|   | 
Details
   web
Records
Author Speed, G.
Title Advanced nurse practice Type Journal Article
Year 2003 Publication Nursing dialogue: A Professional Journal for nurses Abbreviated Journal (down)
Volume 10 Issue Pages 6-12
Keywords Nurse practitioners; Cross-cultural comparison; Law and legislation; Advanced nursing practice
Abstract The concept and characteristics of advanced nursing practice in New Zealand and overseas is compared with the nurse practitioner role. There is an international debate over definitions of advanced nursing and the range of roles that have developed. The rationale for the nurse practitioner role in New Zealand is examined, along with the associated legislation currently before Parliament. Job titles and roles of nurses within the Waikato Hospital intensive care unit are discussed and ways of developing the role of nurse practitioner are presented.
Call Number NRSNZNO @ research @ Serial 1096
Permanent link to this record
 

 
Author Kinealy, T.; Arroll, B.; Kenealy, H.; Docherty, B.; Scott, D.; Scragg, R.; Simmons, D.
Title Diabetes care: Practice nurse roles, attitudes and concerns Type Journal Article
Year 2004 Publication Journal of Advanced Nursing Abbreviated Journal (down)
Volume 48 Issue 11 Pages 68-75
Keywords Diabetes Type 2; Practice nurses; Attitude of health personnel; Primary health care
Abstract The aim of this paper is to report a study to compare the diabetes-related work roles, training and attitudes of practice nurses in New Zealand surveyed in 1990 and 1999, to consider whether barriers to practice nurse diabetes care changed through that decade, and whether ongoing barriers will be addressed by current changes in primary care. Questionnaires were mailed to all 146 practice nurses in South Auckland in 1990 and to all 180 in 1999, asking about personal and practice descriptions, practice organisation, time spent with patients with diabetes, screening practices, components of care undertaken by practice nurses, difficulties and barriers to good practice, training in diabetes and need for further education. The 1999 questionnaire also asked about nurse prescribing and influence on patient quality of life. More nurses surveyed in 1999 had post-registration diabetes training than those in 1990, although most of those surveyed in both years wanted further training. In 1999, nurses looked after more patients with diabetes, without spending more time on diabetes care than nurses in 1990. Nevertheless, they reported increased involvement in the more complex areas of diabetes care. Respondents in 1999 were no more likely than those in 1990 to adjust treatment, and gave a full range of opinion for and against proposals to allow nurse prescribing. The relatively low response rate to the 1990 survey may lead to an underestimate of changes between 1990 and 1999. Developments in New Zealand primary care are likely to increase the role of primary health care nurses in diabetes. Research and evaluation is required to ascertain whether this increasing role translates into improved outcomes for patients.
Call Number NRSNZNO @ research @ Serial 1100
Permanent link to this record
 

 
Author Harris, C.; Crozier, I.; Smyth, J.; Elliot, J.; Watson, P.B.; Sands, J.; Cuddihy, R.
Title An audit of percutaneous coronary intervention (PCI) patients representing acutely with chest pain within six months of PCI Type Manuscript
Year 2007 Publication Abbreviated Journal (down)
Volume Issue Pages
Keywords Hospitals; Clinical assessment; Cardiovascular diseases; Guidelines; Teaching methods
Abstract This reports an audit of the assessment practices at Christchurch Hospital, compared to international guidelines. The clinical notes of all patients who were re- admitted acutely with chest pain within six months of PCI procedures performed between 1/4/05 and 30/9/05 were audited. Ethics approval was granted and an audit tool was designed based on the 2000 ACC/AHA Guidelines for the management of patients with unstable angina. The purpose of the audit was to determine to what extent best practice guidelines were followed in the assessment of patients re-admitted with chest pain and to determine if there were any indicators (lesional, procedural or risk factors for restenosis) that predicted a normal or abnormal repeat coronary angiogram. 448 consecutive patients had PCI procedures, 36 patients represented acutely with chest pain and had repeat coronary angiography. In 18 patients the coronary angiogram was unchanged, 11 patients demonstrated instent restenosis, one patient demonstrated thrombus and six patients developed new lesions. The authors concluded that at Christchurch Hospital assessment practices are consistent with international guidelines. Of the patients who had repeat angiography, 50% had no coronary obstruction for the cause of pain. There was a relatively low incidence of acute representation with chest pain. These results suggest a revision of the guidelines for repeat angiography following PCI is warranted.
Call Number NRSNZNO @ research @ Serial 1157
Permanent link to this record
 

