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The nature and impact of collaboration and integrated service delivery for pregnant women, children and families

Author

Listed:
  • Virginia Schmied
  • Annie Mills
  • Sue Kruske
  • Lynn Kemp
  • Cathrine Fowler
  • Caroline Homer

Abstract

Aim. This paper explores the impact of models of integrated services for pregnant women, children and families and the nature of collaboration between midwives, child and family health nurses and general practitioners. Background. Increasingly, maternity and child health services are establishing integrated service models to meet the needs of pregnant women, children and families particularly those vulnerable to poor outcomes. Little is known about the nature of collaboration between professionals or the impact of service integration across universal health services. Design. Discursive paper. Methods. A literature search was conducted using a range of databases and combinations of relevant keywords to identify papers reporting the process, and/or outcomes of collaboration and integrated models of care. Results. There is limited literature describing models of collaboration or reporting outcomes. Several whole‐of‐government and community‐based integrated service models have been trialled with varying success. Effective communication mechanisms and professional relationships and boundaries are key concerns. Liaison positions, multidisciplinary teams and service co‐location have been adopted to communicate information, facilitate transition of care from one service or professional to another and to build working relationships. Conclusions. Currently, collaboration between universal health services predominantly reflects initiatives to move services from the level of coexistence to models of cooperation and coordination. Relevance to clinical practice. Integrated service models are changing the way professionals are working. Collaboration requires knowledge of the roles and responsibilities of colleagues and skill in communicating effectively with a diverse range of professionals to establish care pathways with referral and feedback mechanisms that generate collegial respect and trust.

Suggested Citation

  • Virginia Schmied & Annie Mills & Sue Kruske & Lynn Kemp & Cathrine Fowler & Caroline Homer, 2010. "The nature and impact of collaboration and integrated service delivery for pregnant women, children and families," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(23‐24), pages 3516-3526, December.
  • Handle: RePEc:wly:jocnur:v:19:y:2010:i:23-24:p:3516-3526
    DOI: 10.1111/j.1365-2702.2010.03321.x
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    References listed on IDEAS

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    1. Darlington, Yvonne & Feeney, Judith A. & Rixon, Kylie, 2004. "Complexity, conflict and uncertainty: Issues in collaboration between child protection and mental health services," Children and Youth Services Review, Elsevier, vol. 26(12), pages 1175-1192, December.
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    1. Kim Psaila & Virginia Schmied & Cathrine Fowler & Sue Kruske, 2015. "Interprofessional collaboration at transition of care: perspectives of child and family health nurses and midwives," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(1-2), pages 160-172, January.
    2. Hannah Olley & Kim Psaila & Cathrine Fowler & Sue Kruske & Caroline Homer & Virginia Schmied, 2017. "‘Being the bridge and the beacon’: a qualitative study of the characteristics and functions of the liaison role in child and family health services in Australia," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(1-2), pages 91-102, January.
    3. Quiroz-Saavedra, Rodrigo & Alfaro, Jaime & Rodríguez-Rivas, Matías E., 2023. "Perceptions of professionals about factors affecting the implementation of early childhood support systems: A case study evaluation from an ecological perspective," Evaluation and Program Planning, Elsevier, vol. 97(C).
    4. Mie G. de Wolff & Julie Midtgaard & Marianne Johansen & Ane L. Rom & Susanne Rosthøj & Ann Tabor & Hanne K. Hegaard, 2021. "Effects of a Midwife-Coordinated Maternity Care Intervention (ChroPreg) vs. Standard Care in Pregnant Women with Chronic Medical Conditions: Results from a Randomized Controlled Trial," IJERPH, MDPI, vol. 18(15), pages 1-16, July.
    5. Silke Boertien & Arie Franx & Danielle E. M. C. Jansen & Henk Akkermans & Marlou L. A. de Kroon, 2022. "Connecting Obstetric, Maternity, Pediatric and Preventive Child Health Care: A Comparative Prospective Study Protocol," IJERPH, MDPI, vol. 19(11), pages 1-12, June.
    6. Elaine Bennett & Karen Berry & Theophilus I Emeto & Oliver K Burmeister & Jeanine Young & Linda Shields, 2017. "Attitudes to lesbian, gay, bisexual and transgender parents seeking health care for their children in two early parenting services in Australia," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(7-8), pages 1021-1030, April.
    7. Cathrine Fowler & Sharon Reid & Jeannie Minnis & Carolyn Day, 2014. "Experiences of mothers with substance dependence: Informing the development of parenting support," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(19-20), pages 2835-2843, October.

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