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‘Toxic relationship’: The jobs nurses are doing instead of nursing

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Nearly half the country’s nurses are not working as nurses, with some even taking jobs in supermarkets or on road gangs in preference to healthcare.

Te Whatu Ora is keen to persuade some back to the front lines to help fill chronic shortages.

However, one former nurse said returning to work in the health system would be like going back into an “abusive marriage”.

Amanda Homewood walked away from nursing in 2021 after nearly four decades. She has made a conscious decision to let her practising certificate lapse to safeguard her own health and wellbeing, in case she is tempted to go back.

“I know there are heaps of really amazing nurses and others in the health system who are really on their knees and I’ve struggled with leaving them and coming out of the fray. I’ve felt quite guilty at times over that.”

Homewood said she loved most of her 37 years nursing, but the underfunded system – and what it was doing to patients and staff – ground her down.

“Until the system is fixed I wouldn’t go back to it, it would be like going back into an abusive marriage to be honest, that’s how it felt by the end. It was like a toxic relationship.”

There were more than 150,000 nurses on the New Zealand Register of Nurses – but that included those who have retired and others who left the profession decades ago.

Just under 75,000 held annual practising certificates allowing them to work.

Nurses Organisation kaiwhakahaere Kerri Nuku said many were just “burned out”. She knew nurses who had opted to work in supermarkets and one who had joined a roading crew.

“As she said, she’s earning more money than what she did as nursing and it’s not nearly as taxing.”

Kerri Nuku. Photo:

Union president Anne Daniels said Queensland and California had legally mandated nurse-patient ratios boosting their workforces.

“What has attracted those nurses back to nursing is knowing they are going back to a safe work environment where they will be supported to their job to the best of their ability, as opposed to having to constantly make priority decisions about who’s going to get the care and who’s not.”

The Nursing Council estimated between 4 and 5 percent of the more than 70,000 nurses with current practising certificates were not working as nurses in New Zealand when they renewed them.

“That’s 3500 nurses, which is nearly as many nurses as would fill the vacancies that we need.”

Former Southland Hospital ED nurse Kerri Templeton quit last year after less than two years. Five other nurses in her department resigned in the same week.

In an open letter to then Health Minister Andrew Little, she wrote she feared someone would die as a result of under-staffing.

But after six months travelling overseas and working on a superyacht, she is starting a new job at Christchurch Hospital ED in January.

“I didn’t miss it to start with, I was more just recovering and having a life again.

“I am excited to go back but I’m aware that things are probably not any better than when I left. I guess I’m a bit more prepared in that I know what to expect now.”

In its workforce stocktake in July, Te Whatu Ora estimated the system was short about 4800 nurses, despite a nearly 23 percent increase in the number of nurses employed by Te Whatu Ora in the last five years.

Director of workforce development and planning, John Snook, said increasing the number of nurses was “a vital part” of the plan to boost the medical workforce with the recent pay increases and training initiatives.

The Return to Nursing fund provides up to $5000 to help New Zealand nurses to get a current practising certificate, and foreign nurses who are residents or citizens with the cost of gaining registration in this country. So far this year the fund has received 228 applications for support.

In the last 12 months, 12,719 new nurses joined the register, of whom 82 percent were overseas trained. However, it was not possible to say how many of those would work in New Zealand.

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Christchurch terror attack inquest: ‘Significant blind spot’ relating to St John’s specialist paramedics – coroner

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A woman who was forced to leave the side of her bleeding husband following the terror attack at Christchurch’s Linwood Islamic Centre only discovered he had died the following day after seeking help from then-prime minister Jacinda Ardern.

Saira Patel’s husband Musa Patel was one of seven people who died after being shot at the Linwood Islamic Centre, following the massacre at nearby Al Noor Mosque on 15 March 2019.

Supported by her son, Patel told the inquest into the deaths that she and her husband were praying in separate parts of the mosque on the day of the attack.

Patel said she thought a tyre had blown when she heard a loud bang. A baby began to cry, and she could soon smell gunpowder.

She yelled, “Someone is shooting, someone is shooting” as people ran to escape.

When Patel found her bleeding husband, she told the Coroners Court she could hear him saying his “last prayer” as if he knew he was about to die.

Imam Hafiz Musa Patel

Musa Patel died at Linwood Islamic Centre on 15 March 2019. Photo: Facebook/ US Embassy Suva

She said she was forced to leave when police arrived and started treating Musa Patel, an order that distressed her to this day.

“I think any dying person who is about to leave this world would be very desperately craving and needing to be close to their loved ones. My presence during his final moments would have made a big difference in my life and I think maybe his last moments of departing this world,” she said.

She did not know her husband had died until the following day, when she approached then-prime minister Jacinda Ardern, who led her to a counsellor.

Patel said the counsellor showed her a photo of an unidentified man in hospital who was not her husband.

“I knew then that my husband was dead. There was no-one else who could have identified him, and this last unidentified man was my last hope,” she said.

Patel thanked the doctors and paramedics who did everything they could to console her husband in his final moments.

“I would like to thank them from the bottom of my heart,” she said.

“I was trying to be with him in that last moment but maybe they were chosen to be with him.”

Dr Alison Wooding from nearby Piki Te Ora Medical Centre was one of the doctors who treated Musa Patel when staff went to the mosque to help the injured.

She told the court he was meant to be the first victim taken to hospital but realised he had died after he was moved onto a stretcher.

Wooding said she and others were talking to Musa Patel the entire time they cared for him, but she did not recall him ever responding.

