ADPCN 2017 Oct 5-6 Manila Hotel

LEADERSHIP IN NURSING ADPCN 2017 Oct 5-6 Ma

Hallmark of Excellence
 OBJECTIVES
1. To value the Nursing Images across the Centuries
2. Recognize How the Evolution of Nursing law as Profession in the Philippines
3. Awareness the effect of integration of Nursing Practice, Education and
Research.
4. Realize the Impact of WISE LEADERSHIP
5. The Participants will uphold leadership as part of their responsibilities in
Health Care Profession.
6. To appreciate Programs on the Rapid Reduction in Maternal and Neonatal
Morality and Morbidity.
ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel
 “NURSE THE COMFORTER”
YEAR-1830

ADPCN 2017 Oct 5-6 Manila Hotel

 “NURSE AS A PROFESSION’’ YEAR-1860

ADPCN 2017 Oct 5-6 Manila Hotel

 “TECHNOLOGY EXPERTS” 1900

ADPCN 2017 Oct 5-6 Manila Hotel

 ‘’ANGEL OF MERCY” 1918

ADPCN 2017 Oct 5-6 Manila Hotel

 THE REMEDIST 1943

ADPCN 2017 Oct 5-6 Manila Hotel

 NURSES IN THE FUTURE

ADPCN 2017 Oct 5-6 Manila Hotel

ADPCN 2017 Oct 5-6 Manila Hotel
 NURSING IN THE PHILIPPINES

ADPCN 2017 Oct 5-6 Manila Hotel

 2017-ADPCN

Functional Integration of
Nursing Practice, Education
and Research
ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel
In Nursing Leadership What
Kind of Leadership we Need

ADPCN 2017 Oct 5-6 Manila Hotel

 WISE LEADERSHIP

•Phronesis
•To acquire practical wisdoms:
•experiential knowledge that enables
people to make ethically sound
judgments.
ADPCN 2017 Oct 5-6 Manila Hotel
 SIX ABILITIES OF A WISE LEADER

1.Wise Leaders Can Judge Goodness

2.Wise Leaders Can Grasp The Essence
3.Wise Leaders Create Shared Contexts
4.Wise Leaders Communicate the essence
5.Wise Leaders Exercise Political Power
6.Wise Leaders fosters practical Wisdom
ADPCN 2017 Oct 5-6 Manila Hotel
To be a Global Nurse and
the
First Choice of the
World…

ADPCN 2017 Oct 5-6 Manila Hotel

 Be a Global Nurse-Choice of the World

Healthcare Engaged Active Lifelong Servant

Partner professional Researcher learner Learner

ADPCN 2017 Oct 5-6 Manila Hotel

ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel
Leadership in Health Care Delivery System

IS A must! VERY MUCH

NEEDED

ADPCN 2017 Oct 5-6 Manila Hotel

MDG-SDG
MDG-SDG
 Programs on the
Rapid Reduction in
Maternal and
Neonatal Mortality
 MNCHN- Maternal, Neonatal and Child
Health and Nutrition

•refers to the network of facilities and

providers within a province and City
•health system offering integrated MNCHN
services in a coordinated manner, including
the supporting financing, communication and
transportation systems.
 MNCHN(OBJECTIVE)
•strategy
•aimed at achieving the twin goals of
maternal mortality reduction and neonatal
mortality reduction
•It intends to bridge the gap between the
existing Safe Motherhood Program and Child
Survival Program
The Philippine Situation
 Top 3 Causes of Neonatal Death in The
Philippines
•Respiratory distress of newborn
(2006-21.5%, 2007-21.4%),
•Bacterial sepsis of newborn
(2006-19.0%, 2007-20.1%),
•Disorders related to short gestation and low
birth weight, not elsewhere classified
(2006-13.8%-15.3%).
Maternal Mortality
Top 3 causes of Maternal Death in The
Philippines(DOH,2004)

1.Complications related to pregnancy occurring

in the course of labor, delivery and
puerperium.
2. Hypertension complicating pregnancy,
childbirth and puerperium
3. Postpartum hemorrhage
 Gaps(Problem)
1) Emergency obstetrics and newborn care services are
available only in secondary and tertiary level health facilities
such as big district hospitals, provincial hospitals and medical
centers, facilities that are not geographically accessible to
majority of women,
2) past policy on maternal care accommodated TBA training
and home deliveries assisted by TBAs,
3) failure to link TBAs to the formal health system,
4) failure of the health system to address women’s issues that
result to their deciding to give birth at home rather than in
hospitals or health centers,
The implementation of the
MNCHN strategy shall lead the
country to its most desired
outcome:
•no woman dies giving birth;
•no newborn dies at birth.
 Basic Emergency Obstetric and Newborn Care
(BEmONC)

