title: Content Validity Testing of the Maternal Fetal Triage Index.
abstract: OBJECTIVE
  To describe the development and content validity testing of the Maternal Fetal Triage Index (MFTI), a standardized tool for obstetric triage.
  
  
  METHODS
  Online survey.
  
  
  METHODS
  Participants included 15 registered nurses, 15 certified nurse-midwives, and 15 physicians from across the United States who provided maternity care.
  
  
  METHODS
  A convenience sample of experienced clinicians was used as content validators for the MFTI. An item content validity index (I-CVI) was computed for the tool's items and a scale content validity index (S-CVI) was computed for the tool's scale based on the responses submitted via the online survey. Two rounds of content validation occurred.
  
  
  RESULTS
  In the first round of testing, a total of 12 of 61 items in the MFTI did not meet the I-CVI threshold of greater than 0.78 because of disagreement about clinical condition (75%) or priority level placement (25%). In the second round of testing, all but 3 of the 69 content items in the revised version of the MFTI had I-CVI thresholds greater than 0.78. These 3 items were related to vital sign values. The overall S-CVI score calculated for Round 2 only was 0.95, which was greater than the threshold of 0.90.
  
  
  CONCLUSIONS
  The results of the content validity testing of multidisciplinary validators suggest that the MFTI is a valid tool for use in obstetric triage and evaluation settings.
authors.forename: Catherine
authors.initials: C
authors.lastname: Ruhl
authors.forename: Benjamin
authors.initials: B
authors.lastname: Scheich
authors.forename: Brea
authors.initials: B
authors.lastname: Onokpise
authors.forename: Debra
authors.initials: D
authors.lastname: Bingham
mesh_terms: D000328:Adult; D002983:Clinical Competence; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D033183:Interdisciplinary Communication; D033261:Maternal-Fetal Relations; D009773:Obstetric Nursing / Q000458:organization & administration; D010348:Patient Care Team / Q000458:organization & administration*; D010817:Physician-Patient Relations; D011247:Pregnancy; D014218:Triage / Q000592:standards*
keywords: Maternal Fetal Triage Index; content validity; obstetric triage; standardization