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Author |
Neville, S.J. |
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Title |
Delirium in the older adult: A critical gerontological approach |
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Publication |
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Abbreviated Journal |
Massey University Library |
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Keywords |
Geriatric nursing; Older people |
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Abstract |
The purpose of this thesis has been to explore the discursive production of delirium in people over the age of 65 years. The philosophical approaches underpinning the study were derived from the field of critical gerontology, postmodernism and the utilisation of a Foucauldian understanding of discourse and power/knowledge. Data sources included published documents on delirium, interviews with people over the age of 65 years who had been delirious (as well as their clinical notes), family members, registered nurses and a doctor. Textual analysis revealed the presence of two contesting and contradictory discourses that impacted on being an older person who had delirium. These were identified as the discourse of delirium as a syndrome and a personal discourse of delirium. The discourse of delirium as a syndrome is underpinned by the biomedicalisation of the ageing process. This process utilises scientific methods as the foundation from which to understand, research and provide a health service to older people with delirium. Any personal perspectives on delirium are rendered unimportant and relegated to marginalised positions. Nursing through its vicarious relationship to medicine is interpellated into deploying the discourse of delirium as a syndrome and has largely ignored the personal dimensions associated with this phenomenon. Consequently, the older delirious 'body' is known and inscribed as unruly, problematic, physically unwell, cognitively impaired and at risk. Conversely, a personal discourse of delirium privileges the individual narratives of people who have been delirious and provides a different perspective of delirium. The deployment of a personal discourse of delirium offers another position that views this group of older people as bringing to the health care setting a rich tapestry of life experiences that are more than a cluster of signs and symptoms. It is these varied life experiences that need to be included as a legitimate source of knowledge about delirium. This thesis demonstrates how nursing needs to espouse a critical gerontological position when working with older people who have delirium. Critical gerontology provides nurses with the theoretical tools to challenge the status quo and uncover the multiple, varied, contradictory and complex representations of delirium in older people. |
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Call Number |
NRSNZNO @ research @ 598 |
Serial |
584 |
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Author |
Jonsdottir, H.; Litchfield, M.; Pharris, M. |
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Title |
The relational core of nursing practice as partnership |
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Journal Article |
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Year |
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Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
47 |
Issue |
3 |
Pages |
241-250 |
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Keywords |
Nurse-patient relations; Nursing philosophy; Nursing research |
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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. |
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Call Number |
NRSNZNO @ research @ 1188 |
Serial |
1173 |
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Author |
Turner, C.L.E. |
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Title |
A process evaluation of a shared leadership model in an intensive care unit |
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Abbreviated Journal |
Massey University, Palmerston North, Library |
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Pages |
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Keywords |
Leadership; Intensive care nursing; Nursing models |
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Abstract |
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Call Number |
NRSNZNO @ research @ 1277 |
Serial |
1262 |
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Author |
McArthur, J. |
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Title |
Discursive understanding of knowledge within advanced nursing practice roles: A co-operative inquiry in an acute health care organisation |
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Abbreviated Journal |
Auckland University of Technology Library |
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Pages |
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Keywords |
Advanced nursing practice; Organisational culture |
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Abstract |
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Call Number |
NRSNZNO @ research @ 1280 |
Serial |
1265 |
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Author |
Lichfield, M. |
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Title |
The paediatric nurse and the child in hospital |
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Journal Article |
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Year |
1974 |
Publication |
New Zealand Nursing Journal |
Abbreviated Journal |
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Volume |
67 |
Issue |
11 |
Pages |
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Keywords |
Paediatric nursing; Nurse-family relations; Nurse managers |
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Abstract |
A paper intended to inform paediatric nurses and influence service policy and management, adapted from a presentation at an inservice education study day for nurses at Wellington Hospital. The paper grew out of the findings of a small research project undertaken by the author as part of nursing practice in a paediatric ward of Wellington Hospital. The observations of the stress in the experience of infants and parents and the ambiguities inherent in the relationships between parents and nurses were the basis for arguing for changes in nursing practice and ward management. |
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Call Number |
NZNO @ research @ |
Serial |
1312 |
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Author |
Litchfield, M. |
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Title |
Thinking through diagnosis: Process in nursing practice |
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Journal Article |
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Year |
1986 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
1 |
Issue |
4 |
Pages |
9-12 |
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Keywords |
Diagnosis; Nursing philosophy; Nursing research |
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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. |
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Call Number |
NZNO @ research @ |
Serial |
1314 |
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Author |
