Volume 23, Issue 3 (8-2024)
TB 2024, 23(3): 66-75 |
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Hajizade Tabriz M, Ali Mohammadzade K, Safavi M. Investigating Team Work of Gynecologists and Midwives in Hospitals of Tehran Islamic Azad University. TB 2024; 23 (3) :66-75
URL: http://tbj.ssu.ac.ir/article-1-3641-en.html
URL: http://tbj.ssu.ac.ir/article-1-3641-en.html
Investigating Team Work of Gynecologists and Midwives in Hospitals of Tehran Islamic Azad University
Department of Health Services ManagementFaculty of Health,Tehran Medical Sciences , Islamic Azad University. Economics Policy Research Center, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran. , dr_khalil_amz@yahoo.com
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Investigating Team Work of Gynecologists and Midwives in Hospitals of Tehran Islamic Azad University
Mahsa Hajizadeh Tabriz(M.Sc.)1, Khalil Ali Mohammadi(Ph.D.)2, Mahboobe Safavi(Ph.D.)3
1.M.Sc student Healthcare Services Management,Tehran Faculity of Medical Siences,Tehran Islamic Azad university, Tehran, Iran.
2.Corresponding Author:Professor, Department of Healthcare Services Management,Tehran Faculity of Medical Siences,Tehran Islamic Azad university, Tehran, Iran. Email:dr-khalil-amz@yahoo.com Tel:09124831707
3.Associate Professor, Department of Health Services Management, Tehran Faculity of Medical Siences,Tehran Islamic Azad university, Tehran, Iran
Abstract
Introduction: Caesarean section saves the life of mother and child. Unnecessary cesarean has complications. To reduce unnecessary cesarean sections, the health transformation plan was implemented. By editing this program in 2013, team services were added to it. The present study was conducted with the aim of investigating the status of team work among gynecologists and midwives.
Methods: The current research is a descriptive-analytical study that was carried out cross-sectionally in the year 2021. The sample population included all the 45 gynecologists and midwives working in the maternity block of hospitals affiliated with Islamic Azad University of Tehran, and sampling method was convenience sampling. Nachioni questionnaire with appropriate CVI (0.87-1) and Cronbach's alpha coefficient of 0.94 was used to collect data. Statistical analysis of data was done using wilcoxon test with SPSS24 software.
Results: The results of this study showed that the state of teamwork and its dimensions in the studied group are significantly higher than the average (p<0/001). The highest score in the dimensions of the questionnaire was related to the objective dimension (3/97 ± 0/63) and the lowest score was related to the constructive approach dimension (3/39 ± 0/35).
Conclusion: The score of team work in the study group was medium to high. The highest score belonged to the dimensions of objective, trust, and accountability . It should be noted that the study cases have scored lower in the two dimensions of constructive interaction and responsibility.
Keywords: Cesarean section, Interprofessional collaboration, Healthcare professionals
References
1-Gibbons L, Belizán JM, Lauer JA & et al. The global numbers and costs of additionally needed and unnecessary caesarean sections performed per year: overuse as a barrier to universal coverage. World health report. 2010;30(1):1-31.
2-Mosadeghrad AM, Tajvar M, Janbabai G & et al. Effect of Iran's normal delivery promotion plan on the cesarean delivery rates: An interrupted time series study. Journal of Hayat. 2020;26(2):144-62.
3-Betran AP, Temmerman M, Kingdon C & et al. Interventions to reduce unnecessary caesarean sections in healthy women and babies. The Lancet. 2018;392(10155):1358-68.
4-Bahmaei J, Maleki A. Evaluation of the effect of health sector evolution plan on the rate of cesarean sections in hospitals affiliated to abadan school of medical sciences. Journal of health research in community. 2019;5(3):52-60.
5-Ghazaie M, Davoodi I, Neysi A & et al. The effectiveness of cognitive-behavioral therapy on fear of childbirth, fear of pain, self-efficacy of childbirth and tendency to caesarean in nulliparous women. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2016;19(31):1-12.
6-Izadi V, Zamanzadeh V, Seyedjavadi M & et al. Investigation of factors affecting the tendency to choose the type of delivery in pregnant women referring to hospitals of Ardabil Province in 2016. Journal of Family Medicine and Primary Care. 2018;7(2):406-13.
7-Anderson JE, Lavelle M, Reedy G. Understanding adaptive teamwork in health care: Progress and future directions. Journal of health services research & policy. 2021;26(3):208-14.
8-Donovan AL, Aldrich JM, Gross AK & et al. Interprofessional care and teamwork in the ICU. Critical care medicine. 2018;46(6):980-90.
9-Matusov Y, Matthews A, Rue M & et al. Perception of interdisciplinary collaboration between ICU nurses and resident physicians during the COVID-19 pandemic. Journal of Interprofessional Education & Practice. 2022;27:100501.
