Abstract
<p><strong>BACKGROUND:</strong> Maternal role adaptation involves conceptualization and establishment of a responsible maternal role, which is characterized by a new identity and formation of mothering behaviors. Becoming a mother in intensive care unit is very different from becoming a mother with a term infant at home. The aim of the study was to develop a valid and reliable tool for assessment of maternal role adaptation of mothers with preterm neonates admitted to neonatal intensive care units.</p><p><strong>METHODS:</strong> This was an exploratory study which was conducted in 2 phase of qualitative and quantitative. A 90-item scale was developed after semi-structured interviews with 25 mothers and review of literature. After merging the similar items, it reduced to 45-item scale. Validity was determined through assessment of face, content and constructs validities, and reliability was confirmed through internal consistency and test-retest.</p><p><strong>RESULTS</strong><strong>:</strong> Face validity led to elimination of 2 items, and further 8 items were eliminated through content validity index with cut-off point 0.79 and content validity ratio with cut-off point 0.42. Thus, the number of items reduced to 35-item. In exploratory factor analysis, 6 factors were identified that explained 54% of the variance. Construct validity led to elimination of 3 other items, and the final scale was developed with 32 items. Cronbach’s alpha and intra-class correlation coefficient were 0.77 and 0.81 respectively.</p><p><strong>CONCLUSION</strong><strong>:</strong> The 32-item “Maternal role adaptation scale in mothers with preterm neonates admitted to neonatal intensive care units” <strong>(MRAS: NICU)</strong> is a valid and reliable tool.</p>
Highlights
Mothering is the most important role for a woman (Haddadi, Chaldi, Sajjadi, & Lehi, 2011)
Face validity led to elimination of 2 items, and further 8 items were eliminated through content validity index with cut-off point 0.79 and content validity ratio with cut-off point 0.42
The 32-item “Maternal role adaptation scale in mothers with preterm neonates admitted to neonatal intensive care units” (MRAS: NICU) is a valid and reliable tool
Summary
Mothering is the most important role for a woman (Haddadi, Chaldi, Sajjadi, & Lehi, 2011). Maternal role adaptation involves conceptualization and establishment of a responsible maternal role, which is characterized by a new identity and formation of mothering behaviors (Mercer, 2004). A mother can take care of her child, only when she accepts her maternal role Admission of an infant to neonatal intensive care unit is a life-changing event for the mother and members of the family (Devellis, 2011). Maternal role adaptation involves conceptualization and establishment of a responsible maternal role, which is characterized by a new identity and formation of mothering behaviors. The aim of the study was to develop a valid and reliable tool for assessment of maternal role adaptation of mothers with preterm neonates admitted to neonatal intensive care units
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