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Author Litchfield, M.; McCombie, M.-L.
Title (down) 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 Abbreviated Journal Chief Nurse Advisor, Ministry of Health, PO Box 50
Volume Issue Pages
Keywords
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.
Title (down) The innovation effort: ?Are you in or are you out?? Type Miscellaneous
Year 2007 Publication Abbreviated Journal http://www.moh.govt.nz/moh.nsf/pagesmh/7696/$File/mlitchfield.pdf
Volume Issue Pages
Keywords Nursing; Primary health care; Policy
Abstract A graphic presentation in PDF format (April 2007) of the findings and policy implications of the developmental evaluation research programme for the Turangi Primary Health Care Nursing Innovation.
Call Number NZNO @ research @ Serial 1327
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Author Litchfield, M.
Title (down) 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 (down) 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 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 (down) Priorities for research Type Journal Article
Year 1993 Publication kai Tiaki: Nursing New Zealand Abbreviated Journal
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
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Author Litchfield, M.
Title (down) Practice wisdom Type Journal Article
Year 1999 Publication Advances in Nursing Science Abbreviated Journal
Volume 22 Issue 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 Jonsdottir, H.; Litchfield, M.; Pharris, M.
Title (down) Partnership in practice Type Journal Article
Year 2003 Publication Research & Theory for Nursing Practice Abbreviated Journal
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
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Author Litchfield, Merian
Title (down) Nursing is -- and has -- a methodology: a nursing voice Type Journal Article
Year 2021 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 12 Issue 1 Pages 66-72
Keywords Nursing knowldege; Nursing voice; Nursing methodology
Abstract Argues that a nursing paradigm identifies and differentiates the nursing perspective on health, and reinterprets practical expertise. Posits that nurse researchers present their findings as practice wisdom. Suggests that the significance of nursing lies in its knowledgeable practitioners and that the nursing voice is a collective one. Emphasises the need for a distinctly nursing perspective on health in NZ.
Call Number NZNO @ research @ Serial 1721
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Author Litchfield, M.
Title (down) Nursing education: Direction with purpose Type Journal Article
Year 1991 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 84 Issue 7 Pages 22-24
Keywords Nursing education
Abstract
Call Number NZNO @ research @ Serial 1316
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Author van Wissen, K.A.; Litchfield, M.; Maling, T.
Title (down) Living with high blood pressure Type Journal Article
Year 1998 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 27 Issue 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 Litchfield, M.
Title (down) Knowledge embedded in practice Type Journal Article
Year 1989 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 82 Issue 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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Author Litchfield, M.; Connor, M.; Eathorne, T.; Laws, M.; McCombie, M.-L.; Smith, S.
Title (down) Family nurse practice in a nurse management scheme: a pilot service study for the health reforms Type
Year 1994 Publication Abbreviated Journal Centre for Initiative in Nursing & Health Care, P.
Volume Issue Pages
Keywords
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.; Connor, M.; Eathorne, T.; Laws, M.; McCrombie,; Smith, S.
Title (down) 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 Issue Pages
Keywords
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 (down) Computers and the form of nursing to come Type Conference Article
Year 1992 Publication Abbreviated Journal Held by NZNO Library and author
Volume Proceedings of the Inaugural National Nursing Info Issue Pages 81-90
Keywords Nursing: Computers; Technology
Abstract A paper presented at the annual conference of Nursing Informatics New Zealand (subsequently incorporated into the collective organisation, Health Informatics NZ).
Call Number NZNO @ research @ Serial 1317
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Author Litchfield, M.
Title (down) Computers and the form of nursing to come Type Journal Article
Year 1992 Publication International Journal of Health Informatics Abbreviated Journal
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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