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

FAIR, Frankie, SOLTANI, Hora, RABEN, Liselotte, VAN STREUN, Yvonne, SIOTI, Eirini, PAPADAKAKI, Maria, BURKE, Catherine, WATSON, Helen, JOKINEN, Mervi, SHAW, Eleanor, TRIANTAFYLLOU, Elena, VAN DEN MUIJSENBERGH, Maria and VIVILAKI, Victoria (2021). 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, 21 (1).

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Open Access URL: https://bmcpregnancychildbirth.biomedcentral.com/a... (Published version)
Link to published version:: https://doi.org/10.1186/s12884-021-03799-1
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    Abstract

    Abstract: Background: The 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. Methods: Cultural 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. Results: A 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”. Conclusions: The 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.

    Item Type: Article
    Additional Information: ** From Springer Nature via Jisc Publications Router ** Licence for this article: http://creativecommons.org/licenses/by/4.0/ **Journal IDs: eissn 1471-2393 **Article IDs: publisher-id: s12884-021-03799-1; manuscript: 3799 **History: collection 12-2021; published 29-04-2021; online 29-04-2021; accepted 13-04-2021; registration 13-04-2021; submitted 24-11-2020
    Uncontrolled Keywords: Research Article, Maternity care and sociological aspects of pregnancy and childbirth, Transients and migrants, Cultural competency, Staff development, Maternal health service, Perinatal care, Midwifery, ORAMMA
    Identification Number: https://doi.org/10.1186/s12884-021-03799-1
    SWORD Depositor: Colin Knott
    Depositing User: Colin Knott
    Date Deposited: 05 May 2021 14:00
    Last Modified: 05 May 2021 14:00
    URI: http://shura.shu.ac.uk/id/eprint/28592

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