Ministry of Health Library
Health Improvement and Innovation Digest
Issue 145 - 22 June 2017
Welcome to the fortnightly Health Improvement and Innovation Digest (formerly the HIIRC digest). The Digest has links to key evidence of interest, with access to new content arranged by topic.
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Have you heard about Grey Matter?
We'd like to introduce you to another newsletter that the Ministry of Health Library prepares. The Grey Matter newsletter provides monthly access to a selection of recent NGO, Think Tank, and International Government reports related to health. Information is arranged by topic, allowing readers to quickly find their areas of interest. If you'd like to subscribe to Grey Matter, email library@moh.govt.nz
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Article access
For articles that aren't open access, contact your DHB library, or organisational or local library for assistance in accessing the full text. If your organisation has a subscription, you may be able to use the icon under full text links in PubMed to access the full article.
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Quality Improvement (New Zealand)
Systematic review of a patient care bundle in reducing staphylococcal infections in cardiac and orthopaedic surgery
Surgical site infections (SSIs) are serious adverse events hindering surgical patients' recovery. In Australia and New Zealand, SSIs are a huge burden to patients and healthcare systems. A bundled approach, including pre-theatre nasal and/or skin decolonization has been used to reduce the risk of staphylococcal infection. The aim of this review, published in ANZ Journal of Surgery, is to assess the effectiveness of the bundle in preventing SSIs for cardiac and orthopaedic surgeries.
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More Heart and Diabetes Checks (International)
Techniques of monitoring blood glucose during pregnancy for women with pre-existing diabetes
Self-monitoring of blood glucose (SMBG) is recommended as a key component of the management plan for diabetes therapy during pregnancy. No existing systematic reviews consider the benefits/effectiveness of various techniques of blood glucose monitoring on maternal and infant outcomes among pregnant women with pre-existing diabetes. The effectiveness of the various monitoring techniques is unclear. The objective of this Cochrane Review was to compare techniques of blood glucose monitoring and their impact on maternal and infant outcomes among pregnant women with pre-existing diabetes.
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Primary Health Care (New Zealand)
Contrasting approaches to primary care performance governance in Denmark and New Zealand
In high-income countries, the arena of primary health care is becoming increasingly subject to 'performance governance' - the harnessing of performance information to the broader task of governance. Primary care presents many governance challenges because it is predominantly provided by sole practitioners or small organisations. In this article, published in Health Policy, the authors compare Denmark and New Zealand, two small countries with tax-funded health systems which have adopted quite different instruments for performance governance in primary care.
Remote rural women's choice of birthplace and transfer experiences in rural Otago and Southland New Zealand
Birth in primary midwife-led maternity units has been demonstrated to be a safe choice for well women anticipating a normal birth. The incidence of serious perinatal outcomes for these women is comparable to similarly low risk women, who choose to birth in hospital. New Zealand women have a choice of Lead Maternity Carer (LMC) and birthplace; home, primary birthing unit, or a base hospital, though not all women may have all these choices available locally. Women in rural and rural remote areas can also choose to birth in their rural primary maternity unit. A percentage of these women (approx. 15-17%) will require transfer during labour, an event which can cause distress and often loss of midwifery continuity of care. The objective of this study, published in
Midwifery, was to explore retrospectively the choice of birth place decisions and the labour and birth experiences of a sample of women resident in remotely zoned, rural areas of the lower South Island of New Zealand.
Going to sleep in the supine position is a modifiable risk factor for late pregnancy stillbirth; Findings from the New Zealand multicentre stillbirth case-control study
The objective of this study, published in PLOS One, was to test the primary hypothesis that maternal non-left, in particular supine going-to-sleep position, would be a risk factor for late stillbirth.
Primary Prevention of Sexual Violence in Aotearoa New Zealand
The extensive and sometimes profoundly damaging effects of sexual violence and large numbers of victims necessitate dedicated attention to primary prevention efforts. Few studies have examined the scope of current prevention activities or their fit with empirical research into effective prevention strategies. The current article, published in Sexual Abuse, presents findings from a survey of primary prevention activities in non-Māori and bicultural communities within Aotearoa New Zealand.
Modelled seasonal influenza mortality shows marked differences in risk by age, sex, ethnicity and socioeconomic position in New Zealand
Influenza is responsible for a large number of deaths which can only be estimated using modelling methods. This modelling study, published in the Journal of Infection, describes the major socio-demographic characteristics of influenza burden.
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Primary Health Care (International)
Utilization of registered nurses in primary care teams: A systematic review
Registered nurses are increasingly becoming embedded in primary care teams yet there is a wide variability in nursing roles and responsibilities across organizations. Policy makers are calling for a closer look at how to best utilize registered nurses in primary care teams. Lack of knowledge about effective primary care nursing roles and responsibilities challenges policy makers' abilities to develop recommendations to effectively deploy registered nurses in primary care needed to assure efficient, evidence-based, and quality health care. The objective of this systematic review, published in the International Journal of Nursing Studies, was to synthesize international evidence about primary care RN roles and responsibilities to make recommendations for maximizing the contributions of RNs in team-based primary care models.
