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Is the Birthing Unit Design Spatial Evaluation Tool valid for diverse groups?

Sara Menke1, Bec Jenkinson2, Maralyn Foureur3

  • 1School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Brisbane, Queensland, Australia.

Women and Birth : Journal of the Australian College of Midwives
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PubMed
Summary
This summary is machine-generated.

The Birth Unit Design Spatial Evaluation Tool requires further validation. The tool was not found to be valid for birth unit midwives, Aboriginal or Torres Strait Islander women, or women from diverse backgrounds.

Keywords:
Environment designFacility design and constructionLabourMidwiferyObstetric

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Area of Science:

  • Healthcare design
  • Maternal health
  • Environmental psychology

Background:

  • The built environment significantly impacts healthcare experiences and outcomes.
  • Redesigning birthing environments is a focus area.
  • The Birth Unit Design Spatial Evaluation Tool aids these improvements but needs broader validation.

Purpose of the Study:

  • To evaluate the content validity of the Birth Unit Design Spatial Evaluation Tool.
  • To assess the tool's relevance across diverse birthing populations including midwives, Aboriginal or Torres Strait Islander women, women with a history of cesarean, and culturally diverse women.

Main Methods:

  • A Likert-scale survey assessed the relevance of 69 tool items.
  • Item-level content validity and survey-level validity indices were calculated.
  • Validity benchmarks were set at >0.78 for items and >0.9 for the survey.

Main Results:

  • Item-level content validity was achieved for a subset of items in all groups.
  • Specifically, 37 items for midwives, 35 for Aboriginal or Torres Strait Islander women, 33 for VBAC-aspiring women, and 28 for culturally diverse women.
  • Survey-level content validity was not met for any participant group.

Conclusions:

  • The Birth Unit Design Spatial Evaluation Tool requires further development and validation for broader use.
  • Birth environment design remains crucial for women and midwives.
  • Innovative research is needed to understand the subconscious influence of the environment on birthing experiences.