10-Spring S. American College of Obstetricians and Gynecologists; American College of Nurse-Midwives. Joint Statement of Practice Relations Between Obstetrician-Gynecologists and Certified Nurse-Midwives/Certified Midwives. American College of Nurse Midwives2018 [
11-Avery MD, Montgomery O, Brandl-Salutz E. Essential components of successful collaborative maternity care models. Obstet Gynecol Clin. 2012;39:423-34.
12-Yuill C, McCourt C, Cheyne H & et al. Women’s experiences of decision-making and informed choice about pregnancy and birth care: a systematic review and meta-synthesis of qualitative research. BMC pregnancy and childbirth. 2020;20:1-21.
13-Sobhy S, Arroyo-Manzano D, Murugesu N & et al. Maternal and perinatal mortality and complications associated with caesarean section in low-income and middle-income countries: a systematic review and meta-analysis. The Lancet. 2019;393(10184):1973-82.
14-Galleta-Williams H, Esmail A, Grigoroglou C & et al. The importance of teamwork climate for preventing burnout in UK general practices. European journal of public health. 2020;30(Supplement_4):iv36-iv8.
15-Ghanbari S, Abdolmaleki J. The role of social capital in the job performance mediated by teamwork (Case study: Bu Ali Sina University Staffs). Strategic Research on Social Problems. 2020;9(1):1-22.
16-Melkamu E, Woldemariam S, Haftu A. Inter-professional collaboration of nurses and midwives with physicians and associated factors in Jimma University specialized teaching hospital, Jimma, south West Ethiopia, 2019: cross sectional study. BMC nursing. 2020;19:1-9.
17-Pasyar N, Sharif F, Rambod M. Nurses and physicians’ collaborative behaviors in intensive care units. Sadra Medical Journal. 2017;5(4):239-50.
18-Dougherty MB, Larson E. A review of instruments measuring nurse-physician collaboration. JONA: The Journal of Nursing Administration. 2005;35(5):244-53.
19-Bendowska A, Baum E. The significance of cooperation in interdisciplinary health care teams as perceived by polish medical students. International journal of environmental research and public health. 2023;20(2):954.
20-Ansa BE, Zechariah S, Gates AM & et al. Attitudes and behavior towards interprofessional collaboration among healthcare professionals in a large academic medical center. Healthcare; 2020: MDPI.
21-Keykha A, Ramezani M, Heydari A. Attitude and Barriers of Teamwork in Intensive Care Unit from the Perspective of Nurses in COVID-19 Pandemic. Journal of Military Medicine. 2022;23(4):329-37.
Mahsa Hajizadeh Tabriz(M.Sc.)1, Khalil Ali Mohammadi(Ph.D.)2, Mahboobe Safavi(Ph.D.)3
1.M.Sc student Healthcare Services Management,Tehran Faculity of Medical Siences,Tehran Islamic Azad university, Tehran, Iran.
2.Corresponding Author:Professor, Department of Healthcare Services Management,Tehran Faculity of Medical Siences,Tehran Islamic Azad university, Tehran, Iran. Email:dr-khalil-amz@yahoo.com Tel:09124831707
3.Associate Professor, Department of Health Services Management, Tehran Faculity of Medical Siences,Tehran Islamic Azad university, Tehran, Iran
Abstract
Introduction: Caesarean section saves the life of mother and child. Unnecessary cesarean has complications. To reduce unnecessary cesarean sections, the health transformation plan was implemented. By editing this program in 2013, team services were added to it. The present study was conducted with the aim of investigating the status of team work among gynecologists and midwives.
Methods: The current research is a descriptive-analytical study that was carried out cross-sectionally in the year 2021. The sample population included all the 45 gynecologists and midwives working in the maternity block of hospitals affiliated with Islamic Azad University of Tehran, and sampling method was convenience sampling. Nachioni questionnaire with appropriate CVI (0.87-1) and Cronbach's alpha coefficient of 0.94 was used to collect data. Statistical analysis of data was done using wilcoxon test with SPSS24 software.
Results: The results of this study showed that the state of teamwork and its dimensions in the studied group are significantly higher than the average (p<0/001). The highest score in the dimensions of the questionnaire was related to the objective dimension (3/97 ± 0/63) and the lowest score was related to the constructive approach dimension (3/39 ± 0/35).
Conclusion: The score of team work in the study group was medium to high. The highest score belonged to the dimensions of objective, trust, and accountability . It should be noted that the study cases have scored lower in the two dimensions of constructive interaction and responsibility.
