The effect of organizational belonging and profession on cliniciansʼ attitudes toward supporting vaginal birth and interprofessional teamwork—a cross‐sectional study

Introduction The aim of this study was to investigate the effect of organizational belonging and profession on clinicians' attitudes toward supporting vaginal birth and interprofessional teamwork in Swedish maternity care. Material and methods The study used a cross‐sectional design, with a web...

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Published in:Acta obstetricia et gynecologica Scandinavica 2023-03, Vol.102 (3), p.355-369
Main Authors: Johnson, Karin, Elvander, Charlotte, Johansson, Kari, Saltvedt, Sissel, Edqvist, Malin
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Attitudes
Birth
cesarean section
Childbirth & labor
Corporate culture
Cross-Sectional Studies
Female
Humans
Interprofessional Relations
interprofessional teamwork
Maternal Health Services
Midwifery
Multidisciplinary teams
organizational culture
Original
Parturition
Patient Care Team
Physicians
Pregnancy
professional attitudes
Teamwork
Vagina
vaginal birth
Work environment
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Summary:Introduction The aim of this study was to investigate the effect of organizational belonging and profession on clinicians' attitudes toward supporting vaginal birth and interprofessional teamwork in Swedish maternity care. Material and methods The study used a cross‐sectional design, with a web‐based survey sent to midwives, physicians and nurse assistants at five labor wards in Sweden. The survey consisted of two validated scales: the Swedish version of the Labor Culture Survey (S‐LCS), measuring attitudes toward supporting vaginal birth, and the Assessment of Collaborative Environments (ACE‐15), measuring attitudes toward interprofessional teamwork. Two‐way ANOVA was conducted to assess the main effect of and interaction effect between organizational belonging and profession for the different subscales of the S‐LCS and the ACE‐15, together with Tukey's honest significant difference post‐hoc analysis and partial eta squared to determine effect size. The relation between the subscales was assessed using the Pearson's correlation analysis. Results A total of 539 midwives, physicians and nurse assistants completed the survey. Organizational belonging significantly influenced attitudes toward supporting vaginal birth and interprofessional teamwork, with the largest effect for Positive team culture (F = 38.88, effect size = 0.25, p 
ISSN:0001-6349
1600-0412
DOI:10.1111/aogs.14502