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Predicting collaborative practice between midwives and obstetricians: A regression analysis.

Liesa Beier1,2, Qendresa Thaqi3,4, Ans Luyben5,6

  • 1Department of Obstetrics, University Hospital Zurich, Zurich, Switzerland.

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|October 1, 2024
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Summary
This summary is machine-generated.

Effective collaborative practice between midwives and obstetricians is crucial for patient safety. Key factors include trust, shared goals, workplace environment, and power-sharing, which are essential for improving collaborative practice (CP).

Keywords:
collaborative practicehospitalinterprofessional collaborationmidwiferyobstetricsphysicians

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Area of Science:

  • Healthcare professional collaboration
  • Obstetrics and Gynecology
  • Patient Safety Research

Background:

  • Effective collaborative practice between midwives and obstetricians is vital for enhancing patient safety and obstetrical outcomes.
  • Challenges in implementing collaborative practice necessitate a deeper understanding of its determinants.
  • This study investigates factors influencing collaborative practice (CP) between midwives and obstetricians.

Purpose of the Study:

  • To identify and analyze the key factors impacting collaborative practice between midwives and obstetricians in Swiss hospital labor wards.
  • To assess the perceptions of midwives and obstetricians regarding their collaborative practice.
  • To determine the predictors of successful collaborative practice in an obstetrical setting.

Main Methods:

  • A cross-sectional survey was conducted in Swiss hospital labor wards in 2021.
  • The Interprofessional Collaboration Scale was used to assess collaborative practice perceptions among 70 midwives and 44 obstetricians.
  • Multiple linear regression analysis was employed to examine 13 individual, behavioral, and organizational predictors of collaborative practice.

Main Results:

  • Collaborative practice received a median score of 3.1 out of 4.0.
  • Significant predictors of collaborative practice included: type of profession (p=0.011), trust/respect (p=0.000), shared visions/goals (p=0.009), workplace (p=0.004), and shared power (p=0.015).
  • The identified factors explained 66% of the variance in collaborative practice within labor wards.

Conclusions:

  • Key factors influencing collaborative practice in Swiss labor wards involve tailored CP models based on workplace characteristics.
  • A culture of power-sharing is essential for fostering trust, respect, and shared goals between midwives and obstetricians.
  • Active exchange and tailored approaches are crucial for optimizing collaborative practice in obstetrical settings.