Examining the content validity of the Birthing Unit Design Spatial Evaluation Tool (BUDSET) within a woman-centred framework.

Sheehy, A; Foureur, M; Catling-Paull, C; Homer, C

Examining the content validity of the Birthing Unit Design Spatial Evaluation Tool (BUDSET) within a woman-centred framework.

Sheehy, A Foureur, M Catling-Paull, C Homer, C

Permalink

Publisher:: Elsevier Inc
Publication Type:: Journal Article
Citation:: Sheehy Annabelle et al. 2010, 'Examining the content validity of the Birthing Unit Design Spatial Evaluation Tool (BUDSET) within a woman-centred framework.', Elsevier Inc, vol. 56, no. 5, pp. 494-502.
Issue Date:: 2010

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Adobe PDF

Download 2010000201.pdfAdobe PDF (237.25 kB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Sheehy, A	en_US
dc.contributor.author	Foureur, M	en_US
dc.contributor.author	Catling-Paull, C	en_US
dc.contributor.author	Homer, C	en_US
dc.date.accessioned	2012-03-12T11:23:35Z
dc.date.available	2012-03-12T11:23:35Z
dc.date.issued	2010	en_US
dc.identifier	2010000201	en_US
dc.identifier.citation	Sheehy Annabelle et al. 2010, 'Examining the content validity of the Birthing Unit Design Spatial Evaluation Tool (BUDSET) within a woman-centred framework.', Elsevier Inc, vol. 56, no. 5, pp. 494-502.	en_US
dc.identifier.issn	1526-9523	en_US
dc.identifier.other	C1	en_US
dc.identifier.uri	http://hdl.handle.net/10453/17557
dc.description.abstract	Introduction: The environment for birth influences women in labor. Optimal birthing environments have the potential to facilitate normal labor and birth. The measurement of optimal birth units is currently not possible because there are no tools. An audit tool, the Birth Unit Design Spatial Evaluation Tool (BUDSET), was developed to assess the optimality of birthing environments. The BUDSET is based on 4 domains (fear cascade, facility, aesthetics, support), each comprising design principles that are further differentiated into specific assessable design items. In the process of developing measurement tools, content validity must be established. The aim of this study was to establish the content validity of the BUDSET from the perspective of women and midwives. Methods: This was a mixed-methods study with a survey assessing agreement with BUDSET items and in-depth interviews. Survey results were analyzed using an item-level content validity index and a survey-level validity index. Interview data were analyzed using a directed content analysis approach. The study was conducted in 2 locations¿a major maternity hospital and a midwifery research center, both in Australia. Study participants were 10 women and 2 midwifery academics. Results: The survey revealed that content-related validity varied according to the BUDSET domain, with the domains of facility and support established as content valid by most participants. The domains of the fear cascade and aesthetic were less strong, particularly among pregnant women. Interview data analysis provided content validity evidence of both the fear cascade and aesthetic domains. A further 4 subthemes of fear cascade also were identified: foreign space, medical-hospital-emergency, being sterile/clinical, and protecting the woman from the environment. Content validity evidence for facility and support domains also was established. Discussion: This study has established that the BUDSET is content valid for assessing the optima ity of birthing environments. Some further refinement of the tool is now possible.	en_US
dc.publisher	Elsevier Inc	en_US
dc.relation.ispartof	Journal of Midwifery and Women's Health	en_US
dc.relation.ispartof	Verified OK	en_US
dc.relation.hasversion	Accepted manuscript version
dc.relation.isbasedon	http://dx.doi.org/10.1111/j.1542-2011.2011.00059.x www.jmwh.org	en_US
dc.rights	Elsevier required licence: © 2010 . This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/. The definitive publisher version is available online at http://dx.doi.org/10.1111/j.1542-2011.2011.00059.x www.jmwh.org	en_US
dc.subject	environment design, facility design and construction, labor, midwifery, natural childbirth, obstetric	en_US
dc.subject.classification	Midwifery	en_US
dc.title	Examining the content validity of the Birthing Unit Design Spatial Evaluation Tool (BUDSET) within a woman-centred framework.	en_US
dc.type	Journal article
utslib.citation.volume	56	en_US
utslib.citation.number	5	en_US
utslib.location	New York, USA	en_US
utslib.citation.startpage	494	en_US
utslib.citation.endpage	502	en_US
utslib.identifier.org	NMH.Faculty of Nursing, Midwifery and Health	en_US
utslib.for	111006	en_US
utslib.percentage	000100	en_US
utslib.copyright.status	open_access

Abstract:

Introduction: The environment for birth influences women in labor. Optimal birthing environments have the potential to facilitate normal labor and birth. The measurement of optimal birth units is currently not possible because there are no tools. An audit tool, the Birth Unit Design Spatial Evaluation Tool (BUDSET), was developed to assess the optimality of birthing environments. The BUDSET is based on 4 domains (fear cascade, facility, aesthetics, support), each comprising design principles that are further differentiated into specific assessable design items. In the process of developing measurement tools, content validity must be established. The aim of this study was to establish the content validity of the BUDSET from the perspective of women and midwives. Methods: This was a mixed-methods study with a survey assessing agreement with BUDSET items and in-depth interviews. Survey results were analyzed using an item-level content validity index and a survey-level validity index. Interview data were analyzed using a directed content analysis approach. The study was conducted in 2 locations¿a major maternity hospital and a midwifery research center, both in Australia. Study participants were 10 women and 2 midwifery academics. Results: The survey revealed that content-related validity varied according to the BUDSET domain, with the domains of facility and support established as content valid by most participants. The domains of the fear cascade and aesthetic were less strong, particularly among pregnant women. Interview data analysis provided content validity evidence of both the fear cascade and aesthetic domains. A further 4 subthemes of fear cascade also were identified: foreign space, medical-hospital-emergency, being sterile/clinical, and protecting the woman from the environment. Content validity evidence for facility and support domains also was established. Discussion: This study has established that the BUDSET is content valid for assessing the optima ity of birthing environments. Some further refinement of the tool is now possible.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/17557