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Development of an Instrument to Assess Service Quality and Resource Adequacy in Midwifery Laboratories

تدوین ابزاری برای ارزیابی کیفیت خدمات و کفایت منابع در آزمایشگاه‌های مامایی

Hidayanti Arifuddin, A Fahira Nur, Nur Dwi Yulianti, Devi Devinda Novitasari, Charisma Destrikasari, Wulan Anjani, Putri Yuniartis, Mita Herlina Sari, Siti Rahmadani Nasution, Adhar Arifuddin

Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) 2026 Vol. 12(4)
https://doi.org/10.22487/nbm9ep81

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چکیده

Background: Midwifery laboratories are essential for developing clinical competencies, yet service quality and resource adequacy are frequently assessed separately. Objectives: This study aimed to develop and internally evaluate an integrated instrument for assessing midwifery laboratory quality. Methods: Five experts validated the instrument, and 446 midwifery students with laboratory experience completed a 44 item questionnaire. Psychometric evaluation included content validity, exploratory factor analysis (EFA), preliminary confirmatory factor analysis (CFA), Rasch analysis, and internal consistency testing. Results: The average scale content validity index was 0.982. EFA identified six factors explaining 56.96% of total variance, with the first factor contributing 44.02%. Preliminary CFA demonstrated X²/df = 2.240, RMSEA = 0.053, SRMR = 0.041, GFI = 0.991, CFI = 0.898, and TLI = 0.886. Rasch person reliability was 0.969, whereas item reliability was 0.641. Cronbach alpha reached 0.970, with corrected item total correlations ranging from 0.561 to 0.739. Conclusions: The instrument demonstrated promising internal psychometric properties for evaluating midwifery laboratory quality. However, independent external validation and comprehensive ordinal and Rasch diagnostics remain necessary before broader implementation.

چکیده به فارسی

زمینه: آزمایشگاه‌های مامایی برای توسعه شایستگی‌های بالینی ضروری هستند، اما کیفیت خدمات و کفایت منابع اغلب به طور جداگانه ارزیابی می‌شوند. اهداف: این مطالعه با هدف تدوین و ارزیابی درونی یک ابزار یکپارچه برای ارزیابی کیفیت آزمایشگاه‌های مامایی انجام شد. روش‌ها: ابزار توسط پنج نفر از خبرگان اعتبارسنجی شد و ۴۴۶ دانشجوی مامایی با تجربه آزمایشگاهی به پرسشنامه‌ای ۴۴ ماده‌ای پاسخ دادند. ارزیابی ویژگی‌های روان‌سنجی شامل روایی محتوا، تحلیل عاملی اکتشافی (EFA)، تحلیل عاملی تأییدی مقدماتی (CFA)، تحلیل Rasch و آزمون پایایی درونی بود. نتایج: شاخص روایی محتوا برای مقیاس به طور میانگین ۰.۹۸۲ بود. تحلیل عاملی اکتشافی شش عامل را شناسایی کرد که ۵۶.۹۶٪ از واریانس کل را تبیین کردند و عامل اول ۴۴.۰۲٪ سهم داشت. تحلیل عاملی تأییدی مقدماتی شاخص‌های X²/df = ۲.۲۴۰، RMSEA = ۰.۰۵۳، SRMR = ۰.۰۴۱، GFI = ۰.۹۹۱، CFI = ۰.۸۹۸ و TLI = ۰.۸۸۶ را نشان داد. پایایی فردی Rasch برابر با ۰.۹۶۹ و پایایی ماده Rasch برابر با ۰.۶۴۱ بود. آلفای کرونباخ به ۰.۹۷۰ رسید و همبستگی کل-ماده تصحیح‌شده بین ۰.۵۶۱ تا ۰.۷۳۹ بود. نتیجه‌گیری: ابزار مذکور ویژگی‌های روان‌سنجی درونی امیدوارکننده‌ای برای ارزیابی کیفیت آزمایشگاه‌های مامایی نشان داد. با این حال، اعتبارسنجی خارجی مستقل و تشخیص‌های جامع ترتیبی و Rasch پیش از اجرای گسترده‌تر ضروری است.

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موضوع‌ها و کلیدواژه‌ها

امیدروان‌سنجیRasch analysisclinical competencemidwifery educationmidwifery studentspsychometric validationquality assessment toolsresource adequacyservice quality

ارجاع

Arifuddin, H., Nur, A. F., Yulianti, N. D., Novitasari, D. D., Destrikasari, C., Anjani, W., Yuniartis, P., Sari, M. H., Nasution, S. R., & Arifuddin, A. (2026). Development of an Instrument to Assess Service Quality and Resource Adequacy in Midwifery Laboratories. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako), 12(4). https://doi.org/10.22487/nbm9ep81

(Arifuddin et al., 2026)

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قوانین پرسش و گفتگو
  1. با احترام و بدون توهین، تحقیر، برچسب‌زنی یا حمله‌ی شخصی با دیگران گفتگو کنید.
  2. از نوشتن هرگونه اطلاعات هویتی یا قابل‌شناسایی مراجعان، بیماران یا اشخاص ثالث، از جمله نام، شماره‌ی تماس، تصویر، نشانی، محل کار یا جزئیات منحصربه‌فرد پرونده خودداری کنید.
  3. اگر درباره‌ی یک تجربه‌ی بالینی سؤال می‌کنید، اطلاعات را تا حد ممکن بی‌نام و کلی بیان کنید تا امکان شناسایی فرد وجود نداشته باشد.
  4. این بخش برای یادگیری و گفت‌وگوی علمی است و جایگزین ارزیابی، تشخیص، مشاوره یا روان‌درمانی شخصی نیست.
  5. در شرایط بحران یا خطر آسیب به خود یا دیگران، به این بخش اتکا نکنید و برای دریافت کمک فوری با اورژانس اجتماعی ۱۲۳ یا صدای مشاور بهزیستی ۱۴۸۰ تماس بگیرید.
  6. انتشار تبلیغات، معرفی خدمات شخصی، شماره‌ی تلفن، شناسه‌ی شبکه‌های اجتماعی، پیوند تبلیغاتی یا درخواست جذب مراجع در این بخش مجاز نیست.
  7. در بیان ادعاهای علمی، به‌ویژه درباره‌ی اثربخشی درمان‌ها، تشخیص یا یافته‌های پژوهشی، تا حد امکان نام منبع معتبر، مقاله یا راهنمای علمی را ذکر کنید.
  8. از ارائه‌ی تشخیص قطعی، تجویز درمان یا دارو و توصیه‌های بالینی شخصی به سایر کاربران خودداری کنید.
  9. پاسخ‌هایی که کارشناسان فکر بنیان می‌دهند با برچسب «پاسخ فکر بنیان» یا «کارشناس فکر بنیان» نمایش داده می‌شوند و سایر نوشته‌ها بیانگر نظر کاربران هستند.
  10. گزارش نوشته‌ی نامناسب: اگر نوشته‌ای حاوی نقض محرمانگی، محتوای آسیب‌زا، توهین، تبلیغ یا تخلف از این قوانین است، گزینه‌ی «گزارش» را انتخاب کنید تا تیم سایت بررسی کند.

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