USING THE DELPHI METHOD TO VALIDATE INDICATORS OF RESPECTFUL MATERNITY CARE FOR HIGH RESOURCE COUNTRIES

被引:5
作者
Clark, Esther [1 ]
Vedam, Saraswathi [2 ,3 ]
Mclean, Alison [4 ]
Stoll, Kathrin [4 ]
Lo, Winnie [5 ]
Hall, Wendy A. [6 ]
机构
[1] Univ British Columbia, Sch Nursing, Vancouver, BC, Canada
[2] Univ British Columbia, Birth Pl Lab, Fac Med, Vancouver, BC, Canada
[3] Univ British Columbia, UBC Midwifery, Fac Med, Vancouver, BC, Canada
[4] Fac Med, Midwifery Program, Birth Pl Lab, Dept Family Practice, Vancouver, BC, Canada
[5] NHS England & NHS Improvement, Skipton House, London, England
[6] UBC Sch Nursing, Vancouver, BC, Canada
关键词
respectful maternity care; Delphi study; measurement; indicator development; mistreatment; PARENTAL-SATISFACTION; QUALITY-INDICATORS; CONTENT VALIDITY; CHILDBIRTH; HEALTH; DISRESPECT; ABUSE; NURSES; RIGHTS; WOMEN;
D O I
10.1891/JNM-2021-0030
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background and Purpose: Consistent measurement of respectful maternity care (RMC) is lacking. This Delphi study assessed consensus about indicators of RMC. Methods: A multidisciplinary panel assessed items (n = 201) drawn from global literature. Over two rounds, the panel rated importance, relevance, and clarity, and ranked priority within 17 domains including communication, autonomy, support, stigma, discrimination, and mistreatment. Qualitative feedback supported the analysis. Results: In Round One, 191 indicators exceeded a content validation index of 0.80. In Round Two, Kendall's W ranged from 0.081 (p = .209) to 0.425 (p < .001) across domains. Fourteen indicators received strong support. Changes in indicator assessment between rounds prevented agreement stability assessment. Conclusion: The indicators comprise a registry of items for use in perinatal care research.
引用
收藏
页码:120 / 144
页数:25
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