Goal Post Reorganization

My second clinical day took place on September 24th, 2015 at Saint Barnabas Hospital in Livingston, New Jersey. My preceptor Maria Brilhante, MSN, RN, allowed me to observe the morning huddle that took place with all the nurse managers that are in the hospital. The purpose of this huddle was to keep the director of nursing informed about the census on each unit. I found this processed to be very uniformed and professional because the DON was engaged. The day went on with me attending meetings on how managers could implement plans to contain cost for the hospital. Maria did her daily rounds on her patients and her nursing staff. She has a folder that contains papers on how each nurse is progressing from the time they get off orientation. Her motto to the nurses is, “You are good at what you do, so when I coach don’t take offense. I am only trying to get you to be great”. This boost their confidence which I thought to be important.

For this interview I had the opportunity to speak to Vicky Ronald, RN, BSN, OCN. She has been working as a nurse for 20 years now and stated that she loves what she does because it is a gift and a blessing to contribute in healing patients. This interview is a brief history and description of how Vicky made it to the top of the Nursing ladder, her roles, past experience and how she integrates HIPAA to maintain patient confidentiality.

First of all, I recognized that I was dealing with humans, and not just dealing with a disease process and application of the nursing process in the aspect of restoring patient health. I was dealing with emotions, and families, and cultural beliefs that influenced individual’s aspects of care. I started to see that health did not just incorporate healing the disease, but also recognized the importance of making sure patient’s felt that their

This Nursing leadership interview was conducted with Gessy Targete-Johnson, who is currently the Director of Nursing Family Birthplace at Memorial Miramar Hospital. I decided to conduct my interview on her, due to the fact that this is a career goal I wish to accomplish. She has been in the Nursing Field for over 25 years. Gessy decided to enter the nursing field because, she has compassion for others and she wanted to make a difference in lives. She started out as a Labor & Delivery Nurse in 1991, she later went on to pursue her Bachelor’s Degree in Nursing, followed by her Master’s Degree immediately after. Gessy thrives on being productive, and she quickly learned the meaning of the word perseverance. In 2001, she was promoted to Nurse Manager in Labor & Delivery, and worked in that position for 8 years. While maintaining an active role in this area, she also went back to school for her ARNP license. In 2009, she became the Director of Nursing Family Birthplace at Memorial Miramar Hospital.

Slide 2: A Nurse Executive is a master’s educated individual who is knowledgeable and has developed strong interpersonal relationships with the interdisciplinary team. This individual is accountable and compassionate, showing respect and excellence in their practice. The nurse leader is able to adapt to change especially in regards to technological advances and innovative methods of caring for patients. A driven leader empowers their staff to create an environment that is inclusive and ultimately productive using the team-nursing concept. Individual weaknesses are noted and built upon using team training and consistent educational in-services. This

One thing is for certain, I listen and encourage the nurses’ inputs and opinions when it comes to changes regarding the department. I empower the nurses to have their voices heard and their actions be seen throughout the company and give credit where credit is due. I also encourage them to be better nurses and utilize their skills to the max, i.e. applying their rehabilitative nursing certification through trainings throughout the company.

I agree with you the nurse that is seeking to implement a change must be able to reach across to all stakeholders. These stakeholders come from different walks of life and the challenge here will be knowing their educational background in order to deliver a message that is not intricate to grasp. You have to also remember that people remember only 10 percent what they read, but they remember 40 percent what they hear and see. Thank you for you thoughts.

I have worked with many multidisciplinary teams and have seen the difference in care with team led by Nurse Practitioners. I was always looking for the role that will motivate me not only to advance in career professional ladder but also expand my role as a nurse in the promotion of health. The first experience of having a Nurse practitioner on one of my client’s care team in 2009 gave me the career path I was looking for. The experience gave me insight to the role and I was so moved with the positive change in care it brought. My client was 19 year old special needs teenager and will miss most of his medical appointments because of his health condition and he was too weak to leave house as well. It was so hard for me as his primary caregiver in community to collaborate with doctor’s office, specialist and other professionals to maintain care plan as they have not seen client on

Nursing has always been important in healthcare, but we have not really noticed the importance of nurses, until

Mollie, I really enjoyed your post. It amazes me how many people do not always recognize the value of the nurse until they are impacted by one first-hand. As with so many other topics, the media can easily distort the true meaning and purpose of so many things. After the incident on the View with Joy Behar, I was rejoiced by the out-pour of support for the nursing profession by so many. Nurses united as one and demanded respect for what they do. As more advanced practice registered nurses (APRNs) provide direct care for patients, the community can observe first hand the excellent care a mastered-prepared nurse can give. This will help promote the nursing profession.

Eventually, Cameryn and collogues joint works were successful. The transformational process has taken several years, but significant changes have occurred in the organization and that all of the nurse leaders at every level have benefited from the efforts to enhance the competencies and skills of the frontline managers. The benefits of the program are validated with significant improvements in the employee opinion surveys and in surveys to assess the healthy work environment. The Human Resources department is the backbone of every organization and should be involved from the scratch. Most of the non-profit hospitals are required to have a Board of Trustees to provide governance and leadership to all of the activities of the hospital. Cameryn

Several of the roles which I observed this morning were expected: the nurses took vitals for incoming patients, performed focused assessments, and were the main communicators between family, the patient, and the physician. I realized when the first patient came in around 10:00 am, the RN’s role in assessments, gathering blood work, and carrying out all the necessary steps to situate and stabilize the patient as soon as possible. It was incredible seeing the nurses work together, in sync, in those first moments when the patient was brought in. And though expected, I appreciated seeing just how much communication was held and information was gathered from the patient or family members by the nurse. Jessica asked the right questions from both parties, while still showing incredible empathy and not making the whole situation seem rushed and flustering. I understood this as another essential role of the nurse in the ED; he or she must maintain even in such a fast-paced environment empathy and focus in each interaction.

-They put all the leadership towards the patient first, but they found it a challenge to provide hope for the patient and the staff to be able to give them the experience they both wanted

During the team formation, a number of challenges manifested. Firstly, it was the fact that there were nurses from other units. Hence, there were fears that they may not be well informed with procedures undertaken in our unit. However, this challenged was effectively addressed by assigning the nurses from other units a nurse from our unit to help her during the emergency period.

Modern nursing is a rewarding, but challenging, career choice. The modern nurse's role is not limited only to assist the doctor in procedures, however. Instead, the contemporary nursing professional takes on a partnership role with both the doctor and patient as advocate caregiver, teacher, researcher, counselor, and case manager. The caregiver role includes those activities that assist the client physically, mentally, and emotionally, while still preserving the client's dignity. In order for a nurse to be an effective caregiver, the patient must be treated in a holistic manner. Within the subject of nursing, there are often times in which different aspects of the practice must be analyzed by using primary research from other scholars. Nursing scholarship is vital to the profession, as we have seen, in order for the modern nurse to remain current with scholarship and practice. At the very core of this paradigm, though, is the manner in which the blend of art and science in nursing will be expressed to others, to the next generation, and through pedagogical theory (Alligood & Tomey, 2002). To do this, however, requires a new approach to the paradigm of nursing leadership strategic thinking, planning and action and above all appropriate integration of a more holistic and multidisciplinary approach to professional nursing.