 
Author Kirkman, A.; Dixon, D.A.
Title Nurses at university: Negotiating academic, work and personal pathways Type Book Chapter
Year 2003 Publication Davey,J., Neale, J., Morris Mathews, K. , Living and learning: Experiences of university after age 40 (pp. 93-108) Abbreviated Journal (down)
Volume Issue Pages
Keywords Nursing; Education; Careers in nursing
Abstract
Call Number NRSNZNO @ research @ Serial 1160
Permanent link to this record
 

 
Author Litchfield, M.; Laws, M.
Title Achieving family health and cost-containment outcomes: Innovation in the New Zealand Health Sector Reforms Type Book Chapter
Year 1999 Publication Cohen,E. & De Back,V. (Eds.), The outcomes mandate: New roles, rules and relationships. Case management in health care today (pp. 306-316) Abbreviated Journal (down)
Volume Issue Pages
Keywords Advanced nursing practice; Nurse managers; Teamwork; Nurse-family relations; Leadership; Health reforms
Abstract The chapter presents the research findings of the 1992-1993 Wellington Nurse Case Management Scheme Project as a distinct model of nurse case management, which introduced a role and form of practice of a family nurse and a diagram of the service delivery structure required for support and relevant for the New Zealand health system reforms.
Call Number NRSNZNO @ research @ Serial 1169
Permanent link to this record
 

 
Author Jonsdottir, H.; Litchfield, M.; Pharris, M.
Title Partnership in practice Type Journal Article
Year 2003 Publication Research & Theory for Nursing Practice Abbreviated Journal (down)
Volume 17 Issue 1 Pages 51-63
Keywords Nurse-patient relations; Nursing philosophy; Nursing research
Abstract This article presents a reconsideration of partnership between nurse and client as the core of the nursing discipline. It points to the significance of the relational nature of partnership, differentiating its features and form from the prevalent understanding associated with prescriptive interventions to achieve predetermined goals and outcomes. The meaning of partnership is presented within the nursing process where the caring presence of the nurse becomes integral to the health experience of the client as the potential for action. Exemplars provide illustration of this emerging view in practice and research. This is the first of a series of articles written as a partnership between nurse scholars from Iceland, New Zealand and the USA. The series draws on research projects that explored the philosophical, theoretical, ethical and practical nature of nursing practice and its significance for health and healthcare in a world of changing need.
Call Number NRSNZNO @ research @ Serial 1172
Permanent link to this record
 

 
Author Litchfield, M.; Jonsdottir, H.
Title A practice discipline that's here and now Type Journal Article
Year 2008 Publication Advances in Nursing Science Abbreviated Journal (down)
Volume 31 Issue 1 Pages 79-92
Keywords Nursing research; Policy; Nursing philosophy
Abstract The article is a collaborative writing venture drawing on research findings from New Zealand and Iceland to contribute to the international scholarship on the status and future direction of the nursing discipline. It takes an overview of the international historical trends in nursing knowledge development and proposes a framework for contemporary nursing research that accommodates the past efforts and paradigms of nurse scholars and reflects the changing thinking around the humanness of the health circumstance as the focus of the nursing discipline. It addresses contemporary challenges facing nurses as practitioners and researchers for advancement of practice and delivery of health services, and for influencing health policy.
Call Number NRSNZNO @ research @ Serial 1174
Permanent link to this record
 

