West, Roianne, Wrigley, Somer, Mills, Kyly, Taylor, Kate, Rowland, Dale, and Creedy, Debra K. (2017) Development of a First Peoples-led cultural capability measurement tool: A pilot study with midwifery students. Women and Birth, 30 (3). pp. 236-244.

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Abstract

Background: Midwives have a central role in closing the gap in health inequalities between Australia's 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 critical to 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.

Item ID:	81590
Item Type:	Article (Research - C1)
ISSN:	1878-1799
Keywords:	Cultural capability measurement; Indigenous health
Copyright Information:	© 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.
Date Deposited:	03 May 2024 05:04
FoR Codes:	45 INDIGENOUS STUDIES > 4504 Aboriginal and Torres Strait Islander health and wellbeing > 450413 Aboriginal and Torres Strait Islander midwifery and paediatrics @ 20% 45 INDIGENOUS STUDIES > 4502 Aboriginal and Torres Strait Islander education > 450212 Cultural responsiveness and working with Aboriginal and Torres Strait Islander communities education @ 40% 45 INDIGENOUS STUDIES > 4502 Aboriginal and Torres Strait Islander education > 450201 Aboriginal and Torres Strait Islander curriculum and pedagogy @ 40%
SEO Codes:	21 INDIGENOUS > 2102 Aboriginal and Torres Strait Islander education > 210299 Aboriginal and Torres Strait Islander education not elsewhere classified @ 60% 21 INDIGENOUS > 2103 Aboriginal and Torres Strait Islander health > 210399 Aboriginal and Torres Strait Islander health not elsewhere classified @ 40%
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