Ebelik Uygulamalarında Liderlik
Özet
Ebeler, kadın merkezli bakım veren, kadınla ortak ve gerektiğinde diğer sağlık çalışanları ile işbirliği içinde çalışan sağlık profesyonelleridir. Rolleri, sorumlulukları ve hesap verebilirlikleri gebelik, doğum ve doğum sonrası dönemde kadınlara verilen bakımın kalitesini ve güvenliğini sağlamak olsa da, ebelerin rollerinin temel yönleri olarak liderlik ve yönetim becerilerini de geliştirmesi gerekmektedir. Doğum hizmetleri için liderlik, anneler, bebekler ve aileler için optimum güvenlik düşünüldüğünde kritik bir faktördür. Lider ebeler klinik sorunları anlamak, kanıta dayalı çözümler geliştirmek ve verimsizlikleri azaltarak maliyet tasarruflarını etkileyen değişimi uygulamak için araştırma becerilerini ve analitik düşünceyi kullanarak multidisipliner ve profesyoneller arası ekiplerle çalışmak zorundadır. Klinik ebe liderleri aynı zamanda politika geliştirmeye katılarak ve disiplinler arası ekibin diğer üyeleriyle işbirliği yaparak disiplinlerine söz hakkı verir. Lider ebelik doğum hizmetlerinde sürekli iyileştirme sürecini destekler ve daha da önemlisi, anne ve bebek sağlığının iyileştirilmesi için potansiyeli yükseltmekle kalmaz, aynı zamanda toplum sağlığının gelişmesine de katkı sağlamaktadır. Bu bölümde ebelik uygulamalarında liderlik konusu ele alınmıştır.
Referanslar
Aloustani S, Atashzadeh-Shoorideh F, Zagheri-Tafreshi M, et al. Association between ethical leadership, ethical climate and organizational citizenship behavior from nurses’ perspective: a descriptive correlational study. BMC Nursing, 2020;19(15):1-8. https://doi.org/10.1186/s12912-020-0408-1
Binyıl Kalkınma Hedefleri Raporu Türkiye 2010. (31.07.2024 tarihinde http://www.surdurulebilirkalkinma.gov.tr/wp-content/uploads/2016/07/UNDP-TR-TR-2010-MDG-Report_TR.pdf adresinden ulaşılmıştır)
Bremnes HS, Wiig ÅK, Abeid M, et al. Challenges in day-to-day midwifery practice; a qualitative study from a regional referral hospital in Dar es Salaam, Tanzania. Global Health Actıon, 2018;11:1-9. https://doi.org/10.1080/16549716.2018.1453333
Carragher J, Gormley K. Leadership and emotional intelligence in nursing and midwifery education and practice: a discussion paper. Journal of Advanced Nursing, 2016;73(1):85–96. doi: 10.1111/jan.13141
Chooha U, Chotwattanakulchai N, Sirisome J. Measurement of midwifery clinical leadership among nursing students: exploratory factor analysis. Advances in Medical Education and Practice, 2022:13 1329–1339.
De Brún A, O’Donovan R, McAuliffe E. Interventions to develop collectivistic leadership in healthcare settings: a systematic review. BMC Health Services Research, 2019;19(72):1-22. https://doi.org/10.1186/s12913-019-3883-x
De Brun A, Rogers L, O’Shea M, et al. Understanding the impact of a collective leadership intervention on team working and safety culture in healthcare teams: a realist evaluation protocol. HRB Open Research, 2020;2(5):1-14. https://doi.org/10.12688/hrbopenres.12860.2
De Leo A, Bayes S, Bloxsome D, et al. Exploring the usability of the COM-B model and Theoretical Domains Framework (TDF) to define the helpers of and hindrances to evidence-based practice in midwifery. Implementation Science Communications, 2021;2:7. https://doi.org/10.1186/s43058-020-00100-x
Dickson CAW, Davies C, McCormack B, et al. UK nurses’ and midwives’ experiences of healthful leadership practices during the COVID-19 pandemic: a rapid realist review. J Nurs Manag, 2022;30(8):3942-3957. doi: 10.1111/jonm.13790
Downe S, Byrom S, Simpson S. Essential midwifery practice: leadership, expertise and collaborative working. (1. Edition) United Kingdom: Blackwell Publishing Ltd; 2011.
