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Development and Initial Psychometric Testing of the Midwifery Practice Climate Scale - Part 2
E Brie Thumm1, Jonathan Shaffer2, Paula Meek1
1University of Colorado College of Nursing, Aurora, Colorado.
Journal of Midwifery & Women'S Health
|September 7, 2020
Summary
The Midwifery Practice Climate Scale was revised to a 10-item, 2-subscale measure. This validated tool accurately assesses midwives
Area of Science:
- Health Services Research
- Nursing
- Midwifery Practice
Background:
- A supportive practice climate is linked to improved patient outcomes, healthcare provider well-being, and workforce stability.
- Midwives are crucial for enhancing maternal healthcare, yet research on their practice climate is limited.
Purpose of the Study:
- To develop and validate a reliable instrument for measuring midwives' perceptions of their practice environments.
- To establish the psychometric properties of the Midwifery Practice Climate Scale.
Main Methods:
- A national cross-sectional survey of certified nurse-midwives and certified midwives in the United States.
- Exploratory and confirmatory factor analyses were used to test structural validity and reliability.
- Convergent validity was assessed using a subsample of respondents.
Main Results:
- Initial factor analyses suggested a 10-subscale structure, which was refined through item review.
- The revised 10-item scale, with 2 subscales (Practice Leadership and Participation; Support for the Midwifery Model of Care), demonstrated a good fit with the data.
- The revised scale showed adequate construct validity and internal consistency (Cronbach's alpha = 0.89-0.84).
Conclusions:
- The revised Midwifery Practice Climate Scale is a valid and reliable measure of midwives' perceptions of their practice environment.
- Future research should assess the scale's sensitivity to change and its relationship with maternal health outcomes.
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