WHO Standards-based questionnaire to measure health workers’ perspective on the quality of care around the time of childbirth in the WHO European region: development and mixed-methods validation in six countries

ObjectivesDevelop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from the health workers’ perspective.DesignMixed-methods study.SettingSix countries of the WHO European Region.Participants and methodsTh...

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Published inBMJ open Vol. 12; no. 4; p. e056753
Main Authors Valente, Emanuelle Pessa, Covi, Benedetta, Mariani, Ilaria, Morano, Sandra, Otelea, Marina, Nanu, Ioana, Nanu, Micaela Iuliana, Elden, Helen, Linden, Karolina, Zaigham, Mehreen, Vik, Eline Skirnisdottir, Kongslien, Sigrun, Nedberg, Ingvild, Costa, Raquel, Rodrigues, Carina, Dias, Heloísa, Drandić, Daniela, Kurbanović, Magdalena, Sacks, Emma, Muzigaba, Moise, Lincetto, Ornella, Lazzerini, Marzia, Ćerimagic, Amira, Virginie, Rozée, Rochebrochard, Elise deLa, Löfgren, Kristina, Miani, Céline, Batram-Zantvoort, Stephanie, Wandschneider, Lisa, Verardi, Giuseppa, Zanin, Beatrice, Chertok, Ilana, Artzi-Medvedik, Rada, Pumpure, Elizabete, Rezeberga, Dace, Vaska, Agnija, Jakovicka, Dārta, Rudzīte, Paula, Ērmane, Elīna, Vilcāne, Katrīna Paula, Arendt, Maryse, Tasch, Barbara, Baranowska, Barbara, Tataj-Puzyna, Urszula, Węgrzynowska, Maria, Barata, Catarina, Santos, Teresa, Yarotskaya, Ekaterina, Radetić, Jelena, Ružičić, Jovana, Drglin, Zalka, Ponikvar, Barbara Mihevc, Bohinec, Anja, Brigidi, Serena, Castañeda, Lara Martín, Viver, Ana Canales, Sengpiel, Verena, Labrusse, Claire De, Abderhalden, Alessia, Pfund, Anouck, Thorn, Harriet
Format Journal Article
LanguageEnglish
Published England British Medical Journal Publishing Group 08.04.2022
BMJ Publishing Group LTD
BMJ Publishing Group
SeriesOriginal research
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Abstract ObjectivesDevelop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from the health workers’ perspective.DesignMixed-methods study.SettingSix countries of the WHO European Region.Participants and methodsThe questionnaire is based on lessons learnt in previous studies, and was developed in three sequential phases: (1) WHO Quality Measures were prioritised and content, construct and face validity were assessed through a Delphi involving a multidisciplinary board of experts from 11 countries of the WHO European Region; (2) translation/back translation of the English version was conducted following The Professional Society for Health Economics and Outcomes Research guidelines; (3) internal consistency, intrarater reliability and acceptability were assessed among 600 health workers in six countries.ResultsThe questionnaire included 40 items based on WHO Standards Quality Measures, equally divided into four domains: provision of care, experience of care, availability of human and physical resources, organisational changes due to COVID-19; and its organised in six sections. It was translated/back translated in 12 languages: Bosnian, Croatian, French, German, Italian, Norwegian, Portuguese, Romanian, Russian, Slovenian, Spanish and Swedish. The Cronbach’s alpha values were ≥0.70 for each questionnaire section where questions were hypothesised to be interrelated, indicating good internal consistence. Cohen K or Gwet’s AC1 values were ≥0.60, suggesting good intrarater reliability, except for one question. Acceptability was good with only 1.70% of health workers requesting minimal changes in question wording.ConclusionsFindings suggest that the questionnaire has good content, construct, face validity, internal consistency, intrarater reliability and acceptability in six countries of the WHO European Region. Future studies may further explore the questionnaire’s use in other countries, and how to translate evidence generated by this tool into policies to improve the QMNC.Trail registration number NCT04847336
AbstractList ObjectivesDevelop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from the health workers’ perspective.DesignMixed-methods study.SettingSix countries of the WHO European Region.Participants and methodsThe questionnaire is based on lessons learnt in previous studies, and was developed in three sequential phases: (1) WHO Quality Measures were prioritised and content, construct and face validity were assessed through a Delphi involving a multidisciplinary board of experts from 11 countries of the WHO European Region; (2) translation/back translation of the English version was conducted following The Professional Society for Health Economics and Outcomes Research guidelines; (3) internal consistency, intrarater reliability and acceptability were assessed among 600 health workers in six countries.ResultsThe questionnaire included 40 items based on WHO Standards Quality Measures, equally divided into four domains: provision of care, experience of care, availability of human and physical resources, organisational changes due to COVID-19; and its organised