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14 th South <strong>Pacific</strong><br />
<strong>Nurses</strong> Forum<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong><br />
Forum<br />
“NURSES AT THE HELM:<br />
Steering health across the <strong>Pacific</strong>"<br />
FORUM PROGRAMME<br />
Monday 8th - Thursday 11th November 2010<br />
Aotea Centre, Queen Street, Auckl<strong>and</strong>, New<br />
Zeal<strong>and</strong>
Special Acknowledgements<br />
We would like to acknowledge the following organisations <strong>for</strong> their support<br />
<strong>and</strong> input into the 15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum:<br />
The 15th SPNF is a smokefree event <strong>and</strong> supports smokefree <strong>Pacific</strong> Isl<strong>and</strong><br />
nurses <strong>and</strong> communities.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 2 of 53
Contents<br />
Welcome .......................................................................................................... 4<br />
Objectives ........................................................................................................ 5<br />
General In<strong>for</strong>mation ......................................................................................... 6<br />
Programme ...................................................................................................... 8<br />
Speakers abstracts <strong>and</strong> biographies .............................................................. 12<br />
Other Sessions Available ............................................................................... 39<br />
Minutes <strong>and</strong> recommendations from the 14th SPNF ..................................... 40<br />
Constitution of the South <strong>Pacific</strong> <strong>Nurses</strong> Forum............................................. 44<br />
Participating <strong>Nurses</strong> Associations .................................................................. 47<br />
Trade In<strong>for</strong>mation ........................................................................................... 49<br />
Useful Maps ................................................................................................... 52<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 3 of 53
Welcome<br />
„E kore au e ngaro; te kākano I ruia mai I Rangiātea‟<br />
‘I shall never be lost; the seed which was sown from Rangiātea’<br />
(This is a saying of tribes from the Aotea canoe. Ra‟iatea is an isl<strong>and</strong> in the society group).<br />
Kia ora, malo e lelei, talofa lava, kia orana, fakalofa atu <strong>and</strong> many <strong>Pacific</strong><br />
greetings, wishfully in at least the 20 <strong>Pacific</strong> languages spoken in New Zeal<strong>and</strong><br />
<strong>and</strong> more than a 1000 languages spoken throughout the <strong>Pacific</strong> countries.<br />
As a Tongan, I am distinctly honoured to invite you to study this conference<br />
booklet <strong>and</strong> feel the depth <strong>and</strong> purpose of this gathering. As you make your way<br />
through this conference booklet, you will feel the enthusiasm <strong>and</strong> the intellect of<br />
the Organising committee <strong>and</strong> their commitment to the themes, program,<br />
abstracts <strong>and</strong> subsequently the conference itself.<br />
It is our wish that you wonder through this book as you would through a tropical<br />
floral garden <strong>and</strong> pick the flowers of your desires <strong>and</strong> weave a garl<strong>and</strong> <strong>for</strong> the<br />
waka journey. The journey begins here <strong>and</strong> through to the presentations <strong>and</strong><br />
discussions of the multitude of themes nominated <strong>for</strong> this gathering of the many<br />
people that the waves of the <strong>Pacific</strong> Ocean connects.<br />
We are most respectfully indebted to the Tangata Whenua in welcoming us to<br />
their ancestral place. They have generously contributed the medium <strong>and</strong><br />
space,(va <strong>and</strong> ta) <strong>for</strong> an Oceanic Talanoa of the peoples of Moana Nui, on the<br />
many essential professional issues of our past, present <strong>and</strong> future. It is our most<br />
sincere <strong>and</strong> humble hope that this journey would be purposeful, productive <strong>and</strong><br />
relevant to the development of closer relationships <strong>and</strong> unified direction <strong>for</strong> better<br />
health in Oceania.<br />
Let there be questions <strong>and</strong> frank dialogue to bind, unite, <strong>and</strong> steer our waka to<br />
the calm of a new dawn <strong>and</strong> the Peace that is the <strong>Pacific</strong>.<br />
Faka‟apa‟apa atu<br />
Eseta Finau<br />
The Organising Committee<br />
15th South <strong>Pacific</strong> <strong>Nurses</strong> Forum<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 4 of 53
Objectives<br />
The objectives of the 15th SPNF are:<br />
1. To bring together nurses from the region to support <strong>and</strong> assist each<br />
other in promoting <strong>and</strong> improving nursing care in the health services<br />
provided <strong>for</strong> the people of the <strong>Pacific</strong>.<br />
2. To share in<strong>for</strong>mation on the need to maintain optimum st<strong>and</strong>ards of<br />
professional nursing practice in the region.<br />
3. To provide research findings to help nurses in developing countries<br />
know of new procedures <strong>and</strong> systems that would be beneficial in<br />
providing safe practice <strong>and</strong> safe care in the public health system.<br />
4. To collaborate on the benefits of having nursing associations that<br />
supports professional development of nurses <strong>and</strong> the need to establish<br />
these <strong>and</strong> maintain.<br />
5. To strategically work on the development of nurses <strong>and</strong> nursing locally<br />
<strong>and</strong> internationally.<br />
Ref: SPNF 2008, Fiji, Paraphrased from the Constitution objectives<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 5 of 53
General In<strong>for</strong>mation<br />
Forum Venue:<br />
Registration Desk:<br />
Name Badges:<br />
Cell-phones/ Pagers:<br />
Refreshments:<br />
Dinners:<br />
Emergency Exits:<br />
Emergency Forum<br />
Organises Contacts:<br />
Transport around<br />
Auckl<strong>and</strong><br />
Aotea Centre<br />
Queen Street<br />
Auckl<strong>and</strong><br />
(see map on last page <strong>and</strong> in <strong>for</strong>um satchels)<br />
Registrations will be open daily from 8am. The<br />
registration desk will be located in the Lower NZI<br />
Foyer.<br />
Please wear your name badges at all meeting<br />
sessions <strong>and</strong> social functions as this will confirm<br />
you as a registered participant.<br />
Please ensure cellphones <strong>and</strong> pagers are turned<br />
off, or set to silent mode at every session to limit<br />
disturbance.<br />
Morning tea, lunch <strong>and</strong> afternoon tea is provided<br />
daily as per the times in the programme. All<br />
catering will be in the Lower NZI Foyer.<br />
There are two hosted dinners throughout the<br />
<strong>for</strong>um:<br />
<br />
Monday 8th Nov: 6.30pm in the Air NZ Foyer<br />
hosted by Te Runanga o Aotearoa<br />
Wednesday 10th Nov: 6.30pm in the Air NZ<br />
Foyer hosted by the <strong>Pacific</strong> <strong>Nursing</strong> Section<br />
(NZNO) themed "Isl<strong>and</strong> Night"<br />
You must register <strong>and</strong> pay to attend the dinners. If<br />
you are not registered <strong>and</strong> wish to attend please<br />
ask at the registration desk.<br />
Emergency exits are clearly marked, please make<br />
yourself aware of emergency exits.<br />
NZNO Auckl<strong>and</strong> Office phone 09 360 0956<br />
Donna Simpson phone 027 600 6831<br />
<br />
<br />
Or alternatively leave a message at the<br />
Rendezvous Hotel <strong>for</strong> Haylee McLennan phone<br />
09 366 3000<br />
Public Transport: Included in your <strong>for</strong>um<br />
satchel is in<strong>for</strong>mation on Auckl<strong>and</strong> central<br />
public transport.<br />
Shuttles: Auckl<strong>and</strong> Co-op Shuttles phone 09<br />
300 3300<br />
Taxi's: Auckl<strong>and</strong> Co-op Taxi's phone 09 300<br />
3000<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 6 of 53
Currency <strong>and</strong> tipping<br />
Local Hospital<br />
Local Medical Centre<br />
<strong>Pacific</strong> <strong>Nurses</strong><br />
Associations in New<br />
Zeal<strong>and</strong><br />
Smokefree event <strong>and</strong><br />
venue<br />
The currency in New Zeal<strong>and</strong> is NZD. Tipping is<br />
not required in New Zeal<strong>and</strong>.<br />
Auckl<strong>and</strong> City Hospital (city pamphlet in satchels)<br />
Park Road<br />
Central City<br />
Phone 09 367 000<br />
White Cross Accident <strong>and</strong> Medical<br />
202 Ponsonby Road<br />
Ponsonby<br />
Phone 09 376 5555<br />
(city pamphlet in satchels)<br />
Fijian <strong>Nurses</strong> Association:<br />
Lina Galu - lina@westfono.co.nz<br />
Niuean <strong>Nurses</strong> Association:<br />
Carissa McCay - carissamccay@yahoo.co.nz<br />
Tokelau <strong>Nurses</strong> Association:<br />
Kupa Kupa - Kupa@compasshealth.org.nz<br />
Cook Isl<strong>and</strong> <strong>Health</strong> Network:<br />
Metua Faasisila - m.faasisila@alac.org.nz<br />
Samoan <strong>Nurses</strong> Association:<br />
Siniva Cruickshank -<br />
siniva@healthstarpacific.co.nz<br />
Tongan <strong>Nurses</strong> Association: '<br />
Eseta Finau - tna@xtra.co.nz or<br />
eseta.finau@xtra.co.nz<br />
The 15th SPNF is a smoke free event <strong>and</strong> the<br />
Aotea Centre a smokefree venue.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 7 of 53
Programme<br />
Monday 8th November<br />
07.30 Registrations<br />
09.00 Whakatau<br />
09.40 Morning tea<br />
10.10 Official SPNF photo<br />
10.40 Opening Ceremony<br />
11.10 Launch of SPNF Logo<br />
11.30 Opening Address: TBC<br />
11.40 Address: Rosemary Bryant, President, International Council<br />
of <strong>Nurses</strong><br />
11.50 Address: Jane O'Malley, Chief Nurse, Ministry of <strong>Health</strong><br />
12.10 Lunch<br />
Speaker presentations, sub theme: Leadership<br />
1.10 Key Note Speaker Carol Frankson presenting 'A successful<br />
approach to developing nurses into sound leaders'<br />
1.50 Jill Iliffe & Ramziah bt Ahmad presenting 'Development of a<br />
model leadership training program'<br />
2.30 Salanieta Matiavi & Kuini L Lutua presenting 'The sweet <strong>and</strong><br />
sour taste of <strong>Nursing</strong> leadership with <strong>Health</strong> Re<strong>for</strong>ms'<br />
3.10 Afternoon Tea<br />
3.40 Coral Levitt presenting 'Leadership in Collaboration'<br />
4.10 Te Runanga o Aotearoa & Te Kaunihera o Nga Neehi Māori<br />
o Aotearoa presentation<br />
4.50 Concluding remarks<br />
5.00 Close of day one<br />
6.30 Opening day dinner hosted by Te Runanga o Aotearoa<br />
Leadership Session Chair: Marion Guy, New Zeal<strong>and</strong> <strong>Nurses</strong> Organisation<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 8 of 53
Tuesday 9th November<br />
08.00 Registrations<br />
08.45 Morning Prayer<br />
Speaker presentations, sub theme: Work<strong>for</strong>ce Development<br />
09.00 Key Note Speakers Sherry Lilley & Sue Walton presenting<br />
'Work<strong>for</strong>ce Preparation: Transition to Work Place Reality'<br />
09.40 Esther Faitala, Elizabeth Powell & Anne Fitisemanu<br />
presenting '<strong>Pacific</strong> Return to <strong>Nursing</strong> Pilot'<br />
10.10 Morning Tea<br />
10.40 Debbie Sorensen presenting '<strong>Pacific</strong> Work<strong>for</strong>ce - Myth or<br />
Reality'<br />
11.20 Mamatuki Sosoefo presenting 'Emergency <strong>Nursing</strong> - a<br />
learning experience <strong>for</strong> Interns'<br />
12.00 Lunch<br />
Speaker presentations , sub theme: Education<br />
1.00 Key Note Speaker Hemaima Hughes presenting 'Waerea Te<br />
Ara Whakamua: Clearing The Way Forward'<br />
1.40 John Tamihere presenting 'A practical approach <strong>for</strong> the West<br />
Auckl<strong>and</strong> community to deliver services that are - here real<br />
<strong>and</strong> now - Whanau Tahi / Whanau Ora'<br />
2.10 Cass<strong>and</strong>ra Stone presenting 'Fatuga' O Manuia: An<br />
education resource <strong>for</strong> the prevention of "sick kidneys" in the<br />
Samoan community'<br />
3.00 Afternoon Tea<br />
3.40 Thomas Robinson presenting 'Evidence Based <strong>Nursing</strong>'<br />
4.10 Loma-Linda Tasi-Mutitalo & Grace Wong presenting<br />
'Smoking Cessation, <strong>Pacific</strong> <strong>Nurses</strong> <strong>and</strong> <strong>Pacific</strong> peoples in<br />
Aotearoa: developing a national strategy'<br />
4.50 Concluding remarks<br />
Work<strong>for</strong>ce Development Session Chair: Samoan <strong>Nurses</strong> Association<br />
Education Session Chair: Tongan <strong>Nurses</strong> Association<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 9 of 53
Wednesday 10th November<br />
08.00 Registrations<br />
08.45 Morning Prayer<br />
Speaker presentations, sub theme: Collaboration<br />
09.00 Key Note Speaker Dr Denise Wilson presenting 'Steering the<br />
waka <strong>for</strong> health: The necessity of collaboration'<br />
09.40 Kim Ryan presenting 'Mental <strong>Health</strong> <strong>Nurses</strong> at the helm of<br />
Primary Mental <strong>Health</strong> Care'<br />
10.10 Morning Tea<br />
10.40 Yvonne Chaperon & Faye Clarke presenting 'Reconciliation<br />
Action Plan'<br />
11.20 Michael Larui, Verziln Isom & Mary MacManus presenting<br />
'An Education Partnership <strong>for</strong> <strong>Nursing</strong> Work<strong>for</strong>ce<br />
Development in Solomon Isl<strong>and</strong>'<br />
12.00 Lunch<br />
Speaker presentations, sub theme: Disaster Preparedness<br />
1.00 Key Note Speaker Professor Pelenatete Stowers presenting<br />
'The <strong>Nursing</strong> Response in the 2009 Tsunami in Samoa'<br />
1.40 Vai Naseri-Moegagai presenting 'Response of Samoan<br />
<strong>Nurses</strong> from outside Samoa'<br />
2.20 Afternoon Tea<br />
2.50 Gill Scrymgeour presenting 'What would you do if "the<br />
machine stopped?" Will your hospital cope if disaster<br />
strikes?'<br />
3.30 Amelia Afuhaamango Tuipulotu presenting 'KO E PEAUHOU<br />
'O E VAHAFOLAU - Being Swamped by a Tidal Wave:<br />
Tongan Women's Experiences of Breast Cancer <strong>and</strong> Related<br />
Treatment'<br />
4.10 Kerri Nuku & Nano Tunnicliff presentation<br />
4.50 Closing remarks<br />
6.30 Official SPNF Dinner hosted by <strong>Pacific</strong> <strong>Nursing</strong> Section<br />
Collaboration Session Chair: Fijian <strong>Nurses</strong> Association<br />
Disaster Preparedness Session Chair: Australian <strong>Nurses</strong> Federation<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 10 of 53
Thursday 11th November<br />
08.00 Registrations<br />
08.45 Morning Prayer<br />
09.00 Joint meeting with the SPCNOA <strong>and</strong> WP/SEAR<br />
10.30 Morning Tea<br />
11.00 Joint meeting with the SPCNOA <strong>and</strong> WP/SEAR continued<br />
