Midwifery Leadership: Theory, Practice and Potential

Byrom, Sheena; Kay, Lesley

doi:10.1002/9781118784990.ch1

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…In the labor wards of district hospitals, the majority of births are midwife-led, with doctors on call to deal with complications and emergencies 2. Registered midwives have the ability to influence the care practices in the ward through clinical leadership 10. Midwives are called to use their knowledge, skills, and expertise to care effectively for women and babies, but often they are neither clear about nor have been prepared for the clinical leadership role 10,11.…”

Section: Introductionmentioning

confidence: 99%

“…Registered midwives have the ability to influence the care practices in the ward through clinical leadership 10. Midwives are called to use their knowledge, skills, and expertise to care effectively for women and babies, but often they are neither clear about nor have been prepared for the clinical leadership role 10,11. For registered midwives to provide quality care, it becomes imperative that they understand the clinical leadership role 10.…”

Section: Introductionmentioning

confidence: 99%

“…Midwives are called to use their knowledge, skills, and expertise to care effectively for women and babies, but often they are neither clear about nor have been prepared for the clinical leadership role 10,11. For registered midwives to provide quality care, it becomes imperative that they understand the clinical leadership role 10. It is argued that clinical leadership unpreparedness in midwifery and nursing is due to the lack of an agreed definition 12.…”

Section: Introductionmentioning

confidence: 99%

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Midwife conceptualizations of clinical leadership in the labor ward of district hospitals in KwaZulu-Natal, South Africa

Mianda¹,

Voce²

2018

JHL

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BackgroundIn South Africa, inadequately skilled health care providers and poor clinical leadership are continually linked to preventable perinatal and maternal mortality, which calls for improved clinical skills among health care providers and for strong clinical leadership at the bedside. Very little has been done to ensure clinical leadership at the bedside in the labor ward of district hospitals. One strategy implemented has been the appointment of District Clinical Specialist Teams, introduced to improve the quality of maternal and child health care in district hospitals and clinics through the provision of clinical leadership as an outreach activity. However, the strengthening of clinical leadership at the bedside remains neglected. Further, clinical leadership in the literature is not conceptualized in the same way across settings.AimTo explore midwife conceptualizations of clinical leadership in the labor ward of district hospitals in KwaZulu-Natal.MethodsIterative data collection and analysis, following the Corbin and Strauss grounded theory approach, was implemented. In-depth interviews were carried out with the midwifery members of the District Clinical Specialist Teams in KwaZulu-Natal. The emergent theoretical framing of clinical leadership was presented and discussed at a workshop with broader midwifery representation, leading to a final proposition of the conceptualization of clinical leadership among midwives.ResultsThe emergent conceptualization of clinical leadership comprised five major dimensions: the definition of clinical leadership, the context in which clinical leadership takes place, the conditions related to clinical leadership, the actions and interactions involved in clinical leadership, and the effects of clinical leadership.ConclusionClinical leadership is an emergent phenomenon arising from dynamic interactions in the labor ward and the broader health system, which converge to attain optimal patient care. Clinical leadership is not being understood from a traditional hierarchical perspective, as vested only in a positional leader.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Midwife conceptualizations of clinical leadership in the labor ward of district hospitals in KwaZulu-Natal, South Africa

Mianda¹,

Voce²

2018

JHL

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Enablers and barriers to clinical leadership in the labour ward of district hospitals in KwaZulu-Natal, South Africa

Mianda

Voce

2019

leader

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Introduction and backgroundLike many health systems in low-income and middle-income countries, the South African health system has failed to decrease both maternal and perinatal mortality significantly, especially in district hospitals. Inappropriately trained healthcare providers and poor clinical leadership are repeatedly linked to healthcare providers’ preventable factors contributing to most maternal and perinatal deaths. Clinical skills of healthcare providers have been largely addressed, while clinical leadership remained neglected. One strategy implemented recently to support clinical leadership is the introduction of District Clinical Specialist Teams (DCSTs). Clinical leadership in the labour ward of district hospitals in KwaZulu-Natal (KZN) is conceptualised as an emergent phenomenon arising from dynamic interactions in the labour ward and the broader health system, converging to attain optimal patient care.AimTo evaluate the enablers and barriers to clinical leadership in the labour ward of district hospitals.MethodIterative data collection and analysis, following the Corbin and Strauss grounded theory approach, was applied. In-depth interviews were carried out with the midwifery members of the DCSTs in KZN. The emergent enablers and barriers to clinical leadership were presented and discussed at a workshop with broader midwifery representation, leading to a final classification of enablers and barriers to clinical leadership.Results and conclusionEnablers and barriers to clinical leadership arise as a result of emergent dynamic interactions within the labour ward and the broader health system, located at policy, organisational, team and individual healthcare provider levels, with the policy context as the overriding factor framing the implementation of clinical leadership.

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Midwifery Leadership: Theory, Practice and Potential

Cited by 2 publications

References 14 publications

Midwife conceptualizations of clinical leadership in the labor ward of district hospitals in KwaZulu-Natal, South Africa

Midwife conceptualizations of clinical leadership in the labor ward of district hospitals in KwaZulu-Natal, South Africa

Enablers and barriers to clinical leadership in the labour ward of district hospitals in KwaZulu-Natal, South Africa

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