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Healthcare Providers' Perceptions of Single-Room Versus Traditional Maternity Models: A Concurrent Mixed-Methods
Marc Hall1, Lorelli Nowell, Nina Castrogiovanni
1Faculty of Nursing (Mr Hall and Ms Norris), Taylor Institute for Teaching and Learning (Dr Nowell), and Faculty of Kinesiology (Dr Palacios-Derflingher), University of Calgary, Calgary, Alberta, Canada; Alberta Health Services, Calgary Zone, Calgary, Alberta, Canada (Ms Castrogiovanni); and Faculty of Nursing, University of Calgary in Qatar, Doha, Qatar (Dr White).
Abstract:
While many hospitals have transitioned from traditional maternity care to a single-room maternity model, little is known about how healthcare providers' practice differs between the models. This mixed-methods study compared healthcare providers' job satisfaction and team collaboration between traditional and single-room maternity care and explored how each model shaped providers' practice. Data were collected via questionnaires and interviews with healthcare providers from 2 hospitals. Independent t tests, Mann-Whitney U tests, and thematic analysis were used in analysis; findings were then triangulated. No difference was found in team collaboration and job satisfaction scores between single-room (n = 84) and traditional (n = 42) maternity care; however, providers described different means toward satisfaction and collaboration in the interviews (n = 18). Single-room maternity care providers valued interprofessional teamwork, patient/family involvement, and continuity of care. Traditional maternity care providers enjoyed specialization but described teamwork as uniprofessional and disconnected across professions; transfers between units weakened communication and fragmented care. While single-room maternity care providers described less tension and a more holistic patient-family journey, further research must be undertaken to examine whether and how interprofessional collaboration and communication impact patient and health system outcomes.