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ArticleBMC nursing2025

The episiotomy self-efficacy scale: a scale development study.

Büşra Yolcu, Zeliha Demir Kaymak, Zekiye Turan, Yasemin Hamlaci Başkaya

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In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07344129 (The Effect of Using the Learning in Pairs), which is not on this map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07344129 nacompletednot on this mapstarted 2026, after this paper: background citation

The Effect of Using the Learning in Pairs (LiP) Model in Episiotomy Education on Students' Episiotomy Knowledge, Self-Efficacy, and Anxiety Levels

TypeinterventionalSponsorSakarya UniversityRan2026 to 2026Enrolled92ConditionsLearning in Pairs, Episiotomy PracticeArmsApplication with learning in pairs
3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Büşra YolcuDepartment of Midwifery, Faculty of Health Sciences, Sakarya University, Sakarya, Turkey. busrayolcu@sakarya.edu.tr.ORCID http://orcid.org/0000-0001-8896-4370
Zeliha Demir KaymakDepartment of Computer Education and Instructional Technologies, Faculty of Education, Sakarya University, Sakarya, Turkey.ORCID http://orcid.org/0000-0002-9317-9198
Zekiye TuranDepartment of Obstetrics and Gynecology Nursing, Faculty of Health Sciences, Sakarya University, Sakarya, Turkey.ORCID http://orcid.org/0000-0002-2763-2820
Yasemin Hamlaci BaşkayaDepartment of Midwifery, Faculty of Health Sciences, Sakarya University, Sakarya, Turkey.ORCID http://orcid.org/0000-0002-1533-8667

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-efficacy mediates between knowledge and behaviour and is related to professional competence. It is very important to provide students with episiotomy skills, which are among the most important practices of midwives, and to increase their self-efficacy in this regard.

aimThe aim of this study was to develop a measurement tool that measures the self-efficacy of midwives regarding episiotomy application, one of the most critical tasks of midwives, in terms of cognitive, affective, motivational and psychomotor aspects.

methodsThis methodological study was conducted with midwifery students in their 2nd, 3rd and 4th years. A sociodemographic information form and a draft episiotomy self-efficacy scale were used to collect data. Factor analysis, Cronbach's alpha and item-total score correlations were used to evaluate the data and two levels of confirmatory factor analysis (CFA) were conducted in the study.

resultsThe results of second-level CFA indicated the emergence of a structure consisting of seventeen items and four sub-dimensions. The factor loadings of the scale exhibited a range of 0.62-0.93. The goodness-of-fit index values were: RMSEA, 0.079; CFI, 0.961; AGFI, 0.834; and GFI, 0.875. Cronbach's alpha for the entire scale was found to be 0.955 and the corrected item-total correlations of the items were between 0.573 and 0.810.

conclusionsIt was concluded that the overall scale is a valid and reliable measurement tool for midwifery students. Further studies are recommended to assess the validity and reliability of the scale using item pools in different languages. RELEVANCE TO CLINICAL PRACTICE: Self-efficacy mediates between knowledge and behaviour and is related to professional competence. Therefore, determination of self-efficacy related to practices plays a major role in the way education is transferred. In this study, a scale was developed that measures individuals' episiotomy self-efficacy. This scale can distinguish between individuals with high or low episiotomy self-efficacy and individuals who take episiotomy course or not. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

EpisiotomyMidwiferyScale developmentSelf-efficacy

Identifiers

PMID40676655
PMCPMC12269255

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