Mâmawihitowin (bringing the camps together): Perinatal healthcare provider and staff participation in an Indigenous-led experiential intervention for enhancing culturally informed care—a mixed methods study
Abstract Background In partnership with a Nehiyawak (Plains Cree) community of Maskwacîs,central Alberta (Canada), we implemented an Indigenous-led intervention to provide experiential learning opportunities for perinatal health care providers (HCPs) and staff. Our objective was to capture the impac...
Published in: | International Journal for Equity in Health |
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ftdoajarticles:oai:doaj.org/article:9b4f0290d6274257ac1c139e1d7860e8 2023-05-15T16:16:58+02:00 Mâmawihitowin (bringing the camps together): Perinatal healthcare provider and staff participation in an Indigenous-led experiential intervention for enhancing culturally informed care—a mixed methods study Grant Bruno Rhonda Catherine Bell Brenda Parlee Patrick Lightning Ida Bull Bruce Cutknife Richard Thomas Oster 2022-11-01T00:00:00Z https://doi.org/10.1186/s12939-022-01764-8 https://doaj.org/article/9b4f0290d6274257ac1c139e1d7860e8 EN eng BMC https://doi.org/10.1186/s12939-022-01764-8 https://doaj.org/toc/1475-9276 doi:10.1186/s12939-022-01764-8 1475-9276 https://doaj.org/article/9b4f0290d6274257ac1c139e1d7860e8 International Journal for Equity in Health, Vol 21, Iss 1, Pp 1-10 (2022) Indigenous health First Nations maternal health Cultural competence Perinatal care Community-based participatory research Qualitative research Surveys and questionnaires Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.1186/s12939-022-01764-8 2022-12-30T22:40:56Z Abstract Background In partnership with a Nehiyawak (Plains Cree) community of Maskwacîs,central Alberta (Canada), we implemented an Indigenous-led intervention to provide experiential learning opportunities for perinatal health care providers (HCPs) and staff. Our objective was to capture the impact of participating in cultural safety learning opportunities on perceived self-awareness for HCPs and staff to provide enhanced culturally informed care. Methods Perinatal HCPs and staff who work regularly with Indigenous women from our partnering community took part in a series of experiential learning activities designed by a Community Advisory Committee. We used an explanatory sequential mixed methods approach informed by community-based participatory research. We compared Cultural Intelligence Scale (CQS) and Maskwacîs-Specific Cultural Scale (MSCS) scores pre- and post-intervention using non-parametrical statistical analysis (Wilcoxon signed rank test). Post-intervention, we conducted a qualitative description study using semi-structured interviews. Qualitative data was analyzed using thematic analysis. Results A total of 17 participants completed pre- and post-intervention questionnaires. Responses indicated a shift in perceived cultural and community knowledge and comfort levels, with positive gains in overall mean scores for both the CQS (p = 0.01) and MSCS (p = 0.01). Nine participants completed qualitative interviews. Overall, participants felt better equipped to provide more culturally informed care to their patients post-intervention. Conclusion An Indigenous-led experiential learning intervention was effective in enhancing overall perceived cultural awareness and preparedness to provide culturally informed care for perinatal HCPs and staff. This study provides evidence for fostering relationships between Indigenous communities and health systems toward enhanced perinatal care. Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Canada International Journal for Equity in Health 21 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Indigenous health First Nations maternal health Cultural competence Perinatal care Community-based participatory research Qualitative research Surveys and questionnaires Public aspects of medicine RA1-1270 |
spellingShingle |
Indigenous health First Nations maternal health Cultural competence Perinatal care Community-based participatory research Qualitative research Surveys and questionnaires Public aspects of medicine RA1-1270 Grant Bruno Rhonda Catherine Bell Brenda Parlee Patrick Lightning Ida Bull Bruce Cutknife Richard Thomas Oster Mâmawihitowin (bringing the camps together): Perinatal healthcare provider and staff participation in an Indigenous-led experiential intervention for enhancing culturally informed care—a mixed methods study |
