RR 
> recoveryBox 
> MindShift 

Disclaimer*

Although it was listed in the resource above, I left the recoveryBox app off my list at the top of the page because as at 09/08/20 (today) their website isn’t working. The app is still available on the App Store, but as the website is out of action, I’m guessing the app isn’t being updated any more. “Navigating Your Way To Health” was published in 2016 and, as noted above, digital therapeutics evolve quickly. It seems they devolve quickly too.

I’m pretty confident this is credible information as of right now, but who knows what reviews are underway or what apps are in development? Not me. For all I know there will be a fantastic Australian app co-produced by consumers/survivors, clinicians and academics tomorrow. I hope so. Just in case, check in on CEDD if you’re reading this after 09/08/20.

As noted in my recent blog post regarding the stepped care model (“One. Step. Beyond.” meta4RN.com/step) the concept of “one size fits all” doesn’t apply in mental health recovery. On the same theme, apps can be a useful addition to other strategies and useful for maintenance/relapse prevention. They should not be relied on alone if someone is experiencing significant symptoms of poor health.

I won’t pretend for a moment to have any special insight into what is a useful app for people who are experiencing an eating disorder, and don’t really have the time, skill-set or funding to undertake an independent review. I do trust the credibility of CEDD though, and if they say these apps are OK, who am I to say otherwise?

As originally noted in September 2012 (see number 13 here: meta4RN.com/about), the views and opinions I express here or on related social media portals do not represent the views of my employer. That really should be taken for granted, but anyway…

One last thing in this section: I don’t have any financial/other ties to any of the organisations or apps named above.

References

Daya, I., Hamilton, B. and Roper, C. (2020), Authentic engagement: A conceptual model for welcoming diverse and challenging consumer and survivor views in mental health research, policy, and practice. International Journal of Mental Health Nursing, 29(2): 299-31.
doi: 10.1111/inm.12653

Fairburn, C.G. and Rothwell, E.R. (2015) Apps and eating disorders: A systematic clinical appraisal. International Journal of Eating Disorders, 48: 1038-1046.
doi: 10.1002/eat.22398

Ferguson, C., Hickman, L., Wright, R., Davidson, P. & Jackson, D. (2018) Preparing nurses to be prescribers of digital therapeutics, Contemporary Nurse, 54(4-5): 345-349.
doi: 10.1080/10376178.2018.1486943

Hunter Institute of Mental Health and the Centre for Eating and Dieting Disorders (2016). Navigating Your Way to Health: A brief guide to approaching the challenges, treatments and pathways to recovery from an eating disorder. NSW Ministry of Health.
via cedd.org.au/begin-recovery 

Neumayr, C, Voderholzer, U, Tregarthen, J, Schlegl, S. (2019) Improving aftercare with technology for anorexia nervosa after intensive inpatient treatment: A pilot randomized controlled trial with a therapist‐guided smartphone app. International Journal of Eating Disorders, 52: 1191– 1201
doi: 10.1002/eat.23152

Søgaard Neilsen, A. & Wilson, R.L. (2019) Combining e‐mental health intervention development with human computer interaction (HCI) design to enhance technology‐facilitated recovery for people with depression and/or anxiety conditions: An integrative literature review. International Journal of Mental Health Nursing, 28(1): 22-39.
doi: 10.1111/inm.12527

Wilson, R.L. (2018) The right way for nurses to prescribe, administer and critique digital therapies, Contemporary Nurse, 54(4-5): 543-545.
doi: 10.1080/10376178.2018.1507679

End

That’s it. Thanks for reading down this far 🙂

As always, you’re welcome to leave feedback in the comments section below.

Paul McNamara, 9 August 2020

Short URL meta4RN.com/app

 

Liaison in the Time of #COVID19

.

This page is an accompaniment to a brief presentation at the Inaugural ACMHN Consultation Liaison Special Interest Group online webinar via zoom – it is just a place to plonk things that I’ll talk about in case anyone wants to clarify anything for themselves.

So, here goes:

As noted on a previous blog post, Queensland’s population is much bigger than Australia’s smaller states/territories, but falls a long way short of Australia’s two largest states. 

 

Queensland’s population size compares better to New Zealand, Ireland, Norway and Singapore than other Australian states and territories.

 

All the data below is true as of 1 August 2020 (as you probably know, 1st of August = the Horses Birthday in Australia).

 

It is interesting to compare the number of Covid-19 cases across similar-sized populations. Obviously there are many differences between the populations too – not the least of which is land area – so I’m doubtful that a proper epidemiologist or public health professional would put much stock in this comparison. That disclaimer aside, it is noted that Queensland has a larger population than New Zealand – which is held-up as a shining-light of Covid-19 control – but, to date, has a lower incidence of Covid-19 positive people.

 

I’m not sharing the data about number of Covid-19 deaths as a macabre version of State of Origin or the Bledisloe Cup. It’s not a competition. It’s certainly not a game. Thousands of families across the world are in mourning. That said, isn’t it interesting how low Singapore’s death rate is compared to that of Ireland and, to a lesser extent, Norway? Both New Zealand and Queensland have been very fortunate to date in limiting the number of deaths.

