Liderlik Alanında Ebelik Hizmetlerinde Karşılaşılan Sorunlar
Özet
Ülkelerin gelişmişlik düzeyini belirleyen anne ölüm hızı ve bebek ölüm hızının ebelik bakımı ile ilişkili olması nedeniyle ve toplum sağlığının iyileştirilebilmesi için ebeliğin kalkınması gerekmektedir. Ebeliğin kalkınması içinde ebelikte liderlik kavramı önem taşımaktadır. Ebelikte liderliğin gelişimi ve değişiminde etkili birçok unsur bulunmaktadır. Bunlardan bazıları; sağlık sisteminin karmaşık yapısı, hızla gelişen teknolojik yapı, liderlerin kişisel özellikleridir.
Dünya genelinde ebelikte liderlik alanında karşılaşılan zorluklar ve bunların düzeyleri ülkeden ülkeye değişmektedir. Ebelik hizmetlerinde liderlik problemlerinin önüne geçilebilirse ülkeler sağlık alanında hızla iyileşme gösterecek ve ebelik mesleği daha hızlı gelişebilecektir. Ebelikte liderlik alanında karşılaşılan sorunların iyileştirilmesine yönelik girişimlerden bazıları; ebelikte liderliği geliştirmeye yönelik önemli yasal adımların atılması, her bir ebenin liderlik görevi olduğunun benimsenmesi ve liderlik özelliklerini geliştirmeye yönelik eğitimlerin verilmesi, örgütlenmeye yönelik teşviklerin artırılması gibi unsurlardır. Ebeler yeteneklerini ortaya koymaları için teşvik edilmelidir. Bu konuda herkesin rolü olduğu unutulmamalı, öğrencilikten başlanarak her zaman liderlik özelliklerine dikkat çekilmelidir. Her kademede her ebenin liderlik gücü olduğu unutulmamalıdır. Bu bölümde liderlik alanında ebelik hizmetinde karşılaşılan sorunlara yer verilmiştir.
Referanslar
Adaır J. Not bosses but leaders: How to lead the way to success. Kogan Page Publishers, 2009. p.12.
Ardahan M, Konal E. Hemşirelikte yöneticilik ve liderlik. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2017; 6(1): 140-147.
Bannon EM, Alderdice F, McNeills J. A review of midwifery leadership. British Journal of Midwifery. 2017;10(25): 655-661. doi:10.12968/bjom.2017.25.10.655.
Bharj K.K, Luyben A, Avery M.D. et al. An agenda for midwifery education: advancing the state of the world׳ s midwifery. Midwifery, 2016; 33: 3-6. doi:10.1016/j.midw.2016.01.004.
Carragher J, Gormley K. Leadership and emotional intelligence in nursing and midwifery education and practice: a discussion paper. Journal of advanced nursing. 2017;1(73): 85-96. doi.org/10.1111/jan.13141.
Chamberlain C, Fergie D, Sinclair A, et al. Traditional midwifery or ‘wise women’models of leadership: Learning from Indigenous cultures: Lead so the mother is helped, yet still free and in charge…’Lao Tzu, 5th century BC. Leadership. 2016;3(12): 346-363. doı:10.1177/1742715015608426
D'Amour D, Oandasan I. Interprofessionality as the field of interprofessional practice and interprofessional education: an emerging concept. J Interprof Care. 2005;19(1): 8-20. doi:10.1080/13561820500081604.
Delarue A., et al. Teamworking and organizational performance: a review of survey‐based research. International Journal of Management Reviews. 2008;2(10): 127-148. doi:10.1111/j.1468-2370.2007.00227.x.
Dicle A, Ertop D. Liderlikte Etik, Toplumsal Sorumluluk, Kültür. İstanbul: Beta Basım Yayım Dağıtım AŞ; 2019, p.52-80.
Dıvall B. Negotiating competing discourses in narratives of midwifery leadership in the English NHS. Midwifery. 2015; 11(31): 1060-1066. doi:10.1016/j.midw.2015.07.006.