Harvey G, Kelly J, Kitson A, et al. Leadership for evidence-based practice: Enforcing or enabling implementation? Collegian, 2020; 27(1):57–62. https://doi.org/10.1016/j.colegn.2019.04.004
Henwood S. Practıcal leadershıp ın nursıng and health care. (1. Edition) Londra: Routledge;2014
Hewitt L, Dadich A, Hartz DL, et al. Midwife centred management: a qualitative study of midwifery group practice management and leadership in Australi. BMC Health Services Research, 2022;22:1203. https://doi.org/10.1186/s12913-022-08532-y
Hewitt L, Priddis H, Dahlen H.G. What attributes do Australian midwifery leaders identify as essential to effectively manage a midwifery group practice? Women and Birth, 2019;32(2):168–177. DOI: 10.1016/j.wombi.2018.06.017
Macdonald S, Magill-Cuerden J. Mayes’ Midwifery. (4.Edition) London: Elsevier; 2010.
Mianda S, Voce A. Midwife conceptualizations of clinical leadership in the labor ward of district hospitals in KwaZulu-Natal, South Africa. Journal of Healthcare Leadership, 2018;10:87-94. http://dx.doi.org/10.2147/JHL.S172410
Nove A, Hoope-Bender P, Boyce M, et al. The state of the world’s midwifery 2021 report: findings to drive global policy and practice. Human Resources for Health, 2021;19:146 https://doi.org/10.1186/s12960-021-00694-w
Papadopoulos I, Lazzarino R, Koulouglioti C, et al. The ımportance of being a compassionate leader: the views of nursing and midwifery managers from around the world. Journal of Transcultural Nursing, 2021;32(6):765-777. DOI: 10.1177/10436596211008214
Rumsey M, Leong M, Brown Di, et al. Achieving universal health care in the pacific: the need for nursing and midwifery leadership. review paper. The Lancet Regional Health-Western Pacific, 2022;19:1-10 DOI:https://doi.org/10.1016/j.lanwpc.2021.100340
Sfantou D.F, Laliotis A, Patelarou A.E, et al. Importance of leadership style towards quality of care measures in healthcare settings: a systematic review. Healthcare, 2017;5(73):1-17. https://doi.org/10.3390/healthcare5040073
Shikuku D, Mohammed H, Ameh C. Midwifery workforce education, planning and leadership in kenya and nigeria. Journal of Public Health in Africa, 2022;13:2085. https://doi.org/10.4081/jphia.2022.2085
T.C. Sağlık Bakanlığı Sağlık İstatistikleri Yıllığı 2022. (31/07/2024 tarihinde https://dosyasb.saglik.gov.tr/Eklenti/48054/0/siy202205042024pdf.pdf adresinden ulaşılmıştır.)
The International Confederation of Midwives (ICM). Definition Of The Midwife. (31.07.2024 tarihinde https://www.internationalmidwives.org/our-work/policy-and-practice/icm-definitions.html adresinden ulaşılmıştır)
The International Confederation of Midwives (ICM). Young Midwife Leaders. (31.07.2024 tarihinde https://www.internationalmidwives.org/icm-projects/young-midwife-leaders.html adresinden ulaşılmıştır)
The Royal College of Midwives (RCM). Strengthening midwifery leadership: a manifesto for better maternity care. 2019
Thumm E.B, Flynn L. The Five attributes of a supportive midwifery practice climate: a review of the literature. J Midwifery Womens Health, 2018;63(1):90–103. doi:10.1111/jmwh.12707
Thumm E.B, Smith D.C, Squires A.P, et al. Burnout of the US midwifery workforce and the role of practice environment. Health Serv Res, 2022;57(2):351–363. DOI: 10.1111/1475-6773.13922
Torrens C, Campbell P, Hoskins G, et al. Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: A scoping review. International Journal of Nursing Studies, 2020;104:103443 https://doi.org/10.1016/j.ijnurstu.2019.103443
Türk Ebeler Derneği. Ebelik Mesleğinin Tanımı. (31.07.2024 tarihinde https://www.turkebelerdernegi.org/ebelik/ebelik-tanimi/ adresinden ulaşılmıştır)
Türkiye Nüfus ve Sağlık Araştırması (TNSA). Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü Ankara, Türkiye. 2013.
Türkiye Nüfus ve Sağlık Araştırması (TNSA). Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü Ankara, Türkiye. 2018.
United Nations Population Fund (UNFPA). The State of The World‘S Midwifery (SoWMy) 2021. (31.07.2024 tarihinde https://www.unfpa.org/publications/sowmy-2021 adresinden ulaşılmıştır)
Van Hecke A, Goemaes R, Verhaeghe S, et al. Leadership in nursing and midwifery: Activities and associated competencies of advanced practice nurses and midwives. J Nurs Manag, 2019;27(6):1261–1274. doi: 10.1111/jonm.12808
Vermeulen J, Luyben A, O’Connell R, et al. Failure or progress?: The current state of the professionalisation of midwifery in europe. European Journal of Midwifery, 2019;3(22):1-9. https://doi.org/10.18332/ejm/115038.
