title: Adaption and Validation of the Picker Employee Questionnaire With Hospital Midwives.
abstract: To describe the adaption and psychometric testing of the Picker Employee Questionnaire to measure work environment, work experience, and employee engagement with midwives.
  
  
  
  Expert interviews, cognitive testing, and online survey for data collection.
  
  
  
  Obstetric departments in Germany.
  
  
  
  Midwives employed in German obstetric departments: 3,867 were invited to take part, and 1,692 (44%) responded to the survey.
  
  
  
  Questionnaire adaption involved expert interviews and cognitive testing. Psychometric evaluation was done via exploratory factor analysis, reliability analysis, and construct validity assessment.
  
  
  
  The adaption of the Picker Employee Questionnaire resulted in a tool with 75 closed questions referring to central aspects of work environment, experience, and engagement. Factor analysis yielded 10 factors explaining 51% of the variance. Themes covered were Support from Management (Immediate Superior and Hospital Management), Workload, Overtime, Scheduling, Education and Training, Interaction with Colleagues (Midwives, Physicians, and Nurses), and Engagement. Eight scales had a Cronbach's alpha coefficient of 0.7 or greater; the remaining two were 0.6 or less. The questionnaire distinguished between different subgroups of midwives and hospitals.
  
  
  
  The questionnaire is well suited for the measurement of midwives' work experience, environment, and engagement. It is a useful tool that supports employers and human resource managers in shaping and motivating an efficient work environment for midwives.
authors.forename: Katja
authors.initials: K
authors.lastname: Stahl
authors.forename: Claudia
authors.initials: C
authors.lastname: Schirmer
authors.forename: Laura
authors.initials: L
authors.lastname: Kaiser
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005163:Factor Analysis, Statistical; D005260:Female; D005858:Germany; D006761:Hospitals; D006801:Humans; D007400:Interprofessional Relations; D009721:Nurse Midwives / Q000523:psychology* / Q000706:statistics & numerical data; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D009936:Organizational Innovation; D011247:Pregnancy; D015397:Program Evaluation; D011594:Psychometrics; D011795:Surveys and Questionnaires; D000078329:Workforce
keywords: Picker Employee Questionnaire; engagement; midwives; questionnaire development; work environment; work experience