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Newsletter Volume 5 Number 4 Spring 2013 Redefining our Professional DNA kept us focused on nursing as our profession and nursing as we see it. To maintain the momentum, all the regions organised leadership workshops and business breakfasts that filled the second part of 2013 with topics that would keep us thinking for many days. Check our website www.fpnl.co.za, some of the presentations and information is available to you. The 2014 conference is in its planning phase 25-27 June 2014. The conferences hosted by the Forum for Professional Nurse Leaders are events that the nurse leaders in South Africa do not want to miss! Nursing 2014 is one of the largest South African conferences dedicated to nurses who are leaders in the industry and are ready to lead a 360˚ change in their profession! For the first time the conference will be a joint event with the Forum for Professional Nurse Leaders, Nursing Education Association (NEA) and Forum for University Nursing Deans in South Africa (FUNDISA) joining forces for 2014. The theme is “Discovering New Avenues: Leadership for Education, Practice and Research” creating a huge opportunity for all of us to strategize for new solutions to not so new challenges. It is time to start with your preparation for the 2014 International Nurses’ Day – an inspiring theme for 2014: NURSES A FORCE FOR CHANGE – A VITAL RE- SOURCE FOR HEALTH. A new theme with endless opportunities to turn your Nurses’ Day into a most memorable day. Grab this opportunity to tell the world what nursing is all about and why you are proud to be a nurse! The success of the newsletter lies with its readers, please send your input, research, news and suggestions to [email protected]. We are waiting for your response. Annelie Meiring Annelie Meiring Chairperson Forum for Professional Nurse Leaders FPNL membership for 2014 Readers are reminded that it is time to renew your FPNL membership for 2014. Where and how? Remember to fill a membership renewal form on the Forum’s website at www.fpnl.co.za. Under the “Contact us” tab on the website you will find options to choose from which include the information on the registration process and the benefits of membership if you are a new member. If you know all of this, you can go directly to the registration link on the left hand side of the website under the member log-in to register - where the orange arrow indicates. Membership fee The membership fee for 2014 is R220. Note that if you have not paid the full amount, you are not a paid-up member and will not be able to enjoy any of the membership benefits. If you pay, please use your full name and FPNL membership number as reference so that the payment can be correctly allocated by the Treasurer. INSIDE THIS ISSUE Message from the chair ...1 Renew Membership ……. 1 Redefine our DNA ……….2 Spring seminars ……..... 3 Celebrating local heroes. 4 Hand washing ………..... 4 BrainWorx ……..……….. 4 Medical costs ………..... 4 2014 Conference….……. 6 New membership cards. 7 Cancer awareness ..….. 7 Book review ………….. 7 Seasonal wisdom ..…... 7 Editorial Team ….…….. 7 Greetings from the FPNL Chairperson’s desk...

Transcript of Newsletterfpnl.co.za/web/files/Spring2013FPNL-Newsletter.pdfthe campaign activities by 2015. Page 3...

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Newsletter Volume 5 Number 4 Spring 2013

Redefining our Professional DNA kept us focused on nursing as our profession and nursing as we see it. To maintain the momentum, all the regions organised leadership workshops and business breakfasts that filled the second part of 2013 with topics that would keep us thinking for many days. Check our website www.fpnl.co.za, some of the presentations and information is available to you. The 2014 conference is in its planning phase – 25-27 June 2014. The conferences hosted by the Forum for Professional Nurse Leaders are events that the nurse leaders in South Africa do not want to miss! Nursing 2014 is one of the largest South African conferences dedicated to nurses who are leaders in the industry and are ready to lead a 360˚ change in their profession! For the first time the conference will be a joint event with the Forum for Professional Nurse Leaders, Nursing Education Association

(NEA) and Forum for University Nursing Deans in South Africa (FUNDISA) joining forces for 2014. The theme is “Discovering New Avenues: Leadership for Education, Practice and Research” creating a huge opportunity for all of us to strategize for new solutions to not so new challenges. It is time to start with your preparation for the 2014 International Nurses’ Day – an inspiring theme for 2014: NURSES A FORCE FOR CHANGE – A VITAL RE-SOURCE FOR HEALTH. A new theme with endless opportunities to turn your Nurses’ Day into a most memorable day. Grab this opportunity to tell the world what nursing is all about and why you are proud to be a nurse!

