Collaboration of midwives in primary care midwifery practices with other maternity care providers

Warmelink, J. Catja; Wiegers, T.A.; Cock, T. Paul de; Klomp, Trudy; Hutton, Eileen K.

doi:10.1016/j.midw.2017.08.010

Cited by 17 publications

(19 citation statements)

References 31 publications

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“…Relatively similar findings were obtained in studies done in Saudi Arabiya (59.5%), Canada (moderate collaboration obtained) and Tigray Ethiopia (60%) [25][26][27]. But this finding is inconsistent with (showed better collaboration) than studies done in the Netherlands (38.4%), Iran (10.5%) and Ethiopia (41%) [10,12,13]. Better collaboration than this study was obtained in a study conducted in Malaysia (91.8%) [24].…”

Section: Discussionsupporting

confidence: 74%

“…It is demonstrated in two different studies that more than half of nurses and midwives exhibited noncollaborative behaviors and generally had not a good collaboration with physicians [10,11]. Another study conducted in Iran indicated that near half (48%) of nurses reported their remarks concerning the patient's health are ignored by physicians [12].…”

Section: Introductionmentioning

confidence: 99%

“…Different pieces of literature had concluded that interprofessional collaboration of nurses and midwives with physicians is affected by their age, year of experience, sex, educational status, working area and attitude towards collaboration with physicians [9,10,[14][15][16]. Again hospital rules and regulations, different care plans of the professionals, lack of adequate midwives and nurses at the administrator level and lack of adequate time are also found to be associated factors [17,18].…”

Section: Introductionmentioning

confidence: 99%

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Inter-professional collaboration of nurses and midwives with physicians and associated factors in Jimma University specialized teaching hospital, Jimma, south West Ethiopia, 2019: cross sectional study

2020

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Background: Inter-professional collaboration between professionals is crucial in health care where most of the activities are undertaken in a team. One of these collaborations is the collaboration of nurses and midwives with physicians. The main objective of this study was to assess interprofessional collaboration of nurses and midwives with physicians and associated factors at Jimma University specialized teaching hospital from March 20 to April 8, 2019. Methods: An institution-based cross-sectional study was conducted among 358 nurses and 52 midwives who are working in Jimma University Specialized teaching hospital using a structured self-administered questionnaire. Study units were selected by simple random sampling using the lottery method. The result was summarized using descriptive statistics and statements. The level of significance was set at a p < 0.05. Result: The overall response rate was 99.76%. Around two-third, 66.7% (n = 273) of participants had a satisfactory inter-professional collaboration with physicians and 238 (58.2%) had good relationship with physicians. Again 234 (57.2%) of participants had a favorable attitude towards interprofessional collaboration with physicians. Moreover, statistical significance was obtained on the relationship of participants with physicians (p = 0.000), the experience of disruptive behavior (p = 0.000), attitude towards interprofessional collaboration with physicians (p = 0.000) and occupational status (p = 0.001). Conclusion: The majority of the participants had a satisfactory inter-professional collaboration with physicians and four of the many possible factors under consideration were finally found statistically significant. Again, it was revealed that nurses and midwives did not significantly differ in their inter-professional collaboration with physicians.

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Section: Discussionsupporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Inter-professional collaboration of nurses and midwives with physicians and associated factors in Jimma University specialized teaching hospital, Jimma, south West Ethiopia, 2019: cross sectional study

2020

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“…9,18 This has required time, integration of services and enhanced interdisciplinary collaboration on many levels. 19 This has been recommended in New Zealand, 20 but there has been limited progress in implementing these recommendations. 21 MatCHAT has potential to support screening if attitude and operational barriers can be overcome.…”

