| Records |
| Author |
Litchfield, M. |
| Title |
Towards a people-pivotal paradigm for healthcare: Report of the Turangi primary health care nursing innovation 2003-2006 |
Type |
Manuscript |
| Year |
2006 |
Publication |
|
Abbreviated Journal |
Held by the Ministry of Health, publication pending |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Evaluation; Community health nursing; Nursing models; Interprofessional relations |
| Abstract |
This report presents the findings of the developmental evaluation programme for the three-year innovation project. It includes the model of the integrative nursing service scheme with mobile whanau/family nurses as the hub of healthcare provision for a new paradigm of service design and delivery spanning primary-secondary-tertiary sectors. The form of healthcare the local people received, the nature of the nursing practice and role, service delivery and employment parameters required to support the nurses in practice are presented. The service configuration model subsequently gave the structure to Lake Taupo Primary Health Organisation with the hub of family nurses with a mobile comprehensive practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1178 |
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| Author |
Litchfield, M. |
| Title |
The nation's health and our response |
Type |
Conference Article |
| Year |
1992 |
Publication |
|
Abbreviated Journal |
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| Volume |
Keynote address at the 1992 NERF/NZNZ National Nur |
Issue |
|
Pages |
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| Keywords |
Nursing; Health reforms; Nurse-family relations |
| 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. |
| Call Number |
NZNO @ research @ |
Serial |
1319 |
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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 |
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 |
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 |
Viewpoint: Telling nursing stories |
Type |
Journal Article |
| Year |
1994 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
2 |
Issue |
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 |
Litchfield, M. |
| Title |
The language of nursing practice in hospitals |
Type |
Conference Article |
| Year |
1997 |
Publication |
|
Abbreviated Journal |
held by NZNO Library and author |
| Volume |
Proceedings of the National Nursing Informatics Co |
Issue |
|
Pages |
|
| Keywords |
Hospitals; Nurse managers; Advanced nursing practice; Nurse-patient relations; Care plans |
| 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. |
| Call Number |
NZNO @ research @ |
Serial |
1322 |
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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 |
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 |
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 |
| Permanent link to this record |
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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 |
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 |
What is nursing research? |
Type |
Journal Article |
| 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 |
| 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. |
| Call Number |
NZNO @ research @ |
Serial |
1326 |
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| Author |
Litchfield, M. |
| Title |
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 |
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Issue |
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Pages |
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| 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 |
| Permanent link to this record |
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| Author |
Litchfield, M. |
| Title |
The successful design and delivery of rural health services: The meaning of success |
Type |
Report |
| Year |
2002 |
Publication |
|
Abbreviated Journal |
Accessible from www.moh.govt.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Rural health services; Management; Primary health care |
| Abstract |
A report on the analysis of data from an in-depth survey designed by Sue Dawson, previously Rural Health Researcher in the Centre for Rural Health, and follow-up interviews. The study purpose was to construct a definition of ?successful design and delivery of rural health services? as a step towards a measurement tool. Participants were grouped as general practitioners (GPs), nurses and community representatives. A format for a participatory approach to evaluation of rural health services is derived from the criteria of success identified, with its relevance for the implementation of the new Government primary health care strategy explicit. This format provided the basis for a subsequent evaluation case study undertaken in a small rural forestry township by the Centre for Rural Health. |
| Call Number |
NZNO @ research @ |
Serial |
1328 |
| Permanent link to this record |
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| Author |
Litchfield, Merian |
| Title |
Nursing is -- and has -- a methodology: a nursing voice |
Type |
Journal Article |
| Year |
2021 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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| 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 |
| Permanent link to this record |
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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 |
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Abbreviated Journal |
Nursing Library. Victoria University, Wellington |
| Volume |
|
Issue |
|
Pages |
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| 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 |
| Permanent link to this record |
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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 |
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Abbreviated Journal |
Author, University of Minnesota Library |
| Volume |
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Issue |
|
Pages |
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| Keywords |
|
| 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 |
| Permanent link to this record |