The success of the newsletter lies with its readers, please send your input, research, news and suggestions to [email protected]. We are waiting for your response.

Annelie Meiring

Annelie Meiring

Chairperson Forum for Professional

Nurse Leaders

FPNL membership for 2014

Readers are reminded that it is time to renew your FPNL membership for 2014.

Where and how? Remember to fill a membership renewal form on the Forum’s website at www.fpnl.co.za. Under the “Contact us” tab on the website you will find options to choose from which include the information on the registration process and the benefits of membership if you are a new member. If you know all of this, you can go directly to the registration link on the left hand side of the website under the member log-in to register - where the orange arrow indicates. Membership fee The membership fee for 2014 is R220. Note that if you have not paid the full amount, you are not a paid-up member and will not be able to enjoy any of the membership benefits. If you pay, please use your full name and FPNL membership number as reference so that the payment can be correctly allocated by the Treasurer.

INSIDE THIS ISSUE

Message from the chair ...1

Renew Membership ……. 1

Redefine our DNA ……….2

Spring seminars ……..... 3

Celebrating local heroes. 4

Hand washing ………..... 4

BrainWorx ……..……….. 4

Medical costs ………..... 4

2014 Conference….……. 6

New membership cards. 7

Cancer awareness ..….. 7

Book review ………….. 7

Seasonal wisdom ..…... 7

Editorial Team ….…….. 7

Greetings from the FPNL Chairperson’s desk...

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The outcomes reflected here represents the input from seven workshops attended by 490 nurse leaders throughout the country. The workshops took place in Cape Town, Gauteng North, Gauteng South, Polokwane, Pietermaritzburg, Bloemfontein and East London. So what did we say? Our values? On the values the following issues were highlighted:

Respectful of ourselves & others

Empathy

Dignity

Professionalism

Being a good listener

Assertiveness

Optimistic & having a positive attitude

Being proactive

Professional caring & passionate about what we do

Commitment to “best practices”

Being caring & compassionate

Having a professional & positive attitude

Focused on patient satisfaction,

What are the positives? As positives, the following issues were recognised:

Personal & professional satisfaction

Self-less service & helping others

Being part of the healing process

Respect received from the community

Opportunities for growth, both locally & abroad

Working in a diverse & ever changing environment

Ongoing training received

There are still nurses who are caring & have passion for their profession

Working in a dynamic career / profession

Potential for personal development & progress

What behaviours do we cultivate? The behaviours that we think should be cultivated include professionalism, sincerity, positive attitudes, respect & dignity, commitment to caring, nursing ethos & ethics, commitment, empathy and being the best you can be.

What behaviours are considered inappropriate? The behaviours that we consider inappropriate are bad attitudes, negativity, unethical behaviour, disrespect, negative attitudes, ineffective communication and rudeness.

What are the challenges? General resourcing remains a challenge. The main challenge is the shortage of nursing staff and the desperation that nurses believe are due to overwork. Finding and appointing appropriate candidates are problematic. The quality and quantity of nursing staff being trained, unregistered nursing schools and poor

Redefining our professional DNA

The 2013 FPNL workshops consisted of a road show to consult the profession on the status of nursing and to discuss strategies to redefine the DNA of the nursing profession. Workshops were well attended throughout the country and in this edition of the newsletter we provide you with the

feedback on the outcomes of these workshops

recruitment and training further complicates this situation. There is a poor public perception of nurses, poor attitude and lack of professionalism which is seen as lack of commitment to work, patients and safety. Finally doctors’ attitude towards nurses, poor remuneration and budget constraints have been identified as challenges. What changes should take place? The image of nursing should be promoted so marketing, advertising and branding becomes really important to change community perception of nursing. While education and selection criteria of students have to be attended to, attitude and commitment of nurses, a caring culture, integration & communication, multi-disciplinary utilisation, support for staff such as employee wellness programmes and other staff issues should also be available. The way forward Following a meeting with the consultant, Brendon Bairstow-Klopper, a phased approach was developed by the Exco and a few other stakeholders. Each phase should have a project manager to drive the process. Phase 1 includes confirming a campaign outcome and defining when we will know that we have succeeded, developing a storyboard for this phase, brainstorming campaign steps, deciding how to communicate without FPNL, defining and distributing ‘short term wins’ such as a toolkit, developing a project plan with a script and pitch for the campaign and sourcing funders. This phase will be the responsibility of Annelie Meiring. For phase 2 a marketing campaign expert and other service providers to assist with campaign planning and budget estimates is required. Persons have to be identified to pitch the campaign to funders and other stakeholders. The planned storyboard must be presented to relevant stakeholders and a ‘soft launch’ of the campaign done by June 2014. During phase 3 decisions have to be made on campaign channels, timeline of activities and funding steps of the campaign. Potential access to international grants, engaging a grant writer and identifying sponsors to implement this phase. Phase 4 activities are catered around going live with the campaign activities by 2015.