Section: Discussionmentioning

confidence: 99%

Perinatal e-screening and clinical decision support: the Maternity Case-finding Help Assessment Tool (MatCHAT)

et al. 2020

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INTRODUCTIONScreening tools assist primary care clinicians to identify mental health, addiction and family violence problems. Electronic tools have many advantages, but there are none yet available in the perinatal context. AIMTo assess the acceptability and feasibility of the Maternity Case-finding Help Assessment Tool (MatCHAT), a tool designed to provide e-screening and clinical decision support for depression, anxiety, cigarette smoking, use of alcohol or illicit substances, and family violence among pre- and post-partum women under the care of midwives. METHODSA co-design approach and an extensive consultation process was used to tailor a pre-existing electronic case-finding help assessment tool (eCHAT) to a maternity context. Quantitative MatCHAT data and qualitative data from interviews with midwives were analysed following implementation. RESULTSFive midwives participated in the study. They reported that MatCHAT was useful and acceptable and among the 20 mothers screened, eight reported substance use, one depression and five anxiety. Interviews highlighted extensive contextual barriers of importance to the implementation of maternity-specific screening. DISCUSSIONMatCHAT has potential to optimise e-screening and decision support in maternity settings, but in this study, use was impeded by multiple contextual barriers. The information from this study is relevant to policymakers and future researchers when considering how to improve early identification of common mental health, substance use and family violence problems.

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“…The concept of integrated care is seen as a means to overcome the negative experiences arising from referrals. To integrate maternity care services in the Netherlands, optimization of the coordination and collaboration between the three divisions is needed ( Boesveld et al, 2017;Haggerty et al, 2003;KNOV, 2016;Warmelink et al, 2017 ). Initiatives like the development of obstetric partnerships were set up to stimulate collaboration and better align the different maternity care practices ( de Boer and Zeeman, 2008 ).…”

Section: Introductionmentioning

confidence: 99%

Client-centred maternity care from women's perspectives: Need for responsiveness

Petit‐Steeghs¹,

Lips²,

Schuitmaker-Warnaar³

et al. 2019

Midwifery

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Background: Client-or woman-centred care has become a major focus in improving Western maternity care systems. In measures to increase client-centredness, the perspectives of maternity care professionals and policymakers often predominate. However, to put women at the centre of maternity care, insights into their perspectives are important. Therefore, the aim of this study is to analyze the perspectives of women on maternity care and to provide recommendations on how to achieve client-centred care. Methods: A qualitative study was conducted comprising six focus groups (N = 43) and 20 semi-structured interviews with women who had given birth less than one year ago in the NorthWest Netherlands region. For data analysis, a framework based on existing woman-centred care models and the patientcentred care model of Maassen et al. (2017) was applied. Findings: The issues women addressed, underlined the importance of all four dimensions of the framework (client, interaction, professional and organization). Although women were in general positive about the maternity care services, there were differences regarding client-centredness between communitybased primary care and secondary/tertiary hospital care. The latter was evaluated more negatively than primary care with regard to taking women's background into account, communicating openly, showing a caring attitude and providing continuous care by a cohesive team. Although primary care appeared to be better able than secondary/tertiairy care to adapt to clients' preferences, the women described various cases throughout the care process where they did not feel heard. Besides a lack of flexibility to override existing protocols, activities and roles and tokenism regarding the use of satisfaction questionnaires and the birthplan were mentioned. Conclusions and implications for practice: This study demonstrated that from women's perspective, clientcentred maternity care means being responsive to their wishes and needs across all four (client, interaction, professional and organization) dimensions. Current measures often focus on the organizational dimension, integrating different divisions of care. To achieve client-centred care, future measures should foster responsiveness on all four dimensions. This entails empowering maternity care professionals to have a reflective interaction with (especially less educated) women, by acquiring conversational and reflexive skills, within a flexible care system adjusting to specific wishes and needs.

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Collaboration of midwives in primary care midwifery practices with other maternity care providers

Cited by 17 publications

References 31 publications

Inter-professional collaboration of nurses and midwives with physicians and associated factors in Jimma University specialized teaching hospital, Jimma, south West Ethiopia, 2019: cross sectional study

Inter-professional collaboration of nurses and midwives with physicians and associated factors in Jimma University specialized teaching hospital, Jimma, south West Ethiopia, 2019: cross sectional study

Perinatal e-screening and clinical decision support: the Maternity Case-finding Help Assessment Tool (MatCHAT)

Client-centred maternity care from women's perspectives: Need for responsiveness

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