IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v341y2024ics0277953623009115.html
   My bibliography  Save this article

Navigating interprofessional boundaries: Midwifery students in Canada

Author

Listed:
  • Neiterman, Elena
  • HakemZadeh, Farimah
  • Zeytinoglu, Isik U.
  • Kaminska, Karolina
  • Oltean, Irina
  • Plenderleith, Jennifer
  • Lobb, Derek

Abstract

The literature on professional socialization focuses on how students adopt and internalize professional identities and values, and assumes that boundary work is essential to learning how best to practice their profession. However, a focus on boundary work in the context of midwifery training - which is embedded in the gendered and hierarchical landscape of maternity care - is lacking. Thus, this article examines how Canadian student-midwives learn to navigate and negotiate interprofessional boundaries. Grounded in a symbolic interactionist approach, it draws on 31 semi-structured qualitative interviews from a mixed-methods national study on midwifery retention, explores how midwifery students make sense of the tensions among midwives, physicians, and nurses, and describes what strategies they utilize when navigating boundaries. Our analysis, based in constructivist grounded theory, revealed that participants learned about interprofessional tensions in clinical placement encounters via direct or indirect interactions with other healthcare professionals, and that strategies to navigate these tensions included educating others about midwifery training and adopting a learner identity. This article proposes that the process of professional socialization enables to reshape professional boundaries and that students are not only learners but also agents of change. These findings may yield practical applications in health education by highlighting opportunities for improving interprofessional collaborations.

Suggested Citation

  • Neiterman, Elena & HakemZadeh, Farimah & Zeytinoglu, Isik U. & Kaminska, Karolina & Oltean, Irina & Plenderleith, Jennifer & Lobb, Derek, 2024. "Navigating interprofessional boundaries: Midwifery students in Canada," Social Science & Medicine, Elsevier, vol. 341(C).
    • Handle: RePEc:eee:socmed:v:341:y:2024:i:c:s0277953623009115
    DOI: 10.1016/j.socscimed.2023.116554
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953623009115
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2023.116554?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Powell, Alison E. & Davies, Huw T.O., 2012. "The struggle to improve patient care in the face of professional boundaries," Social Science & Medicine, Elsevier, vol. 75(5), pages 807-814.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gifford, Rachel & Molleman, Eric & van der Vaart, Taco, 2024. "It's a jungle out there: Understanding physician payment and its role in group dynamics," Social Science & Medicine, Elsevier, vol. 350(C).
    2. Battin, Gudrun Songøygard & Romsland, Grace Inga & Christiansen, Bjørg, 2021. "The puzzle of therapeutic emplotment: creating a shared clinical plot through interprofessional interaction in biopsychosocial pain rehabilitation," Social Science & Medicine, Elsevier, vol. 277(C).
    3. Evans, Sarah & Scarbrough, Harry, 2014. "Supporting knowledge translation through collaborative translational research initiatives: ‘Bridging’ versus ‘blurring’ boundary-spanning approaches in the UK CLAHRC initiative," Social Science & Medicine, Elsevier, vol. 106(C), pages 119-127.
    4. Helen Anderson & Yvonne Birks & Joy Adamson, 2020. "Exploring the relationship between nursing identity and advanced nursing practice: An ethnographic study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(7-8), pages 1195-1208, April.
    5. Liberati, Elisa Giulia & Gorli, Mara & Scaratti, Giuseppe, 2016. "Invisible walls within multidisciplinary teams: Disciplinary boundaries and their effects on integrated care," Social Science & Medicine, Elsevier, vol. 150(C), pages 31-39.
    6. Croft, Charlotte & Currie, Graeme, 2020. "Realizing policy aspirations of voluntary sector involvement in integrated care provision: Insights from the English National Health Service," Health Policy, Elsevier, vol. 124(5), pages 549-555.
    7. Idun Røseth & Halvor Austenå & Eva Sommerseth & Bente Dahl & Anne Lyberg & Rob Bongaardt, 2020. "Fluid Boundaries and Moving Targets: Midwife Leaders’ Perspectives on Continuing Professional Education," SAGE Open, , vol. 10(2), pages 21582440209, June.
    8. Glimmerveen, Ludo & Ybema, Sierk & Nies, Henk, 2018. "Empowering citizens or mining resources? The contested domain of citizen engagement in professional care services," Social Science & Medicine, Elsevier, vol. 203(C), pages 1-8.
    9. McDougall, A. & Goldszmidt, M. & Kinsella, E.A. & Smith, S. & Lingard, L., 2016. "Collaboration and entanglement: An actor-network theory analysis of team-based intraprofessional care for patients with advanced heart failure," Social Science & Medicine, Elsevier, vol. 164(C), pages 108-117.
    10. Eirin Sigurdssøn Ludvigsen & Øystein Øygarden Flæten & Caryl L Gay & Magnus TarAngen & Tove Irene Granheim & Anners Lerdal, 2016. "Pain and concomitant symptoms in medical and elective surgical inpatients: a point prevalence survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(21-22), pages 3229-3240, November.
    11. Xyrichis, Andreas & Lowton, Karen & Rafferty, Anne Marie, 2017. "Accomplishing professional jurisdiction in intensive care: An ethnographic study of three units," Social Science & Medicine, Elsevier, vol. 181(C), pages 102-111.
    12. Sudbury-Riley, Lynn & Hunter-Jones, Philippa, 2021. "Facilitating inter-professional integration in palliative care: A service ecosystem perspective," Social Science & Medicine, Elsevier, vol. 277(C).
    13. Franzén, Cecilia & Nilsson, Eva-Lotta & Norberg, Johan R. & Peterson, Tomas, 2020. "Trust as an analytical concept for the study of welfare programmes to reduce child health disparities: The case of a Swedish postnatal home visiting programme," Children and Youth Services Review, Elsevier, vol. 118(C).
    14. Tyskbo, Daniel & Sergeeva, Anastasia, 2022. "Brains exposed: How new imaging technology reconfigures expertise coordination in neurosurgery," Social Science & Medicine, Elsevier, vol. 292(C).
    15. Donna Brown & Brendan McCormack, 2016. "Exploring psychological safety as a component of facilitation within the Promoting Action on Research Implementation in Health Services framework," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(19-20), pages 2921-2932, October.
    16. Bertin, Giovanni & Pantalone, Marta, 2019. "Professional identity in community care: The case of specialist physicians in outpatient services in Italy," Social Science & Medicine, Elsevier, vol. 226(C), pages 21-28.
    17. Standing, Holly & Patterson, Rebecca & Dalkin, Sonia & Exley, Catherine & Brittain, Katie, 2020. "A critical exploration of professional jurisdictions and role boundaries in inter-professional end-of-life care in the community," Social Science & Medicine, Elsevier, vol. 266(C).
    18. Catherine Hungerford & Catherine Fox, 2014. "Consumer's perceptions of Recovery‐oriented mental health services: An Australian case‐study analysis," Nursing & Health Sciences, John Wiley & Sons, vol. 16(2), pages 209-215, June.
    19. Ulf Liebe & Elias Naumann & Andreas Tutic, 2019. "Prosocial Behavior Across Professional Boundaries: Experimental Evidence From Hospitals," SAGE Open, , vol. 9(2), pages 21582440198, May.
    20. Grant, Suzanne & Guthrie, Bruce, 2018. "Between demarcation and discretion: The medical-administrative boundary as a locus of safety in high-volume organisational routines," Social Science & Medicine, Elsevier, vol. 203(C), pages 43-50.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:341:y:2024:i:c:s0277953623009115. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.