KONSEP DAN FILSAFAT KEPEMIMPINAN DALAM ILMU KEBIDANAN: SEBUAH TINJAUAN NARATIF
DOI:
https://doi.org/10.58526/ezrasciencebulletin.v3i2.438Keywords:
Kepemimpinan bidan, kepemimpinan etis, kesehatan ibu, tata kelola kolaboratif, keselamatan maternalAbstract
Kepemimpinan bidan memegang peran strategis dalam meningkatkan keselamatan ibu dan bayi. Artikel ini mengkaji secara kritis konsep dan filosofi kepemimpinan dalam kebidanan melalui sintesis literatur internasional dan praktik nasional. Kajian dilakukan dengan pendekatan tinjauan naratif sistematis menggunakan sumber jurnal terindeks dalam sepuluh tahun terakhir. Hasil analisis menunjukkan bahwa kepemimpinan bidan tidak hanya terbatas pada otoritas klinis, tetapi juga mencakup advokasi, pemberdayaan, serta pengaruh terhadap kebijakan kesehatan publik. Indikator efektivitas kepemimpinan tercermin dari mutu pelayanan, kepuasan pasien, dan keselamatan maternal. Lebih lanjut, penelitian menegaskan perbedaan antara peran manajerial yang berfokus pada fungsi administratif dengan peran kepemimpinan yang menekankan inspirasi, empati, dan koordinasi klinis. Tantangan globalisasi, digitalisasi, dan dilema etis menegaskan pentingnya pengembangan model kepemimpinan bidan yang adaptif dan berpusat pada nilai-nilai kemanusiaan. Artikel ini memberikan rekomendasi strategis untuk memperkuat kepemimpinan bidan pada level klinis, komunitas, dan kebijakan, sehingga berkontribusi pada penurunan angka kematian ibu dan bayi serta peningkatan kualitas hidup perempuan.
References
Adcock, J. E., Sidebotham, M., & Gamble, J. (2022). What do midwifery leaders need in order to be effective in contributing to the reform of maternity services? Women and Birth, 35(2), e142–e152. https://doi.org/10.1016/j.wombi.2021.04.008 https://www.sciencedirect.com/science/article/abs/pii/S1871519221000743
Aluora, J. A. (2025). The global power of transformational leadership in nursing and midwifery. Nurse Leader, 23(1), 25–28. https://www.nurseleader.com/article/S1541-4612(24)00235-0/fulltext
Badan Pusat Statistik. (2023). Hasil Long Form Sensus Penduduk 2020: Angka Kematian Ibu. Jakarta: BPS.
Bannon, E. M., Alderdice, F., & McNeill, J. (2017). A review of midwifery leadership. British Journal of Midwifery, 25(10), 655–660. https://doi.org/10.12968/bjom.2017.25.10.655 https://www.magonlinelibrary.com/doi/abs/10.12968/bjom.2017.25.10.655
Bass, B. M., & Riggio, R. E. (2006). Transformational leadership (2nd ed.). Mahwah, NJ: Lawrence Erlbaum Associates.
