TY  - JOUR
T1  - Structural Equation Modeling of Medical Ethics Practices in Childbirth: Insights from Southern Iran
A1  - Yasmin Rahman
A1  - Farid Ahmed
JF  - Asian Journal of Ethics in Health and Medicine
JO  - Asian J Ethics Health Med
SN  - 3108-5059
Y1  - 2023
VL  - 3
IS  - 1
DO  - 10.51847/OxWDAoFo73
SP  - 167
EP  - 175
N2  - When researchers have an instrument that accurately captures how mothers perceive ethical conduct in childbirth, it becomes possible to design strategies that strengthen supportive and ethical maternity care attitudes. In this work, we sought to evaluate whether the Medical Ethics Attitude in Vaginal Delivery Questionnaire (MEAVDQ) adequately reflects the underlying constructs it is intended to measure. The research was conducted among 350 mothers, using the MEAVDQ as the primary data-collection tool. This questionnaire contains 59 items organized into three sections: Section A examines the first ethical principle, Section B focuses on the second and third principles, and Section J evaluates the fourth. To assess whether the questionnaire reflects its intended theoretical framework, construct validity was analyzed through Structural Equation Modeling (SEM).The SEM analysis demonstrated a positive association between components A and B, as well as a significant positive relationship between B and J. Furthermore, component A was found to influence J both directly and indirectly. Specifically, each one-unit increase in A resulted in a direct increase of 0.16 in J (95% CI: 0.01–0.33). Additionally, when accounting for the mediating effect of B, a one-unit increase in A led to an indirect increase of 0.39 in J (95% CI: 0.26–0.53).It is recommended that midwifery policymakers and practitioners prioritize the first principle of medical ethics—respect for autonomy—during childbirth. Upholding mothers’ autonomy can contribute to a more positive and empowering birth experience.
UR  - https://smerpub.com/article/structural-equation-modeling-of-medical-ethics-practices-in-childbirth-insights-from-southern-iran-kczsfqu08vjxnpv
ER  -