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A structural analysis of physician-midwife interaction in an obstetrical training program
1Women's Medical Specialists, P.C., Albuquerque, New Mexico 87109.
Social Science & Medicine (1982)
|January 1, 1991
Summary
Certified Nurse Midwives and resident physicians at a medical center experienced workplace conflicts due to differing structural relationship models. Addressing these structural issues can reduce conflict between obstetrical care providers.
Area of Science:
- Healthcare Management
- Obstetrics and Gynecology
- Nursing Practice
Background:
- A Southwestern Medical Center integrated Certified Nurse Midwives (CNMs) in June 1987 to manage increased Labor and Delivery workload.
- Previously, all deliveries were managed exclusively by Obstetrics/Gynecology (OB/GYN) resident physicians.
- OB/GYN residents continue to manage the majority of patient deliveries at the institution.
Purpose of the Study:
- To analyze the interaction between CNMs and OB/GYN resident physicians.
- To identify conflicts arising from differing structural models of their professional relationship.
- To offer recommendations for mitigating these interprofessional conflicts.
Main Methods:
- Qualitative analysis of interprofessional dynamics.
- Examination of administrative reinforcement of structural models.
- Case study of a specific healthcare setting.
Main Results:
- Identified conflicts between CNMs and OB/GYN residents.
- Attributed conflicts to divergent perceptions of their professional relationship structure.
- Highlighted how administrative practices inadvertently reinforced these differing structural models.
Conclusions:
- Differing structural models and administrative reinforcement contribute to interprofessional conflict in obstetrical care.
- Recommendations are proposed to reduce structural conflicts and improve collaboration between CNMs and OB/GYN residents.
- Addressing these structural issues is crucial for optimizing labor and delivery services.