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Better Help for smokers to Quit (International)
Mass media interventions for preventing smoking in young people
Mass media interventions can be used as a way of delivering preventive health messages. They have the potential to reach and modify the knowledge, attitudes and behaviour of a large proportion of the community. The objectives of this Cochrane Review were to assess the effects of mass media interventions on preventing smoking in young people, and whether it can reduce smoking uptake among youth (under 25 years), improve smoking attitudes, intentions and knowledge, improve self-efficacy/self-esteem, and improve perceptions about smoking, including the choice to follow positive role models.
Incentives for preventing smoking in children and adolescents
Adult smoking usually has its roots in adolescence. If individuals do not take up smoking during this period it is unlikely that they ever will. Further, once smoking becomes established, cessation is challenging; the probability of subsequently quitting is inversely proportional to the age of initiation. One novel approach to reducing the prevalence of youth smoking is the use of incentives. The objective of this Cochrane Review was to assess the effect of incentives on preventing children and adolescents (aged 5 to 18 years) from starting to smoke.
Family-focussed interventions to reduce harm from smoking in primary school-aged children: A systematic review of evaluative studies
Children living in families where adults smoke are exposed to harmful effects of tobacco smoke and risk a predisposition to smoking initiation. Interventions to support families to reduce risk of harm from smoking have been developed and tested. The purpose of this review, published in Preventive Medicine, is to identify effective family-based interventions used to promote smoke-free home environments in families with primary school age children (aged 5-12years).
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Childhood Obesity (International)
Longitudinal Associations of Sleep Duration in Infancy and Early Childhood with Body Composition and Cardiometabolic Health at the Age of 6 Years: The Generation R Study
A short sleep duration is associated with a higher obesity risk from midchildhood onward. However, whether sleep duration in early childhood is associated with body composition and cardiometabolic health remains unclear. This study, published in Childhood Obesity, aims to examine the prospective association of sleep duration in infancy and early childhood with body composition and cardiometabolic health at 6 years of age.
A Systematic Review of Methods for Increasing Vegetable Consumption in Early Childhood
This study, published in Current Nutrition Reports, aims to synthesise the body of research investigating methods for increasing vegetable consumption in 2- to 5-year-old children, while offering advice for practitioners.
Family Home Food Environment and Nutrition-Related Parent and Child Personal and Behavioral Outcomes of the Healthy Home Offerings via the Mealtime Environment (HOME) Plus Program: A Randomized Controlled Trial
Research has demonstrated a significant positive association between frequent family meals and children's dietary intake; however, the promotion of healthful family meals has not been rigorously tested for key food environment and nutrition-related behavioural outcomes in a randomized trial. The objective of this study, published in Journal of the Academy of Nutrition and Dietetics, was to describe family home food environment and nutrition-related parent and child personal and behavioural outcomes of the Healthy Home Offerings via the Mealtime Environment Plus program, the first rigorously tested family meals intervention targeting childhood obesity prevention.
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Key Ministry of Health Publications
Children and Young People Living Well and Staying Well: New Zealand Childhood Obesity Programme Baseline Report 2016/17
This report was developed in collaboration with the Ministry of Education, Sport New Zealand, the Ministry for Primary Industries and the Health Promotion Agency. The report builds on the work that these organisations did in 2016 to develop an intervention logic model for reducing childhood obesity, which includes a set of 15 performance indicators that we will use to monitor the New Zealand Childhood Obesity Programme over the next five years. The report includes a description of each of the indicators and presents a baseline view of their performance. It also provides a brief overview of the New Zealand Childhood Obesity Programme and an update on the programme’s first year of implementation (2015/16).
Sit Less, Move More, Sleep Well: Active play guidelines for under-fives
These Guidelines provide population health advice to support health practitioners, early childhood educators, regional sports trusts and others who provide advice to parents, caregivers and whānau or families on physical activity for children under five years of age.
Delivering Better Public Services: A Good Start to Life
The Better Public Services programme includes 10 challenging targets to drive cross-agency working and innovative and productive approaches to address complex problems. This publication sets out the Government’s plans for achieving Better Public Service Results 2 and 3. The overall aim is to ensure that every child in New Zealand gets a good start to life.
How We Eat – Reviews of the evidence on food and eating behaviours related to diet and body size
How We Eat is a review of the available evidence on the effect of selected eating behaviours on diet and body size. The topics reviewed are: breastfeeding, parental feeding practices and parenting style, adult role modelling, responsive eating, mealtimes and food literacy.
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The information available on or through this newsletter does not represent Ministry of Health policy. It is intended to provide general information to the health sector and the public, and is not intended to address specific circumstances of any particular individual or entity.
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