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Healthcare Providers' Perceptions of Single-Room Versus Traditional Maternity Models

A Concurrent Mixed-Methods Study

Hall, Marc MSc, CCRP; Nowell, Lorelli PhD, RN; Castrogiovanni, Nina BN, RN; Palacios-Derflingher, Luz PhD; Norris, Jill M. MSc, ACC; White, Deborah E. PhD, RN

The Journal of Perinatal & Neonatal Nursing: October/December 2019 - Volume 33 - Issue 4 - p 312–321
doi: 10.1097/JPN.0000000000000413
Feature Articles: Continuing Education

While many hospitals have transitioned from traditional maternity care to a single-room maternity model, little is known about how healthcare providers' practice differs between the models. This mixed-methods study compared healthcare providers' job satisfaction and team collaboration between traditional and single-room maternity care and explored how each model shaped providers' practice. Data were collected via questionnaires and interviews with healthcare providers from 2 hospitals. Independent t tests, Mann-Whitney U tests, and thematic analysis were used in analysis; findings were then triangulated. No difference was found in team collaboration and job satisfaction scores between single-room (n = 84) and traditional (n = 42) maternity care; however, providers described different means toward satisfaction and collaboration in the interviews (n = 18). Single-room maternity care providers valued interprofessional teamwork, patient/family involvement, and continuity of care. Traditional maternity care providers enjoyed specialization but described teamwork as uniprofessional and disconnected across professions; transfers between units weakened communication and fragmented care. While single-room maternity care providers described less tension and a more holistic patient-family journey, further research must be undertaken to examine whether and how interprofessional collaboration and communication impact patient and health system outcomes.

Faculty of Nursing (Mr Hall and Ms Norris), Taylor Institute for Teaching and Learning (Dr Nowell), and Faculty of Kinesiology (Dr Palacios-Derflingher), University of Calgary, Calgary, Alberta, Canada; Alberta Health Services, Calgary Zone, Calgary, Alberta, Canada (Ms Castrogiovanni); and Faculty of Nursing, University of Calgary in Qatar, Doha, Qatar (Dr White).

Corresponding Author: Marc Hall, MSc, CCRP, Faculty of Nursing, University of Calgary, 2500 University Dr NW, Calgary, AB T2N 1N4, Canada (

This project was supported by Alberta Health Services and the Faculty of Nursing, University of Calgary. The authors acknowledge the hospital units involved in the study.

Disclosure: The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Each author has indicated that he or she has met the journal's requirements for Authorship.

Submitted for publication: November 1, 2018; accepted for publication March 16, 2019.

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