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Author |
Litchfield, M. |
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Title |
The process of nursing partnership in family health |
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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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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.; McCombie, M.-L. |
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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 |
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Year |
1994 |
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Abbreviated Journal |
Chief Nurse Advisor, Ministry of Health, PO Box 50 |
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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 |
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Call Number |
NRSNZNO @ research @ 386 |
Serial |
386 |
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Author |
Litchfield, M.; Clarke, M.; Edwards, R.; Richardson, F.; Tansley, R.; Woodman, K. |
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Title |
A description of the needs of people with cancer and support people |
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Year |
1995 |
Publication |
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Abbreviated Journal |
Author, Wellington Division of the Cancer Society |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
387 |
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Author |
Litchfield, M. |
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Title |
Survey of child health care in primary schools in the Wellington area |
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Year |
1979 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
Author, New Zealand Nurses Association Library, We |
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Volume |
75 |
Issue |
2 |
Pages |
18-20 |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
388 |
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Author |
Litchfield, M.; Connor, M.; Eathorne, T.; Laws, M.; McCombie, M.-L.; Smith, S. |
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Title |
Family nurse practice in a nurse management scheme: a pilot service study for the health reforms |
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Year |
1994 |
Publication |
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Abbreviated Journal |
Centre for Initiative in Nursing & Health Care, P. |
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Issue |
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Pages |
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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 |
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Call Number |
NRSNZNO @ research @ 389 |
Serial |
389 |
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Author |
Anderson, M. |
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Title |
Universal change – individual responses: women's experience of the menopause and of taking hormone replacement therapy |
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Year |
1998 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 392 |
Serial |
392 |
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Author |
Dyson, L. |
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Title |
The role of the lecturer in the preceptor model of clinical teaching |
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Year |
1998 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 395 |
Serial |
395 |
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Author |
Orchard, S.H. |
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Title |
Characteristics of the clinical education role as percieved by registered nurses working in the practice setting |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 397 |
Serial |
397 |
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Author |
Wilson, D. |
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Title |
Through the looking glass: nurses' responses to women experiencing partner abuse |
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Year |
1997 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Volume |
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Issue |
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Pages |
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Call Number |
NRSNZNO @ research @ 402 |
Serial |
402 |
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Author |
Davenport, F.A. |
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Title |
A descriptive study of the spiritual needs of patients with leukemia |
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Year |
1998 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 403 |
Serial |
403 |
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Author |
Richardson, A. |
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Title |
Health promotion and public health nursing |
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Year |
1998 |
Publication |
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Abbreviated Journal |
University of Otago Library |
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Pages |
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Call Number |
NRSNZNO @ research @ 405 |
Serial |
405 |
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Author |
Henderson, A.P. |
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Title |
Nursing a colonial hangover: towards bicultural planning in New Zealand |
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Year |
1994 |
Publication |
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Abbreviated Journal |
University of Otago Library |
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Call Number |
NRSNZNO @ research @ 409 |
Serial |
409 |
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Author |
Blanchard, D.L. |
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Title |
Nursing practice in the changing health care environment “just keep going until you see it right” |
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Year |
1995 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Call Number |
NRSNZNO @ research @ 410 |
Serial |
410 |
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Author |
Dowland, J. |
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Title |
A look at nursing in three surgical wards |
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Year |
1975 |
Publication |
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Abbreviated Journal |
Management Services and Research Unit, Department |
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Call Number |
NRSNZNO @ research @ 414 |
Serial |
414 |
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Author |
McEldowney, R.A. |
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Title |
A new lamp is shining: life histories of five feminist nurse educators |
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Year |
1992 |
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Call Number |
NRSNZNO @ research @ 439 |
Serial |
439 |
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