| Records |
| 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 |
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.; 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 |
|
Issue |
|
Pages |
|
| 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.; 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 |
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| Volume |
21 |
Issue |
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.; Jonsdottir, H. |
| Title |
A practice discipline that's here and now |
Type |
Journal Article |
| Year |
2008 |
Publication |
Advances in Nursing Science |
Abbreviated Journal |
|
| Volume |
31 |
Issue |
1 |
Pages |
79-92 |
| Keywords |
Nursing research; Policy; Nursing philosophy |
| Abstract |
The article is a collaborative writing venture drawing on research findings from New Zealand and Iceland to contribute to the international scholarship on the status and future direction of the nursing discipline. It takes an overview of the international historical trends in nursing knowledge development and proposes a framework for contemporary nursing research that accommodates the past efforts and paradigms of nurse scholars and reflects the changing thinking around the humanness of the health circumstance as the focus of the nursing discipline. It addresses contemporary challenges facing nurses as practitioners and researchers for advancement of practice and delivery of health services, and for influencing health policy. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1174 |
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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 |
|
Issue |
|
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 |
| Permanent link to this record |
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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 |
|
Issue |
|
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.; 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 |
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 |
| Permanent link to this record |
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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. |
| Title |
Case management and nurses |
Type |
Journal Article |
| Year |
1998 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| 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 |
| Permanent link to this record |
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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 |
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.; 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. |
| 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 |
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 |
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| Volume |
47 |
Issue |
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 |
| Permanent link to this record |