Benmira, S., & Agboola, M. (2020). Evolution of leadership theory. BMJ Leader, 5(1), 3–5. https://doi.org/10.1136/leader-2020-000296 https://bmjleader.bmj.com/content/5/1/3
Bogren, M., Erlandsson, K., & Byrskog, U. (2020). Midwifery policy leadership and scale-up of midwifery services: A global perspective. Sexual and Reproductive Healthcare, 23, 100489. https://doi.org/10.1016/j.srhc.2020.100489
Bond, C., Stacey, G., Westwood, G., & Long, L. (2023). Evaluation of the impact of leadership development on nurses and midwives underpinned by transformational learning theory: A corpus-informed analysis. Leadership in Health Services, ahead-of-print, 1–12. https://doi.org/10.1108/LHS-09-2022-0092 https://pubmed.ncbi.nlm.nih.gov/37382291/
Brown, M. E., & Treviño, L. K. (2006). Ethical leadership: A review and future directions. The Leadership Quarterly, 17(6), 595–616. https://doi.org/10.1016/j.leaqua.2006.10.004
Carnegie, E., & McIntosh, T. (2019). Midwifery, leadership and philosophy: Making a difference. Women and Birth, 32(6), 509–512. https://doi.org/10.1016/j.wombi.2019.05.003
Charalambous, A. (2023). Theoretical frameworks of leadership in nursing: Critical reflections. Seminars in Oncology Nursing, 39(1), 151362. https://doi.org/10.1016/j.soncn.2022.151362 https://www.sciencedirect.com/science/article/abs/pii/S0749208122001401
Chervenak, F. A., & McCullough, L. B. (2021). Ethically justified, practical guidance for the professionally responsible investigation of maternal-fetal intervention for fetal or neonatal benefit. Maternal-Fetal Medicine, 3(3), 208–212. https://doi.org/10.1097/FM9.0000000000000085 https://journals.lww.com/mfm/fulltext/2021/07000/ethically_justified,_practical_guidance_for_the.9.aspx
Chooha, U., Chotwattanakulchai, N., & Sirisome, J. (2022). Measurement of midwifery clinical leadership among nursing students: Exploratory factor analysis. Advances in Medical Education and Practice, 13, 1329–1339. https://doi.org/10.2147/AMEP.S375854 https://pmc.ncbi.nlm.nih.gov/articles/PMC9586703/
Choudhury, A., Arora, A., Aleemi, A., & Singh, N. (2019). Ethical leadership and patient-centered care: A pathway to high-quality maternity services. BMC Health Services Research, 19(1), 412. https://doi.org/10.1186/s12913-019-4214-8
Cook, M. J., & Leathard, H. L. (2004). Learning for clinical leadership. Journal of Nursing Management, 12(6), 436–444. https://doi.org/10.1111/j.1365-2834.2004.00517.x
Curtis, E., Sheerin, F., & De Vries, R. (2021). Developing leadership in midwifery: From hierarchical to collaborative models. Women and Birth, 34(4), 319–325. https://doi.org/10.1016/j.wombi.2020.07.004
Darling, E. K., Graybrook, R., Jameel, B., Dion, A., Ku-Carbonell, S., Begun, S., & Mattison, C. A. (2025). How has the integration of midwives into primary healthcare settings impacted access to care? A qualitative descriptive study from Ontario, Canada. BMC Health Services Research, 25, 516. https://doi.org/10.1186/s12913-025-11356-8 https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-025-12686-w
Drucker, P. F. (2007). The practice of management. New York: Harper Business.
El-Ardat, M. A., Galijašević, N. I., Lačević-Mulahasanović, L., Šaldo, Đ., Imamović, F., Pašalić, A., & Đido, V. (2025). The role and importance of the midwife before, during and after birth and their status in the health system. Journal of Community Medicine and Public Health Reports, 6(1). https://doi.org/10.38207/JCMPHR/2025/FEB06010507 https://www.acquaintpublications.com/article/the_role_and_importance_of_the_midwife_before_during_and_after_birth_and_their_status_in_the_health_system
Engward, H., Goldspink, S., & Alexander, M. (2025). Advocating for professional advocates in nursing and midwifery. Policy, Politics, & Nursing Practice, 26(3). https://doi.org/10.1177/15271544251331052 https://journals.sagepub.com/doi/10.1177/15271544251331052
Ferguson, B., Baldwin, A., Henderson, A., & Harvey, C. (2022). The grounded theory of coalescence of perceptions, practice and power: An understanding of governance in midwifery practice. Journal of Nursing Management, 30(8), 4587–4594. https://doi.org/10.1111/jonm.13892 https://pmc.ncbi.nlm.nih.gov/articles/PMC10099921/
Gallagher, A., & Tschudin, V. (2010). Educating for ethical leadership in nursing. Nursing Ethics, 17(4), 436–450. https://doi.org/10.1177/0969733010361440
Greenleaf, R. K. (2002). Servant leadership: A journey into the nature of legitimate power and greatness (25th anniversary ed.). Mahwah, NJ: Paulist Press.
Heifetz, R. A., Grashow, A., & Linsky, M. (2009). The practice of adaptive leadership: Tools and tactics for changing your organization and the world. Boston, MA: Harvard Business Press.
