Patient-Defined Cultural Safety in Perinatal Interventions: A Qualitative Scoping Review

Problem: Cultural safety is an approach to patient care designed to facilitate respect of patients' cultural needs and address inequities in care in culturally diverse situations. Background: Much literature considers culturally safe care during the perinatal period, yet little is known about h...

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Main Authors: Emilie E. Egger, Bridget Basile Ibrahim, Kate Nyhan, Mukund Desibhatla, Dara Gleeson, Ashley Hagaman
Format: Article
Language:English
Published: Mary Ann Liebert 2024-03-01
Series:Health Equity
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/HEQ.2023.0152
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author Emilie E. Egger
Bridget Basile Ibrahim
Kate Nyhan
Mukund Desibhatla
Dara Gleeson
Ashley Hagaman
author_facet Emilie E. Egger
Bridget Basile Ibrahim
Kate Nyhan
Mukund Desibhatla
Dara Gleeson
Ashley Hagaman
author_sort Emilie E. Egger
collection DOAJ
description Problem: Cultural safety is an approach to patient care designed to facilitate respect of patients' cultural needs and address inequities in care in culturally diverse situations. Background: Much literature considers culturally safe care during the perinatal period, yet little is known about how patients experience and understand cultural safety. This is despite patient-defined care being one of the definitions of cultural safety. Question, Hypothesis, or Aim: This scoping review investigates what is known from existing qualitative literature about patients' experience of cultural safety frameworks in perinatal interventions. Methods: A search for ?cultural safety? OR ?culturally safe? in PubMed, Ovid Medline, Ovid Embase, Cumulated Index to Nursing and Allied Health Literature, Scopus, Scielo, and Latin America and the Caribbean Literature on Health Sciences returned 2233 results after deduplication. Title?abstract and full-text screenings were conducted to identify qualitative studies of cultural safety from perinatal patients' perspectives. Seven studies were included in the final analysis. Data were open coded using NVivo. Findings: Three themes were identified: (1) care that acknowledged that their lives were different from patients in the dominant culture, (2) receiving care in community, and (3) care providers who respected their choices and culturally specific knowledge. Discussion: This research shows how cultural safety intersects with other equity-based frameworks used in midwifery and obstetrics. Conclusion: Building on this research could lead to new protocols that address complex social and physical needs of marginalized people during the perinatal period.
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spelling doaj.art-83dbf3007a90488aa99281546bc42e872024-03-14T03:00:36ZengMary Ann LiebertHealth Equity2473-12422024-03-018116417610.1089/HEQ.2023.0152Patient-Defined Cultural Safety in Perinatal Interventions: A Qualitative Scoping ReviewEmilie E. EggerBridget Basile IbrahimKate NyhanMukund DesibhatlaDara GleesonAshley HagamanProblem: Cultural safety is an approach to patient care designed to facilitate respect of patients' cultural needs and address inequities in care in culturally diverse situations. Background: Much literature considers culturally safe care during the perinatal period, yet little is known about how patients experience and understand cultural safety. This is despite patient-defined care being one of the definitions of cultural safety. Question, Hypothesis, or Aim: This scoping review investigates what is known from existing qualitative literature about patients' experience of cultural safety frameworks in perinatal interventions. Methods: A search for ?cultural safety? OR ?culturally safe? in PubMed, Ovid Medline, Ovid Embase, Cumulated Index to Nursing and Allied Health Literature, Scopus, Scielo, and Latin America and the Caribbean Literature on Health Sciences returned 2233 results after deduplication. Title?abstract and full-text screenings were conducted to identify qualitative studies of cultural safety from perinatal patients' perspectives. Seven studies were included in the final analysis. Data were open coded using NVivo. Findings: Three themes were identified: (1) care that acknowledged that their lives were different from patients in the dominant culture, (2) receiving care in community, and (3) care providers who respected their choices and culturally specific knowledge. Discussion: This research shows how cultural safety intersects with other equity-based frameworks used in midwifery and obstetrics. Conclusion: Building on this research could lead to new protocols that address complex social and physical needs of marginalized people during the perinatal period.https://www.liebertpub.com/doi/full/10.1089/HEQ.2023.0152cultural safetyperinatal carepatient satisfactionqualitative researchscoping review
spellingShingle Emilie E. Egger
Bridget Basile Ibrahim
Kate Nyhan
Mukund Desibhatla
Dara Gleeson
Ashley Hagaman
Patient-Defined Cultural Safety in Perinatal Interventions: A Qualitative Scoping Review
Health Equity
cultural safety
perinatal care
patient satisfaction
qualitative research
scoping review
title Patient-Defined Cultural Safety in Perinatal Interventions: A Qualitative Scoping Review
title_full Patient-Defined Cultural Safety in Perinatal Interventions: A Qualitative Scoping Review
title_fullStr Patient-Defined Cultural Safety in Perinatal Interventions: A Qualitative Scoping Review
title_full_unstemmed Patient-Defined Cultural Safety in Perinatal Interventions: A Qualitative Scoping Review
title_short Patient-Defined Cultural Safety in Perinatal Interventions: A Qualitative Scoping Review
title_sort patient defined cultural safety in perinatal interventions a qualitative scoping review
topic cultural safety
perinatal care
patient satisfaction
qualitative research
scoping review
url https://www.liebertpub.com/doi/full/10.1089/HEQ.2023.0152
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