Midwife in role of chief and organizer of environment of work

Grażyna Bączek
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Barbara Andrzejczuk
Ewa Dmoch-Gajzlerska
Z Zakładu Dydaktyki Ginekologiczno-Położniczej Warszawskiego Uniwersytetu Medycznego
Ze Szpitala Specjalistycznego im. św. Zofii w Warszawie
Z Zakładu Dydaktyki Ginekologiczno-Położniczej Warszawskiego Uniwersytetu Medycznego

Abstract

Purpose of work: The aim of this article is to describe the role of the midwife as a chief and therapeutic team leader, using a obstetrics-neonatal ward as an example.

Basic presumptions: The paper was written using literature on healthcare management and hospital management. Own hands-on knowledge coming from long-year experience as head of obstetricsneonatal ward has been used, as well as interviews with practising midwives and students of nonstationary midwifery graduate studies, who submitted their improvement proposals within the field of work-flow in birth-giving and postpartum wards.

The most important for institutional development of a hospital, are: willingness to change, fle xibility, good-working and committed employees, as well as well-advised heads-of-ward, who play a very special role. The priority in modern management is the self-development, independence, and education of employees, self-education and self-improvement of midwives in particular. The positive work of the chief-midwife is indispensable for a well-functioning ward, on the other hand her mistakes can ruin the effort of all subordinate employees. By her actions, the chief should promote an active stance within the staff, as well as shape their attitudes and behaviour. During the era of health-care reforms, midwives as a professional group should have an influence on the quality of care provision. It is a chance to increase their status within the health-care system, as well as the prestige of the profession itself.

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited