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1. 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.

Author

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

Subjects
*MIDWIVES, *OBSTETRICS, *NURSING, *MATERNAL health, PERINATAL care
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. [ABSTRACT FROM AUTHOR]

Published
2021
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2. 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

Author

Eirini Sioti, Elena Triantafyllou, Maria Papadakaki, Yvonne van Streun, Helen Watson, Maria van den Muijsenbergh, Liselotte Raben, Frankie Fair, Mervi Jokinen, Hora Soltani, Victoria G. Vivilaki, Eleanor Shaw, and Catherine Burke

Subjects
Adult, medicine.medical_specialty, Perinatal care, Nurse Midwives, Refugee, Cultural competency, education, Reproductive medicine, Maternal health service, Midwifery, Training (civil), Health Services Accessibility, Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18], Interviews as Topic, Young Adult, All institutes and research themes of the Radboud University Medical Center, Nursing, medicine, Humans, Maternal Health Services, Qualitative Research, ORAMMA, business.industry, Professional development, Obstetrics and Gynecology, Gynecology and obstetrics, Middle Aged, Culturally Competent Care, Staff development, Country of origin, Europe, Workforce, RG1-991, Female, Transients and migrants, business, Cultural competence, Psychosocial, Research Article
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 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.

Published
2021

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