Cultural assessment and change! Muslim culture and childbirth practices. Nurse cultural competency to Patient culture during childbirth and postpartum.

Cultural Assessment and Change! Muslim Culture and Childbirth Practices: Nurse Cultural Competency to Patient Culture During Childbirth and Postpartum Care

  • The Problem

–Nurses assume that particular labor and postpartum practices apply to all

–Different religions have different labor and postpartum care values

–Culturally incompetent nurses are insensitive to client’s cultural persuasions (O’Connor, 2002)

  • The goals

–Make nurses sensitive to Muslims’ values regarding childbirth and postpartum care

–Nurses to deliver effective and proper care to Muslim mothers via technique and approach changes

–Help Muslim mothers to enjoy the birthing process

  • How will the problem be identified?

–The nurses will be observed when helping mothers deliver

–The nurses will be observed when managing labor, delivery, and postpartum care rooms

– Reports filed by nurse managers will be studied

–Nurses’ clients will be interviewed

  • Key informants


–Mothers after delivery

–Nurse managers

  • Who does the problem affect?

–Nurses in executing their roles



–Hospital administrators

  • Who does the problem affect?

–Nurses in executing their roles



–Hospital administrators

  • Resources

–Muslim clerics

–Medics who attend to large Muslim populations

–The internet

–Islam scholars

  • Prefer modesty
  • Females to be in medical team
  • Female relatives in labor wards
  • C-Section acceptable but not preferred
  • Postpartum breastfeeding common
  • Postpartum abstinence defined
  • Modesty not critical
  • Sex of caregivers inconsequential
  • Husband to be in labor ward
  • C-section preferred
  • Postpartum breastfeeding common
  • Postpartum abstinence not define
  • The intervention

–Nurses and Muslim mothers will have guided discussions in multiple classes

–Discussions based on preferred childbirth and postpartum care, sensitivities and values

–Nurses to identify information on the mother’s cultural sensitivities

–Follow-up of nurses to ensure implementation of learned content

  • Nurses and Muslim mothers to discuss

–Modesty requirements

–Preferred composition of medical teams

–Visitors in labor wards

–Acceptability of c-section

–Postpartum breastfeeding and abstinence

  • Nurses to implement the views of mothers in structured, verifiable ways
    • Signs that the intervention succeeds in addressing the problem

    –Nurses ensure modesty in birthing processes and postpartum care

    –Male nurses not entering labor wards

    –Nurses allowing only female relatives into labor wards

    –Exploration of possibility of using the alternative to C-Section

    • Signs that the intervention succeeds in addressing the problem

    –Encouraging mothers to breastfeed in postpartum care

    –Advising new most to observe applicable postpartum abstinence

    • Expected behavior changes among the nurses

    –Nurses will become more and more modest in offering birthing and postpartum care

    –Nurses to accept gender-based assignment of birthing and postnatal roles

    –Nurses to develop preference for the natural birthing process

    –Nurses to base the advice they give to mothers on Quran teachings

    • Acceptability of care practices is informed by cultural sensitivities and persuasions
    • Discussions between nurses and Muslim mothers makes the latter culturally competent
    • Declercq, E., Sakala, C., Corry, M., Applebaum, S. & Risher,   P. (2002). Listening to mothers: Report of `the first   national U.S. survey of women’s childbearing   experiences. New York: Maternity Center   Association.

      Leininger, M. & McFarland, M. (2005). (Eds.). Culture care   diversity and universality: A worldwide nursing   theory. New York: Jones & Bartlett.

    • Moran, D. E & Kallam, G. B. (1997). The gift of motherhood:   Your personal journey through prepared childbirth.   Arlington, TX: Customized Communications,   Incorporated.

      O’Connor, J. (2002) .Healthcare beliefs and practices of Arab   American women. International Journal of Childbirth   Education, 17(4), 42–44.

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