 

Comparing the number of new cases of Covid-19 in the last 24 hours (as at 01/08/20) is also interesting.

 

Links to Data Sources
New Zealand
Ireland
Queensland
Norway
Singapore 

 

In the session there will be mention of the “Clean Hands. Clear Head.” strategy to embed anxiety-management into everyday clinical practice. More info about his via the blog post and video of the same name: meta4RN.com/head

 

Also in the session there will mention of “Positive Practice Environment (the other PPE)” Again, there is more info about this via a blog of the same name: meta4RN.com/PPE

 

Finally, here is a link to the Prezi that was used to make the video. My understanding is that all these pretty Prezis will stop working at the end of 2020 when everyone stops using flash (just letting you know in case you’re looking at this page in 2021).

 

In Support of our Victorian Colleagues

 

End

That’s it. I hope some of this info is of interest. As always, you’re welcome to leave feedback via the comments section below.

Paul McNamara, 3 August 2020

Short URL: meta4RN.com/zoom

One. Step. Beyond.

Stories on the TV that speak of the mental health impacts of COVID-19/other issues nearly always end with words to the effect of, “And if this has raised any issues for you help is always available. Phone Lifeline on 13 11 14.”

In keeping with Mindframe media guidelines, it’s good that help-seeking information is included in these stories, but it doesn’t cater for the full spectrum of mental health problems.

Lifeline, for example, is a crisis support line, akin to lifesavers plucking people from the dangerous surf. It’s vital, but it’s not a “one size fits all” service (nor should we expect it to be).

Anyway, most of us would rather early intervention/prevention rather than crisis intervention. It’s better to learn how to swim than rely on someone saving you from drowning.

 

The Stepped Care Model of Mental Health

Self Portrait 26/04/20

The Stepped Care model aims to ensure that people have streamlined access to the right services for their needs over time, and as their needs change. There is more information about this available from more reputable sources than my blog, eg:  Northern Queensland Primary Health Network, Connect to Wellbeing, or your local public health network.

A short, amateurish, overview is this:

If you’re on the lowest (blue) step, you’re doing OK. Keep those healthy relationships and habits going.

If you’re on the second-lowest (green) step you probably should be more intentional about protecting your social and emotional wellbeing. Chat to people you love/trust, and see if any of the digital resources at Head To Health match where you’re at.

If you’re on the middle (yellow) step it’s definitely time to connect with someone. If you’re a Nurse or Midwife that could be NMSupport in the first instance,  if you’re in North Queensland you may consider contacting Connect to Wellbeing. Elsewhere you may need to google or go via healthdirect re equivalent services.

If you’re on the second-top (orange) step, don’t muck-about: make a double appointment to see your GP. S/he won’t necessarily reach straight for the prescription pad. The GP may discuss making a Mental Health Treatment Plan, which should include your goals  and – if you and your GP agree it’s worth a try – a referral to a specialist mental health professional.

If you’re on the top (red) step you will almost certainly want to make contact with your local mental health service. In Queensland phone 1300 64 2255 (1300 MH CALL). Outside of Queensland you should be able to track-down your local service via healthdirect.

One. Step. Beyond.

This blog post was inspired by chatting with hospital colleagues who were not familiar with the Stepped Care Model of Mental Health. Many thanks to these terrifically impressive people who are definitely NOT heroes: they’re just everyday compassionate, creative, funny, clever and skilled health professionals who – in a crisis – will go one step beyond to support the people who need it.

One last thing. If, like me, you have a foot one step beyond your usual step, perhaps the jaunty Madness (1979) song “One Step Beyond” will provide temporary distraction and cheer. 🙂

End

Thanks very much for visiting. As always your feedback is welcome in the comments section below.

Paul McNamara, 30 July 2020

Short URL meta4RN.com/step

Saint Dymphna and The Zombies – a mental health nurse’s perspective

On Friday 19 June 2020 I presented “Saint Dymphna and The Zombies – a mental health nurse’s perspective” at the James Cook University/Cairns Hospital Ground Rounds virtually (ie: via zoom).

The session was initially scheduled to coincide with the Feast Day of Saint Dymphna – 15 May. However, the COVID-19/coronavirus thing put paid to any semblance of crowd gatherings, so the Grand Rounds program was postponed. When the Grand Rounds resumed they were moved out of the auditorium, and (like many things in 2020) went online.

The session has been videoed, please feel free to watch the watch the presentation below.

This page also serves as a  collection point for the references and resources used in the presentation.

