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Midwives' supervisory styles and leadership role as experienced by Norwegian mothers in the context of a fear of childbirth.

AIM: The aim of the present study was to describe the midwives' supervisory style and leadership role as experienced by pregnant women and new mothers in the context of a fear of childbirth.

BACKGROUND: A service led by midwives can influence the quality of care.

METHODS: The sample consisted of 13 mothers. Data were interpreted by means of qualitative content analysis.

RESULTS: The findings revealed that the midwives' supervisory styles were related to their ability to create a trusting and caring relationship, demonstrate problem-solving capacity, and showing willingness, preparedness and courage to support the women. The midwives' leadership role was described as involving a crucial set of professional management skills and techniques.

CONCLUSION: The findings have strengthened the argument for the provision of continuity of care to women who are afraid of childbirth. Further studies should focus more specifically on the implementation of research in practice.

IMPLICATION FOR NURSING MANAGEMENT: It is necessary for midwives to demonstrate leadership in order to develop practice, predict challenges and changes, provide different care delivery models and acquire an evidence base for care. This also demands systematic supervision to improve care outcomes.

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