| Records |
| 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 |
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 |
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 |
|
Abbreviated Journal |
Chief Nurse Advisor, Ministry of Health, PO Box 50 |
| Volume |
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Issue |
|
Pages |
|
| 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.; 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 |
|
Abbreviated Journal |
Centre for Initiative in Nursing & Health Care, P. |
| Volume |
|
Issue |
|
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.; 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 |
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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. |
| Title |
Thinking through diagnosis: Process in nursing practice |
Type |
Journal Article |
| Year |
1986 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
1 |
Issue |
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 |
Knowledge embedded in practice |
Type |
Journal Article |
| Year |
1989 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| 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. |
| Title |
Nursing education: Direction with purpose |
Type |
Journal Article |
| Year |
1991 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
84 |
Issue |
7 |
Pages |
22-24 |
| Keywords |
Nursing education |
| Abstract |
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| Call Number |
NZNO @ research @ |
Serial |
1316 |
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| Author |
Litchfield, M. |
| Title |
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 |
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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| 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 |
|
| 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 |
| Permanent link to this record |
