Influencing outcomes through inclusive decision-making: An impact assessment of collaborative decision-making models among OBGYN Residents, Nurses, and Midwives in Obstetric Care

Abstract

Background: The sphere of obstetric care often necessitates rapid, yet judicious decision-making processes. There exists a gap in understanding the pragmatic impacts of deploying a collaborative decision-making model, uniting OBGYN residents, nurses, and midwives in the decision-making process, both in terms of patient outcomes and educational trajectories of medical professionals.

Objective: This research seeks to implement a meticulously developed collaborative decision-making model in select obstetric care teams, critically evaluating its immediate and longitudinal impact on patient care outcomes, team dynamics, and the practical and educational development of OBGYN residents.

Methodology: A mixed-method research paradigm was deployed, encompassing quantitative pre- and post-implementation comparisons and qualitative research through semi-structured interviews and focus groups. This comprehensive approach facilitated a nuanced exploration and evaluation of the model’s impact on diverse outcomes and experiences among healthcare professionals and patients. Three obstetric teams across varied healthcare settings were engaged for a 12-month implementation and evaluation period, ensuring robust contextual analysis.

Results: Implementation demonstrated a significant positive impact across assessed domains. Patient satisfaction scores showcased a 15% enhancement, while adverse maternal and neonatal outcomes were reduced by 20%. Intra-team conflicts saw a reduction of 25%, and decision-making efficiency experienced a notable uplift of 30%. Qualitative data illuminated a general appreciation for the democratization of the decision-making process, citing improved interprofessional relations and enriched learning environments for OBGYN residents. Nonetheless, highlighted were challenges such as initial workflow resistance and the imperative for sustained professional development initiatives to fully assimilate the model.

Conclusion: The data affirm the potential efficacy of an inclusive, collaborative decision-making model in enhancing patient care outcomes, team dynamics, and the educational milieu within obstetric settings. The insights derived underscore the viability of broader model application, albeit with a cognizant approach to managing initial implementation hurdles and maintaining ongoing training. It opens avenues for future research into adaptive strategies and optimal implementation practices across varied healthcare scenarios, underpinning a shift towards more collaborative and inclusive medical decision-making models.