Psychometric Analysis of Disrespect and Abuse Scale.

IF 2.2 4区 医学 Q1 NURSING
Nursing Research Pub Date : 2025-05-01 Epub Date: 2025-02-06 DOI:10.1097/NNR.0000000000000809
Fatima Alzyoud
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引用次数: 0

Abstract

Background: Disrespect and abuse of laboring and child-birthing women in health care is a global problem that violates the universal human rights of childbearing women. There is a lack of reliable and valid tools for measuring these behaviors. One instrument, the Disrespect and Abuse scale, has preliminary data with no established psychometrics in diverse populations. Further analysis is required to ensure the reliability and validity of this tool in diverse populations and health care settings.

Objectives: We examined the psychometric properties of the Disrespect and Abuse scale in diverse international nursing and midwifery populations.

Methods: A cross-sectional descriptive design was used to measure disrespect and abuse toward women during childbirth. Data were collected from 231 nurses and midwives across international labor and delivery units. Exploratory factor analysis was conducted using principal component analysis with oblimin rotation as the factor extraction method.

Results: The psychometric assessment yielded a two-factor structure. Factor 1 consisted of 13 items characterizing physical and verbal abuse. Factor 2 contained nine items reflecting disrespectful behaviors. The Cronbach's alpha coefficients reflected high internal consistency.

Discussion: The scale was shown to be reliable and valid in assessing self-reported disrespectful and abusive behaviors among nurses and midwives in a diverse international sample. Use could assist in the assessment of these behaviors in maternal health care facilities. Further research is warranted to confirm the scale's robustness and applicability across various populations and settings and use the Disrespect and Abuse scale to identify the burden and predictors of mistreatment of women in different health care settings.

不尊重和虐待量表的心理测量分析。
背景:在医疗保健中对劳动妇女和分娩妇女的不尊重和虐待是一个全球性问题,违反了生育妇女的普遍人权。缺乏可靠和有效的工具来衡量这些行为。其中一个工具,不尊重和虐待量表,有初步的数据,没有在不同人群中建立心理测量。需要进一步分析,以确保这一工具在不同人群和卫生保健环境中的可靠性和有效性。目的:我们在不同的国际护理和助产人群中检查了不尊重和虐待量表的心理测量特性。方法:采用横断面描述性设计测量分娩时对妇女的不尊重和虐待。数据收集自国际分娩和分娩单位的231名护士和助产士。探索性因子分析采用主成分分析法,提取因子的方法为oblimin旋转。结果:心理测量量表具有双因素结构。因素1包括表征身体和语言虐待的13个项目。因子2包含9个反映不尊重行为的项目。Cronbach’s alpha系数反映了高度的内部一致性。讨论:该量表在评估护士和助产士在不同国际样本中自我报告的不尊重和虐待行为方面是可靠和有效的。使用它可以帮助评估产妇保健设施中的这些行为。有必要进一步研究以确认该量表在不同人群和环境中的稳健性和适用性,并使用不尊重和虐待量表来确定不同卫生保健环境中虐待妇女的负担和预测因素。
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来源期刊
Nursing Research
Nursing Research 医学-护理
CiteScore
3.60
自引率
4.00%
发文量
102
审稿时长
6-12 weeks
期刊介绍: Nursing Research is a peer-reviewed journal celebrating over 60 years as the most sought-after nursing resource; it offers more depth, more detail, and more of what today''s nurses demand. Nursing Research covers key issues, including health promotion, human responses to illness, acute care nursing research, symptom management, cost-effectiveness, vulnerable populations, health services, and community-based nursing studies. Each issue highlights the latest research techniques, quantitative and qualitative studies, and new state-of-the-art methodological strategies, including information not yet found in textbooks. Expert commentaries and briefs are also included. In addition to 6 issues per year, Nursing Research from time to time publishes supplemental content not found anywhere else.
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