Nawrot Julia, Matuszyk Dorota, Suder Aneta, Bień Agnieszka, Skrzypulec-Plinta Violetta, Gniadek Agnieszka
Institute of Nursing and Midwifery, Jagiellonian University, Cracow, Poland.
Institute of Physiotherapy, Jagiellonian University, Cracow, Poland.
Eur J Midwifery. 2025 May 12;9. doi: 10.18332/ejm/201472. eCollection 2025.
As midwifery shifts to a holistic, women-centered model, assessing care quality from the patient's perspective is crucial. The lack of standardized tools in Poland forces reliance on invalidated measures. This study bridges the gap by translating and validating the QPP-I questionnaire.
The Polish QPP-I was adapted and validated through a cross-cultural study. A pilot (25 women) and a multicenter study (153 women) were conducted 2-3 days postpartum, with a test-retest after 2-4 weeks. Convenience sampling was used, with data collected via online and paper questionnaires. The pilot ran in late 2019, and the main study (February 2020-March 2021) spanned five maternity wards. Internal consistency, test-retest reliability, and criterion relevance were analyzed.
The questionnaire was well-received by the target group, requiring minimal cultural adaptation. QPP-I PL demonstrated high internal consistency (α=0.935 for the 1st testing, α=0.95 for the test-retest) and good validity (mean Kendall W=0.65). Reliability was assessed using Cronbach's alpha. Most items showed good reliability (α >0.70). The Perceived Reality (PR) subscale had high reliability (α=0.90), while the Subjective Importance (SI) subscale reached α=0.93, confirming the appropriateness of all items. However, indicators related to participation in decision-making and midwifery attendance showed poor internal consistency. The mean alpha coefficient in the test-retest further supported good reliability (α=0.65).
The Polish version of the QPP-I questionnaire demonstrates good validity and reliability for assessing the quality of perinatal care from the patient's perspective. The questionnaire reflects the Polish perinatal care context while maintaining the original tool's integrity.
随着助产模式向整体的、以女性为中心的模式转变，从患者角度评估护理质量至关重要。波兰缺乏标准化工具，导致依赖无效的测量方法。本研究通过翻译和验证QPP-I问卷填补了这一空白。
波兰版QPP-I通过跨文化研究进行改编和验证。在产后2至3天进行了一项试点研究（25名女性）和一项多中心研究（153名女性），并在2至4周后进行了重测。采用便利抽样，通过在线和纸质问卷收集数据。试点研究于2019年末进行，主要研究（2020年2月至2021年3月）涵盖五个产科病房。分析了内部一致性、重测信度和效标关联效度。
该问卷受到目标群体的好评，只需进行最小程度的文化调适。波兰版QPP-I表现出较高的内部一致性（首次测试时α=0.935，重测时α=0.95）和良好的效度（平均肯德尔W=0.65）。使用克朗巴赫α系数评估信度。大多数项目显示出良好的信度（α>0.70）。感知现实（PR）子量表具有较高的信度（α=0.90），而主观重要性（SI）子量表达到α=0.93，证实了所有项目的适宜性。然而，与参与决策和助产士护理相关的指标显示出较差的内部一致性。重测中的平均α系数进一步支持了良好的信度（α=0.65）。
波兰版QPP-I问卷在从患者角度评估围产期护理质量方面表现出良好的效度和信度。该问卷反映了波兰围产期护理背景，同时保持了原始工具的完整性。