Westwood G, Richardson A, Latter S, et al. Building clinical academic leadership capacity: sustainability through partnership. Journal of Research in Nursing, 2018;23(4):346–57. DOI: 10.1177/1744987117748348.
World Health Organization (WHO). Midwives voices, midwives realities. Findings from a global consultation on providing quality midwifery care, 2016. (31/07/2024 tarihinde https://www.who.int/publications/i/item/9789241516112 adresinden ulaşılmıştır)
Yücel U, Kurt A, Moralılar Cansever S. Ebelikte yönetim ve liderlik. Balıkesir Sağlık Bilimleri Dergisi, 2018;7(3):93-100.
Referanslar
Aloustani S, Atashzadeh-Shoorideh F, Zagheri-Tafreshi M, et al. Association between ethical leadership, ethical climate and organizational citizenship behavior from nurses’ perspective: a descriptive correlational study. BMC Nursing, 2020;19(15):1-8. https://doi.org/10.1186/s12912-020-0408-1
Binyıl Kalkınma Hedefleri Raporu Türkiye 2010. (31.07.2024 tarihinde http://www.surdurulebilirkalkinma.gov.tr/wp-content/uploads/2016/07/UNDP-TR-TR-2010-MDG-Report_TR.pdf adresinden ulaşılmıştır)
Bremnes HS, Wiig ÅK, Abeid M, et al. Challenges in day-to-day midwifery practice; a qualitative study from a regional referral hospital in Dar es Salaam, Tanzania. Global Health Actıon, 2018;11:1-9. https://doi.org/10.1080/16549716.2018.1453333
Carragher J, Gormley K. Leadership and emotional intelligence in nursing and midwifery education and practice: a discussion paper. Journal of Advanced Nursing, 2016;73(1):85–96. doi: 10.1111/jan.13141
Chooha U, Chotwattanakulchai N, Sirisome J. Measurement of midwifery clinical leadership among nursing students: exploratory factor analysis. Advances in Medical Education and Practice, 2022:13 1329–1339.
De Brún A, O’Donovan R, McAuliffe E. Interventions to develop collectivistic leadership in healthcare settings: a systematic review. BMC Health Services Research, 2019;19(72):1-22. https://doi.org/10.1186/s12913-019-3883-x
De Brun A, Rogers L, O’Shea M, et al. Understanding the impact of a collective leadership intervention on team working and safety culture in healthcare teams: a realist evaluation protocol. HRB Open Research, 2020;2(5):1-14. https://doi.org/10.12688/hrbopenres.12860.2
De Leo A, Bayes S, Bloxsome D, et al. Exploring the usability of the COM-B model and Theoretical Domains Framework (TDF) to define the helpers of and hindrances to evidence-based practice in midwifery. Implementation Science Communications, 2021;2:7. https://doi.org/10.1186/s43058-020-00100-x
Dickson CAW, Davies C, McCormack B, et al. UK nurses’ and midwives’ experiences of healthful leadership practices during the COVID-19 pandemic: a rapid realist review. J Nurs Manag, 2022;30(8):3942-3957. doi: 10.1111/jonm.13790
Downe S, Byrom S, Simpson S. Essential midwifery practice: leadership, expertise and collaborative working. (1. Edition) United Kingdom: Blackwell Publishing Ltd; 2011.
Harvey G, Kelly J, Kitson A, et al. Leadership for evidence-based practice: Enforcing or enabling implementation? Collegian, 2020; 27(1):57–62. https://doi.org/10.1016/j.colegn.2019.04.004
Henwood S. Practıcal leadershıp ın nursıng and health care. (1. Edition) Londra: Routledge;2014
Hewitt L, Dadich A, Hartz DL, et al. Midwife centred management: a qualitative study of midwifery group practice management and leadership in Australi. BMC Health Services Research, 2022;22:1203. https://doi.org/10.1186/s12913-022-08532-y
Hewitt L, Priddis H, Dahlen H.G. What attributes do Australian midwifery leaders identify as essential to effectively manage a midwifery group practice? Women and Birth, 2019;32(2):168–177. DOI: 10.1016/j.wombi.2018.06.017
Macdonald S, Magill-Cuerden J. Mayes’ Midwifery. (4.Edition) London: Elsevier; 2010.
