| Records |
| Author |
Litchfield, M. |
| Title |
Nursing education: Direction with purpose |
Type |
Journal Article |
| Year |
1991 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
84 |
Issue |
7 |
Pages  |
22-24 |
| Keywords |
Nursing education |
| Abstract |
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| Call Number |
NZNO @ research @ |
Serial |
1316 |
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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 |
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 |
Between the idea and reality |
Type |
Journal Article |
| Year |
1986 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| 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 |
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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 |
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| 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 |
Thinking through diagnosis: Process in nursing practice |
Type |
Journal Article |
| Year |
1986 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
1 |
Issue |
4 |
Pages |
9-12 |
| Keywords |
Diagnosis; Nursing philosophy; Nursing research |
| 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. |
| Call Number |
NZNO @ research @ |
Serial |
1314 |
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| Author |
Litchfield, M. |
| Title |
Computers and the form of nursing to come |
Type |
Journal Article |
| Year |
1992 |
Publication |
International Journal of Health Informatics |
Abbreviated Journal |
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| Volume |
1 |
Issue |
1 |
Pages |
7-10 |
| Keywords |
Computers; Nursing; Technology |
| 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. |
| Call Number |
NZNO @ research @ |
Serial |
1318 |
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| Author |
Litchfield, M.; Connor, M.; Eathorne, T.; Laws, M.; McCrombie,; Smith, S. |
| Title |
Direction for nursing practice and service delivery in the New Zealand health reforms. Report of the pilot study of the Wellington professional nurse care management project |
Type |
|
| Year |
1993 |
Publication |
|
Abbreviated Journal |
Nursing Library. Victoria University, Wellington |
| Volume |
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Issue |
|
Pages |
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| Keywords |
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| Abstract |
Nursing practice as the process of health patterning with families in complex health circumstances was made explicit through a method of research praxis. Findings include cost in relation to quality of Nursing care. The research provides direction for development of integrated health care with the introduction of the family Nurse in a Nurse Care Management Scheme |
| Call Number |
NRSNZNO @ research @ 48 |
Serial |
48 |
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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 |
Author, University of Minnesota Library |
| Volume |
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Issue |
|
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 |
| Call Number |
NRSNZNO @ research @ 121 |
Serial |
121 |
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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 |
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Abbreviated Journal |
Chief Nurse Advisor, Ministry of Health, PO Box 50 |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| 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.; 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 |
Author, Wellington Division of the Cancer Society |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| 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 |
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Abbreviated Journal |
Centre for Initiative in Nursing & Health Care, P. |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| 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. |
| Title |
Achieving health in a rural community: A case study of nurse – community partnership |
Type |
Book Whole |
| Year |
2004 |
Publication |
|
Abbreviated Journal |
University and Polytechnic Libraries, NZNO Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Rural health services; Nursing models; Advanced nursing practice; Health promotion; Organisational change |
| 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. |
| Call Number |
NRSNZNO @ research @ 1183 |
Serial |
1168 |
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| 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 |
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| Volume |
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Issue |
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Pages |
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| 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 |
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| Author |
Litchfield, M. |
| Title |
The nursing praxis of family health |
Type |
Book Chapter |
| Year |
2005 |
Publication |
Picard, C & Jones, D., Giving voice to what we know (pp.73-82) |
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 philosophy; Nurse-family relations |
| Abstract |
The chapter explores the process of nursing practice and how it contributes to health, derived from research undertaken in New Zealand. It presents the nature of nursing research as if practice – the researcher as if practitioner – establishing a foundation for the development of nursing knowledge that would make a distinct contribution to health and health care. It includes the philosophy and practicalities of nursing through the use of a case study of nursing a family with complex health circumstances. |
| Call Number |
NRSNZNO @ research @ 1185 |
Serial |
1170 |
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| Author |
Litchfield, M.; Ross, J. |
| Title |
The role of rural nurses: National survey |
Type |
Report |
| Year |
2000 |
Publication |
|
Abbreviated Journal |
Online on the Ministry of Health's Centre for Rural Health pages |
| Volume |
|
Issue |
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Pages |
|
| Keywords |
Rural nursing; Personnel; Nursing specialties; Primary health care |
| Abstract |
A survey was used to reach as many nurses as possible involved with nursing in “rural” areas throughout New Zealand and to build a profile of nurses involved in the provision of healthcare beyond the urban centres. The contact also sought to inform nurses of the rural healthcare project and encourage them to contribute their experience to the development of health services in the new health service structure. Data is presented on the characteristics and employment conditions of nurses and access to resources including information technology. The inadequacy of information on the rural nurse workforce is identified: nurse roles are historically defined yet employment patterns are changing according to the workforce demands of new structures, and the existing definitions of rural health service design and delivery are only in terms of general medical practices and on-call coverage. Recommendations are made for definitions of “rurality” and “rural nurse” that will allow a more useful depiction of the nurse workforce. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1175 |
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