Litchfield, M. |
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Title |
Between the idea and reality |
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Journal Article |
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Year |
1986 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
1 |
Issue |
2 |
Pages |
17-29 |
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Keywords |
Nursing research; Nursing philosophy; Diagnosis; Evaluation |
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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. |
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Call Number |
NZNO @ research @ |
Serial |
1313 |
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Author |
Litchfield, M. |
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Title |
Knowledge embedded in practice |
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Journal Article |
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Year |
1989 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
82 |
Issue |
10 |
Pages |
24-25 |
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Keywords |
Nursing research; diagnosis; Education; Nursing philosophy |
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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. |
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Call Number |
NZNO @ research @ |
Serial |
1315 |
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Author |
Litchfield, M. |
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Title |
Nursing education: Direction with purpose |
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Journal Article |
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Year |
1991 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
84 |
Issue |
7 |
Pages |
22-24 |
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Keywords |
Nursing education |
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Abstract |
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Call Number |
NZNO @ research @ |
Serial |
1316 |
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Author |
Litchfield, M. |
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Title |
Computers and the form of nursing to come |
Type |
Conference Article |
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Year |
1992 |
Publication |
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Abbreviated Journal |
Held by NZNO Library and author |
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Volume |
Proceedings of the Inaugural National Nursing Info |
Issue |
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Pages |
81-90 |
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Keywords |
Nursing: Computers; Technology |
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Abstract |
A paper presented at the annual conference of Nursing Informatics New Zealand (subsequently incorporated into the collective organisation, Health Informatics NZ). |
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Call Number |
NZNO @ research @ |
Serial |
1317 |
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Author |
Litchfield, M. |
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Title |
Computers and the form of nursing to come |
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Journal Article |
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Year |
1992 |
Publication |
International Journal of Health Informatics |
Abbreviated Journal |
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Volume |
1 |
Issue |
1 |
Pages |
7-10 |
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Keywords |
Computers; Nursing; Technology |
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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. |
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Call Number |
NZNO @ research @ |
Serial |
1318 |
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Author |
Litchfield, M. |
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Title |
The nation's health and our response |
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Conference Article |
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Year |
1992 |
Publication |
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Abbreviated Journal |
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Volume |
Keynote address at the 1992 NERF/NZNZ National Nur |
Issue |
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Pages |
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Keywords |
Nursing; Health reforms; Nurse-family relations |
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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. |
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Call Number |
NZNO @ research @ |
Serial |
1319 |
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Author |
Litchfield, M. |
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Title |
Priorities for research |
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Journal Article |
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Year |
1993 |
Publication |
kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
1 |
Issue |
8 |
Pages |
28-30 |
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Keywords |
Nursing research |
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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. |
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Call Number |
NZNO @ research @ |
Serial |
1320 |
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Author |
Diack, Aileen |
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Title |
Innovations in home care for infants and young children with long-term illness (observations of care provision in United States of America and England) |
Type |
Report |
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Year |
1993 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
33 p. |
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Keywords |
Child health services; Long-term care; Domiciliary nursing; Reports |
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Abstract |
Visits the US and the UK to observe paediatric nursing services for chronically-ill children at home. Discusses the concepts that enable children with long-term illness to be cared for in the home, how staff are chosen and trained and the degree to which the family is involved in setting objectives and directing the focus of care. Part of the Margaret May Blackwell Scholarship Reports series. |
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Call Number |
NZNO @ research @ |
Serial |
1418 |
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Author |
Litchfield, M. |
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Title |
Viewpoint: Telling nursing stories |
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Journal Article |
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Year |
1994 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
2 |
Issue |
4 |
Pages |
28 |
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Keywords |
Nursing research; Ethics; Patient rights |
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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. |
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Call Number |
NZNO @ research @ |
Serial |
1321 |
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