Dhakal Radha Devi, Dioso Regidor Iii Poblete, Sharma Kalpana, Dhungana Govinda Prasad
Lincoln University College, Kota Bharu, Malaysia.
Department of Nursing, Lincoln University College, Malasiya, Malaysia.
BMC Health Serv Res. 2025 Jul 31;25(1):1007. doi: 10.1186/s12913-025-13155-0.
Respectful maternity care in healthcare facilities during childbirth is a growing concern around the world. It is more than just an important component of care quality; it is also a human right. The aim of this study was to develop and validate a tool to assess respectful maternity care practices among healthcare providers in Nepal.
This is a cross-sectional study as part of an explanatory sequential mixed-method research design. The tool was developed using 9 steps in three phases: item development, scale development, and scale evaluation. Tool is a five-point Likert scale containing 36 items. Each item was rated on a 1-5 scale ranging from 1 (strongly disagree) to 5 (strongly agree). The participants were healthcare providers working in maternity units of various healthcare centers of Madhesh Province. The items were analyzed for validity and reliability with exploratory factor analysis. The data were analyzed via the Statistical Package for Social Science version 22.
The content validity index (CVI = 0.895), kappa index and content validity ratio (CVR) were calculated for each item and they were within an acceptable range. Analysis of internal consistency revealed an acceptable Cronbach's alpha value (0.925) for the 36 item RMCP scale, and seven subscales. The suitability of the data for factor analysis was confirmed by Kaiser-Meyer-Olkin (0.801), and Bartlett's test of sphericity was significant (0.000). Principal component analysis with varimax with Kaiser normalization rotation identified 7 factors with eigenvalues greater than one, accounting for 74.55% of the observed variance.
A new tool for respectful maternity care practices has been developed through a rigorous process of item generation and validity-reliability assessment in addition to confirmatory factor analysis to assess the respectful maternity care practices of healthcare providers in Nepal which is statistically proven to be valid and reliable, with an appropriate range of confirmatory factor analysis results. Assessing the RMC practices of health care providers during facility-based maternity care may be relevant.
分娩期间医疗机构的尊重式孕产妇护理是全球日益关注的问题。它不仅仅是护理质量的重要组成部分，也是一项人权。本研究的目的是开发并验证一种工具，以评估尼泊尔医疗服务提供者的尊重式孕产妇护理实践。
这是一项横断面研究，作为解释性序列混合方法研究设计的一部分。该工具分三个阶段使用9个步骤开发：条目开发、量表开发和量表评估。该工具是一个包含36个条目的五点李克特量表。每个条目按1至5分进行评分，范围从1（强烈不同意）到5（强烈同意）。参与者是在马德西省各医疗中心产科工作的医疗服务提供者。通过探索性因素分析对条目进行有效性和可靠性分析。数据通过社会科学统计软件包第22版进行分析。
计算每个条目的内容效度指数（CVI = 0.895）、kappa指数和内容效度比（CVR），它们都在可接受范围内。内部一致性分析显示，36个条目的RMCP量表及七个子量表的Cronbach's alpha值（0.925）可接受。Kaiser-Meyer-Olkin值（0.801）证实了数据适合进行因素分析，Bartlett球形检验具有显著性（0.000）。采用Kaiser标准化旋转的主成分分析确定了7个特征值大于1的因素，占观察方差的74.55%。
通过严格的条目生成以及效度-信度评估过程，此外还进行了验证性因素分析，开发出了一种用于评估尊重式孕产妇护理实践的新工具，以评估尼泊尔医疗服务提供者的尊重式孕产妇护理实践。经统计证明，该工具有效且可靠，具有适当范围的验证性因素分析结果。评估医疗机构孕产妇护理期间医疗服务提供者的RMC实践可能具有重要意义。