Saint Dymphna

Info and references re the amazing story of Saint Dymphna has been collated previously on two of my blog posts, here: meta4RN.com/amazing and here: meta4RN.com/dymphna. For the sake of completeness the list of references used is replicated below:

Catholic Online (n.d.) St. Dymphna. Retrieved from www.catholic.org/saints/saint.php?saint_id=222

Catholic Saints Info (2016, 27 July) Saint Dymphna. Retrieved from catholicsaints.info/saint-dymphna

de Botton, A. (2011, July) Alain de Botton: Atheism 2.0 [Video file] Retrieved from www.ted.com/talks/alain_de_botton_atheism_2_0

Franciscan Mission Associates. (n.d.) The Story of St. Dymphna. Retrieved from franciscanmissionassoc.org/prayer-requests/devotional-saints/st-dymphna/story/ 

Goldstein, J.L. & Godemont, M.M.L. (2003) The Legend and Lessons of Geel, Belgium: A 1500-Year-Old Legend, a 21st-Century Model. Community Mental Health Journal. 39: 441. doi: 10.1023/A:1025813003347

Ireland’s Eye (n.d.) Saint Dymphna. Retrieved from www.irelandseye.com/irish/people/saints/dympna.shtm

Jay, M. (2014, 9 January) The Geel question. Retrieved from aeon.co/essays/geel-where-the-mentally-ill-are-welcomed-home

Kirsch, J.P. (1909). St. Dymphna. In The Catholic Encyclopedia. New York: Robert Appleton Company. Retrieved from New Advent: www.newadvent.org/cathen/05221b.htm

Novena (n.d.) Feast of St. Dympna. Retrieved from novena.com/2013/05/15/feast-of-st-dymphna/

Openbaar Psychiatrisch Zorgcentrum (OPZ) – Geel website www.opzgeel.be/en/home/htm/intro.asp

Rabenstein, K.I. (1998) Saint of the day. Retrieved from www.saintpatrickdc.org/ss/0515.shtml

Wikipedia (2016, 21 September) Dymphna. Retrieved from en.wikipedia.org/wiki/Dymphna

The Zombies

Photo of zombie nurses source: Roberts, A. (2015, 9 March) Zombie nurses raise funds for international medical exchange, ABC Capricornia
www.abc.net.au/local/photos/2015/03/09/4193789.htm

Established in 2010, the Australian Health Professional Registration Agency (AHPRA) does not recognise any Nursing specialities [source], but recognises 23 specialities in Medicine and over 60 sub-specialities [source].  

Lakeman, R. and Molloy, L. (2018), Rise of the zombie institution, the failure of mental health nursing leadership, and mental health nursing as a zombie category. International Journal of Mental Health Nursing, Volume 27, Issue 3, pp. 1009-1014. doi.org/10.1111/inm.12408

Principal area of main job for Australian Nurses (top five):
1️⃣ Aged Care
2️⃣ Medical
3️⃣ Surgical
4️⃣ Peri-Operative
5️⃣ Mental Health
[Australian Institute of Health and Welfare (2016, June 9). Nursing and midwifery workforce 2015, web report: source]

There are over 22,000 nurses working in mental health settings in Australia [Australian Institute of Health and Welfare (2020, January 30). Mental health services in Australia, web report: source]. It is not known how many of them hold specific undergraduate or postgraduate qualifications in mental health. There are no mechanisms in place to prevent a nurse with no specialist mental health qualifications working in a specialist mental health setting.

There are over 3,200 members of the Australian College of Mental Health Nurses [ACMHN 2017-2018 Annual Report: source]  – this equates to approx 14.5% of the nurses working in mental health settings. From my involvement with ACMHN, I am confident that nearly all members either hold or are  working towards a specialist qualification in mental health.

There are 1235 nurses who are credentialed (ie: peer reviewed and confirmed to have appropriate qualifications and experience, participation in clinical supervision, and contribution to the profession) by the Australian College of Mental Health Nurses [ACMHN 2019 Media Kit, source] – about 5.5% of the total.

58% of the nurses working in mental health settings are aged 45+, 33% are aged 55+ [Australian Institute of Health and Welfare (2020, January 30). Mental health services in Australia, web report: source].

Hildegard Peplau (1909-1999) is to Mental Health Nursing what Florence Nightingale (1820-1910) is to General Nursing [source].

End

Thanks for showing an interest in the presentation.

As always, your feedback is welcome in the comments section below.

Paul McNamara, 20 June 2020

Short URL: meta4RN.com/zombies

 

 

 

An end of April #COVID19 snapshot (Queensland perspective)

The chart below shows confirmed cases of #COVID19 as at 4.30pm (GMT/UTC + 10:00h) on Thursday 30/04/20. The chart sourced via www.covid19data.com.au

I’m not sharing this info as a macabre version of State of Origin or the Bledisloe Cup. It’s not a competition. It’s certainly not a game. Thousands of families across the world are in mourning.

Nevertheless, it is useful to have a benchmark of how we are faring. To give us perspective it’s useful to compare progress across areas/populations. As per the list below, Queensland’s population size compares better to New Zealand, Ireland, Norway and Singapore than other Australian states and territories.

Population Comparison (Australian states/territories + selected countries, small to large)
Northern Territory 245,000
Australian Capital Territory 428,000
Tasmania 535,000
South Australia 1.75 million
Western Australia 2.63 million
New Zealand 4.82 million
Ireland 4.94 million
Queensland 5.11 million
Norway 5.37 million
Singapore 5.85 million

Victoria 6.63 million
New South Wales 8.12 million

So What?

Hopefully, the encouraging data in this chart serves as an anxiolytic for Queensland health workers and their patients. That’s the intent.

End

That’s it. If you know an anxious Queenslander please share this information with them.

