177 Realist review of Midwife-Led Continuity of Care implementation (continued) Role ambiguity and conflict Theory Context Mechanism Proximal outcome Supporting references Resource Response Some midwives will embrace the expanded scope of practice and actively engage in performing interventions, considering these tasks as integral components of MLCC. Active participation in providing comprehensive care in MLCC, which may lead to enhanced job satisfaction and professional fulfilment. Some midwives will be hesitant or reluctant to accept certain interventions or tasks as part of their scope of practice. They may express concerns about their competence, skills, legal liabilities, or question what fits their profession. Division among midwives leading to disparities in dynamic and conflict within the profession, potentially impacting the quality and consistency of care. 6
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