Development and validation of the code of ethics for midwives in Iran
Abstract Background Considering ethical issues in midwifery care is essential for improving the quality of health services and the client's satisfaction. This study aimed to develop and validate the code of ethics for Midwives in Iran (ICEM). Materials and methods This was a mixed sequential st...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Medical Ethics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12910-023-00963-4 |
| _version_ | 1827708536825577472 |
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| author | Masoumeh Simbar Zahra Kiani Soheila Nazarpour Farah Babaei |
| author_facet | Masoumeh Simbar Zahra Kiani Soheila Nazarpour Farah Babaei |
| author_sort | Masoumeh Simbar |
| collection | DOAJ |
| description | Abstract Background Considering ethical issues in midwifery care is essential for improving the quality of health services and the client's satisfaction. This study aimed to develop and validate the code of ethics for Midwives in Iran (ICEM). Materials and methods This was a mixed sequential study that was performed in three phases including a qualitative study, a review, and the content validity assessment. The first phase was a qualitative study with a content analysis approach. The data were collected by conducting in-depth semi-structured individual interviews with 14 midwifery and ethics experts. The purposive sampling method was used to recruit the participants and sampling continued until data saturation. The data were analyzed using the conventional content analysis described by Graneheim and Lundman. Lincoln and Guba’s criteria were used to confirm the trustworthiness of the data. Then, a narrative review of the selected national and international codes of ethics for Midwives was performed to complete the items of the ICEM. For validity assessment, the face and content validity of the items of ICEM was assessed by 15 experts to calculate the content validity ratio (CVR) and index (CVI). Results Fourteen experts were interviewed in the qualitative phase, and 207 codes were extracted from a content analysis which were categorized into 23 sub-categories and 6 main categories. The extracted codes were considered as the items for ICEM that were completed by a review of the selected national and international code of ethics for Midwives. The content validity and ratio assessment of the items demonstrated an average CVI = 0.92 and CVR = 0.85. Then, the final version of ICEM was developed with 92 items in 6 domains about; 1) "professional Commitments" with 30 items; 2) "providing midwifery services to the client and her companions” with 26 items; 3) “relationship with colleagues" with 11 items; 4) “herself” with 6 items; 5) “education and research” with 8 items; and, 6) “management” with 11 items. Conclusion ICEM was prepared with 92 items in six sections that facilitate its use for midwives who are working in the different fields of care, counseling, education, research, and management. In this new version of the ICEM, the items related to recent social-, scientific, and technical improvements were considered for providing ethical midwifery care. |
| first_indexed | 2024-03-10T17:05:01Z |
| format | Article |
| id | doaj.art-865aac9a1ae646c39be3e4284cfa435f |
| institution | Directory Open Access Journal |
| issn | 1472-6939 |
| language | English |
| last_indexed | 2024-03-10T17:05:01Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Ethics |
| spelling | doaj.art-865aac9a1ae646c39be3e4284cfa435f2023-11-20T10:50:14ZengBMCBMC Medical Ethics1472-69392023-10-0124112310.1186/s12910-023-00963-4Development and validation of the code of ethics for midwives in IranMasoumeh Simbar0Zahra Kiani1Soheila Nazarpour2Farah Babaei3Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical SciencesMidwifery and Reproductive Health Research Center, Shahid Beheshti University of Medical SciencesDepartment of Midwifery, Chalous Branch, Islamic Azad UniversityDepartment of Midwifery, Deputy of Curative Affairs, Ministry of Health, Education and TreatmentAbstract Background Considering ethical issues in midwifery care is essential for improving the quality of health services and the client's satisfaction. This study aimed to develop and validate the code of ethics for Midwives in Iran (ICEM). Materials and methods This was a mixed sequential study that was performed in three phases including a qualitative study, a review, and the content validity assessment. The first phase was a qualitative study with a content analysis approach. The data were collected by conducting in-depth semi-structured individual interviews with 14 midwifery and ethics experts. The purposive sampling method was used to recruit the participants and sampling continued until data saturation. The data were analyzed using the conventional content analysis described by Graneheim and Lundman. Lincoln and Guba’s criteria were used to confirm the trustworthiness of the data. Then, a narrative review of the selected national and international codes of ethics for Midwives was performed to complete the items of the ICEM. For validity assessment, the face and content validity of the items of ICEM was assessed by 15 experts to calculate the content validity ratio (CVR) and index (CVI). Results Fourteen experts were interviewed in the qualitative phase, and 207 codes were extracted from a content analysis which were categorized into 23 sub-categories and 6 main categories. The extracted codes were considered as the items for ICEM that were completed by a review of the selected national and international code of ethics for Midwives. The content validity and ratio assessment of the items demonstrated an average CVI = 0.92 and CVR = 0.85. Then, the final version of ICEM was developed with 92 items in 6 domains about; 1) "professional Commitments" with 30 items; 2) "providing midwifery services to the client and her companions” with 26 items; 3) “relationship with colleagues" with 11 items; 4) “herself” with 6 items; 5) “education and research” with 8 items; and, 6) “management” with 11 items. Conclusion ICEM was prepared with 92 items in six sections that facilitate its use for midwives who are working in the different fields of care, counseling, education, research, and management. In this new version of the ICEM, the items related to recent social-, scientific, and technical improvements were considered for providing ethical midwifery care.https://doi.org/10.1186/s12910-023-00963-4EthicsCode of ethicsMidwifery |
| spellingShingle | Masoumeh Simbar Zahra Kiani Soheila Nazarpour Farah Babaei Development and validation of the code of ethics for midwives in Iran BMC Medical Ethics Ethics Code of ethics Midwifery |
| title | Development and validation of the code of ethics for midwives in Iran |
| title_full | Development and validation of the code of ethics for midwives in Iran |
| title_fullStr | Development and validation of the code of ethics for midwives in Iran |
| title_full_unstemmed | Development and validation of the code of ethics for midwives in Iran |
| title_short | Development and validation of the code of ethics for midwives in Iran |
| title_sort | development and validation of the code of ethics for midwives in iran |
| topic | Ethics Code of ethics Midwifery |
| url | https://doi.org/10.1186/s12910-023-00963-4 |
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