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Episiotomy Skills Self-Efficacy Scale (ESSES): Development and psychometric properties
Aytül Hadımlı1, Aysun Eksioglu1, Nur Duman1
1Ege University Faculty of Health Sciences, Midwifery Department, 35100 Bornova, Izmir, Turkey.
Nurse Education Today
|July 28, 2023
Summary
Midwifery students
Area of Science:
- Nursing and Midwifery Education
- Surgical Skills Assessment
- Psychometric Validation
Background:
- Episiotomy is a common obstetric procedure.
- Midwifery students experience anxiety and reduced self-efficacy related to episiotomy.
- A validated tool to measure episiotomy skills self-efficacy is lacking.
Purpose of the Study:
- To develop the Episiotomy Skills Self-Efficacy Scale (ESSE).
- To evaluate the psychometric properties of the ESSE.
Main Methods:
- Cross-sectional, methodological study design.
- Scale development involved literature review, expert panel, and content validity assessment.
- Exploratory and confirmatory factor analysis, Cronbach's alpha, and item-total correlations were used for validity and reliability testing.
Main Results:
- Factor analysis revealed a two-factor structure explaining 77.96% of the variance.
- The scale comprises two dimensions: "Preparation for and Implementation of Episiotomy" (11 items) and "Episiotomy Repair and Control" (8 items).
- The Episiotomy Skills Self-Efficacy Scale demonstrated excellent internal consistency (Cronbach's alpha = 0.97).
Conclusions:
- The Episiotomy Skills Self-Efficacy Scale is a valid and reliable instrument.
- The scale is suitable for assessing midwifery students' self-efficacy in episiotomy skills.
- Its brevity and ease of administration facilitate practical application in educational settings.
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