Development and Psychometric Validation of the Perinatal Bereavement Care Competence Scale for Midwives
10.1016/j.anr.2022.06.002
- Author:
Qiaoqiao SHEN
1
;
Xiangping LUO
;
Xiangang FENG
;
Yulin GAO
Author Information
1. Department of Community and Geriatrics Nursing, School of Nursing, Southern Medical University, China
- Publication Type:Research Article
- From:Asian Nursing Research
2022;16(3):180-186
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:The aim of this paper is to develop a scale for measuring the perinatal bereavement care competence of midwives and assess its psychometric properties.
Methods:The Perinatal Bereavement Care Competence Scale was developed in four phases. (1) Item generation: 75 items were formulated based on a literature review and interviews with midwives. (2) Delphi expert consultation: 15 experts evaluated whether the items were clear/appropriate/relevant to the questionnaire dimensions, and the items were optimized. (3) Pilot test: The comprehensibility, acceptability, and time required to complete the questionnaire by midwives were assessed. (4) Evaluation of reliability and validity: The scale was validated by initial item analysis, exploratory and confirmatory factor analyses, and internal consistency reliability and testeretest reliability.
Results:The final scale consisted of six dimensions and 25 items: maintaining belief (three items), knowing (four items), being with (six items), preserving dignity (four items), enabling (five items), and self-adjustment (three items). Exploratory factor analysis yielded a six-factor structure that was consistent with the theoretical framework and explained 70.8% of the total variance. Confirmatory factor analysis indicated a good fit for the six-factor model. Cronbach's a for the scale was 0.931, and the test eretest reliability coefficient was 0.968.
Conclusion:The Perinatal Bereavement Care Competence Scale is a valid and reliable instrument for measuring the competence of midwives in caring for bereaved parents who have experienced perinatal loss.
