2.50
Hdl Handle:
http://hdl.handle.net/10755/211538
Type:
Research Study
Title:
PROVIDERS SPEAK OUT! A DELPHI STUDY OF SELF-COMPETENCE FOR CHILDBIRTH
Abstract:
Purposes/Aims: The purposes of this study are to investigate expert maternity care providers’ descriptions of, understanding of, and clinical experiences with women who exhibit self-competence for childbirth, and to identify the defining attributes of self-competence for childbirth. The study aims to generate knowledge for future instrument development to measure self-competence for childbirth which will enable study of factors that affect the processes and outcomes of childbirth. Rationale/Conceptual Basis/Background: Childbirth in America has changed. With today’s escalating elective induction of labor and cesarean section rates and their potential negative health outcomes, it is essential to identify attributes of women who continue to birth powerfully with great grace and skill, embodying effectiveness, ability, sufficiency and/or success for accomplishing physiologic childbirth; in other words, women who are self-competent for childbirth. Method: After obtaining IRB approval, this four round Delphi study was completed by a group of 108 expert physicians, midwives, nurses, and doulas representing opinions of varying maternity care professionals possessing a wide variety of experience with childbearing women. The first round Delphi survey collected qualitative comments from panelists to five open-ended questions about their experiences with women who are self-competent for childbirth. Content analysis was undertaken revealing 550 codes which were analyzed resulting in the creation of 192 statements representing panelists’ responses to these questions. These statements formed the basis for the second round survey which was comprised of these statements for ranking on a Likert scale according to how well each statement described women who are self-competent for childbirth. Data analysis revealed 49 statements reaching the level of group consensus, and identified the mean and interquartile range of each remaining statement which were then provided to panelists during the third round for reconsideration and re-ranking. Third round data analysis identified panel consensus for an additional 13 statements describing women who are self-competent for childbirth. During round four, the sixty-two total retained statements were presented to the panel for final confirmation as well as for identification of how well the statements described their nulliparous patient population. Results: At the end of the survey process, sixty-two statements were identified representing consensus about the defining attributes of self-competence for childbirth derived from this Delphi study of expert maternity care providers. Implications: Study results will provide conceptual validation and an item pool for subsequent instrument development measuring self-competence for childbirth.
Keywords:
Maternity care providers; Childbirth; Self-competence
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
5406
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titlePROVIDERS SPEAK OUT! A DELPHI STUDY OF SELF-COMPETENCE FOR CHILDBIRTHen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211538-
dc.description.abstractPurposes/Aims: The purposes of this study are to investigate expert maternity care providers’ descriptions of, understanding of, and clinical experiences with women who exhibit self-competence for childbirth, and to identify the defining attributes of self-competence for childbirth. The study aims to generate knowledge for future instrument development to measure self-competence for childbirth which will enable study of factors that affect the processes and outcomes of childbirth. Rationale/Conceptual Basis/Background: Childbirth in America has changed. With today’s escalating elective induction of labor and cesarean section rates and their potential negative health outcomes, it is essential to identify attributes of women who continue to birth powerfully with great grace and skill, embodying effectiveness, ability, sufficiency and/or success for accomplishing physiologic childbirth; in other words, women who are self-competent for childbirth. Method: After obtaining IRB approval, this four round Delphi study was completed by a group of 108 expert physicians, midwives, nurses, and doulas representing opinions of varying maternity care professionals possessing a wide variety of experience with childbearing women. The first round Delphi survey collected qualitative comments from panelists to five open-ended questions about their experiences with women who are self-competent for childbirth. Content analysis was undertaken revealing 550 codes which were analyzed resulting in the creation of 192 statements representing panelists’ responses to these questions. These statements formed the basis for the second round survey which was comprised of these statements for ranking on a Likert scale according to how well each statement described women who are self-competent for childbirth. Data analysis revealed 49 statements reaching the level of group consensus, and identified the mean and interquartile range of each remaining statement which were then provided to panelists during the third round for reconsideration and re-ranking. Third round data analysis identified panel consensus for an additional 13 statements describing women who are self-competent for childbirth. During round four, the sixty-two total retained statements were presented to the panel for final confirmation as well as for identification of how well the statements described their nulliparous patient population. Results: At the end of the survey process, sixty-two statements were identified representing consensus about the defining attributes of self-competence for childbirth derived from this Delphi study of expert maternity care providers. Implications: Study results will provide conceptual validation and an item pool for subsequent instrument development measuring self-competence for childbirth.en_GB
dc.subjectMaternity care providersen_GB
dc.subjectChildbirthen_GB
dc.subjectSelf-competenceen_GB
dc.date.available2012-02-20T12:01:01Z-
dc.date.issued2012-02-20T12:01:01Z-
dc.date.accessioned2012-02-20T12:01:01Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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