Assessment of the psychometric properties of the Italian version of the perceptions of empowerment in midwifery practice scale-revised (PEMS-R-IT) in midwives

Fumagalli, Simona; Borrelli, Sara; Galeoto, Giovanni; Panuccio, Francescaroberta; Pignataro, Chiara; Gottardi, Marianna; Nespoli, Antonella

Abstract

Introduction:
A higher degree of midwives’ empowerment is associated with greater job satisfaction and better midwifery care outcomes for women and their families. Empowered midwives are able to better empower women who in turn have a positive influence on the midwives’ empowerment. The aim of this study was the translation, cultural adaptation, and validation of the perceptions of empowerment in midwifery scale-revised (PEMS-R) in a group of Italian midwives.

Methods:
The World Health Organization (WHO) method was adopted to achieve the PEMS-R Italian version. This process involved five steps: 1) forward translation, 2) expert panel translation, 3) back-translation, 4) pre-testing and cognitive interviewing, and 5) final version. The test’s internal consistency and validity were assessed by following international guidelines. Internal consistency was examined through Cronbach’s alpha (α) coefficient.

Results:
The PEMS-R-IT was administered to 147 Italian midwives from northern Italy. Factor analysis of the 19 items, extracted 4 factors that explained 74.96% of the variance. The Student’s t-test for independent samples was used to identify a possible correlation between a higher/lower perception of empowerment and: 1) the education level, and 2) the years of experience of recruited midwives. No statistically significant differences were obtained in either case. The PEMS-R-IT was found to have a good internal consistency for each of its 4 subscales.

Conclusions:
The PEMS-R-IT is a valid and reliable tool, useful to assess midwives’ empowerment. It can be used in both clinical practice and research in order to investigate the level of empowerment of midwives within the Italian national context.

Citation

Fumagalli, S., Borrelli, S., Galeoto, G., Panuccio, F., Pignataro, C., Gottardi, M., & Nespoli, A. (2022). Assessment of the psychometric properties of the Italian version of the perceptions of empowerment in midwifery practice scale-revised (PEMS-R-IT) in midwives. European Journal of Midwifery, 6(May), Article 30. https://doi.org/10.18332/ejm/146587

• Journal Article Type: Article
• Acceptance Date: Feb 10, 2022
• Online Publication Date: May 23, 2022
• Publication Date: May 23, 2022
• Deposit Date: Nov 21, 2022
• Publicly Available Date: Nov 22, 2022
• Journal: European Journal of Midwifery
• Print ISSN: 2585-2906
• Electronic ISSN: 2585-2906
• Publisher: EU European Publishing
• Peer Reviewed: Peer Reviewed
• Volume: 6
• Issue: May
• Article Number: 30
• DOI: https://doi.org/10.18332/ejm/146587
• Keywords: Maternity and Midwifery; Obstetrics and Gynecology; Pediatrics, Perinatology and Child Health
• Public URL: https://nottingham-repository.worktribe.com/output/14028638
• Publisher URL: http://www.europeanjournalofmidwifery.eu/Assessment-of-the-psychometric-properties-of-the-Italian-version-of-the-perceptions,146587,0,2.html