From: Development of the Woman-Centred Care Scale- Midwife Self Report (WCCS-MSR)
Factor and item | Communality | Eigen-value | Cronbach’s Alpha | Mean (SD) |
---|---|---|---|---|
Total scale (40 items) | Â | Â | 0.92 | 237.93 (38.78) |
Factor 1 – Meets the unique needs of the woman (12 items) |  | 11.60 | 0.89 | 73.89 (10) |
73. I employ a variety of strategies to adapt the environment to meet a woman’s needs | 0.59 |  |  | 6.17 (.79) |
77. I put as much effort into creating a positive experience as I do in achieving a good clinical outcome | 0.50 | Â | Â | 6.32 (.86) |
75. I have strategies for creating safe spaces for the woman | 0.41 | Â | Â | 6.11 (.93) |
70. I always make suggestions to enhance the normal physiology of pregnancy, birth or postpartum | 0.52 | Â | Â | 6.32 (.85) |
68. No matter what the situation I can always find a way to enhance the woman’s wellbeing | 0.54 |  |  | 5.73 (.91) |
76. I pay attention to the impact of the physical environment on a woman’s dignity | 0.52 |  |  | 6.51 (.62) |
66. I am always comfortable discussing spirituality with women | 0.42 | Â | Â | 5.57 (1.2) |
63. I always discuss a woman’s cultural needs with her | 0.57 |  |  | 6.10 (.88) |
58. I am flexible in accommodating a woman’s wishes & needs | 0.55 |  |  | 6.18 (.69) |
65. I always establish who is important to the woman be that partner, family member or friend | 0.51 | Â | Â | 6.33 (.76) |
59. I always identify the woman’s values and include these in discussions about care options | 0.55 |  |  | 6.15 (.75) |
71. I always provide information, so the woman understands the physiological processes of her own body | 0.51 | Â | Â | 6.40 (.70) |
Factor 2 – Balances the woman’s needs within the context of the maternity service (5 items) |  | 2.37 | 0.68 | 26.6 (7.56) |
78. aWomen’s expectations for positive childbearing experiences are too high | 0.39 |  |  | 5.63 (1.57) |
26. I don’t always follow hospital policy or prevailing clinical guidelines if that is not what the woman wants | 0.62 |  |  | 4.64 (1.88) |
55. aStandardising care with protocols ensures optimal outcomes for all women | 0.53 | Â | Â | 4.55 (1.75) |
57. aThe needs of the organisation mostly should take priority over the needs of the woman | 0.45 | Â | Â | 6.28 (1.06) |
29. The woman’s informed choice is more important than my professional expertise in making decisions | 0.35 |  |  | 5.50 (1.28) |
Factor 3 – Ensures midwifery philosophy underpins practice within the context of the maternity service (4 items) |  | 1.967 | 0.63 | 17.43 (6.69) |
72. aGuidelines influence me to intervene even when I don’t think it is necessary | 0.39 |  |  | 3.80 (1.60) |
56. aI can't always personalise the woman's experience | 0.58 | Â | Â | 4.46 (1.62) |
33. aI struggle to maintain competence in all areas of midwifery practice | 0.36 | Â | Â | 5.05 (1.80) |
51.a I am not always able to tailor care to the needs of each woman | 0.65 | Â | Â | 4.12 (1.66) |
Factor 4 –Working collaboratively for evidence-based practice (7 items) |  | 1.66 | 0.73 | 41.65 (7.03) |
35. I always recognise when a woman's care requires referral to another health professional | 0.37 | Â | Â | 6.29 (.69) |
37. I actively seek feedback from women/others to evaluate my practice | 0.55 | Â | Â | 5.63 (1.33) |
34. I always provide my professional opinion even if other health care professionals don’t agree | 0.49 |  |  | 5.20 (1.27) |
23. I regularly examine the potential for my personal bias or agenda to influence the informed choice process | 0.42 | Â | Â | 5.79 (1.18) |
36. I know where to find evidence-based information to inform my practice | 0.42 | Â | Â | 6.27 (.85) |
38. I challenge others when a woman’s privacy is being compromised | 0.42 |  |  | 6.23 (.83) |
25. Every clinical decision I make is in collaboration with the woman | 0.42 | Â | Â | 6.24 (.87) |
Factor 5 – Works in partnership with the woman (12 items) |  | 1.44 | 0.84 | 77.61 (7.91) |
27. I always document the woman's choices | 0.33 | Â | Â | 6.56 (.60) |
52. I always use language that matches the woman’s levesl understanding | 0.44 |  |  | 6.22 (.67) |
62. I am comfortable involving family members or significant others when a woman wants this | 0.41 | Â | Â | 6.52 (.69) |
43. Sharing of responsibility requires adequate information | 0.35 | Â | Â | 6.57 (.61) |
39. I seek to minimise power imbalances through my speech and body language | 0.37 | Â | Â | 6.31 (.80) |
54. I accept that a woman can change her mind at any time regarding care | 0.44 | Â | Â | 6.64 (.50) |
40. Partnership means working closely with the woman and her significant others | 0.40 | Â | Â | 6.65 (.63) |
49. I am guided by the woman in relation to the involvement of support people | 0.46 | Â | Â | 6.72 (.49) |
48. I am interested in what a woman tells me about what is important to her | 0.62 | Â | Â | 6.73 (.49) |
45. I treat all women with courtesy no matter their life circumstances or decisions | 0.64 | Â | Â | 6.73 (.49) |
44. The relationship between a midwife and woman can influence clinical outcomes | 0.37 | Â | Â | 6.51 (.67) |
50. I ask questions about the woman’s social situation so I can offer better support | 0.42 |  |  | 6.32 (.73) |