1. Navigating interprofessional boundaries: Midwifery students in Canada.
- Author
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Neiterman, Elena, HakemZadeh, Farimah, Zeytinoglu, Isik U., Kaminska, Karolina, Oltean, Irina, Plenderleith, Jennifer, and Lobb, Derek
- Subjects
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MIDWIVES , *PROFESSIONAL ethics , *OCCUPATIONAL roles , *SOCIALIZATION , *HEALTH occupations students , *GROUNDED theory , *RESEARCH methodology , *INTERVIEWING , *SOCIAL boundaries , *QUALITATIVE research , *INTERNSHIP programs , *INTERPROFESSIONAL relations , *PROFESSIONAL identity , *COMMUNICATION , *STUDENT attitudes - 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. • Boundary work is part of professional socialization process. • Professional boundaries are ambiguous in midwifery but they are understudied. • This paper examines boundary work among 31 Canadian midwifery students. • The boundaries were clear with physicians but blurred in communication with nurses. • Learning about boundaries, students recreated them but also became agents of change. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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