Interprofessional cooperation by midwives in the field of out-of-hospital obstetrical care: an integrative review / Interprofessionelle Kooperation von Hebammen im Handlungsfeld der ambulanten geburtshilflichen Versorgung: ein integratives Review
, und | 10. Nov. 2016
Über diesen Artikel
Online veröffentlicht: 10. Nov. 2016
Seitenbereich: 136 - 152
Eingereicht: 28. März 2016
Akzeptiert: 20. Aug. 2016
DOI: https://doi.org/10.1515/ijhp-2016-0025
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© 2016 Martina Schlüter-Cruse, Wilfried Schnepp, Friederike zu Sayn-Wittgenstein, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.
Figure 1
Details and critique of the qualitative papers included in the thematic analysis
| Authors, year, country | Research aim | Sample | Methods | Quality score ( |
|---|---|---|---|---|
| Exploring health care professionals’ experience of cooperation in the chain of care between antenatal care, postpartum care and child health care | Focus groups, individual interviews | 9 | ||
| Investigating strategies for continuity of care for expectant and new mothers | Interviews, participant observation, document analysis | 9 | ||
| Exploring facilitators, barriers and requirements for programme sustainability two years after finalizing implementation of a multisectoral child health promotion programme | Face-to-face interviews | 10 | ||
| Describing current approaches to transitions of care from midwives to child and family health nurses; Understanding the barriers and facilitators to effective transition of care | Questionnaire with a series of open-end questions | 10 | ||
| Exploring non-medical health and social care professionals’ views on the abilities they need to collaborate | Face-to-face and telephone interviews | 5 | ||
| Exploring barriers to and facilitators of interprofessional models of maternity care between physicians, nurses and midwives in rural British Columbia | In depth-interviews, focus group | 10 | ||
| Understanding midwives’ perceptions regarding interprofessional working and learning and its relevance to midwifery care | Interviews, focus groups | 9 | ||
| Describing care providers’ attitudes towards multidisciplinary maternity care and facilitators of and barriers to collaborative maternity care | Telephone interviews | 8 | ||
| Exploring how midwives’ discursive practices relate to the status quo and how they contribute either to maintaining or challenging traditional discourses | Interviews, observation | 9 | ||
| Describing innovations developed to improve transition of care between maternity and child and family health services at seven sites across four Australian states; Identifying the characteristics common to all innovations | Face-to-face and telephone interviews, focus groups | 9 | ||
| Exploring professionals perceptions’ of the challenges and opportunities in implementing a national approach to universal child and family health services across Australia | Focus groups via telephone conference and face-to-face, discussion groups at national conferences, videoconference, teleconference, e-conversation, one-to-one interviews | 10 | ||
| Exploring factors that make it challenging to achieve coordination in Dutch midwifery and obstetrics | Semi-structured interviews, non-participatory observation | 10 | ||
| Exploring nurses’, midwives’ and health visitors’ experiences of cross-boundary working | World café focus group method | 5 |
Details and critique of the mixed-methods papers included in the thematic analysis
| Authors, year, country | Research aim | Sample | Methods | Critique – Strategic questions to trigger critical thinking ( |
|---|---|---|---|---|
| Examine collaboration in the provision of universal health services for children and families in Australia | Phase 1: Discussion groups, focus groups, teleconferences Phase 2: Online survey | Meets criteria
Clear purpose and background Appropriate methods Methods of data analysis described and justified Conclusion reflects the findings | ||
| Exploring midwives’, general practioners’ and maternity services planers’ views of collaborative working in the community | Questionnaire, semi-structured interviews, professional forum | Meets criteria with restrictions
Clear purpose and background Appropriate methods Sample not adequately described Data collection and analysis strategy of professional forum not adequately described Findings cannot be generalised Conclusion reflects the findings |
The contribution of each paper to the thematic analysis
Details and critique of the quantitative papers included in the thematic analysis
| Authors, year, country | Research aim | Sample | Methods | Critique – Framework according to |
|---|---|---|---|---|
| Collecting data on freelance midwives’ knowledge and attitudes regarding early prevention in Saxony- Anhalt | 42 community midwives | Online survey based on questionnaire | Meets criteria with restrictions
