How is cultural safety understood and translated into midwifery practice? A scoping review and thematic analysis

Journal article


Capper, Tanya S., Williamson, Moira and Chee, Rachelle. (2023). How is cultural safety understood and translated into midwifery practice? A scoping review and thematic analysis. Nurse Education in Practice. 66, p. Article 103507. https://doi.org/10.1016/j.nepr.2022.103507
AuthorsCapper, Tanya S., Williamson, Moira and Chee, Rachelle
Abstract

Aim
To identify and understand the scope of the literature published since January 2008 that explored Australian midwives understanding of cultural safety and how this is translated into their practice when caring for First Nations women and families.

Background
Recognition and understanding of First Nations peoples history and culture and the impact this has on the health and wellbeing of women and their families is essential if the midwife is to promote culturally safe and respectful maternity care. The role and responsibilities of the midwife in ensuring that their practice is culturally safe are now reflected in the Australian professional midwifery codes and standards. Whilst midwifery academics’ awareness of cultural safety and how it is taught within midwifery education programs have previously been explored, at present, little is known about midwives’ understanding of cultural safety, and how this translates into their clinical practice.

Methods
A Scoping Review was undertaken following Arksey and O’Malley’s five step process. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta Analyses – Scoping Review extension checklist. Twelve studies met the criteria for inclusion. Thematic analysis was used to analyse the data and organise the results.

Results
Thematic analysis, guided by two predetermined review questions led to the identification of six overarching themes: ‘Awareness of deficiencies’, ‘The importance of meeting women’s diverse needs’, ‘Understanding relationships as a foundation for culturally safe care’, ‘Working in partnership with others’, ‘Providing individualised care’ and ‘Fostering effective relationships and communication’. One sub-theme of the first theme was identified, this was named ‘Seeking an understanding of culture’.

Conclusion
Australian midwives’ level of understanding of cultural safety and how it is translated into their midwifery practice when caring for First Nations women and their families differ widely. Midwives across Australia require increased and equitable access to appropriate opportunities to improve their knowledge and understanding of cultural safety. Whilst theoretical learning on cultural safety has a place in all midwives annual mandatory training requirements, this should ideally be supplemented, where possible, with opportunities for immersive practice in communities. Immersion was considered the optimal way to gain rich knowledge and understanding to strengthen culturally safe midwifery practice. Continuity models of midwifery care which incorporate the principles of cultural safety should be consistently implemented across Australia. These models enable midwives, women, families, communities, and Aboriginal Support Workers to work in collaboration towards achieving optimal outcomes for mothers and babies.

Keywordscultural safety; midwifery practice; Australia; scoping review; education; midwives; First Nations
Year2023
JournalNurse Education in Practice
Journal citation66, p. Article 103507
PublisherElsevier Ltd
ISSN1471-5953
Digital Object Identifier (DOI)https://doi.org/10.1016/j.nepr.2022.103507
PubMed ID36410133
Scopus EID2-s2.0-85142137476
Page range1-12
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online16 Nov 2022
Publication process dates
Accepted14 Nov 2022
Deposited09 Nov 2023
Permalink -

https://acuresearchbank.acu.edu.au/item/8zyv1/how-is-cultural-safety-understood-and-translated-into-midwifery-practice-a-scoping-review-and-thematic-analysis

