评估认证的助产士对计划在家分娩的态度。
Assessing certified nurse-midwives' attitudes towards planned home birth.
机构信息
Division of Midwifery, University of British Columbia, B54-2194 Health Sciences Mall, Vancouver, BC V6T 1Z3, Canada.
出版信息
J Midwifery Womens Health. 2010 Mar-Apr;55(2):133-42. doi: 10.1016/j.jmwh.2009.05.003.
INTRODUCTION
Certified nurse-midwives (CNMs) and certified midwives (CMs) are prepared for care in many settings and could increase access to planned home birth for American women. However, only 4% of American College of Nurse-Midwives members offer the home as a birth setting. CNMs'/CMs' attitudes towards birth place and the factors underlying their choice of practice site are largely unstudied. This article describes the development, content validation, and psychometric testing of an instrument to assess the attitudes of CNMs towards planned home birth.
METHODS
A scale was designed to measure Provider Attitudes to Planned Home Birth (PAPHB). Item generation was informed by literature review and a systematic expert panel appraisal. Reliability and validity of the scale were evaluated with a sample of 1893 CNMs.
RESULTS
Expert review indicated high relevancy and clarity of the scale items (scale-content validity index, 0.93). Construct validity was assessed using the Cattell scree test and factor analysis. The resultant 1-factor, attitude scale had strong internal consistency (Cronbach alpha = .94). The average PAPHB scale score among CNMs was 78.77 (range, 20-100; standard deviation, 15.9), with significant differences in attitude scores according to clinical home birth experience, educational background, and external barriers reported by CNMs.
DISCUSSION
The PAPHB scale is a reliable and valid instrument for the measurement of attitudes towards home birth. It can be used to assess the impact of education, environment, and clinical experiences on maternity practice choices.
简介
注册护士助产士（CNM）和注册助产士（CM）在许多环境中都具备提供护理的能力，这可能会增加美国女性计划性在家分娩的机会。然而，仅有 4%的美国助产士学院成员提供家庭分娩环境。CNM/CM 对分娩地点的态度以及他们选择实践地点的背后因素在很大程度上尚未得到研究。本文描述了一种评估 CNM 对计划性在家分娩态度的工具的开发、内容验证和心理测量学测试。
方法
设计了一个衡量提供者对计划性在家分娩态度的量表（Provider Attitudes to Planned Home Birth，PAPHB）。项目生成是基于文献回顾和系统专家小组评估。使用 1893 名 CNM 的样本评估了该量表的信度和效度。
结果
专家审查表明该量表项目具有高度相关性和清晰度（量表内容效度指数，0.93）。结构效度通过 Cattell 峭度检验和因子分析进行评估。由此产生的 1 因素态度量表具有很强的内部一致性（Cronbach alpha =.94）。CNM 的平均 PAPHB 量表得分为 78.77（范围，20-100；标准差，15.9），根据 CNM 报告的临床家庭分娩经验、教育背景和外部障碍，态度得分存在显著差异。
讨论
PAPHB 量表是一种可靠且有效的在家分娩态度测量工具。它可用于评估教育、环境和临床经验对产妇实践选择的影响。
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