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Author Litchfield, M.
Title The process of nursing partnership in family health Type
Year 1997 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal University of Minnesota Library
Volume 4 Issue (down) 9 Pages 23-25
Keywords
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
Call Number NRSNZNO @ research @ 385 Serial 385
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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
Volume 4 Issue (down) 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 Priorities for research Type Journal Article
Year 1993 Publication kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 1 Issue (down) 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
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Author Litchfield, M.
Title Nursing education: Direction with purpose Type Journal Article
Year 1991 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 84 Issue (down) 7 Pages 22-24
Keywords Nursing education
Abstract
Call Number NZNO @ research @ Serial 1316
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Author Litchfield, M.; Noroian, E.
Title Changes in selected pulmonary functions in patients diagnosed with myasthenia gravis Type Journal Article
Year 1989 Publication Journal of Neuroscience – Nursing Abbreviated Journal
Volume 21 Issue (down) 6 Pages 375-381
Keywords
Abstract Patients with myisthenia gravis (MG) face major pulmary problems as a part of the disease process. In this descriptive study, changes in selected pulmonary functions (respiratory rate, negative inspiratory force, tidal volume and forced total capacity) in 14 patients diagnosed with mild or moderate MG were measured every two hours from 8.00 a.m. to 8.00 p.m. Females comprised 64% of the sample while 36% were males. All subjects received anticholnesterase medication, and some subjects received additional treatment modalities. Most of the subjects were non-smokers or previous smokers, but two subjects continued to smoke. Ninety-three recent of the sample had forced vital capacities less than 60% of their predicted values. Myasthenic forced vital capacities were significantly lower (p=.0000) than those predicted for normal subjects. The inspiratory force for the sample was low sat 8:00 a.m. as well as in females over 55 years of age. There was a wide variation in total volume to normal values derived from random tables and predicted equations ws not significant. Th major implications from this study are the need to assess pulmonary function in the hospitalized myasthenic every two hours, and the need for a program of coughing, deep breathing and sighing after medication administration when the muscles are strongest
Call Number NRSNZNO @ research @ 370 Serial 370
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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
Volume 1 Issue (down) 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 Viewpoint: Telling nursing stories Type Journal Article
Year 1994 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 2 Issue (down) 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 van Wissen, K.A.; Litchfield, M.; Maling, T.
Title Living with high blood pressure Type Journal Article
Year 1998 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 27 Issue (down) 3 Pages 567-574
Keywords
Abstract An interdisciplinary (nursing-medicine) collaboration in a qualitative descriptive research project undertaken in the Wellington School of Medicine with New Zealand Health Research Council funding. The purpose was to inform the practice of nursing and medical practitioners. A group of patients were interviewed in their homes. Their experience of having a diagnosis of hypertension and prescription of long-term treatment requiring adjustment in their lives and the lives of their families is presented as themes.
Call Number NRSNZNO @ research @ Serial 360
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Author Jonsdottir, H.; Litchfield, M.; Pharris, M.
Title The relational core of nursing practice as partnership Type Journal Article
Year Publication Journal of Advanced Nursing Abbreviated Journal
Volume 47 Issue (down) 3 Pages 241-250
Keywords Nurse-patient relations; Nursing philosophy; Nursing research
Abstract This article elaborates the meaning of partnership in practice for nurses practising in different and complementary way to nurses in specialist roles and medical practitioners. It positions partnership as the relational core of nursing practice. Partnership is presented as an evolving dialogue between nurse and patient, which is characterised by open, caring, mutually responsive and non-directive approaches. This partnership occurs within a health system that is dominated by technologically-driven, prescriptive, and outcome-oriented approaches. It is the second of a series of articles written as a partnership between nurse scholars from Iceland, NZ and USA.
Call Number NRSNZNO @ research @ 1188 Serial 1173
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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
Volume 13 Issue (down) 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 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 (down) 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 Practice wisdom Type Journal Article
Year 1999 Publication Advances in Nursing Science Abbreviated Journal
Volume 22 Issue (down) 2 Pages 62-73
Keywords Nursing research; Nursing; Health knowledge
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.
Call Number NRSNZNO @ research @ 1186 Serial 1171
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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
Volume 1 Issue (down) 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 Case management and nurses Type Journal Article
Year 1998 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 13 Issue (down) 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 Knowledge embedded in practice Type Journal Article
Year 1989 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 82 Issue (down) 10 Pages 24-25
Keywords Nursing research; diagnosis; Education; Nursing philosophy
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.
Call Number NZNO @ research @ Serial 1315
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