• is a primary level health facility tasked to provide the

integrated MNCHN
a. Barangay health station (BHS),
b. b. Rural health unit (RHU),
c. c. Lying-in clinic,
d. d. Birthing home,
e. e. District hospital,
f. or f. Any other similar structure.
 BeMONC-services
Administration of parenteral oxytocic drugs.
Administration of dose of parenteral
anticonvulsants
Administration of parenteral antibiotics
Administration of maternal steroids for preterm
labor
Performance of assisted vaginal deliveries
Removal of retained placental products
It also includes neonatal interventions which
include at the minimum:

•Newborn resuscitation
•Provision of warmth
•Referral
•Blood transfusion
 CeMONC-Comprehensive Emergency
Obstetrics and Newborn Care Facility
- Refers to lifesaving services for Management of newborn
complications
emergency maternal and newborn
1. low birth weight newborns
conditions/complications as in Basic
Emergency Obstetric and Newborn Care 2. premature newborns
plus the provision of surgical delivery and 3. sick newborns
blood bank services and other specialized • sepsis
obstetric interventions. • fetal alcohol syndrome
• asphyxia
• Caesarian section
• severe birth trauma
• Blood transfusion • severe jaundice
EINC-Essential Intrapartum and Newborn Care

• are set of practices that upon

recommendations of the World
Health Organization
• As the standard of care in all
births by skilled attendants in all
gov’t. and Private setting.
 PROMPT
•PRactical Obstetric Multi-Professional Training
• is an evidence based multi-professional training
package for obstetric emergencies. It is associated
with direct improvements in perinatal outcome
and has been proven to improve knowledge,
clinical skills and team working.
Team working

•Combined
effective action
of a group
working towards
a common goal
“People Make Fewer
Errors when they work
in Effective Means”
ADPCN 2017 Oct 5-6 Manila Hotel
 TEAMWORKING

“70% of the direct

maternal deaths could
have been prevented with
better care”
- Centre of Maternal and Child Enquiries. Saving Mother’s Lives :
reviewing maternal deaths to make motherhood safer: 2006-08.
BjOG 2011: 118 Supply !:!-203
 TEAMWORKING

“a lack of multi-
professional team working
and communication
failures were once again
identified as contributory
factors”
TEAMWORKING
“poor communication
and poor team
working are major
contributors to fetal
and neonatal
mortality”
 TEAMWORKING-Recommendations
To have multi-professional
obstetrics emergencies
training, including teamwork
training for all staff providing
care for mothers and babies
 TEAMWORKING-Recommendations
There should be a systematic process in
maternity units for ensuring that multi-
professional drill training is provided for
all relevant obstetrics, nurse’s and
midwifery staff.
 IMPACT in PGH -PROMPT
• 50% Reduction in Babies born with low
APGAR score
• 45% reduction in school-age cerebral
palsy
• 100% reduction in permanent brachial
plexus injury after shoulder dystocia
• 91% reduction litigation claims
Philippine status
 WHO
• Every day, approximately 830 women die
from preventable causes related to
pregnancy and childbirth.
• 99% of all maternal deaths occur in
developing countries.
• Maternal mortality is higher in women
living in rural areas and among poorer
communities.
• Young adolescents face a higher risk of
complications and death as a result of
pregnancy than other women.
• Skilled care before, during and after
childbirth can save the lives of
women and newborn babies.
• Between 1990 and 2015, maternal
mortality worldwide dropped by
about 44%.
• Between 2016 and 2030, as part of
the Sustainable Development Goals,
the target is to reduce the global
maternal mortality ratio to less than
70 per
Leadership in Health Care Delivery System
 Wise Leader learn from
her/his Mistakes,
Wiser Leader Learn
from others Mistakes,
Wisest Leaders gather
all the good things
from all the Mistakes.
ADPCN 2017 Oct 5-6 Manila Hotel
ADPCN 2017 Oct 5-6 Manila Hotel