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Despite this, women nurses and midwives are underrepresented in healthcare leadership.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore the perspectives and experiences of nurses and midwives to identify system\u2010 and organizational\u2010level strategic opportunities for advancing women into leadership.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Two\u2010phased mixed\u2010methods design employing an exploratory sequential approach and weaving narrative methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Large public and private healthcare services in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Phase one included twenty\u2010five nursing and midwifery leaders. Phase two included 158 nurses and midwives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from the organizational change management stream of the Advancing Women in Healthcare Leadership national initiative was used. Phase one consisted of qualitative semistructured interviews and informed phase two, which comprised an online survey with qualitative and quantitative components. Qualitative data were analyzed thematically; quantitative data were analyzed descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>System\u2010level opportunities for advancing women nurses and midwives into healthcare leadership included reforming legal agreements and challenging perceived hierarchies within professional roles. Organizational\u2010level opportunities included building leadership capacity through inclusive organizational policies and processes; fostering inclusive organizational cultures through awareness and engagement; expanding mentoring and networking opportunities; enhancing leadership development through accessible, tailored training; and embedding equity and transparency in recruitment and promotion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Advancing women nurses and midwives into healthcare leadership needs a shift from individual efforts to systemic strategies. Addressing structural barriers and fostering empowerment, healthcare systems can build inclusive, resilient leadership pipelines that reflect the diversity and expertise of the nursing and midwifery workforce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>This study examines nursing careers and workforce issues rather than nursing care. Consequently, no patients or members of the public were involved in its design, conduct, or reporting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/9904118","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:06:26Z","timestamp":1791309986000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Strengthening Leadership Pathways for Women Nurses and Midwives: Examining System and Organizational Opportunities in a Mixed\u2010Methods Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3070-7325","authenticated-orcid":false,"given":"Mihirika Surangi De Silva","family":"Pincha Baduge","sequence":"first","affiliation":[{"name":"Monash Centre for Health, Research and Implementation Monash University  Melbourne Victoria Australia  monash.ac.za"},{"name":"Institute of Health and Wellbeing Federation University  Melbourne Victoria Australia  federation.edu.au"},{"name":"Intensive Care Eastern Health  Melbourne Victoria Australia  easternhealth.org.au"},{"name":"Australian College of Nursing  Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7609-577X","authenticated-orcid":false,"given":"Helena J.","family":"Teede","sequence":"additional","affiliation":[{"name":"Monash Centre for Health, Research and Implementation Monash University  Melbourne Victoria Australia  monash.ac.za"},{"name":"Endocrine and Diabetes Units Monash Health  Melbourne Victoria Australia  monashhealth.org"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leanne","family":"Boyd","sequence":"additional","affiliation":[{"name":"Intensive Care Eastern Health  Melbourne Victoria Australia  easternhealth.org.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5342-1800","authenticated-orcid":false,"given":"Ifeoluwa","family":"Adesina","sequence":"additional","affiliation":[{"name":"Monash Centre for Health, Research and Implementation Monash University  Melbourne Victoria Australia  monash.ac.za"},{"name":"Department of Health Systems and Equity Eastern Health Clinical School Monash University  Melbourne Victoria Australia  monash.ac.za"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Joseph","sequence":"additional","affiliation":[{"name":"Monash Centre for Health, Research and Implementation Monash University  Melbourne Victoria Australia  monash.ac.za"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3937-4790","authenticated-orcid":false,"given":"Belinda","family":"Garth","sequence":"additional","affiliation":[{"name":"Monash Centre for Health, Research and Implementation Monash University  Melbourne Victoria Australia  monash.ac.za"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"e_1_2_13_1_2","volume-title":"Sustain and Retain in 2022 and Beyond","author":"Buchan J.","year":"2022"},{"key":"e_1_2_13_2_2","unstructured":"World Health Organization Nursing and Midwifery 2024 https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/nursing-and-midwifery."},{"key":"e_1_2_13_3_2","volume-title":"Delivered by Women, Led by Men: A Gender and Equity Analysis of the Global Health and Social Workforce","author":"World Health Organization","year":"2019"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16158"},{"key":"e_1_2_13_5_2","volume-title":"Nursing now","author":"Newman C.","year":"2019"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s41073-016-0007-6"},{"key":"e_1_2_13_7_2","unstructured":"National Health and Medical Research Council Statement on Sex Gender Variations of Sex Characteristics and Sexual Orientation in Health and Medical Research 2024 https:\/\/www.nhmrc.gov.au\/research-policy\/gender-equity\/statement-sex-and-gender-health-and-medical-research#block-views-block-file-attachments-content-block-1."},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12541"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-022-00876-4"},{"key":"e_1_2_13_10_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1777323"},{"key":"e_1_2_13_11_2","article-title":"International Nurses Day 2024: The Economic Power of Care","author":"Stewart D.","year":"2024","journal-title":"ICN\u2013International Council of Nurses"},{"key":"e_1_2_13_12_2","volume-title":"State of the World\u2032s Nursing 2020: Investing in Education, Jobs and Leadership","author":"World Health Organization","year":"2020"},{"key":"e_1_2_13_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.102354"},{"key":"e_1_2_13_14_2","first-page":"60","volume-title":"INSPIRE. 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