RESUMO
AIM: To explore the differences in perceived importance and actual performance of clinical leadership for all grades of nurses and midwives engaged in clinical practice. BACKGROUND: Clinical leadership is central to the provision of person-centred care. However, little is known about how nurses and midwives perceive this in practice. METHODS: Data were collected on a sample of nurses and midwives in the Republic of Ireland, using a cross-sectional study design (n = 324). The clinical leadership needs analysis instrument was used to measure perceived importance and performance of clinical leadership in practice. Grades of nurses/midwives included; staff, manager, advanced practitioner and senior manager. RESULTS: Senior managers were more likely to report significantly higher scores than staff grades for perceived importance of Technology & Care Initiatives (p < .01) and Financial & Service Management (p = .02). Performance of Staff & Care Delivery was significantly higher for senior managers than staff grades [F(5,309) = 6.06 p < .01]. CONCLUSION: There was a mismatch between the perceived importance and actual performance of clinical leadership in practice between different grades of staff. IMPLICATIONS FOR NURSING MANAGEMENT: Leadership training for all grades and mentoring of staff grades can promote the building of confidence and empower staff in leading clinical practice.
Assuntos
Liderança , Enfermeiras e Enfermeiros/psicologia , Percepção , Desempenho Profissional/normas , Adulto , Estudos Transversais , Feminino , Humanos , Irlanda , Masculino , Pessoa de Meia-Idade , Enfermeiros Obstétricos/classificação , Enfermeiros Obstétricos/psicologia , Enfermeiras e Enfermeiros/classificação , Inquéritos e QuestionáriosAssuntos
Tocologia/educação , Tocologia/organização & administração , Enfermeiros Obstétricos/educação , Enfermeiros Obstétricos/organização & administração , Certificação , Educação de Pós-Graduação em Enfermagem/organização & administração , Humanos , Descrição de Cargo , Licenciamento em Enfermagem , Tocologia/classificação , Nebraska , Enfermeiros Obstétricos/classificação , Papel do Profissional de Enfermagem , Autonomia ProfissionalRESUMO
This paper chronicles the events that took place between April 1994 and February 1995 specific to setting the standard for professional midwifery in the United States through the credentialing of midwives (other than nurse-midwives) by the American College of Nurse-Midwives (ACNM). A collection of documents that record the actions of ACNM leaders and the views of ACNM members related to this issue is also provided. The ACNM Board of Directors has determined that any non-nurse who is a graduate of an ACNM Division of Accreditation accredited midwifery program and has passed an ACNM Certification Council (ACC) national midwifery examination will be called an ACC Certified Midwife.