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Followership

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Followership
Miller, Lisa A. CNM, JD
Section Editor(s): Miller, Lisa A. CNM, JD
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President, Perinatal Risk Management & Education Services Chicago, Ill

For most of my career, I've been in leadership positions. Only 6 months after beginning my nursing career I was “promoted” to assistant head nurse, night shift. At the time, I was naïve enough to think it was my innate skill and ability, when the reality was more likely the fact that no one else wanted the job. I continued to serve in leadership or managerial positions when I became a nurse-midwife. Several years ago, after many years serving as a director of various nurse-midwifery services, I had the disconcerting but ultimately rewarding revelation that I was not a very good boss. Sure, I was good at negotiating the budget, and getting the midwives decent working conditions, but I was autocratic and aggressive, not very desirable characteristics of a leader. I decided to shift into teaching, something I enjoyed and did not require that I be “in charge” of anyone but myself. To keep clinically active, I took a per diem position as a nurse-midwife at a local hospital. It is a position which I still hold today and one that gives me great pleasure. And it is in part because my current boss is such a skilled leader, a leader that I am proud to follow, that I became interested in the concept of followership. | | It seems that a lot gets written about leadership in both business and healthcare. And, certainly we can all agree that leadership is critical to successful teamwork. In fact, teamwork seems to be the topic du jour in many healthcare organizations striving to become models of patient safety. But leaders need followers, so what about the issue of followership? After giving the concept of followership some serious thought and doing a bit of reading on the subject, I've concluded

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