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Labouring Together: collaborative alliances in maternity care in Victoria, Australia—protocol of a mixed-methods study

INTRODUCTION: For over a decade, enquiries into adverse perinatal outcomes have led to reports that poor collaboration has been detrimental to the safety and experience of maternity care. Despite efforts to improve collaboration, investigations into maternity care at Morecambe Bay (UK) and Djerriwar...

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Autores principales: Watkins, Vanessa, Nagle, Cate, Kent, Bridie, Hutchinson, Alison M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353350/
https://www.ncbi.nlm.nih.gov/pubmed/28270390
http://dx.doi.org/10.1136/bmjopen-2016-014262
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author Watkins, Vanessa
Nagle, Cate
Kent, Bridie
Hutchinson, Alison M
author_facet Watkins, Vanessa
Nagle, Cate
Kent, Bridie
Hutchinson, Alison M
author_sort Watkins, Vanessa
collection PubMed
description INTRODUCTION: For over a decade, enquiries into adverse perinatal outcomes have led to reports that poor collaboration has been detrimental to the safety and experience of maternity care. Despite efforts to improve collaboration, investigations into maternity care at Morecambe Bay (UK) and Djerriwarrh Health Services (Australia) have revealed that poor collaboration and decision-making remain a threat to perinatal safety. The Labouring Together study will investigate how elements hypothesised to influence the effectiveness of collaboration are reflected in perceptions and experiences of clinicians and childbearing women in Victoria, Australia. The study will explore conditions that assist clinicians and women to work collaboratively to support positive maternity outcomes. Results of the study will provide a platform for consumers, clinician groups, organisations and policymakers to work together to improve the quality, safety and experience of maternity care. METHODS AND ANALYSIS: 4 case study sites have been selected to represent a range of models of maternity care in metropolitan and regional Victoria, Australia. A mixed-methods approach including cross-sectional surveys and interviews will be used in each case study site, involving both clinicians and consumers. Quantitative data analysis will include descriptive statistics, 2-way multivariate analysis of variance for the dependent and independent variables, and χ(2) analysis to identify the degree of congruence between consumer preferences and experiences. Interview data will be analysed for emerging themes and concepts. Data will then be analysed for convergent lines of enquiry supported by triangulation of data to draw conclusions. ETHICS AND DISSEMINATION: Organisational ethics approval has been received from the case study sites and Deakin University Human Research Ethics Committee (2014–238). Dissemination of the results of the Labouring Together study will be via peer-reviewed publications and conference presentations, and in written reports for each case study site to support organisational change.
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spelling pubmed-53533502017-03-17 Labouring Together: collaborative alliances in maternity care in Victoria, Australia—protocol of a mixed-methods study Watkins, Vanessa Nagle, Cate Kent, Bridie Hutchinson, Alison M BMJ Open Obstetrics and Gynaecology INTRODUCTION: For over a decade, enquiries into adverse perinatal outcomes have led to reports that poor collaboration has been detrimental to the safety and experience of maternity care. Despite efforts to improve collaboration, investigations into maternity care at Morecambe Bay (UK) and Djerriwarrh Health Services (Australia) have revealed that poor collaboration and decision-making remain a threat to perinatal safety. The Labouring Together study will investigate how elements hypothesised to influence the effectiveness of collaboration are reflected in perceptions and experiences of clinicians and childbearing women in Victoria, Australia. The study will explore conditions that assist clinicians and women to work collaboratively to support positive maternity outcomes. Results of the study will provide a platform for consumers, clinician groups, organisations and policymakers to work together to improve the quality, safety and experience of maternity care. METHODS AND ANALYSIS: 4 case study sites have been selected to represent a range of models of maternity care in metropolitan and regional Victoria, Australia. A mixed-methods approach including cross-sectional surveys and interviews will be used in each case study site, involving both clinicians and consumers. Quantitative data analysis will include descriptive statistics, 2-way multivariate analysis of variance for the dependent and independent variables, and χ(2) analysis to identify the degree of congruence between consumer preferences and experiences. Interview data will be analysed for emerging themes and concepts. Data will then be analysed for convergent lines of enquiry supported by triangulation of data to draw conclusions. ETHICS AND DISSEMINATION: Organisational ethics approval has been received from the case study sites and Deakin University Human Research Ethics Committee (2014–238). Dissemination of the results of the Labouring Together study will be via peer-reviewed publications and conference presentations, and in written reports for each case study site to support organisational change. BMJ Publishing Group 2017-03-07 /pmc/articles/PMC5353350/ /pubmed/28270390 http://dx.doi.org/10.1136/bmjopen-2016-014262 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Obstetrics and Gynaecology
Watkins, Vanessa
Nagle, Cate
Kent, Bridie
Hutchinson, Alison M
Labouring Together: collaborative alliances in maternity care in Victoria, Australia—protocol of a mixed-methods study
title Labouring Together: collaborative alliances in maternity care in Victoria, Australia—protocol of a mixed-methods study
title_full Labouring Together: collaborative alliances in maternity care in Victoria, Australia—protocol of a mixed-methods study
title_fullStr Labouring Together: collaborative alliances in maternity care in Victoria, Australia—protocol of a mixed-methods study
title_full_unstemmed Labouring Together: collaborative alliances in maternity care in Victoria, Australia—protocol of a mixed-methods study
title_short Labouring Together: collaborative alliances in maternity care in Victoria, Australia—protocol of a mixed-methods study
title_sort labouring together: collaborative alliances in maternity care in victoria, australia—protocol of a mixed-methods study
topic Obstetrics and Gynaecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5353350/
https://www.ncbi.nlm.nih.gov/pubmed/28270390
http://dx.doi.org/10.1136/bmjopen-2016-014262
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