THE ALCHEMIZE IMPACT FRAMEWORK
Alchemize Impact is the core framework guiding all work at Transcending Strategies LLC. It is a relational systems approach that helps organizations and institutions move from fragmentation to coherence by integrating strategy, healing, design, policy, narrative, and infrastructure at the same time. The framework works across people, structures, and power-bridging community and institutions, lived experience and policy, vision and operations.
Through boundary-spanning practice and deep systems alignment, Alchemize Impact supports the creation of living systems of care, leadership, and governance that are resilient, human-centered, and built to sustain change.
We do this through these pathways:
Systems & Infrastructure
Strategy, Policy & Narrative
Leadership & Capacity
Convening & Regneration
How I Work
My work happens in the space between systems, where meaning is lost, power misaligns, and transformation either becomes possible or collapses. My role is to span those boundaries, surface what is seen, and bring together coherence, so care, leadership, and policy can function as living systems.
What Guides My Practice
Every engagement is grounded in six integrated dimensions:
Strategy - clarifying direction, priorities, and leverage
Healing - acknowledging history, harm, and burnout
Design - shaping structures, governance, and systems that match values
Policy - translating lived experience into structural and legislative change
Narrative - shifting how stories, power, and meaning through systems
Infrastructure - ensuring ideas are supported by operations, resources, and accountability
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July 2002-June 2006 Staff Nurse at Los Alamos Medical Center
June 2006- June 2008 Staff Nurse at Santa Fe Indian Medical Center
May 2008-Feb 2012 Staff Nurse at Los Alamos Medical Center
Nov 2022-July 2013 PRN Nurse-Midwife at ABQ Health Partners
June 2012-2018 Full-time Nurse-Midwife
August 2014- present Founder & Executive and Midwifery Director of Changing Woman Initiative
2012 Outstanding Mentorship Award, UNM
2010 Midwives of Color Scholar
2010 NM Native American Indian Nurses Association Scholarship
2015 Remarkable Women of Color Who Rocked 2015/ Color lines
2015 MOC Outstanding Award, ACNM
2019 Aspen Fellow
2022 Native American Alumni Chapter of UNM Outstanding Alumni Award
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Native American Women’s Reproductive Health. I have significant depth and breadth of expertise in Native American’s reproductive health and wellness through my clinical background and years of work as a midwife serving Native women. I founded the Changing Woman Initiative, the first reproductive wellness and birth center specifically designed for Native Americans in the United States. Through this organization, I have been instrumental in training Indigenous midwives and developing a fellowship opportunity for midwifery students.
Using a variety of publication methods, including a blog, I work to educate others on the importance of Indigenous birth knowledge and traditions and empowering Native American birthing families.
Gonzales, N.L. (2015). American Indians of the Southwest. In Moss, M.P. (2015). American Indian
Health and Nursing. Springer Publishing Company.
Gonzales, N.L. (2016). The Many Colors of Changing Woman. (2016) SQUAT Birth Journal.
Gonzales, N.L. (2018). Contributing author, Indigenous Goddess Gang on-line Magazine.
Gonzales, N.L. (2018). Co-Author, Varney’s Midwifery 6th Edition. Chapter 1. Indigenous Midwifery.
Jones & Bartlett Learning.
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Research Consulting. As a scientific advisor on the Pregnancy Study Online (PRESTO) prospective cohort study that examines the association between lifestyle factors (diet, exercise, medication use) on fertility and pregnancy, I am part of a diverse panel of experts informing the development of research questions designed to impact public health.
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Systems and Policy Changes to Improve Native American Maternal Health Outcomes and Health Equity. Leveraging my expertise in the experiences of Native American pregnant women in health care through my work, I have consulted with tribes, Indian Health services and health care organization to reduce barriers to care and improve health care quality. As founder of Changing Woman Initiative, I have advocated for policy change to improve health outcomes including access to midwifery support for Native American families.

