176 Chapter 6 (continued) Role ambiguity and conflict Theory Context Mechanism Proximal outcome Supporting references Resource Response Obstetricians who struggle with the role change, may find their established authority and professional boundaries challenged by the increased involvement of midwives, and perceive this as undermining their authority. Resistance to the changes brought by MLCC may lead to conflicts over decisionmaking authority, patient management, and clinical practice. These conflicts may manifest themselves in strained communication, lack of mutual respect, and difficulties in establishing collaborative relationships between obstetricians and midwives. Division of tasks Midwifery is a field where multiple disciplines work, with partial overlap in one’s scope of practice. There is a division of tasks and responsibilities within maternity care networks, often laid down in protocols and guidelines. With transitioning to MLCC, there is a shift in roles and responsibilities as tasks are shifted to midwives to be able to provide care in the whole continuum of pregnancy and birth. Healthcare professionals who perform these tasks in the standard model of care may feel threatened and convinced that these tasks are part of their scope of practice. Resistance towards the implementation of MLCC, which can lead to conflicts. 6 13 14 16 18 43 44
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