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Published on: December 26, 2013
Parents' postnatal sense of security (PPSS): development of the PPSS instrument
Eva K Persson1, Bengt Fridlund, Anna-Karin Dykes
1Medical Faculty, Department of Health Sciences, Division of Nursing, Lund University, Lund, Sweden. eva-kristina.persson@med.lu.se
Insights
A new instrument, the Parents
Area of Science:
- Maternal and Child Health
- Psychometric Instrument Development
- Postnatal Care Research
Background:
- Limited tools exist to measure parental sense of security during the crucial first postnatal week.
- Existing instruments do not capture positive dimensions influenced by postnatal healthcare.
- There is a need for a validated tool assessing both mothers' and fathers' experiences.
Purpose of the Study:
- To develop and validate a specific instrument assessing parental sense of security in the first postnatal week.
- To create a tool that can inform and improve postnatal healthcare support.
- To provide a reliable measure for both mothers and fathers.
Main Methods:
- Methodological and developmental study design.
- Item construction, face validity assessment, data collection, and statistical analysis.
- Exploratory factor analysis, reliability testing (Cronbach's alpha), and comparative validity analysis.
Main Results:
- The Parents' Postnatal Sense of Security (PPSS) instrument was developed in mother and father versions.
- Mother's version (18 items) showed high reliability (alpha=0.88) and explained variance (66.8%).
- Father's version (13 items) also demonstrated good reliability (alpha=0.77) and explained variance (69%).
Conclusions:
- The PPSS instrument is a valid and reliable tool for assessing postnatal sense of security in both parents.
- It is the only specific instrument designed for dual parental use in this context.
- Further evaluation of the PPSS instrument is recommended.
Background:
There is a need to develop an instrument that measures both the parents' experiences and sense of security during the first postnatal week. No instrument measuring positive dimensions which can be influenced and supported by the postnatal health care has been developed.
Objective:
The aim of the study was to develop a specific instrument to assess both mothers' and fathers' postnatal sense of security concerning the first postnatal week.
Design:
The study has a methodological and developmental design and was carried out in four steps: construction of the items, face validity, data collection and data analysis.
Settings And Participants:
One hundred and thirteen mothers who had given birth in hospitals in southern Sweden and 99 fathers comprised the study participants.
Data Analysis:
Statistical analysis, testing for construct validity with explorative factor analysis, internal consistency reliability and comparative validity was carried out.
Results:
The parents' postnatal sense of security (PPSS) instrument, mother's version, was reduced from 37 to 18 items (explained variance 66.8%, Cronbach's coefficient alpha 0.88) comprising the following dimensions: a sense of the midwives'/nurses' empowering behaviour, a sense of general well-being, a sense of affinity within the family and a sense that breast feeding was manageable. The father's version was reduced from 36 to 13 items (explained variance 69%, Cronbach's coefficient alpha 0.77), and comprised the following dimensions: a sense of the midwives'/nurses' empowering behaviour, a sense of the mother's general well-being including breast feeding, a sense of general well-being and a sense of affinity within the family.
Conclusions:
The PPSS instrument is valid and reliable and the only specific instrument measuring postnatal sense of security that is useful for both parents. The instrument needs to be further evaluated.
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