Rumsey Michele, Thoms Debra, Leong Margaret, Wilson Colleen Turaga, Filise Mele Sii Inukihaangana, Tuipulotu Amelia Latu Afuha'amango, Rossiter Chris
WHO Collaborating Centre on Nursing Midwifery & Health Development, University of Technology Sydney, Sydney, New South Wales, Australia.
NSW Health, Adjunct Professor, Faculty of Health, University of Technology Sydney, Sydney, Australia.
Int Nurs Rev. 2025 Mar;72(1):e13092. doi: 10.1111/inr.13092.
To identify and explore inhibitors and enablers of nursing and midwifery leadership in the Pacific; to develop context-specific recommendations for policy and practice.
Many Pacific Island countries experience poor health outcomes and are vulnerable to climate-related health emergencies. Nursing and midwifery leadership is essential to improve regional health outcomes through influencing policy decisions, strengthening health systems and ensuring optimal health workforce utilisation. Understanding factors affecting health professional leadership facilitates action to remove obstacles and stimulate professional development for emerging leaders.
This qualitative study utilised a culturally sensitive co-designed approach and follows the COREQ criteria. The PARcific research methodology synthesised Participant Action Research with Pacific methodologies for culturally safe interviews with 136 stakeholders.
Major enablers of leadership identified were professional development, particularly skills in communication, project planning and data literacy; adequate workforce resources; effective workforce management; support from peers and managers; and personal confidence and courage. Participants identified main inhibitors: inadequate workforce resources; limited cultural sensitivity; and poor understanding of national and regional strategies. However, perspectives varied between different participant groups. International and regional policy makers did not recognise the critical importance of workforce resources and individual agency to fostering nursing and midwifery leadership.
Joint action to enhance health professional leadership will promote better policymaking leading to improved health outcomes.
Professional development should specifically include leadership training using culturally appropriate methods and mechanisms for management and peer support. Leadership development also requires adequate workforce resources to support training; regional standards for accreditation and professional development; improved formal and informal communication pathways; established regional policy directions; and a regional taskforce with health professionals trained to provide crisis leadership.
识别并探究太平洋地区护理及助产领导力的促进因素和阻碍因素；针对政策与实践制定因地制宜的建议。
许多太平洋岛国健康状况不佳，易受与气候相关的卫生紧急情况影响。护理及助产领导力对于通过影响政策决策、加强卫生系统以及确保卫生人力的最佳利用来改善区域健康状况至关重要。了解影响卫生专业人员领导力的因素有助于采取行动消除障碍，并促进新兴领导者的专业发展。
这项定性研究采用了具有文化敏感性的共同设计方法，并遵循COREQ标准。太平洋研究方法将参与式行动研究与太平洋地区的方法相结合，以便对136名利益相关者进行具有文化安全性的访谈。
确定的领导力主要促进因素包括专业发展，尤其是沟通、项目规划和数据素养方面的技能；充足的人力物力资源；有效的人力管理；来自同行和管理者的支持；以及个人的自信和勇气。参与者确定了主要阻碍因素：人力物力资源不足；文化敏感性有限；对国家和区域战略的理解不足。然而，不同参与者群体的观点存在差异。国际和区域政策制定者没有认识到人力物力资源和个人能动性对培养护理及助产领导力的至关重要性。
加强卫生专业人员领导力的联合行动将促进更好的政策制定，从而改善健康状况。
专业发展应特别包括使用适合文化的方法以及管理和同行支持机制进行领导力培训。领导力发展还需要充足的人力物力资源来支持培训；认证和专业发展的区域标准；改善正式和非正式的沟通渠道；确立区域政策方向；以及设立一个由接受过危机领导力培训的卫生专业人员组成的区域特别工作组。
