Trans-Tasman Midwifery Education Consortium, ACT Government Health Directorate and University of Canberra, Faculty of Health, 11 Kirinari St, Bruce, ACT, 2617, Australia.
Trans-Tasman Midwifery Education Consortium, Griffith University, School of Nursing and Midwifery, University Drive, Meadowbrook, QLD, 4331, Australia.
BMC Pregnancy Childbirth. 2021 Jul 23;21(1):523. doi: 10.1186/s12884-021-03987-z.
Woman-centred care is recognised as a fundamental construct of midwifery practice yet to date, there has been no validated tool available to measure it. This study aims to develop and test a self-report tool to measure woman-centred care in midwives.
A staged approach was used for tool development including deductive methods to generate items, testing content validity with a group of experts, and psychometrically testing the instrument with a sample drawn from the target audience. The draft 58 item tool was distributed in an online survey using professional networks in Australia and New Zealand. Testing included item analysis, principal components analysis with direct oblimin rotation and subscale analysis, and internal consistency reliability.
In total, 319 surveys were returned. Analysis revealed five factors explaining 47.6% of variance. Items were reduced to 40. Internal consistency (.92) was high but varied across factors. Factors reflected the extent to which a midwife meets the woman's unique needs; balances the woman's needs within the context of the maternity service; ensures midwifery philosophy underpins practice; uses evidence to inform collaborative practice; and works in partnership with the woman.
The Woman-Centred Care Scale-Midwife Self Report is the first step in developing a valid and reliable tool to enable midwives to self-assess their woman-centredness. Further research in alternate populations and refinement is warranted.
以妇女为中心的护理被认为是助产实践的基本构建，但迄今为止，还没有经过验证的工具来衡量它。本研究旨在开发和测试一种自我报告工具，以衡量助产士的以妇女为中心的护理。
采用分阶段的方法进行工具开发，包括演绎法生成项目，用一组专家进行内容有效性测试，以及用目标受众样本进行心理测量学测试仪器。该工具的草案有 58 个项目，通过澳大利亚和新西兰的专业网络在在线调查中进行分发。测试包括项目分析、主成分分析（直接 Oblimin 旋转）和子量表分析以及内部一致性可靠性。
共收回 319 份调查。分析显示，五个因素解释了 47.6%的方差。项目数量减少到 40 个。内部一致性（0.92）较高，但各因素之间存在差异。这些因素反映了助产士在多大程度上满足妇女的独特需求；在产妇服务背景下平衡妇女的需求；确保助产哲学贯穿实践；使用证据为协作实践提供信息；并与妇女建立合作伙伴关系。
《助产士自我报告以妇女为中心的护理量表》是开发一种有效和可靠的工具的第一步，使助产士能够自我评估他们的以妇女为中心的程度。需要在其他人群中进行进一步的研究和改进。
