Enhancing Perinatal Care of Indigenous Peoples: Assessing Cultural Competence of Healthcare Providers

Abstract

Problem Statement: Currently, there is a gap in cultural competence training and education at a critical access hospital in the Northwestern United States (i.e., the implementation site). Purpose: To introduce evidence-based cultural competence training to the maternal healthcare staff at the implementation site. Methods: Process improvement methodology was used to enhance the educational process by utilizing an evidence-based e-learning cultural competence training. Inclusion Criteria: All providers and nurses who care for maternity patients at the implementation site were included. Analysis: The Cultural Competence Assessment instrument was given as a pre- and 30-day posttest. The instrument’s subscales—cultural awareness and sensitivity (CAS) and culturally competent behaviors (CCB)—were analyzed by comparing pre and posttest averages using independent samples t-tests. There were no statistically significant differences between pre and post; however, respondents scored high on the CAS and moderate on the CCB. Additionally, there was a slight increase on the CCB subscale, which could be considered clinically significant. Implications for Practice: Nurse leaders at the implementation site should be encouraged to promote the e-learning program with supplemental learning material that specifically addresses cultural nuances.