12.30 Lunch<br />
1.30 Official Meeting Opened<br />
Country Reports<br />
Confirm 2008 SPNF Minutes<br />
Matters Arising <strong>and</strong> Review motions made at the 2008<br />
SPNF<br />
General Business<br />
3.00 Afternoon Tea<br />
Confirmation of the SPNF 2012 Host<br />
3.30 Official Meeting Continued<br />
4.30 Closing remarks / Poroaki / Karakia<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 11 of 53
Speakers abstracts <strong>and</strong> biographies<br />
LEADERSHIP<br />
A successful approach to developing nurses into sound leaders<br />
Carol Frankson<br />
(Monday 8th November 2010, 1.10pm)<br />
The three key issues <strong>for</strong> nursing leadership include professional leadership,<br />
clinical leadership <strong>and</strong> team leadership. Leadership is a team game in which<br />
communication <strong>and</strong> partnership working is essential <strong>for</strong> interprofessional<br />
collaboration. Preparing nursing leaders in advance is essential if nurses are to<br />
take on leadership roles <strong>and</strong> responsibilities. Leadership skills cannot be taken<br />
<strong>for</strong> granted. It cannot be assumed that a clinical expert will make a successful<br />
professional or clinical leader. Leading a professional group of nurses, or leading<br />
nurses in the clinical area is quite different to leading a team, particularly if the<br />
team is made up of health professionals from different disciplines. Leadership<br />
development is essential <strong>and</strong> more likely to be successful when leaders are<br />
coached, mentored <strong>and</strong> given development opportunities into the role. <strong>Nurses</strong> are<br />
better supported into leadership positions when succession planning is offered.<br />
Succession planning is central to leadership development <strong>and</strong> incorporates the<br />
individual, organisational <strong>and</strong> professional responsibility. Clarity of nurse<br />
leadership roles <strong>and</strong> responsibilities is a requirement <strong>for</strong> the management of<br />
complex health care challenges faced today. <strong>Nursing</strong> leadership development<br />
requires a commitment on the part of the profession today to successfully<br />
develop the nurse leaders of tomorrow.<br />
Carol Frankson<br />
Middlemore Hospital, Counties Manukau District <strong>Health</strong><br />
Board, Auckl<strong>and</strong>, New Zeal<strong>and</strong>.<br />
RGON, BHSc (<strong>Nursing</strong>), PG Cert (Advanced <strong>Nursing</strong>), PG<br />
Dip Business (<strong>Health</strong> Management), MHSc Hon (<strong>Nursing</strong>)<br />
I have wide clinical experience as a Charge Nurse<br />
Manager in New Zeal<strong>and</strong>. I have done key work in<br />
identifying <strong>and</strong> making recommendations regarding<br />
succession planning <strong>and</strong> the role of the Charge Nurse<br />
Manager. My published work includes:<br />
1) Leadership Succession Planning: a key issue <strong>for</strong> the<br />
nursing profession, by Antoinette McCallin, Anita<br />
Bam<strong>for</strong>d-Wade <strong>and</strong> Carol Frankson, Nurse Leader,<br />
December 2009, Vol 7, Issue 6, 40-44.<br />
2) The Role of the Charge Nurse Manager: a descriptive<br />
exploratory study, by Antoinette McCallin <strong>and</strong> Carol<br />
Frankson, Journal of <strong>Nursing</strong> Management,<br />
2010,18,319-325.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 12 of 53
Development of a model leadership training program<br />
Jill Iliffe <strong>and</strong> Ramziah bt Ahmad<br />
(Monday 8th November 2010, 1.50pm)<br />
Leadership at all levels is critical to the survival of nursing <strong>and</strong> midwifery. There is<br />
a world-wide shortage of health workers, particularly nurses <strong>and</strong> midwives.<br />
Substitution is a common response by governments however nurses <strong>and</strong><br />
midwives know that substitution will not improve the recruitment <strong>and</strong> retention of<br />
nurses <strong>and</strong> midwives <strong>and</strong> will inevitably lead to a lesser quality of care. <strong>Nurses</strong><br />
<strong>and</strong> midwives need to be actively involved in health policy development, in<br />
research, in advocacy <strong>and</strong> in lobbying. In the second half of 2009, the<br />
Commonwealth <strong>Nurses</strong> Federation in partnership with the Malaysian <strong>Nurses</strong><br />
Association <strong>and</strong> funded by the Commonwealth Foundation piloted a model<br />
leadership training program. The successful model program is to be conducted in<br />
partnership with national nursing <strong>and</strong> midwifery associations in countries across<br />
the Commonwealth. This presentation discusses the need <strong>for</strong> nursing <strong>and</strong><br />
midwifery leaders to be identified <strong>and</strong> provided with leadership training <strong>and</strong><br />
support <strong>and</strong> outlines the key elements of the model leadership program, the<br />
lessons learned during the pilot phase <strong>and</strong> the plans <strong>for</strong> its future roll out.<br />
Jill Iliffe<br />
Executive Secretary, Commonwealth <strong>Nurses</strong> Federation<br />
Jill Iliffe commenced as Executive Secretary of the<br />
Commonwealth <strong>Nurses</strong> Federation on 1 April 2008. Prior to<br />
taking up that appointment, Jill was National Secretary of<br />
the Australian <strong>Nursing</strong> Federation (ANF) <strong>for</strong> nine years <strong>and</strong><br />
be<strong>for</strong>e that spent seven years as Manager of Professional<br />
<strong>Nursing</strong> Services <strong>for</strong> the NSW Branch of the ANF. Jill is a<br />
registered nurse <strong>and</strong> midwife, with qualifications in family<br />
planning <strong>and</strong> women‟s health. She has a Bachelor of<br />
Applied Science (with Distinction) <strong>and</strong> a Master of<br />
International Studies from Sydney University <strong>and</strong> is<br />
currently completing a Master of Public Policy. Jill‟s nursing<br />
career has been clinically focussed, with experience in<br />
remote areas, intensive care, aged care, community health<br />
<strong>and</strong> women‟s health all of which included aspects of<br />
teaching <strong>and</strong> research. She has extensive experience <strong>and</strong><br />
well developed skills in advocacy, lobbying <strong>and</strong> policy<br />
development at a national <strong>and</strong> international level <strong>and</strong> has<br />
represented nursing on numerous nursing <strong>and</strong> health<br />
related committees. Jill has published widely on nursing<br />
related issues <strong>and</strong> spoken at numerous national <strong>and</strong><br />
international nursing <strong>and</strong> health conferences. She is a<br />
strong advocate of the involvement of nurses in the<br />
development of health <strong>and</strong> social policies to assist nurses<br />
in the provision of nursing care <strong>and</strong> to improve the health of<br />
the community.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 13 of 53
Matron Hjh. Ramziah bte. Hj. Ahmad AMN, PJK<br />
She is now a trainer, research <strong>and</strong> ward management<br />
consultant at the Institute <strong>for</strong> <strong>Health</strong> Management, Ministry<br />
of <strong>Health</strong> Malaysia since 2003. She is a <strong>Nursing</strong> Unit Head<br />
& I/C of IHM Hotels. Currently she is the President of MNA.<br />
She was involved with the past President in Graduate<br />
Scheme negotiation at the Ministry's level. She is an<br />
Advisory Board Member <strong>for</strong> WHAT Medicine. She started<br />
her career as a Temporary Secondary School Teacher but<br />
her passion <strong>for</strong> <strong>Nursing</strong> had taken her much more fulfilling<br />
being a nurse <strong>for</strong> the last 32 years.<br />
The sweet <strong>and</strong> sour taste of <strong>Nursing</strong> leadership with <strong>Health</strong> Re<strong>for</strong>ms<br />
Salanieta Matiavi & Kuini L Lutua<br />
(Monday 8th November 2010, 2.30pm)<br />
The changing policies of <strong>Health</strong> Re<strong>for</strong>ms as part of the global expectations of<br />
governments come with many challenges <strong>and</strong> frustrations to the common<br />
workers in particular in essential services. Never have Fijis health services been<br />
threatened with cost cutting <strong>and</strong> lay offs until the recently. Fiji‟s health system<br />
had been ailing <strong>for</strong> some decade but it was a non issue to many health<br />
professionals <strong>and</strong> especially to nurses. The love of the profession <strong>and</strong> the<br />
compassion to serve others was an unwritten underst<strong>and</strong>ing that every nurse<br />
who graduated from School of <strong>Nursing</strong> in Tamavua knew <strong>and</strong> respected. In the<br />
new millennium however, Fiji nurses became obsessed with getting qualified to<br />
move out to <strong>for</strong>eign countries where many colleagues had found better<br />
employment conditions. <strong>Nursing</strong> Leaders began to look at strategies to attract<br />
nurses to remain home (Fiji) <strong>and</strong> contribute to the national health system <strong>and</strong><br />
bridge the skill gaps that was quickly widening due to nurse migration. Some<br />
strategies that were advocated by the Fiji <strong>Nursing</strong> Association, (which had about<br />
86 per cent of membership of all nurses <strong>and</strong> medical orderlies) to the<br />
Government included improving working conditions such as housing, upgrading<br />
of nursing education, review of workloads, increasing established posts in civil<br />
service <strong>and</strong> reviewing nurse‟s salaries. Submissions to support the dem<strong>and</strong>s of<br />
the nursing work<strong>for</strong>ce had to be provided with figures <strong>and</strong> data expected from<br />
nursing leaders so that the decisions of the government would be justified. To<br />
influence government policy is never easy however when partnership of the<br />
<strong>Nursing</strong> division at the Ministry of <strong>Health</strong> <strong>and</strong> the national nursing association<br />
(FNA) are enhanced to serve the nurses, it is in a better position to negotiate <strong>and</strong><br />
influence decision makers. The „sweet‟ decisions of implementing some<br />
recommendations are also coupled with the „sour‟ taste of h<strong>and</strong>ing down<br />
challenging decisions of reducing the work<strong>for</strong>ce by the hundreds. How do nursing<br />
leaders go against their own colleagues when the axe falls? It is a painful <strong>and</strong><br />
demoralizing feeling, however this is what leadership is challenged with every<br />
day. With hard decisions that have to be taken <strong>and</strong> the push <strong>for</strong> changes<br />
dem<strong>and</strong>ed by the re<strong>for</strong>ms is thrust upon nursing leaders, the situation can seem<br />
chaotic. This paper intends to present the strength of utilizing existing partnership<br />
<strong>and</strong> close working relationship of the <strong>Nursing</strong> division <strong>and</strong> the Fiji <strong>Nursing</strong><br />
Association, <strong>and</strong> never to give in, even is these extra ordinary circumstances.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 14 of 53
Salanieta Matiavi<br />
President, Fiji <strong>Nursing</strong> Association<br />
Salanieta Matiavi, is a Fiji registered Nurse, <strong>and</strong> a Senior<br />
Midwife. She has held various nurse management positions<br />
in the Ministry of <strong>Health</strong> <strong>and</strong> was the Manager <strong>Nursing</strong><br />
Public <strong>Health</strong> <strong>for</strong> the Central <strong>and</strong> Eastern Division until the<br />
compulsory retirement age of 55 years was introduced by<br />
the Fiji interim Government in April 2009. She is currently<br />
re‐engaged by the Ministry of <strong>Health</strong> as the In Service<br />
Training Coordinator <strong>for</strong> <strong>Nurses</strong>, a post that is supporting the<br />
Director of <strong>Nursing</strong> Services with the development <strong>and</strong><br />
review of <strong>Nursing</strong> St<strong>and</strong>ards, <strong>Nursing</strong> Competencies <strong>and</strong><br />
<strong>Nursing</strong> College in the ambit of <strong>Health</strong> Re<strong>for</strong>ms requirements<br />
<strong>and</strong> this is roll out by the Fiji Government. Sala Matiavi was<br />
elected to the position of President of the Fiji <strong>Nursing</strong><br />
Association in April 2008. She holds this position until April<br />
2011 when her first term will be over. She has attended the<br />
ICN Regulators Forum in Japan in 2008 <strong>and</strong> the ICN<br />
Quadrennial in Durban in 2009. She is one of the few vocal<br />
senior <strong>Nursing</strong> leaders that remains in the nursing work<strong>for</strong>ce.<br />
Kuini L Lutua<br />
General Secretary, Fiji <strong>Nursing</strong> Association<br />
Kuini Lutua was appointed to the position of General<br />
Secretary <strong>for</strong> the Fiji <strong>Nursing</strong> Association (FNA) in<br />
September 2001. She graduated from the University of the<br />
South <strong>Pacific</strong> in 2001 after working <strong>for</strong> the Reserve Bank of<br />
Fiji <strong>for</strong> 25 years. This is her third term in office with the Fiji<br />
<strong>Nursing</strong> Association <strong>and</strong> she enjoys the challenges that the<br />
job brings her. She is a strong advocate <strong>for</strong> <strong>Nurses</strong> in Fiji<br />
<strong>and</strong> had been active in the study of migrations of working<br />
women in particular of nurses in Fiji. She is currently the<br />
Titular (Chairperson) <strong>for</strong> the Public Services International<br />
(PSI) World Women‟s Committee <strong>and</strong> also the 2nd<br />
Substitute of the PSI Oceania Executive Committee. Kuini<br />
believes that nurses are worth fighting <strong>for</strong> <strong>and</strong> that<br />
governments must invest in nurse training if they wish to help<br />
achieve the set MDG targets by 2015.<br />
Leadership in Collaboration<br />
Coral Levitt<br />
(Monday 8th November 2010, 3.40pm)<br />
Collaborative ef<strong>for</strong>t can achieve great things. Leadership is generally required by<br />
one party to inspire <strong>and</strong> resource <strong>for</strong>ward movement. With the lead role being<br />
taken by a major nursing organisation, a cohort of nursing groups prepared a<br />
consensus statement on primary health care in Australia, in 2008. Subsequently,<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 15 of 53
<strong>and</strong> with Australian Government funding, a more significant number of nursing<br />
<strong>and</strong> midwifery groups was led in the development of a primary health care<br />
consensus view. The collaboration identified <strong>and</strong> articulated the role that nurses<br />