Paul McNamara, 1 May 2020

Short URL meta4RN.com/qld

Supporting Nurses’ Psychological and Mental Health

An editorial by Jill Mabel and Jackie Bridges published on 22 April 2020 in Journal of Clinical Nursing explores the evidence regarding supporting nurses’ psychological and mental health during #COVID19.

Q: Why nurses?
A: Nurses are at the bedside 24 hours a day, 7 days a week. In previous pandemics/epidemics nurses experienced more occupational stress and resultant distress when compared to other professions.

And – little known fact – even when there isn’t a pandemic to deal with, nurses are more prone to suicide than most employed people. The authors are in the UK, but it’s the same in Australia.

Although there are lessons to be learned from SARS, MERS and Ebola, overall the evidence for supporting nurses’ psychological and mental health wellbeing during a pandemic is not very strong.

That disclaimer out of the way, here comes my interpretation of the key points from the paper:

1. Keep Maslow’s Hierarchy of Needs in Mind.
Starting at the base isn’t basic. It’s essential.
Start with
– hydration
– nutrition
– rest and recovery
– shelter from the storm

2. Safety is vital.

For
#COVID19 that means that PPE is a non-negotiable need (don’t take my word for it, see Maslow’s hierarchy above).

3. Prioritise wellbeing.
Organisations that ask nurses to care for people who are #COVID19 suspected/positive should ensure that nurse wellbeing is a priority.
Q: How?
A: Insist on breaks, and – this often goes against the nursing culture/habits – make sure that nurses quarantine time for mutual support.
Q: Mutual support? What’chu talkin’ ’bout, Willis?
A: meta4RN.com/footy

4. Individual Support PRN.
Individual support should be available for nurses too.
Q: What sort of support?
A: It’s not one size fits all. It depends on what step you’re on.

Self Portrait 26/04/20

On the lower steps, support via trusted, loving family and friends might be all that’s required. That, and being intentional about self care.

5. Self-Care.
If you’re getting stressed on the boss’s time, you should try to get de-stressed on the boss’s time too. It doesn’t have to take hours, you might be able to make regular snack-sized self-care part of your everyday nursing practice.

6. Positive Practice Environment.
Good communication, a collegial multidisciplinary team, creative and collective problem-solving,and working as a team can go a long way towards dampening anxiety.
There’s more than one kind of PPE.
Aim for a Positive Practice Environment.

7. Time Out.
Embed safe places in the workplace. Something like a NOvid room would do the trick.

8. Supportive Senior Staff.
Last, but not least, senior nurses and other people in the hospital hierarchy should make themselves more available and visible than ever.
Care goes in. Crap comes out.

End

That’s the summary of the key messages I took from the Journal of Clinical Nursing editorial. Check it out yourself via doi.org/10.1111/jocn.15307

Many thanks to Jackie Bridges (one of the paper’s authors) for giving positive feedback regarding the original Twitter thread. This blog post is a replica of that thread, just with most typos corrected.

Thanks for reading. As always you’re welcome to leave feedback and/or add your own ideas in the comments section below.

Paul McNamara, 26 April 2020

Short URL: meta4RN.com/COVID19

Positive Practice Environment (the other PPE)

At this point in time (the beginning of April 2020) PPE is popping-up in news and social media feeds frequently. Understandably, with the outbreak of the #COVID19 pandemic, clinicians are much more conscious of Personal Protective Equipment (PPE) than usual. Even crusty old mental health nurses like me have revisited and refreshed our knowledge on PPE.

That’s sensible. It’s also sensible to acknowledge that there’s more than one type of PPE.

Positive Practice Environment (PPE)

Today some nurses who work on a ward receiving patients suspected/confirmed to have COVID-19 identified elements that are contributing to their ward working well. Although there’s still some anxiety, of course, generally it is a PPE (positive practice environment). Some of the things nursing staff identified were:

  1. Team Nursing. The RNs highlighted this as a part of the PPE. In a team you never feel like it’s your burden to bear alone, there’s someone to check with donning and doffing personal protective equipment, and there’s always someone to help if you’re in the isolation room and need something extra.
  2. Communication. Communciation within the nursing team, and between the nursing staff and senior medical staff is much better than usual. Regular meetings both formal and informal are really helpful.
  3. Working Smarter. For example: before entering an isolation room, call the patient on their bedside/mobile phone to see if they need anything extra. Similarly, making an arrangement with the patient that they can buzz or phone if they need anything. Increased use of phone = decreased frequency of entering isolation room = decreased use of personal protective equipment.
  4. Getting Smarter. Asking questions and brainstorming solutions. Everyone acknowledges that they aren’t experienced or experts in pandemics, and that collaborative care is the only way to problem-solve the way forward. Patients generate solutions too
  5. Staying Focused. There is so much information swirling about regarding COVID-19, that it is important to limit the sources and exposure. We need to trust the health department that employs us to give us the correct information at the correct time. We can’t afford the time or mental/emotional energy to look at everything that’s out there.
  6. Downtime is Sacred. When everything at work seems to have a COVID-19 twist to it, it’s important to shield against overload. Strategies include:
    • Don’t watch the news, watch a movie.
    • Be careful how much time we spend in the social media echo chamber.
    • Switch off social media and the TV and listen to music.
    • Ask friends and family not to use “the C word” around you.

