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Author  |
Litchfield, M. |
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Title |
Case management and nurses |
Type |
Journal Article |
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Year |
1998 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
2 |
Pages |
26-35 |
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Keywords |
Nursing; Care plans |
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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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Call Number |
NZNO @ research @ |
Serial |
1323 |
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Author |
Litchfield, M. |
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Title |
The scope of advancing nursing practice |
Type |
Journal Article |
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Year |
1998 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
3 |
Pages |
13-24 |
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Keywords |
Nursing specialties; Nursing |
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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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Call Number |
NZNO @ research @ |
Serial |
1325 |
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Author |
Litchfield, M. |
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Title |
What is nursing research? |
Type |
Journal Article |
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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 |
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Volume |
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Issue |
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Pages |
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Keywords |
Nursing research; Nursing |
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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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Call Number |
NZNO @ research @ |
Serial |
1326 |
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Author |
Litchfield, M. |
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Title |
The language of nursing practice in hospitals |
Type |
Conference Article |
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Year |
1997 |
Publication |
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Abbreviated Journal |
held by NZNO Library and author |
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Volume |
Proceedings of the National Nursing Informatics Co |
Issue |
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Pages |
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Keywords |
Hospitals; Nurse managers; Advanced nursing practice; Nurse-patient relations; Care plans |
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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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Call Number |
NZNO @ research @ |
Serial |
1322 |
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Author |
Litchfield, M. |
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Title |
The process of nursing partnership in family health |
Type |
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Year |
1997 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
University of Minnesota Library |
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Volume |
4 |
Issue |
9 |
Pages |
23-25 |
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Keywords |
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Abstract |
The study reconceptualises the process of nursing practice where health is expanding consciousness. The praxis methodology and design derive from the findings of the previous study (Litchfield, 1993) through which a framework for personal practice was articulated. The philosophical premises were hermeneutic and dialogic reflecting a narrative orientation within a participatory paradigm. Ontology and epistemology merge and language is fundamental. The findings from this subsequent study depict the process of modeling practice as a tetrahedron to show inter-relatedness of four facets, each defined completely by the others: partnership, dialogue, pattern recognition and health as dialectic. Five young families with complex health circumstances were preferred by Plunket Nurses and visited at hole to talk about health and the family. Th e process of health patterning ended with indication of insight as the potential for action; the partnership ended as the closure of the initial contract to provide a summary text to the family. Transformative change in family living was identified. The continuous analysis of the scripts of the evolving conversations and summary text showed the relational, dialogic processes were identified as vision – finding purpose to act in the here-and-now against the backdrop of past and potential of the future; and community – a sense of being connected, participant and relevant in society. This process of research, as if practice, presented health and caring as synonymous and core of the discipline of nursing |
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Call Number |
NRSNZNO @ research @ 385 |
Serial |
385 |
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Author |
Litchfield, M. |
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Title |
Viewpoint: Telling nursing stories |
Type |
Journal Article |
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Year |
1994 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
2 |
Issue |
4 |
Pages |
28 |
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Keywords |
Nursing research; Ethics; Patient rights |
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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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Call Number |
NZNO @ research @ |
Serial |
1321 |
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Author |
Litchfield, M. |
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Title |
The process of health patterning in families with young children who have been repeatedly hospitalised |
Type |
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Year |
1993 |
Publication |
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Abbreviated Journal |
Author, University of Minnesota Library |
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Volume |
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Issue |
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Pages |
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Keywords |
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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 |
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Call Number |
NRSNZNO @ research @ 121 |
Serial |
121 |
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Author |
Litchfield, M. |
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Title |
Priorities for research |
Type |
Journal Article |
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Year |
1993 |
Publication |
kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
1 |
Issue |
8 |
Pages |
28-30 |
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Keywords |
Nursing research |
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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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Call Number |
NZNO @ research @ |
Serial |
1320 |
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Author |
Litchfield, M. |
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Title |
Computers and the form of nursing to come |
Type |
Conference Article |
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Year |
1992 |
Publication |
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Abbreviated Journal |
Held by NZNO Library and author |
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Volume |
Proceedings of the Inaugural National Nursing Info |
Issue |
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Pages |
81-90 |
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Keywords |
Nursing: Computers; Technology |
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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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Call Number |
NZNO @ research @ |
Serial |
1317 |
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Author |
Litchfield, M. |
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Title |
The nation's health and our response |
Type |
Conference Article |
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Year |
1992 |
Publication |
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Abbreviated Journal |
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Volume |
Keynote address at the 1992 NERF/NZNZ National Nur |
Issue |
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Pages |
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Keywords |
Nursing; Health reforms; Nurse-family relations |
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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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Call Number |
NZNO @ research @ |
Serial |
1319 |
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Author |
Litchfield, M. |
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Title |
Computers and the form of nursing to come |
Type |
Journal Article |
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Year |
1992 |
Publication |
International Journal of Health Informatics |
Abbreviated Journal |
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Volume |
1 |
Issue |
1 |
Pages |
7-10 |
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Keywords |
Computers; Nursing; Technology |
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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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Call Number |
NZNO @ research @ |
Serial |
1318 |
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Author |
Litchfield, M. |
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Title |
Nursing education: Direction with purpose |
Type |
Journal Article |
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Year |
1991 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
84 |
Issue |
7 |
Pages |
22-24 |
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Keywords |
Nursing education |
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Abstract |
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Call Number |
NZNO @ research @ |
Serial |
1316 |
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Author |
Litchfield, M. |
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Title |
Knowledge embedded in practice |
Type |
Journal Article |
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Year |
1989 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
82 |
Issue |
10 |
Pages |
24-25 |
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Keywords |
Nursing research; diagnosis; Education; Nursing philosophy |
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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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Call Number |
NZNO @ research @ |
Serial |
1315 |
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Author |
Litchfield, M. |
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Title |
Thinking through diagnosis: Process in nursing practice |
Type |
Journal Article |
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Year |
1986 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
1 |
Issue |
4 |
Pages |
9-12 |
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Keywords |
Diagnosis; Nursing philosophy; Nursing research |
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Abstract |
A paper following on from the paper “Between the idea and reality” (Nursing Praxis in New Zealand 1(2), 17-29) proposing the focus for the discipline of nursing – practice and research – is diagnosis. For nursing practice, diagnosis is a practice that collapses “The Nursing Process”; for research to develop nursing practice, diagnosis is one continuous relational process that merges and makes the separate tasks od assessment, intervention and evaluation redundant. |
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Call Number |
NZNO @ research @ |
Serial |
1314 |
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Author |
Litchfield, M. |
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Title |
Between the idea and reality |
Type |
Journal Article |
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Year |
1986 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
1 |
Issue |
2 |
Pages |
17-29 |
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Keywords |
Nursing research; Nursing philosophy; Diagnosis; Evaluation |
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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. |
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Call Number |
NZNO @ research @ |
Serial |
1313 |
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