Dunston R, Canny B, Fisher A. et al. Securing an interprofessional future for Australian health professional education and practice. 2020.p.1-6. https://api.researchrepository.uwa.edu.au/ws/portalfiles/portal/93491160/ID16_5408_SIF_Report_2020.pdf.
Forman D. Developing and Maintaining Leadership, Resilience and Sustainabilityin Interprofessional Collaboration. Forman, D., Jones, M., & Thistlethwaite, J. (Ed.) Sustainability and Interprofessional Collaboration. Springer International Publishing. 2020. p.4.
Garland G, O’Neill F. Patient –centred leadership. Hammer S, McNıchol E. (Ed.) Leadership and Management A 3-dimensional approach. Nelson Thornes, 2006. p.127.
Gilbert J.H.V. Leadership Challenges When Creating and Sustaining Cultural Change for Interprofessional Collaboration. Forman D, Jones M, Thistlethwaite J. (Ed.) Sustainability and Interprofessional Collaboration. Springer International Publishing. 2020. p. 27- 34.
Goemaes R, Beeckman D, Verhaeghe S., et al. Sustaining the quality of midwifery practice in Belgium: Challenges and opportunities for advanced midwife practitioners. Midwifery. 2020; 102792(8): 2. doi:10.1016/j.midw.2020.102792.
Gross Jessica M., et al. Evaluation of the impact of the ARC program on national nursing and midwifery regulations, leadership, and organizational capacity in East, Central, and Southern Africa. BMC Health Services Research. 2018;406(18): 1-11.doi:10.1186/s12913-018-3233-4.
Henwood S. (Ed.). Practical Leadership in Nursing and Health Care: A multi-professional approach. CRC Press. 2014. p.2-10.
Hewitt L, Dahlen HG, Hartz DL et al. Leadership and management in midwifery-led continuity of care models: a thematic and lexical analysis of a scoping review. Midwifery. 2021;102986(98): 1-8. doi:10.1016/j.midw.2021.102986.
Kaiser R.B, Mcginnis J.L, Overfıeld D.V. The how and the what of leadership. Consulting Psychology Journal: Practice and Research, 2012; 64(2): 119-135.
Malık D, Wılkınson D, Heywood S. Practical leadership in nursing and health care. Henwood S (ed.) Practical Leadership in Nursing and Health Care. A multi-professional approach, CRC Press. 2014. p.19-34.
McNichol E. Understanding yourself as a leader. Hammer S ,McNıchol E.(Ed.) Leadership and Management A 3-dimensional approach. Nelson Thornes, 2006, p.52-79.
Mellor S. Effective leadership of teams. Henwood S (ed.) Practıcal Leadershıp In Nursıng And Health Care. CRC Press, 2014. p.1-17.
Monquıs B.L, Huston C.J. Hemşirelikte liderlik rolleri ve yönetim işlevleri. (AN. Bahçeçik ve H. Öztürk Çev. Ed.). Nobel Tıp Kitabevi, 2018. p.1-635
Moxom K, Donna B. Understanding Self: Creating Your Vision. Henwood S (ed.) Practical Leadership in Nursing and Health Care. A multi-professional approach, CRC Press. 2014. p.37-52.
Piggot-Irvine E, Henwood S, Tosey P. Introduction to Leadership. Henwood S (ed.) Practıcal Leadershıp In Nursıng And Health Care. CRC Press, 2014. p.1-17.
Read J. The profile of professional midwifery leadership in England. British Journal of Midwifery. 2019; 27(2): 120-127. doi:10.12968/bjom.2019.27.2.120.
Renfrew M.J. Leadership for Effective Change in Mother and Infant Health: Lessons Learned from a Programme of Work on Breastfeeding. Downe S, Byrom S, Simpson L. Essential midwifery practice: leadership, expertise and collaborative working. 2011.p.63-80.
Rosener J.B. Ways women lead. In: Leadership, gender, and organization. Springer Netherlands. 2011;27(36): 19-29. doı: 10.1007/978-90-481-9014-0_3.
Røseth I, Austenå H, Sommerseth E., et al. Fluid Boundaries and Moving Targets: Midwife Leaders’ Perspectives on Continuing Professional Education. Sage Open. 2020;2(10): 1-9. doi:10.1177/2158244020933610.
