Level of acceptance of different models of maternity care.
To elicit nurses' opinions on five proposed models of maternity care in Ontario, to examine barriers to collaborative practice, and to identify factors that would encourage nurses to practise in the area of intrapartum care, a survey was mailed to a stratified random sample of nurses in Ontario (N = 750). Participants were asked whether they would consider practising in one or more of the five proposed models of maternity care. Almost half the participants endorsed the model of nurses' providing labour and delivery care to patients of family physicians and obstetricians. Almost one-third (28.7%) reported that they would consider working in an interprofessional maternity care clinic. There was minimal interest in working with midwives. Participants identified resistance to change (49.9%) and lack of communication (47.2%) as the two main barriers to collaborative practice. The majority of respondents (84.2%) ranked good medical and obstetrical backup as the key factor that would encourage them to provide intrapartum care. A respectful work environment and collaborative models of maternity care were also ranked highly.
Brown
Judith Belle
JB
Center for Studies in Family Medicine, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ontario.
Smith
Carrie
C
Stewart
Moira
M
Trim
Kristina
K
Freeman
Thomas
T
Beckhoff
Christy
C
Kasperski
M Janet
MJ
D001291:Attitude of Health Personnel; D002321:Career Choice; D003299:Cooperative Behavior; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D008297:Male; D016389:Maternal-Child Nursing / Q000458:organization & administration*; D008875:Middle Aged; D016294:Models, Nursing; D009721:Nurse Midwives / Q000458:organization & administration / Q000523:psychology; D009722:Nurse Practitioners / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology*; D009726:Nurses / Q000523:psychology*; D015404:Nursing Methodology Research; D009773:Obstetric Nursing / Q000458:organization & administration; D009864:Ontario; D010348:Patient Care Team / Q000458:organization & administration; D017009:Professional Autonomy; D011795:Surveys and Questionnaires