Exploring First Nations Nursing and Midwifery Leadership development: An international scoping review

Article

Deravin, Linda, Best, Odette, Richards, Catelyn, Stuart, Lynne and Ward, Aletha. 2025. "Exploring First Nations Nursing and Midwifery Leadership development: An international scoping review." Contemporary Nurse. https://doi.org/10.1080/10376178.2025.2461556

Article Title	Exploring First Nations Nursing and Midwifery Leadership development: An international scoping review
ERA Journal ID	40054
Article Category	Article
Authors	Deravin, Linda, Best, Odette, Richards, Catelyn, Stuart, Lynne and Ward, Aletha
Journal Title	Contemporary Nurse
Number of Pages	20
Year	2025
Publisher	Taylor & Francis
Place of Publication	Australia
ISSN	1037-6178
Digital Object Identifier (DOI)	https://doi.org/10.1080/10376178.2025.2461556
Web Address (URL)	https://www.tandfonline.com/doi/full/10.1080/10376178.2025.2461556
Abstract	Background The development of First Nations nurses and midwives is crucial to addressing health inequities stemming from systemic injustices. However, this workforce is significantly underrepresented globally. Understanding the reasons for this underrepresentation and identifying key challenges and opportunities for leadership is necessary. Aim This scoping review aimed to explore the challenges and opportunities in leadership development of First Nations nursing and midwifery professionals internationally. Design A scoping review was conducted following the framework developed by Arksey and O'Malley (Citation2005). Data sources Six databases including PubMed, CINAHL, Scopus, PsychInfo, Proquest and Australian Indigenous HealthInfoNet were searched. Methods The search was performed on 30 January 2024. Items were included if the research focus was on First Nations nursing and midwifery leadership. Full texts were then thematically analysed for overarching themes, and extracted data was charted. After charting, key findings were reviewed, and emerging themes were grouped into common categories. Results The scoping review identified a paucity in the contemporary literature, with only ten articles retrieved. Analysis revealed five main theses: (1) systemic injustices impacting leadership opportunities, (2) complex responsibilities beyond typical roles, (3) underrepresentation in leadership positions, (4) shifting from colonial leadership models and (5) effective methods for leadership development. Opportunities identified included promoting equitable leadership, fostering integrated relationships, building cultural resilience and emphasising community-orientated leadership approaches. Conclusion Promoting adequate representation and developing culturally safe leadership models are essential steps towards empowering First Nations nurses and midwives in their leadership development. The study highlights the need for targeted leadership development strategies for First Nations nurses and midwives to enhance representation and impact within healthcare systems globally.
Keywords	midwifery; nursing
Contains Sensitive Content	Does not contain sensitive content
ANZSRC Field of Research 2020	4205. Nursing
	450415. Aboriginal and Torres Strait Islander nursing
Byline Affiliations	Office of the PVC (First Nations Strategy)
	First Nations Strategy Research Alliance
	University of the Sunshine Coast

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Anderson, Judith, Croxon, Lyn and Deravin, Linda. 2017. "Newly graduated nurses working in isolation with palliative patients." 14th National Rural Health Conference. Cairns, Australia 26 - 29 Mar 2017 Australia.

Using technology to prepare students for new graduate interviews

Deravin, Linda, Bourke, G., Mozer, M. and O'Connell, J.. 2017. "Using technology to prepare students for new graduate interviews." Australasian Nurse Educator Conference 2017- Transition, Technology, Transformation. Christchurch New Zealand 28 - 30 Sep 2017 Australia.

Are closing the gap targets being met?

Deravin, Linda, Francis, Karen and Anderson, Judith. 2017. "Are closing the gap targets being met?" Australian Nursing and Midwifery Journal. 34 (9), pp. 38-38.

Indigenous Australians living longer still the gap remains

Deravin-Malone, Linda. 2017. "Indigenous Australians living longer still the gap remains." Australian Nursing and Midwifery Journal. 24 (7), pp. 41-41.

