Attitude of nurses and midwives towards collaborative care with physicians in Jimma University medical center, Jimma, South West Ethiopia

Abstract

Background Good attitude on collaborative care between nurses and midwives with physicians is crucial for better team working. This further enables those vital health care professionals to provide quality and improved care for their clients. Objective To assess the attitude of nurses and midwives towards collaborative care with physicians in Jimma University medical center, Jimma, South West Ethiopia. Methodology The institution-based cross-sectional study was conducted from March 20 to April 8, 2019, using a semi-structured and standardized questionnaire. Study units were selected by simple random sampling using the lottery method. A total of 410 participants were included in the study. Data were entered into Epi data version 4.2 and exported to statistical packages for social sciences version 23 for cleaning and further analysis. Descriptive statistics were presented with tables, figures, and narratives. The level of significance was set at a p value of less than 0.05 in multivariable logistic regression. Results and conclusion More than five out of ten, 234 (57.2%) of participants had a good (good attitude is defined in the operational definition section of methodology) attitude towards collaborative care with physicians, and the rest 175 (42.8%) poor attitude toward it. Participants had the highest median score in the shared education and teamwork (26.0) subscale and midwives were found to have higher mean rank scores compared to nurses. It was only in the nurse's/midwife's autonomy subscale that a statistically significant difference was found (Z = − 2.92, p value = 0.003). More generally, more than have of the participants had a good attitude on providing care collaboratively with physicians, though a significant proportion of nurses and midwives also rate collaborative care provision with physicians as poor. Recommendations The findings of this study suggested that interventions are needed to be taken to improve nurse's and midwife’s attitudes on the provision of collaborative care with physicians. Enhancement of shared education, cooperation rather than dominance and caring attitude are all vital. These all could in turn enhance the quality of care provided for clients.

The implementation of Apice On Project in the Obstetric Residency Program: Nurses’ perceptions

“…7 It is understood that in order to strengthen collaborative relationships, it is necessary to consider adopting new professional attitudes based on non-hierarchical relationships, trust and mutual respect, in other words, reorganizing roles and making professionals jointly responsible for planning and decision-making. 36,37 Therefore, there is the possibility of recovering the understanding that the joint work of both professionals is essential, because each one, based on their competencies, enhances care for women, especially when it comes to Teaching Hospitals, which are generally references for high-complexity obstetric care. This is because it aligns the expertise of the obstetric nurse, who values the physiological aspects of childbirth and female protagonism, together with nursing care in specialized care, with the medical professional responsible for monitoring women at maternal and fetal risk.…”

A implementação do Projeto Apice On no Programa de Residência em Enfermagem Obstétrica: percepções de enfermeiras

“…7 Compreende-se que, para o fortalecimento de relações colaborativas, implica considerar a adoção de novas posturas profissionais fundamentadas em relações não hierarquizadas, em confiança e respeito mútuo, ou seja, na reorganização dos papéis e uma corresponsabilização dos profissionais quanto ao planejamento e tomada de decisões. 36,37 Portanto, traz-se a possibilidade de resgatar o entendimento de que a atuação conjunta de ambos os profissionais é essencial, pois cada um a partir de suas competências, potencializam a Percepções de enfermeiras obstétricas do Projeto Apice On Oliveira TR, Lopes GC, Alves VH, Dulfe PAM, Santos AF, Mathias LFB, Pereira DR, Reis LC assistência às mulheres, principalmente quando se refere a Hospitais de Ensino, geralmente, referências para cuidados de alta complexidade em obstetrícia. Isto porque alinha a expertise da enfermeira obstétrica que valoriza os aspectos fisiológicos do parto e o protagonismo feminino, somada a assistência de enfermagem na atenção especializada, ao profissional médico responsável pelo acompanhamento daquelas mulheres que apresentam risco materno-fetal.…”

Cost and Cost-Effectiveness of Treating Childhood Cancer at Jimma Medical Center

“…The study was conducted at Jimma Medical Centre (JMC) which is the only teaching and referral hospital in southwest Ethiopia with an 800-bed capacity and a catchment population of over 15 million. 12 It gives services to about 15,000 inpatients, 11,000 emergency cases, and 4500 deliveries per year. 13 …”