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PARENTS' POSTNATAL SENASE OF SECURITY (PPSS) Developing a specific instrument and evaluating variables important for the mother’s and the father’s sense of security during the first postnatal week

Persson, Eva I LU (2007)
Abstract
Background: Postnatal sense of security, for parents, the first week after childbirth is important for their own and their baby’s wellbeing. Variables influencing the mother’s, and particularly the father’s, sense of security during the first postnatal week are not well known. No instrument measuring dimensions which can be influenced and supported by the postnatal health care team has been found and therefore one needed to be developed.

Aim: The overall aim of this thesis was to develop a specific instrument and evaluate variables important both for the mother’s and the father’s sense of security the first postnatal week. The aim in paper I was to develop a specific instrument to assess both mothers’ and fathers’ postnatal sense... (More)
Background: Postnatal sense of security, for parents, the first week after childbirth is important for their own and their baby’s wellbeing. Variables influencing the mother’s, and particularly the father’s, sense of security during the first postnatal week are not well known. No instrument measuring dimensions which can be influenced and supported by the postnatal health care team has been found and therefore one needed to be developed.

Aim: The overall aim of this thesis was to develop a specific instrument and evaluate variables important both for the mother’s and the father’s sense of security the first postnatal week. The aim in paper I was to develop a specific instrument to assess both mothers’ and fathers’ postnatal sense of security concerning the first postnatal week. In paper II the aim was to evaluate dimensions of both parents’ postnatal sense of security the first week after childbirth and to determine associations between the PPSS instrument and different socio-demographical and situational background variables.

Design: This thesis had a methodological design (Paper I) and an evaluating design (Paper II). Paper I was carried out in four steps; construction of the items, face validity, data collection and data analysis.

Settings and participants: One hundred and thirteen mothers and 99 fathers took part. All had given birth to a live infant at term, in one of five hospitals in southern Sweden (Paper I and II).

Data processing and analysis: Statistical analysis of the instrument, testing for construct validity with explorative factor analysis, internal consistency reliability and concurrent validity using a specific item about experienced security (Paper I) and Mann-Whitney U-test, multiple linear regression analysis as well as multiple logistic regression analysis (Paper II) was carried out. The PPSS instrument developed in paper I was used in all analyses in paper II.

Findings: The Parents’ Postnatal Sense of Security (PPSS) instrument, mother’s version, was reduced to 18 items (explained variance 66.8 %, Cronbach’s coefficient alpha 0.88) comprising of the following dimensions; a sense of the midwife’s empowering behaviour, a sense of general wellbeing, a sense of affinity within the family and a sense that breast feeding was manageable. The father’s version was reduced to 13 items (explained variance 69 %, Cronbach’s coefficient alpha 0.77) and comprised of the following dimensions; a sense of the midwife’s empowering behaviour, a sense of the mother’s general wellbeing including breast feeding, a sense of general wellbeing and a sense of affinity within the family (Paper I). Of the dimensions in the PPSS instrument, a sense of the midwife’s empowering behaviour, a sense of ones own general wellbeing and a sense of the mother’s wellbeing, as experienced by the father, were significantly associated with a single item about experienced security. Besides general anxiety, measured by the STAI-trait instrument, and parity, a sense of participation during pregnancy was the only significant associated background variable for postnatal sense of security, for both parents. For the mother, a sense that the father was participating was also significant (Paper II).

Conclusions: The newly developed PPSS instrument is a valid and reliable instrument and the only specific postnatal instrument measuring both parents’ postnatal sense of security and related dimensions, but needs further evaluation. More focus on the midwife’s empowering behaviour during the postnatal period, as well as sense of participation during pregnancy, are beneficial for both parents’ postnatal sense of security. (Less)
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Thesis
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keywords
Mother Father Parent Postnatal Security
publisher
Lund University
language
English
LU publication?
yes
id
5875b24d-d1a4-4f26-8f88-058fca286194 (old id 1030434)
date added to LUP
2008-02-11 12:55:05
date last changed
2016-09-19 08:45:05
@misc{5875b24d-d1a4-4f26-8f88-058fca286194,
  abstract     = {Background: Postnatal sense of security, for parents, the first week after childbirth is important for their own and their baby’s wellbeing. Variables influencing the mother’s, and particularly the father’s, sense of security during the first postnatal week are not well known. No instrument measuring dimensions which can be influenced and supported by the postnatal health care team has been found and therefore one needed to be developed. <br/><br>
Aim: The overall aim of this thesis was to develop a specific instrument and evaluate variables important both for the mother’s and the father’s sense of security the first postnatal week. The aim in paper I was to develop a specific instrument to assess both mothers’ and fathers’ postnatal sense of security concerning the first postnatal week. In paper II the aim was to evaluate dimensions of both parents’ postnatal sense of security the first week after childbirth and to determine associations between the PPSS instrument and different socio-demographical and situational background variables.<br/><br>
Design: This thesis had a methodological design (Paper I) and an evaluating design (Paper II). Paper I was carried out in four steps; construction of the items, face validity, data collection and data analysis.<br/><br>
Settings and participants: One hundred and thirteen mothers and 99 fathers took part. All had given birth to a live infant at term, in one of five hospitals in southern Sweden (Paper I and II).<br/><br>
Data processing and analysis: Statistical analysis of the instrument, testing for construct validity with explorative factor analysis, internal consistency reliability and concurrent validity using a specific item about experienced security (Paper I) and Mann-Whitney U-test, multiple linear regression analysis as well as multiple logistic regression analysis (Paper II) was carried out. The PPSS instrument developed in paper I was used in all analyses in paper II.<br/><br>
Findings: The Parents’ Postnatal Sense of Security (PPSS) instrument, mother’s version, was reduced to 18 items (explained variance 66.8 %, Cronbach’s coefficient alpha 0.88) comprising of the following dimensions; a sense of the midwife’s empowering behaviour, a sense of general wellbeing, a sense of affinity within the family and a sense that breast feeding was manageable. The father’s version was reduced to 13 items (explained variance 69 %, Cronbach’s coefficient alpha 0.77) and comprised of the following dimensions; a sense of the midwife’s empowering behaviour, a sense of the mother’s general wellbeing including breast feeding, a sense of general wellbeing and a sense of affinity within the family (Paper I). Of the dimensions in the PPSS instrument, a sense of the midwife’s empowering behaviour, a sense of ones own general wellbeing and a sense of the mother’s wellbeing, as experienced by the father, were significantly associated with a single item about experienced security. Besides general anxiety, measured by the STAI-trait instrument, and parity, a sense of participation during pregnancy was the only significant associated background variable for postnatal sense of security, for both parents. For the mother, a sense that the father was participating was also significant (Paper II). <br/><br>
Conclusions: The newly developed PPSS instrument is a valid and reliable instrument and the only specific postnatal instrument measuring both parents’ postnatal sense of security and related dimensions, but needs further evaluation. More focus on the midwife’s empowering behaviour during the postnatal period, as well as sense of participation during pregnancy, are beneficial for both parents’ postnatal sense of security.},
  author       = {Persson, Eva I},
  keyword      = {Mother Father Parent Postnatal Security},
  language     = {eng},
  note         = {Licentiate Thesis},
  publisher    = {Lund University},
  title        = {PARENTS' POSTNATAL SENASE OF SECURITY (PPSS) Developing a specific instrument and evaluating variables important for the mother’s and the father’s sense of security during the first postnatal week},
  year         = {2007},
}