A Review of Aged Care Provision in Multipurpose Services (Mps)

Anderson, Judith, Deravin-Malone, Linda and Croxon, Lyn. 2017. "A Review of Aged Care Provision in Multipurpose Services (Mps)." Australian Nursing and Midwifery Journal. 24 (7), p. 34.

Networking and Delegation

Malone, Linda. 2017. "Networking and Delegation." Stanley, David (ed.) Clinical leadership in Nursing and Health care: Values into action . United Kingdom. John Wiley & Sons. pp. 203-214

Dealing with Conflict

Malone, Linda. 2017. "Dealing with Conflict." Stanley, David (ed.) Clinical Leadership in Nursing and Healthcare: Values into Action. United Kingdom. John Wiley & Sons. pp. 215-233

Choosing a nursing career: Building an Indigenous nursing workforce

Deravin, Linda, Francis, Karen and Anderson, Judith. 2017. "Choosing a nursing career: Building an Indigenous nursing workforce." Journal of Hospital Administration. 6 (5), p. 27–30. https://doi.org/10.5430/jha.v6n5p27

Nursing stress and satisfaction outcomes resulting from implementing a team nursing model of care in a rural setting

Deravin, Linda, Francis, Karen, Nielsen, Sharon and Anderson, Judith. 2017. "Nursing stress and satisfaction outcomes resulting from implementing a team nursing model of care in a rural setting." Journal of Hospital Administration. 6 (1), pp. 60-66. https://doi.org/10.5430/jha.v6n1p60

'Some of us pushed forward and let the world see what could be done': Aboriginal Australian nurses and midwives, 1900-2005

Best, Odette and Gorman, Don. 2016. "'Some of us pushed forward and let the world see what could be done': Aboriginal Australian nurses and midwives, 1900-2005." Labour History: a journal of labour and social history. https://doi.org/10.5263/labourhistory.111.0149

Indigenous health

Best, Odette. 2011. "Indigenous health." 2011 QUT Indigenous Studies Research Network and Faculty of Health Symposium: Healthier Futures Thru Indigenous Led Research. Brisbane, Australia 29 Sep 2011

The native nurses of Queensland, Australia – 1940s

Best, Odette. 2012. "The native nurses of Queensland, Australia – 1940s." 2012 International Nursing History Conference: Nursing History in a Global Perspective. Copenhagen, Denmark 09 - 11 Aug 2012

The experience of Indigenous students in a Bachelor of Nursing program in Australia: cultural safety and decolonising nurse education

Cox, Leonie and Best, Odette. 2013. "The experience of Indigenous students in a Bachelor of Nursing program in Australia: cultural safety and decolonising nurse education." ENTER 2013 Conference: Enhancing Nursing Through Educational Research. Edinburgh, United Kingdom 03 Dec 2013 Scotland.

Training the native nurses: so what went wrong? – an Australian context

Best, Odette. 2013. "Training the native nurses: so what went wrong? – an Australian context." 2013 UK Association for the History of Nursing Colloquium (UKAHN 2013). Oxford, United Kingdom 04 Jul 2013

Aboriginal Australian women and work: an historical context

Best, Odette and Fredericks, Bronwyn. 2013. "Aboriginal Australian women and work: an historical context." Oxford Women's Leadership Symposium (OWLS 2013) and the London Education Research Symposia 2013. Oxford, United Kingdom 05 - 06 Dec 2013

Not domestic servants: Aboriginal Australian women as trained nurses and midwives 1900-1949

Best, Odette and Grehan, Madonna. 2015. "Not domestic servants: Aboriginal Australian women as trained nurses and midwives 1900-1949." 32nd Annual AAHN Nursing & Health Care History Conference. Dublin, Ireland 17 - 20 Sep 2015 United States.

Training the ‘natives’ as nurses in Australia: so what went wrong?