<strong>and</strong> midwives can play in primary health care, <strong>and</strong> in some cases are partially<br />
undertaking, <strong>and</strong> the barriers they presently face in the delivery of comprehensive<br />
primary health care in their communities. The production of the consensus view<br />
document came at a critical time in the development of a national strategy <strong>for</strong><br />
primary health care in Australia. It was vital that nurses <strong>and</strong> midwives presented a<br />
united stance on this issue. This presentation will illustrate the essential<br />
leadership role <strong>for</strong> nurses <strong>and</strong> midwives in advocating <strong>for</strong> a more equitable <strong>and</strong><br />
accessible primary health care system. Organisations with differing vested<br />
specialty nursing <strong>and</strong> midwifery interests collaborated to espouse a unified vision<br />
<strong>for</strong> radical changes to the focus of primary health care funding <strong>and</strong> delivery:<br />
positioning primary health care as the centrepiece of health policy. <strong>Nursing</strong> <strong>and</strong><br />
midwifery colleagues in the south pacific region have well developed primary<br />
health care models. This paper will generate sharing of ideas <strong>and</strong> practices to<br />
strengthen <strong>and</strong> support primary health care initiatives in Australia.<br />
Coral Levett<br />
Australian <strong>Nursing</strong> Federation, Federal President<br />
Coral has held the positions of ANF Federal President <strong>and</strong> NSW<br />
<strong>Nurses</strong>‟ Association President since 2003. She is currently<br />
employed full time in the public health sector as the <strong>Nursing</strong><br />
Learning & Development Initiatives Manager <strong>for</strong> Area <strong>Health</strong><br />
Service in Sydney, Australia. Coral‟s nursing background was<br />
originally in cardiac nursing, with experience in roles including<br />
registered nurse, clinical nurse specialist, nurse educator <strong>and</strong><br />
nursing unit manager. She is focussed on issues relating to<br />
clinical nursing, education <strong>and</strong> leadership, <strong>and</strong> believes that<br />
nurses <strong>and</strong> midwives should continue to become actively<br />
involved in areas that influence clinical practice, health policy<br />
<strong>and</strong> the future direction of the nursing <strong>and</strong> midwifery<br />
professions. More recently, Coral has become actively involved<br />
in the ongoing education of nurses <strong>and</strong> midwives <strong>and</strong> is involved<br />
in leadership programs with a multidisciplinary focus. Coral<br />
believes that through effective leadership, nurses <strong>and</strong> midwives<br />
will be better placed to influence positive health outcomes <strong>for</strong> the<br />
community through active participation in the political <strong>and</strong><br />
industrial health agendas. Coral is a strong advocate <strong>for</strong> nurses<br />
<strong>and</strong> midwives in the workplace, <strong>and</strong> uses her roles as ANF <strong>and</strong><br />
NSW <strong>Nurses</strong>‟ Association President to improve the working lives<br />
of nurses <strong>and</strong> midwives whenever possible.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 16 of 53
WORKFORCE DEVELOPMENT<br />
Transition to Work Place Reality<br />
Sherry Lilley & Sue Walton<br />
(Tuesday 9th November 2010, 9.00am)<br />
<strong>Nursing</strong> students‟ exposure to different clinical practice environments can lead to<br />
feelings of isolation, inadequacy <strong>and</strong> anxiety. These feelings can be related to<br />
preceptors not valuing education in the same way as students, thereby impacting<br />
on students‟ ability to adapt <strong>and</strong> cope with work place reality. Work place<br />
socialisation is a key component by which students acquire, through participation,<br />
essential nursing values, attitudes <strong>and</strong> knowledge. In<strong>for</strong>ming this presentation<br />
are findings from the Masters research completed by Sue Walton <strong>and</strong> Sherry<br />
Lilley, which explored student experiences of mentoring <strong>and</strong> preparation <strong>for</strong><br />
practice. Sue used content analysis to explore student preparation <strong>for</strong> practice<br />
<strong>and</strong> transition while Sherry‟s in-depth case studies provided insight into mentoring<br />
experiences of both undergraduate nursing students <strong>and</strong> Registered <strong>Nurses</strong>. As<br />
not everything can be taught, students need the skills <strong>and</strong> interest to pursue <strong>and</strong><br />
explore knowledge <strong>for</strong> themselves, as well as the ability to critically reflect on, <strong>and</strong><br />
trans<strong>for</strong>m practice. A vital aspect of a mentoring partnership is the requirement of<br />
the RN to facilitate learning <strong>and</strong> transition from student to beginning practitioner.<br />
RNs need to employ a variety of strategies in order to confidently <strong>and</strong> effectively<br />
mentor nursing students. Work<strong>for</strong>ce preparation is indeed a challenge as new<br />
in<strong>for</strong>mation abounds, fiscal constraints continue, <strong>and</strong> societal <strong>and</strong> industry<br />
expectations increase. Issues associated with work<strong>for</strong>ce preparation <strong>for</strong> nursing<br />
include the development of emotional intelligence, the provision of mentorship,<br />
<strong>and</strong> appropriate socialisation to the health industry. This research also has<br />
implications <strong>for</strong> the wider health work<strong>for</strong>ce in relation to staff development <strong>and</strong><br />
work<strong>for</strong>ce planning.<br />
Sue Walton<br />
RN, MN.PG Cert Tertiary Teaching<br />
I have been at Otago Polytechnic as a <strong>Nursing</strong> Lecturer<br />
<strong>for</strong> nine years <strong>and</strong> enjoy the complementary mix of also<br />
being the Quality Coordinator at Otago Community<br />
Hospice. I am now a „southern New Zeal<strong>and</strong>er‟ –<br />
Dunedin is home, however one of my favourite holiday<br />
destinations would be the <strong>Pacific</strong> Isl<strong>and</strong>s! Being there<br />
<strong>and</strong> experiencing community care has rein<strong>for</strong>ced my<br />
commitment to promoting the importance of<br />
family/whanau/aiga within my teaching. My nursing<br />
practice has predominantly been in the community <strong>and</strong><br />
my interest in palliative care started years ago as a<br />
District Nurse, evolving to include teaching nursing<br />
students. My Masters research explored death <strong>and</strong><br />
dying education <strong>for</strong> nursing students <strong>and</strong> is the basis<br />
<strong>for</strong> this key note address: “Looking at Work<strong>for</strong>ce<br />
Preparation: the Transition to Work Place Reality”. I<br />
find working at the Hospice reminds me continually to<br />
refocus on what is really important <strong>and</strong> valuable in life.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 17 of 53
Sherry Lilley<br />
RN, MHeaSci., PG Dip Tertiary Teaching<br />
I am a Senior Lecturer in the School of <strong>Nursing</strong> at<br />
Otago Polytechnic where I work as the Year Two<br />
Coordinator of the Bachelor of <strong>Nursing</strong> Degree <strong>and</strong><br />
coordinate a year two primary health care course. My<br />
career began as a Neonatal Intensive Care Nurse <strong>and</strong><br />
progressed to the community where I enjoyed life a as<br />
a Practice Nurse <strong>for</strong> 16 years. I thrived on the<br />
challenges of working to promote health <strong>and</strong> wellbeing<br />
<strong>for</strong> individuals, families, whanau <strong>and</strong> aiga. Being part of<br />
multidisciplinary team meant facilitating student<br />
learning <strong>and</strong> gave me insight into some of the issues<br />
<strong>for</strong> both Registered <strong>Nurses</strong> <strong>and</strong> students during clinical<br />
placements within the work<strong>for</strong>ce. My Masters research<br />
is the basis <strong>for</strong> this key note address: “Looking at<br />
Work<strong>for</strong>ce Preparation: the Transition to Work Place<br />
Reality”.<br />
<strong>Pacific</strong> Return to <strong>Nursing</strong> Pilot<br />
Esther Faitala, Elizabeth Powell & Anne Fitisemanu<br />
(Tuesday 9th November 2010, 9.40am)<br />
A 2006 NZIER report confirmed that <strong>Pacific</strong> needed to grow four fold by 2021 in<br />
order to be truly represented in the work<strong>for</strong>ce. The CMDHB pipeline approach to<br />
work<strong>for</strong>ce development has lead to an innovative pilot aimed at achieving New<br />
Zeal<strong>and</strong> <strong>Nursing</strong> Council registration <strong>for</strong> <strong>Pacific</strong> trained <strong>and</strong> registered nurses.<br />
The initiative is called the <strong>Pacific</strong> Return to <strong>Nursing</strong> Pilot. The pilot is funded by<br />
the Ministry of <strong>Health</strong> <strong>and</strong> delivered by CMDHB. Currently, there is no<br />
transferable nursing registration between NZ <strong>and</strong> the <strong>Pacific</strong> nations. Many of<br />
these nurses are highly qualified <strong>and</strong> have many years of experience. They often<br />
come to NZ <strong>and</strong> commence work as <strong>Health</strong> Care Assistants <strong>and</strong> remain there <strong>for</strong><br />
the rest of their career. Registration rules require overseas professionals to<br />
successfully pass the International English Testing System (IELTS) at level 7 or<br />
above across 4 b<strong>and</strong>s within one year in order to enrol in a nursing Competency<br />
Assessment Programme (CAP). The pilot provides the following support to the<br />
<strong>Pacific</strong> trained nurses:<br />
• Tailor made IELTS tutorial programme<br />
• Funding to sit the IELTS test<br />
• Assistance with NZNC registration<br />
• Liaising with <strong>Pacific</strong> providers <strong>for</strong> employment opportunities<br />
• Assistance with recruitment<br />
To date, the pilot has supported two cohorts of over 60 students through the<br />
IELTS programme. 13 nurses have passed IELTS, completed the CAP <strong>and</strong> have<br />
obtained their NZNC registration certificates. Many of these nurses have secured<br />
nursing jobs in New Zeal<strong>and</strong>. The majority of nurses have demonstrated high<br />
levels of commitment <strong>and</strong> passion to overcome this first barrier <strong>and</strong> have always<br />
demonstrated a deep level of appreciation. This is what drives us to further<br />
support <strong>and</strong> actively work on this project.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 18 of 53
Esther Faitala<br />
<strong>Pacific</strong> Work<strong>for</strong>ce Development, Counties<br />
Manukau District <strong>Health</strong> Board<br />
A New Zeal<strong>and</strong> born Samoan with a heart to serve<br />
pacific communities. Esther is currently working as<br />
a <strong>Pacific</strong> Work<strong>for</strong>ce Development Programme Coordinator<br />
<strong>for</strong> Counties Manukau District <strong>Health</strong><br />
Board. Part of her role is to support <strong>and</strong> assist<br />
pacific trained <strong>and</strong> registered nurses obtain New<br />
Zeal<strong>and</strong> <strong>Nursing</strong> Council registration. She is a<br />
graduate from the University of Auckl<strong>and</strong> with a<br />
degree in <strong>Health</strong> Sciences specialising in Public<br />
health. Upon graduation, she undertook an<br />
internship with Solutions Ltd where she gained<br />
experience in the Work<strong>for</strong>ce Development field in<br />
her two placements – Taranaki DHB <strong>and</strong> CMDHB.<br />
She is the second eldest of a family of 5. She is<br />
involved in various community groups such as<br />
sporting clubs, <strong>Pacific</strong>a Women‟s <strong>and</strong> leading her<br />
church youth group.<br />
Elizabeth Powell<br />
Director of <strong>Pacific</strong> Development, Counties<br />
Manukau District <strong>Health</strong> Board<br />
Elizabeth has had a diverse career over the last 25<br />
years within the health <strong>and</strong> other government<br />
agencies including Prison <strong>Health</strong>, Primary <strong>Health</strong>,<br />
<strong>Pacific</strong> <strong>Health</strong>, International Aid programmes <strong>and</strong><br />
Victim Support. She is currently the Director <strong>for</strong><br />
<strong>Pacific</strong> Development with Counties Manukau<br />
District Heath Board in South Auckl<strong>and</strong>, whom she<br />
joined in 2005 to lead a partnering programme with<br />
a number of <strong>Pacific</strong> Isl<strong>and</strong>s sponsored by the New<br />
Zeal<strong>and</strong> Government through NZAID. Leading the<br />
<strong>Pacific</strong> <strong>Health</strong> Work<strong>for</strong>ce at CMDHB, she was<br />
instrumental in the development, funding <strong>and</strong><br />
implementation of the <strong>Pacific</strong> Return to <strong>Nursing</strong><br />
programme that supports <strong>Pacific</strong> trained nurses to<br />
become registered in New Zeal<strong>and</strong>. Elizabeth is<br />
also involved in <strong>Pacific</strong> research with Auckl<strong>and</strong><br />
School of Population <strong>Health</strong> as the lead Fijian<br />
researcher exploring the ethnic specific view on the<br />
<strong>Pacific</strong> Pathways to the Prevention of Sexual<br />
Violence. Elizabeth has a strong cultural <strong>and</strong><br />
diversity focus <strong>and</strong> brings with her a wide network<br />
within the <strong>Health</strong> sector <strong>and</strong> <strong>Pacific</strong> sector with<br />
established relationships within key Government<br />
Agencies, <strong>Pacific</strong> Isl<strong>and</strong> Leaders <strong>and</strong> the wider<br />
<strong>Pacific</strong> community.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 19 of 53
Anne Fitisemanu<br />
<strong>Pacific</strong> Work<strong>for</strong>ce Development & Special Projects<br />
Manager, Auckl<strong>and</strong> District <strong>Health</strong> Board<br />
Anne is the current <strong>Pacific</strong> Work<strong>for</strong>ce Development<br />
<strong>and</strong> Special Projects Manager at Auckl<strong>and</strong> District<br />
<strong>Health</strong> Board. She also works with the Waikato<br />
DHB as a <strong>Pacific</strong> programme Manager. Anne has<br />
worked within these type of roles since 2006, <strong>and</strong><br />
is passionate about growing the <strong>Pacific</strong> <strong>Health</strong><br />
work<strong>for</strong>ce. Anne holds a Masters of Professional<br />
Business Studies (Hons), Certificate in Tertiary<br />
Teaching, <strong>and</strong> a, Bachelor of Business<br />
(Marketing). Prior to entering into health Anne<br />