in six sections. It was translated/back translated in 12 languages: Bosnian, Croatian, French, German, Italian, Norwegian, Portuguese, Romanian, Russian, Slovenian, Spanish and Swedish. The Cronbach’s alpha values were ≥0.70 for each questionnaire section where questions were hypothesised to be interrelated, indicating good internal consistence. Cohen K or Gwet’s AC1 values were ≥0.60, suggesting good intrarater reliability, except for one question. Acceptability was good with only 1.70% of health workers requesting minimal changes in question wording.ConclusionsFindings suggest that the questionnaire has good content, construct, face validity, internal consistency, intrarater reliability and acceptability in six countries of the WHO European Region. Future studies may further explore the questionnaire’s use in other countries, and how to translate evidence generated by this tool into policies to improve the QMNC.Trail registration numberNCT04847336
Objectives Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from the health workers’ perspective.Design Mixed-methods study.Setting Six countries of the WHO European Region.Participants and methods The questionnaire is based on lessons learnt in previous studies, and was developed in three sequential phases: (1) WHO Quality Measures were prioritised and content, construct and face validity were assessed through a Delphi involving a multidisciplinary board of experts from 11 countries of the WHO European Region; (2) translation/back translation of the English version was conducted following The Professional Society for Health Economics and Outcomes Research guidelines; (3) internal consistency, intrarater reliability and acceptability were assessed among 600 health workers in six countries.Results The questionnaire included 40 items based on WHO Standards Quality Measures, equally divided into four domains: provision of care, experience of care, availability of human and physical resources, organisational changes due to COVID-19; and its organised in six sections. It was translated/back translated in 12 languages: Bosnian, Croatian, French, German, Italian, Norwegian, Portuguese, Romanian, Russian, Slovenian, Spanish and Swedish. The Cronbach’s alpha values were ≥0.70 for each questionnaire section where questions were hypothesised to be interrelated, indicating good internal consistence. Cohen K or Gwet’s AC1 values were ≥0.60, suggesting good intrarater reliability, except for one question. Acceptability was good with only 1.70% of health workers requesting minimal changes in question wording.Conclusions Findings suggest that the questionnaire has good content, construct, face validity, internal consistency, intrarater reliability and acceptability in six countries of the WHO European Region. Future studies may further explore the questionnaire’s use in other countries, and how to translate evidence generated by this tool into policies to improve the QMNC.Trail registration number NCT04847336
OBJECTIVES: Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from the health workers' perspective.DESIGN: Mixed-methods study.SETTING: Six countries of the WHO European Region.PARTICIPANTS AND METHODS: The questionnaire is based on lessons learnt in previous studies, and was developed in three sequential phases: (1) WHO Quality Measures were prioritised and content, construct and face validity were assessed through a Delphi involving a multidisciplinary board of experts from 11 countries of the WHO European Region; (2) translation/back translation of the English version was conducted following The Professional Society for Health Economics and Outcomes Research guidelines; (3) internal consistency, intrarater reliability and acceptability were assessed among 600 health workers in six countries.RESULTS: The questionnaire included 40 items based on WHO Standards Quality Measures, equally divided into four domains: provision of care, experience of care, availability of human and physical resources, organisational changes due to COVID-19; and its organised in six sections. It was translated/back translated in 12 languages: Bosnian, Croatian, French, German, Italian, Norwegian, Portuguese, Romanian, Russian, Slovenian, Spanish and Swedish. The Cronbach's alpha values were ≥0.70 for each questionnaire section where questions were hypothesised to be interrelated, indicating good internal consistence. Cohen K or Gwet's AC1 values were ≥0.60, suggesting good intrarater reliability, except for one question. Acceptability was good with only 1.70% of health workers requesting minimal changes in question wording.CONCLUSIONS: Findings suggest that the questionnaire has good content, construct, face validity, internal consistency, intrarater reliability and acceptability in six countries of the WHO European Region. Future studies may further explore the questionnaire's use in other countries, and how to translate evidence generated by this tool into policies to improve the QMNC.TRAIL REGISTRATION NUMBER: NCT04847336.
