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Development and piloting the Woman Centred Care Scale (WCCS)
Susannah Brady1, Fiona Bogossian1, Kristen Gibbons2
1The University of Queensland, School of Nursing, Midwifery & Social Work, St. Lucia Campus, Level 3, Building 35, St. Lucia, QLD 4067, Australia.
Women and Birth : Journal of the Australian College of Midwives
|November 21, 2016
Summary
A new instrument effectively measures woman-centered care behaviors in midwifery students, enhancing education and professional standards. This tool supports consistent application of woman-centered care principles in midwifery practice.
Area of Science:
- Midwifery Education
- Healthcare Professional Training
- Patient-Centered Care
Background:
- Midwifery education lacks a validated tool to assess woman-centered care behaviors.
- Existing practices espouse woman-centered care, but measurement in education is absent.
Purpose of the Study:
- To develop and validate an instrument for measuring woman-centered care behaviors in midwifery students.
- To ensure educational practices align with woman-centered care principles.
Main Methods:
- Developed an instrument based on four core concepts: woman's sphere, holism, self-determination, and shared power.
- Mapped 18 care behaviors from competency standards to concepts.
- Validated the instrument through expert review and tested reliability and predictive validity in a simulated learning environment with 69 students.
Main Results:
- The instrument demonstrated high test-retest reliability for individual raters (Kappa > 0.849).
- Inter-rater reliability showed variations, indicating differing expectations of woman-centered care.
- Students with increased simulation exposure showed higher levels of woman-centered care behaviors.
Conclusions:
- The Woman-Centered Care Scale (WCCS) is a validated instrument for midwifery education.
- The WCCS has implications for maintaining woman-centered care standards in midwifery practice.
- The tool aids in recognizing and upholding the philosophy of woman-centered care.
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