The need for change in the obstetric care model in Spain: are we ready?

Darias, Aythamy González; Peiro, Ramón Escuriet

doi:10.1016/j.enfcle.2022.03.006

Cited by 1 publication

(2 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most women give birth in hospital obstetric units, where both midwives and obstetricians manage childbirth. In many centers, there is little autonomy for midwives [44,45]. This scenario may account for the fact that, in our study, midwives who studied abroad assigned lower scores to their perception of empowerment in subscale 2 (Own skills and teamwork) than midwives trained in Spain.…”

Section: Discussionmentioning

confidence: 63%

See 1 more Smart Citation

Cross-Cultural Adaptation and Validation of the Perceptions of Empowerment in Midwifery Scale in the Spanish Context (PEMS-e)

González-de la Torre,

Hernández-Rodríguez,

Moreno-Canino

et al. 2023

Healthcare

View full text Add to dashboard Cite

Midwifery empowerment is an important topic. The most widely used instrument to measure the perceived empowerment of midwives is the Perceptions of Empowerment in Midwifery Scale (PEMS), which has not been validated in Spain. The aim of this study was to translate and adapt the PEMS to the Spanish context. This research was carried out in two phases; Phase 1: Methodological study; translation, backtranslation and cross-cultural adaptation of the PEMS and pilot study on the target population (10 midwives) for evaluation of face validity. Phase 2: Cross-sectional observational study to obtain a sample for construct validation by Exploratory Factor Analysis and measurement of PEMS-e reliability. Additionally, an inferential analysis was carried out to study the possible association between several collected variables and PEMS-e subscale-scores. A total of 410 midwives from 18 Spanish regions participated in the study through an online questionnaire. An initial Spanish version of the PEMS scale was produced, demonstrating adequate face validity. A final model was produced for the PEMS-e, which included 17 items classified into two subscales (“Organizational support” and “Own skills and teamwork”) with fit indexes RMSEA = 0.062 (95%CI: 0.048–0.065) and AGFI = 0.985 (95%CI: 0.983–0.989) and Cronbach’s alpha 0.922 for the total scale. Results showed that one in four midwives had considered abandoning the profession in the last 6 months (p ≤ 0.001). This research suggests that Spanish midwives perceive their empowerment level as low. The PEMS-e is a valid tool with solid psychometric properties that can be used in future research to identify factors that contribute to increased empowerment among Spanish midwives and inform strategies to improve job satisfaction and retention in the profession.

show abstract

Section: Discussionmentioning

confidence: 63%

“…In Spain, maternity care remains largely physician-led [44,45]. Most women give birth in hospital obstetric units, where both midwives and obstetricians manage childbirth.…”

Section: Discussionmentioning

confidence: 99%