Predictors of cultural competence among healthcare professional in maternity department: A systematic review

Abstract

Background: In recent years, the number of foreign women seeking perinatal care from health services has increased. These women come from diverse cultural and social backgrounds, highlighting the importance of properly training healthcare professionals to respond effectively to their needs. Cultural Competence refers to the set of skills, knowledge, and awareness that providers must possess to deliver care to patients from different cultures.

Aim: This study aims to investigate the determinants of Cultural Competence in healthcare professionals who assist women during childbirth.

Method: A systematic literature review was conducted using MEDLINE/PubMed, Web of Science, CINAHL, Scopus, and ProQuest. Quantitative studies were included if they investigated at least one psychosocial characteristic in midwives or staff assisting pregnant women.

Findings: Out of 4,193 articles, 8 were selected that measured the level of Cultural Competence using validated scales. These studies related the data to the sociodemographic characteristics of the chosen population. Variables significantly associated with Cultural Competence that recurred in at least two studies were selected: age, gender, years of experience, role, and previous Cultural Competence training. These determinants were categorized as (a) individual variables and (b) Jobs-related variables.

Discussion: Age diversity boosts Cultural Competence (CC) in healthcare teams, enhancing care for diverse women. Our study confirms prior cultural training and experience with different cultures predict CC. Health services should promote CC, but understanding in high-income countries remains limited.

Conclusions: By strategically promoting age diversity, facilitating cultural training, and encouraging experiences with diverse populations, healthcare institutions can significantly improve the Cultural Competence of their staff.

Keywords: Cultural competence; Cultural knowledge; Determinants of health; Maternal care; Midwives.