Salmela S, Erıksson K, Fagerström L. Nurse leaders’ perceptions of an approaching organizational change. Qualitative Health Research. 2013;5(23): 689-699. doi: 10.1177/1049732313481501.
Sarıoğlu Uğur S, Uğur U. Yöneticilik ve Liderlik Ayrımında Kişisel Farklılıkların Rolü. Organizasyon ve Yönetim Bilimleri Dergisi. 2014; 1(6): 122-136.
Welbourne D.R, Warwick C.C., Fathers D. Leadership of whole systems. London: The Kings Fund. 2012, 17.
Yücel U, Kurt A, Cansever S. Ebelikte yönetim ve liderlik. Balıkesir Sağlık Bilimleri Dergisi, 2018; 3(7): 93-100.
Zenger J, Folkman J. Ten fatal flaws that derail leaders. Harvard Business Review, 2009; 18(6): 1.
Referanslar
Adaır J. Not bosses but leaders: How to lead the way to success. Kogan Page Publishers, 2009. p.12.
Ardahan M, Konal E. Hemşirelikte yöneticilik ve liderlik. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2017; 6(1): 140-147.
Bannon EM, Alderdice F, McNeills J. A review of midwifery leadership. British Journal of Midwifery. 2017;10(25): 655-661. doi:10.12968/bjom.2017.25.10.655.
Bharj K.K, Luyben A, Avery M.D. et al. An agenda for midwifery education: advancing the state of the world׳ s midwifery. Midwifery, 2016; 33: 3-6. doi:10.1016/j.midw.2016.01.004.
Carragher J, Gormley K. Leadership and emotional intelligence in nursing and midwifery education and practice: a discussion paper. Journal of advanced nursing. 2017;1(73): 85-96. doi.org/10.1111/jan.13141.
Chamberlain C, Fergie D, Sinclair A, et al. Traditional midwifery or ‘wise women’models of leadership: Learning from Indigenous cultures: Lead so the mother is helped, yet still free and in charge…’Lao Tzu, 5th century BC. Leadership. 2016;3(12): 346-363. doı:10.1177/1742715015608426
D'Amour D, Oandasan I. Interprofessionality as the field of interprofessional practice and interprofessional education: an emerging concept. J Interprof Care. 2005;19(1): 8-20. doi:10.1080/13561820500081604.
Delarue A., et al. Teamworking and organizational performance: a review of survey‐based research. International Journal of Management Reviews. 2008;2(10): 127-148. doi:10.1111/j.1468-2370.2007.00227.x.
Dicle A, Ertop D. Liderlikte Etik, Toplumsal Sorumluluk, Kültür. İstanbul: Beta Basım Yayım Dağıtım AŞ; 2019, p.52-80.
Dıvall B. Negotiating competing discourses in narratives of midwifery leadership in the English NHS. Midwifery. 2015; 11(31): 1060-1066. doi:10.1016/j.midw.2015.07.006.
Dunston R, Canny B, Fisher A. et al. Securing an interprofessional future for Australian health professional education and practice. 2020.p.1-6. https://api.researchrepository.uwa.edu.au/ws/portalfiles/portal/93491160/ID16_5408_SIF_Report_2020.pdf.
Forman D. Developing and Maintaining Leadership, Resilience and Sustainabilityin Interprofessional Collaboration. Forman, D., Jones, M., & Thistlethwaite, J. (Ed.) Sustainability and Interprofessional Collaboration. Springer International Publishing. 2020. p.4.
Garland G, O’Neill F. Patient –centred leadership. Hammer S, McNıchol E. (Ed.) Leadership and Management A 3-dimensional approach. Nelson Thornes, 2006. p.127.
Gilbert J.H.V. Leadership Challenges When Creating and Sustaining Cultural Change for Interprofessional Collaboration. Forman D, Jones M, Thistlethwaite J. (Ed.) Sustainability and Interprofessional Collaboration. Springer International Publishing. 2020. p. 27- 34.
