AimThis study explores the experiences of interprofessional collaboration of Canadian midwives and obstetricians from midwives' perspective.DesignA concurrent mixed‐methods approach that combined a small validation study and qualitative thematic analysis was used to provide evidence of the nature and importance of collaboration between Registered Midwives (RMs) and obstetricians.MethodEighteen RMs across Canada completed a demographic survey and the Midwifery‐Obstetrician Collaboration (MOC) scale in 2023. The quantitative analyses were conducted to assess the reliability of the Midwifery‐Obstetrician Collaboration (MOC) and accumulate preliminary evidence to support its validity. Semi‐structured interviews were conducted with 13 participants. After completing the interviews, themes were identified using thematic analysis.ResultsThe primary themes identified were knowledge of midwifery scope affects collaboration, collaboration is necessary for effective patient care, midwife‐physician collaboration is impacted by power differentials and hierarchies, and proposed methods to improve physician‐midwife collaboration. Although a small sample size did not permit extensive statistical testing, the quantitative results supported the reliability of the MOC scale. In addition, a strong correlation between the MOC and the communication subscale of the Inter‐Professional Collaboration (IPC) scale provided evidence of the MOC's concurrent validity as a measure of collaboration between midwives and physicians.ConclusionThis study provides support for the Midwifery‐Obstetrics Collaboration (MOC) Scale as an assessment tool to evaluate collaboration between midwives and OB/GYNs in obstetrics care. While the 18 RMs recruited for this study provided a fulsome analysis for the qualitative portion, a larger study is necessary to provide more extensive quantitative analysis to validate the MOC scale for continued use among RMs and OBs.ImplicationsThe implications of this study are to foster strong interprofessional relationships between midwives and OBs and to improve the health outcomes of pregnant women and newborns.Reporting MethodThe authors adhered to Consolidated criteria for reporting qualitative research (COREQ).

中文翻译：

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一项并行混合方法研究探索加拿大助产士和产科医生之间跨专业合作的经验

目的本研究从助产士的角度探讨了加拿大助产士和产科医生跨专业合作的经验。设计采用并行混合方法，结合小型验证研究和定性主题分析，为注册助产士之间合作的性质和重要性提供证据。方法加拿大各地18名RM于2023年完成了人口统计调查和助产士-产科医生合作（MOC）量表。进行定量分析以评估助产士-产科医生合作（MOC）的可靠性，并积累初步证据来支持它的有效性。对 13 名参与者进行了半结构化访谈。完成访谈后，使用主题分析确定主题。结果确定的主要主题是助产士范围的知识影响协作，协作对于有效的患者护理是必要的，助产士与医生的协作受到权力差异和等级制度的影响，并提出了改进医生的方法‐助产士合作。尽管样本量较小，无法进行广泛的统计测试，但定量结果支持了 MOC 量表的可靠性。此外，MOC 与专业间合作 (IPC) 量表的沟通子量表之间的强相关性提供了 MOC 作为助产士和医生之间合作衡量标准的同时有效性的证据。结论本研究为助产产科合作提供了支持(MOC) 量表作为评估助产士和妇产科医生在产科护理中合作的评估工具。虽然本研究招募的 18 名 RM 为定性部分提供了全面的分析，但还需要进行更大规模的研究来提供更广泛的定量分析，以验证 MOC 量表是否可以在 RM 和 OB 中继续使用。助产士和产科医生之间的跨专业关系，并改善孕妇和新生儿的健康结果。报告方法作者遵循报告定性研究的综合标准（COREQ）。