Restricted files

Publisher's version

  • 31
    total views
  • 0
    total downloads
  • 2
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Optimising mother–baby outcomes of pregnancy and childbirth in prison requires both individual and systems review [Commentary]
Baldwin, Adele and Capper, Tanya. (2023). Optimising mother–baby outcomes of pregnancy and childbirth in prison requires both individual and systems review [Commentary]. Evidence-Based Nursing. 26(1), pp. 39-39. https://doi.org/10.1136/ebnurs-2022-103561
The impact of social media influencers on pregnancy, birth, and early parenting experiences : A systematic review
Chee, Rachelle M., Capper, Tanya S. and Muurlink, Olav T.. (2023). The impact of social media influencers on pregnancy, birth, and early parenting experiences : A systematic review. Midwifery. 120, p. Article 103623. https://doi.org/10.1016/j.midw.2023.103623
Midwifery care and social media [Commentary]
Chee, Rachelle, Capper, Tanya and Muurlink, Olav. (2023). Midwifery care and social media [Commentary]. British Journal of Midwifery. 31(2), pp. 112-115. https://doi.org/10.12968/bjom.2023.31.2.112
Individual and environmental factors that influence longevity of newcomers to nursing and midwifery : A scoping review
Brown, Janie Alison, Capper, Tanya, Hegney, Desley, Donovan, Helen, Williamson, Moira, Calleja, Pauline, Solomans, Terena and Wilson, Sally. (2023). Individual and environmental factors that influence longevity of newcomers to nursing and midwifery : A scoping review. JBI Evidence Synthesis. pp. 1-37. https://doi.org/10.11124/JBIES-22-00367
How do new midwives’ early workforce experiences influence their career plans? An integrative review of the literature
Capper, Tanya S., Haynes, Kelly and Williamson, Moira. (2023). How do new midwives’ early workforce experiences influence their career plans? An integrative review of the literature. Nurse Education in Practice. 70, p. Article 103689. https://doi.org/10.1016/j.nepr.2023.103689
Social media influencers' impact during pregnancy and parenting : A qualitative descriptive study
Chee, Rachelle M., Capper, Tanya S. and Muurlink, Olav T.. (2023). Social media influencers' impact during pregnancy and parenting : A qualitative descriptive study. Research in Nursing and Health. pp. 1-10. https://doi.org/10.1002/nur.22350
A qualitative descriptive inquiry into factors influencing early weaning and breastfeeding duration among first-time mothers in Papua New Guinea’s rural eastern highlands
Maviso, McKenzie Ken, Ferguson, Bridget, Kaforau, Lillian Maye and Capper, Tanya. (2022). A qualitative descriptive inquiry into factors influencing early weaning and breastfeeding duration among first-time mothers in Papua New Guinea’s rural eastern highlands. Women and Birth. 35(1), pp. e68-e74. https://doi.org/10.1016/j.wombi.2021.01.006
Promoting nurses’ and midwives’ ethical responsibilities towards vulnerable people : An alignment of research and clinical practice
Baldwin, Adele, Capper, Tanya, Harvey, Clare, Willis, Eileen, Ferguson, Bridget and Browning, Natalie. (2022). Promoting nurses’ and midwives’ ethical responsibilities towards vulnerable people : An alignment of research and clinical practice. Journal of Nursing Management. 30(7), pp. 2442-2447. https://doi.org/10.1111/jonm.13764
Workplace violence in the Australian and New Zealand midwifery workforce : A scoping review
Capper, Tanya S., Thorn, Megan and Muurlink, Olav T.. (2022). Workplace violence in the Australian and New Zealand midwifery workforce : A scoping review. Journal of Nursing Management. 30(6), pp. 1831-1842. https://doi.org/10.1111/jonm.13766
The parents are watching : Midwifery students’ perceptions of how workplace bullying impacts mothers and babies
Capper, Tanya S., Muurlink, Olav T. and Williamson, Moira J.. (2021). The parents are watching : Midwifery students’ perceptions of how workplace bullying impacts mothers and babies. Midwifery. 103, p. Article 103144. https://doi.org/10.1016/j.midw.2021.103144
Midwifery students’ perceptions of the modifiable organisational factors that foster bullying behaviours whilst on clinical placement. A qualitative descriptive study
Capper, Tanya S., Muurlink, Olav T. and Williamson, Moira J.. (2021). Midwifery students’ perceptions of the modifiable organisational factors that foster bullying behaviours whilst on clinical placement. A qualitative descriptive study. Women and Birth. 34(6), pp. e608-e615. https://doi.org/10.1016/j.wombi.2020.12.005
Social culture and the bullying of midwifery students whilst on clinical placement : A qualitative descriptive exploration