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Gauteng South At Gauteng South the morning focused on infection control - a hot topic with the increase in resistant bugs. Joy Cleghorn provided an overview of managing an pandemic outbreak and the importance to ensure that environments are properly cleaned. Karin Swart and Lesley Devenish highlighted the role of the nurse manager in controlling superbugs in the healthcare environment. The presentations highlighted with pictures where the problematic areas are that could harbour many evils! Did you know which is more effective for killing bugs - the action of washing hands or alcohol? It turns out that alcohol is the most effective to cleanse hands!

Alice Vogt was the motivational speaker. She provided us with an overview of her life living with Cystic Fibrosis as a child and teenager, undergoing a lung transplant as young adult and getting married. She

participated in the Transplant Games recently hosted in Durban, South Africa where she obtained medals for race walk and squash. Incredible lady - role model for many of us! Read more about her life and achievements on her blog at http://livinglifebreathlessly.blogspot.com. Christof Enslin showed delegates how to use their smart phones to network. A few members immediately linked up as followers of the Chapter’s tweets @fpnlgsw - check it out! Kwazulu-Natal A group of 75 delegates gathered in Durban for the KZN breakfast seminar. The day focused on the need to transform leadership to new times in nursing. Professor Petra Brysiewicz considered the “Can/can’t teach an old dog new tricks” debate indicating how we can use social media to remain relevant to the generation we lead. Harry Basdeo deliberated on the crucial importance of enhancing the core clinical skills in nursing practice in a growing litigious environment. Two final year Bridging programme students participated in the programme contributing to the discussion on remaining relevant in

the future. The day was concluded by Lucy Francois with personal branding and leadership - if you do not create your brand others will certainly do it for you!

Celebrating the arrival of Spring!

FPNL members and other nurse leaders have started to celebrate the arrival of spring with seminars throughout the country. Every year the FPNL chapters host a seminar as we move into

spring and summer. Here is what happened at some of these events.

Western Cape The Western Cape Chapter ‘Danced in their DNA’ at their seminar in a wet, but beautiful Cape Town with a programme packed with information. The day started with Nolan Daniels giving delegates an over-view of why he believed that health providers are in trou-ble followed by Selvador Bruiners about the XY in nurs-ing - the men in nursing. After tea Annelie Meiring provid-ed the feedback and way forward after the countrywide consultation on redefining our professional DNA followed by a values clarification session by Nelouise Geyer. After a great lunch Debbie Regensburg debated whether private nurse practitioners in 2013 should be jiving or doing the cha-cha! The day was concluded by Janet du Preez with dancing in our DNA. Gauteng North At the Unitas Hospital more than 60 delegates gathered to celebrate the arrival of spring. The first session was dedicated to the feedback received following the national workshop to consider how we define our professional DNA and how the Forum will be taking this process forward in steps towards a campaign. This was followed by brunch and some active networking. Bessie Tshauke entertained delegates with music.

The last session was presented by David Goncalves,

a clinical psychologist. He highlighted in an entertain-ing manner the characteristics of the four personality types that is found, how these differ and why the behaviour of some of us would irritate others. Are you a popular sanguine, perfect melancholic, powerful choleric or a peaceful phlegmatic? You can find out by reading “Personality Plus” by Florence Littauer. You can also complete a quiz on the internet that will immediately indicate which personality you are - to do

it go to http://www.gotoquiz.com/personality_plus_1 He concluded by drawing attention to how we can manage behaviours so that others can live with us!

