Facilitators influencing midwives to leadership positions in policy, education and practice: A systematic integrative literature review

IF 1.4 3区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Sexual & Reproductive Healthcare Pub Date : 2023-09-16 DOI:10.1016/j.srhc.2023.100917
Saifullah Muhammed Rafid Us Sattar , Oluwaseyi Akeredolu , Malin Bogren , Kerstin Erlandsson , Catrin Borneskog
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Abstract

The development of midwives as leaders is a crucial step towards achieving equality in sexual, reproductive, maternal, and neonatal health, Universal Health Coverage (UHC) and Sustainable Development Goals (SDG). However, many midwives work only to implement policies made by others rather than being drivers of policy changes. Little is known and researched about why midwives are not involved in decision and policymaking related to sexual, reproductive, maternal, and neonatal health. Hence, with a focus on midwifery leadership within the global community and the limited opportunities for women to hold leadership positions, this research explores the facilitators influencing midwives’ opportunities to become leaders in policy development, education and practice. Inspired by Whittemore and Knafl, this integrative literature review was conducted after twenty-two relevant articles were identified through a search of the following databases: PubMed, CINAHL, and Scopus. Inductive content analysis was applied to analyze data. The result indicates that for midwives to become influential leaders, they must be active in strategic planning at the highest level. This inevitably effects how far midwives can act as agents for change, even if they possess the knowledge and skills for a leadership position. Policies and regulations influence how midwives’ status in society is acknowledged and recognized. A clearly articulated educational pathway will enable their professional growth and expertise, making them knowledgeable and skillful as leaders. Enabling midwives to step into leadership positions at government level requires reforms which include midwives in decision-making. Excluding midwives from decision-making processes is detrimental to the goal of achieving universal health coverage. The first step is to provide midwives with a protected title, enabling them to work autonomously in an enabling environment with normal pregnancy and birth to achieve the SDG 2030 goals.

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影响助产士在政策、教育和实践中担任领导职务的促进者:一项系统的综合文献综述。
培养助产士作为领导者是实现性健康、生殖健康、孕产妇和新生儿健康、全民健康覆盖(UHC)和可持续发展目标(SDG)平等的关键一步。然而,许多助产士的工作只是为了执行他人制定的政策,而不是政策变化的推动者。关于助产士为什么不参与性健康、生殖健康、孕产妇健康和新生儿健康的决策和政策制定,人们知之甚少,也知之甚少。因此,本研究的重点是国际社会的助产领导力,以及女性担任领导职位的机会有限,探讨了影响助产士成为政策制定、教育和实践领导者机会的促进者。受Whittemore和Knafl的启发,本综合文献综述是在通过检索以下数据库确定22篇相关文章后进行的:PubMed、CINAHL和Scopus。采用归纳内容分析法对数据进行分析。结果表明,助产士要想成为有影响力的领导者,就必须积极参与最高级别的战略规划。这不可避免地会影响助产士作为变革推动者的作用,即使他们拥有领导职位的知识和技能。政策和法规影响助产士在社会中的地位如何得到承认和认可。清晰的教育途径将使他们能够获得专业成长和专业知识,使他们成为知识渊博、技能娴熟的领导者。使助产士能够担任政府一级的领导职位需要进行改革,将助产士纳入决策。将助产士排除在决策过程之外不利于实现全民健康覆盖的目标。第一步是为助产士提供受保护的头衔,使他们能够在正常怀孕和分娩的有利环境中自主工作,以实现2030年可持续发展目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Sexual & Reproductive Healthcare
Sexual & Reproductive Healthcare PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.70
自引率
5.60%
发文量
73
审稿时长
45 days
期刊最新文献
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