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Author Litchfield, M.
Title Viewpoint: Telling nursing stories Type Journal Article
Year 1994 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (up)
Volume 2 Issue 4 Pages 28
Keywords Nursing research; Ethics; Patient rights
Abstract A brief critique and comment on the ethical implications of nurse researchers using methodology that involves soliciting personal experiences of patients and subsequently publishing them as stories.
Call Number NZNO @ research @ Serial 1321
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Author Litchfield, M.
Title Case management and nurses Type Journal Article
Year 1998 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 13 Issue 2 Pages 26-35
Keywords Nursing; Care plans
Abstract The report of an exploratory study of current approaches to case management by nurses as requested by the College of Nurses Aotearoa New Zealand. It revealed different interpretations of nurse case management around New Zealand and in the US, UK and Australia. They differed according to the conceptualisation of health service design and delivery in the respective country. Case management in New Zealand in general presented nurse care management roles as an interface between the mangement of health service delivery and the peculiarities of the healthcare people received, holding the potential for achieving tailored, patient-centred care outcomes.
Call Number NZNO @ research @ Serial 1323
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Author Litchfield, M.
Title Professional development: Developing a new model of integrated care Type Journal Article
Year 1998 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (up)
Volume 4 Issue 9 Pages 23-25
Keywords Nursing models; Nurse practitioners; Policy; Nurse-family relations
Abstract An overview of the model of nursing practice and nurse roles derived through a programme of nursing research in the context of the policy and strategies directing developments in the New Zealand health system. The emphsis was on the health service configuration model presented diagrammatically to show the position of a new role of family nurse with a distinct form of practice forming the hub.
Call Number NZNO @ research @ Serial 1324
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Author Litchfield, M.
Title The scope of advancing nursing practice Type Journal Article
Year 1998 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 13 Issue 3 Pages 13-24
Keywords Nursing specialties; Nursing
Abstract An overview of the model of nursing practice and nurse roles derived through a programme of nursing research in the context of the changing New Zealand health system. The emphasis is on the complementary nature of the practice of family nurses taking a generic integrative service delivery hub role and the practice of other nurses advancing in specialist roles. Nursing care is presented as a professional, collective practice of registered nurses spread across all health service sectors and employment settings. Nurse roles are differentiated according to the interplay of two factors influencing the extent of practice autonomy the nurses assume (educationally supported) in responding to health need. A diagram depicts the interrelationship of competency and scope for the inclusive three different career trajectories of nurses advancing in practice. NOTE: This paper was published with an error in the title of the article (stated correctly on the journal contents page). An apology from the journal editor with an explanation of the importance of the use of the term ?advancing? and not ?advanced? was published in the subsequent issue (Nursing Praxis in NZ,14(1)).
Call Number NZNO @ research @ Serial 1325
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Author Litchfield, M.
Title What is nursing research? Type Journal Article
Year 1998 Publication P. Watson & M.Woods (Eds.), Waiora: Nursing research in Aotearoa/New Zealand, evolving a shared sense of our future. Proceedings of the Nursing Research Section/Te Runanga O Aotearoa (New Zealand Nurses' Organisation) conference, Wellington 26-27 March. Abbreviated Journal (up)
Volume Issue Pages
Keywords Nursing research; Nursing
Abstract This conference paper outlines the nature of nursing research developing the distinct knowledge for nursing practice. It is presented as a cumulative process of knowledge development about health, practice and service delivery. Nursing research is illustrated by tracing a personal trajectory of research over 25 years that addressed questions relating to and derived from the practice of nursing.
Call Number NZNO @ research @ Serial 1326
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Author Litchfield, M
Title To advance health care: The origins of nursing research in New Zealand Type Book Whole
Year 2009 Publication Abbreviated Journal (up)
Volume Issue Pages 129 pp
Keywords Nursing Research Section, New Zealand Nurses Organisation
Abstract This book examines in detail the confluence of personalities and professional and practice agendas, out of which emerged the research section, intent on placing research at the centre of the profession's evolution. It provides a fascinating look at how a group of women, utterly committed to nursing, drove their research agenda and it expands understandings of why nursing research is significant for the development of nursing. It also provides an insight into that web of relationships between the professional body, NZNA, the Department of Health, service delivery and education.

