Improving Culturally Appropriate Care for Indigenous Women and Their Families During the Birthing/Delivery Experience

Abstract

Current literature highlights culturally appropriate care as a useful tool in reducing negative health outcomes caused by systemic racism in healthcare. This research adds to the literature of ways to enhance culturally appropriate care to promote positive birthing/delivery experiences for Indigenous (First Nation, Métis, and Inuit) women and their families. This study is strength-based and aims to provide meaningful suggestions to augment culturally safe care as a response to the Truth and Reconciliation Commission of Canada’s Calls to Action. Six participants responded to an online survey and shared what positive actions could enhance a culturally safe birth. The survey data was analyzed using inductive thematic analysis and descriptive statistical analysis. The results are discussed under three themes: 1) Access to Cultural Supports; 2) Relationships with Healthcare Providers; and 3) Examples of Harmful Nursing Practice. Based on the participant responses, it is suggested that respect, active allyship, enhanced cultural safety education, and integration of Indigenous healing practices into the Canadian healthcare system will support the delivery of culturally appropriate care. The data supports cultural safety as an important aspect of the birthing experience.