Abstract
Advanced midwives are expected to be candidates for middle managers in the next generation. Higher levels of management skills than the current levels may be required for middle managers in the future due to the progress of perinatal medicine. The aim of this study was to compare levels of management skills that are currently required for middle managers and levels of management skills that will be important in the next 10-20 years in advanced midwives. A self-administered questionnaire survey was conducted for 1652 advanced midwives in hospitals that have more than 300 beds in Japan. The scores for all management skills that will be required in the next generation were significantly higher than those for currently required management skills. Currently required management skills that were given high scores, including communication ability, ability to perform safety management and problem-solving ability, were also given high scores for middle managers in the next generation. Advanced midwives believed that management skills including the ability to participate in social activity, ability to use information and communication technology, and ability to participate in management in which these scores are low at present are needed for middle managers in the next generation. Advanced midwives consider that management skills for middle managers will change in the future. By acquisition of high levels of management skills, middle managers will be able to perform management of perinatal medicine and nursing. Key words: Advanced midwives, nursing middle managers, next generation, management skills.
Highlights
Various current social situations in Japan such as late marriage, late birth, low birth rate and isolation of childrearing are affecting perinatal medical care
We previously reported that many advanced midwives expected that there would be changes in perinatal care and nursing in the 10 to 20 years in Japan
Middle managers who have important roles in maternity hospitals are required to have diverse management abilities such as the ability to train midwives for improving the quality of midwifery care, the ability to establish a system in which postpartum women can continuously receive midwifery care after leaving a maternity hospital, and the ability to participate in hospital management (Ohira, 2007)
Summary
Various current social situations in Japan such as late marriage, late birth, low birth rate and isolation of childrearing are affecting perinatal medical care. The Japan Institute of Midwifery Evaluation developed the Clinical Ladder of Competencies for Midwifery Practice (CLoCMipR) and started a certification system in 2015 for advanced midwives who have acquired level III of the clinical ladder and can provide midwifery care independently (Japan Nursing Association, 2016). A midwife who can play an active role with a high ability of midwifery practice after acquisition of certification was defined as an advanced midwife in Japan. This definition may be different from the concept of advanced midwifery practice in other countries (Goemaes et al, 2016). The Japan Institute of Midwifery Evaluation indicated items such as safety, economy and leadership as management skills that are required for advanced midwives (Japan Nursing Association, 2013). A higher level of management skills may be required in the future due to the progress of perinatal medicine
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