Goemaes R, Beeckman D, Verhaeghe S., et al. Sustaining the quality of midwifery practice in Belgium: Challenges and opportunities for advanced midwife practitioners. Midwifery. 2020; 102792(8): 2. doi:10.1016/j.midw.2020.102792.
Gross Jessica M., et al. Evaluation of the impact of the ARC program on national nursing and midwifery regulations, leadership, and organizational capacity in East, Central, and Southern Africa. BMC Health Services Research. 2018;406(18): 1-11.doi:10.1186/s12913-018-3233-4.
Henwood S. (Ed.). Practical Leadership in Nursing and Health Care: A multi-professional approach. CRC Press. 2014. p.2-10.
Hewitt L, Dahlen HG, Hartz DL et al. Leadership and management in midwifery-led continuity of care models: a thematic and lexical analysis of a scoping review. Midwifery. 2021;102986(98): 1-8. doi:10.1016/j.midw.2021.102986.
Kaiser R.B, Mcginnis J.L, Overfıeld D.V. The how and the what of leadership. Consulting Psychology Journal: Practice and Research, 2012; 64(2): 119-135.
Malık D, Wılkınson D, Heywood S. Practical leadership in nursing and health care. Henwood S (ed.) Practical Leadership in Nursing and Health Care. A multi-professional approach, CRC Press. 2014. p.19-34.
McNichol E. Understanding yourself as a leader. Hammer S ,McNıchol E.(Ed.) Leadership and Management A 3-dimensional approach. Nelson Thornes, 2006, p.52-79.
Mellor S. Effective leadership of teams. Henwood S (ed.) Practıcal Leadershıp In Nursıng And Health Care. CRC Press, 2014. p.1-17.
Monquıs B.L, Huston C.J. Hemşirelikte liderlik rolleri ve yönetim işlevleri. (AN. Bahçeçik ve H. Öztürk Çev. Ed.). Nobel Tıp Kitabevi, 2018. p.1-635
Moxom K, Donna B. Understanding Self: Creating Your Vision. Henwood S (ed.) Practical Leadership in Nursing and Health Care. A multi-professional approach, CRC Press. 2014. p.37-52.
Piggot-Irvine E, Henwood S, Tosey P. Introduction to Leadership. Henwood S (ed.) Practıcal Leadershıp In Nursıng And Health Care. CRC Press, 2014. p.1-17.
Read J. The profile of professional midwifery leadership in England. British Journal of Midwifery. 2019; 27(2): 120-127. doi:10.12968/bjom.2019.27.2.120.
Renfrew M.J. Leadership for Effective Change in Mother and Infant Health: Lessons Learned from a Programme of Work on Breastfeeding. Downe S, Byrom S, Simpson L. Essential midwifery practice: leadership, expertise and collaborative working. 2011.p.63-80.
Rosener J.B. Ways women lead. In: Leadership, gender, and organization. Springer Netherlands. 2011;27(36): 19-29. doı: 10.1007/978-90-481-9014-0_3.
Røseth I, Austenå H, Sommerseth E., et al. Fluid Boundaries and Moving Targets: Midwife Leaders’ Perspectives on Continuing Professional Education. Sage Open. 2020;2(10): 1-9. doi:10.1177/2158244020933610.
Salmela S, Erıksson K, Fagerström L. Nurse leaders’ perceptions of an approaching organizational change. Qualitative Health Research. 2013;5(23): 689-699. doi: 10.1177/1049732313481501.
Sarıoğlu Uğur S, Uğur U. Yöneticilik ve Liderlik Ayrımında Kişisel Farklılıkların Rolü. Organizasyon ve Yönetim Bilimleri Dergisi. 2014; 1(6): 122-136.
Welbourne D.R, Warwick C.C., Fathers D. Leadership of whole systems. London: The Kings Fund. 2012, 17.
Yücel U, Kurt A, Cansever S. Ebelikte yönetim ve liderlik. Balıkesir Sağlık Bilimleri Dergisi, 2018; 3(7): 93-100.
Zenger J, Folkman J. Ten fatal flaws that derail leaders. Harvard Business Review, 2009; 18(6): 1.