To order a copy:

Email: publications@nzno.org.nz

NZNO members: $25 (incl GST + p&p)

Non-NZNO members: $35 (incl GST + p&p)
Call Number NZNO @ research @ Serial 1341
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Author Litchfield, Merian
Title Nursing is -- and has -- a methodology: a nursing voice Type Journal Article
Year 2021 Publication Kai Tiaki Nursing Research Abbreviated Journal (up)
Volume 12 Issue 1 Pages 66-72
Keywords Nursing knowldege; Nursing voice; Nursing methodology
Abstract Argues that a nursing paradigm identifies and differentiates the nursing perspective on health, and reinterprets practical expertise. Posits that nurse researchers present their findings as practice wisdom. Suggests that the significance of nursing lies in its knowledgeable practitioners and that the nursing voice is a collective one. Emphasises the need for a distinctly nursing perspective on health in NZ.
Call Number NZNO @ research @ Serial 1721
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Author Litchfield, M.
Title The successful design and delivery of rural health services: The meaning of success Type Report
Year 2002 Publication Abbreviated Journal (up) Accessible from www.moh.govt.nz
Volume Issue Pages
Keywords Rural health services; Management; Primary health care
Abstract A report on the analysis of data from an in-depth survey designed by Sue Dawson, previously Rural Health Researcher in the Centre for Rural Health, and follow-up interviews. The study purpose was to construct a definition of ?successful design and delivery of rural health services? as a step towards a measurement tool. Participants were grouped as general practitioners (GPs), nurses and community representatives. A format for a participatory approach to evaluation of rural health services is derived from the criteria of success identified, with its relevance for the implementation of the new Government primary health care strategy explicit. This format provided the basis for a subsequent evaluation case study undertaken in a small rural forestry township by the Centre for Rural Health.
Call Number NZNO @ research @ Serial 1328
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Author Litchfield, M.
Title Survey of child health care in primary schools in the Wellington area Type
Year 1979 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (up) Author, New Zealand Nurses Association Library, We
Volume 75 Issue 2 Pages 18-20
Keywords
Abstract The study was undertaken as a project for the International Year of the Child. There was a need for information to identify what health care in needed in schools and to contribute to a review of the role of the nurses. Teachers and principals of all primary schools of the Wellington area were surveyed to describe the health care being provided and needed. Recommendations were made for school nurses who would support the health-related teaching by teachers, provide first aid and advice, and take an extended role for family health operating from a clinic in the school.
Call Number NRSNZNO @ research @ Serial 388
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Author Litchfield, M.
Title The process of health patterning in families with young children who have been repeatedly hospitalised Type
Year 1993 Publication Abbreviated Journal (up) Author, University of Minnesota Library
Volume Issue Pages
Keywords
Abstract An exploration of the nature of nursing knowledge in practice. The praxis methodology was inspired by the Newman's theory of health as expanding consciousness and evolved through the process of the research. The methodology was eventually presented as both the process of research and practice. Five families were visited in their homes five times to talk about what was going on for them. All were experiencing a time of great upheaval in family life. After three visits a summary text was constructed merging researcher statements and parent quotes and given to the families. Through the subsequent reflective discussion significant insights into family pattern were shown in statements of intended action to change how health matters were managed with greater facility in family living. The process was presented as five themes with descriptors representing a non-linear, discontinuous progression: A moment of partnership: parameters of entry and closure, a timing of upheaval in family life, and an in-forming capacity through the bringing together of family story-telling and researcher's theory. An evolving dialogue: a progressive flow of enfolding and unfolding, and its embeddedness in contexts of socio-economic status, gender and health care culture. Recognising pattern: incidental revelations and an all-encompassing insight as the potential for action. Expanding horizon: moving from being on a treadmill trapped in the present without vision to having a view to a future, the presence of past and future. Increasing connectedness: a sense of inclusion, inter-dependence and generally, transformation in family life. This was a framework for personal practice
Call Number NRSNZNO @ research @ 121 Serial 121
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Author Litchfield, M.; Clarke, M.; Edwards, R.; Richardson, F.; Tansley, R.; Woodman, K.
Title A description of the needs of people with cancer and support people Type
Year 1995 Publication Abbreviated Journal (up) Author, Wellington Division of the Cancer Society
Volume Issue Pages
Keywords
Abstract The report of a research project commissioned by the Wellington Division of the New Zealand Cancer Society to provide a foundation for policy to give direction to development of its services. The research approach and methodology had an ecological theory foundation. It involved a survey and in-depth interviews with people with cancer and those caring for them to understand their experience. Needs were identified from the data and presented according to three distinct phases in the course of living with cancer. People moved from the shock of diagnosis, through the time of treatment when usual living was suspended and focus narrowed on the intensive fight against the disease, then into a very different phase of on-going ?wait-and-see? time requiring a new way of living with uncertainty for both patient and carers. The last phase was where most of the unmet needs lay. Recommendations were made for services to provide a continuous caring relationship for patients and carers with a knowledgeable person from the point of diagnosis.