Aim of study clearly stated Study design clearly identified Population identified Sample size not representative Data collection instruments appropriate to study aims Method of data analysis described and justified Results appropriate and clear Comprehensive discussion and conclusion | |
| Examining collaboration issues relating to public health nursing in different-sized Norwegian municipalities | Cross-sectional online survey based on questionnaire | Meets criteria
Aim of study clearly stated Study design clearly identified Population identified Sample adequately described Data collection instruments appropriate to study aims Method of data analysis described and justified Results appropriate and clear Comprehensive discussion and conclusion | ||
| Examining the outcomes of a child health promotion programme on professionals’ self-reported health promotion practices and to investigate perceived facilitators and barriers for programme implementation | Meets criteria
Aim of study clearly stated Study design clearly identified Population identified Sample adequately described Data collection instruments appropriate to study aims Method of data analysis described and justified Results appropriate and clear Comprehensive discussion and conclusion | |||
| Exploring the behavioural intentions of antenatal management of maternal distress and examine the factors that influence those intentions | 112 midwives based in the community | Exploratory online survey based on questionnaire | Meets criteria
Aim of study clearly stated Study design clearly identified Population identified Sample adequately described Data collection instruments appropriate to study aims Method of data analysis described and justified Results appropriate and clear Comprehensive discussion and conclusion | |
| Investigating midwives’ experience, knowledge and multiprofessional cooperation in the context of psychic disturbances in early motherhood | 111 midwives | Telephone survey or personal questioning based on a questionnaire or participants completed a questionnaire | Meets criteria with restrictions
Aim of study clearly stated Study design clearly identified Population identified Sample size not representative Data collection instruments appropriate to study aims Method of data analysis described and justified Results appropriate and clear Comprehensive discussion and conclusion | |
| Exploring the transition of care between maternity services to child and family health services | Quantitative online and mail survey with qualitative elements based on questionnaire | Meets criteria
Aim of study clearly stated Study design clearly identified Population identified Sample adequately described Data collection instruments appropriate to study aims Method of data analysis described and justified Results appropriate and clear Comprehensive discussion and conclusion | ||
| Identifying barriers and effective working relationship between physicians and midwives, find ways to improve the quality of professional interactions | Mail survey based on questionnaire | Meets criteria with restrictions
Aim of study clearly stated Study design clearly identified Population identified Sample adequately described Method of data collection not validated Method of data analysis described and justified Results appropriate and clear Comprehensive discussion and conclusion | ||
| Describing midwives’ obstetric consultation and referral practices and their perceptions concerning the quality of their professional relationships with obstetricians | 311 midwives | Mail survey based on questionnaire | Meets criteria
Aim of study clearly stated Study design clearly identified Population identified Sample adequately described Data collection instruments appropriate to study aims Method of data analysis described and justified Results appropriate and clear Comprehensive discussion and conclusion | |
| Eliciting care providers’ opinions regarding seven proposed models of maternity care, barriers to collaborative interprofessional practice and factors that would encourage the practice of intrapartum care | Mail survey based on questionnaire | Meets criteria with restrictions
Aim of study clearly stated Study design clearly identified Population identified Sample size not adequately described Data collection instruments appropriate to study aims Method of data analysis described and justified Results appropriate and clear Comprehensive discussion and conclusion | ||
| Describing educational, practical and personal experiences related to home birth, identify barriers to provision of planned home birth services | Online survey based on questionnaire | Meets criteria with restrictions
Aim of study clearly stated Study design clearly identified Population identified Sample size of family physicians not representative Data collection instruments appropriate to study aims Method of data analysis described and justified Results appropriate and clear Comprehensive discussion and conclusion |
Overview of studies excluded from analysis
| First author and year | Title | Reason for exclusion |
|---|---|---|