Objectives - Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from the health workers’ perspective. Design - Mixed-methods study. Setting - Six countries of the WHO European Region. Participants and methods - The questionnaire is based on lessons learnt in previous studies, and was developed in three sequential phases: (1) WHO Quality Measures were prioritised and content, construct and face validity were assessed through a Delphi involving a multidisciplinary board of experts from 11 countries of the WHO European Region; (2) translation/back translation of the English version was conducted following The Professional Society for Health Economics and Outcomes Research guidelines; (3) internal consistency, intrarater reliability and acceptability were assessed among 600 health workers in six countries. Results - The questionnaire included 40 items based on WHO Standards Quality Measures, equally divided into four domains: provision of care, experience of care, availability of human and physical resources, organisational changes due to COVID-19; and its organised in six sections. It was translated/back translated in 12 languages: Bosnian, Croatian, French, German, Italian, Norwegian, Portuguese, Romanian, Russian, Slovenian, Spanish and Swedish. The Cronbach’s alpha values were ≥0.70 for each questionnaire section where questions were hypothesised to be interrelated, indicating good internal consistence. Cohen K or Gwet’s AC1 values were ≥0.60, suggesting good intrarater reliability, except for one question. Acceptability was good with only 1.70% of health workers requesting minimal changes in question wording. Conclusions - Findings suggest that the questionnaire has good content, construct, face validity, internal consistency, intrarater reliability and acceptability in six countries of the WHO European Region. Future studies may further explore the questionnaire’s use in other countries, and how to translate evidence generated by this tool into policies to improve the QMNC.
OBJECTIVESDevelop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from the health workers' perspective. DESIGNMixed-methods study. SETTINGSix countries of the WHO European Region. PARTICIPANTS AND METHODSThe questionnaire is based on lessons learnt in previous studies, and was developed in three sequential phases: (1) WHO Quality Measures were prioritised and content, construct and face validity were assessed through a Delphi involving a multidisciplinary board of experts from 11 countries of the WHO European Region; (2) translation/back translation of the English version was conducted following The Professional Society for Health Economics and Outcomes Research guidelines; (3) internal consistency, intrarater reliability and acceptability were assessed among 600 health workers in six countries. RESULTSThe questionnaire included 40 items based on WHO Standards Quality Measures, equally divided into four domains: provision of care, experience of care, availability of human and physical resources, organisational changes due to COVID-19; and its organised in six sections. It was translated/back translated in 12 languages: Bosnian, Croatian, French, German, Italian, Norwegian, Portuguese, Romanian, Russian, Slovenian, Spanish and Swedish. The Cronbach's alpha values were ≥0.70 for each questionnaire section where questions were hypothesised to be interrelated, indicating good internal consistence. Cohen K or Gwet's AC1 values were ≥0.60, suggesting good intrarater reliability, except for one question. Acceptability was good with only 1.70% of health workers requesting minimal changes in question wording. CONCLUSIONSFindings suggest that the questionnaire has good content, construct, face validity, internal consistency, intrarater reliability and acceptability in six countries of the WHO European Region. Future studies may further explore the questionnaire's use in other countries, and how to translate evidence generated by this tool into policies to improve the QMNC. TRAIL REGISTRATION NUMBERNCT04847336.
Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from the health workers' perspective.Mixed-methods study.Six countries of the WHO European Region.The questionnaire is based on lessons learnt in previous studies, and was developed in three sequential phases: (1) WHO Quality Measures were prioritised and content, construct and face validity were assessed through a Delphi involving a multidisciplinary board of experts from 11 countries of the WHO European Region; (2) translation/back translation of the English version was conducted following The Professional Society for Health Economics and Outcomes Research guidelines; (3) internal consistency, intrarater reliability and acceptability were assessed among 600 health workers in six countries.The questionnaire included 40 items based on WHO Standards Quality Measures, equally divided into four domains: provision of care, experience of care, availability of human and physical resources, organisational changes due to COVID-19; and its organised in six sections. It was translated/back translated in 12 languages: Bosnian, Croatian, French, German, Italian, Norwegian, Portuguese, Romanian, Russian, Slovenian, Spanish and Swedish. The Cronbach's alpha values were ≥0.70 for each questionnaire section where questions were hypothesised to be interrelated, indicating good internal consistence. Cohen K or Gwet's AC1 values were ≥0.60, suggesting good intrarater reliability, except for one question. Acceptability was good with only 1.70% of health workers requesting minimal changes in question wording.Findings suggest that the questionnaire has good content, construct, face validity, internal consistency, intrarater reliability and acceptability in six countries of the WHO European Region. Future studies may further explore the questionnaire's use in other countries, and how to translate evidence generated by this tool into policies to improve the QMNC.NCT04847336.
ObjectivesDevelop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from the health workers’ perspective.DesignMixed-methods study.SettingSix countries of the WHO European Region.Participants and methodsThe questionnaire is based on lessons learnt in previous studies, and was developed in three sequential phases: (1) WHO Quality Measures were prioritised and content, construct and face validity were assessed through a Delphi involving a multidisciplinary board of experts from 11 countries of the WHO European Region; (2) translation/back translation of the English version was conducted following The Professional Society for Health Economics and Outcomes Research guidelines; (3) internal consistency, intrarater reliability and acceptability were assessed among 600 health workers in six countries.ResultsThe questionnaire included 40 items based on WHO Standards Quality Measures, equally divided into four domains: provision of care, experience of care, availability of human and physical resources, organisational changes due to COVID-19; and its organised in six sections. It was translated/back translated in 12 languages: Bosnian, Croatian, French, German, Italian, Norwegian, Portuguese, Romanian, Russian, Slovenian, Spanish and Swedish. The Cronbach’s alpha values were ≥0.70 for each questionnaire section where questions were hypothesised to be interrelated, indicating good internal consistence. Cohen K or Gwet’s AC1 values were ≥0.60, suggesting good intrarater reliability, except for one question. Acceptability was good with only 1.70% of health workers requesting minimal changes in question wording.ConclusionsFindings suggest that the questionnaire has good content, construct, face validity, internal consistency, intrarater reliability and acceptability in six countries of the WHO European Region. Future studies may further explore the questionnaire’s use in other countries, and how to translate evidence generated by this tool into policies to improve the QMNC.Trail registration number NCT04847336
Objectives Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from the health workers’ perspective. Design Mixed-methods study. Setting Six countries of the WHO European Region. Participants and methods The questionnaire is based on lessons learnt in previous studies, and was developed in three sequential phases: (1) WHO Quality Measures were prioritised and content, construct and face validity were assessed through a Delphi involving a multidisciplinary board of experts from 11 countries of the WHO European Region; (2) translation/back translation of the English version was conducted following The Professional Society for Health Economics and Outcomes Research guidelines; (3) internal