Call Number NRSNZNO @ research @ Serial 387
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Author Litchfield, M.; Connor, M.; Eathorne, T.; Laws, M.; McCombie, M.-L.; Smith, S.
Title Family nurse practice in a nurse management scheme: a pilot service study for the health reforms Type
Year 1994 Publication Abbreviated Journal (up) Centre for Initiative in Nursing & Health Care, P.
Volume Issue Pages
Keywords
Abstract The independently funded 10 month pilot project demonstrated the autonomy of nursing practice for a new role family nurse. The findings were presented as the health experience of families in strife with complex health circumstances, a description of a beginning model for the nursing practice that addressed the needs of these families as their circumstances changed over time, and its cost-effectiveness. A caseload of nineteen families was found to be optimum. The evaluation research continued throughout as a form of praxis expressed as health patterning, a methodology developed in previous research (Litchfield, 1993). The family nurse'spractice demonstrated qualities common to all nurses: the caring relationship and fiscal responsibility. The unique practice was characterised by a professional partnership of limited duration: the families referred to the service in a predicament of strife, trapped in the immediate present, gained a view to a future, moved towards assuming control over health circumstances, seeking and using services with discernment, and increasing community as family/group members and citizens. Cost containment was achieved through: a) development of a co-operative approach amongst family members, between families and professionals, and amongst all health workers, and b) the families discerning use of services by anticipating a future. Through one family case, cost of saving over the 7 months with the family nurse was estimated as $4000, a possible saving of $16000 over 13 months if the family nurse had been involved earlier, and projected savings in the long term of over a million dollars. The satisfaction of clients, nurses and professionals was shown. The service was positioned within the new health system of health reforms
Call Number NRSNZNO @ research @ 389 Serial 389
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Author Litchfield, M.; McCombie, M.-L.
Title The introduction of an advanced nurse practitioner role in mental health: report of the evaluation research undertaken for the Mental Health Service of Capital Coast Health Ltd Type
Year 1994 Publication Abbreviated Journal (up) Chief Nurse Advisor, Ministry of Health, PO Box 50
Volume Issue Pages
Keywords
Abstract The study was commissioned to define the role of Advanced Nurses Practitioner to inform the establishment of a clinical career pathway. Four new, loosely defined ANP positions were created and the role evolution over three months was described. The impact on the multidisciplinary team functioning was to be given particular attention. The research design was developed in collaboration with the ANP Project Team of the service. Data were derived from surveys of nurses in the units and other staff before and at the end of the 3 months period; interviews with the ANPs and official client advocates; daily journals and weekly logs kept by the ANPs; statistical records of patient loads and staffing. The findings presented the role as the interface of unit management and direct client care, with the ANPs orchestrating the activities of the unit. The ANPs developed the role differently according to quite distinct conceptualisations of nursing which influenced whether direct client care was pivotal or peripheral to the role. This had an effect on whether the strains of the service were seen as inhibitory of focal to the development of the ANP practice. There was little change in unit staff satisfaction. Attempts to incorporate client advocacy to determine change in client satisfaction were unsuccessful. The ANPs used the research as a process of role development
Call Number NRSNZNO @ research @ 386 Serial 386
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Author Litchfield, M.
Title Computers and the form of nursing to come Type Conference Article
Year 1992 Publication Abbreviated Journal (up) Held by NZNO Library and author
Volume Proceedings of the Inaugural National Nursing Info Issue Pages 81-90
Keywords Nursing: Computers; Technology
Abstract A paper presented at the annual conference of Nursing Informatics New Zealand (subsequently incorporated into the collective organisation, Health Informatics NZ).
Call Number NZNO @ research @ Serial 1317
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Author Litchfield, M.
Title The language of nursing practice in hospitals Type Conference Article
Year 1997 Publication Abbreviated Journal (up) held by NZNO Library and author
Volume Proceedings of the National Nursing Informatics Co Issue Pages
Keywords Hospitals; Nurse managers; Advanced nursing practice; Nurse-patient relations; Care plans
Abstract A paper presenting the findings of a small research project involving a group of self-selected senior nurses of Wellington Hospital to explore the nature of nursing practice in the care and management of hospitalised patients and to formalise the language that would acknowledge its significance in the current effort of hospitals to define patient care pathways. The nature of hospital nursing practice was described in themes of a generic process of nurse-patient care that articulates a distinct specialism of hospital nursing, whatever the hospital department in which nurses hold positions.
Call Number NZNO @ research @ Serial 1322
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