Capper, Tanya, Muurlink, Olav and Williamson, Moira. (2021). Social culture and the bullying of midwifery students whilst on clinical placement : A qualitative descriptive exploration. Nurse Education in Practice. 52, p. Article 103045. https://doi.org/10.1016/j.nepr.2021.103045
Online learning and teaching approaches used in midwifery programs : A scoping review
Downer, Terri, Gray, Michelle and Capper, Tanya. (2021). Online learning and teaching approaches used in midwifery programs : A scoping review. Nurse Education Today. 103, p. Article 104980. https://doi.org/10.1016/j.nedt.2021.104980
Pregnant in prison : An integrative literature review
Baldwin, Adele, Sobolewska, Agnieszka and Capper, Tanya. (2020). Pregnant in prison : An integrative literature review. Women and Birth. 33(1), pp. 41-50. https://doi.org/10.1016/j.wombi.2018.12.004
Midwifery student's perceptions of completing a portfolio of evidence for initial registration : A qualitative exploratory study
Gray, Michelle, Downer, Terri and Capper, Tanya. (2020). Midwifery student's perceptions of completing a portfolio of evidence for initial registration : A qualitative exploratory study. Nurse Education in Practice. 43, p. Article 102696. https://doi.org/10.1016/j.nepr.2020.102696
Midwifery students’ experiences of bullying and workplace violence : A systematic review
Capper, Tanya, Muurlink, Olav and Williamson, Moira. (2020). Midwifery students’ experiences of bullying and workplace violence : A systematic review. Midwifery. 90, p. Article 102819. https://doi.org/10.1016/j.midw.2020.102819
Individual and environmental factors that influence longevity of newcomers to nursing and midwifery : A scoping review protocol
Capper, Tanya, Brown, Janie, Donovan, Helen, Hegney, Desley, Williamson, Moira, Cusack, Lynette, Solomans, Terena and Wilson, Sally. (2020). Individual and environmental factors that influence longevity of newcomers to nursing and midwifery : A scoping review protocol. JBI Evidence Synthesis. 18(6), pp. 1271-1277. https://doi.org/10.11124/JBIES-20-00003
Being bullied as a midwifery student : Does age matter?
Capper, Tanya, Muurlink, Olav and Williamson, Moira. (2020). Being bullied as a midwifery student : Does age matter? British Journal of Midwifery. 28(3), pp. 166-171. https://doi.org/10.12968/bjom.2020.28.3.166
The Australian Birth Charter
Capper, Tanya and Baldwin, Adele. (2020). The Australian Birth Charter. Australian Midwifery News. 21(1), pp. 32-34.
Midwifery students helping incarcerated fathers : M2 Midwives for Men pilot project
Ferguson, Bridget, Baldwin, Adele and Capper, Tanya. (2020). Midwifery students helping incarcerated fathers : M2 Midwives for Men pilot project. Australian Midwifery News. 22(1), pp. 50-51.
Transitioning across professional boundaries in midwifery models of care : A literature review
Baldwin, Adele, Harvey, Clare, Willis, Eileen, Ferguson, Bridget and Capper, Tanya. (2019). Transitioning across professional boundaries in midwifery models of care : A literature review. Women and Birth. 32(3), pp. 195-203. https://doi.org/10.1016/j.wombi.2018.08.003
Australian midwifery student's perceptions of the benefits and challenges associated with completing a portfolio of evidence for initial registration : Paper based and ePortfolios
Gray, Michelle, Downer, Terri and Capper, Tanya. (2019). Australian midwifery student's perceptions of the benefits and challenges associated with completing a portfolio of evidence for initial registration : Paper based and ePortfolios. Nurse Education in Practice. 39, pp. 37-44. https://doi.org/10.1016/j.nepr.2019.07.003
The implementation of a feedback tool for mothers that have participated in the continuity of Care journey with midwifery students at Central Queensland University
Capper, Tanya. (2019). The implementation of a feedback tool for mothers that have participated in the continuity of Care journey with midwifery students at Central Queensland University. Australian Midwifery News. 19(2), pp. 26-26.
Midwifery care of HIV positive mothers in Australia
Capper, Tanya. (2019). Midwifery care of HIV positive mothers in Australia. Australian Midwifery News. 19(3), pp. 35-36.
From the ground up : Improving pregnancy and birth experiences through the provision of extraordinary learning opportunities in Australia
Baldwin, Adele, Capper, Tanya, Rogers, Lucy and Wood, Elspeth. (2018). From the ground up : Improving pregnancy and birth experiences through the provision of extraordinary learning opportunities in Australia. Journal of Forensic Nursing. 14(2), pp. 80-87. https://doi.org/10.1097/JFN.0000000000000200
Midwifery students go to prison
Capper, Tanya. (2017). Midwifery students go to prison. Australian Midwifery News. 17(3), pp. 24-24.