consistency, intrarater reliability and acceptability were assessed among 600 health workers in six countries. Results The questionnaire included 40 items based on WHO Standards Quality Measures, equally divided into four domains: provision of care, experience of care, availability of human and physical resources, organisational changes due to COVID-19; and its organised in six sections. It was translated/back translated in 12 languages: Bosnian, Croatian, French, German, Italian, Norwegian, Portuguese, Romanian, Russian, Slovenian, Spanish and Swedish. The Cronbach’s alpha values were ≥0.70 for each questionnaire section where questions were hypothesised to be interrelated, indicating good internal consistence. Cohen K or Gwet’s AC1 values were ≥0.60, suggesting good intrarater reliability, except for one question. Acceptability was good with only 1.70% of health workers requesting minimal changes in question wording. Conclusions Findings suggest that the questionnaire has good content, construct, face validity, internal consistency, intrarater reliability and acceptability in six countries of the WHO European Region. Future studies may further explore the questionnaire’s use in other countries, and how to translate evidence generated by this tool into policies to improve the QMNC. Trail registration number NCT04847336
Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from the health workers' perspective. Mixed-methods study. Six countries of the WHO European Region. The questionnaire is based on lessons learnt in previous studies, and was developed in three sequential phases: (1) WHO Quality Measures were prioritised and content, construct and face validity were assessed through a Delphi involving a multidisciplinary board of experts from 11 countries of the WHO European Region; (2) translation/back translation of the English version was conducted following The Professional Society for Health Economics and Outcomes Research guidelines; (3) internal consistency, intrarater reliability and acceptability were assessed among 600 health workers in six countries. The questionnaire included 40 items based on WHO Standards Quality Measures, equally divided into four domains: provision of care, experience of care, availability of human and physical resources, organisational changes due to COVID-19; and its organised in six sections. It was translated/back translated in 12 languages: Bosnian, Croatian, French, German, Italian, Norwegian, Portuguese, Romanian, Russian, Slovenian, Spanish and Swedish. The Cronbach's alpha values were ≥0.70 for each questionnaire section where questions were hypothesised to be interrelated, indicating good internal consistence. Cohen K or Gwet's AC1 values were ≥0.60, suggesting good intrarater reliability, except for one question. Acceptability was good with only 1.70% of health workers requesting minimal changes in question wording. Findings suggest that the questionnaire has good content, construct, face validity, internal consistency, intrarater reliability and acceptability in six countries of the WHO European Region. Future studies may further explore the questionnaire's use in other countries, and how to translate evidence generated by this tool into policies to improve the QMNC. NCT04847336.
Author Rezeberga, Dace
Lincetto, Ornella
Verardi, Giuseppa
Dias, Heloísa
Batram-Zantvoort, Stephanie
Brigidi, Serena
Morano, Sandra
Rudzīte, Paula
Costa, Raquel
Virginie, Rozée
Pfund, Anouck
Nanu, Micaela Iuliana
Sacks, Emma
Yarotskaya, Ekaterina
Tasch, Barbara
Elden, Helen
Barata, Catarina
Abderhalden, Alessia
Rodrigues, Carina
Drglin, Zalka
Tataj-Puzyna, Urszula
Ćerimagic, Amira
Ružičić, Jovana
Thorn, Harriet
Rochebrochard, Elise deLa
Lazzerini, Marzia
Vaska, Agnija
Labrusse, Claire De
Drandić, Daniela
Ērmane, Elīna
Bohinec, Anja
Löfgren, Kristina
Vilcāne, Katrīna Paula
Kurbanović, Magdalena
Zanin, Beatrice
Linden, Karolina
Zaigham, Mehreen
Sengpiel, Verena
Muzigaba, Moise
Jakovicka, Dārta
Viver, Ana Canales
Covi, Benedetta
Nedberg, Ingvild
Węgrzynowska, Maria
Baranowska, Barbara
Mariani, Ilaria
Castañeda, Lara Martín
Pumpure, Elizabete
Ponikvar, Barbara Mihevc
Arendt, Maryse
Otelea, Marina
Wandschneider, Lisa
Miani, Céline
Artzi-Medvedik, Rada
Santos, Teresa
Kongslien, Sigrun
Radetić, Jelena
Chertok, Ilana
Nanu, Ioana
Valente, Emanuelle Pessa
Vik,
AuthorAffiliation 11 EPIUnit - Institute of Public Health , University of Porto , Porto , Portugal
4 SAMAS Association , Bucharest , Romania
12 Laboratory for Integrative and Translational Research in Population Health (ITR) , Porto , Portugal
8 Department of Obstetrics and Gynecology - Institution of Clinical Sciences Lund , Lund University, Lund and Skåne University Hospital , Malmö , Sweden