topic_facet |
Indigenous health First Nations maternal health Cultural competence Perinatal care Community-based participatory research Qualitative research Surveys and questionnaires Public aspects of medicine RA1-1270 |
description |
Abstract Background In partnership with a Nehiyawak (Plains Cree) community of Maskwacîs,central Alberta (Canada), we implemented an Indigenous-led intervention to provide experiential learning opportunities for perinatal health care providers (HCPs) and staff. Our objective was to capture the impact of participating in cultural safety learning opportunities on perceived self-awareness for HCPs and staff to provide enhanced culturally informed care. Methods Perinatal HCPs and staff who work regularly with Indigenous women from our partnering community took part in a series of experiential learning activities designed by a Community Advisory Committee. We used an explanatory sequential mixed methods approach informed by community-based participatory research. We compared Cultural Intelligence Scale (CQS) and Maskwacîs-Specific Cultural Scale (MSCS) scores pre- and post-intervention using non-parametrical statistical analysis (Wilcoxon signed rank test). Post-intervention, we conducted a qualitative description study using semi-structured interviews. Qualitative data was analyzed using thematic analysis. Results A total of 17 participants completed pre- and post-intervention questionnaires. Responses indicated a shift in perceived cultural and community knowledge and comfort levels, with positive gains in overall mean scores for both the CQS (p = 0.01) and MSCS (p = 0.01). Nine participants completed qualitative interviews. Overall, participants felt better equipped to provide more culturally informed care to their patients post-intervention. Conclusion An Indigenous-led experiential learning intervention was effective in enhancing overall perceived cultural awareness and preparedness to provide culturally informed care for perinatal HCPs and staff. This study provides evidence for fostering relationships between Indigenous communities and health systems toward enhanced perinatal care. |
format |
Article in Journal/Newspaper |
author |
Grant Bruno Rhonda Catherine Bell Brenda Parlee Patrick Lightning Ida Bull Bruce Cutknife Richard Thomas Oster |
author_facet |
Grant Bruno Rhonda Catherine Bell Brenda Parlee Patrick Lightning Ida Bull Bruce Cutknife Richard Thomas Oster |
author_sort |
Grant Bruno |
title |
Mâmawihitowin (bringing the camps together): Perinatal healthcare provider and staff participation in an Indigenous-led experiential intervention for enhancing culturally informed care—a mixed methods study |
title_short |
Mâmawihitowin (bringing the camps together): Perinatal healthcare provider and staff participation in an Indigenous-led experiential intervention for enhancing culturally informed care—a mixed methods study |
title_full |
Mâmawihitowin (bringing the camps together): Perinatal healthcare provider and staff participation in an Indigenous-led experiential intervention for enhancing culturally informed care—a mixed methods study |
title_fullStr |
Mâmawihitowin (bringing the camps together): Perinatal healthcare provider and staff participation in an Indigenous-led experiential intervention for enhancing culturally informed care—a mixed methods study |
title_full_unstemmed |
Mâmawihitowin (bringing the camps together): Perinatal healthcare provider and staff participation in an Indigenous-led experiential intervention for enhancing culturally informed care—a mixed methods study |
title_sort |
mâmawihitowin (bringing the camps together): perinatal healthcare provider and staff participation in an indigenous-led experiential intervention for enhancing culturally informed care—a mixed methods study |
publisher |
BMC |
publishDate |
2022 |
url |
https://doi.org/10.1186/s12939-022-01764-8 https://doaj.org/article/9b4f0290d6274257ac1c139e1d7860e8 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
International Journal for Equity in Health, Vol 21, Iss 1, Pp 1-10 (2022) |
op_relation |
https://doi.org/10.1186/s12939-022-01764-8 https://doaj.org/toc/1475-9276 doi:10.1186/s12939-022-01764-8 1475-9276 https://doaj.org/article/9b4f0290d6274257ac1c139e1d7860e8 |
op_doi |
https://doi.org/10.1186/s12939-022-01764-8 |
container_title |
International Journal for Equity in Health |
container_volume |
21 |
container_issue |
1 |
_version_ |
1766002814182490112 |