Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/117283
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Type: Journal article
Title: Cultural safety and midwifery care for Aboriginal women - a phenomenological study
Author: Brown, A.E.
Middleton, P.F.
Fereday, J.A.
Pincombe, J.I.
Citation: Women and Birth, 2016; 29(2):196-202
Publisher: Elsevier
Issue Date: 2016
ISSN: 1871-5192
1878-1799
Statement of
Responsibility: 
Angela E. Brown, Philippa F. Middleton, Jennifer A. Fereday, Jan I. Pincombe
Abstract: Background: Aboriginal and Torres Strait islander1 women face considerable health disparity in relation to their maternity health outcomes when compared to non-Aboriginal women. Culture and culturally appropriate care can contribute to positive health outcomes for Aboriginal women. How midwives provide culturally appropriate care and how the care is experienced by the women is central to this study. Aim: To explore the lived experiences of midwives providing care in the standard hospital care system to Aboriginal women at a large tertiary teaching hospital. Methods: An interpretive Heideggerian phenomenological approach was used. Semi-structured interviews were conducted with thirteen volunteer midwives which were transcribed, analysed and presented informed by van Manen's approach. Findings: Thematic analysis revealed six main themes: “Finding ways to connect with the women”, “building support networks – supporting with and through Aboriginal cultural knowledge”, “managing the perceived barriers to effective care”, “perceived equity is treating women the same”, “understanding culture” and “assessing cultural needs – urban versus rural/remote Aboriginal cultural needs”. Conclusion: The midwives in this study have shared their stories of caring for Aboriginal women. They have identified communication and building support with Aboriginal health workers and families as important. They have identified perceived barriers to the provision of care, and misunderstanding around the interpretation of cultural safety in practice was found. Suggestions are made to support midwives in their practice and improve the experiences for Aboriginal women.
Keywords: Culture; midwifery; cultural safety; phenomenology; Aboriginal and Torres Strait Islander women
Rights: © 2015 Australian College of Midwives. Published by Elsevier Australia (a division of Reed International Books Australia Pty Ltd). All rights reserved.
DOI: 10.1016/j.wombi.2015.10.013
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