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Development of a Concourse for a Q-Method Study about Midwives’ 2perspectives of Woman-Centered Care

Fontein-Kuipers, Yvonne



Objective: To transparently describe the development of a Q-set for a Q-method study about midwives’ perspectives of woman-centered care.

Research design: Q-methodology is a relevant study approach to identify key viewpoints that are relevant for practitioners and for educational purposes. The development of a set of statements (Q-sample) is the first phase of this study’s methodology, forming the research instrument – and being the focus of this paper.

Methods: Q-set development and construction included four steps: (1) Collections of items, (2) Q sample selection, (3) Formulating the Q statements, (4) Validation of the Q sample. Methods to collect items included a systematic review, a scoping review and personal narratives.

Results: We used scientific literature, Dutch midwifery journals, international governmental and healthcare professional reports and guidelines, practising midwives, midwifery lecturers, media, fiction and art as sources to collect items. A collection of 45 Q-statements was formulated according the Attitude, Social influence & self-Efficacy (ASE) model. The statements were pre-tested among student midwives and pilot-tested by midwifery Master students and two individual midwives, resulting in a final Q-set of 39 statements.

Conclusion: We systematically, thoroughly and transparently developed a valid and robust Q-set. Albeit a time consuming process and granting that the Q-statements might not represent thoughts of midwives in other countries than the Netherlands, we have constructed a concourse based on rich and detailed information that is appropriate for a Q-method study among Dutch midwives about their perspectives of woman-centered care.

Journal Article Type Article
Acceptance Date Sep 27, 2016
Online Publication Date Oct 2, 2016
Publication Date Oct 2, 2017
Deposit Date Feb 21, 2022
Publicly Available Date Feb 21, 2022
Journal Health Education and Care
Peer Reviewed Peer Reviewed
Volume 1
Issue 2
Pages 31-36
Keywords Q-method, Q-set, woman-centered care, midwifery
Public URL


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