From: Development of a scale to evaluate midwives’ beliefs about assessing alcohol use during pregnancy
Factor | ||||||
---|---|---|---|---|---|---|
Item (n = 30) | Discomfort | Capacity | Effectiveness | Role | Trust | Knowledge |
1. Will cause anxiety and guilt among women who have consumed alcohol during pregnancy | .802 | -.106 | ||||
2. Asking pregnant women about whether they have consumed alcohol during pregnancy can make them feel uncomfortable | .780 | |||||
3. Pregnant women don’t like to be asked about whether they have consumed alcohol during pregnancy | .732 | -.144 | ||||
4. Will distress or anger pregnant women | .721 | .177 | ||||
5. Will lead to some women feeling judged | .710 | .176 | .190 | -.140 | -.147 | |
6. Could make women fear losing custody of their child | .633 | -.163 | ||||
7. Asking pregnant women whether they have consumed alcohol during pregnancy could appear judgemental | .592 | .268 | ||||
8. Will threaten my relationship with pregnant women | .527 | .205 | .147 | |||
9. I don’t like asking pregnant women to describe their behaviours which may have harmed their child | .506 | 247 | -.114 | .149 | .100 | |
10. I have doubts about whether I am doing the right thing when pregnant women who have only consumed small amounts of alcohol experience guilt after discussing their alcohol consumption | .464 | .236 | .170 | |||
11. Will uncover complex problems that are difficult for us to address as midwives | .423 | -.241 | ||||
12. When I discuss the effects on the fetus and child of alcohol consumption during pregnancy I know what to say (R) | .935 | -.105 | ||||
13. I have sufficient referral resources to adequately address alcohol use problems once identified (R) | -.102 | .704 | .157 | -.158 | ||
14. I have a good understanding of the evidence for the recommendation of no alcohol in pregnancy (R) | .593 | .291 | -.126 | |||
15. I always know what to say when I ask pregnant women about whether they have consumed alcohol during pregnancy (R) | .444 | -.138 | .221 | .254 | ||
16. I know exactly what I need to do to ask pregnant women about whether they have consumed alcohol during pregnancy (R) | .403 | .219 | .152 | .148 | -.100 | |
17. Improves women’s awareness of the importance of not consuming alcohol during pregnancy (R) | .671 | -.151 | .103 | |||
18. Will identify women who need support to stop consuming alcohol during pregnancy (R) | .660 | |||||
19. Is necessary for me to provide appropriate advice and support (R) | .630 | |||||
20. Will enable changes in behaviour and improved health outcomes for the mother and child (R) | .598 | .233 | ||||
21. Brief intervention (assessment, feedback, counselling and referral to a specialist if necessary) to decrease alcohol exposure in pregnancy is effective (R) | .278 | .480 | ||||
22. Documentation of any amount of alcohol exposure in pregnancy is important (R) | -.107 | .976 | ||||
23. Identifying all women who drink any amount of alcohol during pregnancy is good practice (R) | .751 | |||||
24. Identifying all women who drink alcohol during pregnancy can help to improve health outcomes (R) | .178 | .159 | .503 | -.174 | .128 | |
25. I don’t have sufficient time to ask every pregnant woman about whether they have consumed alcohol during pregnancy | .131 | -.250 | .447 | .198 | ||
26. I am uncomfortable asking pregnant women about their alcohol consumption before establishing a relationship of trust with them | -.141 | .207 | -.122 | .811 | ||
27. I am uncomfortable asking pregnant women about their alcohol consumption when it is the first time I have met them | -.131 | .726 | ||||
28. I am uncomfortable asking pregnant women about their alcohol consumption as I may have a responsibility to notify the Department of Child Protection | .229 | -.124 | .521 | |||
29. Most pregnant women already have good knowledge about alcohol consumption in pregnancy | -.124 | .869 | ||||
30. Most pregnant women know not to drink alcohol during pregnancy | .822 |