Gauteng South organising team

@ the KZN seminar

@ the WC seminar

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Other highlights in your career? She loved teaching and has taught in the clinical situation throughout her career. She has received the "Light of Learning Trophy" 5 times, a trophy awarded by the students at Grey's Hospital for the Professional Nurse/Operational Manager who displays the best teaching skills in the clinical situation. She loved teaching the students and have tried to instil in them a love of and passion for midwifery and the care women should receive throughout pregnancy, labour and the puerperium. She gives credit to all the doctors and incredible Obstetricians (both in the private as well as the public sector) she has worked with over the years. “They have taught me so much and have been a constant source of inspiration and encouragement throughout my nursing career”. By far the most outstanding was being awarded the Marilyn Lahana Trust Caring Award in November 2012 where she had the opportunity to meet Marilyn's Mum and her husband as well as many other distinguished guests, guest speakers and nominees. “Never in my wildest dreams did I think I would be the overall winner of this special award. I am just an ordinary midwife, one among many thousands of Midwives in the country doing what she loves best. It was such an honour and a privilege for me to be considered worthy of this prestigious award” We had a delicious meal, but I must say the rest of the evening passed in a blur!” she said.

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Leigh Scott has been a practising midwife since 1973 at Grey's Hospital in Pietermaritzburg, KwaZulu Natal. A rewarding and illustrious career Her interest in Nursing started at an early age when she joined the Red Cross Society in Pietermaritzburg as a Junior member - she remained a member until she left school to commence general nursing training at Groote Schuur Hospital in Cape Town and midwifery at Grey's Hospital. She received the Rayanne Shield for the best practical Midwife of the Year. A highlight in her training was meeting Mrs Margaret Myles when she visited South Africa in 1970 and she treasures the autographed copy of her book "Textbook for Midwives". After a 2-year break she re-joined the Midwifery staff at Grey's Hospital - she had found her passion in life. She wanted to be a Midwife, following in her Grandmother's footsteps. Her first love is the labour ward where she has worked ever since until her retirement in June 2013. She was involved in the commissioning of the maternity department for the new Grey's Hospital and in August 1984 they all moved into the new hospital. It was a very sad but exciting time for the whole Hospital. In August 1989 she commenced Advanced Midwifery and Neonatal Nursing Science training at King Edward VIII Hospital in Durban, graduating with honours and the highest mark in Natal. During the 80's and 90's she assisted Pauline Sellers with the writing of her book "Midwifery" as one of the co-authors. As the improvement of Maternal and Child Health is something she is interested in she has been a Maternal Death Assessor on the KwaZulu Natal Committee for many years. What inspires you? She has always been inspired and deeply moved by a 2,500 year old saying by Mao Te Ching, who said of the Midwife: "You are a Midwife, you are assisting at someone else's birth. Do good without show or fuss. Facilitate what is happening. If you must take the lead, lead so that the mother is helped, yet still free and in charge. When the baby is born, the mother will rightly say, "We did it ourselves". ‘I have tried to live by these wise and ancient words as I have always been on advocate for natural birth in women with low risk pregnancies with the proviso that, should complications occur, obstetrical consultation and referral is essential’ Leigh says.

Celebrating our nurse leaders and their contributions

The FPNL has a longstanding belief that as a profession we have to celebrate our leaders. A few highlights will be shared in future newsletters. Please share the stories of your local heroes

with us so that we celebrate the contribution nurses are making not only to health and nursing care, but life and communities in general.

The Marilyn Lahana Trust Caring Award administered by DENOSA, is presented annually to recognise members of the profession who have shown caring and dedication in relation to their patients and colleagues. Marilyn Lahana was a Johannesburg nurse who died of the Ebola Virus she contracted from nursing a patient with the disease.

The FPNL spoke to the 2012 overall winner, Sr Leigh Scott.

Celebrating a midwife, Sr Leigh Scott

Left to right: Student Nurse N.S. Madlala, Leigh Scott, Student Nurse Z.P. Dludla, Sr P.S. Ndebele RM and

Sr N.G. Myeza ADM.