worked at a local university where she taught <strong>and</strong><br />
was the Equity Coordinator within the Faculty of<br />
Business, measuring improvements in academic<br />
outcomes <strong>for</strong> Maori <strong>and</strong> <strong>Pacific</strong>a students.<br />
<strong>Pacific</strong> Work<strong>for</strong>ce - Myth or Reality<br />
Debbie Sorensen<br />
(Tuesday 9th November 2010, 10.40am)<br />
For many years improving the capacity <strong>and</strong> capability of the <strong>Pacific</strong> work<strong>for</strong>ce has<br />
been a priority <strong>for</strong> many health professions. <strong>Nursing</strong>, as a profession has <strong>for</strong><br />
many years appreciated the importance of nurses having a real underst<strong>and</strong>ing<br />
<strong>and</strong> experience of the clients they serve <strong>and</strong> the impact of treatments. Sadly the<br />
journey to increase nursing capacity <strong>and</strong> capability in New Zeal<strong>and</strong> <strong>and</strong> in the<br />
region continues to struggle to make an impact. The discussion today will focus<br />
on the challenges in continuing to develop a competent <strong>and</strong> capable work<strong>for</strong>ce in<br />
<strong>Pacific</strong> countries, <strong>and</strong> what we as nurses do in New Zeal<strong>and</strong> to develop the rich<br />
pool of potential <strong>Pacific</strong> nurses in New Zeal<strong>and</strong> to serve our diverse <strong>and</strong> growing<br />
<strong>Pacific</strong> communities.<br />
Debbie Sorenson<br />
NZRPN, MNZIOD<br />
Is a health strategist <strong>and</strong> management expert specialising<br />
in projects that address the health challenges facing<br />
<strong>Pacific</strong> populations in New Zeal<strong>and</strong> <strong>and</strong> the <strong>Pacific</strong> region.<br />
She has an impressive track record in change<br />
management <strong>and</strong> played a leading role in the health<br />
re<strong>for</strong>ms of the 1980s <strong>and</strong>‟90s in New Zeal<strong>and</strong> <strong>and</strong> the<br />
establishment of the <strong>Pacific</strong> health sector. In 1997 she<br />
won the <strong>Pacific</strong> Isl<strong>and</strong> Business Trust Highly Commended<br />
Award as <strong>Pacific</strong> Business Person of the Year. She has<br />
held many high profile roles in <strong>Pacific</strong> health including<br />
General Manager of <strong>Pacific</strong> <strong>Health</strong> at Counties Manukau<br />
DHB from 1999 to 2003 <strong>and</strong> Chief Advisor <strong>Pacific</strong> <strong>Health</strong><br />
(1998–99) at the Ministry of <strong>Health</strong>. She is currently<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 20 of 53
Director of international consultancy <strong>Health</strong> Specialists<br />
<strong>and</strong> Chief Executive of the Pasifika Medical Association.<br />
Her work with the Pasifika Medical Association was<br />
recognised in 2007 with a Service Award. Debbie works<br />
as an advisor to Prime Ministers, Deputy Prime Ministers<br />
<strong>and</strong> <strong>Health</strong> Ministers around the <strong>Pacific</strong> region <strong>and</strong> has<br />
worked in the Cook Isl<strong>and</strong>s, Kiribati, Nauru, New<br />
Caledonia, Samoa, the Solomons, Tonga, Tuvalu <strong>and</strong><br />
Vanuatu.<br />
Emergency <strong>Nursing</strong> – a learning experience <strong>for</strong> Interns<br />
Mamatuki Sosoefo<br />
(Tuesday 9th November 2010, 11.20am)<br />
Emergency <strong>Nursing</strong> in Fiji is challenged with the regular incidents that is<br />
encountered <strong>and</strong> require emergency nursing be it in obstetric care or in accident<br />
<strong>and</strong> emergency care, the dem<strong>and</strong> of nursing care is critical. The current nursing<br />
shortage is one that is chronic <strong>and</strong> one cannot complain about this any longer as<br />
when lives are at risk, nurses will continue to take on duties to provide care<br />
despite our own physical <strong>and</strong> mental incapability. These are the risks that we take<br />
<strong>and</strong> in many cases nurses pay dearly. Emergency <strong>Nursing</strong> in Fiji can be<br />
identified in two categories. One is the rural public health approach <strong>and</strong> the other<br />
the hospital base approach. Both are however, guided by the Scope of <strong>Nursing</strong><br />
Practice in Fiji often h<strong>and</strong>ed down by word of mouth in the different institutions of<br />
care. The skilled work<strong>for</strong>ce who has these nursing skills on the tip of their h<strong>and</strong>s<br />
has gone. Now young nurses are faced with many dilemma in particular those<br />
that will make us rethink what was learnt in nursing school <strong>and</strong> what we now find<br />
to be practiced. The role of the In Service training unit <strong>for</strong> nurses is critically<br />
important in this change brought about by the health re<strong>for</strong>ms <strong>and</strong> cost cutting<br />
policies of the current government. <strong>Nurses</strong> at the operational level need to find<br />
ways <strong>and</strong> means to improvise or provide substitutions where there are shortage<br />
of equipment, nursing skills, staffing <strong>and</strong> other obstacles that may hinder the<br />
provision of effective nursing care in any emergency. This training will bring about<br />
better nursing care <strong>and</strong> upgrade skills <strong>for</strong> young nurses that will save lives in any<br />
emergency. In the remote parts of the western division nurses are expected to<br />
accompany patients to the main divisional hospital. <strong>Nurses</strong> will have to be very<br />
well versed with the required <strong>and</strong> expected nursing care <strong>for</strong> emergency cases<br />
<strong>and</strong> it is thus critical that proper in service training is conducted <strong>for</strong> these nurses<br />
or better still to have trained ambulance nurses who must have the required<br />
experience in providing emergency care. The Fiji roads are also very narrow <strong>and</strong><br />
rough, <strong>and</strong> often stray animals are a hindrance to the driver so the safety of the<br />
driver, the nurse <strong>and</strong> the patient/s are all at stake here. To improve the current<br />
problem that we face, it would be ideal to have a trained emergency nurse who is<br />
also a driver to play the dual role in terms of providing improved care in<br />
emergency cases. This is also a cost cutting measure provided the vehicle <strong>for</strong><br />
transfer of patients is fully equipped to provide such emergency runs <strong>and</strong> save<br />
patients <strong>and</strong> staff while fulfilling the role of an emergency nurse. This abstract is<br />
about nursing experience faced by new graduates <strong>and</strong> how nurses develop<br />
professionally through practical experiences.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 21 of 53
Mamatuki Sosefo,<br />
RN, Lautoka Hospital, FIJI<br />
Male Nurse Mamatuki Sosefo graduated with a<br />
Diploma in <strong>Nursing</strong> from the Fiji School of <strong>Nursing</strong> in<br />
September 2007. He was a member <strong>for</strong> the FNA<br />
student body in his student days <strong>and</strong> was elected to<br />
the position of President of SNA in his final year of<br />
studies. His leadership during this time met many<br />
challenges <strong>and</strong> one of which was the ability to st<strong>and</strong><br />
up <strong>and</strong> speak out <strong>for</strong> the students in regards to their<br />
welfare at the Tamavua campus. In the famous 2007<br />
FNA sixteen days strike, Mamatuki was able to hold<br />
the student body together after consultation with the<br />
FNA executives not to involve students in the strike<br />
but to concentrate on the students graduation which<br />
was just a few weeks away from the beginning of the<br />
industrial action. Mamatuki Sosefo served his 12<br />
months internship in Lautoka Hospital, the largest<br />
divisional hospital in the western part of Viti Levu<br />
<strong>and</strong> has worked there in the Accident & Emergency<br />
(A&E) Department since September 2008.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 22 of 53
EDUCATION<br />
Waerea Te Ara Whakamua: Clearing The Way Forward<br />
Hemaima Hughes<br />
(Tuesday 9th November 2010, 1.00pm)<br />
Waerea te ara whakamua : clearing the way <strong>for</strong>ward is a snapshot through the<br />
lens of a Māori nurse leader/educator/clinician/researcher about the progress that<br />
has been made by the visionaries of Te Kaunihera o ngā Neehi Māori/National<br />
Council of Māori <strong>Nurses</strong>, Kawa Whakaruruhau/Wharangi Ruamano/Māori nurse<br />
educator collective to address Whānau ora, Māori health, work<strong>for</strong>ce<br />
development, recruitment <strong>and</strong> retention concerns through Māori nursing<br />
education in this country. The 1898 scheme by James Pope Inspector of Native<br />
schools <strong>and</strong> the 1908 selection process of suitable c<strong>and</strong>idates from Māori<br />
boarding schools <strong>for</strong> nursing education by Dr Rangihiroa assistant Native <strong>Health</strong><br />
Officer were early examples of initiatives aimed at educating Māori to become<br />
nurses to address Māori health concerns, <strong>and</strong> in 1909 two Māori nurses gained<br />
registration. Although it is now 170 years since the signing of Te Tiriti o Waitangi/<br />
The Treaty of Waitangi, the health inequalities/disparities gap has grown wider<br />
<strong>and</strong> the need to increase the Māori health nursing work<strong>for</strong>ce has become greater.<br />
In response to the evidence of growing health inequalities <strong>and</strong> disparities<br />
between Māori <strong>and</strong> non Māori in Aotearoa New Zeal<strong>and</strong> in the latter part of the<br />
twentieth century <strong>and</strong> the plea <strong>for</strong> better services by <strong>and</strong> <strong>for</strong> Māori, concerted<br />
ef<strong>for</strong>ts have been made by Māori in collaboration with the Māori community <strong>and</strong><br />
non Māori in nursing education over the past decade <strong>and</strong> a half to address <strong>and</strong><br />
narrow the disparities gap. These ef<strong>for</strong>ts have resulted in the establishment of<br />
three Māori specific nursing educational programmes <strong>and</strong> are examples of<br />
significant initiatives <strong>and</strong> progress that has been made in the development of<br />
nursing education addressing the educational needs of nursing students who are<br />
Māori.<br />
Tihei Mauri Ora known also as Kawa Whakaruruhau/Cultural Safety was<br />
introduced into the Diploma of <strong>Nursing</strong> at Waikato Polytechnic in 1992 <strong>for</strong><br />
students who identified as Māori. This programme later became the Bachelor of<br />
<strong>Nursing</strong> Programme. The programme aims at integrating all pertinent areas of<br />
knowledge from the western <strong>and</strong> Māori worlds <strong>and</strong> extending the boundaries of<br />
Māori norms <strong>and</strong> practices into Tau iwi /non Māori practice. Tihei Mauri Ora<br />
continues to be offered <strong>and</strong> delivered out of Waikato Institute of Technology.<br />
Te Ōhanga Mataora – The cradle that nurtures the well face is the first<br />
undergraduate Bachelor of <strong>Health</strong> Sciences Māori (<strong>Nursing</strong>) degree programme<br />
to be offered <strong>and</strong> delivered through a Māori educational facility, Te Whare<br />
Wānanga o Awanuiārangi. This initiative was born through the moemoea<br />
(dream/vision) <strong>and</strong> combined ef<strong>for</strong>ts of Te Kaunihera o Ngā Neehi Māori <strong>and</strong> Ngā<br />
Ngaru Hauora o Aotearoa (the Māori <strong>Health</strong> Providers) in collaboration with Te<br />
Whare Wānanga o Awanuiārangi.<br />
Te Pae Mahutonga - the Southern Cross constellation of stars has been used as<br />
a navigational guide <strong>for</strong> centuries. Professor Mason Durie in 1999 proposed Te<br />
Pae Mahutonga with its essential elements of Mauriora (Access to Te Ao Māori),<br />
Waiora (Environmental Protection), Toiora (<strong>Health</strong>y Lifestyles), Te Oranga<br />
(Participation in Society), Ngā Manukura (Leadership), <strong>and</strong> Te Mana<br />
Whakahaere (Autonomy) be used as a Model <strong>for</strong> Māori <strong>Health</strong> Promotion. From<br />
2008 to 2009 Whitireia Community Polytechnic adopted, adapted, developed,<br />
offered <strong>and</strong> commenced delivery of Te Pae Mahutonga (the pedagogical<br />
foundation) of the Bachelor of <strong>Nursing</strong> Māori.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 23 of 53
The major focus of all three programmes is recruitment, retention, education <strong>and</strong><br />
provision of pathways <strong>for</strong> nursing students who are Māori that support <strong>and</strong><br />
nurture students in their learning <strong>and</strong> being as Māori. Te reo me ona tikanga <strong>and</strong><br />
teaching <strong>and</strong> learning strategies integral to the success of Māori students on<br />
their learning journeys will be discussed during the presentation. The intention is<br />
to produce competent, confident registered nurses well prepared <strong>and</strong> able to<br />
work with Māori <strong>and</strong> others to improve the health status <strong>and</strong> health outcomes of<br />
whānau, hapū, iwi <strong>and</strong> others. There is still much work to done.<br />
Hemaima Hughes<br />
Independent Māori Nurse Consultant<br />
MA (Applied) <strong>Nursing</strong> with Merit, BN, C.A.T, NZRN.<br />
Hemaima Hughes is an independent Māori Nurse<br />
Consultant <strong>and</strong> manager of Maima Oranga Services Ltd,<br />
Nelson. Happily married, she is a mother of five <strong>and</strong> a<br />
nanny of five mokopuna. Her nursing career commenced<br />
in 1969 at Whakatane Hospital. From 1973 as a new<br />
graduate volunteer nurse she served at Atoifi Hospital,<br />
Malaita, Solomon Isl<strong>and</strong>s <strong>for</strong> 2 years <strong>and</strong> it was there that<br />
her journey in nursing education was birthed. Upon her<br />
return to New Zeal<strong>and</strong> in 1975 Hemaima worked as a<br />
staff nurse then charge nurse of Children‟s ward at<br />
Whakatane Hospital till 1977 prior to the birth of her first<br />
child. From 1979 to 1986 she worked as a casual district<br />
nurse, practice nurse then night supervisor at Whakatane<br />
Hospital. Relocating to Nelson in 1986 took Hemaima to<br />
Nelson hospital where she worked in general, maternity,<br />
<strong>and</strong> med-surgical until 1991 when she entered nursing<br />
education at Nelson Polytechnic. To maintain her practice<br />
currency, integrity <strong>and</strong> credibility as a registered nurse<br />
<strong>and</strong> nurse educator Hemaima has always managed to<br />
straddle both worlds of education <strong>and</strong> clinical practice<br />
