衡量自主与尊重：丹麦语中母亲在决策量表中的自主性和母亲在尊重指数工具上的定性跨文化适应。

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-02-01 DOI:10.1016/j.midw.2024.104253

Ida Dayyani , Ingrid Jepsen , Saraswathi Vedam , Rikke Damkjær Maimburg

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引用次数: 0

摘要

目的：决策在用户参与式产科护理中的重要作用，国际上采用母亲决策自主量表（MADM）和母亲尊重指数（MORi）来衡量用户参与质量和用户的自主和尊重体验。本研究的目的是翻译和定性适应原始的MADM和MORi乐器，以丹麦语言和文化。方法：采用标准指南进行前后翻译。随后，通过质性访谈对翻译和文化适应量表进行试点测试。结果：翻译过程显示了丹麦语和英语之间的语言差异所带来的文化差异。对14名不同孕妇的认知访谈揭示了妇女对产科护理决策理解的挑战。修改了措辞和辅助说明案文。进一步，改变MADM项目的顺序，以提高对决策的理解。讨论：主要讨论如何在产妇护理的背景下理解决策，以及为什么妇女对丹麦产妇护理决策的理解在MADM量表项目中受到挑战。结论：在翻译后使用认知访谈的定性先导测试是一种有价值的文化适应方法，为了解女性对项目内容的理解和感知提供了重要的知识。认知访谈提供了对决策的全面理解，并有助于完成丹麦版的MADM和MORi工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Measuring autonomy and respect: A qualitative, cross-cultural adaptation of the Mothers Autonomy in decision making scale and mothers on respect index instruments in Danish

Objective

Decision-making is important in user-involved maternity care and patient experience instruments Mothers Autonomy in Decision Making scale (MADM) and Mothers on Respect index (MORi) are used internationally to measure the user involvement quality and users’ experiences of autonomy and respect. This study aimed to translate and qualitatively adapt the original MADM and MORi instruments to the Danish language and culture.

Methods

A forward and backward translation using a standard guideline. Subsequently, qualitative interviews to refine the translation and cultural adaptation by pilot testing the scales.

Results

The translation process showed cultural differences linked to linguistic variations between Danish and English. Cognitive interviews with 14 diverse pregnant women revealed challenges in women's understanding of decision-making in maternity care. Changes in wording and assisting descriptive texts were made. Further, the order of the MADM items was changed to improve the understanding of decision-making.

Discussion

Primarily, the discussion concerns how decision-making can be understood in the context of maternity care and why women's understanding of decision-making in Danish maternity care in the MADM scale items was challenged.

Conclusion

The qualitative pilot test using cognitive interviews after translation of the instruments was a valuable method for cultural adaptation providing important knowledge on women's understanding and perceptions of item contents. The cognitive interviews provided a comprehensive understanding of decision-making and contributed to a thoroughly worked Danish version of the MADM and MORi instruments.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.