| Title |
Creating an Optimality Index – Netherlands: a validation study
|
|---|---|
| Published in |
BMC Pregnancy and Childbirth, April 2018
|
| DOI | 10.1186/s12884-018-1735-z |
| Pubmed ID | |
| Authors |
Suzanne M. Thompson, Marianne J. Nieuwenhuijze, Luc Budé, Raymond de Vries, Lisa Kane Low |
| Abstract |
At present, the maternity care system in the Netherlands is being reorganized into an integrated model of care, shifting the focus of midwives to include increasing numbers of births in hospital settings and clients with medium risk profiles. In light of these changes, it is useful for midwives to have a tool which may help them in reflecting upon care practices that promote physiological childbirth practices. The Optimality Index-US is an evidence based tool, designed to measure optimal perinatal care processes and outcomes. It has been validated for use in the United States (OI-US), United Kingdom (OI-UK) and Turkey (OI-TR). The objective of this study was to adapt the OI-US for the Dutch maternity care setting (OI-NL). Translation and back translation were applied to create the OI-NL. A panel of maternity care experts (n = 10) provided input for face validation items in the OI-NL. Assessment of inter-rater reliability and ease of use was also conducted. Following this, the OI-NL was used prospectively to collect data on 266 women who commenced intrapartum care under the responsibility of a midwife. Twice groups were compared, based on parity and on care-setting at birth. Mean scores between these groups, corrected for perinatal background factors were assessed for discriminant validity. Face validity was established for OI-NL on the basis of expert input. Discriminant validity was confirmed by conducting multiple regressions analyses for parity (β = 6.21, P = 0.00) and for care-setting (β = 12.1, p = 0.00). Inter-rater reliability was 98%, with one item (Apgar score) sensitive to scoring differences. OI-NL is a valid and reliable tool for use in the Dutch maternity care setting. In addition to its value for assessing evidence-based maternity care processes and outcomes, there is potential for use for learning and reflection. Against the backdrop of a changing maternity care system, and due to the specificity of its items OI-NL may be of value as a tool for detecting subtle changes indicative of escalating medicalization of childbirth in the Netherlands. |
Mendeley readers
The data shown below were compiled from readership statistics for 51 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 51 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 5 | 10% |
| Researcher | 4 | 8% |
| Student > Bachelor | 4 | 8% |
| Other | 3 | 6% |
| Librarian | 2 | 4% |
| Other | 11 | 22% |
| Unknown | 22 | 43% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 12 | 24% |
| Medicine and Dentistry | 9 | 18% |
| Social Sciences | 3 | 6% |
| Unspecified | 2 | 4% |
| Arts and Humanities | 1 | 2% |
| Other | 1 | 2% |
| Unknown | 23 | 45% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 November 2018.
All research outputs
#20,481,952
of 23,043,346 outputs
Outputs from BMC Pregnancy and Childbirth
#3,840
of 4,242 outputs
Outputs of similar age
#262,194
of 296,868 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#109
of 114 outputs
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