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Barriers and facilitators related to implementation of regulated midwifery in Manitoba: a case study

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Background: In 2000, midwifery was regulated in the Canadian Province of Manitoba. Since the establishment of
the midwifery program, little formal research has analyzed the utilization of regulated midwifery services. In Manitoba,
the demand for midwifery services has exceeded the number of midwives in practice. The specific objective of this
study was to explore factors influencing the implementation and utilization of regulated midwifery services in Manitoba.
Methods: The case study design incorporated qualitative exploratory descriptive methods, using data derived from two
sources: interviews and public documents. Twenty-four key informants were purposefully selected to participate in
semi-structured in-depth interviews. All documents analyzed were in the public domain. Content analysis was
employed to analyze the documents and transcripts of the interviews.
Results: The results of the study were informed by the Behavioral Model of Health Services Use. Three main topic
areas were explored: facilitators, barriers, and future strategies and recommendations. The most common themes
arising under facilitators were funding of midwifery services and strategies to integrate the profession. Power and
conflict, and lack of a productive education program emerged as the most prominent themes under barriers.
Finally, future strategies for sustaining the midwifery profession focused on ensuring avenues for registration and
education, improving management strategies and accountability frameworks within the employment model,

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Informasi Detail

Judul Seri

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No. Panggil

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Penerbit

: Crossmark.,

Deskripsi Fisik

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Bahasa

English

ISBN/ISSN

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Klasifikasi

NONE

Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

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Subjek

Barriers and facilitators

Info Detail Spesifik

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Pernyataan Tanggungjawab

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Versi lain/terkait

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