Faculty of Health, Community & Education, Mount Royal University, Calgary, Alberta, Canada.
Clinical Associate, Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
J Adv Nurs. 2024 Oct;80(10):4323-4332. doi: 10.1111/jan.16183. Epub 2024 Apr 3.
This study explores the experiences of interprofessional collaboration of Canadian midwives and obstetricians from midwives' perspective.
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.
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.
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.
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.
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.
The authors adhered to Consolidated criteria for reporting qualitative research (COREQ).
本研究从助产士的角度探讨加拿大助产士和产科医生的专业协作经验。
采用同时进行的混合方法，结合小型验证研究和定性主题分析，以提供注册助产士（RMs）和产科医生之间协作的性质和重要性的证据。
2023 年，加拿大各地的 18 名 RM 完成了人口统计学调查和助产士-产科医生协作（MOC）量表。进行定量分析以评估助产士-产科医生协作（MOC）的可靠性，并积累初步证据支持其有效性。对 13 名参与者进行了半结构化访谈。完成访谈后，使用主题分析确定主题。
确定的主要主题是：对助产士范围的了解会影响协作，协作对于有效的患者护理是必要的，助产士-医师协作会受到权力差异和等级制度的影响，以及改善医师-助产士协作的建议方法。尽管样本量较小，无法进行广泛的统计测试，但定量结果支持 MOC 量表的可靠性。此外，MOC 与跨专业协作（IPC）量表的沟通分量表之间的强相关性提供了 MOC 作为衡量助产士和 OB/GYN 之间协作的指标的同时有效性的证据。
本研究支持助产士-产科协作（MOC）量表作为评估工具，以评估助产士和产科医生在产科护理中的协作。虽然这项研究招募的 18 名 RM 为定性部分提供了全面的分析，但需要更大的研究来提供更广泛的定量分析，以验证 MOC 量表在 RM 和 OB 中的持续使用。
这项研究的意义在于促进助产士和 OB 之间的强大跨专业关系，并改善孕妇和新生儿的健康结果。
作者遵守了定性研究报告的统一标准（COREQ）。
