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How do midwives learn about, understand, and integrate Cultural Safety into their care of First Nations women and families? A qualitative exploration
Williamson, Moira Capper, Tanya S. Chee, Rachelle M. Ferguson, Bridget Lentell, Katie Haynes, Kelly
Williamson, Moira
Capper, Tanya S.
Chee, Rachelle M.
Ferguson, Bridget
Lentell, Katie
Haynes, Kelly
Abstract
Problem
Midwives are required to provide care based on Cultural Safety for First Nations women and families. Recent literature has suggested that midwives' understanding of Cultural Safety and how it translates into their practice differs widely. This disparity requires further exploration.
Background
The Australian professional midwifery codes and standards state that there is a requirement to provide care based on Cultural Safety. It is critical to understand how First Nations people’s history and culture impacts their health and wellbeing, requiring midwives to recognise how this may impact care.
Aim
To determine Australian midwives’ knowledge and understanding of Cultural Safety and how this translates into their practice when caring for First Nations women and families.
Methods
A qualitative study was undertaken. Data were collected via semi-structured interviews with 12 midwives practicing in Australia. Data were transcribed and thematically analysed.
Findings
Three themes were identified: ‘Society and Systems’, ‘Knowingness versus Understanding’, and ‘Personal Qualities, Engagement and Partnerships’ which highlight the strengths and deficits of Cultural Safety education and its integration into midwifery practice in Australia.
Discussion
Health systems providing maternity care remain rooted in Western biomedical philosophies, which influences the practice of Cultural Safety at all levels. Midwives are beginning to understand the ongoing impact of colonisation on the health and wellbeing of First Nations families, but still face challenges when striving to provide culturally safe care.
Conclusion
Cultural Safety must be valued at an organisational level, in which midwives can engage in authentic, maternity-based educational programs led by suitably prepared educators.
Keywords
cultural safety, midwifery practice, Australia, midwives, First Nations
Date
2025
Type
Journal article
Journal
Women and Birth
Book
Volume
38
Issue
1
Page Range
1-9
Article Number
Article 101868
ACU Department
School of Nursing, Midwifery and Paramedicine
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY-NC-ND 4.0
File Access
Open
Notes
© 2025 The Author(s). Published by Elsevier Ltd on behalf of Australian College f Midwives. This is an open access article under the CC BY-NC-ND
license (http://creativecommons.org/licenses/by-nc-nd/4.0/).