Downtime is Sacred.

Three Final Thoughts

One
It’s not just about wearing PPE (as in personal protection equipment) it’s about creating a PPE (as in positive practice environment) too. Nobody pretends for a moment that there are not more and/or better ideas than those above, but being intentional about both lots of PPE is helping.

Two
What’s more contagious: COVID-19 or anxiety?

Three
I can’t believe that it’s been less than 2 months since the term “COVID-19” was first coined. It has infected nearly every news article and conversation since early February 2020.

End

That’s it. Thanks for reading.

As always your feedback is invited via the comments section below.

Paul McNamara, 1 April 2020

Short URL meta4RN.com/PPE

Clean Hands. Clear Head.

Part 1. Clean Hands. Clear Head.

“Clean Hands. Clear Head.” is an animation of a mindfulness script that distills the content of my 2016 blog post “Hand Hygiene and Mindful Moments” into a short (less than 2 minutes) video. The voice part was recorded on an iPhone at a hospital sink #authentic. The visuals were done on Prezi.

Here’s a link to the Prezi version of “Clean Hands. Clear Head.” prezi.com/jehramlhdkcm

Addit 29/03/20: to my surprise, some people want a text version. I won’t write out the whole thing (too long, a bit dull), but below are some key phrases:

This is my mindful moment.
The anxiety and tension will be washed away.
I will rub in the resilience and kindness that sustains me.
After 20 seconds or so I will pretend I’m TayTay, and shake it off. 🙂
I will smile, then will intentionally slow my breathing.
Me and my hands will be safe.

Feels free to use/modify PRN. I would be grateful for source attribution as “meta4RN.com/head”
Just in case it’s handy here is a PDF: CleanHandsClearHead
And here is a MS Word version: CleanHandsClearHead

Part 2. Surviving Emotionally Taxing Work Environments. March 2020 version.

On a related topic, for the last few years I’ve facilitated many hour-long, interactive sessions called “Self Care: Surviving Emotionally Taxing Work Environments.” for my fellow nurses at the hospital where I work. As at March 2020, I’m not confident that we’ll have an opportunity to meet face-to-face as a group all that often, so I’ve tweaked the session, tried to cut-down on the rambling, and have switched from hour-long interactive, to 20 minutes of well-intentioned, a tad-amateurish, youtube video embedded below:


Self Care: Surviving Emotionally Taxing Work Environments. March 2020 version.
(video, 20 mins)

Here’s a link to the Prezi version of “Self Care: Surviving Emotionally Taxing Work Environments. March 2020 version”: prezi.com/xcejt9pgd0b3

Part 3. References & Resources.

I’m recycling and combining a lot of old ideas for the March 2020 version of  “Self Care: Surviving Emotionally Taxing Work Environments.” Self-plagiarism? Nah – it’s a groovy remix of some favourite old songs. Regular visitors to meta4RN.com may recognise the repetition, and be quite bored with me using the website as a place to store updated versions of old stuff. Sorry about that, but it’s just so damn convenient. 🙂

Here are the resources and references used in the presentation: (because I’m recycling old ideas this list is ridiculously self-referential).

Australian College of Mental Health Nurses [www.acmhn.org], Australian College of Nursing [www.acn.edu.au], and Australian College of Midwives [www.midwives.org.au] (2019) Joint Position Statement: Clinical Supervision for Nurses + Midwives. Released online April 2019, PDF available via each organisation’s website, and here: ClinicalSupervisionJointPositionStatement

Australian Government (24 March 2020) Coronavirus (COVID-19) current situation and case numbers
www.health.gov.au/news/health-alerts/novel-coronavirus-2019-ncov-health-alert

Basic Life Support Procedure
https://qheps.health.qld.gov.au/__data/assets/pdf_file/0030/607098/pro_basiclifesprt.pdf

Eales, Sandra. (2018). A focus on psychological safety helps teams thrive. InScope, No. 08., Summer 2018 edition, published by Queensland Nurses and Midwives Union on 13/12/18, pages 58-59. Eales2018

Emotional Aftershocks (the story of Fire Extinguisher Guy & Nursing Ring Theory) meta4RN.com/aftershocks

Employee Assistance Service (via Queensland Health intranet)
qheps.health.qld.gov.au/hr/staff-health-wellbeing/counselling-support

Employee Assistance Service (via Benestar – the company that CHHHS contracts out to)
benestar.com

Football, Nursing and Clinical Supervision (re validating protected time for reflection and skill rehearsal) meta4RN.com/footy

Hand Hygiene and Mindful Moments (re insitu self-care strategies) meta4RN.com/hygiene

Lai. J, Ma. S, Wang. Y, et al. (23 March 2020) Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Network Open.
jamanetwork.com/journals/jamanetworkopen/fullarticle/2763229

Lalochezia (getting sweary doesn’t necessarily mean getting abusive) meta4RN.com/lalochezia

Nurse & Midwife Support nmsupport.org.au  phone 1800 667 877
– we have specifically targeted 24/7 confidential support available

Nurses, Midwives, Medical Practitioners, Suicide and Stigma (re the alarming toll of those who undertake emotional labour) meta4RN.com/stigma

