Development of a First Peoples-led cultural capability measurement tool: A pilot study with midwifery students
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Author(s)
West, Roianne
Wrigley, Somer
Mills, Kyly
Taylor, Kate
Rowland, Dale
Creedy, Debra K
Year published
2017
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Background: Midwives have a central role in closing the gap in health inequalities between Australias’
First Peoples and other childbearing women. The Aboriginal and Torres Strait Islander Health Curriculum
Framework (The Framework) identifies five core cultural capabilities (respect, communication, safety
and quality, reflection and advocacy) to foster culturally safe health care.
Aim: To use a decolonising, First Peoples-led approach to develop and validate a tool to measure the
development students’ cultural capabilities.
Method: A pre- post intervention design was used. Development of the Cultural Capability Measurement
Tool ...
View more >Background: Midwives have a central role in closing the gap in health inequalities between Australias’ First Peoples and other childbearing women. The Aboriginal and Torres Strait Islander Health Curriculum Framework (The Framework) identifies five core cultural capabilities (respect, communication, safety and quality, reflection and advocacy) to foster culturally safe health care. Aim: To use a decolonising, First Peoples-led approach to develop and validate a tool to measure the development students’ cultural capabilities. Method: A pre- post intervention design was used. Development of the Cultural Capability Measurement Tool followed a staged process which centred on First Peoples’ knowledges. This process included: item generation, expert review; a pilot, test-retest; and psychometric testing (reliability, factor analysis and construct validity). All third year midwifery students (n = 49) enrolled in a discrete First Peoples health course were invited to complete the survey pre and post course. Findings: A response rate of 77.5% (n = 38/49) pre-course and 30.6% (15/49) at post-course was achieved. The tool demonstrated good internal reliability (Cronbach alpha = .89–.91). Principal component analysis with varimax rotation produced a five-factor solution. A paired samples t-test revealed a significant increase from pre-course (mean 93.13, SD 11.84) to post-course scores (mean = 100.53, SD 7.54) (t (14) = 2.79, p = .014). Conclusion: A First Peoples approach was criticalto tool development and conceptual validity. The 22 item Cultural Capability measurement Tool reflected the core cultural capabilities of The Framework. The draft tool appears suitable for use with midwifery students.
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View more >Background: Midwives have a central role in closing the gap in health inequalities between Australias’ First Peoples and other childbearing women. The Aboriginal and Torres Strait Islander Health Curriculum Framework (The Framework) identifies five core cultural capabilities (respect, communication, safety and quality, reflection and advocacy) to foster culturally safe health care. Aim: To use a decolonising, First Peoples-led approach to develop and validate a tool to measure the development students’ cultural capabilities. Method: A pre- post intervention design was used. Development of the Cultural Capability Measurement Tool followed a staged process which centred on First Peoples’ knowledges. This process included: item generation, expert review; a pilot, test-retest; and psychometric testing (reliability, factor analysis and construct validity). All third year midwifery students (n = 49) enrolled in a discrete First Peoples health course were invited to complete the survey pre and post course. Findings: A response rate of 77.5% (n = 38/49) pre-course and 30.6% (15/49) at post-course was achieved. The tool demonstrated good internal reliability (Cronbach alpha = .89–.91). Principal component analysis with varimax rotation produced a five-factor solution. A paired samples t-test revealed a significant increase from pre-course (mean 93.13, SD 11.84) to post-course scores (mean = 100.53, SD 7.54) (t (14) = 2.79, p = .014). Conclusion: A First Peoples approach was criticalto tool development and conceptual validity. The 22 item Cultural Capability measurement Tool reflected the core cultural capabilities of The Framework. The draft tool appears suitable for use with midwifery students.
View less >
Journal Title
Women and Birth
Copyright Statement
© 2017 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
Note
This publication has been entered into Griffith Research Online as an Advanced Online Version.
Subject
Biomedical and clinical sciences
Reproductive medicine
Midwifery