| Records |
| 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 |
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 |
Nursing education: Direction with purpose |
Type |
Journal Article |
| Year |
1991 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
84 |
Issue |
7 |
Pages |
22-24 |
| Keywords |
Nursing education |
| Abstract |
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| Call Number |
NZNO @ research @ |
Serial |
1316 |
| Permanent link to this record |
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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 |
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 |
| Permanent link to this record |
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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 |
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 |
|
| 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.; 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 |
| Permanent link to this record |
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| Author |
van Wissen, K.A.; Litchfield, M.; Maling, T. |
| Title |
Living with high blood pressure |
Type |
Journal Article |
| Year |
1998 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
27 |
Issue |
3 |
Pages |
567-574 |
| Keywords |
|
| Abstract |
An interdisciplinary (nursing-medicine) collaboration in a qualitative descriptive research project undertaken in the Wellington School of Medicine with New Zealand Health Research Council funding. The purpose was to inform the practice of nursing and medical practitioners. A group of patients were interviewed in their homes. Their experience of having a diagnosis of hypertension and prescription of long-term treatment requiring adjustment in their lives and the lives of their families is presented as themes. |
| Call Number |
NRSNZNO @ research @ |
Serial |
360 |
| 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.; 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 |
| Permanent link to this record |
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| 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 |
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 |
| 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 |
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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 |
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 |
Viewpoint: Telling nursing stories |
Type |
Journal Article |
| Year |
1994 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| 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 |
| Permanent link to this record |
