Experiences of and visions for collaboration between midwives and nurses in Nova Scotia |
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| Institution: | 1. Queen’s University, School of Nursing, 92 Barrie Street Kingston, Ontario, K7L 3N6, Canada;2. University of Ottawa, School of Nursing, 451 Smyth Road, Ottawa, Ontario, K1H 8M5, Canada;1. School of Psychology, The University of Adelaide, South Australia, Australia;2. The University of Adelaide, Discipline of Obstetrics and Gynaecology and Robinson Research Institute, South Australia, Australia;3. The Women’s and Children’s Hospital, Women’s and Babies Division, Department of Perinatal Medicine, South Australia, Australia;1. Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria;2. African Institute for Health Policy and Health Systems, Ebonyi State University Abakaliki, Nigeria;3. Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria;1. School of Nursing and Midwifery, Griffith University, University Drive, Meadowbrook, Queensland 4131, Australia;2. Gold Coast University Hospital, Parklands Drive, Parklands, Queensland 4215, Australia;3. School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Ultimo, NSW 2007, Australia;1. Blood-Borne Virus Sector Development Program, Australian Research Centre in Sex Health and Society, La Trobe University, Melbourne, Victoria, Australia;2. Mercy Health, Heidelberg, Victoria, Australia;3. School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia;4. Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia;1. University of São Paulo, School of Arts, Sciences and Humanities, São Paulo, São Paulo, Brazil;2. “Amador Aguiar” Municipal Hospital and Maternity, Osasco, São Paulo, Brazil;3. University of São Paulo, School of Pharmaceutical Sciences, São Paulo, São Paulo, Brazil;4. “Casa Angela” Freestanding Birth Centre, São Paulo, São Paulo, Brazil |
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| Abstract: | ProblemIn jurisdictions where midwifery and nursing are autonomous and separate health care professions, little is known about how they collaborate during the delivery of perinatal health care services.BackgroundMidwifery became a regulated profession in the province of Nova Scotia, Canada in 2009. Since regulation, midwives and nurses have worked together at three models sites for the delivery of midwifery services and perinatal care.QuestionHow do midwives and nurses collaborate during the provision of birthing care in Nova Scotia, Canada?MethodsThis was an instrumental case study guided by feminist poststructuralism. Individual interviews of 17 participants were audio-recorded and transcribed verbatim. Twenty-five documents were reviewed, and field notes were gathered. Feminist poststructuralist discourse analysis was used.FindingsMidwives and nurses collaborated well together. Participants described how positive collaborative experiences could influence a new way for midwives and nurses to work together. In this paper we present the theme Moving forward: A Modern Model for Nurses and Midwives working together, and its sub-themes of 1)’The birthing culture has changed’ and 2) ‘Allies and advocates’.DiscussionWithin the global context of strengthening midwifery and nursing, this study illustrated the potential for developing formal, collaborative perinatal models of care led by midwife and nurse teams to address inequities in perinatal health care services.ConclusionMidwives and nurses need more opportunities to collaborate and to build professional relationships. Establishing a midwife-led and nurse supported model of care may transform existing perinatal health care values, beliefs, and practices. |
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| Keywords: | Midwifery Nursing Health w orkforce Collaboration Perinatal care Feminist theory |
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