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Litchfield, M. (2004). Achieving health in a rural community: A case study of nurse – community partnership. Wellington: Litchfield Healthcare Associates.
Abstract: This study describes rural, nurse-led health services provided by the Takapau Health Centre (Central Hawkes Bay) and its outreach, Norsewood & District Health Centre. The study looks at its model of service delivery through to 2002. It examines the establishment, development, funding and management of the service, along with the nursing practice and the healthcare people received. The book is a snapshot of nursing initiative and survival through a decade of change in health policy and service funding and delivery. The information was subsequently used to move the health centre service into the new paradigm of primary health care launched in the New Zealand Health Strategy.
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Litchfield, M. (2001). A framework of complementary models of nursing practice: A study of nursing roles and practice for a new era of healthcare provision in New Zealand. Christchurch: Centre for Rural Health.
Abstract: This is the second of a series of research projects undertaken to present the contemporary picture of the nurse workforce and their work in rural settings to inform policy for development of rural healthcare. The document presents the findings of telephone interviews with nurses in different work rural work settings around the country discussing their practice. The analysis identified a framework of four models of nursing practice: two traditional models defined by the institutions employing nurses, and two emerging models defined by the new positions requiring nurses to respond directly to health need.
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Litchfield, M. (1999). Practice wisdom. Advances in Nursing Science, 22(2), 62–73.
Abstract: The paper is the report of two cumulative research projects studying the nature of nursing knowledge and methodology to develop it. They were undertaken as theses for masters and doctoral degrees at the University of Minnesota, USA. Nursing knowledge is depicted as relational: an evolving participatory process of research-as-if-practice of which 'health' (its meaning), dialogue, partnership and pattern recognition are threads inter-related around personal values of vision and community.
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Litchfield, M. (1998). Professional development: Developing a new model of integrated care. Kai Tiaki: Nursing New Zealand, 4(9), 23–25.
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.
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Litchfield, M. (1998). Case management and nurses. Nursing Praxis in New Zealand, 13(2), 26–35.
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.
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Litchfield, M. (1998). The scope of advancing nursing practice. Nursing Praxis in New Zealand, 13(3), 13–24.
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)).
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Litchfield, M. (1998). What is nursing research? 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., .
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.
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Litchfield, M. (1997). The language of nursing practice in hospitals. (Vol. Proceedings of the National Nursing Informatics Co).
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.
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Litchfield, M. (1994). Viewpoint: Telling nursing stories. Kai Tiaki: Nursing New Zealand, 2(4), 28.
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.
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Litchfield, M. (1993). Priorities for research. kai Tiaki: Nursing New Zealand, 1(8), 28–30.
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.
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Litchfield, M. (1992). Computers and the form of nursing to come. (Vol. Proceedings of the Inaugural National Nursing Info, pp. 81–90).
Abstract: A paper presented at the annual conference of Nursing Informatics New Zealand (subsequently incorporated into the collective organisation, Health Informatics NZ).
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Litchfield, M. (1992). The nation's health and our response. (Vol. Keynote address at the 1992 NERF/NZNZ National Nur).
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.
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Litchfield, M. (1992). Computers and the form of nursing to come. International Journal of Health Informatics, 1(1), 7–10.
Abstract: An invited paper for the initial issue of the IJHI. Adapted from a paper presented at the annual conference of Nursing Informatics New Zealand, 1991 (subsequently incorporated into the collective organisation, Health Informatics, NZ.
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Litchfield, M. (1991). Nursing education: Direction with purpose. Kai Tiaki: Nursing New Zealand, 84(7), 22–24.
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Litchfield, M. (1989). Knowledge embedded in practice. Kai Tiaki: Nursing New Zealand, 82(10), 24–25.
Abstract: A statement of the nature of research needed to distinguish the knowledge of nursing practice from knowledge developed by other disciplines. It orients to the interrelationship of practice and research as the foundation of the discipline of nursing.
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