Development and Validity of an Intrapartum Self-Assessment Scale Aimed at Instilling Midwife-Led Care Competencies Used at Freestanding Midwifery Units
Abstract
:1. Introduction
2. Materials and Methods
2.1. Phase 1: Item Development and Questionnaire Drafting
2.2. Phase 2: Evaluation of the Scale’s Validity and Reproducibility
2.2.1. Survey
2.2.2. Survey Validity and Stability Confirmation (Statistical Analysis)
Item Analysis
Compositional Concept Validity
Internal Consistency
Stability
Criterion-Related Validity
Ethics
3. Results
3.1. Phase 1: Item Development and Questionnaire Drafting
3.1.1. Literature Review and Question Validation
3.1.2. Discussion at a Professional Meeting
3.1.3. First Preliminary Survey
3.1.4. Second Preliminary Survey
3.2. Phase 2: Evaluation of Tool’s Validity and Reproducibility
3.2.1. Survey Participants
3.2.2. Confirmation of Survey Validity and Reproducibility
Item Analysis
Compositional Concept Validity
Internal Consistency
Stability
Criterion-Related Validity
Completion of the Self-Assessment Scale for Midwives’ Practice
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristic | N (%) | |
---|---|---|
Age (years) | 20–29 | 112 (27.9) |
30–39 | 119 (29.7) | |
40–49 | 107 (26.7) | |
50–59 | 55 (13.7) | |
≥60 | 7 (1.7) | |
No answer | 1 (0.2) | |
Institution | Hospital | 331 (82.5) |
Clinic | 50 (12.5) | |
freestanding midwifery units | 12 (3.0) | |
No answer | 8 (2.0) | |
Experience in birthing assistance (years) | mean ± SD | 10.57 ± 9.81 |
<5 | 118 (29.4) | |
5–10 | 119 (29.7) | |
11–20 | 118 (29.4) | |
21–30 | 40 (9.9) | |
≥31 | 6 (1.5) | |
CLoCMiP level 3 certification | Advanced midwife | 184 (45.9) |
Non-advanced midwife | 217 (54.1) |
Item | Score (mean ± SD) Title 3 | Intra-Class Correlation Coefficient | ||
---|---|---|---|---|
1st | 2nd | Correlation Coefficient | 95% Confidence Interval | |
Factor I | 56.52 ± 8.80 | 55.52 ± 8.98 | 0.702 *** | 0.596–0.784 |
Factor II | 33.33 ± 6.67 | 33.02 ± 6.33 | 0.789 *** | 0.708–0.749 |
Factor III | 32.63 ± 6.12 | 32.39 ± 5.71 | 0.757 *** | 0.666–0.825 |
Factor IV | 26.16 ± 4.49 | 25.71 ± 4.44 | 0.699 *** | 0.591–0.782 |
Total score | 148.64 ± 23.68 | 146.64 ± 23.70 | 0.794 *** | 0.715–0.853 |
Item | Midwives under 25% of Total Scale (n = 101) | Midwives over 75% of Total Scale (n = 115) | p |
---|---|---|---|
Total score | 110.15 ± 15.8 a | 169.82 ± 11.3 | <0.001 |
Advanced midwife | 22 (21.8%) b | 78 (67.8%) | <0.001 |
Experience in birthing assistance (years) | 6.10 ± 6.22 a | 14.36 ± 7.75 | <0.001 |
Number of assisted births | 145.87 ± 212.60 a | 554.09 ± 638.50 | <0.001 |
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Inoue, N.; Nakao, Y.; Yoshidome, A. Development and Validity of an Intrapartum Self-Assessment Scale Aimed at Instilling Midwife-Led Care Competencies Used at Freestanding Midwifery Units. Int. J. Environ. Res. Public Health 2023, 20, 1859. https://doi.org/10.3390/ijerph20031859
Inoue N, Nakao Y, Yoshidome A. Development and Validity of an Intrapartum Self-Assessment Scale Aimed at Instilling Midwife-Led Care Competencies Used at Freestanding Midwifery Units. International Journal of Environmental Research and Public Health. 2023; 20(3):1859. https://doi.org/10.3390/ijerph20031859
Chicago/Turabian StyleInoue, Naomi, Yuko Nakao, and Atsuko Yoshidome. 2023. "Development and Validity of an Intrapartum Self-Assessment Scale Aimed at Instilling Midwife-Led Care Competencies Used at Freestanding Midwifery Units" International Journal of Environmental Research and Public Health 20, no. 3: 1859. https://doi.org/10.3390/ijerph20031859