simultaneously. With a background of 41 years in clinical<br />
nursing, Māori health leadership, research <strong>and</strong><br />
management, nursing <strong>and</strong> cultural safety education,<br />
provision of clinical <strong>and</strong> cultural supervision, policy,<br />
curriculum, programme development, <strong>and</strong> active<br />
membership of organisations (ie Te Ropu Awhina Central<br />
Regional <strong>Health</strong> Authority (CRHA), Whakatuoranga Māori<br />
advisory group <strong>for</strong> Crown <strong>Health</strong> Enterprise (CHE) Nelson<br />
Marlborough <strong>Health</strong>, Nelson Marlborough Regional Ethics<br />
Committee, Ngati Koata <strong>Health</strong> <strong>and</strong> Social Services,<br />
teaching associate Post Grad. Palliative Care, Victoria<br />
University of Wellington, Nelson Bays Primary <strong>Health</strong><br />
PHO, Nelson Marlborough Institute of Technology (NMIT)<br />
Council, Māori Women‟s Welfare League (MWWL),<br />
National Programme Development <strong>and</strong> Recognition of<br />
Learning Programmes (PDRP) working group, Māori<br />
Advisor <strong>and</strong> Competence Review panelist to <strong>Nursing</strong><br />
Council of New Zeal<strong>and</strong> (NCNZ), Wharangi Ruamano<br />
(National Māori Nurse Educators), Te Kaunihera o Nga<br />
Neehi Māori/National Council of Māori <strong>Nurses</strong> (NCMN),<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 24 of 53
Te Runanga/NZNO -Top of South, ACC, Massey<br />
University <strong>and</strong> University of South Australia Forearm Pain<br />
Guideline Development Team, Programme Leader,<br />
Bachelor of <strong>Nursing</strong> Māori Whitireia Community<br />
Polytechnic, Māori <strong>and</strong> <strong>Pacific</strong> <strong>Health</strong> Reference Group<br />
NMDHB, Te Amo <strong>Health</strong>, Motueka), Hemaima has always<br />
been passionate about nursing. This passion has fueled<br />
her desire to focus on building <strong>and</strong> strengthening the<br />
Māori health nursing work<strong>for</strong>ce, education, recruitment<br />
<strong>and</strong> the retention of Māori nursing students <strong>and</strong> Māori<br />
registered nurses. She believes that service delivery to<br />
improve the health <strong>and</strong> wellbeing outcomes of Māori <strong>and</strong><br />
all others can only be maintained through the provision of<br />
a highly skilled professional Māori nursing work<strong>for</strong>ce.<br />
A practical approach <strong>for</strong> the West Auckl<strong>and</strong> community to deliver services<br />
that are - here real <strong>and</strong> now- “Whanau Tahi / Whanau Ora<br />
John Tamihere<br />
(Tuesday 9th November 2010, 1.40pm)<br />
On behalf of Te Whanau O Waipareira we are pleased to present the following<br />
discussion document which outlines the new direction Waipareira wishes to take<br />
in ensuring a Whanau centered focus on service delivery. The new direction<br />
brings together the extensive experience Waipareira has in provision of services<br />
to Whanau <strong>and</strong> its strong linkages with West Auckl<strong>and</strong> Whanau. This provides<br />
the plat<strong>for</strong>m <strong>for</strong> developing a detailed proposal <strong>for</strong> the development of a new<br />
service to Whanau, Whanau First ‐ the provision of integrated services to<br />
Whanau. Whanau First is the Waipareira Flagship Model <strong>for</strong> future Whanau<br />
delivery. It provides a new way of working so to achieve better outcomes <strong>for</strong><br />
Whanau. It is Whanau centered, focusing on what the Whanau need, how, when<br />
<strong>and</strong> where. Whanau First underpins the 3 year strategic direction <strong>for</strong> Waipareira.<br />
It signals a new way <strong>for</strong>ward that ensures Whanau are at the centre of all<br />
services provided by the Trust. Together with our staff, we look <strong>for</strong>ward to<br />
discussing this further <strong>and</strong> identifying clear agreed upon pathways <strong>for</strong> taking the<br />
next steps to making this happen.<br />
John Tamihere<br />
Māori Representation – Auckl<strong>and</strong> Supercity <strong>and</strong> CEO Te<br />
Whanau o Waipareira<br />
John Tamihere <strong>and</strong> Willie Jackson have presented a<br />
submission to the Auckl<strong>and</strong> Governance Legislation<br />
Committee on behalf of the National Urban Māori Authority.<br />
The submission says the people they represent have the<br />
right to Māori representation in the Super City. Treaty rights<br />
to representation should not just be at a central government<br />
level but must follow into local government. The<br />
recommended outcomes from consultation on the Super<br />
City were <strong>for</strong> three seats; one committed by appointment<br />
process by Mana Whenua <strong>and</strong> two members to be elected<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 25 of 53
y recourse to the Māori electoral roll covering the seven<br />
cities. John Tamihere is of Ngāti Porou, Whakatohea <strong>and</strong><br />
Tainui descent. He gained an arts <strong>and</strong> law degree from<br />
Auckl<strong>and</strong> University <strong>and</strong> served as a Cabinet minister in the<br />
Labour Government from 2002‐2004. John is currently the<br />
Chief Executive of the Waipareira Trust <strong>and</strong> hosts a<br />
talkback show on Radio Live.<br />
Fatuga‟ O Manuia: An education resource <strong>for</strong> the prevention of “sick<br />
kidneys” in the Samoan community<br />
Cass<strong>and</strong>ra Stone<br />
(Tuesday 9th November 2010, 2.10pm)<br />
Our <strong>Health</strong> District, in southeast Queensl<strong>and</strong>, Australia, has a large <strong>Pacific</strong><br />
Isl<strong>and</strong>er population of around 21,000 people, a significant component of whom<br />
are first- to third-generation Samoans. In our clinical experience, the Samoan<br />
community exhibit a disproportionate rate of renal <strong>and</strong> related conditions (such as<br />
obesity <strong>and</strong> diabetes) compared to the general population. A joint project, to<br />
promote renal health in the emigrant Samoan community, using the principles<br />
underpinning Fa’afaletui, began between the Hospital <strong>and</strong> the University. The<br />
objectives of the project were to first, develop an underst<strong>and</strong>ing of the factors<br />
contributing to this situation; <strong>and</strong> second, to work with the Samoan community to<br />
produce sustainable, culturally-appropriate resources that enable them to make<br />
in<strong>for</strong>med choices with regard to their renal health. After ethical approval was<br />
obtained, contact was then made with the matai, who expressed concern about<br />
the rate of renal failure in the Samoan community. Importantly, the matai was<br />
invested with the authority to speak <strong>for</strong> the community <strong>and</strong> refer us to the<br />
appropriate cultural in<strong>for</strong>mants. Sixteen key stakeholders subsequently<br />
participated in the project, all of whom were first- or second-generation Samoan<br />
emigrants. In keeping with Samoan cultural norms, no individual interviews were<br />
undertaken. This project demonstrates how a culturally-sensitive framework,<br />
Fa’afaletui, guided our underst<strong>and</strong>ing of the factors contributing to the Samoan<br />
issues, <strong>and</strong> to the subsequent development of strategies to help prevent renal<br />
disease in the Samoan community. The most important lesson learned was the<br />
potential benefit of taking the message to the community in a <strong>for</strong>m that is relevant<br />
<strong>for</strong> them.<br />
Cass<strong>and</strong>ra Stone<br />
Nurse Practitioner – Nephrology, Logan-Beaudesert<br />
Hospital, Brisbane, Queensl<strong>and</strong> 4131<br />
<strong>Nursing</strong> History:<br />
Registered as RN in 1980 (RPA).<br />
12 years: Nurse Unit Manager, Haemodialysis<br />
unit, Logan Hospital<br />
Present: NP-Nephrology, Logan Hospital,<br />
Queensl<strong>and</strong><br />
University Education:<br />
Post graduate certificate in Management - <strong>Health</strong><br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 26 of 53
Master of Clinical <strong>Nursing</strong> – completed Post<br />
graduate certificate level<br />
Master of <strong>Nursing</strong> Science – Nurse Practitioner<br />
Work Interests:<br />
Early prevention<br />
ACNP – Secretary, Qld chapter<br />
Personal Interest:<br />
Married <strong>for</strong> >30 years, to husb<strong>and</strong> Geoff<br />
2 children, Aaron 28; Kylie 23<br />
Live on 5 acres – have chooks <strong>and</strong> a dog, <strong>and</strong><br />
peace <strong>and</strong> quiet<br />
Dr A. McCarthy<br />
Queensl<strong>and</strong> University of Queensl<strong>and</strong><br />
Brisbane, Queensl<strong>and</strong> 4059<br />
R. Shaban<br />
Griffith University<br />
Brisbane, Queensl<strong>and</strong><br />
Evidence Based <strong>Nursing</strong><br />
Thomas Robinson<br />
(Tuesday 9th November 2010, 3.40pm)<br />
Now is the time to build upon the concept of evidenced based nursing. Evidenced<br />
based nursing is based upon a reductionism mechanistic concept of man or<br />
womankind! This concept needs to be a point of growth rather than a wall we may<br />
never venture past. We give lip service to a person having mind, body spirit ,<br />
especially in our acknowledgement of the “treaty of Waitangi “ In our reductionism<br />
underst<strong>and</strong>ing imposed upon us , we view these three divisions as separate. In<br />
actual fact they are one! Each affecting the other. There<strong>for</strong>e ,in perception of<br />
illness or health we need to perceive us from a total perspective. We see the<br />
outworking of this concept in our limitations to clinical practice. Our m<strong>and</strong>ate is<br />
one of passive clinical practice. We are denied the opportunity to access the<br />
“innate bodily intelligence. Something all of us have , but is never accessed or<br />
encouraged. The Maori people are a “spiritual people <strong>and</strong> so are we with our<br />
Celtic <strong>for</strong>efathers. This spirituality is <strong>for</strong>malized <strong>and</strong> is just another section in care<br />
plans. The walls that inhibit the expression of spirituality in all its‟ depth, they<br />
need to be removed so that spirituality becomes another clinical tool we can<br />
resource. Evidenced based nursing needs to be a doorway not a wall.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 27 of 53
Thomas Robinson<br />
RN FCN (Aust).<br />
Charge Nurse Mercy Parkl<strong>and</strong>s Rest Home <strong>and</strong><br />
hospital. I am a free lance writer. Am married to<br />
Wendy. We have three adult sons <strong>and</strong> a Jack<br />
Russell named Bella. I am passionate about<br />
people <strong>and</strong> what makes them tick <strong>and</strong> have a<br />
fetish <strong>for</strong> books.<br />
Smoking cessation, <strong>Pacific</strong> <strong>Nurses</strong> <strong>and</strong> <strong>Pacific</strong> peoples in Aotearoa:<br />
Developing a national strategy<br />
Loma-Linda Tasi-Mutitalo & Grace Wong<br />
(Tuesday 9th November 2010, 4.10pm)<br />
Background: Smoking is a major public health problem among <strong>Pacific</strong> peoples in<br />
New Zeal<strong>and</strong>. Despite evidence that smoking cessation interventions by nurses<br />
are effective <strong>and</strong> that nurses feel that helping smokers to quit is part of their role,<br />
few nurses actively intervene. Free education to deliver brief effective treatment<br />
including nicotine replacement therapy (NRT) to smokers is readily available.<br />
<strong>Nurses</strong> can independently give smokers access to subsidized NRT. However,<br />
changes in practice are difficult. Smokefree <strong>Nurses</strong> Aotearoa/New Zeal<strong>and</strong><br />
(SNANZ) was contracted to increase <strong>Pacific</strong> nurse uptake of smoking cessation<br />
education in order to address inequities in smoking rates among <strong>Pacific</strong> people.<br />
Objective: To describe strategies used by SNANZ to increase <strong>Pacific</strong> nurse<br />
uptake of evidence based smoking cessation interventions, <strong>and</strong> to embed<br />
smoking cessation in their everyday practice<br />
Methods: Progress in developing <strong>and</strong> implementing a <strong>Pacific</strong> nurses strategy <strong>for</strong><br />
smoking cessation among nurses <strong>and</strong> <strong>Pacific</strong> peoples is reported.<br />
Results: SNANZ has been guided by Loma-Linda Tasi-Mulitalo, a <strong>Pacific</strong> nurse<br />
with extensive experience in tobacco control since its inception. She was<br />
engaged to develop a strategy with <strong>Pacific</strong> nurses. Consultation with <strong>Pacific</strong><br />
tobacco control leaders identified a strong support <strong>for</strong> nurse work in this area.<br />
Consultation with <strong>Pacific</strong> nurse leaders identified barriers <strong>and</strong> enablers. Among<br />
these was concern about smoking rates among <strong>Pacific</strong> nurses themselves. Action<br />
to increase <strong>Pacific</strong> nurse quit rates, education about smoking cessation <strong>and</strong><br />
delivery of smoking cessation interventions must reflect tagata Pasifika.<br />
Conclusions: There is support <strong>for</strong> action with <strong>Pacific</strong> nurses in New Zeal<strong>and</strong> with<br />
regard to smoking cessation. Strong systems support will be necessary to<br />
implement the strategy.<br />
Loma-Linda Tasi-Mulitalo<br />
1 Bachelor of <strong>Nursing</strong> <strong>Pacific</strong>, Faculty of <strong>Health</strong>, Whitireia<br />
Community Polytechnic<br />
Linda is Samoan by ethnicity <strong>and</strong> is a Registered Nurse.<br />
Born <strong>and</strong> bred in Wellington, New Zeal<strong>and</strong>, Linda has<br />
worked in the New Zeal<strong>and</strong> <strong>Health</strong> <strong>and</strong> Disability sector<br />
<strong>for</strong> almost 20 years.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 28 of 53
Currently working at Whitireia Community Polytechnic as<br />
a Nurse Lecturer <strong>for</strong> the Bachelor of <strong>Nursing</strong> <strong>Pacific</strong><br />
Programme, Linda enjoys the role of developing the<br />
health sector work<strong>for</strong>ce <strong>and</strong> contributing knowledge<br />
gained from experience in the sector. This includes<br />
extensive involvement in the tobacco control sector,<br />
such as the development of the <strong>Pacific</strong> Services <strong>for</strong> The<br />
Quit Group, which delivers programmes including the<br />
National Quitline service in New Zeal<strong>and</strong>. Linda<br />
continues her work <strong>and</strong> advocacy <strong>for</strong> <strong>Pacific</strong> peoples in<br />
the tobacco control sector as a board member of<br />
Smokefree Pasifika Action Network (SPAN) <strong>and</strong> the<br />
