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Critical Reflactions On Leadership Skills
Critical Reflactions On Leadership Skills
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Marlene Schwebel JD, APN is a visionary, who continually exercises her innovative and adaptive leadership style, fortitude to galvanize those around her in a campaign for optimal care and reform for the maternal and perinatal population. Ms. Schwebel is a fierce crusader for pursuing excellence in her nursing practice to provide the highest quality of care to her clients. Her breadth of knowledge about her diverse community, as well as her transformational leadership, has enabled her to be the director and nurse practitioner for the High-Risk Obstetric Ambulatory Clinic in Robert Wood Johnson University Hospital (RWJ). In addition, Ms. Schwebel is an assistant professor at Rutgers for the Maternal Fetal Medicine: Obstetrics/Gynecology/Reproductive Sciences at RWJ. She is also the Chairperson for the Central Jersey Family Health Consortium at CentraState Hospital in Freehold, NJ. …show more content…
The role of being the Director and Nurse Practitioner for the High-Risk Obstetric Ambulatory Clinic. Her nursing practice encompasses care and treatment for high risk antepartum, intrapartum, and postpartum clients (i.e., perinatal drug abusers, diabetics, hypertensive, neuromuscular disorders and etc.) She is also responsible for the leadership and management of the clinic. This encompasses the budget, hiring/educating staff members, and consulting the staff as it relates to perinatal law. Schwebel continues her involvement by purchasing new equipment, adopting new technology systems to meet current clinic needs, and scheduling. Her role does not end there, as she also is involved with: collaborating with the ultrasound team, laboratory team, and medical/nursing staff team. She focuses a portion of her time to set conferences meetings that evaluates as well as implements all necessary changes that will result in quality, safe, cost-effective care for her
Renee Heikamp, 19, and case worker from the Catholic Children’s Aid Society (CCAS), Angie Martin, were charged with criminal negligence resulting in the 1997 death of newborn baby, Jordan Heikamp. The charges were dropped shortly after Jordan’s death, due to a lack of evidence from the investigation of a 63-day inquest. (CBC, 2001). Renee Heikamp and her baby were residing at the Anduhyaun shelter that services Aboriginal women fleeing abuse during the time of his death. Jordan Heikamp had starved to death, weighing only 4 pounds, 4 ounces less than what he weighed at his pre-mature birth, in May 1997; a photograph shown to witnesses at the inquest revealed the corpse of the baby who was little more than a skeleton.
Neonatal nursing is a field of nursing designed especially for both newborns and infants up to 28 days old. The term neonatal comes from neo, "new", and natal, "pertaining to birth or origin”. Neonatal nurses are a vital part of the neonatal care team. These are trained professionals who concentrate on ensuring that the newborn infants under their care are able to survive whatever potential life threatening event they encounter. They treat infants that are born with a variety of life threatening issues that include instances of prematurity, congenital birth defects, surgery related problems, cardiac malformations, severe burns, or acute infection. Neonatal care in hospitals was always done by the nursing staff but it did not officially become a specialized medical field until well into 1960s. This was due to the numerous advancements in both medical care training and related technology that allowed for the improved treatment and survival rate of premature babies. According to the March of Dimes, one of every thirteen babies born in the United States annually suffers from low birth weight. This is a leading cause in 65% of infant deaths. Therefore, nurses play a very important role in providing round the clock care for these infants, those born with birth defects or other life threatening illness. In addition, these nurses also tend to healthy babies while their mothers recover from the birthing process. Prior to the advent of this specialized nursing field at risk newborn infants were mostly cared for by obstetricians and midwives who had limited resources to help them survive (Meeks 3).