Best, Odette. 2015. "Training the ‘natives’ as nurses in Australia: so what went wrong?" Sweet, Helen and Hawkins, Sue (ed.) Colonial caring: a history of colonial and post-colonial nursing. Manchester, MI, United States. Manchester University Press. pp. 104-125

Working with Australian Indigenous populations

van Holst Pellekaan, Sheila and Best, Odette. 2014. "Working with Australian Indigenous populations." Craft, Judy A., Gordon, Christopher J., Huether, Sue E., McCance, Kathryn L., Branshers, Valentina L. and Rote, Neal S. (ed.) Understanding pathophysiology 2. Australia. Elsevier. pp. 1156-1178

The cultural safety journey: an Australian nursing context

Best, Odette. 2014. "The cultural safety journey: an Australian nursing context." Best, Odette and Fredericks, Bronwyn (ed.) Yatdjuligin: Aboriginal and Torres Strait Islander nursing and midwifery care. Australia. Cambridge University Press. pp. 51-73

Indigenous gendered health perspectives

Fredericks, Bronwyn, Adams, Mick and Best, Odette. 2014. "Indigenous gendered health perspectives." Best, Odette and Fredericks, Bronwyn (ed.) Yatdjuligin: Aboriginal and Torres Strait Islander nursing and midwifery care. Australia. Cambridge University Press. pp. 74-86

Introduction [to Yatdjuligin: Aboriginal and Torres Strait Islander nursing and midwifery care]

Best, Odette and Fredericks, Bronwyn. 2014. "Introduction [to Yatdjuligin: Aboriginal and Torres Strait Islander nursing and midwifery care]." Best, Odette and Fredericks, Bronwyn (ed.) Yatdjuligin: Aboriginal and Torres Strait Islander nursing and midwifery care. Australia. Cambridge University Press. pp. 1-6

Community controlled health services: what they are and how they work

Ward, Raelene, Fredericks, Bronwyn and Best, Odette. 2014. "Community controlled health services: what they are and how they work." Best, Odette and Fredericks, Bronwyn (ed.) Yatdjuligin: Aboriginal and Torres Strait Islander nursing and midwifery care. Australia. Cambridge University Press. pp. 87-100

Women bashing: an urban Aboriginal perspective

Lucashenko, Melissa and Best, Odette. 1995. "Women bashing: an urban Aboriginal perspective." Social Alternatives. 14 (1), pp. 19-22.

Australia needs more Indigenous nurses

Armstrong, F. and Best, O.. 2001. "Australia needs more Indigenous nurses." Australian Nursing Journal. 8 (9), pp. 28-30.

Talkin' up our doctoral research

Fredericks, Bronwyn, Adams, Mick, Walker, Melissa, Peacock, Christine, Duthie, Debbie, Best, Odette and Mills, Kyly. 2011. "Talkin' up our doctoral research." Aboriginal and Islander Health Worker Journal. 35 (6), pp. 27-27.

Closing the gap: nurses and midwives making a difference

Usher, Kim and Best, Odette. 2011. "Closing the gap: nurses and midwives making a difference." Contemporary Nurse. 37 (1), pp. 3-4. https://doi.org/10.1080/10376178.2011.11002482

Commentary: 'Our reflections on identity, gender and transforming action': a lesson from place

Fredericks, Bronwyn, Walker, Melissa, Peacock, Christine, Duthie, Debbie and Best, Odette. 2012. "Commentary: 'Our reflections on identity, gender and transforming action': a lesson from place." MAI Journal. 1 (1), pp. 76-85.

Saving Indigenous nurses and midwives from historical oblivion

Best, Odette. 2014. "Saving Indigenous nurses and midwives from historical oblivion." The Hive. 7, pp. 24-25.

Project management supports the change process

Stanley, David, Malone, Linda and Shields, Linda. 2016. "Project management supports the change process." Nursing Management. 23 (3), p. 52–55. https://doi.org/10.1097/01.NUMA.0000483130.35813.d9

The experiences of indigenous health workers enrolled in a bachelor of nursing at a regional Australian university

Stuart, Lynne and Gorman, Don. 2015. "The experiences of indigenous health workers enrolled in a bachelor of nursing at a regional Australian university ." AlterNative: an international journal of indigenous peoples. 11 (1), pp. 29-44.