steering group <strong>for</strong> Smokefree <strong>Nurses</strong> <strong>for</strong> Aotearoa New<br />
Zeal<strong>and</strong> (SNANZ).<br />
Linda has two children, who are both second generation<br />
New Zeal<strong>and</strong> born Samoan. Linda enjoys spending time<br />
with her family, church activities <strong>and</strong> being involved in<br />
community engagement work.<br />
Grace Wong<br />
<strong>Nursing</strong>, School of <strong>Health</strong> Care Practice, Faculty of<br />
<strong>Health</strong> <strong>and</strong> Environmental Sciences, AUT University<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 29 of 53
COLLABORATION<br />
Steering the waka <strong>for</strong> health: The necessity of collaboration<br />
Dr Denise Wilson<br />
(Wednesday 10th November 2010, 9.00am)<br />
<strong>Nurses</strong> are ideally positioned to provide direction <strong>for</strong> health service planning <strong>and</strong><br />
delivery, <strong>and</strong> to making a difference in the health outcomes <strong>for</strong> people, their<br />
family <strong>and</strong> the community they live in, especially those who experience<br />
differential access to quality health services. Collaboration with people, families,<br />
<strong>and</strong> communities is just as important an endeavour <strong>for</strong> „nurses at the helm‟ as is<br />
collaborating with other health care providers, health service planners, policy<br />
makers, <strong>and</strong> researchers. The analogy of steering a waka in the <strong>for</strong>ward direction<br />
will be used to illustrate the importance of nurses engaging in collaboration in<br />
order to „steer health across the <strong>Pacific</strong>.<br />
Dr Denise Wilson<br />
(Ngati Tahinga) is the Associate Professor – Māori <strong>Health</strong><br />
<strong>and</strong> the Director of Taupua Waiora Centre <strong>for</strong> Māori <strong>Health</strong><br />
Research at AUT University. As a registered nurse she has<br />
extensive experience in nursing education <strong>and</strong> is a Fellow of<br />
the College of <strong>Nurses</strong> Aotearoa (NZ) <strong>and</strong> Te Mata o te Tau.<br />
Her research interests are indigenous health, family violence<br />
<strong>and</strong> work<strong>for</strong>ce development.<br />
Mental <strong>Health</strong> Nurse‟s at the helm of Primary Mental <strong>Health</strong> Care<br />
Kim Ryan<br />
(Wednesday 10th November 2010, 9.40am)<br />
The economic burden of mental illness in Australia, including the direct costs<br />
associated with service delivery <strong>and</strong> the indirect costs associated with loss of<br />
productivity, was estimated at around $20 billion in 2006 alone. In 2007 the<br />
Commonwealth government established the Medicare funded Mental <strong>Health</strong><br />
Nurse Incentive program (MHNIP), designed to provide coordinated clinical care<br />
<strong>for</strong> people with severe mental health disorders in primary care settings. MHNIP is<br />
the only program in Australia designed solely <strong>for</strong> mental health nurses (MHNs); it<br />
enables them to work in collaboration with general practitioners or private<br />
psychiatrist across a range of primary care settings, <strong>and</strong> utilising a range of<br />
practice models, to provide services to clients at no or little cost to them. By<br />
November 2009, 579 organizations were registered in the program with 34,937<br />
patients being seen. MHNs practicing under MHNIP are Credentialed through the<br />
ACMHN‟s Credentialing <strong>for</strong> Practice Program (CPP). (This program of<br />
professional self-regulation predates the MHNIP <strong>and</strong> was implemented nationally<br />
in 2004) This paper will discuss the MHNIP, the range of services provided, how<br />
MHNs are working under the program - from direct employment to private<br />
practice - <strong>and</strong> will overview the Credential <strong>for</strong> Practice Program. The MHNIP has<br />
trans<strong>for</strong>med the role of MHNs in primary care in Australia; it has given a new<br />
direction <strong>and</strong> vitality to the MHN clinical career pathway <strong>and</strong> has placed MHNs at<br />
the helm of primary mental health care.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 30 of 53
Kim Ryan<br />
Chief Executive Officer – Australian College of Mental<br />
<strong>Health</strong> <strong>Nurses</strong><br />
Adjunct Associate Professor – University of Sydney<br />
Kim Ryan trained as a general nurse <strong>and</strong> psychiatric<br />
nurse <strong>and</strong> has been working in mental health <strong>for</strong> over<br />
20 years. Appointed as the first CEO of the ACMHN in<br />
2004, Inaugural Chair of the Mental <strong>Health</strong><br />
Professionals Association (MHPA), <strong>and</strong> is currently the<br />
Chair of the Coalition of National <strong>Nursing</strong><br />
Organizations. Kim is a passionate advocate <strong>for</strong><br />
mental health nursing <strong>and</strong> works tirelessly to promote<br />
the profession, <strong>and</strong> the need <strong>for</strong> good mental health<br />
care.<br />
Reconciliation Action Plan<br />
Yvonne Chaperon & Faye Clarke<br />
(Wednesday 10th November 2010, 10.40am)<br />
The nursing profession plays a significant role in improving the health of Indigenous<br />
Australians <strong>and</strong> Torres Strait Isl<strong>and</strong>er people. <strong>Nurses</strong> have a universal concern <strong>for</strong><br />
human rights <strong>and</strong> social justice <strong>for</strong> all citizens. In line with this nurses recognise that<br />
addressing health inequality is a priority. In Australia today there is atrocious<br />
inequality between the health status of non-Indigenous <strong>and</strong> Indigenous Australians.<br />
As nurses we must do all in our power to reverse this situation. There are many ways<br />
in which nurses can engage in activities to do this ranging from practical clinical work<br />
in health care settings through to political activism.<br />
This paper will describe how the largest nursing organisation in Australia is using its<br />
strength to work collaboratively with Indigenous Australians, including Reconciliation<br />
Australia <strong>and</strong> particularly our colleagues in the Congress of Aboriginal <strong>and</strong> Torres<br />
Strait Isl<strong>and</strong>er <strong>Nurses</strong>, to develop <strong>and</strong> enact a Reconciliation Action Plan. The vision<br />
of nurses expressed in the plan is <strong>for</strong> reconciliation of Aboriginal <strong>and</strong> Torres Strait<br />
Isl<strong>and</strong>er peoples through self determination <strong>and</strong> health equality.<br />
This Reconciliation Action Plan is not just rhetoric. It can be achieved. But, it will<br />
require us to work together <strong>and</strong> be committed to closing the gap in terms of health<br />
outcomes <strong>for</strong> all Australians.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 31 of 53
Faye Clarke<br />
Faye Clarke is a Registered Nurse currently working as a<br />
Practice Nurse at the Baarlinjan Medical Clinic, Ballarat <strong>and</strong><br />
District Aboriginal Co-operative in Ballarat (Victoria). The<br />
clinic is part of an Aboriginal community controlled health<br />
organisation servicing a community of approx 1,000 people.<br />
Her role is a clinic co-ordinator ensuring the health needs of<br />
the community are met by a range of general practitioners,<br />
nurses <strong>and</strong> Aboriginal health workers. The clinic offers<br />
programs in diabetes prevention, <strong>and</strong> smoking cessation as<br />
well as offering annual health assessments <strong>for</strong> all Aboriginal<br />
clients, <strong>and</strong> management of chronic illness. Faye, this year,<br />
qualified as a nurse immuniser. Faye has a Graduate<br />
Certificate in Tertiary Education <strong>and</strong> is involved with the local<br />
university in delivering education to undergraduate nurses<br />
on the health, history <strong>and</strong> culture of Aboriginal <strong>and</strong> Torres<br />
Strait Isl<strong>and</strong>er people. She has previously been employed<br />
as a nurse by the local hospital (Ballarat <strong>Health</strong> Services)<br />
<strong>and</strong> by the Department of Human Services as an Indigenous<br />
Nurse Advisor <strong>for</strong> the Nurse Recruitment <strong>and</strong> Policy Branch.<br />
She is a member of the Congress of Aboriginal <strong>and</strong> Torres<br />
Strait Isl<strong>and</strong>er <strong>Nurses</strong> (CATSIN), first joining as a student<br />
<strong>and</strong> being sponsored to attend her first CATSIN conference<br />
in 2002. She currently represents Victoria on the Board of<br />
Directors <strong>for</strong> CATSIN. Faye is also a member of the<br />
Australian <strong>Nursing</strong> Federation, <strong>and</strong> the Australian Practice<br />
Nurse Association.<br />
Yvonne Chaperon<br />
Yvonne Chaperon is the Assistant Federal Secretary of the<br />
Australian <strong>Nursing</strong> Federation (ANF), the second largest <strong>and</strong><br />
fastest growing union in Australia. Yvonne is a registered<br />
nurse <strong>and</strong> a qualified lawyer. Yvonne undertook her nursing<br />
training at the Royal Melbourne Hospital in Group 1989. She<br />
commenced her legal studies at the University of Tasmania<br />
<strong>and</strong> continued to nurse part time while undertaking her legal<br />
studies <strong>and</strong> once qualified as a lawyer. Yvonne commenced<br />
with the ANF (Victorian Branch) in 2003 <strong>and</strong> held the<br />
positions of Professional Officer, Industrial Officer <strong>and</strong><br />
Assistant Secretary. In July 2010 Yvonne was appointed<br />
ANF Assistant Federal Secretary.<br />
An education partnership <strong>for</strong> nursing work<strong>for</strong>ce development in Solomon<br />
Isl<strong>and</strong><br />
Michael Larui, Verziln Ison & Mary MacManus<br />
(Wednesday 10th November 2010, 11.20am)<br />
<strong>Nursing</strong> in the Solomon Isl<strong>and</strong>s is practiced in 2 main contexts; the National<br />
Referral Hospital in Honiara <strong>and</strong> in provincial <strong>and</strong> rural health clinics. There are<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 32 of 53
significant differences in the requirements <strong>for</strong> nursing practice in each of these<br />
contexts. In the hospital settings nurses are responsible to medical staff <strong>and</strong><br />
practice under their direction. While in the provinces especially in remote areas<br />
nurses are usually the only health professional often managing all primary <strong>and</strong><br />
secondary health in the area. While there have been a number of<br />
educations/training programmes run in SI. These have been ad hoc <strong>and</strong><br />
unaligned to work<strong>for</strong>ce needs. They have tended to focus on the major health<br />
programmes run within the country that emphasizes management of specific<br />
health problems rather than the development of diagnostic reasoning <strong>and</strong> nursing<br />
practice. The result is that nurses have furthered their education through multiple<br />
short courses or diplomas studied within or outside of the SI that have not<br />
followed a recognized pathway leading to an academic qualification or prepared<br />
nurses <strong>for</strong> leadership roles within the Ministry. This presentation will present a<br />
project that is a partnership between the School of <strong>Nursing</strong> <strong>and</strong> the MOHMS. It<br />
proposes a continued education framework that supports both the national<br />
nursing service priorities <strong>and</strong> provides a recognized higher academic<br />
qualification. This project proposes to offer a degree in nursing through SICHE<br />
that supports national nursing work<strong>for</strong>ce development. It also sets the pathway<br />
<strong>for</strong> experienced nurses to develop appropriate qualifications in preparation <strong>for</strong><br />
future senior nursing roles<br />
Michael Larui<br />
Chief Nurse. Ministry of <strong>Health</strong> <strong>and</strong> Medical Services<br />
(MOHMS) Solomon Isl<strong>and</strong><br />
Current Position – National Director of <strong>Nursing</strong> in the<br />
Ministry of <strong>Health</strong> <strong>and</strong> Medical Services in Solomon<br />
Isl<strong>and</strong>s. Michael has 20 years experience as a<br />
registered nurse working in both primary <strong>and</strong> tertiary<br />
health care in the Solomon Isl<strong>and</strong>s He has held senior<br />
nursing roles in Honiara <strong>and</strong> Provincial centres since<br />
2003 He was appointed to the National Director<br />
position in 2007. Michael is married with 3 children;<br />
two sons <strong>and</strong> a daughter.<br />
Verzilyn Isom.<br />
Head of School of <strong>Nursing</strong> Solomon Isl<strong>and</strong> College of<br />
Higher Education (SICHE)<br />
Current Position – Head of School of <strong>Nursing</strong> <strong>and</strong><br />
<strong>Health</strong> Studies at the Solomon Isl<strong>and</strong> College of<br />
Higher Education (SICHE). Verilyn has 20 years<br />
experience working clinical nursing practice <strong>and</strong><br />
nursing education in the Solomon Isl<strong>and</strong>s. Her nursing<br />
experience has spread across both Primary <strong>and</strong><br />
tertiary care settings. Verzilyn is responsible <strong>for</strong> a<br />
school with 5 programmes in nursing <strong>and</strong> allied health<br />
studies. Verzilyn is married with three children<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 33 of 53
Mary MacManus.<br />
Principal Lecturer. Auckl<strong>and</strong> University of Technology<br />
(AUT) New Zeal<strong>and</strong><br />
Current Position – Principal Lecturer Auckl<strong>and</strong><br />
University of Technology (AUT). Mary has 30 year s<br />
experience in <strong>Nursing</strong> Education in NZ. Current roles<br />
include teaching in the Postgraduate area at AUT<br />
interdisciplinary <strong>and</strong> consultancy work. Mary has been<br />
working in nursing curriculum development with a<br />
number of <strong>Pacific</strong> countries over the last 12 year. She<br />
has been working in the Solomon Isl<strong>and</strong>s with the<br />
Ministry of <strong>Health</strong> Division of <strong>Nursing</strong> <strong>and</strong> the Solomon<br />
Isl<strong>and</strong> College of Higher Education <strong>for</strong> the last 3 years<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 34 of 53
DISASTER PREPAREDNESS<br />
The <strong>Nursing</strong> Response in the 2009 Tsunami in Samoa<br />
Pelenatete Stowers<br />
(Wednesday 10th November 2010, 1.00pm)<br />
The Tsunami of September 2009 subjected Samoa to the most horrific natural<br />
disaster in living memory, <strong>and</strong> beginning with a snapshot of the actual tsunami<br />
<strong>and</strong> its aftermath, <strong>and</strong>, reflecting back a year after, this presentation attempts to<br />