Nurturing the Nurturers (the Pit Head Baths and clinical supervision stories) meta4RN.com/nurturers

Queensland Health. (2009). Clinical Supervision Guidelines for Mental Health Services. PDF

Spector, P., Zhiqing, Z. & Che, X. (2014) Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. International Journal of Nursing Studies. Vol 50(1), pp 72-84. www.sciencedirect.com/science/article/pii/S0020748913000357

That was bloody stressful! What’s next?
Web: meta4RN.com/bloody
QHEPS: https://qheps.health.qld.gov.au/__data/assets/pdf_file/0038/555779/That-was-bloody-stressful.pdf

Zero Tolerance for Zero Tolerance (a reframing of reducing aggression) meta4RN.com/zero

Part 4. An update for the 2021 version

The updated Prezi is here:

There’s an update to the reference list too:

Chen, R., Sun, C., Chen, J.‐J., Jen, H.‐J., Kang, X.L., Kao, C.‐C. & Chou, K.‐R. (2020), A Large‐Scale Survey on Trauma, Burnout, and Posttraumatic Growth among Nurses during the COVID‐19 Pandemic. International Journal of Mental Health Nursing. doi.org/10.1111/inm.12796

End

Thanks for visiting. Let’s join the kindness pandemic to offset some of the crap that goes with the COVID19 pandemic.

As always, your feedback is welcome in the comments section below.

Stay safe.

Paul McNamara, 25 March 2020, with an update on 8 December 2020

Short URL: meta4RN.com/head

Creative Commons Licence
Clean Hands. Clear Head. by Paul McNamara is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

School Based Youth Health Nurse (SBYHN)

Recently I received a Facebook invite to a 20 year reunion of Cairns High School Students who completed year 12 in 1999. Cue nostalgia.

The Cairns Post, 20 February 1999, page 19.

In 1999 I was one of 25 Registered Nurses employed by Queensland Health to pilot the School Based Youth Health Nurse Program. I was the only male in the cohort, and one of two who also had mental health qualifications (all of us shared a background in general nursing). The two schools I covered were Cairns State High School and Yarrabah State School.

Some of the Cairns State High School students autographed a uniform for me as a parting gift.

School Based Youth Health Nurses are Queensland Health employees who provide a service that is delivered in partnership with Education Queensland to address the health and wellbeing of the young people and school communities.

The roles and functions of a School Based Youth Health Nurse includes:

  • Promoting health and wellbeing with a “whole school approach” to support the development of healthy school environments.
  • Making recommendations on health resources to support curriculum, teaching and learning activities in schools.
  • Individual health consultations with assessment, support, health information and referral options related to:
    • Healthy eating and exercise
    • Relationships
    • Personal and family problems
    • Feeling sad, worried and angry
    • Sexual health
    • Smoking, alcohol and other drugs
    • Growth and development

To clarify, the School Based Youth Health Nurse does not provide medical treatments, first aid, medications, physical examinations, or ongoing counseling.

It was a great job – not without its challenges, of course – but great all the same.

My single favourite part of the job was interacting with school students individually and in small groups. I was blown-away by how worldly and mature most of them were. As an example, when I was setting-up a space where I could chat to students confidentially a year 10 student swung past to introduce himself, saying something like, “Hi I’m Nathan. I started on antidepressant medication a couple of months ago, and I think I’m going OK now, but I just wanted to meet you in case I need to speak to you later sometime.” I was nothing like that sensible when I was in year 10.

Actually, I wish I was that sensible now. I’m still trying to get my head around the fact that those students are older now than I was then!

End

That’s it for this one. Short and sweet.

My main motivator for this blog post is to store the pics online so I can find them PRN, and easily share them with the peeps who were kind enough to remember me when planning their 20 year reunion. Have fun guys! 🙂

Interested in reading more about the SBYHN role? The article ‘No such thing as a typical day in the life of a school-based youth nurse’ may be of interest. 

As always, you’re welcome to leave feedback in the comments section below.

Paul McNamara, 29 February 2020

Short URL: meta4RN.com/SBYHN

BTW: the section in blue above is mostly a copy and paste from here

Nurses on the 2020 Australia Day Honours List

Extracting information from www.gg.gov.au/australian-honours-and-awardsaustralian-honours-lists/australia-day-2020-honours-list, below are the Nurses named on the 2019 Australia Day Honours List.

Margaret Alice Aldous OAM
Medal (OAM) of the Order of Australia in the General Division
Benalla, Victoria
For service to nursing.

Cooinda Village
– Chief Executive/Director of Nursing, since 2008.

Benalla Rotary Club
– Vocational/Membership Committee, 2014-2016.
– Student Councillor, 2012-2014.

Benalla Hospital
– Quality Manager, 2001-2008.
– Nurse Unit Manager Home, Nursing Services, 1997-2001.
– Team Leader, Critical Incident Debriefing.
– Nurse Unit Manager, Accident and Emergency and Hospital Supervisor, 1996-1997.
– Palliative Care Supervisor, 1989-1994, seconded to Hume Region North East Victoria, 1995.
– Provided first palliative care education service to Benalla Hospital and medical staff.
– Grief Counsellor.
– Mentor to Junior Staff.
– Hospital Supervisor, 1982-1989.
– Nurse Unit Manager Midwifery, 1979-1981.
– Staff Nurse 1977-1979.
– Registered Midwife, 1977-2016.
– Registered Nurse’ 1975- current

Alfred Hospital Melbourne
– Staff Nurse, 1976.
– Trainee Nurse, 1972-1975.
– Trainee Midwife, 1975-1976.

