| Records |
| Author |
Jonsdottir, H.; Litchfield, M.; Pharris, M. |
Title  |
Partnership in practice |
Type |
Journal Article |
| Year |
2003 |
Publication |
Research & Theory for Nursing Practice |
Abbreviated Journal |
|
| Volume |
17 |
Issue |
1 |
Pages |
51-63 |
| Keywords |
Nurse-patient relations; Nursing philosophy; Nursing research |
| Abstract |
This article presents a reconsideration of partnership between nurse and client as the core of the nursing discipline. It points to the significance of the relational nature of partnership, differentiating its features and form from the prevalent understanding associated with prescriptive interventions to achieve predetermined goals and outcomes. The meaning of partnership is presented within the nursing process where the caring presence of the nurse becomes integral to the health experience of the client as the potential for action. Exemplars provide illustration of this emerging view in practice and research. This is the first of a series of articles written as a partnership between nurse scholars from Iceland, New Zealand and the USA. The series draws on research projects that explored the philosophical, theoretical, ethical and practical nature of nursing practice and its significance for health and healthcare in a world of changing need. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1172 |
| Permanent link to this record |
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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. |
| 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 |
| Permanent link to this record |
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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 |
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| 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. |
| 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 |
| Permanent link to this record |
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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 |
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.; 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 |
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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 |
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 |
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 |
| Permanent link to this record |
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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 |
|
| 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. |
| Title |
The process of health patterning in families with young children who have been repeatedly hospitalised |
Type |
|
| Year |
1993 |
Publication |
|
Abbreviated Journal |
Author, University of Minnesota Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
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| 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 |
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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 |
| Permanent link to this record |
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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 |
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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 |
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 |
| 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 |
| Permanent link to this record |
