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

Author:

El Hussein Mohamed Toufic12ORCID,Jacoby Susan1,Mclarnon Matthew1,Favell Daniel3,Dosani Aliyah1

Affiliation:

1. Faculty of Health, Community & Education Mount Royal University Calgary Alberta Canada

2. Clinical Associate Faculty of Nursing, University of Alberta Edmonton Alberta Canada

3. Alberta Health Service Edmonton Alberta Canada

Abstract

AbstractAimThis study explores the experiences of interprofessional collaboration of Canadian midwives and obstetricians from midwives' perspective.DesignA 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.MethodEighteen 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.ResultsThe 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.ConclusionThis 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.ImplicationsThe 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 MethodThe authors adhered to Consolidated criteria for reporting qualitative research (COREQ).

Publisher

Wiley

Reference38 articles.

1. How to Foster Effective Midwife–Obstetrician Collaboration on Labor and Birth Units: Qualitative Analysis of Experiences of Clinicians in the United States

2. American College of Obstetricians and Gynecologists. (2016).Collaboration in practice: implementing team‐based care.https://www.acog.org/‐/media/project/acog/acogorg/clinical/files/task‐force‐report/articles/2016/collaboration‐in‐practice‐implementing‐team‐based‐care.pdf

3. Using thematic analysis in psychology

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