Ding Shenglan, Wang Xin, Wang Qingxia, Shen Juan, Xie Huili, Fu Xiujuan, Liao Luxi, Chen Jiaojiao, Zhu Lian, Huang Jing, Yang Siyuan, Huang Xiuhua, Zhang Yilan
Birth Room, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Department of Nursing, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Int J Nurs Sci. 2023 Dec 13;11(1):106-112. doi: 10.1016/j.ijnss.2023.12.006. eCollection 2024 Jan.
This study aimed to translate and evaluate the psychometric properties of the Perinatal Missed Care Survey in China.
The Perinatal Missed Care Survey was translated according to the guidelines of the cross-cultural debugging scale recommended by the American Academy of Orthopaedic Surgeons Evidence-Based Medicine Committee, including forward translation, back translation, cultural adaption, and content validation, and its Chinese version was used in a cross-sectional study conducted from February to April in 2023. A total of 491 midwives from 14 different level hospitals in southwest China were recruited through a convenience sampling method. The discrimination ability of the items was tested through item analysis, and construct validity was assessed through exploratory factory and confirmatory factor analyses. The content validity index and Cronbach's α coefficients evaluated content validity and reliability, respectively.
The Chinese version's item-total correlation coefficients ranged from 0.641 to 0.866 in part A and from 0.644 to 0.819 in part B ( < 0.001). Parts A and B's scale-level content validity indexes were 0.95, and the item-level content validity indexes were from 0.86 to 1.00. The three common factors of part A (necessary care, basic care, and postnatal care) and part B (communication, labor resources, and material resources) were extracted, accounting for 70.186% and 71.984% of the total variance, respectively. Confirmatory factor analysis indicated that the good fit of the three-factor models was acceptable. The Cronbach's α coefficients were 0.968 (part A) and 0.940 (part B).
The Chinese version of the Perinatal Missed Care Survey is a reliable and valid instrument for assessing nursing care missed by midwives during labor and birth and the reasons it was missed. Studies with large sample sizes are needed to verify the instrument's applicability in China.
本研究旨在对围产期护理缺失调查问卷进行翻译，并评估其在中国的心理测量学特性。
根据美国矫形外科医师学会循证医学委员会推荐的跨文化调试量表指南，对围产期护理缺失调查问卷进行翻译，包括正向翻译、反向翻译、文化调适和内容效度验证，并于2023年2月至4月将其中文版用于一项横断面研究。通过便利抽样法，招募了中国西南部14家不同级别医院的491名助产士。通过项目分析检验项目的区分能力，通过探索性因子分析和验证性因子分析评估结构效度。内容效度指数和Cronbach's α系数分别评估内容效度和信度。
中文版A部分的项目与总分相关系数在0.641至0.866之间，B部分在0.644至0.819之间（<0.001）。A部分和B部分的量表水平内容效度指数均为0.95，项目水平内容效度指数在0.86至1.00之间。提取了A部分（必要护理、基础护理和产后护理）和B部分（沟通、人力和物力资源）的三个共同因子，分别占总方差的70.186%和71.984%。验证性因子分析表明三因子模型的良好拟合度是可以接受的。Cronbach's α系数分别为0.968（A部分）和0.940（B部分）。
围产期护理缺失调查问卷中文版是评估助产士在分娩过程中遗漏的护理及其遗漏原因的可靠且有效的工具。需要进行大样本研究以验证该工具在中国的适用性。