Herwansyah, H., Czabanowska, K., Schröder-Bäck, P., & Kalaitzi, S. (2023). Barriers and facilitators to the provision of maternal health services at community health centers during the COVID-19 pandemic: Experiences of midwives in Indonesia. Midwifery, 123, 103713. https://doi.org/10.1016/j.midw.2023.103713 https://pmc.ncbi.nlm.nih.gov/articles/PMC10166613/
Hewitt, L., Dadich, A., Hartz, D. L., & Dahlen, H. G. (2022). Midwife-centred management: A qualitative study of midwifery group practice management and leadership in Australia. BMC Health Services Research, 22, 1203. https://doi.org/10.1186/s12913-022-08532-y https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-022-08532-y
Hewitt, L., Dahlen, H. G., Hartz, D. L., & Dadich, A. (2021). Leadership and management in midwifery-led continuity of care models: A thematic and lexical analysis of a scoping review. Midwifery, 98, 102986. https://doi.org/10.1016/j.midw.2021.102986 https://www.sciencedirect.com/science/article/abs/pii/S0266613821000656
Indeed Editorial Team. (2025, June 6). Management and leadership: The differences and similarities. Indeed Career Guide. https://www.indeed.com/career-advice/career-development/management-vs-leadership https://uk.indeed.com/career-advice/career-development/management-and-leadership
International Confederation of Midwives (ICM). (2021). Essential competencies for midwifery practice. The Hague: ICM.
International Confederation of Midwives. (2022). Guide for midwifery leadership. ICM. https://internationalmidwives.org/resources/guide-for-midwifery-leadership/
International Confederation of Midwives. (2022). ICM strategy 2021–2023: Midwives leading the way. The Hague: ICM.
International Confederation of Midwives. (2024). Midwifery regulation and collaboration with women: Position statement. ICM. https://internationalmidwives.org/resources/midwifery-regulation-and-collaboration-with-women/
Kebede, B. F., Aboye, T., Genie, Y. D., Tesfa, T. B., & Hiwot, A. Y. (2023). The effect of leadership style on midwives’ performance, Southwest Ethiopia. Journal of Healthcare Leadership, 15, 31–41. https://doi.org/10.2147/JHL.S397907 https://pmc.ncbi.nlm.nih.gov/articles/PMC10010972/
Khalid, M., Firdos, F., Robin, R., Rafique, R., & Asif, M. (2021). Perception of transformational and transactional leadership behavior among staff nurses in a private hospital. Nursing and Rehabilitation Science, 1(1), 7. https://doi.org/10.54393/nrs.v1i01.7 https://www.nursearcher.com/index.php/nrs/article/view/7
Liden, R. C., Wang, X., & Wang, Y. (2025). The evolution of leadership: Past insights, present trends, and future directions. Journal of Business Research, 186, 115036. https://doi.org/10.1016/j.jbusres.2024.115036 https://www.sciencedirect.com/science/article/pii/S014829632400540X
Lupton, D. (2016). The quantified self: A sociology of self-tracking. Cambridge: Polity Press.
Mathibe-Neke, J. M., & Mashego, M. M. (2022). Midwives' ethical practice in selected labour units in Tshwane, Gauteng Province, South Africa. South African Journal of Bioethics and Law, 15(1). https://doi.org/10.7196/SAJBL.2022.v15i1.765 https://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S1999-76392022000100007
McFadden, A., Gavine, A., Renfrew, M. J., Wade, A., Buchanan, P., Taylor, J., ... & MacGillivray, S. (2020). The impact of midwives on maternal and neonatal outcomes: A systematic review. Midwifery, 84, 102648. https://doi.org/10.1016/j.midw.2020.102648
McKellar, L., Brown, A., & Carter, A. (2022). Midwifery leadership: A scoping review of characteristics and outcomes. Women and Birth, 35(5), 451–460. https://doi.org/10.1016/j.wombi.2021.06.008
Medway, J., & Rehayem, A. (2024). Resilient leadership in midwifery: Navigating challenges and opportunities. Midwifery, 128, 103809. https://doi.org/10.1016/j.midw.2024.103809
Medway, P., & Rehayem, A. (2024). Editorial: Midwifery leadership. Women and Birth, 37(1), 4–5. https://www.womenandbirth.org/article/S1871-5192(23)00271-8/fulltext
Mi, E. (2021, April 22). Raising the next generation of midwifery leaders. British Journal of Midwifery. https://doi.org/10.12968/bjom.2021.29.4.000 https://www.britishjournalofmidwifery.com/content/comment/raising-the-next-generation-of-midwifery-leaders/
Mianda, S., & Voce, A. S. (2018). Midwife conceptualizations of clinical leadership in the labor ward of district hospitals in KwaZulu-Natal, South Africa. Journal of Healthcare Leadership, 10, 87–94. https://doi.org/10.2147/JHL.S172410 https://pmc.ncbi.nlm.nih.gov/articles/PMC6267734/
Mintzberg, H. (1975). The manager’s job: Folklore and fact. Harvard Business Review, 53(4), 49–61.
