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Psychometric Measurement of Perceived Stress among Midwives at Primary Health Care Province of Central Java Indonesia

Introduction: Midviwes at Primary Health Care (PHC) are a unique profession. They have some complex responsibilities and must standby 24 hours/day to provide medical and administrative maternal and child health care at PHC and community. In addition, the government regulation on PHC accreditation requires skills and concentration of midwives. These responsibilities are thought to contribute to the incidence of stress on them. Objectives: to determine characteristics of midwives and their relationship with perceived stress. 
Method: The study included 231 midwives working with PHC from Province of Central Java who responded the online questionnaire for two weeks. A structured questionnaire was used to knew midviwes’ characteristics and assessed perceived stress by perceived stress scale (PSS) instrument. The data was analyzed using SPSS version 20. 
Results: Mean age of midwives are 40 years and they are working at accredited PHC ( 91.3%), only 36.8% who get a training of Basic Obstetric Neonates Emergency (BONE). Almost ¾ midwives have perceived stress in the moderate category ( mean= 16.5 SD= 5.08 ). There were no significant correlation between variables age, number of patients per day, training of BONE, accreditation status of PHC and education with perceived stress (p > 0.05). The correlation between administrative responsibilities by midwives and PSS scores was significant (p < 0.05). 
Conclusions: PSS was reliabel to measure perceived stress among midviwes at PHC (Cronbach’s Alpha > 0.7). Future research should