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Hand Hygiene (Joy Cleghorn) Over the past several decades and with the increase in multi-drug resistant organisms, ‘infection prevention and control’ has rapidly become a growing multidisciplinary field of incredible importance with regards the safety of patients and healthcare workers. The focus of this field has increasingly turned to prevention rather than control of hospital associated infections. Hand hygiene is such a simple practice and yet, is the single most important practice to reduce the transmission of infections in healthcare settings and is an essential element of standard precautions. Hand hygiene can prevent potentially fatal infections spreading from patient to patient and staff, causing outbreaks. According to the World Health Organisation, “in developed countries HAI concerns 5-15% of hospitalised patients and can affect 9-37% of those admitted to intensive care units (ICU’s)”. One study done by Rosenthal et al 2005 found that the implementation of a sound hand hygiene programme decreased health care associated infections (HAI’s) from 47.5/1000 patient days to 27.9/1000 patient days – a significant reduction in HAI’s of 41.3%. What is hand hygiene? (Joy Cleghorn) Hand hygiene is the action of cleaning hands. There are two ways to clean hands. Using an alcohol based hand rub, or, when hands are visibly soiled, using soap and running water. When should one practice hand hygiene in the healthcare setting? (Joy Cleghorn) The ‘My 5 Moments for Hand Hygiene’ approach taken from the World Health Organization defines the key mo-ments when healthcare workers should perform hand hygiene:

Before touching a patient Before a clean/aseptic procedure After body fluid exposure risk After touching a patient After touching a patient’s surroundings

What can we do about the spread of multi-drug resistant organisms (‘superbugs’) in our hospitals and healthcare facilities? (Dr Juno Thomas)

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Life is in your hands….

What about leadership? Leadership in the clinical situation is essential. Students and junior members of staff need Clinical Nurse Specialists who are good role models in the clinical situation, leaders who they can identify with, aspire to and learn from. Staff must be inspired, encouraged and motivated, after all 'sharing is caring'. She believes that midwifery is a calling and midwives are special as they are privileged to care for women as a practitioner in their own right. To be a midwife needs commitment, empathy

and caring. Young nurses need to learn this skill. It is one of the most rewarding careers for a nurse.

A final word for young midwives? “Always treat the patient as you would like to be treated. Be humble, caring and empathetic. Maintain high levels of nursing care, always be willing to learn for your patients, colleagues, and the doctors you work with. Constantly update your knowledge and skills and lastly always maintain a good work ethic”.

Multi-drug resistant organisms have become a serious threat to patients in healthcare facilities worldwide. Apart from well-known enemies (including MRSA, VRE and ESBL-producing organisms), a group of ‘superbugs’ called CRE (the carbapenem-resistant Enterobacteriaceae) have recently taken hold in South Africa and are cause for extreme alarm. They include organisms with a range of resistance mechanisms, including NDM-1, VIM, IMP, and OXA. They can spread easily amongst patients in healthcare facilities and are able to cause large outbreaks unless promptly and aggressively contained; since they are resistant to almost all available antibiotics there are limited treatment options, and such infections are associated with increased morbidity and mortality. Yet, the simple act of hand hygiene remains one of the most potent weapons against these and other ‘superbugs’. Hand hygiene really does save lives, and it is every healthcare worker’s responsibility to keep patients safe. What can we do to protect ourselves and others during the influenza season? (Dr Juno Thomas) It’s never too late to vaccinate!. The influenza season in South Africa usually starts towards the end of May/beginning of June. All persons (healthcare workers, patients and visitors) should practice respiratory hygiene: cover your mouth and nose with a disposable tissue when coughing or sneezing, then discard the tissue in a receptacle and perform hand hygiene. Hand hygiene technique (Joy Cleghorn) In order to ensure that all surfaces of the hands have been properly disinfected, it is important to practice correct hand hygiene technique. Hand hygiene technique (Joy Cleghorn) In order to ensure that all surfaces of the hands have been properly disinfected, it is important to practice correct hand hygiene technique.

Important websites to consult: http://www.cdc.gov/hai/organisms/cre/cre-clinicianFAQ.html http://www.cdc.gov/hai/organisms/cre/cre-patientFAQ.html http://www.cdc.gov/hai/organisms/cre/cre-patientgeneral.html http://www.cdc.gov/hai/organisms/cre/cre-toolkit/index.html

The importance of hand washing remains a topic for discussion as we are challenged with the emergence of more and more superbugs in healthcare institutions. This information submitted by

Joy Cleghorn is reprinted with the kind permission of the Life Healthcare Group.