Mirzaee, M., & Mirzaee, F. (2024). Medical ethics in childbirth: A structural equation modeling approach in south of Iran. BMC Medical Ethics, 25, 76. https://doi.org/10.1186/s12910-024-01062-5 https://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-024-01072-6
Nawagi, F., Kneafsey, R., Modber, M., Mukeshimana, M., Ndungu, C., & Bayliss-Pratt, L. (2023). An overview of nursing and midwifery leadership, governance structures, and instruments in Africa. BMC Nursing, 22, 168. https://doi.org/10.1186/s12912-023-01480-y https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-023-01336-3
Newnham, E., & Buchanan, K. (2023). Being the change: How midwifery philosophy can redefine ethical practice to transform maternity care. Women and Birth, 36(S1), S36. https://doi.org/10.1016/j.wombi.2023.07.094 https://www.sciencedirect.com/science/article/abs/pii/S1871519223001956
Ngabonzima, A., Asingizwe, D., & Kouveliotis, K. (2020). Influence of nurse and midwife managerial leadership styles on job satisfaction, intention to stay, and services provision in selected hospitals of Rwanda. BMC Nursing, 19(35). https://doi.org/10.1186/s12912-020-00436-7 https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-020-00428-8
Northouse, P. G. (2021). Leadership: Theory and practice (9th ed.). Thousand Oaks, CA: Sage Publications.
Nursing and Midwifery Council. (2024). Good leadership means better care. NMC. https://www.nmc.org.uk https://www.nmc.org.uk/standards/guidance/good-leadership-means-better-care/
Palimbo, A., Sari, A., Mahdiyah, D., & Redjeki, D. S. S. (2023). The leadership qualities of midwives when collaborating with nurses during postpartum. KnE Social Sciences, 8(9), 563–572. https://doi.org/10.18502/kss.v8i9.13371 https://kneopen.com/kne-social/article/view/13371/12383/
Pezaro, S. (2024, April 24). Characteristics of strong midwifery leaders: An international appreciative inquiry. International Confederation of Midwives. https://internationalmidwives.org https://internationalmidwives.org/characteristics-of-strong-midwifery-leaders-an-international-appreciative-inquiry/
Pezaro, S., Shdaifat, S. A., & Khalaf, I. (2024). Midwives as leaders: Exploring vision, empathy, and resilience in maternal health. Journal of Advanced Nursing, 80(2), 392–401. https://doi.org/10.1111/jan.15892
Pezaro, S., Zarbiv, G., Jones, J., Feika, M. L., Fitzgerald, L., Lukhele, S., McMillan-Bohler, J., Baloyi, O. B., da Silva, K. M., Grant, C., Bayliss-Pratt, L., & Hardtman, P. (2024). Characteristics of strong midwifery leaders and enablers of strong midwifery leadership: An international appreciative inquiry. Midwifery, 132, 103982. https://doi.org/10.1016/j.midw.2024.103982 https://pureportal.coventry.ac.uk/en/publications/characteristics-of-strong-midwifery-leaders-and-enablers-of-stron
Puthussery, S., Bayih, W. A., Brown, H., & Aborigo, R. A. (2023). Promoting a global culture of respectful maternity care. BMC Pregnancy and Childbirth, 23, 798. https://doi.org/10.1186/s12884-023-06239-4 https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-023-06118-y
Raesi, R., Saghari, S., Tabatabaee, S. S., Mirzaei, S., & Hushmandi, K. (2023). A survey of women giving birth regarding respect for the human dignity of the mother and the newborn. The Open Public Health Journal, 16, e187494452305170. https://doi.org/10.2174/18749445-v16-230619-2022-4 https://openpublichealthjournal.com/VOLUME/16/ELOCATOR/e187494452305170/
Rawls, J. (1999). A theory of justice (rev. ed.). Cambridge, MA: Harvard University Press.
