Professionalism and person-centredness

Developing a practice-based approach to leadership within NHS maternity services in the UK

Dados Bibliográficos

ID3662855
AutoresRuth Deery (0000-0002-3507-8129, University of the West of Scotland, autor correspondente), Pamela Fisher (0000-0002-7121-5485, University of Leeds)
Ano2017
Volume26
Fascículo2
Páginas143-159
Data de publicação2017-05-04
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoHealth Sociology Review (JOURNAL)
Identificadores do periódicoISSN: 1446-1242 • E-ISSN: 1839-3551
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/14461242.2016.1159525
OpenAlexW2337855748
IdiomaEN
Citações recebidas1
Referências citadas66

This paper, based on data taken from in-depth interviews with senior midwives and obstetricians and conducted as part of a critical ethnographic study, argues for a greater appreciation of person-centred, value-led midwifery practice. The paper begins with a discussion of the way midwifery practice is shaped by encoded and embodied knowledge. The paper subsequently focuses on an emergent practice based leadership using an adapted Aristotelian conceptual framework derived from MacIntyre (2007). Professional dissonance is highlighted as a difficulty experienced by repositioned managers who are also expected to be leaders in their field. Using data gathered from in-depth interviews it is contended that establishing person-centred care might be better achieved through the development of practice based leadership (rather than solely by adherence to organisational requirements). This type of leadership could potentially nurture a professional environment that promotes qualities, such as agency, commitment and high levels of competence among midwives. Such leadership is central to UK government priorities and is applicable to a global practice development agenda

Cognitive dissonance · Competence (human resources · Leadership development · Leadership style · Nature versus nurture · Political science · Public relations · Sociology · Virtue · Maternal and Perinatal Health Interventions · Medicine · Nursing · Psychology · Qualitative Research Methods and Ethics · Social Issues and Policies · Social Psychology