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Womens' opinions on intrapartal care: development of a theory-based questionnaire
Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.ORCID iD: 0000-0001-7082-6834
Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. (Omvårdnad)ORCID iD: 0000-0003-1382-4386
2010 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 11/12, p. 1748-1760Article in journal (Refereed) Published
Abstract [en]

Aim. To develop a patient questionnaire specific to intrapartal care, based on the theoretical foundation of the generalinstrument Quality from the Patients Perspective (QPP).Background. Existing general patient questionnaires do not take intrapartal care aspects fully into account, and availableintrapartal-specific patient questionnaires tend to have a weak theoretical foundation.Design. A cross-sectional, nationwide study carried out during a two-week period in 2007 at Swedish maternity units.Method. An intrapartal-specific QPP-questionnaire (QPP-I) was developed by combining a selection of 22 items from the shortand long versions of the QPP with 10 newly constructed items. Responses were obtained from 739 women (63% response rate).The dimensionality of the QPP-I was assessed using structural equation modelling (a nested factor model). Non-parametricstatistics were used for subgroup comparisons.Results. A nested model with a general factor including all 32 items and 10 subordinate factors was developed. Most scales hadacceptable reliability coefficients (0Æ730Æ93), and a meaningful pattern of subgroup differences was obtained.Conclusions. The QPP-I is theory based and has its roots in a patient perspective. It was developed using a nationwide sample ofSwedish women receiving intrapartal care, and an advanced statistical method was used. The outcome of this initial empiricaltrial was promising but needs to be tested in different countries and cultures.Relevance to clinical practice. By combining womens responses on perceived reality and subjective importance ascribed to thevarious aspects of care measured, the QPP-I offers the care provider better guidelines on which elements to focus qualityimprovement work on, than would be the case if only a rank order of perceived reality ratings was available

Place, publisher, year, edition, pages
2010. Vol. 19, no 11/12, p. 1748-1760
Keywords [en]
intrapartal care, midwifery, nursing, patient perspective, quality of care, questionnaire
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-11105DOI: 10.1111/j.1365-2702.2009.03055.xOAI: oai:DiVA.org:kau-11105DiVA, id: diva2:494671
Projects
Vårdkvalitet och säkerhetAvailable from: 2012-02-08 Created: 2012-02-08 Last updated: 2017-12-07Bibliographically approved

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