An empirical investigation into beliefs about collaborative practice among maternity care providers
An empirical investigation into beliefs about collaborative practice among maternity care providers
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DOI：
10.1071/ah11104
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发表时间：
2012-01-01
影响因子：
1.8
通讯作者：
Gallois, Cindy
中科院分区：
文献类型：
--
作者：
Watson, Bernadette M.;Heatley, Michelle L.;Gallois, Cindy
目标。调查护理提供者是否同意国家卫生和医学研究委员会（NHMRC）对产科护理合作的定义，并检查他们对护理模式的偏好，以阐明在实施合作实践中缺乏成功的原因。产妇保健提供者在昆士兰完成了一项调查。最终样本共337人，其中助产士281人（83.38%），产科医生35人（10.39%），全科医生21人（6.23%）。91%的参与者同意NHMRC对合作的定义：助产士（M = 5.97, s.d = 1.2）和医生（产科医生和全科医生：M = 5.7, s.d = 1.35）在与定义的一致程度上没有显著差异（t(332) = -1.8, P = 0.068）。然而，72%的医生支持医生主导的护理模式，而只有6.8%的助产士表示同意。较少的医生（56%）同意助产士主导的护理模式，而99.3%的助产士对此表示赞同。协作的概念不承认助产士和医生对其角色和行为影响的不同解释。成功的合作实践需要制定认识到这些差异的指导方针，并规定有助于助产士和医生合作实践的沟通行为。
Objective. To investigate agreement with the National Health and Medical Research Council (NHMRC) definition of collaboration in maternity care by care providers, and to examine their preferences for models of care in order to shed light on the lack of success in implementing collaborative practice.Methods. Maternity care providers completed a survey in Queensland. The final sample consisted of 337 participants, including 281 midwives (83.38%), 35 obstetricians (10.39%), and 21 general practitioners (6.23%).Results. Ninety-one percent of the participants agreed with the NHMRC definition of collaboration: Midwives (M = 5.97, s.d. = 1.2) and doctors (obstetricians and general practitioners: M = 5.7, s.d. = 1.35) did not differ significantly in their level of agreement with definition (t(332) = -1.8, P = .068). However, 72% of doctors endorsed a doctor-led model of care, whereas only 6.8% of midwives indicated agreement with it. Fewer (56%) doctors agreed with the midwife-led model of care, whereas 99.3% of midwives endorsed it.Conclusion. The concept of collaboration does not recognise the different interpretations by midwives and doctors of its impact on their roles and behaviours. Successful collaborative practice requires the development of guidelines that recognise these differences and specify the communication behaviour that would assist midwives and doctors to practice collaboratively.