Royal Women’s Hospital
– Trainee Midwife, 1975-1976

********************************************

Coralie Elizabeth Brannelly OAM
Medal (OAM) of the Order of Australia in the General Division
Moulden, Northern Territory
For service to the community of Darwin.

Lions Australia
– Secretary, Palmerston Lions Club, 2014-2017, 2019.
– Co-Founder, Palmerston Lions Club, 2014.
– Former Member, Darwin Nightcliff Lions Club.

Professional
– Primary Health Care Respiratory Nurse, Northern Territory Department of Health, since 2009.

********************************************

Deborah Kenna OAM
Medal (OAM) of the Order of Australia in the General Division
Orange, New South Wales
For service to community health.

Western NSW Local Health District
– Registered Nurse, Health Service Manager
– Aboriginal Health, Chronic Care, Integrated Care 2001 – 2017
– District Manager, Chronic Care
– Aboriginal Primary Health Care Practitioner, 2001-2006.

Orange Aboriginal Medical Service (OAMS)
– Founding Community Board Member, planning and development, 2005.
– Chair, 2006.
– Director, Board Member, 2002-2007.
– Member, Clinical Governance Patient Safety/ Quality Governance Group, current.

Other Voluntary
– Member, National Heart Foundation Aboriginal Health Advisory Committee (NAHAC), 2011-2018.
– Deputy Chair, NAHAC, 2017-2018.
– Member, Cardiovascular Health Advisory Committee.
– Member, NSW Better Cardiac Care Aboriginal Ministers Advisory Group, 2016-2017.
– Member, National Cervical and Breast Screen Advisory Group, 2013-2016.
– Member, Ministry of Health Chronic Care Advisory Group, 2012-2017.
– Member, Aboriginal Advisory Group, National Cancer Institute and Research, since 2015 – current

Professional Memberships
– Australian College of Nursing.
– Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINAM).
– Council of Remote Area Nurses Australia, (CRANA).

Awards and recognition include:
– Female Person of the Year, Orange NAIDOC Community Awards, 2007 and 2014.
– Employee of the Year, Orange Community Awards, 2009.

********************************************

Lilian Selina Leonard OAM
Medal (OAM) of the Order of Australia in the General Division
Pearcedale, Victoria
For service to community health.

Voluntary
– Founder/Treasurer/Committee Member, Young Ostomates United Support Group, since 1989.
– OutReach Stoma/Continence/Breast Care Service, East Gippsland, 1998-2004.
– East Gippsland Cancer Support Group, 1999-2004.
– North Western Breast Cancer Support Group, 1997-2004.
– Founder, Preston and Northcote Community Hospital Ostomy Support Group, 1987.

Nursing
– Registered Nurse Div. 1: Graduated from the Melbourne School of Nursing, 1959.
– Stomal Therapy Certificate, Mayfield Centre, 1979.
– Graduate Diploma in Human Relationships Education, Melbourne University, 1988.
– Registered Nurse, Stomal Therapy, Cabrini Hospital, Preston, Northcote Community Hospital (PANCH), The Northern Hospital (Northern Health) and Bairnsdale Regional Health Service, 1979-2004.
– President/Committee Member, Australian Association of Stomal Therapy Nurses Victoria, early 1980s.

Awards and recognition includes:
– Recipient, Advance Australia Foundation Award, 1993.
– Inaugural Portrait Gallery Inductee at MacRobertston Girls High School, 2008.

********************************************

Matthew Alan Luther OAM
Medal (OAM) of the Order of Australia in the General Division
Gordon, Australian Capital Territory
For service to nursing.

Nursing
– Co-Director, Emergency Department, Calvary Public Hospital, Bruce, Canberra, current.
– Nurse Practitioner, since 2004.
– Midwife, since 2002.
– Registered Nurse, since 1999.
– Credentialed Emergency Nurse.

Other Medical and Community service includes
– Vice-Chair, ACT Branch, Australian Resuscitation Council, current.
– Guest Lecturer, Australian Catholic University, current.
– Mass Gathering/Event Nurse Practitioner, ACT Branch, St John’s Ambulance Australia, since 2012.
– Member, Australian Medical Assistance Team (AusMAT), since 2010.
– Volunteer Fire Fighter, ACT Rural Fire Service, since 1992.
– Course Director, Advanced Life Support, Australian Resuscitation Council, current.

Royal Australian Air Force Reserve
– Specialist Nurse, Military Critical Care Aeromedical Team, since 2006.
– Patient Movement Cell, Deployment, Iraq, 2018.
– Aeromedical Evacuation Nurse, Philippines Assist, Humanitarian Aid, 2012 and Deployment Middle East, 2012.
– Emergency Nurse, Pacific Partnership, Humanitarian Aid, 2008.

