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Development and Initial Psychometric Testing of the Midwifery Practice Climate Scale
1University of Colorado College of Nursing, Aurora, Colorado.
Journal of Midwifery & Women'S Health
|September 7, 2020
Summary
A new scale measures midwives' perceptions of supportive work environments, crucial for improving perinatal care quality and addressing provider shortages in the US.
Area of Science:
- Perinatal health
- Healthcare quality improvement
- Professional development in midwifery
Background:
- US perinatal care faces high maternal mortality and provider shortages.
- Supportive practice environments are key to quality care and workforce stability.
- Limited research exists on supportive practice climates specifically for midwives.
Purpose of the Study:
- To develop and validate an instrument measuring midwives' perceptions of their practice environments.
- To create the Midwifery Practice Climate Scale (MPCS).
Main Methods:
- Developed a self-report instrument, the Midwifery Practice Climate Scale.
- Assessed content and face validity with two expert panels (n=6, n=14).
- Adapted 34 items from existing nursing instruments, removing physician-specific items.
Main Results:
- The Midwifery Practice Climate Scale demonstrates relevance to midwifery.
- The scale effectively measures the concept of a supportive practice climate for midwives.
- Identified challenges include language on leadership and diverse physician relationships.
Conclusions:
- The Midwifery Practice Climate Scale is a relevant tool for assessing supportive practice environments for midwives.
- Further testing is needed to address scale development challenges and establish reliability and construct validity.
- This scale can inform interventions to improve midwifery work environments and perinatal care outcomes.
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