This study aimed to develop and validate assessment items to help midwives and public health nurses identify pregnant women who may need special attention (pregnant women of concern). The research followed a structured four-step approach consisting of (1) defining the phrase “pregnant women of concern,” (2) creating assessment items based on existing research and interviews, (3) verifying these items with experienced professionals, and (4) validating the content of the assessment tool through surveys. Forty-five assessment items were developed based on previous research. To verify the appropriateness of their content, the study surveyed midwives and public health nurses with at least 10 years of experience. Content validity was confirmed using the Item-Level Content Validity Index (I-CVI) and Content Validity Index (CVI) measures. Following this confirmation, a broader questionnaire survey was conducted among midwives and public health nurses actively working with pregnant women to further assess content validity. Based on I-CVI results, some items were removed and others refined, resulting in a final set of 39 assessment items. The Scale-Level Content Validity Index (S-CVI) for the entire tool was 0.901, indicating high validity.
NISHIMURA et al. (Sun,) studied this question.