Implementing Team Nursing in a Rural Setting- An Australian Perspective

Deravin Malone, Linda. 2016. "Implementing Team Nursing in a Rural Setting- An Australian Perspective ." International Rural Nursing Conference 2016 . Rapid City, South Dakota, United States 19 - 21 Jul 2016 United States.

Transfer of responsibility and accountability of patient care in acute care settings

Anderson, J., Forsythe, K and Deravin, Linda. 2016. "Transfer of responsibility and accountability of patient care in acute care settings." Western NSW Research Network Scientific Symposium. Orange NSW 14 - 14 Sep 2016

Indigenous Health Practitioner to Nurse Career Pathway

Deravin, Linda. 2016. "Indigenous Health Practitioner to Nurse Career Pathway." IHNA Launch. Rosanna Victoria 07 - 07 Jul 2016

Are newly graduated nurses ready to deal with death and dying? - A literature review

Deravin Malone, Linda, Anderson, Judith and Croxon, Lyn. 2016. "Are newly graduated nurses ready to deal with death and dying? - A literature review." Nursing and Palliative Care. 1 (4), pp. 89-93. https://doi.org/10.15761/npc.1000123

Creating Pathways in Nursing Education to Increase Indigenous Nursing Numbers

Deravin-Malone, Linda. 2016. "Creating Pathways in Nursing Education to Increase Indigenous Nursing Numbers." Australian Nursing and Midwifery Journal. 23 (8), pp. 37-37.

End of Life Care

Deravin-Malone, Linda, Croxon, Lyn, McLeay, Mooreen and Anderson, Judith. 2016. "End of Life Care." Deravin-Malone, Linda and Anderson, Judith (ed.) Chronic care nursing: A framework for practice. Australia. Cambridge University Press. pp. 273-288

Injury prevention

Brown, Simone, Deravin-Malone, Linda, Wherry, Sally-Anne and Anderson, Judith. 2016. "Injury prevention ." Deravin-Malone, Linda and Anderson, Judith (ed.) Chronic care nursing: A framework for practice. Australia. Cambridge University Press. pp. 113-126

Implementing the Macro Level of ICCCF

Deravin-Malone, Linda, Francis, Karen and Anderson, Judith. 2016. "Implementing the Macro Level of ICCCF." Deravin-Malone, Linda and Anderson, Judith (ed.) Chronic care nursing: A framework for practice. Australia. Cambridge University Press. pp. 20-32

Implementing the Meso Level of ICCCF

Francis, Karen, Anderson, Judith and Deravin-Malone, Linda. 2016. "Implementing the Meso Level of ICCCF." Deravin-Malone, Linda and Anderson, Judith (ed.) Chronic care nursing: A framework for practice. Australia. Cambridge University Press. pp. 33-48

Implementing the micro level of the Innovative Care for Chronic Conditions Framework

Anderson,Judith, Deravin, Linda and Anderson, Kathryn. 2016. "Implementing the micro level of the Innovative Care for Chronic Conditions Framework." Deravin, Linda and Anderson, Judith (ed.) Chronic care nursing: A framework for practice. Singapore. Cambridge University Press. pp. 51-64

Frameworks for chronic care management

Anderson, Judith, Deravin-Malone, Linda and Francis, Karen. 2016. "Frameworks for chronic care management." Deravin-Malone, Linda and Anderson, Judith (ed.) Chronic care nursing: A framework for practice. Australia. Cambridge University Press. pp. 3-19

Chronic Care Nursing: A Framework for Practice

Deravin-Malone, Linda and Anderson, Judith. 2016. Chronic Care Nursing: A Framework for Practice. Australia. Cambridge University Press.

