A Qualitative Theoretical Framework for Collaborative Practice Among Midwives, Nursing Technicians, Nursing Specialists, Emergency Nurse Specialists, and General Nursing Technicians in Holistic Patient Care
DOI:
https://doi.org/10.64149/J.Ver.8.18s.137-147Keywords:
Interprofessional collaboration, midwifery, nursing practice, holistic care, theoretical framework, teamwork, healthcare integration, organizational leadership, role clarity, ethical nursingAbstract
This study developed a qualitative theoretical framework to explain collaborative practice among midwives, nursing technicians, nursing specialists, emergency nurse specialists, and general nursing technicians in the context of holistic patient care. Using conceptual synthesis and thematic analysis, forty-five peer-reviewed studies published between 2015 and 2025 were analyzed to identify key dimensions influencing interprofessional collaboration. The findings revealed that effective collaboration is shaped by dynamic interactions across three interconnected levels: micro (individual), meso (organizational), and macro (systemic). Communication and mutual understanding emerged as the most dominant themes, appearing in 85.7% of reviewed literature, followed by role clarity, shared leadership, institutional support, cultural respect, and ethical care. These themes collectively form a multidimensional framework where interpersonal competence, organizational leadership, and supportive policies operate synergistically to enhance holistic, patient-centered outcomes.
The study found that the organizational level carries the highest conceptual weight (40%), reflecting the critical role of leadership, shared decision-making, and institutional culture in sustaining effective collaboration. Individual-level competencies such as empathy, communication, and self-awareness accounted for 35%, emphasizing the personal dimension of teamwork, while systemic factors including policies, regulations, and educational standards accounted for 25%. The theoretical framework provides an integrative understanding of collaboration that bridges personal, institutional, and structural factors, highlighting that interprofessional cooperation cannot be achieved in isolation from ethical and cultural considerations.
Ultimately, the study concludes that successful collaboration in nursing and midwifery depends on a balanced alignment of interpersonal trust, institutional facilitation, and systemic coherence. This framework offers a foundational guide for future empirical research, educational curricula, and policy development aimed at promoting sustainable, equitable, and holistic interprofessional care.
