178 Chapter 6 (continued) Role ambiguity and conflict Theory Context Mechanism Proximal outcome Supporting references Resource Response Mutual trust Maternity care networks consist of different stakeholders, including midwives and doctors with various levels of training and experience. Differences in education and experience lead to a different worldview among doctors and midwives. Doctors are perceived to have greater medical knowledge, and midwives are more experienced with the physiological process of pregnancy and birth. Midwives are expected to take on a more autonomous role in providing MLCC throughout the whole pregnancy and childbirth continuum, in collaboration with other disciplines from the healthcare team. In this collaboration, midwives are the primary care provider and refer or consult a doctor or obstetrician when necessary. Clear protocols and guidelines outlining the roles and responsibilities of all care providers, along with regular interdisciplinary meetings, foster mutual understanding and trust. Midwives feel confident in their autonomous role, and obstetricians trust their judgements. This fosters enhanced teamwork, shared decision-making, and mutual trust. 5 6 10 16 31 34 36 43 44 The absence of clear protocols or guidelines, along with the lack of regular interdisciplinary meetings, can lead to feelings of insecurity and mistrust. Midwives may hesitate to seek consultation, and obstetricians may lack confidence that they will be consulted when necessary. This can lead to communication barriers and delays in decision-making.
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