混合设计研究生育单位评估量表的发展。
A mixed-design study on the development of birth unit assessment scale.
机构信息
Faculty of Health Sciences, Midwifery Department, Kutahya University of Health Sciences, Kutahya, Turkey.
Faculty of Health Sciences, Midwifery Department, Eskisehir Osmangazi University, Eskisehir, Turkey.
出版信息
Midwifery. 2023 Aug;123:103708. doi: 10.1016/j.midw.2023.103708. Epub 2023 May 4.
INTRODUCTION
This is a mixed design study planned to determine the views of women, midwives, and physicians about the ideal birth unit and to develop a to develop a valid and reliable measurement tool for postpartum women's evaluation of the effect of birth units in terms of physical, emotional, and social aspects on their satisfaction with the birth environment.
METHODS
The exploratory sequential design, which is accepted as a mixed design, was used in the study. In the qualitative phase of the study, a content analysis was conducted by interviewing a total of 20 participants including 5 pregnant women, 5 postpartum women, 5 midwives and 5 obstetricians. In the quantitative phase, the Draft Birth Unit Satisfaction Assessment scale, which was developed in line with the data obtained as a result of the qualitative study, a literature review, and expert opinions, was used to evaluate postpartum women's (n = 435) satisfaction with the birth environment. Content validity, exploratory factor analysis, and confirmatory factor analysis were used for the validity analyses of the scale, and item analysis, internal consistency, and time-dependent invariance were evaluated for reliability.
RESULTS
In the qualitative phase of the study, the themes were grouped under 5 categories (physical features of the hospital, features of the birth room, privacy, aesthetics and support) according to the qualitative data on the factors that showed participants' views on the ideal birth unit. In the quantitative stage, the Birth Unit Satisfaction Assessment Scale, which consisted of 30 items and 5 sub-dimensions (communication and care, physical characteristics of the birth room, comfort, opportunities supporting birth, and decoration and aesthetics), was developed.
DISCUSSION
In conclusion, it was determined that the scale developed in this study was a valid and reliable measurement tool that could be used to evaluate postpartum women's satisfaction with the birth environment.
简介
本研究为混合设计，旨在了解女性、助产士和医生对理想分娩单位的看法，并开发一种有效的、可靠的测量工具，用于评估产后女性对分娩单位在身体、情感和社会方面对其分娩环境满意度的影响。
方法
本研究采用接受的混合设计中的探索性顺序设计。在研究的定性阶段，通过对 20 名参与者（包括 5 名孕妇、5 名产后妇女、5 名助产士和 5 名产科医生）进行访谈，进行了内容分析。在定量阶段，使用根据定性研究、文献回顾和专家意见获得的数据制定的《分娩单位满意度评估量表草案》来评估产后妇女（n=435）对分娩环境的满意度。该量表的效度分析采用内容效度、探索性因素分析和验证性因素分析，信度评估采用项目分析、内部一致性和时间依赖性不变性。
结果
在研究的定性阶段，根据参与者对理想分娩单位的看法的定性数据，将主题分为 5 类（医院的物理特征、分娩室的特征、隐私、美学和支持）。在定量阶段，开发了由 30 个项目和 5 个亚维度（沟通和护理、分娩室的物理特征、舒适度、支持分娩的机会和装饰与美学）组成的《分娩单位满意度评估量表》。
讨论
总之，本研究开发的量表是一种有效的、可靠的测量工具，可用于评估产后女性对分娩环境的满意度。
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