Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi (Oct 2020)
The Development of the Affecting Factors Scale Pregnant Women Receiving Health Service from Hospital and Evaluation Psychometric Properties
Abstract
Background: Access to healthcare services is not always easy in several countries of the world, Particularly in developing countries, factors that affect the ability of pregnant women to receive healthcare services. Objectives: The aim of this study is to develop a measurement tool that can be used to determine the factors affecting pregnant women to receive health care services from hospitals. Methods: This study consisted of 450 pregnants who attended the outpatient clinic of an University and State Hospital in a city in central anatolian in Turkey between 10 December 2017 and 4 April in 2018. In data collection, the Personal Information Form and The Affecting Factors Scale Pregnant Women Receiving Health Service from Hospitals developed by the researchers were used. In the validity-reliability analysis of the The Affecting Factors Scale Pregnant Women Receiving Health Service from Hospitals scale, language and content validity, explanatory factor analysis, Cronbach’s Alpha co-efficient, item-total score correlation methods were used. Results: After evaluating the content validity of the scale, test-retest reliability, internal consistency and construct validity were examined. In data evaluation; cronbach alpha analysis, item total score correlation methods, explanatory and confirmatory factor analysis were used. After the reliability and validity analysis of the scale, the scale was finalized with six sub-dimensions and 37 items. The median value for each of the scale sub-dimensions was determined. Obtaining a score above the median value for that sub-dimension indicates that the sub-dimension has a positive effect on the receipt of healthcare services. The cronbach alpha coefficient of the whole scale is 0.95 has been determined. All the factor loadings were found to be greater than 0.30 in both explanatory and confirmatory factor analysis. In confirmatory factor analysis, all of the fit indices were greater than 0.80 and RMSEA was less than 0.08. Conclusion: The results of this study revealed that the developed scale is a valid and reliable measurement tool that can be used to determine the factors that affect the receipt of healthcare services from hospitals by pregnant women.
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