Mianda S, Voce A. Midwife conceptualizations of clinical leadership in the labor ward of district hospitals in KwaZulu-Natal, South Africa. Journal of Healthcare Leadership, 2018;10:87-94. http://dx.doi.org/10.2147/JHL.S172410
Nove A, Hoope-Bender P, Boyce M, et al. The state of the world’s midwifery 2021 report: findings to drive global policy and practice. Human Resources for Health, 2021;19:146 https://doi.org/10.1186/s12960-021-00694-w
Papadopoulos I, Lazzarino R, Koulouglioti C, et al. The ımportance of being a compassionate leader: the views of nursing and midwifery managers from around the world. Journal of Transcultural Nursing, 2021;32(6):765-777. DOI: 10.1177/10436596211008214
Rumsey M, Leong M, Brown Di, et al. Achieving universal health care in the pacific: the need for nursing and midwifery leadership. review paper. The Lancet Regional Health-Western Pacific, 2022;19:1-10 DOI:https://doi.org/10.1016/j.lanwpc.2021.100340
Sfantou D.F, Laliotis A, Patelarou A.E, et al. Importance of leadership style towards quality of care measures in healthcare settings: a systematic review. Healthcare, 2017;5(73):1-17. https://doi.org/10.3390/healthcare5040073
Shikuku D, Mohammed H, Ameh C. Midwifery workforce education, planning and leadership in kenya and nigeria. Journal of Public Health in Africa, 2022;13:2085. https://doi.org/10.4081/jphia.2022.2085
T.C. Sağlık Bakanlığı Sağlık İstatistikleri Yıllığı 2022. (31/07/2024 tarihinde https://dosyasb.saglik.gov.tr/Eklenti/48054/0/siy202205042024pdf.pdf adresinden ulaşılmıştır.)
The International Confederation of Midwives (ICM). Definition Of The Midwife. (31.07.2024 tarihinde https://www.internationalmidwives.org/our-work/policy-and-practice/icm-definitions.html adresinden ulaşılmıştır)
The International Confederation of Midwives (ICM). Young Midwife Leaders. (31.07.2024 tarihinde https://www.internationalmidwives.org/icm-projects/young-midwife-leaders.html adresinden ulaşılmıştır)
The Royal College of Midwives (RCM). Strengthening midwifery leadership: a manifesto for better maternity care. 2019
Thumm E.B, Flynn L. The Five attributes of a supportive midwifery practice climate: a review of the literature. J Midwifery Womens Health, 2018;63(1):90–103. doi:10.1111/jmwh.12707
Thumm E.B, Smith D.C, Squires A.P, et al. Burnout of the US midwifery workforce and the role of practice environment. Health Serv Res, 2022;57(2):351–363. DOI: 10.1111/1475-6773.13922
Torrens C, Campbell P, Hoskins G, et al. Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: A scoping review. International Journal of Nursing Studies, 2020;104:103443 https://doi.org/10.1016/j.ijnurstu.2019.103443
Türk Ebeler Derneği. Ebelik Mesleğinin Tanımı. (31.07.2024 tarihinde https://www.turkebelerdernegi.org/ebelik/ebelik-tanimi/ adresinden ulaşılmıştır)
Türkiye Nüfus ve Sağlık Araştırması (TNSA). Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü Ankara, Türkiye. 2013.
Türkiye Nüfus ve Sağlık Araştırması (TNSA). Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü Ankara, Türkiye. 2018.
United Nations Population Fund (UNFPA). The State of The World‘S Midwifery (SoWMy) 2021. (31.07.2024 tarihinde https://www.unfpa.org/publications/sowmy-2021 adresinden ulaşılmıştır)
Van Hecke A, Goemaes R, Verhaeghe S, et al. Leadership in nursing and midwifery: Activities and associated competencies of advanced practice nurses and midwives. J Nurs Manag, 2019;27(6):1261–1274. doi: 10.1111/jonm.12808
Vermeulen J, Luyben A, O’Connell R, et al. Failure or progress?: The current state of the professionalisation of midwifery in europe. European Journal of Midwifery, 2019;3(22):1-9. https://doi.org/10.18332/ejm/115038.
Westwood G, Richardson A, Latter S, et al. Building clinical academic leadership capacity: sustainability through partnership. Journal of Research in Nursing, 2018;23(4):346–57. DOI: 10.1177/1744987117748348.
World Health Organization (WHO). Midwives voices, midwives realities. Findings from a global consultation on providing quality midwifery care, 2016. (31/07/2024 tarihinde https://www.who.int/publications/i/item/9789241516112 adresinden ulaşılmıştır)
Yücel U, Kurt A, Moralılar Cansever S. Ebelikte yönetim ve liderlik. Balıkesir Sağlık Bilimleri Dergisi, 2018;7(3):93-100.
