Professionalism and person-centredness: developing a practice-based approach to leadership within NHS maternity services in the UK. Issue 2 (4th May 2017)

• Record Type: Journal Article
• Authors: Deery, Ruth; Fisher, Pamela
• Is Part Of: Health sociology review. Volume 26:Issue 2(2017)
• Page Start: 143
• Page End: 159
• Publication Date: 2017-05-04
• Subjects: Midwifery -- person-centred approach -- MacIntyre -- professionalism -- professional dissonance -- autonomy; Public health -- Periodicals; Social medicine -- Periodicals; Sociology, Medical -- Periodicals; Public health; Social medicine; Periodicals; 362.1042
• DOI: 10.1080/14461242.2016.1159525
• Languages: English
• ISSNs: 1446-1242

Abstract

ABSTRACT: 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 ). After virtue (3rd ed.). London: Duckworth]. 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.