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dc.contributor.authorValente, Emanuelle Pessa
dc.contributor.authorCovi, Benedetta
dc.contributor.authorMariani, Ilaria
dc.contributor.authorMorano, Sandra
dc.contributor.authorOtalea, Marina
dc.contributor.authorNanu, Ioana
dc.contributor.authorNanu, Micaela Iuliana
dc.contributor.authorElden, Helen
dc.contributor.authorLinden, Karolina
dc.contributor.authorZaigham, Mehreen
dc.contributor.authorVik, Eline Skirnisdottir
dc.contributor.authorKongslien, Sigrun
dc.contributor.authorNedberg, Ingvild Hersoug
dc.contributor.authorCosta, Raquel
dc.contributor.authorRodrigues, Carina
dc.contributor.authorDias, Heloísa
dc.contributor.authorDrandić, Daniela
dc.contributor.authorKurbanović, Magdalena
dc.contributor.authorSacks, Emma
dc.contributor.authorMuzigaba, Moise
dc.contributor.authorLincetto, Ornella
dc.contributor.authorLazzerini, Marzia
dc.identifier.citationValente, E. P., Covi, B., Mariani, I., Morano, S., Otalea, M., Nanu, I., Nanu, M. I., Elden, H., Linden, K., Zaigham, M., Vik, E. S., Kongslien, S., Nedberg, I., Costa, R., Rodrigues, C., Dias, H., Drandić, D., Kurbanović, M., Sacks, E., Muzigaba, M., Lincetto, O., & Lazzerini, M. (2022). 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. BMJ Open, 12(4):e056753.en_US
dc.description.abstractObjectives: 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.en_US
dc.rightsNavngivelse-Ikkekommersiell 4.0 Internasjonal*
dc.titleWHO 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 countriesen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.rights.holder© Author(s) (or their employer(s)) 2022.en_US
dc.source.journalBMJ Openen_US

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Navngivelse-Ikkekommersiell 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse-Ikkekommersiell 4.0 Internasjonal