[Development of an Instrument to Assess the Quality of Childbirth Care from the Mother's Perspective]

J Korean Acad Nurs. 2018 Feb;48(1):38-49. doi: 10.4040/jkan.2018.48.1.38.
[Article in Korean]

Abstract

Purpose: This study aimed to develop an instrument to assess the quality of childbirth care from the perspective of a mother after delivery.

Methods: The instrument was developed from a literature review, interviews, and item validation. Thirty-eight items were compiled for the instrument. The data for validity and reliability testing were collected using a questionnaire survey conducted on 270 women who had undergone normal vaginal delivery in Korea and analyzed with descriptive statistics, exploratory factor analysis, and reliability coefficients.

Results: The exploratory factor analysis reduced the number of items in the instrument to 28 items that were factored into four subscales: family-centered care, personal care, emotional empowerment, and information provision. With respect to convergence validation, there was positive correlation between this instrument and birth satisfaction scale (r=.34, p<.001). The internal consistency reliability was acceptable (Cronbach's alpha =.96).

Conclusion: This instrument could be used as a measure of the quality of nursing care for women who have a normal vaginal delivery.

Keywords: Mothers; Quality of health care; Reproducibility of results; Statistical factor analysis; Surveys and questionnaire.

MeSH terms

  • Adult
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Mothers / psychology*
  • Parturition
  • Patient Satisfaction
  • Power, Psychological
  • Pregnancy
  • Quality of Health Care
  • Reproducibility of Results
  • Surveys and Questionnaires*
  • Young Adult