Williamson Moira, Capper Tanya S, Chee Rachelle M, Ferguson Bridget, Lentell Katie, Haynes Kelly
School of Nursing, Midwifery and Social Sciences, Brisbane, CQUniversity, Level 20, 160 Ann Street, Brisbane, Queensland 4000, Australia.
School of Nursing, Midwifery and Paramedicine, Brisbane, Australian Catholic University, 1100 Nudgee Road, Banyo, Queensland 4014, Australia.
Women Birth. 2025 Jan;38(1):101868. doi: 10.1016/j.wombi.2025.101868. Epub 2025 Jan 10.
Midwives are required to provide care based on Cultural Safety for First Nations women and families. Recent literature has suggested that midwives' understanding of Cultural Safety and how it translates into their practice differs widely. This disparity requires further exploration.
The Australian professional midwifery codes and standards state that there is a requirement to provide care based on Cultural Safety. It is critical to understand how First Nations people's history and culture impacts their health and wellbeing, requiring midwives to recognise how this may impact care.
To determine Australian midwives' knowledge and understanding of Cultural Safety and how this translates into their practice when caring for First Nations women and families.
A qualitative study was undertaken. Data were collected via semi-structured interviews with 12 midwives practicing in Australia. Data were transcribed and thematically analysed.
Three themes were identified: 'Society and Systems', 'Knowingness versus Understanding', and 'Personal Qualities, Engagement and Partnerships' which highlight the strengths and deficits of Cultural Safety education and its integration into midwifery practice in Australia.
Health systems providing maternity care remain rooted in Western biomedical philosophies, which influences the practice of Cultural Safety at all levels. Midwives are beginning to understand the ongoing impact of colonisation on the health and wellbeing of First Nations families, but still face challenges when striving to provide culturally safe care.
Cultural Safety must be valued at an organisational level, in which midwives can engage in authentic, maternity-based educational programs led by suitably prepared educators.
要求助产士为原住民妇女及其家庭提供基于文化安全的护理。近期文献表明，助产士对文化安全的理解以及其在实践中的体现存在很大差异。这种差异需要进一步探究。
澳大利亚专业助产士规范和标准规定，有必要提供基于文化安全的护理。了解原住民的历史和文化如何影响其健康和福祉至关重要，这要求助产士认识到这可能对护理产生何种影响。
确定澳大利亚助产士对文化安全的知识和理解，以及在照顾原住民妇女及其家庭时如何将其转化为实践。
进行了一项定性研究。通过对在澳大利亚执业的12名助产士进行半结构化访谈收集数据。对数据进行转录并进行主题分析。
确定了三个主题：“社会与系统”、“知晓与理解”以及“个人品质、参与和伙伴关系”，这些主题凸显了文化安全教育的优势与不足，以及其在澳大利亚助产实践中的整合情况。
提供孕产妇护理的卫生系统仍扎根于西方生物医学理念，这在各个层面影响着文化安全的实践。助产士开始理解殖民化对原住民家庭健康和福祉的持续影响，但在努力提供文化安全护理时仍面临挑战。
必须在组织层面重视文化安全，使助产士能够参与由准备充分的教育工作者主导的、基于孕产妇护理的真实教育项目。