This birthing plan is often documented in the patient’s medical record which aids the health care staff during the birthing event. Documentation and discussion of these events is often necessary to ensure all the needs of the family are met. Too often all the potential needs are not discussed and the opportunity to meet the needs of the new family is missed. These missed opportunities can result in emotional and religious conflicts within the family unit and toward the health care staff. For the nurse leader these missed opportunities in care could result in unfavorable patient satisfaction scores and reports within and outside the institution which necessitates follow up. The most important missed opportunity is how this affects the family unit itself. Depending on the missed opportunity the family unit may be affected for years based on questions not asked or decisions made with poor information. Some cultures must bury the placenta after birth and if this was not discussed and the placenta discarded the religious implications could be devastating for this family. Application of Henderson’s need theory guides the nurse in the educational plan for the patient-family unit to ensure all basic needs are covered and questions related to those needs are posed in advanced of the birthing
K. Lynn Wieck, RN, PhD, FAAN, is the Jacqueline M. Braithwaite Professor, College of Nursing, The University of Texas at Tyler, Tyler, TX, and CEO, Management Solutions for Healthcare, Houston, TX; Jean Dois, RN, PhD, NEA-BC, FACHE, is the System Director for Quality and Nursing, CHRISTUS Health System, Houston, TX; and Peggy Landrum, RN, PhD, is Clinical Professor, College of Nursing, Texas Woman 's University, Houston,
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2010). Essentials of nursing leadership and
A video clip was upload on YouTube on July 1, 2014, recorded a California Highway Patrol Officer (Daniel Andrew) sitting on top of an African-American woman, later identified as Mrs. Marlene Pinnock (51) and consecutively hitting the victim in the face and head. According to the Associated Press, Ms. Marlene Pinnock was diagnosed with bipolar disorder, and no medical treatment during 2-3 months before the incident. Officer Andrew said Mrs. Pinnock was self-endangering herself and other drivers and vehicles while walking on a sidewalk of the crowded moving highway in west Los Angeles, CA (ABDOLLAH, T, 2014).
I, Hildegard Hedwig Steinberger, a resident of the State of Georgia, make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me.
In my previous role as a Licensed vocational nurse, I worked in the outpatient setting, Perinatology, where there are high-risk pregnant patients. The patient I helped take care of, was early in her pregnancy, approximately 29 weeks, and was a patient who had been seen in this clinical office
A nurse’s role in our society today is exceptionally significant. Nurses are somewhat idolized and looked to as our everyday “superman”. “The mission of nursing in society is to help individuals, families, and groups to determine and achieve physical, mental, and social potential, and to do so within the challenging context of the environment in which they live and work” (“The Role of a Nurse/Midwife”). Many Americans turn to nurses for delivery of primary health care services and health care education (Whelan). In our country, there is constantly someone in need of health care. There will always be a baby being born or a person dying, someone becoming ill or growing old. Some people due to their physical and/or mental state of health are completely dependent on a nurse and wouldn’t be able to get through the simple obstacles of every day, or achieve the necessary requirements of a simple day without their aid. Not only do nurses help, and assist you when you’re sick, but also act to promote good health to others. They end...
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
Each healthcare provider plays a role in helping mothers with their overall wellbeing. The OBGYN, Charge RN’s, and PCP’s will play an active role in screening for risk factors, educating mothers, providing resources on preventing PPD. The NP will also inform the inpatient healthcare personnel to introduce the benefits of EPDS screening tool to mothers prior to discharge
Women who give birth at home under the care of a trained midwife benefit from the Midwives Model of Care (MMC). One of the advantages of the MMC is the superior prenatal care that the mothers receive. The MMC model of care also focuses on holistic care and promotes shared decision-making. A midwife’s prenatal appointments are longer, allowing mothers to express their concerns, share their excitement, and have any questions answered. Prenatal care focuses on the growth and development of the baby and on educating the mother about the changes her body will go through, what will happen during each stage of pregnancy, good nutrition, exercise, and preparation for childbirth. When a mother is well cared for and educated she is able to partner with the midwife in her care, making decisions that prot...
Berman, A., Snyder, S., Kozier, B. &Erb, G. (2012). Kozier & Erb’s Fundamentals of nursing 9th ed.. Upper Saddle River, NJ: Prentice Hall.
Moore, M. and Freda, M., (1998). Reducing Preterm and Low Birthweight Births: Still a nursing Challenge. MCN, 23 (4). Retrieved on October 18, 2000 from http://www.nursingcenter.com.
Studies show that U.S. women receiving care during labor by midwifes and/or in out of hospital settings had great outcomes and cesarean rates were well below the general population rate.