Student participation in clinical handover-an integrative review

Malone, Linda, Anderson, Judith and Manning, Jennifer. 2016. "Student participation in clinical handover-an integrative review." Journal of Clinical Nursing. 25 (5-6), pp. 575-82. https://doi.org/10.1111/jocn.13081

Early palliative care for patients with metastatic lung cancer: Evidence for and barriers against

Bornais, Chantal and Deravin-Malone, Linda. 2016. "Early palliative care for patients with metastatic lung cancer: Evidence for and barriers against." Nursing and Palliative Care. 1 (4), pp. 81-84. https://doi.org/10.15761/npc.1000121

Confronting the cultural challenge of the whiteness of nursing: Aboriginal registered nurses' perspectives

Nielsen, Anne-Maree, Stuart, Lynne Alice and Gorman, Don. 2014. "Confronting the cultural challenge of the whiteness of nursing: Aboriginal registered nurses' perspectives." Contemporary Nurse. 48 (2), pp. 190-196. https://doi.org/10.1080/10376178.2014.11081940

An Aboriginal nurse-led working model for success in graduating indigenous Australian nurses

Best, Odette and Stuart, Lynne. 2014. "An Aboriginal nurse-led working model for success in graduating indigenous Australian nurses." Contemporary Nurse. 48 (1), pp. 59-66. https://doi.org/10.1080/10376178.2014.11081927

Understanding the need for the introduction of the Multi-Purpose Service model in rural Australia

Malone, Linda and Anderson, Judith. 2015. "Understanding the need for the introduction of the Multi-Purpose Service model in rural Australia." Asia Pacific Journal of Health Management. 10 (3), pp. GS3-GS6.

Chronic care undergraduate nursing education in Australia

Anderson, Judith and Malone, Linda. 2015. "Chronic care undergraduate nursing education in Australia." Nurse Education Today. 35 (12), pp. 1135-1138. https://doi.org/10.1016/j.nedt.2015.08.008

Nursing bedside clinical handover - an integrated review of issues and tools

Anderson, Judith, Malone, Linda, Shanahan, Kerry and Manning, Jennifer. 2015. "Nursing bedside clinical handover - an integrated review of issues and tools." Journal of Clinical Nursing. 24 (5-6), pp. 662-71. https://doi.org/10.1111/jocn.12706

Are we Closing the Gap or Widening it? Does policy support Indigenous people to enter, remain and advance in Nursing?

Deravin, Linda, Francis, Karen and Anderson, Judith. 2014. "Are we Closing the Gap or Widening it? Does policy support Indigenous people to enter, remain and advance in Nursing?" International Rural Health & Rural Nursing Research Conference 2014. Bozeman, United States 29 - 31 Jul 2014 United States.

Suitability of the Multi-Purpose Service Model for Rural and Remote Communities of Australia

Anderson, J and Malone, L.. 2014. "Suitability of the Multi-Purpose Service Model for Rural and Remote Communities of Australia." Asia Pacific Journal of Health Management. 9 (3), pp. 14-18.

Managing a train crash in rural Australia from a mental health perspective

Malone, Linda, Druce, C., Anderson, J. and Francis, K.. 2014. "Managing a train crash in rural Australia from a mental health perspective." The Hive. Spring.

The right staffing mix for inpatient care in rural multi-purpose service health facilities

Malone, LM and Anderson, JK. 2014. "The right staffing mix for inpatient care in rural multi-purpose service health facilities." Rural and Remote Health. 14 (4), p. 2881.

Yatdjuligin: the stories of Queensland Aboriginal registered nurses 1950–2005

Best, Odette. 2011. Yatdjuligin: the stories of Queensland Aboriginal registered nurses 1950–2005. PhD Thesis Doctor of Philosophy. University of Southern Queensland.

Citation for developing retention and support strategies that enable Indigenous nursing students to realise their university dreaming journeys

Stuart, Lynne, Horner, Vicki-Ellen and Nielsen, Anne-Maree. 2011. "Citation for developing retention and support strategies that enable Indigenous nursing students to realise their university dreaming journeys." Unpublished.