Police officers gave evidence on Tuesday saying Musa Patel had been able to communicate with them at first but his condition deteriorated over time.

Wooding told the court she felt apprehensive and worried about the situation at the mosque, but safe and protected between armed and vigilant police officers.

29th November 2023 Iain McGregor/The Press/Pool Christchurch Masjidain Attack Coronial hearing. Coroner Brigitte Windley.

Deputy chief coroner Brigitte Windley. Photo: The Press / Iain McGregor

‘Significant blind spot’ relating to St John emergency response team – coroner

The coroner has queried a “significant blind spot” in the way St John ambulance officers work with specialist paramedics trained to work in dangerous situations.

Deputy chief coroner Brigitte Windley questioned St John duty manager Bruce Chubb about the organisation’s response massacre.

Two Special Emergency Response Team (SERT) paramedics were among ambulance officers who went to the scene of the shooting in Linwood Avenue.

No-one from St John attended the Al Noor scene in a SERT capacity.

Chubb told the Coroners Court that SERT teams worked under police and it was not uncommon for St John not to know when they had been requested, where they were, or what they were doing.

In response, coroner Windley said: “My concern is that that creates a significant blind spot for St John, doesn’t it?”

“Isn’t it that these are critical resources in terms of closing that care gap for people who are dying and injured and being able to get a response in, and you’ve got no visibility about where they are and even if in fact they’ve been deployed?”

041223 CHRIS SKELTON Witness, Bruce Chubb from St John command and control during the Christchurch terror attack inquest held at the Christchurch Justice precinct.

St John’s Bruce Chubb. Photo: Stuff / Chris Skelton

Chubb said he was not suggesting it was “okay” that St John did not know where SERT officers were but said it was the practice at the time.

He was not aware of any changes to the SERT policy since the terror attack.

Chubb told the coroner he thought it was “always nice to know” where resources were, to which she replied, “I would suggest it’s more than nice to know. I would suggest that St John needs to know”.

Chubb earlier told the inquest that he believed general ambulance officers should not have entered either mosque immediately after the shootings because of the safety risk.

Windley said the court was concerned St John ambulance officers had to breach the organisation’s policy in order to get an emergency response in place.

“Do you agree that that’s fundamentally a problem?” she asked.

“Yes,” Chubb replied.

Earlier on Tuesday, Chubb told counsel for families Kathryn Dalziel that the terror attack was a catastrophic event that he did not expect and was never prepared for.

“I don’t believe any of my colleagues were either, so it was fundamentally overwhelming,” he said.

The inquest will examine the following 10 issues over seven weeks:

  • Events of 15 March 2019 from the commencement of the attack until the terrorist’s formal interview by police
  • Response times and entry processes of police and ambulance officers at each mosque
  • Triage and medical response at each mosque
  • The steps that were taken to apprehend the offender
  • The role of, and processes undertaken by, Christchurch Hospital in responding to the attack
  • Coordination between emergency services and first responders
  • Whether the terrorist had any direct assistance from any other person on 15 March 2019
  • If raised by immediate family, and to the extent it can be ascertained, the final movements and time of death for each of the deceased
  • The cause of death for each of the victims and whether any deaths could have been avoided
  • Whether Al Noor Mosque emergency exit door in the southeast corner of the main prayer room failed to function during the attack and, if so, why?

The inquest continues.

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Protests raise questions about next year’s Waitangi day

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In the wake of protests over the new government’s policies on co-governance and the Treaty, the head of the Waitangi National Trust Board says it is important Treaty partners front up and have a conversation on 6 February.

Prime Minister Christopher Luxon says he intends to visit for Waitangi Day, as does ACT’s David Seymour.

The protests taking place across New Zealand on Tuesday were part of a “National Māori Action Day”, led by Te Pāti Māori and iwi, to challenge the government over its policies on the Treaty of Waitangi, and other policies affecting Māori.

Waitangi National Trust Board chairperson Pita Tipene expected for that sentiment to flow through on Waitangi Day.

“Clearly, the Māori people see it as an attack on the Treaty of Waitangi and the constitutional basis of this country,” Tipene said.

These include switching from Māori to English names on various government departments, rewriting legislation to make mentions of the principles of the Treaty more specific, and progressing an ACT bill calling for the principles to be set down under its own prescription, rather than decades of jurisprudence.

 

Ngāti Hine leader Pita Tipene

Ngāti Hine leader Pita Tipene Photo: RNZ

Tipene told Checkpoint there was no invite list for politicians per se, and the doors of the Trust were open for all to come along.

“Given that it is a Waitangi Day commemorations period, it’s really important that the Treaty of Waitangi is the focus, and therefore the Treaty partners should front up and have a conversation.”

He would be disappointed, but not surprised, if parties in government were not represented there on the day.

“It has happened before where governments or political parties have chosen not to front up at Waitangi.”

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Te Pāti Māori protests – Day of action focuses on new government’s Māori policies

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Police says protesters are causing widespread delays at key transport networks around the North Island, but there have been no arrests so far.

A police spokesperson says commuters should allow travel time this morning, with Te Pāti Māori’s planned protests disrupting travel routes.

There are large gatherings in Tāmaki Makaurau and central Wellington, along with a number of other cities and towns.

The spokesperson says Auckland motorists are advised there are heavy delays on parts of the motorway network this morning.

The demonstrations are in response to Te Pāti Māori’s call for action against the new government’s policies on co-governance and the Treaty.

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