Table 1 Major themes and sub-themes relating to the perspectives of Nurse Midwife Unit Mangers (NMUMs) role
From: Valuing nurse and midwifery unit managers’ voices: a qualitative approach
Major themes | Sub-themes | Sub Sub-themes |
|---|---|---|
Systems Challenges | ||
Structural challenges | Institutional deficits-financial and physical infrastructureIn adequate support from other systems/ structures/departments.Challenges of working with hospital managementInadequate support from systems and department within the hospital management.Feelings of not being supported by superiors/hospital management.Not included in decision making within the organisation.Adherence to organisational policies and procedure | |
Role preparation | Unprepared for the NMUM roleStruggling with self confidenceProfessional development for NMUMCareer plans | |
Managerial and administrative functions of role | Administrative responsibilities taking time from clinical timeStaffing and skill mix issues and dealing with difficult staff.Delegation of duties | |
Influences of people | ||
Leadership | Being accessibleLeading by example and taking responsibilityBuilding a functional teamTreating everyone with fairness, respect and equally.Succession plans/people developer | |
Putting the patient first | Clinical responsibilities main feature of roleMultidisciplinary interactionMaintaining quality | |
Personal sacrifices | Long hours of workDemand of work affecting family/personal lifeShouldering some of the personal burdens of subordinates |