Midwives’ experiences of cultural competency training and providing perinatal care for migrant women a mixed methods study: Operational Refugee and Migrant Maternal Approach (ORAMMA) project

BMC Pregnancy and Childbirth

Eleanor Shaw¹  Catherine Burke²  Helen Watson²  Hora Soltani²  Frankie Fair²  Elena Triantafyllou³  Eirini Sioti³  Victoria Vivilaki³  Yvonne van Streun⁴  Liselotte Raben⁴  Maria van den Muijsenbergh⁵  Maria Papadakaki⁶  Mervi Jokinen⁷ 

[1] Centre for the History of Science, Technology and Medicine at the University of Manchester, Manchester, UK;College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, 34 Collegiate Cres, S10 2BP, Sheffield, UK;Department of Midwifery, Faculty of Health and Caring Sciences, University of West Attica, Athens, Greece;Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, Netherlands;Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, Netherlands;Pharos, Centre of Expertise on Health Disparities, Utrecht, Netherlands;Department of Social Work, School of Health Sciences, Hellenic Mediterranean University, Heraklion, Greece;Practice and Standards Professional Advisor, The Royal College of Midwives, London, UK;President of European Midwives Association (EMA), Antwerpen, Belgium;Vice Chair European Forum for National Nurses and Midwives Associations (EFNNMA), Lisbon, Portugal;

关键词: Transients and migrants;    Cultural competency;    Staff development;    Maternal health service;    Perinatal care;    Midwifery;    ORAMMA;   

DOI  :  10.1186/s12884-021-03799-1

来源: Springer

【 摘 要 】

BackgroundThe number of international migrants continues to increase worldwide. Depending on their country of origin and migration experience, migrants may be at greater risk of maternal and neonatal morbidity and mortality. Having compassionate and culturally competent healthcare providers is essential to optimise perinatal care. The “Operational Refugee and Migrant Maternal Approach” (ORAMMA) project developed cultural competence training for health professionals to aid with providing perinatal care for migrant women. This presents an evaluation of ORAMMA training and explores midwives’ experiences of the training and providing care within the ORAMMA project.MethodsCultural competence was assessed before and after midwives (n = 35) received ORAMMA compassionate and culturally sensitive maternity care training in three different European countries. Semi-structured interviews (n = 12) explored midwives’ experiences of the training and of caring for migrant women within the ORAMMA project.ResultsA significant improvement of the median score pre to post-test was observed for midwives’ knowledge (17 to 20, p < 0.001), skills (5 to 6, p = 0.002) and self-perceived cultural competence (27 to 29, p = 0.010).Exploration of midwives’ experiences of the training revealed themes of “appropriate and applicable”, “made a difference” and “training gaps” and data from ORAMMA project experiences identified three further themes; “supportive care”, “working alongside peer supporters” and “challenges faced”.ConclusionsThe training improved midwives’ knowledge and self-perceived cultural competence in three European countries with differing contexts and workforce provision. A positive experience of ORAMMA care model was expressed by midwives, however clearer expectations of peer supporters’ roles and more time within appointments to assess the psychosocial needs of migrant women were desired. Future large-scale research is required to assess the long-term impact of the ORAMMA model and training on practice and clinical perinatal outcomes.

【 授权许可】

CC BY