Healthcare Providers' Perceptions of Single-Room Versus Traditional Maternity Models A Concurrent Mixed-Methods Study

被引:2
作者
Hall, Marc [1 ]
Nowell, Lorelli [2 ]
Castrogiovanni, Nina [4 ]
Palacios-Derflingher, Luz [3 ]
Norris, Jill M. [1 ]
White, Deborah E. [5 ]
机构
[1] Univ Calgary, Fac Nursing, 2500 Univ Dr NW, Calgary, AB T2N 1N4, Canada
[2] Univ Calgary, Taylor Inst Teaching & Learning, Calgary, AB, Canada
[3] Univ Calgary, Fac Kinesiol, Calgary, AB, Canada
[4] Alberta Hlth Serv, Calgary Zone, Calgary, AB, Canada
[5] Univ Calgary Qatar, Fac Nursing, Doha, Qatar
关键词
delivery rooms; healthcare providers; hospital; maternity; mixed methods; SATISFACTION; CONTINUITY; ATTITUDES; OUTCOMES; DESIGN; SAFETY; IMPACT; STAFF;
D O I
10.1097/JPN.0000000000000413
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
While many hospitals have transitioned from traditional maternity care to a single-room maternity model, little is known about how healthcare providers' practice differs between the models. This mixed-methods study compared healthcare providers' job satisfaction and team collaboration between traditional and single-room maternity care and explored how each model shaped providers' practice. Data were collected via questionnaires and interviews with healthcare providers from 2 hospitals. Independent t tests, Mann-Whitney U tests, and thematic analysis were used in analysis; findings were then triangulated. No difference was found in team collaboration and job satisfaction scores between single-room (n = 84) and traditional (n = 42) maternity care; however, providers described different means toward satisfaction and collaboration in the interviews (n = 18). Single-room maternity care providers valued interprofessional teamwork, patient/family involvement, and continuity of care. Traditional maternity care providers enjoyed specialization but described teamwork as uniprofessional and disconnected across professions; transfers between units weakened communication and fragmented care. While single-room maternity care providers described less tension and a more holistic patient-family journey, further research must be undertaken to examine whether and how interprofessional collaboration and communication impact patient and health system outcomes.
引用
收藏
页码:312 / 321
页数:10
相关论文
共 39 条
[1]   The relationship between continuity and patient satisfaction: a systematic review [J].
Adler, Rhodes ;
Vasiliadis, Athanasia ;
Bickell, Nina .
FAMILY PRACTICE, 2010, 27 (02) :171-178
[2]  
[Anonymous], DEV HIGH PERFORMING
[3]  
[Anonymous], 1985, NATURALISTIC INQUIRY, DOI DOI 10.1002/EV.1427
[4]  
[Anonymous], 2012, CAN HOSP MAT POL PRA
[5]  
[Anonymous], HARVARD BUSINESS REV
[6]  
Braun V., 2006, QUAL RES PSYCHOL, V3, P77, DOI [DOI 10.1191/1478088706QP063OA, 10.1191/1478088706qp063oa]
[7]   Measuring team factors thought to influence the success of quality improvement in primary care: a systematic review of instruments [J].
Brennan, Sue E. ;
Bosch, Marije ;
Buchan, Heather ;
Green, Sally E. .
IMPLEMENTATION SCIENCE, 2013, 8 :20
[8]   Employee Satisfaction and Employee Retention Catalysts to Patient Satisfaction [J].
Collins, Kevin S. ;
Collins, Sandra K. ;
McKinnies, Richard ;
Jensen, Steven .
HEALTH CARE MANAGER, 2008, 27 (03) :245-251
[9]   Comparative study analysing women's childbirth satisfaction and obstetric outcomes across two different models of maternity care [J].
Conesa Ferrer, Ma Belen ;
Canteras Jordana, Manuel ;
Ballesteros Meseguer, Carmen ;
Carrillo Garcia, Cesar ;
Martinez Roche, Ma Emilia .
BMJ OPEN, 2016, 6 (08)
[10]  
Creswell J. D., 2017, RES DESIGN QUALITATI