A questionnaire to measure the quality of midwifery care in the postpartum period from women’s point of view: development and psychometric testing of MMAYpostpartum

BMC Pregnancy and Childbirth

Petra Kolip¹  Mirjam Peters²  Rainhild Schäfers³ 

[1] Bielefeld School of Public Health, Bielefeld University, Bielefeld, Germany;Bielefeld School of Public Health, Bielefeld University, Bielefeld, Germany;Department of Applied Sciences, The Hochschule für Gesundheit, University of Applied Sciences (hsg), Bochum, Germany;Department of Applied Sciences, The Hochschule für Gesundheit, University of Applied Sciences (hsg), Bochum, Germany;

关键词: Midwifery care;    Quality of care;    Postpartum;    Patient perspective;    Psychometrics;    Patient satisfaction;    Evaluation of care;    Respectful care;    Midwifery home care;    Postnatal;   

DOI  :  10.1186/s12884-021-03857-8

来源: Springer

【 摘 要 】

BackgroundHome postpartum care is a major part of midwifery care in Germany. The user perspective plays an increasingly important role in the evaluation of health services, but there is a lack of valid and theoretically based measuring instruments, especially in midwifery care. The aim of this study was to develop and validate an instrument for measuring quality of midwifery care in the postpartum period from the perspective of women.MethodsThe following steps were taken to achieve this: (1) definition of the goals of midwifery work; (2) literature-based item development; (3) item selection based on a pre-test (n = 16); (4) item reduction and investigation of factor structure by means of explorative factor analysis (EFA; n = 133);(5) second EFA (n = 741) and confirmatory factor analysis (CFA; n = 744) based on a split representative sample survey; (6) hypothesis-based testing of correlations to sociodemographic characteristics of women and to characteristics of care.ResultsMeasurement of Midwifery quality postpartum (MMAYpostpartum) consists of three scales with a total of 17 items which were found to have acceptable internal consistency: Personal Control (Cronbach’s alpha = .80), Trusting Relationship (Cronbach’s alpha = .87) and Orientation and Security (Cronbach’s alpha = .78). CFA verified and confirmed three factors: CFI = .928, TLI = .914, RMSEA = 0.073.ConclusionMMAYpostpartum is a predominantly valid, reliable short tool for evaluating the quality of midwifery care postpartum. It can be used to evaluate midwifery care, to compare different care models and in intervention research. It thus supports the orientation of midwives’ work towards the needs of women and their families.

【 授权许可】

CC BY