 
Author Litchfield, M.
Title The nation's health and our response Type Conference Article
Year 1992 Publication Abbreviated Journal (down)
Volume Keynote address at the 1992 NERF/NZNZ National Nur Issue Pages
Keywords Nursing; Health reforms; Nurse-family relations
Abstract An analysis of the challenges for the nursing profession of the Government's health reforms. The findings of the 10-month Wellington Nurse Case Management Project 1991-1992, including the description of family nursing practice, what it achieved for health and the service delivery model that would position family nurses in the health reforms were used to provide an exemplar for the nuyrising contribution to health policy for the health reforms. The paper identified a vacum for the reorientating of health care provision to patients/clients and health need and the call to nursesw to take leadership in goving direction to the reorientation.
Call Number NZNO @ research @ Serial 1319
Permanent link to this record
 

 
Author Crawford, R.
Title Nutrition: Is there a need for nurses working with children and families to offer nutrition advice? Type Journal Article
Year 2001 Publication Vision: A Journal of Nursing Abbreviated Journal (down)
Volume 7 Issue 13 Pages 10-15
Keywords Paediatric nursing; Community health nursing; Nurse-family relations; Socioeconomic factors; Diet
Abstract Using nursing and associated literature, the relevance of nutrition in the care of children and families is highlighted in this article. The role of a nurse in providing nutrition advice and interventions is examined, in the context of social and economic pressures on the provision of a healthy diet. Relevant examples of the provision of such advice is provided, along with competencies required to achieve this in practice.
Call Number NRSNZNO @ research @ Serial 1276
Permanent link to this record
 

 
Author Lichfield, M.
Title The paediatric nurse and the child in hospital Type Journal Article
Year 1974 Publication New Zealand Nursing Journal Abbreviated Journal (down)
Volume 67 Issue 11 Pages
Keywords Paediatric nursing; Nurse-family relations; Nurse managers
Abstract A paper intended to inform paediatric nurses and influence service policy and management, adapted from a presentation at an inservice education study day for nurses at Wellington Hospital. The paper grew out of the findings of a small research project undertaken by the author as part of nursing practice in a paediatric ward of Wellington Hospital. The observations of the stress in the experience of infants and parents and the ambiguities inherent in the relationships between parents and nurses were the basis for arguing for changes in nursing practice and ward management.
Call Number NZNO @ research @ Serial 1312
Permanent link to this record
 

 
Author Litchfield, M.
Title Between the idea and reality Type Journal Article
Year 1986 Publication Nursing Praxis in New Zealand Abbreviated Journal (down)
Volume 1 Issue 2 Pages 17-29
Keywords Nursing research; Nursing philosophy; Diagnosis; Evaluation
Abstract A paper presented as one of the four “Winter Lecture Series” hosted by the Nursing Studies unit of the Department of Education, Victoria University of Wellington. It is a critique of “ The Nursing Process” referred to commonly in nursing education programmes. It challenges the usefulness for nursing of the linear sequence of steps of assessment, diagnosis, planning, intervention and evaluation.
Call Number NZNO @ research @ Serial 1313
Permanent link to this record
 

 
Author Litchfield, M.
Title Priorities for research Type Journal Article
Year 1993 Publication kai Tiaki: Nursing New Zealand Abbreviated Journal (down)
Volume 1 Issue 8 Pages 28-30
Keywords Nursing research
Abstract An article adapted from the author's contribution as an invited member of the International Panel of Nurse Researchers leading the Special Research Seminar of the 1993 International Council of Nurses Quadrennial Congress, Madrid, Spain. The priorities of nursing research in New Zealand were derived from the findings of a semi-structured survey of the opinions of nurses in academic settings.
Call Number NZNO @ research @ Serial 1320
Permanent link to this record
 

 
Author Litchfield, M.
Title Viewpoint: Telling nursing stories Type Journal Article
Year 1994 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (down)
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
Permanent link to this record
 

 
Author Litchfield, M.
Title Case management and nurses Type Journal Article
Year 1998 Publication Nursing Praxis in New Zealand Abbreviated Journal (down)
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
Permanent link to this record
 

 
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 (down)
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
Permanent link to this record