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Author Litchfield, M.; Ross, J.
Title The role of rural nurses: National survey Type Report
Year 2000 Publication Abbreviated Journal Online on the Ministry of Health's Centre for Rural Health pages
Volume Issue Pages
Keywords (down) Rural nursing; Personnel; Nursing specialties; Primary health care
Abstract A survey was used to reach as many nurses as possible involved with nursing in “rural” areas throughout New Zealand and to build a profile of nurses involved in the provision of healthcare beyond the urban centres. The contact also sought to inform nurses of the rural healthcare project and encourage them to contribute their experience to the development of health services in the new health service structure. Data is presented on the characteristics and employment conditions of nurses and access to resources including information technology. The inadequacy of information on the rural nurse workforce is identified: nurse roles are historically defined yet employment patterns are changing according to the workforce demands of new structures, and the existing definitions of rural health service design and delivery are only in terms of general medical practices and on-call coverage. Recommendations are made for definitions of “rurality” and “rural nurse” that will allow a more useful depiction of the nurse workforce.
Call Number NRSNZNO @ research @ Serial 1175
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Author Litchfield, M.
Title Achieving health in a rural community: A case study of nurse – community partnership Type Book Whole
Year 2004 Publication Abbreviated Journal University and Polytechnic Libraries, NZNO Library
Volume Issue Pages
Keywords (down) Rural health services; Nursing models; Advanced nursing practice; Health promotion; Organisational change
Abstract This study describes rural, nurse-led health services provided by the Takapau Health Centre (Central Hawkes Bay) and its outreach, Norsewood & District Health Centre. The study looks at its model of service delivery through to 2002. It examines the establishment, development, funding and management of the service, along with the nursing practice and the healthcare people received. The book is a snapshot of nursing initiative and survival through a decade of change in health policy and service funding and delivery. The information was subsequently used to move the health centre service into the new paradigm of primary health care launched in the New Zealand Health Strategy.
Call Number NRSNZNO @ research @ 1183 Serial 1168
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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 (down) 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
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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 Issue Pages
Keywords (down) 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 The nation's health and our response Type Conference Article
Year 1992 Publication Abbreviated Journal
Volume Keynote address at the 1992 NERF/NZNZ National Nur Issue Pages
Keywords (down) 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 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 (down) 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 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 (down) 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 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 (down) 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.; 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 (down) 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 Practice wisdom Type Journal Article
Year 1999 Publication Advances in Nursing Science Abbreviated Journal
Volume 22 Issue 2 Pages 62-73
Keywords (down) 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 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
Volume Issue Pages
Keywords (down) 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
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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 (down) 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 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
Volume Issue Pages
Keywords (down) 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 Viewpoint: Telling nursing stories Type Journal Article
Year 1994 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 2 Issue 4 Pages 28
Keywords (down) 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 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 (down) 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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