The Spanish version of the Students’ Perceptions of Respectful Maternity Care scale: cultural adaptation and psychometric validation

The quality of care provided during pregnancy, childbirth, and postpartum has a direct impact on maternal health and women’s experiences. To culturally adapt and translate the “Student Perceptions of Respectful Maternity Care (SPRMC)” instrument into the Spanish and to conduct a preliminary psychometric evaluation of the resulting version. The SPRMC scale was translated into Spanish through a forward translation and cultural adaptation process, including expert consensus and pilot testing. Its psychometric properties were subsequently evaluated in a convenience sample of 209 participants, comprising undergraduate nursing students and healthcare professionals enrolled as students in the same university training programme. Factor analysis identified a five-factor structure: Respectful Care, Safety and Comfort, Supportive Care, Safe Space, and Disrespect and Autonomy, explaining 41.1% of total variance. The instrument’s internal consistency was 0.812 measured through McDonald’s ω, leading to preliminary evidence of the PCMR-E scale. Results provide preliminary evidence of validity and internal consistency of the PCMR-E. This tool may be useful in practice as a resource for training in ethical, communicative, and woman-centred care competencies.