Memberships
– Fellow, Australian College of Nursing.
– Fellow, College of Emergency Nursing Australasia.
– Fellow, Australian College of Nurse Practitioners.

Awards and recognition include:
– Excellence in Management Practice, ACT Health, 2016.
– ACT Nursing Team of the Year, ACT Health, 2016.
– Australia Day Medallion, for service to Calvary Health Care, 2008.

********************************************

Annette Elizabeth Moehead OAM PSM
Public Service Medal (PSM)
Wollongbar, New South Wales
For outstanding public service to mental health care of aged persons in New South Wales.

Ms Moehead has provided exceptional service to NSW Health since 1973. Specialising in the nursing of dementia and psychogeriatrics for over 30 years she is regarded by nurses and health professionals, locally and nationally, as a leader, mentor and expert in dementia and delirium care.

An outstanding and innovative influence in the psychogeriatrics sector, she has placed great emphasis on the recognition, assessment and management of cognitive disorders at a state and national level. She established the first dementia day care service outside the metropolitan area; setting up and delivering one of the early dementia pilot programs in order to establish a coordinated approach to delivering community mental health services to older persons.

She has also been a major influencer in the development of the NSW Dementia Action Plan and has been instrumental in the development and implementation of delirium care as a National Standard.

Currently as Nurse Practitioner Psychogeriatrics, Northern New South Wales Local Health District, Ms Moehead’s dedication and commitment to influencing the knowledge and skill of the healthcare workforce in delivering quality clinical care has earnt her the respect and acknowledgement from her patients, peers and the community of New South Wales.

********************************************

Pauline Margaret Nugent AM
Member (AM) in the General Division of the Order of Australia
East Melbourne, Victoria
For significant service to education, and to nursing.

Service includes:

Australian Catholic University
– Provost, since 2012.
– Deputy Vice-Chancellor (Academic), 2011-2012.
– Dean of Health Sciences, 2007-2011.

Deakin University
– Inaugural Chair of Nursing Development, 2003-2006.
– Head, School of Nursing, 1997-2006.

Southern Health
– Chair, 2005-2009.
– Board Member, 2001-2009.

Australian Department of Health
– Member, National Nursing and Nursing Education Taskforce, 2004-2007.
– Member, Australian Health Workforce Advisory Committee, 2000-2007.

Australian Council of Deans of Nursing and Midwifery
– President, 1999-2003.
– Executive Member, 1999-2005.
– Member, Victorian and Tasmanian Deans of Nursing, 1997-2007.
– Chair, Victorian Deans of Nursing, 1997-1999.

Other
– Member of the Health Professions Education Standing Group, Victorian Department of Health, since 2013.
– Board Member, Eastern Health, 2009-2018.
– Member, Nurse Practitioner Implementation Committee, Victorian Board of the Nursing and Midwifery Board of Australia, 2000-2001.
– Chair, Education Sub-Committee, Nurse Recruitment and Retention Committee, Victorian Department of Health, 2000.

Awards and recognition includes:
– Telstra Businesswoman of the Year, 2009.

********************************************

Sabine Cornelia Phillips AM
Member (AM) in the General Division of the Order of Australia
Port Melbourne, Victoria
For significant service to aged welfare, and to the legal profession.

Benetas Aged Care (Victoria)
– Director and Chair, Clinical Governance Committee, 2010-2012.
– Board Member, 2009-2012.

Uniting Agewell
– Board Member, since 2015.
– Member, Clinical Governance Committee, current.
– Member, Audit and Risk Committee.

Northern Health
– Board Member, 2007-2016.
– Member, Audit and Risk Committee, 2013-2016.
– Chair, Clinical Governance Committee, 2009-2013.

Other
– Board Member, Dementia Australia, 2016-2017.
– Board Member, Australian Children Education and Quality Agency, 2014-2017.
– Board Member, Wintringham Aged Care and Wintringham Housing.
– Fellow, Australian College of Nursing, current.

Professional
– Partner, Health and Aged Care Law, Gadens Lawyers, since 2016.
– Lawyer and Partner, Russell Kennedy Lawyers, 2004-2015.
– Fellow, Australian Institute of Company Directors, current.

********************************************

Sheila Ellen Simpson OAM
Medal (OAM) of the Order of Australia in the General Division
Scone, New South Wales
For service to nursing.

Nursing
– Clinical Nurse Consultant and Tuberculosis Coordinator, South Western Sydney Local Health District, 1987-2018.
– Clinical Nurse Consultant, South Western Sydney Local Health District, 1987-2018.
– Nurse, Liverpool Chest Clinic, Liverpool Hospital, 1984-2018.
– Charge Nurse, Randwick Chest Hospital (now known as Prince of Wales Hospital), 1972-1984

Other
– Member, Projects Advisory Group for the Australian Respiratory Council, for many years.
– Member, NSW TB Advisory Committee.
– Co-Author, ‘Recurrence of tuberculosis at a Sydney chest clinic between 1994 and 2006: reactivation or reinfection?’

********************************************

End

Please let me know via the comments section below if I missed any nurses on the 2020 Australia Day Honours List. Naturally, I’m happy to correct any oversights.

Paul McNamara, 26 January 2020

Short URL: meta4RN.com/Honours2020

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