Reedsburg Area Medical Center. (2024, June 26). Midwives as advocates: Empowering women in all aspects of health. https://www.ramchealth.com https://ramchealth.com/news/midwives-as-advocates-empowering-women-in-all-aspects-of-health/
Renfrew, M. J., Attygalle, D., Dennis-Antwi, J., Davis, D., Dixon, L., Johnson, P., ... & McFadden, A. (2019). Midwifery and quality care: Findings from a new evidence-informed framework for maternal and newborn care. The Lancet, 384(9948), 1129–1145. https://doi.org/10.1016/S0140-6736(14)60789-3
Renfrew, M. J., McFadden, A., Bastos, M. H., Campbell, J., Channon, A. A., Cheung, N. F., ... & Declercq, E. (2019). Midwifery and quality care: Findings from a new evidence-informed framework for maternal and newborn care. The Lancet, 384(9948), 1129–1145. https://doi.org/10.1016/S0140-6736(14)60789-3
Richards, A. (2020). Exploring the benefits and limitations of transactional leadership in healthcare. Nursing Standard, 35(12), 46–50. https://doi.org/10.7748/ns.2020.e11593 https://pubmed.ncbi.nlm.nih.gov/33089675/
Ruwayda, R., & Hastono, S. P. (2024). Midwifery leadership competence to improving maternal and child health services: A scoping review. Proceedings of the 11th International Conference on Public Health, 9(1). https://theicph.com/index.php/icph/article/view/2606
Sattar, S. M. R. U., Akeredolu, O., Bogren, M., Erlandsson, K., & Borneskog, C. (2023). Facilitators influencing midwives to leadership positions in policy, education and practice: A systematic integrative literature review. Sexual & Reproductive Healthcare, 38, 100917. https://doi.org/10.1016/j.srhc.2023.100917 https://pubmed.ncbi.nlm.nih.gov/37769484/
Syairaji, A., Sari, Y. A., & Rachmawati, I. N. (2024). Maternal mortality in Indonesia: A systematic review and meta-analysis. BMC Pregnancy and Childbirth, 24(1), 78. https://doi.org/10.1186/s12884-024-06587-2
Topol, E. (2019). Deep medicine: How artificial intelligence can make healthcare human again. New York: Basic Books.
UNFPA. (2021). State of the World’s Midwifery 2021: Building a health workforce to meet the needs of women, newborns and adolescents everywhere. New York: United Nations Population Fund.
UNICEF. (2023). Levels & trends in child mortality: Report 2023. New York: UNICEF.
United Nations Population Fund. (2025). The midwifery accelerator: Expanding health care for women and newborns. UNFPA. https://www.unfpa.org https://www.unfpa.org/publications/midwifery-accelerator-expanding-health-care-women-and-newborn
Wilson College. (2024, May 21). Management vs. leadership: Similarities and differences. Wilson College Online Blog. https://online.wilson.edu/news/management-vs-leadership https://online.wilson.edu/resources/management-vs-leadership/
World Health Organization. (2021). Maternal mortality: Key facts. Geneva: WHO.
Yukl, G. (2013). Leadership in organizations (8th ed.). Boston, MA: Pearson Education.
Zarei, Z., Afshari, P., Jahanbani, E., & Haghighi, M. H. (2020). Evaluating the effect of leadership style on burnout among the midwives working at maternity hospitals of Khuzestan province. International Journal of Pharmaceutical and Phytopharmacological Research, 10(1), 6–12. https://eijppr.com/article/evaluating-the-effect-of-leadership-style-on-burnout-among-the-midwives-working-at-maternity-hospitals-of-khuzestan-province
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Dewi Noviari, Neneng Hasanah (Author)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright @2022. This is an open-access article distributed under the terms of the Creative Commons Attribution-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-sa/4.0/) which permits unrestricted commercial used, distribution and reproduction in any medium
Ezra Science Bulletin is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