13 Human-Environment Interaction Lab , Universidade Lusófona , Porto , Portugal
16 Faculty of Health Studies, University of Rijeka , Rijeka , Croatia
7 Region Västra Götaland, Department of Obstetrics and Gynecology , Sahlgrenska University Hospital , Gothenburg , Sweden
17 Department of International Health , Johns Hopkins University , Baltimore , Maryland , USA
1 WHO Collaborating Centre for Maternal and Child Health , Institute for Maternal and Child Health - IRCCS “Burlo Garofolo” , Trieste , Italy
9 Department of Health and Caring Sciences , Western Norway University of Applied Sciences , Bergen , Norway
6 Institute of
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– name: 11 EPIUnit - Institute of Public Health , University of Porto , Porto , Portugal
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  givenname: Amira
  surname: Ćerimagic
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CitedBy_id crossref_primary_10_1016_j_lanepe_2022_100488
crossref_primary_10_1186_s12884_024_06400_7
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crossref_primary_10_5937_serbjph2401017Z
crossref_primary_10_1002_ijgo_14500
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Löfgren, Kristina
Vilcāne, Katrīna Paula
Zanin, Beatrice
Verardi, Giuseppa
Batram-Zantvoort, Stephanie
Sengpiel, Verena
Brigidi, Serena
Rudzīte, Paula
Virginie, Rozée
Jakovicka, Dārta
Viver, Ana Canales
Pfund, Anouck
Yarotskaya, Ekaterina
Tasch, Barbara
Węgrzynowska, Maria
Barata, Catarina
Baranowska, Barbara
Abderhalden, Alessia
Castañeda, Lara Martín
Drglin, Zalka
Pumpure, Elizabete
Ponikvar, Barbara Mihevc
Arendt, Maryse
Tataj-Puzyna, Urszula
Ćerimagic, Amira
Wandschneider, Lisa
Ružičić, Jovana
Miani, Céline
Artzi-Medvedik, Rada
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Santos, Teresa
Rochebrochard, Elise deLa
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Copyright Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
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Issue 4
Keywords OBSTETRICS
Quality in health care
NEONATOLOGY
Language English
License This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
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  text: 2022-04-08
  day: 08
PublicationDecade 2020
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PublicationSeriesTitle Original research
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Snippet ObjectivesDevelop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of...
Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of childbirth from...
Objectives Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of...
OBJECTIVESDevelop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of...
Objectives - Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of...
OBJECTIVES: Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of...
Objectives Develop and validate a WHO Standards-based online questionnaire to measure the quality of maternal and newborn care (QMNC) around the time of...
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StartPage e056753
SubjectTerms Annan medicin och hälsovetenskap
Childbirth & labor
Coronaviruses
COVID-19
Data collection
Female
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Health Sciences
Health services
Health Services Research
Humans
Hälsovetenskap
Infant
Infant, Newborn
Maternal & child health
Maternal mortality
Medical and Health Sciences
Medicin och hälsovetenskap
Mixed methods research
NEONATOLOGY
Newborn
Nursing
OBSTETRICS
Omvårdnad
Other Medical Sciences
Pandemics
Pregnancy
Psychometrics
Public Health, Global Health, Social Medicine and Epidemiology
Quality improvement
Quality in health care
Quality of care
Quality of Health Care
Questionnaires
Reproducibility of Results
Sociodemographics
Surveys and Questionnaires
Validity
World Health Organization
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Title WHO Standards-based questionnaire to measure health workers’ perspective on the quality of care around the time of childbirth in the WHO European region: development and mixed-methods validation in six countries
URI http://dx.doi.org/10.1136/bmjopen-2021-056753
https://www.ncbi.nlm.nih.gov/pubmed/35396296
https://www.proquest.com/docview/2648625514/abstract/
https://search.proquest.com/docview/2648896206
http://hdl.handle.net/10037/26485
https://pubmed.ncbi.nlm.nih.gov/PMC8995570
https://gup.ub.gu.se/publication/315218
https://lup.lub.lu.se/record/79f3d13a-81ce-4710-a263-0f5f7ee0f20d
https://doaj.org/article/b2d27e6f30174207956a19bd30f2abb4
Volume 12
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