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http://hdl.handle.net/11375/20697
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DC Field | Value | Language |
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dc.contributor.advisor | Murray-Davis, Beth | - |
dc.contributor.advisor | Dore, Kelly | - |
dc.contributor.advisor | Miller, Patricia | - |
dc.contributor.author | Kirby, Natalie | - |
dc.date.accessioned | 2016-10-18T20:21:31Z | - |
dc.date.available | 2016-10-18T20:21:31Z | - |
dc.date.issued | 2016 | - |
dc.identifier.uri | http://hdl.handle.net/11375/20697 | - |
dc.description.abstract | Introduction: Interprofessional collaborative care is the gold standard in maternity care and has been proposed as the best way to manage the impending maternity care crisis in Ontario. This thesis researched the benefits and barriers to interprofessional collaboration from the perspectives of obstetricians and midwives. The goal was to understand how obstetricians and midwives view collaborative practice, how the different professions perceive collaboration, and to explore the attitudes and perceptions regarding collaboration of clinicians practicing in each discipline. Methods: This study adopted a mixed methods design. A province-wide survey was distributed to actively practicing obstetricians and midwives in Ontario. Following completion of the survey, participants were invited to contribute further opinions and perceptions in semi-structured interviews, conducted using a grounded theory approach. Results: Quantitative and qualitative data revealed three key findings. First, when comparing the opinions of obstetricians and midwives, scope of practice was viewed as a contentious issue with fee structures and turf protection being contributory factors. Second, the definition of interprofessional collaboration, and its application to clinical practice, varied by profession, and was viewed as a barrier to effective communication between disciplines. Finally, philosophy of care, particularly surrounding the provision of homebirth and women-centered care, varied starkly across the disciplines. Conclusion: Members of each profession need to develop strategies to ensure mutual respect is given in cases of philosophical and scope differences, an essential component to successful implementation of collaborative initiatives. Governing bodies and professional associations of each discipline need to strive for mutual agreement on appropriate scope of practice to ensure buy-in from members of each profession. | en_US |
dc.language.iso | en | en_US |
dc.title | Maternity Care Collaboration in Ontario: The Perspectives of Obstetricians and Midwives | en_US |
dc.type | Thesis | en_US |
dc.contributor.department | Health Science Education | en_US |
dc.description.degreetype | Thesis | en_US |
dc.description.degree | Master of Health Sciences (MSc) | en_US |
dc.description.layabstract | This thesis examines the perceptions of interprofessional collaboration from the perspectives of midwives and obstetricians, and contrasts how these perceptions vary by the profession. Data was collected in two ways: through an online survey and semi-structured interviews. Midwives and obstetricians were asked about their experiences with collaboration, their perspectives on the barriers to collaboration and thoughts about an improved system in Ontario to facilitate enhanced maternity care collaboration. The results demonstrate the key barriers to collaboration including contentious views on scope of practice, the definition and interpretation of interprofessional collaboration and varying philosophies of care. The changing landscape of maternity care in Ontario is imminent; family doctors who provide obstetrical care are on the decline, increasing the workload for obstetricians and midwives necessitating the need to eliminate barriers to achieve successful interprofessional collaboration. | en_US |
Appears in Collections: | Open Access Dissertations and Theses |
Files in This Item:
File | Description | Size | Format | |
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Kirby_Natalie_K_201609_Masters.pdf | 7.85 MB | Adobe PDF | View/Open |
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