Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/17844
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Measuring the quality and quantity of professional intrapartum support: Testing a computerised systematic observation tool in the clinical setting
Authors: Ross-Davie, Mary
Cheyne, Helen
Niven, Catherine
Contact Email: h.l.cheyne@stir.ac.uk
Keywords: Intrapartum
Labour
Support
Midwife
Systematic
Observation
Quantity
Quality
Clinical outcomes
Issue Date: Aug-2013
Publisher: BioMed Central Ltd
Citation: Ross-Davie M, Cheyne H & Niven C (2013) Measuring the quality and quantity of professional intrapartum support: Testing a computerised systematic observation tool in the clinical setting, BMC Pregnancy and Childbirth, 13, Art. No.: 163.
Abstract: Background: Continuous support in labour has a significant impact on a range of clinical outcomes, though whether the quality and quantity of support behaviours affects the strength of this impact has not yet been established. To identify the quality and quantity of support, a reliable means of measurement is needed. To this end, a new computerised systematic observation tool, the ‘SMILI' (Supportive Midwifery in Labour Instrument) was developed. The aim of the study was to test the validity and usability of the ‘Supportive Midwifery in Labour Instrument' (SMILI) and to test the feasibility and acceptability of the systematic observation approach in the clinical intrapartum setting. Methods: Systematic observation was combined with a postnatal questionnaire and the collection of data about clinical processes and outcomes for each observed labour. The setting for the study was four National Health Service maternity units in Scotland, UK. Participants in this study were forty five midwives and forty four women. The SMILI was used by trained midwife observers to record labour care provided by midwives. Observations were undertaken for an average of two hours and seventeen minutes during the active first stage of labour and, in 18 cases, the observation included the second stage of labour. Content validity of the instrument was tested by the observers, noting the extent to which the SMILI facilitated the recording of all key aspects of labour care and interactions. Construct validity was tested through exploration of correlations between the data recorded and women's feelings about the support they received. Feasibility and usability data were recorded following each observation by the observer. Internal reliability and construct validity were tested through statistical analysis of the data. Results: One hundred and four hours of labour care were observed and recorded using the SMILI during forty nine labour episodes. Conclusion: The SMILI was found to be a valid and reliable instrument in the intrapartum setting in which it was tested. The study identified that the SMILI could be used to test correlations between the quantity and quality of support and outcomes. The systematic observational approach was found to be an acceptable and feasible method of enquiry.
Type: Journal Article
URI: http://hdl.handle.net/1893/17844
DOI Link: http://dx.doi.org/10.1186/1471-2393-13-163
Rights: © 2013 Ross-Davie et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Affiliation: NHS Education for Scotland
NMAHP Research
HS Research - Stirling

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