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chapter covered infection control and the information was compiled and provided by Mediclinic. Participants paid R20 entry fee, which included this information manual. Adequate lead time (two months) was given to participants to study this manual and prepare for the competition. The Game Show The competition took on the same formula as a Game Show, with four rounds. After each round contestants with the lowest scores got eliminated until the fourth round only remained with 5 participants. Round one consisted of 20 multiple choice questions. Round two consisted of 20 questions where missing words had to be completed. Round three contained multiple choice questions again and all of these answers were noted on an A4 whiteboard and held up for the judges to score. Round four consisted of a set of 5 questions per contestant that had to be answered verbally. The First Show The first Brainworx competition had 12 entries and everyone waited with nervous and excited energy to get the first one underway. The atmosphere in the room was amazing and although there was a competitive under-current, everyone had fun whilst showing off their knowledge. Our winner walked away with a sponsorship for the “Window of Opportunity’ Nursing Conference 2012 held at Silverstar Casino, a floating trophy from Ampath and a Mediclinic winter parka. Second place got a gift voucher for books and Mediclinic items. Third place got a gift voucher as well and Mediclinic items. All of the participants received a Brainworx Certificate and at the end of the day everyone walked away as a winner as we all learned something new. Knowledge is power!

Ongoing education in any professional field is vital, not any less in nursing. Sadly South African hospitals are not unique in their struggle to keep education going. After all, for most people studying is not really fun. The challenge So the big question all along was: “How can we educate nursing staff in things they use every day and things they should know, whilst making it fun?” How can we inspire them to want to learn more? This burning question was further fueled by the large number of patients Googling every procedure, medication and side effect. How do you instill confidence in a patient that seem to “know” all the answers? Knowledge! The solution Whilst wondering how to inspire my staff to embark on studying again, in 2011 the answer finally came to me. It needs to be fun and exciting! A nursing educational Game Show was the answer. I approached Jannus Benade (Sanofi representative) who was also passionate about education and learning and Brainworx was created! The challenge was to create an educational program that will be of value to the nursing staff. Our focus was topics that are current and used by the staff on a daily basis. Many brainstorming sessions later, some of the thoughts that supported the vision of this plan were evident:. It was important that the programme was generic and only the topics changed every time. The topics also had to be relevant and useful to the staff. And lastly but certainly most important, it had to be fun whilst professional and educational. The 1

st Brainworx manual consisted of four chapters.

Two chapters covered Antibiotics & Micro-organisms, and another one covered sampling of cultures. This information was provided by Ampath. The fourth

BrainWorx excitement for lifelong learning

Mediclinic Sandton brings excitement back to continued learning By M Lanz, edited by L. Furlong

(Nellie Brand-Jonker, Beeld)

The Council for Medical Schemes recently reported in its annual report the healthcare expenditure of top 10 medical specialisations. Top-10 specialist fields The report highlight a significant increase in expenditure of the top-10 specialist fields as indicated in the accompanying table with pathology consuming 5% of medical aid expenditure. It has been reported that the cost of pathology has over the last 6 years consistently increased with more than the inflation rate. The cost per test has increased with 5 - 7%. The increase in cost is attributed to improved testing technology as well as increased utilisation of pathology services. This in turn is attributed to medical aids having more older and sicker members as well as women in their childbearing age. Interestingly it has also been commented that medical practitioners are requesting more pathological tests to protect them against malpractice claims by patients.

Pathologists takes the lions share

FIELD Received 2012 % increase

Pathologist R5,1 18%

Radiologist R4,27 11%

Anaesthetist R2,06 16%

Physicians R1,89 16%

Gynaecologist R1,5 12%

Orthopaedic R1,37 16%

Surgeon R1,18 14%

Ophthalmic R1,09 18%

Radiotherapist R922,4 m 8%

Paediatrician R867,2 m -1%

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Members are advised that new membership cards will be implemented. This will become a lifelong card - if lost, a fee of R50 will be charge for replacement of the card. Permanent cards The new cards will be similar to a credit card. These cards are permanent cards that members paid up for 2013 will receive before the end of the year. On the front of the card will be your name and membership number. On the back of the card is the postal and e-mail address as well as the website of the Forum of Professional Nurse Leaders where members can find information on the Forum and its activities. As soon as a member joins, a card will be prepared for send off to the member. When events are undertaken where members can receive benefits, the payment status of members will be checked on the database which will be kept updated.

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FPNL Membership cards

&

25 - 27 June 2014 @ Emperor’s Palace, Gauteng

for a joint professional journey in nursing Theme: Discovering New Avenues: Nursing

Leadership for Education, Practice and Research

Save the date!