describe the nursing/nurses‟ response within the context of the total health<br />
system. It attempts to examine the national multi-level emergency <strong>and</strong> disaster<br />
preparedness <strong>and</strong> response plans, <strong>and</strong> goes on to focus on the actual nursing<br />
response given that the nurses were the only health care professionals in the<br />
area, <strong>and</strong> there<strong>for</strong>e the first on site on the day of the tsunami. The presentation<br />
further explores the implications of this large scale, sad <strong>and</strong> difficult situation on<br />
the nursing response, especially when those nurses themselves were from the<br />
area <strong>and</strong> have lost children, relatives <strong>and</strong> homes. The presentation highlights<br />
gaps, strengths <strong>and</strong> opportunities from our tsunami experience <strong>and</strong> share some<br />
of the strategies we have put in place to strengthen our preparedness <strong>and</strong><br />
response to any <strong>and</strong>/or national emergency <strong>and</strong> disaster.<br />
Professor Pelenatete Ieremia Stowers<br />
RN, RM, Assistant CEO <strong>Nursing</strong> Services, Ministry of <strong>Health</strong><br />
Samoa<br />
Professor Stowers has been a strong leader <strong>and</strong> role model<br />
<strong>for</strong> nurses in Samoa <strong>and</strong> the <strong>Pacific</strong> region. In her current<br />
role with the Ministry of <strong>Health</strong>, she continues to promote<br />
<strong>and</strong> advocate <strong>for</strong> the development of quality nursing services<br />
<strong>and</strong> nursing work<strong>for</strong>ce capacity <strong>and</strong> capability. She was the<br />
<strong>for</strong>mer Registrar <strong>for</strong> the Samoa Board of <strong>Nursing</strong> <strong>and</strong> also<br />
the Adjunct Professor <strong>for</strong> <strong>Nursing</strong>; Faculty of <strong>Nursing</strong> &<br />
Midwifery, University of Technology, Sydney.<br />
The Response of a Samoan Nurse from Outside of Samoa to the Tsunami<br />
call <strong>for</strong> Help!<br />
Vaifagaloa Naseri-Moepogai<br />
(Wednesday 10th November 2010, 1.40pm)<br />
„ Fa‟alologo, Tu ma Savali,se‟I momoli mai se Lavea‟i ‟<br />
„You heard, listened, yearned, you stood up <strong>and</strong> left….Samoa to give a helping<br />
h<strong>and</strong> „<br />
Introduction: On September 29 th 2009, at early morning be<strong>for</strong>e 7am, an 8.7<br />
minute earthquake shook the whole of Samoa. Afterwards, a tsunami hit <strong>and</strong><br />
caused great devastation to most part of the southern side of the country. Samoa<br />
.This has great effect on Samoa , both to its l<strong>and</strong> <strong>and</strong> its people. To the<br />
Samoan people living overseas, this was a shock. People reacted by going to<br />
Samoa, especially those from the affected areas. The response of the Samoan<br />
nurse living overseas was rightly described in the Tsunami song composed by<br />
Matamua I okapeta Enoka, a senior Nurse Lecturer at the National University of<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 35 of 53
Samoa, dedicated to the dedicated <strong>Nursing</strong> Staff of Samoa, who worked<br />
diligently non stop to tend to the injured, to the Samoa <strong>Health</strong> Mission volunteer<br />
nurses who came to help <strong>and</strong> relieved them <strong>for</strong> much needed breaks, <strong>and</strong> all<br />
those who came to help after the Tsunami. This will <strong>for</strong>m the basis of this<br />
presentation, from the time the Tsunami news hit the Airwaves, NZ headline<br />
news, the Samoan people heard & listen intensely to figure out how far the<br />
devastation has caused, This also came with the uncertainty of what to do from<br />
here. As from a Samoan nurse , she heard, listened with intense, the heart<br />
yearned to be there. So she got up <strong>and</strong> left <strong>for</strong> Samoa. to offer the acquired<br />
skills <strong>and</strong> knowledge that has accumulated over all the years of work &<br />
experience in NZ to help her local colleagues. Being there as part of the relief<br />
team at Lalomanu Hospital , was a satisfying experience .The presentation will<br />
highlight the multirole of the PHC nurse within such a situation, the type of work<br />
done , the experiences gained as well as the lessons learnt from this episode to<br />
prepare us <strong>for</strong> future Disaster.<br />
Tsunami Song: (2 nd verse )<br />
„ Tala e, ua ave ile ea, ua salalau atu ile vateatea,<br />
Fa‟alologo, tu ma savali se‟i momoli mai se lavea‟I,<br />
E! ua ou mapuea ina ua tatala mai sou finagalo,<br />
Le Misiona Samoa ua fa‟afetai lau fa‟aaloalo „<br />
Translation<br />
News / stories of the tsunami quickly spread via airwaves, internets, to overseas<br />
countries, You heard, listened, yearned, you stood up <strong>and</strong> left …Samoa....to give<br />
a helping h<strong>and</strong> to your nursing sisters, Oh I sighed ! What a relief when you<br />
arrived, Samoa <strong>Health</strong> Mission, thank you so much <strong>for</strong> your help.‟<br />
Vaifagaloa Naseri-Moepogai<br />
Vai, was born, raised <strong>and</strong> educated in Samoa. She won an<br />
award to undertake her nursing training at Masterton<br />
School of <strong>Nursing</strong> 1975 -1978. She had 30 years of<br />
nursing experiences both in Samoa <strong>and</strong> NZ behind her.<br />
Vai‟s involvement in consultancy works on Women's<br />
<strong>Health</strong>, Child <strong>Health</strong> Promotion & <strong>Pacific</strong> <strong>Nurses</strong> in NZ has<br />
helped her in her Leadership, Management <strong>and</strong><br />
Governance roles during her career as a Nurse /Midwife.<br />
She is the Chairperson <strong>for</strong> the <strong>Pacific</strong> Women Data<br />
Advisory group <strong>for</strong> the National Cervical Screening<br />
Programme, a position she has held <strong>for</strong> the last 14 years<br />
up to now., She is currently the CEO <strong>for</strong> <strong>Health</strong> Star <strong>Pacific</strong>,<br />
a <strong>Pacific</strong> <strong>Health</strong> Provider based in Panmure, Auckl<strong>and</strong>. <strong>and</strong><br />
is managing a number of health services <strong>for</strong> <strong>Health</strong> Star<br />
<strong>Pacific</strong>. Vai is part of HSP governance <strong>and</strong> a Board<br />
member. She was also in the NZ Breastfeeding Authority<br />
Board as the <strong>Pacific</strong> Rep. <strong>for</strong> year 2009. She has been a<br />
board member <strong>for</strong> AuckPac PHO in the last 2years <strong>and</strong><br />
now in the newly established Alliance <strong>Health</strong> Plus ( AH+)<br />
PHO Board of governance. She is the chairperson of the<br />
newly established Samoa <strong>Health</strong> Mission – a group mostly<br />
of Samoa Volunteer <strong>Nurses</strong>, health professionals, families<br />
<strong>and</strong> friends. SHM is working in partnership with Samoa<br />
Ministry of <strong>Health</strong> to address its post-tsunami <strong>Nursing</strong><br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 36 of 53
work<strong>for</strong>ce gap project. Vai‟s passion is on Women's<br />
<strong>Health</strong>. She is a Midwife <strong>and</strong> was a key person in the<br />
development of a <strong>Pacific</strong> Antenatal Educational programme<br />
<strong>for</strong> <strong>Pacific</strong> women in Auckl<strong>and</strong>, as part of <strong>Health</strong> Star<br />
<strong>Pacific</strong> Pregnancy Support service. Vai is a member of the<br />
SNANZ (Samoan <strong>Nurses</strong> Association NZ), member of the<br />
first national executive (1988) <strong>and</strong> continued to be up to<br />
now. She has represented the SNANZ in the newly<br />
established <strong>Pacific</strong> <strong>Nursing</strong> Section– NZNO in its first year.<br />
What would you do if “the machine stopped”? Will your hospital cope if<br />
disaster strikes?<br />
Gill Scrymgeour<br />
(Wednesday 10th November 2010, 2.50pm)<br />
As in the tale by the same name by E.M. Forster (1909), technology now runs our<br />
lives. Hospitals are built with a plethora of technological gadgets that enable<br />
healthcare practitioners to do their every day jobs when providing care to their<br />
patients. You could even go as far to say that many healthcare professionals<br />
themselves would not cope without the assistance of technology. As we build or<br />
renovate our hospitals we need to consider if disaster planning has been taken<br />
into consideration. How many floors up is your operating suite? Where do you<br />
house your sterilisation plant? How will your hospital <strong>and</strong> staff continue to<br />
function if “the machine stopped”? History has already provided good examples<br />
of what can happen in the events of disaster <strong>and</strong> the effect it had on a<br />
community‟s local healthcare facility. The question is what have we learnt from<br />
these disasters <strong>and</strong> has this made a difference to our disaster preparedness?<br />
This presentation will highlight a variety of events that could happen <strong>and</strong> what we<br />
can or should be doing to minimise the effect it will have on an organisation to<br />
enable it to gear up immediately to render appropriate assistance to the<br />
community it serves.<br />
G. Scrymgeour<br />
Faculty of <strong>Health</strong> & Sport Science, Eastern Institute of<br />
Technology (EIT), Napier, New Zeal<strong>and</strong>.<br />
Gill Scrymgeour: RN, MHSc (First Class Honours)<br />
I am the Master of <strong>Nursing</strong> <strong>and</strong> Post Graduate<br />
Programmes Co-ordinator at Eastern Institute of<br />
Technology Hawke‟s Bay <strong>and</strong> Senior Lecturer <strong>for</strong><br />
Advancing Specialty Practice, a course delivered<br />
completely online. Previously, I had the opportunity to<br />
work on a variety of projects during the building of<br />
Auckl<strong>and</strong> City Hospital. As a result of these work<br />
experiences I have developed a strong interest in<br />
in<strong>for</strong>mation technology <strong>and</strong> hospital development <strong>and</strong><br />
design.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 37 of 53
Being Swamped by a Tidal Wave: Tongan Women's Experiences of Breast<br />
Cancer <strong>and</strong> Related Treatment<br />
Amelia Afuhaamango Tuipulotu<br />
(Wednesday 10th November 2010, 3.30pm)<br />
Breast cancer remains a major health problem worldwide. In countries such as<br />
Australia or the USA, women have access to a range of educational, screening<br />
<strong>and</strong> diagnostic services <strong>and</strong> treatment programs that are increasingly evidence<br />
based. These programs have increased survival <strong>and</strong> reduced mortality rates <strong>for</strong><br />
breast cancer. Women in less well resourced countries such as Tonga, however,<br />
do not have access to such programs, they are more likely to present later in the<br />
course of their disease or seek help from traditional healers, <strong>and</strong> their prognosis<br />
is there<strong>for</strong>e poorer. This presentation presents the findings from the first study<br />
conducted in Tonga – that explored Tongan women‟s experiences of their<br />
diagnosis <strong>and</strong> subsequent treatment of breast cancer. The study is qualitative,<br />
exploratory <strong>and</strong> descriptive in design <strong>and</strong> was conducted from late November<br />
2000 to early March 2001. The metaphor of a journey was used to group the<br />
themes which describe Tongan women‟s experiences of breast cancer. This<br />
journey has three phases, namely, beginning the journey, the journey through<br />
diagnosis <strong>and</strong> surgery, <strong>and</strong> going away <strong>and</strong> staying at home – which <strong>for</strong> some<br />
was not an end but a new (albeit cautious) beginning. There are significant<br />
implications arising from this study in relation to the need <strong>for</strong> educational<br />
strategies <strong>for</strong> nurses <strong>and</strong> <strong>for</strong> Tongan women with respect to the early detection of<br />
breast cancer. Other implications relate to the needs <strong>and</strong> care of women once<br />
they have been diagnosed with the disease, particularly in relation to their travel<br />
to New Zeal<strong>and</strong>, <strong>and</strong> palliative care in villages <strong>and</strong> communities <strong>for</strong> women who<br />
present with already advanced cancer or <strong>for</strong> whom treatment is not successful.<br />
Mrs. Amelia Afuhaamango Tuipulotu<br />
PhD C<strong>and</strong>idate<br />
Newcastle University, Australia<br />
I am currently a PhD student at the University of<br />
Sydney. I graduated with a Bachelor of <strong>Health</strong><br />
Science in 1995 from the University of Newcastle. I<br />
returned to Tonga <strong>and</strong> was in-charge of the<br />
Surgical Ward then the Psychiatric Ward be<strong>for</strong>e<br />
joining the school of <strong>Nursing</strong>- where I am posted<br />
as Senior Lecturer. In 2002, I completed a Master‟s<br />
research project at University of Newcastle.<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 38 of 53
Other Sessions Available<br />
Congratulations to the South <strong>Pacific</strong> <strong>Nurses</strong> Forum <strong>for</strong> hosting a 100% smokefree<br />
event. South <strong>Pacific</strong> nurses are key agents <strong>for</strong> tobacco control <strong>and</strong> smoking<br />
cessation. They are critical to health promotion <strong>and</strong> treatment of patients. They<br />
are highly respected members of their societies <strong>and</strong> as such they are conduits to<br />
their communities <strong>and</strong> families where ever they live.<br />
South <strong>Pacific</strong> nations are proud to be early signatories to the WHO Framework<br />
Convention on Tobacco Control (FCTC). Article 14 calls <strong>for</strong> the treatment of<br />
tobacco dependence. South <strong>Pacific</strong> nurses are the major players here by<br />
supporting colleagues, patients, clients, family <strong>and</strong> community members who<br />
smoke to quit.<br />
Smokefree <strong>Nurses</strong> Aotearoa/New Zeal<strong>and</strong> (SNANZ) will have support <strong>for</strong> quitting<br />
<strong>for</strong> anyone who smokes at the conference. All nurses can enhance their<br />
professional development by doing the online New Zeal<strong>and</strong> Ministry of <strong>Health</strong><br />
smoking cessation intervention training at www.smokingcessationabc.org.nz<br />
We invite everyone at the conference to a networking meeting to discuss how<br />
<strong>Pacific</strong> Isl<strong>and</strong> nurses can work together on these important issues.<br />
Loma-Linda Tasi-Mulitatalo (SNANZ <strong>Pacific</strong> Isl<strong>and</strong> nurses strategy), Pauline<br />
Allan-Downs, Josephine Samuelu, Grace Wong (SNANZ Director)<br />
Session title:<br />
