Defining collaboration in Australian maternity care

Heatley, Michelle L.; Kruske, Sue

doi:10.1016/j.wombi.2011.02.002

Cited by 21 publications

(21 citation statements)

References 23 publications

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“…Literature reviews [20-26] and primary research [27-31] have highlighted a number of barriers and facilitators to collaborative practice and perceptions of health professionals of working in collaboration. These relate to funding issues, traditional role allocation, legislation, personal experience with and attitudes towards collaboration and organisational aspects [32].…”

Section: Introductionmentioning

confidence: 99%

Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care – an integrative review

et al. 2013

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BackgroundThis integrative review synthesises research studies that have investigated the perceptions of nurse practitioners and medical practitioners working in primary health care. The aggregation of evidence on barriers and facilitators to working collaboratively and experiences about the processes of collaboration is of value to understand success factors and factors that impede collaborative working relationships.MethodsAn integrative review, which used systematic review processes, was undertaken to summarise qualitative and quantitative studies published between 1990 and 2012. Databases searched were the Cochrane Library, the Joanna Briggs Institute Library, PubMed, Medline, CINAHL, Informit and ProQuest. Studies that met the inclusion criteria were assessed for quality. Study findings were extracted relating to a) barriers and facilitators to collaborative working and b) views and experiences about the process of collaboration. The findings were narratively synthesised, supported by tabulation.Results27 studies conducted in seven different countries met the inclusion criteria. Content analysis identified a number of barriers and facilitators of collaboration between nurse practitioners and medical practitioners. By means of data comparison five themes were developed in relation to perceptions and understanding of collaboration. Nurse practitioners and medical practitioners have differing views on the essentials of collaboration and on supervision and autonomous nurse practitioner practice. Medical practitioners who have a working experience with NPs express more positive attitudes towards collaboration. Both professional groups report concerns and negative experiences with collaborative practice but also value certain advantages of collaboration.ConclusionsThe review shows that working in collaboration is a slow progression. Exposure to working together helps to overcome professional hurdles, dispel concerns and provide clarity around roles and the meaning of collaboration of NPs and MPs. Guidelines on liability and better funding strategies are necessary to facilitate collaborative practice whether barriers lie in individual behaviours or in broader policies.

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Section: Introductionmentioning

confidence: 99%

Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care – an integrative review

et al. 2013

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“…Studies on the professional role of obstetricians have shown their attitude to the type of delivery (44). Heatley and Krukse specified that cooperation among different specialists in safe maternal care is an important issue (45). Another drawback is having no intention to natural delivery.…”

Section: Discussionmentioning

confidence: 99%

Exploring perceptions of instructors about childbirth preparation training courses: A qualitative study

Otogara¹,

Karimi‐Shahanjarini²,

Hazavehei³

et al. 2017

Electron physician

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BackgroundChildbirth preparation training courses on maternal and neonatal health increase awareness, and capability of pregnant women in overcoming fear and anxiety and managing labor pains.ObjectiveTo identify the affecting factors and barriers of these courses from the perspective of their instructors.MethodsThis qualitative study of the content analysis type, has been conducted on 16 certified teachers of the training courses of the Hamadan city in 2015. Data were collected by semi-structured in-depth interviews and were then analyzed by using MAXQDA10 application.ResultsParticipants’ experiences are indicated on three main themes including the objectives of the course, facilitators and barriers. The main objectives of the course were reported as to improve maternal and newborn health, promote natural childbirth and preparedness for parenting and breastfeeding. The main facilitators of the successful implementation include observing educational standards, strengthening the communication and relationship between mothers and staff, mobilization, and the role of instructor. The major barriers are reported as inadequate support from management system, insufficient intra-sector collaboration, poor attitude of obstetricians and physicians, inadequate access, theory-practice gap and not intended to labor naturally.ConclusionThe results of our study show that multiple factors are involved in the participation of pregnant women in antenatal classes. Promoting natural childbirth requires intra-sector and inter-sectoral collaboration, as well as the community participation.

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“…Power may be integrative, where all persons within the birth territory share power to support the birthing woman in her choices; conversely, and as described in the above quote, power may be disintegrative, where one person (the obstetrician) exerts an ego-driven dominance over others (in this case, both the woman and her midwife) (K. Fahy & Parratt, 2006). Collaboration between professionals requires mutual trust and respect for each other's skills and knowledge (Heatley & Kruske, 2011) and the use of language that conveys these sentiments (Reiger & Lane, 2009 Kirstie's sense of frustration with the obstetrician's attitude may also reflect differences in approaches to research evidence, and different perceptions of the relevance and legitimacy of that evidence. Reime et al (2004) have suggested that the technical nature of obstetric knowledge means that obstetricians are more likely to focus on risk reducing evidence, whereas midwives are more inclusive, drawing on a wider research base, including that which is socially derived and which affords a more holistic view of women.…”

Section: Sub Theme: Resistance To Swimentioning

confidence: 99%

‘Tough love’: The experiences of midwives giving women sterile water injections for the relief of back pain in labour

2017

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Defining collaboration in Australian maternity care

Cited by 21 publications

References 23 publications

Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care – an integrative review

Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care – an integrative review

Exploring perceptions of instructors about childbirth preparation training courses: A qualitative study

‘Tough love’: The experiences of midwives giving women sterile water injections for the relief of back pain in labour

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