Keywords: Cesarean section, Interprofessional collaboration, Healthcare professionals
References
1-Gibbons L, Belizán JM, Lauer JA & et al. The global numbers and costs of additionally needed and unnecessary caesarean sections performed per year: overuse as a barrier to universal coverage. World health report. 2010;30(1):1-31.
2-Mosadeghrad AM, Tajvar M, Janbabai G & et al. Effect of Iran's normal delivery promotion plan on the cesarean delivery rates: An interrupted time series study. Journal of Hayat. 2020;26(2):144-62.
3-Betran AP, Temmerman M, Kingdon C & et al. Interventions to reduce unnecessary caesarean sections in healthy women and babies. The Lancet. 2018;392(10155):1358-68.
4-Bahmaei J, Maleki A. Evaluation of the effect of health sector evolution plan on the rate of cesarean sections in hospitals affiliated to abadan school of medical sciences. Journal of health research in community. 2019;5(3):52-60.
5-Ghazaie M, Davoodi I, Neysi A & et al. The effectiveness of cognitive-behavioral therapy on fear of childbirth, fear of pain, self-efficacy of childbirth and tendency to caesarean in nulliparous women. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2016;19(31):1-12.
6-Izadi V, Zamanzadeh V, Seyedjavadi M & et al. Investigation of factors affecting the tendency to choose the type of delivery in pregnant women referring to hospitals of Ardabil Province in 2016. Journal of Family Medicine and Primary Care. 2018;7(2):406-13.
7-Anderson JE, Lavelle M, Reedy G. Understanding adaptive teamwork in health care: Progress and future directions. Journal of health services research & policy. 2021;26(3):208-14.
8-Donovan AL, Aldrich JM, Gross AK & et al. Interprofessional care and teamwork in the ICU. Critical care medicine. 2018;46(6):980-90.
9-Matusov Y, Matthews A, Rue M & et al. Perception of interdisciplinary collaboration between ICU nurses and resident physicians during the COVID-19 pandemic. Journal of Interprofessional Education & Practice. 2022;27:100501.
10-Spring S. American College of Obstetricians and Gynecologists; American College of Nurse-Midwives. Joint Statement of Practice Relations Between Obstetrician-Gynecologists and Certified Nurse-Midwives/Certified Midwives. American College of Nurse Midwives2018 [
11-Avery MD, Montgomery O, Brandl-Salutz E. Essential components of successful collaborative maternity care models. Obstet Gynecol Clin. 2012;39:423-34.
12-Yuill C, McCourt C, Cheyne H & et al. Women’s experiences of decision-making and informed choice about pregnancy and birth care: a systematic review and meta-synthesis of qualitative research. BMC pregnancy and childbirth. 2020;20:1-21.
13-Sobhy S, Arroyo-Manzano D, Murugesu N & et al. Maternal and perinatal mortality and complications associated with caesarean section in low-income and middle-income countries: a systematic review and meta-analysis. The Lancet. 2019;393(10184):1973-82.
14-Galleta-Williams H, Esmail A, Grigoroglou C & et al. The importance of teamwork climate for preventing burnout in UK general practices. European journal of public health. 2020;30(Supplement_4):iv36-iv8.
15-Ghanbari S, Abdolmaleki J. The role of social capital in the job performance mediated by teamwork (Case study: Bu Ali Sina University Staffs). Strategic Research on Social Problems. 2020;9(1):1-22.
16-Melkamu E, Woldemariam S, Haftu A. Inter-professional collaboration of nurses and midwives with physicians and associated factors in Jimma University specialized teaching hospital, Jimma, south West Ethiopia, 2019: cross sectional study. BMC nursing. 2020;19:1-9.
17-Pasyar N, Sharif F, Rambod M. Nurses and physicians’ collaborative behaviors in intensive care units. Sadra Medical Journal. 2017;5(4):239-50.
18-Dougherty MB, Larson E. A review of instruments measuring nurse-physician collaboration. JONA: The Journal of Nursing Administration. 2005;35(5):244-53.
19-Bendowska A, Baum E. The significance of cooperation in interdisciplinary health care teams as perceived by polish medical students. International journal of environmental research and public health. 2023;20(2):954.
20-Ansa BE, Zechariah S, Gates AM & et al. Attitudes and behavior towards interprofessional collaboration among healthcare professionals in a large academic medical center. Healthcare; 2020: MDPI.
21-Keykha A, Ramezani M, Heydari A. Attitude and Barriers of Teamwork in Intensive Care Unit from the Perspective of Nurses in COVID-19 Pandemic. Journal of Military Medicine. 2022;23(4):329-37.
Type of Study: Research |
Subject:
managment
Received: 2024/03/24 | Accepted: 2024/06/9 | Published: 2024/08/31
Received: 2024/03/24 | Accepted: 2024/06/9 | Published: 2024/08/31
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