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WHO Standards-based questionnaire to measure health workers' perspective on the quality of care around the time of childbirth in the WHO European region : development and mixed-methods validation in six countries
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- Valente, Emanuelle Pessa (author)
- Burlo Garofolo Pediatric Institute
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- Covi, Benedetta (author)
- Burlo Garofolo Pediatric Institute
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- Mariani, Ilaria (author)
- Burlo Garofolo Pediatric Institute
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- Morano, Sandra (author)
- University of Genoa
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- Otalea, Marina (author)
- Carol Davila University of Medicine and Pharmacy
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- Nanu, Ioana (author)
- National Institute for Mother and Child Health "Alessandrescu - Rusescu"
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- Nanu, Micaela Iuliana (author)
- National Institute for Mother and Child Health "Alessandrescu - Rusescu"
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- Elden, Helen, 1959 (author)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences
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- Linden, Karolina (author)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences
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- Zaigham, Mehreen (author)
- Lund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Vik, Eline Skirnisdottir (author)
- Western Norway University of Applied Sciences
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- Kongslien, Sigrun (author)
- UiT The Arctic University of Norway, Tromsø
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- Nedberg, Ingvild (author)
- UiT The Arctic University of Norway, Tromsø
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Costa, Raquel (author)
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Rodrigues, Carina (author)
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Dias, Heloísa (author)
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Drandić, Daniela (author)
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Kurbanović, Magdalena (author)
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Sacks, Emma (author)
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Muzigaba, Moise (author)
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Lincetto, Ornella (author)
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Lazzerini, Marzia (author)
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(creator_code:org_t)
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- 2022-04-08
- 2022
- English.
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In: BMJ Open. - : BMJ. - 2044-6055. ; 12:4, s. 1-10
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https://lup.lub.lu.s...
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Abstract
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- OBJECTIVES: Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from the health workers' perspective.DESIGN: Mixed-methods study.SETTING: Six countries of the WHO European Region.PARTICIPANTS AND METHODS: The questionnaire is based on lessons learnt in previous studies, and was developed in three sequential phases: (1) WHO Quality Measures were prioritised and content, construct and face validity were assessed through a Delphi involving a multidisciplinary board of experts from 11 countries of the WHO European Region; (2) translation/back translation of the English version was conducted following The Professional Society for Health Economics and Outcomes Research guidelines; (3) internal consistency, intrarater reliability and acceptability were assessed among 600 health workers in six countries.RESULTS: The questionnaire included 40 items based on WHO Standards Quality Measures, equally divided into four domains: provision of care, experience of care, availability of human and physical resources, organisational changes due to COVID-19; and its organised in six sections. It was translated/back translated in 12 languages: Bosnian, Croatian, French, German, Italian, Norwegian, Portuguese, Romanian, Russian, Slovenian, Spanish and Swedish. The Cronbach's alpha values were ≥0.70 for each questionnaire section where questions were hypothesised to be interrelated, indicating good internal consistence. Cohen K or Gwet's AC1 values were ≥0.60, suggesting good intrarater reliability, except for one question. Acceptability was good with only 1.70% of health workers requesting minimal changes in question wording.CONCLUSIONS: Findings suggest that the questionnaire has good content, construct, face validity, internal consistency, intrarater reliability and acceptability in six countries of the WHO European Region. Future studies may further explore the questionnaire's use in other countries, and how to translate evidence generated by this tool into policies to improve the QMNC.TRAIL REGISTRATION NUMBER: NCT04847336.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences (hsv//eng)
Keyword
- COVID-19
- Female
- Humans
- Infant, Newborn
- Pregnancy
- Psychometrics
- Quality of Health Care
- Reproducibility of Results
- Surveys and Questionnaires
- World Health Organization
- Infant
- Newborn
Publication and Content Type
- art (subject category)
- ref (subject category)
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Valente, Emanuel ...
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Covi, Benedetta
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Mariani, Ilaria
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Morano, Sandra
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Otalea, Marina
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Nanu, Ioana
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Nanu, Micaela Iu ...
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Elden, Helen, 19 ...
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Linden, Karolina
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Zaigham, Mehreen
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Vik, Eline Skirn ...
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Kongslien, Sigru ...
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Nedberg, Ingvild
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Costa, Raquel
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Rodrigues, Carin ...
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Dias, Heloísa
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Drandić, Daniela
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Kurbanović, Magd ...
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Sacks, Emma
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Muzigaba, Moise
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Lincetto, Ornell ...
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Lazzerini, Marzi ...
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MEDICAL AND HEAL ...
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BMJ Open
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