验证衡量澳大利亚尊重产妇护理的量表：挑战和建议
Midwifery
(
IF
2.6
)
Pub Date : 2021-07-14
, DOI:
10.1016/j.midw.2021.103090
Bec Jenkinson
1
,
Lauren Kearney
2
,
Mary Kynn
3
,
Rachel Reed
4
,
Rachael Nugent
5
,
Jocelyn Toohill
6
,
Fiona Bogossian
7
Affiliation
University of the Sunshine Coast, Sippy Downs, Queensland, Australia; The University of Queensland, Australia.
University of the Sunshine Coast, Sippy Downs, Queensland, Australia; Sunshine Coast Health Institute, Australia.
University of Aberdeen, United Kingdom.
University of the Sunshine Coast, Sippy Downs, Queensland, Australia.
Sunshine Coast Health Institute, Australia; The Sunshine Coast University Hospital, Queensland, Australia.
Office of the Chief Nursing and Midwifery Officer, Department of Health, Queensland, Australia.
University of the Sunshine Coast, Sippy Downs, Queensland, Australia; The University of Queensland, Australia; Sunshine Coast Health Institute, Australia.
客观的 尊重产妇护理是一个普遍存在的人权问题，惠州保洁13825404095但对其在澳大利亚的实现却知之甚少。在北美开发的两个量表衡量尊重产妇护理的关键方面：尊重母亲指数和决策中的母亲自主权量表。本研究旨在验证澳大利亚昆士兰州的这两个量表，并确定女性目前在多大程度上体验到尊重的产妇护理和决策自主权。 连续两阶段研究。一个焦点小组审查了量表，对量表项目进行了调整并完成了内容验证调查。昆士兰州尊重产妇保健调查包括经过验证的澳大利亚量表和人口统计问题，已于 2020 年初在线发布。 澳大利亚昆士兰。 焦点小组包括年龄超过 18 岁、讲英语且在前两年分娩过的女性（n=10）。2019 年 9 月至 2020 年 2 月期间在昆士兰州出生的所有妇女都有资格参加横断面调查。161 名女性参与了调查。 除一项外，所有项目的内容有效性 (>0.78) 均已建立。两个量表都建立了量表内容效度（分别为 0.92 和 0.99）。 调查参与者 (n=161) 大多是已婚/有伴侣 (95%)、异性恋 (93%)、受过高等教育 (47%)、白种人 (88%)，并且经历了一系列产妇护理模式。每个量表的中位数分数（分别为 74 和 26）表明参与者感到受到尊重和高度自主。自由文本评论强调了基于关系的护理的重要性。 两种量表在澳大利亚均适用。尽管大多数参与者表示高度尊重和自主，但经历过连续助产护理的参与者比例也很高。 这两种量表都可以作为澳大利亚患者报告体验的常规部署，从而拓宽为产科服务规划和交付提供信息的数据。
Validating a scale to measure respectful maternity care in Australia: Challenges and recommendations
Respectful maternity care is a pervasive human rights issue, but little is known about its realisation in Australia. Two scales, developed in North America, measure key aspects of respectful maternity care: the Mothers on Respect Index and Mothers Autonomy in Decision Making scale. This study aimed to validate these two scales in Queensland, Australia, and to determine the extent to which women currently experience respectful maternity care and autonomy in decision making. A sequential two-phase study. A focus group reviewed the scales, made adaptations to scale items and completed a Content Validation Survey. The Respectful Maternity Care in Queensland survey, comprising the validated Australian scales and demographic questions was distributed online in early 2020. Queensland, Australia. Focus group involved women (n=10) who were aged over 18, English-speaking, and had given birth during the preceding two years. All women who had birthed in Queensland between September 2019 and February 2020, were eligible to participate in the cross-sectional survey. 161 women participated in the survey. Item content validity (>0.78) was established for all but one item. Scale content validity was established for both scales (0.92 and 0.99 respectively). Survey participants (n= 161) were mostly married/partnered (95%), heterosexual (93%), tertiary educated (47%), Caucasian (88%), and had experienced a range of maternity models of care. Median scores on each scale (74 and 26 respectively) indicated that participants felt well respected and highly autonomous. Free-text comments highlighted the importance of relationship-based care. Both scales appear valid for use in Australia. Although most participants reported high levels of respect and autonomy, the proportion of participants who had experienced continuity of midwifery care was also high. Both scales could be routinely deployed as patient reported experience measures in Australia, broadening the data that informs maternity service planning and delivery.
Objective
