A concurrent mixed-method study exploring the experiences of interprofessional collaboration among Canadian midwives and obstetricians.

Autor: El Hussein MT; Faculty of Health, Community & Education, Mount Royal University, Calgary, Alberta, Canada.; Clinical Associate, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada., Jacoby S; Faculty of Health, Community & Education, Mount Royal University, Calgary, Alberta, Canada., Mclarnon M; Faculty of Health, Community & Education, Mount Royal University, Calgary, Alberta, Canada., Favell D; Alberta Health Service, Edmonton, Alberta, Canada., Dosani A; Faculty of Health, Community & Education, Mount Royal University, Calgary, Alberta, Canada.
Jazyk: angličtina
Zdroj: Journal of advanced nursing [J Adv Nurs] 2024 Oct; Vol. 80 (10), pp. 4323-4332. Date of Electronic Publication: 2024 Apr 03.
DOI: 10.1111/jan.16183
Abstrakt: Aim: This study explores the experiences of interprofessional collaboration of Canadian midwives and obstetricians from midwives' perspective.
Design: A concurrent mixed-methods approach that combined a small validation study and qualitative thematic analysis was used to provide evidence of the nature and importance of collaboration between Registered Midwives (RMs) and obstetricians.
Method: Eighteen RMs across Canada completed a demographic survey and the Midwifery-Obstetrician Collaboration (MOC) scale in 2023. The quantitative analyses were conducted to assess the reliability of the Midwifery-Obstetrician Collaboration (MOC) and accumulate preliminary evidence to support its validity. Semi-structured interviews were conducted with 13 participants. After completing the interviews, themes were identified using thematic analysis.
Results: The primary themes identified were knowledge of midwifery scope affects collaboration, collaboration is necessary for effective patient care, midwife-physician collaboration is impacted by power differentials and hierarchies, and proposed methods to improve physician-midwife collaboration. Although a small sample size did not permit extensive statistical testing, the quantitative results supported the reliability of the MOC scale. In addition, a strong correlation between the MOC and the communication subscale of the Inter-Professional Collaboration (IPC) scale provided evidence of the MOC's concurrent validity as a measure of collaboration between midwives and physicians.
Conclusion: This study provides support for the Midwifery-Obstetrics Collaboration (MOC) Scale as an assessment tool to evaluate collaboration between midwives and OB/GYNs in obstetrics care. While the 18 RMs recruited for this study provided a fulsome analysis for the qualitative portion, a larger study is necessary to provide more extensive quantitative analysis to validate the MOC scale for continued use among RMs and OBs.
Implications: The implications of this study are to foster strong interprofessional relationships between midwives and OBs and to improve the health outcomes of pregnant women and newborns.
Reporting Method: The authors adhered to Consolidated criteria for reporting qualitative research (COREQ).
(© 2024 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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