| Beldon (2005) | Health promotion in pregnancy: The role of the midwife | Not on topic |
| Borrow (2011) | Community-based child health nurses: An exploration of current practice | Publication that does not present the perspective of midwives in its results as a stated focus area |
| Caldwell (2006) | Preparing for practice: How well are practitioners prepared for teamwork | Publication that does not present the perspective of midwives in its results as a stated focus area |
| Colvin (2013) | A systematic review of qualitative evidence on barriers and facilitators to the implementation of task-shifting in midwifery services | Not on topic |
| Crotty (2012) | Helping and hindering: Perceptions of enablers and barriers to collaboration within a rural South Australian mental health network | Publication that does not present the perspective of midwives in its results as a stated focus area |
| D’Amour (2005) | The conceptual basis for interprofessional collaboration: Core concepts and theoretical frameworks | Focus on terminology and conceptual basis |
| Downe (2010) | Creating a collaborative culture in maternity care | Focus on terminology and conceptual basis |
| Harris (2012) | Effect of a collaborative interdisciplinary maternity care program on perinatal outcomes | Publication that does not present the perspective of midwives in its results as a stated focus area |
| Defining collaboration in Australian maternity care | Focus on terminology and conceptual basis | |
| Lane (2006) | The plasticity of professional boundaries: A case study of collaborative care in maternity services | Focus on hospital setting |
| Larsson (2009) | Professional role and identity in a changing society: Three paradoxes in Swedish midwives’ experiences | Focus on hospital setting |
| Lavender (2004) | An exploration of midwives’ views of the current system of maternity care in England | Not on topic |
| Lipp (2008) | A woman centred service in termination of pregnancy: A grounded theory study | Not on topic |
| Manniën (2012) | Evaluation of primary care midwifery in the Netherlands: Design and rationale of a dynamic cohort study (DELIVER) | Publication that does not present the perspective of midwives in its results as a stated focus area |
| Mclntyre (2012) | The struggle for contested boundaries in the move to collaborative care teams in Australian maternity care | Not empirical |
| McKenna (2009) | Health care managers’ perspectives on new nursing and midwifery roles: Perceived impact on patient care and cost effectiveness | Not on topic |
| Martin (2010) | Developing interdisciplinary maternity services policy in Canada. Evaluation of a consensus workshop | Publication that does not present the perspective of midwives in its results as a stated focus area |
| Peterson (2013) | Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives | Publication that does not present the perspective of midwives in its results as a stated focus area |
| Discontinuities between maternity and child and family health services: Health professional’s perceptions | Not on topic | |
| The nature and impact of collaboration and integrated service delivery for pregnant women, children and families | Discursive paper that does not present the perspective of midwives in its results as a stated focus area, one study already included ( | |
| Sheehan (2007) | Comparison of language used and patterns of communication in interprofessional and multidisciplinary teams | Focus on terminology and conceptual basis |
| Smith (2015) | Midwife-physician collaboration: A conceptual framework for interprofessional collaborative practice | Publication that does not present the perspective of midwives in its results as a stated focus area |
| Stamp (2008) | Aboriginal maternal and infant care workers: Partners in caring for Aboriginal mothers and babies | Not on topic |
| Stevens (2012) | Description of a successful collaborative birth center practice among midwives and an obstetrician | Publication that does not present the perspective of midwives in its results as a stated focus area |
| Interprofessional collaboration in primary health care: A review of facilitators and barriers perceived by involved actors | Literature review including 44 articles: three studies focus on midwifery: one is out of research period, two met the exclusion criteria | |
| Vedam (2014) | Transfer from planned home birth to hospital: Improving interprofessional collaboration | Publication that does not present the perspective of midwives in its results as a stated focus area |
| Zwarenstein (2009) | Interprofessional collaboration: Effects of practice-based interventions on professional practice and healthcare outcomes | Publication that does not present the perspective of midwives in its results as a stated focus area |
| Xyrichis (2008) | What fosters or prevents interprofessional teamworking in primary and community care? A literature review | Literature review including 10 articles: four studies focus on midwifery: three are out of research period, one met the exclusion criteria |