BMC Medical Ethics · 4 authors, 4 centres
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This mixed-methods study developed a 92-item code of ethics for midwives in Iran (ICEM) across six domains through qualitative interviews, a narrative review of international codes, and content validity assessment by experts. The resulting code achieved an average CVI of 0.92 and CVR of 0.85, indicating strong content validity.
This mixed sequential study was conducted in three phases to develop and validate the Iranian Code of Ethics for Midwives (ICEM). Phase 1 involved a qualitative content analysis of semi-structured interviews with 14 midwifery and ethics experts, yielding 207 codes organized into 23 sub-categories and 6 main categories. Phase 2 was a narrative review of selected national and international midwifery ethics codes, including those from the ICM, ACNM, and UKNMC, which supplemented and completed the initial item set. Phase 3 assessed face and content validity using 15 experts, calculating the content validity ratio (CVR) and content validity index (CVI). Average CVI was 0.92 and CVR was 0.85.
