The state of nursing and midwifery leadership, governance structures, and instruments in Africa

Author:

Nawagi Faith1ORCID,Kneafsey Rosie2,Modber Mohammed3,Mukeshimana Madeline4,Ndungu Cecilia5,Bayliss-Pratt Lisa6

Affiliation:

1. Makerere University CHS: Makerere University College of Health Sciences

2. Coventry University Centre for Health Care Research

3. Médecins Sans Frontières: Medecins sans Frontieres

4. University of Rwanda College of Medicine and Health Sciences

5. The National Nurses Association of Kenya

6. Nursing Now Challenge

Abstract

Abstract Background Investment in nursing and midwifery leadership and governance are key suggested approaches by the World Health Organization (WHO) Africa Regional Office to address the shortages of the nursing health workforce. However, there are few if any studies that have investigated the existence and operationalization of the nursing leadership and governance structures in Africa. This paper fills this gap by, providing an overview of nursing and midwifery leadership, governance structures, and instruments in Africa.MethodsWe conducted a descriptive cross-sectional study of the nursing and midwifery leadership ,structures and instruments in 16 African countries using quantitative methodology. Data was analyzed using SPSS IBM 21 statistical software. Data was summarized in frequencies and percentages and presented as tables and charts. ResultsOnly(9,56.25%) of the 16 countries included had retrievable evidence of all expected governance structures while (7, 43.75%) lacked one or more of the structures. A quarter (4, 25%) of the countries did not have a department of nursing and midwifery or chief nursing and midwifery officer at their Ministry of Health (MOH). The dominant gender representation across all the governance structures was female. Only Lesotho (1, 6.25%) had all expected nursing and midwifery governance instruments while the remaining (15, 93.75%) had either one or four of these instruments missing.ConclusionsThe lack of complete nursing and midwifery governance structures and instruments in various African countries is a matter of concern. Without these structures and instruments, the strategic direction and input of the nursing and midwifery profession cannot be maximized for the public good in relation to health outcomes. Addressing the existing gaps requires a multipronged approach with the need to strengthen regional collaboration, advocacy, creating awareness, and advancing nursing and midwifery leadership training to enable nursing and midwifery governance capacity development in Africa.

Publisher

Research Square Platform LLC

Reference30 articles.

1. WHO. State of the World’s Nursing Report – 2020. 2020. https://www.who.int/publications-detail/nursing-report-2020. Accessed 13 Apr 2020.

2. Crisp N, Brownie S, Refsum C. Nursing and Midwifery: The key to the rapid and cost-effective expansion of high-quality universal health coverage. Doha, Qatar: World Innovation Summit for Health, 2018; 2018.

3. Nursing Now Challenge. What we do. 2021. https://www.nursingnow.org/nursing-now-challengers-committee/. Accessed 14 Jan 2022.

4. Nanyonga RC, Bosire EN, Heller DJ, Bradley E, Reynolds NR. Predictors of nursing leadership in Uganda: a cross-sectional study. Health Policy and Planning. 2020;35 Supplement_1:i51–64.

5. Medical doctors in healthcare leadership: theoretical and practical challenges;Denis J-L;BMC Health Serv Res,2016

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3