Ms Jane Soap FPNL 007

October is breast awareness month. Did you know that one in every 33 women in South Africa gets breast cancer? The earlier the diagnosis is made, the better the chances of recovery. Men can also get breast cancer, but their chances of getting it is much lower. Prevention and early detection Regular breast assessment should be done on a monthly basis during ovulation. It should preferably be done on the same day and time every month. Women over the age of 40, especially if they have other risk factors, should have a mammogram every 2 - 3 years. A balanced and healthy lifestyle and limited alcohol intake lowers your chances of getting breast cancer. Physical activity assists with preventing obesity. Women who breastfeed for at least 18 months decrease the risk of themselves and their babies developing cancer. Early warning signs

A lump or thickening in the breast or under the arm;

Change of size or form of the breast;

Dimples in the skin of the breast;

Inverted nipple;

Abnormal secretion of the nipple;

Flaky, red or swollen skin on the breast, nipple or areola;

Skin of the breast that looks or feels like orange peel. Amanda de Lange (Beeld: Pols 2 October 2013)

Breast cancer awareness month

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Book review by Rene van Niekerk

Chapter 4: The Law of Reflection -Learning to Pause Allows Growth to Catch UP with You As a leader we should PAUSE to find out if we are adding value to peoples’ lives, there should be a higher road for leaders. We should be always adding value to peoples’ lives and exceed their expectations for themselves. As leaders we should pause to reflect, have a specific time and place to pause, pausing helps you to catch up with you and reflection turns experiences into insight. Pausing helps you to enrich your thinking, gives you time to investigate, allows you to listen and learn, highlights or illuminates moments-those “aha” moments and you can put ideas on paper. During the “Pausing period” answer the following personal awareness questions: (1) What’s My biggest asset? (2) What’s is My biggest liability?’(3) What’s My highest high? (4) What’s My lowest low? (5) What’s My most worthwhile emotion? (6)What’s My least worthwhile emotion? (7) What’s My best habit? (8)What’s My worst habit? (9) What’s Most fulfilling to me? (10) What Do I prize most highly? Chapter 5 - The Law of Consistency-Motivation Gets You Going-Discipline Keeps You Growing. The questions is then –How to Grow consistency? (1) Do you know WHAT you need to improve? (2) Do you know HOW you are supposed to improve? (3) Do you know WHY you want to keep on improving? (4) Do you know WHEN you are supposed to improve? Maybe the road you chose was the wrong turn off-so maybe it is time to stop getting goals-but to embark on the journey of growth-that is much more sustainable? Where are you - Goals or Growth conscious? Goal Conscious Growth Conscious Focus is on the destination Focus is on the journey Motivates you and others Matures you and others Short Lifelong Challenges you Changes you Stops when goal is accomplished Keeps you growing beyond the goal

Reading this book has brought more insight to my plan to grow spiritually and personally this year. Summarising 265 pages does not do justice to this book.. so if you can invest in this book and in so doing invest in yourself. Chapter 1: The Law of Intentionality - Growth Doesn’t Just Happen Life is now in session. Are you present? Do you have a personal plan for growth? This is not about accomplishments, not about how hard you work, not your goals, how many people you would reach-No that is not a plan –those are activities!!! Growing is about- how do you improve you, how do you improve your rela-tionships, how do you deepen your wisdom as a person, how do you improve your insight, how do you overcome obstacles??? Growth traps are discussed e.g. You will not grow automatically, you don’t know how to grow, the time is not right to begin, afraid of making mistakes…You have to make and Intentional decision to grow. Chapter 2- The Law of Awareness - You Must Know Yourself to Grow Yourself To grow you should know yourself - your strengths, weaknesses, interest and opportunities. You should be able to know where you are now and where you’ve been - this will enable you to set your course where to go. To reach your potential you should know where you want to go and where you find yourself currently. There is a difference between what you like and what you are good at. Chapter 3- The Law of the Mirror - You Must See Value in Yourself to Add value to Yourself. What keeps you from being successful?? The power of positive self-esteem- Zig Ziglar said” It’s impossible to consistently behave in a manner inconsistent with how we see ourselves”. Low self - esteem puts a ceiling on our potential. The Law of the Lid is discussed in the Book “The 21 Irrefutable Laws of leadership” by John Maxwell. When you value yourself it is usually the value that others place on you.

The 15 Invaluable Laws of GROWTH by John C. Maxwell (part 1)

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A leader is best when people barely know he exists, when his work is done, his aim fulfilled, they will say: we did it ourselves

- Lao Tzu -

A thought for the season…...

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