The translation and psychometric assessment of the perception of empowerment in midwifery scale: the Persian version

Hajiesmaello, Maryam; Kariman, Nourossadat; Nia, Hamid Sharif; Ozgoli, Gity; Hajian, Sepideh; Bazzazian, Shahin; Mokhtarian-Gilani, Tahereh

doi:10.1186/s12913-020-05326-y

Cited by 5 publications

(9 citation statements)

References 22 publications

(31 reference statements)

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“…In this study, two subscales were identified for the Spanish version of PEMS (PEMS-e), differently from validation studies in other countries, e.g., the three subscales proposed by Mathews et al [20], the five subscales proposed for the Portuguese [23] and Persian versions [25] or the four subscales of the PEMS-R [16].…”

Section: Discussionmentioning

confidence: 82%

“…In the original scale, the higher the score, the lower the empowerment [20]. In subsequent validations carried out by other research teams the scale was reconverted into a positive scale, with higher scores corresponding to better perception of the empowerment level [16,21,25]. In this study, the later positive scale was used for the Spanish version (PEMS-e).…”

Section: Phase 1 211 Starting Instrumentmentioning

confidence: 99%

“…Both the PEMS and the PEMS-R have been used in several studies [10,21,22]. Validation studies of the PEMS have been published in Portuguese [23], Turkish [24] and Persian [25], while the PEMS-R has been validated in Italian [26]. Table S1 shows the characteristics of all studies, as well as the variations made on the original scale to date.…”

Section: Introductionmentioning

confidence: 99%

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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

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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.

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Section: Discussionmentioning

confidence: 82%

Section: Phase 1 211 Starting Instrumentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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

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“…For this reason, the aim of this study was the translation, cultural adaptation, and validation of the PEMS-R in a group of Italian midwives. The Italian version of the scale would not only provide data about empowerment of midwives in Italy over time but also allow for cross-cultural comparison with other countries that have adopted the same tool 4,[20][21][22][23] .…”

Section: Introductionmentioning

confidence: 99%

Assessment of the psychometric properties of the Italian version of the perceptions of empowerment in midwifery practice scale-revised (PEMS-R-IT) in midwives

Fumagalli¹,

Borrelli²,

Panuccio³

et al. 2022

Eur J Midwifery

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INTRODUCTION A higher degree of midwives' empowerment is associated with greater job satisfaction and better midwifery care outcomes for women and their families. Empowered midwives are able to better empower women who in turn have a positive influence on the midwives' empowerment. The aim of this study was the translation, cultural adaptation, and validation of the perceptions of empowerment in midwifery scale-revised (PEMS-R) in a group of Italian midwives. METHODS The World Health Organization (WHO) method was adopted to achieve the PEMS-R Italian version. This process involved five steps: 1) forward translation, 2) expert panel translation, 3) back-translation, 4) pre-testing and cognitive interviewing, and 5) final version. The test's internal consistency and validity were assessed by following international guidelines. Internal consistency was examined through Cronbach's alpha (α) coefficient. RESULTS The PEMS-R-IT was administered to 147 Italian midwives from northern Italy. Factor analysis of the 19 items, extracted 4 factors that explained 74.96% of the variance. The Student's t-test for independent samples was used to identify a possible correlation between a higher/lower perception of empowerment and: 1) the education level, and 2) the years of experience of recruited midwives. No statistically significant differences were obtained in either case. The PEMS-R-IT was found to have a good internal consistency for each of its 4 subscales. CONCLUSIONS The PEMS-R-IT is a valid and reliable tool, useful to assess midwives' empowerment. It can be used in both clinical practice and research in order to investigate the level of empowerment of midwives within the Italian national context.

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“…Following publication of the original article [ 1 ], the authors identified an error in the author name of Giti Ozgoli.…”

mentioning

confidence: 99%

Correction to: The translation and psychometric assessment of the perception of empowerment in midwifery scale: the Persian version

Hajiesmaello

Kariman

Nia

et al. 2020

BMC Health Serv Res

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The translation and psychometric assessment of the perception of empowerment in midwifery scale: the Persian version

Cited by 5 publications

References 22 publications

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

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

Assessment of the psychometric properties of the Italian version of the perceptions of empowerment in midwifery practice scale-revised (PEMS-R-IT) in midwives

Correction to: The translation and psychometric assessment of the perception of empowerment in midwifery scale: the Persian version

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