Siassakos D, Clark J, Sibanda T, Attilakos G, Jefferys A, Cullen L, Bisson D, Draycott T. A simple tool to measure patient perceptions of operative birth.
BJOG 2009;
116:1755-61. [PMID:
19775304 DOI:
10.1111/j.1471-0528.2009.02363.x]
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Abstract
OBJECTIVE
To assess the feasibility and validity of a maternal satisfaction measurement tool, the SaFE study Patient Perception Score (PPS), after operative delivery.
DESIGN
Cross-sectional survey.
SETTING
A large maternity unit in England.
SAMPLE
150 women who had had an operative birth.
METHODS
We recruited women within 24 hours of birth and quantified their satisfaction with two questionnaires: PPS, and the Mackey Childbirth Satisfaction Rating Scale (CSRS; modified).
MAIN OUTCOME MEASURES
Participation rate to determine feasibility; Cronbach's alpha as measure of internal consistency; PPS satisfaction scores for groups of accoucheurs of different seniority to assess construct validity; correlation coefficient of PPS scores with total scores from the CSRS questionnaire to establish criterion validity.
RESULTS
Participation rate approached 85%. We observed high scores for most births except a few outliers. Internal consistency of the PPS was high (Cronbach's alpha=0.83). Total PPS scores correlated strongly with total CSRS scores (Spearman's r=0.64, P<0.001).
CONCLUSIONS
The PPS is a simple and valid tool for patient-centred assessments. High scores were observed for most births but there were a small minority of accoucheurs who consistently scored poorly and these data could be used during appraisal and training.
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