Understanding factors affecting collaboration between midwives and other health care professionals in a birth center and its affiliated Quebec hospital: a case study
Abstract Background A better understanding of the processes of collaboration between midwives who work in the birthing centers, and hospital-based obstetricians, family physicians and nurses may promote cooperation among professionals providing maternity care in both institutions. The aim of this re...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2017-06-01
|
| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12884-017-1381-x |
| _version_ | 1818019335232290816 |
|---|---|
| author | Roxana Behruzi Stephanie Klam Marleen Dehertog Vania Jimenez Marie Hatem |
| author_facet | Roxana Behruzi Stephanie Klam Marleen Dehertog Vania Jimenez Marie Hatem |
| author_sort | Roxana Behruzi |
| collection | DOAJ |
| description | Abstract Background A better understanding of the processes of collaboration between midwives who work in the birthing centers, and hospital-based obstetricians, family physicians and nurses may promote cooperation among professionals providing maternity care in both institutions. The aim of this research was to explore the barriers and facilitators of the interprofessional and interorganizational collaboration between midwives in birthing centers and other health care professionals in hospitals in Quebec. Methods A case study design was adopted. Data were collected through semi-structured interviews with midwives, multidisciplinary professionals and administrators, through direct observation of activities in maternity units and field notes, and a variety of organizational and policy documents and archives. A qualitative thematic analysis method was used for analyzing transcribed verbatim. Results The study suggests the close intertwinement between interactional, organizational and systemic factors in regard to barriers and opportunities for collaboration between midwives in birthing centers, and physicians and nurses in hospitals in Quebec. At interactional level, our findings show a conflict in scope of midwifery practice, myth about midwives, pre-judgment, and lack of communication skills between health care providers in the studied birthing center and hospital. At the organizational level, this investigation shows that although midwives have complete access to the hospital with which a formal agreement was signed, they were not integrated in hospital because of lack of interest of midwives and differences in philosophy and scope of practice among healthcare professionals as well as the culture of organizations. At a systemic level, in spite of excessive demand for midwifery care, there are not enough midwives to cover these demands. Conclusion Maternity care professionals require taking a collaborative approach in working and the boundaries of responsibility need to be redrawn. The inter-professional collaborative work between midwives and other maternity care professionals is crucial to improve access and women’s choices for maternity care in Canada. Although having collaborative and multidisciplinary teamwork is a goal of maternity care systems, it is hard to achieve. |
| first_indexed | 2024-04-14T07:50:56Z |
| format | Article |
| id | doaj.art-8827dcb34eca4275ab298610abec7013 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-14T07:50:56Z |
| publishDate | 2017-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-8827dcb34eca4275ab298610abec70132022-12-22T02:05:11ZengBMCBMC Pregnancy and Childbirth1471-23932017-06-0117111410.1186/s12884-017-1381-xUnderstanding factors affecting collaboration between midwives and other health care professionals in a birth center and its affiliated Quebec hospital: a case studyRoxana Behruzi0Stephanie Klam1Marleen Dehertog2Vania Jimenez3Marie Hatem4Department of Family Medicine, McGill University/ The Research Center of the CISSS at OutaouaisDepartment of Obstetrics and Gynecology, McGill UniversityMaison de naissance Côte-des-Neiges, CIUSSS Centre-Ouest-de-l’île-de-MontréalDepartment of Family Medicine, McGill University/ The Research Center of the CISSS at OutaouaisSchool of Public Health, Department of Social and Preventive Medicine, Université de MontrealAbstract Background A better understanding of the processes of collaboration between midwives who work in the birthing centers, and hospital-based obstetricians, family physicians and nurses may promote cooperation among professionals providing maternity care in both institutions. The aim of this research was to explore the barriers and facilitators of the interprofessional and interorganizational collaboration between midwives in birthing centers and other health care professionals in hospitals in Quebec. Methods A case study design was adopted. Data were collected through semi-structured interviews with midwives, multidisciplinary professionals and administrators, through direct observation of activities in maternity units and field notes, and a variety of organizational and policy documents and archives. A qualitative thematic analysis method was used for analyzing transcribed verbatim. Results The study suggests the close intertwinement between interactional, organizational and systemic factors in regard to barriers and opportunities for collaboration between midwives in birthing centers, and physicians and nurses in hospitals in Quebec. At interactional level, our findings show a conflict in scope of midwifery practice, myth about midwives, pre-judgment, and lack of communication skills between health care providers in the studied birthing center and hospital. At the organizational level, this investigation shows that although midwives have complete access to the hospital with which a formal agreement was signed, they were not integrated in hospital because of lack of interest of midwives and differences in philosophy and scope of practice among healthcare professionals as well as the culture of organizations. At a systemic level, in spite of excessive demand for midwifery care, there are not enough midwives to cover these demands. Conclusion Maternity care professionals require taking a collaborative approach in working and the boundaries of responsibility need to be redrawn. The inter-professional collaborative work between midwives and other maternity care professionals is crucial to improve access and women’s choices for maternity care in Canada. Although having collaborative and multidisciplinary teamwork is a goal of maternity care systems, it is hard to achieve.http://link.springer.com/article/10.1186/s12884-017-1381-xInterprofessionalInterorganisationalCollaborationMidwivesBirthing center |
| spellingShingle | Roxana Behruzi Stephanie Klam Marleen Dehertog Vania Jimenez Marie Hatem Understanding factors affecting collaboration between midwives and other health care professionals in a birth center and its affiliated Quebec hospital: a case study BMC Pregnancy and Childbirth Interprofessional Interorganisational Collaboration Midwives Birthing center |
| title | Understanding factors affecting collaboration between midwives and other health care professionals in a birth center and its affiliated Quebec hospital: a case study |
| title_full | Understanding factors affecting collaboration between midwives and other health care professionals in a birth center and its affiliated Quebec hospital: a case study |
| title_fullStr | Understanding factors affecting collaboration between midwives and other health care professionals in a birth center and its affiliated Quebec hospital: a case study |
| title_full_unstemmed | Understanding factors affecting collaboration between midwives and other health care professionals in a birth center and its affiliated Quebec hospital: a case study |
| title_short | Understanding factors affecting collaboration between midwives and other health care professionals in a birth center and its affiliated Quebec hospital: a case study |
| title_sort | understanding factors affecting collaboration between midwives and other health care professionals in a birth center and its affiliated quebec hospital a case study |
| topic | Interprofessional Interorganisational Collaboration Midwives Birthing center |
| url | http://link.springer.com/article/10.1186/s12884-017-1381-x |
| work_keys_str_mv | AT roxanabehruzi understandingfactorsaffectingcollaborationbetweenmidwivesandotherhealthcareprofessionalsinabirthcenteranditsaffiliatedquebechospitalacasestudy AT stephanieklam understandingfactorsaffectingcollaborationbetweenmidwivesandotherhealthcareprofessionalsinabirthcenteranditsaffiliatedquebechospitalacasestudy AT marleendehertog understandingfactorsaffectingcollaborationbetweenmidwivesandotherhealthcareprofessionalsinabirthcenteranditsaffiliatedquebechospitalacasestudy AT vaniajimenez understandingfactorsaffectingcollaborationbetweenmidwivesandotherhealthcareprofessionalsinabirthcenteranditsaffiliatedquebechospitalacasestudy AT mariehatem understandingfactorsaffectingcollaborationbetweenmidwivesandotherhealthcareprofessionalsinabirthcenteranditsaffiliatedquebechospitalacasestudy |