WORKING AS A COORDINATOR MIDWIFE IN A TERTIARY ...

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CHAPTER FOUR The ‘Performing Art’ of Leadership To commence interpretation of the themes which have revealed themselves for these chapters, I have chosen to initially give voice to the coordinators’ descriptions of what their job feels like in their leadership role. Coordinators’ descriptions reveal similarities with their analogies of spatial dimensions. A sense is conveyed of coordinators being in the midst of a swirling circle of unfolding events equidistant from everything that happens in their workplace which is revolving around them. This chapter reveals their reality. Being ‘the Hub’ Smythe and Norton (2007) write “the centre of interest is not in an isolated office but amidst the hearts of the people who share the quest” (p.76). Within the ever changing environment of the unit with the busyness, routines and emergencies, coordinators reveal themselves as central to the activity of the unit, wherever they may be from a physical perspective. Their “lived space” is something that is experiential and not a physical entity (van Manen, 1990, p.102). 85
Irene explains: Being the coordinator feels as though I am the hub and I am in the centre of a circle with the multidisciplinary team who surround me each doing their jobs. By coordinating I am giving directions and receiving directions. Directions travel in and out of the circle. I am at the interface when directions come into the circle and as a coordinator I send directions out. It is a constant in out interplay of communication with colleagues about a variety of topics ranging from clear instructions to practice directives to positive reinforcement. The coordinator is constantly in the middle of everything that is going on. As the coordinator, Irene is pivotal to the smooth and safe running of the delivery suite during her shift. There is a sense of fluidity in her work and of weaving threads together to make things whole. Effective communication skills are the basis of her management style and her ability to listen and respond appropriately shines through in her descriptions of working with colleagues. She gives and she receives with no sense of power play conveyed in her interview. Alice speaks about ‘being the pivot’: ‘Being the pivot’ You try to make the system work and I think you are a very pivotal person in that respect. I was saying the other day “what do I really like about my job?” because I do nothing but moan about it. I like being a pivotal person that things happen around, I get a buzz out of that I suppose. 86
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WORKING AS A COORDINATOR MIDWIFE IN
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My perspectives of partnership in t
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Summary ...........................
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Attestation of Authorship I hereby
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Abstract This phenomenological stud
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is deemed by the midwife manager wh
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pregnancy and childbirth experience
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The Department of Labour (2006) rep
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secondary midwifery care” (p.11).
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DHB coordinators is how they embrac
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No national or international resear
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Methodology Why phenomenology? The
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change” (p.157). To this end, I a
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holding my daughter at birth to bre
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My Pre-understandings Interview Eve
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come to work, how do they manage on
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midwife, whilst ensuring safe pract
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‘unknowing’ resulted in tension
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Summary My pre-understandings revea
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entitled; The Luxury of Time, ‘Th
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The Realities of the Tertiary Deliv
Page 43 and 44: New Zealand perspectives of seconda
Page 45 and 46: hospital. Their objective was to ra
Page 47 and 48: provide an increased opportunity fo
Page 49 and 50: whereas now when she responds to ca
Page 51 and 52: The ‘Emotion Work’ and the ‘S
Page 53 and 54: unrecognized and may be conducive t
Page 55 and 56: demands, job resources and their di
Page 57 and 58: midwife, representing “working th
Page 59 and 60: the sense of value nurses attribute
Page 61 and 62: of a consultant is described by Isa
Page 63 and 64: in a sustained way and are not inte
Page 65 and 66: following accepted procedures” (p
Page 67 and 68: same. This reveals the variance in
Page 69 and 70: subconscious, becomes the basis for
Page 71 and 72: CHAPTER THREE Research Methodology
Page 73 and 74: What is a phenomenon? Heidegger (19
Page 75 and 76: new meaning and truth. An added dim
Page 77 and 78: space, things, the body and others
Page 79 and 80: Participant Recruitment My workplac
Page 81 and 82: Anonymity and Confidentiality For m
Page 83 and 84: Interview venue Participants chose
Page 85 and 86: Two coordinators knew what they wan
Page 87 and 88: I made tentative notes about themes
Page 89 and 90: Literature research I delved into a
Page 91 and 92: Geanellos (1998) offers alternative
Page 93: Summary In this chapter, I have ide
Page 97 and 98: I work, the difficulty is the staff
Page 99 and 100: weather storms better than others j
Page 101 and 102: for her as coordinator. This story
Page 103 and 104: An anonymous quote is cited by Mall
Page 105 and 106: which reflects on the colleagues sh
Page 107 and 108: Alice explains what it feels like f
Page 109 and 110: Alice reveals she has to subconscio
Page 111 and 112: Irene reveals there are different r
Page 113 and 114: egarding this overspill or emotiona
Page 115 and 116: professional supervision” (p.13).
Page 117 and 118: Summary This chapter reveals how co
Page 119 and 120: CHAPTER FIVE Time as lived The cloc
Page 121 and 122: eveals her interpretation of what i
Page 123 and 124: We had a woman needing to go for a
Page 125 and 126: herself desperately trying to engag
Page 127 and 128: Sally offers a story with a differe
Page 129 and 130: subsequent three ‘nightmare’ ad
Page 131 and 132: decision to augment the labour base
Page 133 and 134: environment is well described by Ca
Page 135 and 136: eginning of January so she was bran
Page 137 and 138: I didn’t even have the midwife’
Page 139 and 140: minute, then got up and said to the
Page 141 and 142: life” (p.192). The coordinators h
Page 143 and 144: “Techne” and “phronesis” ar
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egarding who is assigned to the shi
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who hadn’t even been orientated t
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the staff would respond to her dire
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case of going in and demanding to k
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“support from midwives in the sec
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When Irene is invited into a room s
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anaesthetist as to what is safe for
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skill mix. Her knowledge regarding
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‘I’m already overseeing three w
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experiences which contribute to her
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this is her opportunity every day w
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(2004) writes “the place of birth
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shoes and a gown on and be ready fo
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Irene was skilled and able to view
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suggested they did a pH 9 on the ca
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The responsibility coordinators und
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CHAPTER SEVEN Discussion Summary of
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‘Needing to know’ Coordinators
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Facing the ‘known’ and the ‘u
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which may involve empathizing, reas
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Coordinators take their emotional w
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solutions - which offers resonance
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cohesiveness and teamwork. Alice su
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There is a career pathway for DHB m
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will enhance tertiary level clinica
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The stories shared by coordinators
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This research offers no insight int
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work shift after shift and reveal n
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GLOSSARY Coordinator/Charge midwife
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REFERENCES Barnes, I. (2006). Copin
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Code of Health and Disability Servi
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Edward, K. (2005). The phenomenon o
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Health Emergency Management in New
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Kennedy, H. P. (2002). The midwife
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Ministry of Health. (2002). Notice
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Pairman, S. (1999). Partnership rev
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Smythe, E. (2000). “Being safe in
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Van Manen, M. (2007). Phenomenology
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midwifery coordinator/charge midwif
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Whom do I contact for further infor
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I agree to take part in this resear
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