South <strong>Pacific</strong> <strong>Nurses</strong> Tobacco Control <strong>and</strong> Smoking<br />
Cessation Leadership Meeting<br />
Date: Wednesday 10th November 2010<br />
Time:<br />
Venue:<br />
Session Description:<br />
12.00pm<br />
Conference Main meeting room<br />
The aims of the meeting are to provide a <strong>for</strong>um <strong>for</strong><br />
issues to be discussed in relation to the smokefree<br />
needs of the nurses in the <strong>Pacific</strong> <strong>and</strong> to link delegates<br />
with nurses <strong>and</strong> others working in <strong>Pacific</strong> Isl<strong>and</strong> smoke<br />
free <strong>and</strong> tobacco control. New Zeal<strong>and</strong> Ministry of<br />
<strong>Health</strong> online training is available at<br />
www.smokingcessationabc.org.nz<br />
15 th South <strong>Pacific</strong> <strong>Nurses</strong> Forum –November 2010 Page 39 of 53
Minutes <strong>and</strong> recommendations from the 14th<br />
SPNF<br />
Matters Arising<br />
Discussion on the 4 recommendations by the 13th SPNF in Samoa:<br />
Recommendation 1: The secretariat remains the host country<br />
o The SPNF needs to register first then funding will be provided.<br />
This is because funding is only available to registered <strong>for</strong>ums.<br />
Recommendation 7: Fiji is to propose a logo <strong>for</strong> the SPNF<br />
Recommendation 8: Certificates of attendance to be issued to all<br />
participating delegates<br />
o The host country is to organise the distribution of the certificates.<br />
o Fiji as host is willing to produce certificates of participation <strong>and</strong><br />
these will be <strong>for</strong>warded to member countries <strong>for</strong> distribution to<br />
SPNF delegates.<br />
<br />
Recommendation 9: PNG is to host the 15th South <strong>Pacific</strong> <strong>Nurses</strong><br />
Forum in 2010<br />
o The previous executive has not in<strong>for</strong>med PNGNA of this<br />
recommendation <strong>and</strong> PNG is unable to host the <strong>for</strong>um.<br />
o In regards to the PNG response, New Zeal<strong>and</strong> is ready to host<br />
the 2010 SPNF. This is to be passed as a resolution first.<br />
Summary of Issues in Country Reports<br />
<br />
Cook Isl<strong>and</strong>s<br />
o There is a need to up-skill nurses in Cook Isl<strong>and</strong>s <strong>and</strong> there is now<br />
a one year program sponsored by NZAID that is looking to do this<br />
<strong>and</strong> the nurses choose which isl<strong>and</strong> they would like to be posted to.<br />
o Thanks to Fiji <strong>for</strong> providing Post graduate training <strong>and</strong> allowing us to<br />
send two nurses over each year.<br />
o We are trying to train nurses <strong>and</strong> we are creating a scheme to try<br />
<strong>and</strong> attract students from their various colleges.<br />
<br />
<br />
<br />
Kiribati<br />
o Kiribati has many isl<strong>and</strong>s <strong>and</strong> it is one country that is very poor.<br />
o The main focus now is education.<br />
Tokelau<br />
o Thanks to WHO <strong>for</strong> providing a regulatory structure <strong>and</strong> being the<br />
main funding body in Tokelau.<br />
o We would be very grateful of e-mail addresses could be provided so<br />
that other <strong>Pacific</strong> Isl<strong>and</strong> countries could provide technical<br />
assistance to Tokelau.<br />
Niue<br />
o Niue is a small isl<strong>and</strong> country which has 2 New Zeal<strong>and</strong> training<br />
nurses, 4 Niue nurses <strong>and</strong> 4 Nurse Aids.<br />
o <strong>Nurses</strong> work on a shift basis.<br />
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o Senior nurses are taking up other responsibilities to help other<br />
departments. These added responsibilities can sometimes take its<br />
toll on the nurses.<br />
o The <strong>Nurses</strong> continue to work closely with other medical officers <strong>and</strong><br />
Niue nurses are in support of the <strong>for</strong>um.<br />
o Shortage of staff <strong>and</strong> there are staff due <strong>for</strong> retirement <strong>and</strong> school<br />
leaves do not show interest towards the profession.<br />
o We do not have an anaesthetist <strong>and</strong> also surgeon<br />
o Some <strong>for</strong>m of award to be set up so as to encourage nurses to<br />
per<strong>for</strong>m.<br />
<br />
<br />
<br />
<br />
<br />
<br />
Fiji<br />
o New private partnership with Suva Bayview Private Hospital.<br />
o The privatisation of the Lautoka Divisional Hospital has been a<br />
concern <strong>and</strong> topic of discussion among nurses.<br />
o <strong>Nurses</strong> are being redeployed <strong>for</strong> non nursing duties thus worsening<br />
the shortage of staffing problem.<br />
o Stress levels at the workplace increases nurse shortages <strong>and</strong><br />
shortage of supplies.<br />
o Appreciation to the aid <strong>and</strong> support that the FNA received during<br />
their 17 day nurses strike from International <strong>Nursing</strong> Communities<br />
<strong>and</strong> Trade Unions.<br />
Australia<br />
o Finally there is a Chief Nurse Officer <strong>for</strong> Australia - she is Rosemary<br />
Bryant as the first appointee.<br />
o <strong>Nursing</strong> shortage <strong>and</strong> how to overcome these nursing shortage.<br />
o We are moving to a national regulation <strong>and</strong> accreditation system.<br />
New Zeal<strong>and</strong><br />
o NZNO is working with the nursing council with regards to IELTS.<br />
The migrant nurses make up a large portion of the nursing<br />
work<strong>for</strong>ce in New Zeal<strong>and</strong>.<br />
o NZNO has a multi contract agreement that is going through a<br />
process. NZNO is lucky to have a great support base because of a<br />
large membership.<br />
Samoa<br />
o Participation in Government re<strong>for</strong>ms <strong>and</strong> decision making level to<br />
protect our interests. Along with this is our participation in policy<br />
development <strong>and</strong> law re<strong>for</strong>ms.<br />
o Importance to underst<strong>and</strong> the various laws <strong>and</strong> legislations in<br />
Samoa.<br />
Tonga<br />
o For nursing st<strong>and</strong>ards we used the WEPSEAR nursing st<strong>and</strong>ards<br />
with the WHO guidelines as our guide.<br />
Papua New Guinea<br />
o 6.2 million population <strong>and</strong> this grows by 124,000 people every year<br />
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o We are trying to achieve a unified health system where all the<br />
health bodies are going to come under one banner.<br />
o We have a very low work<strong>for</strong>ce when compared to the population<br />
<strong>and</strong> the registration problem with our nursing council does not help<br />
this problem.<br />
o Salary schedule is from 2004.<br />
o Nurse to patient ratio is 1:64 patients per shift.<br />
o We have a high rate of HIV <strong>and</strong> 2% of population are infected.<br />
<br />
Vanuatu<br />
o Population of 230,000 people.<br />
o We have 950 working positions in the work<strong>for</strong>ce <strong>and</strong> 60% is based<br />
in the hospital while 30% work in the community <strong>and</strong> the rest are in<br />
the administration department.<br />
14th South <strong>Pacific</strong> <strong>Nurses</strong> Forum Motions<br />
Motion 1: Fiji / Australia<br />
That the 14th South <strong>Pacific</strong> <strong>Nurses</strong> Forum recommends that each<br />
member country lobby those Australian <strong>and</strong> New Zeal<strong>and</strong> universities<br />
providing off-shore undergraduate nursing programs to ensure that the<br />
level <strong>and</strong> content of the program facilitates registration as a nurse in<br />
Australian or New Zeal<strong>and</strong>. For those already hold a Bachelor of<br />
Australia <strong>and</strong> New Zeal<strong>and</strong> if an alternate system can be in place <strong>for</strong><br />
them to be automatically registered.<br />
Carried unanimously<br />
<br />
<br />
<br />
Motion 2: Fiji / Cook Isl<strong>and</strong>s<br />
That the 14th South <strong>Pacific</strong> <strong>Nurses</strong> Forum recommends that a bridging<br />
program is re-introduced to assist <strong>Pacific</strong> Isl<strong>and</strong> nurses successfully<br />
pass the International English Language Test (IELTS).<br />
Carried unanimously<br />
Motion 3: Fiji / New Zeal<strong>and</strong><br />
That the 15th South <strong>Pacific</strong> <strong>Nurses</strong> Forum in 2010 invite a<br />
representative from the South <strong>Pacific</strong> Chief <strong>Nursing</strong> <strong>and</strong> midwifery<br />
Officer Alliance to give a report on their activities <strong>and</strong> respond to<br />
questions at the <strong>for</strong>um program.<br />
Carried unanimously<br />
Motion 4: Samoa / Tonga<br />
That the 14th South <strong>Pacific</strong> <strong>Nurses</strong> Forum recommends that the<br />
National <strong>Nursing</strong> Associations promote regional joint ventures <strong>for</strong><br />
presentation at future South <strong>Pacific</strong> <strong>Nurses</strong> Forums.<br />
Niue: This provides the opportunity <strong>for</strong> other nurses to share their<br />
experiences in the SPNF.<br />
Carried unanimously<br />
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Motion 5: New Zeal<strong>and</strong> / Papua New Guinea<br />
That the 14th South <strong>Pacific</strong> <strong>Nurses</strong> Forum consider the proposal of<br />
offer from New Zeal<strong>and</strong> to host the 15th South <strong>Pacific</strong> <strong>Nurses</strong> Forum in<br />
2010.<br />
Carried unanimously<br />
Motion 6: Australia/ Papua New Guinea<br />
The 14th South <strong>Pacific</strong> <strong>Nurses</strong> Forum congratulate <strong>and</strong> thank the Fiji<br />
<strong>Nursing</strong> Association <strong>for</strong> hosting a wonderful Forum <strong>for</strong> their hospitality<br />
<strong>and</strong> welcome to their country.<br />
Carried unanimously<br />
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Constitution of the South <strong>Pacific</strong> <strong>Nurses</strong> Forum<br />
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Participating <strong>Nurses</strong> Associations<br />
American Samoa <strong>Nurses</strong> Association<br />
The Secretary<br />
LBJ Tropical Medical Centre<br />
Pago Pago<br />
AMERICAN SAMOA<br />
Email lisa.vaivao@lbj.as<br />
Australian <strong>Nurses</strong> Federation<br />
Lee Thomas, Federal Secretary<br />
PO Box 4239, Kingston Act 2602<br />
AUSTRALIA<br />
Ph 61 2 6232 6533, Fax 61 2 6232 6610<br />
Mobile 0419 576 590<br />
Email fedsec@anf.org.au<br />
Cook Isl<strong>and</strong> <strong>Nurses</strong> Association<br />
Peta Ngari, General Secretary<br />
PO Box 109<br />
Rarotonga COOK ISLANDS<br />
Ph 682 22 664, Fax 682 22 670<br />
East Timor <strong>Nurses</strong> Association<br />
Luis Lobato, President<br />
Escola de Enfermagem Lahane<br />
Bairo Alto, Sub-distrito Vera Cruz<br />
Dili - Timor - Larosae<br />
Email wuc10897@uow.edu.au or<br />
dionelis05@yahoo.com<br />
Mobile Luis 0419 918 456,<br />
Lourenco 0418 487 912<br />
Fijian <strong>Nurses</strong> Association<br />
Salanieta Matiavi<br />
President,<br />
PO Box 1364<br />
Suva FIJI<br />
Ph 679 305 855, Fax 679 304 881<br />
Email fna@connect.com.fj<br />
Kiribati <strong>Nurses</strong> Association<br />
Mamao Robate, Director of <strong>Nursing</strong><br />
C/- Ministry of <strong>Health</strong>, PO Box 268,<br />
Nawerevere, Bikenibeu, Tarawa<br />
REPUBLIC OF KIRIBATI<br />
Ph 686 28 100, Fax 686 28 152<br />
Email mrobate@yahoo.com<br />
Nauru <strong>Nurses</strong><br />
Mrs Lois Aingimea, Chief <strong>Nursing</strong> Officer<br />
Department of <strong>Health</strong><br />
RON Hospital, NAURU<br />
Ph 674 444 3882, Fax 674 444 3881<br />
New Zeal<strong>and</strong> <strong>Nurses</strong> Organisation<br />
Mr Geoff Annals, Chief Executive Officer<br />
New Zeal<strong>and</strong> <strong>Nurses</strong> Organisation<br />
PO Box 2128<br />
Wellington NEW ZEALAND<br />
Ph 64 4 499 9533, Fax 64 4 382 9993<br />
Email: nurses@nzno.org.nz<br />
Niue Isl<strong>and</strong> <strong>Nurses</strong><br />
Keri Fereti, Principal <strong>Nursing</strong> Officer<br />
Lord Liverpool Hospital<br />
PO Box 33<br />
Alofi, NIUE ISLAND<br />
Ph 683 4100, Fax 683 4265<br />
Email health@mail.gov.nu<br />
Papua New Guinea <strong>Nurses</strong> Association<br />
Jack Suao, General Secretary<br />
PO Box 6206<br />
Boroko, National Capital District,<br />
Port Moresby, PAPUA NEW GUINEA<br />
Ph 325 4203, Fax 323 6027<br />
Email pngna@global.net.pg<br />
Samoan <strong>Nurses</strong> Association<br />
Mrs Faamanatu Nielson, National<br />
President<br />
PO Box 3491<br />
Apia, SAMOA<br />
Ph 685 24 439, Fax 685 26 976<br />
Email samoanursing@lesamoa.net<br />
Solomon Isl<strong>and</strong>s <strong>Nurses</strong> Association<br />
William Same, General Secretary<br />
PO Box 233<br />
Honiara, SOLOMON ISLANDS<br />
Ph 677 26 688, Fax 677 21 344<br />
Email wsame@moh.govt.sb<br />
Tokelau <strong>Nurses</strong> Association<br />
Lee Pearce<br />
c/ Tokelau Apia Liaison Office<br />
PO Box 865<br />
Apia, TOKELAU<br />
Ph 685 20 822, Fax 685 21 761<br />
Tonga <strong>Nurses</strong> Association<br />
Mrs Sela Paasi, Secretary<br />
PO Box 150<br />
Nukualofa TONGA<br />
Ph 676 23 200 (w), Fax 676 24 291<br />
Email sela@tongatapu.net.to<br />
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Tuvalu <strong>Nurses</strong> Association<br />
Alata, Acting Secretary<br />
Princess Margaret Hospital<br />
Fakaifou, Funafuti TUVALU<br />
Ph 688 20 749 Fax 688 20 481<br />
Vanuatu <strong>Nurses</strong> Association<br />
Evelyn Emila<br />
PMB 009, Port Vila, VANUATU<br />
Ph 678 22 512, Fax 678 26 204<br />
Email mrosaria@vanawatu.gov.vu<br />
Commonwealth <strong>Nurses</strong> Federation<br />
Jill Iliffe, Executive Secretary<br />
C/- Royal College of <strong>Nursing</strong><br />
20 Cavendish Square<br />
London W1M OAB United Kingdom<br />
Ph 61 438 647 252<br />
Email jill@commonwealthnurses.org<br />
International Council of <strong>Nurses</strong><br />
3, place Jean-Marteau<br />
1201 Geneva<br />
Switzerl<strong>and</strong><br />
Ph 0041 22 908 01 00<br />
Fax 0041 22 908 01 01<br />
Email icn@icn.ch<br />
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Trade In<strong>for</strong>mation<br />
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Useful Maps<br />
The venue <strong>for</strong> the SPNF is the Aotea Centre, Queen Street, Auckl<strong>and</strong>.<br />
The main <strong>for</strong>um sessions will be held in the Lower NZI Rooms with trade<br />
<strong>and</strong> catering in its foyer.<br />
The dinners on Mondays <strong>and</strong> Wednesday will be held in the Air NZ Foyer.<br />
A full venue map <strong>and</strong> maps of the Auckl<strong>and</strong> central area with public transport<br />
routes are provided in the <strong>for</strong>um satchels.<br />
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Aotea Centre Layout<br />
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