Page 202 - S. Ličen, I. Karnjuš, & M. Prosen (Eds.). (2019). Women, migrations and health: Ensuring transcultural healthcare. Koper, University of Primorska Press.
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Polona Mivšek, Nastja Pavel, Mateja Kusterle, and Petra Petročnik

tations to life, beliefs, policies, procedures and behavioural conventions that
are shared by a group of people, and that influence (but do not determine)
each member’s behaviour and his/her interpretations of the “meaning” of
other people’s behaviour.’

Hofstede, Hofstede, and Minkov (2010) wrote that since the majority of
people identify with different cultural groups at different levels (nationally,
regionally, ethnically, religiously, linguistically, at the levels of gender, social
class, corporate level, and role categories of parent/daughter/teacher) we
all basically have multicultural identities. In times of increased global mi-
grations, the cultural context of every individual is becoming recognized
as crucial for all aspects of quality living. In the context of healthcare and
also midwifery-led maternity care, midwives should continuously strive to
provide individualized and culturally appropriate care of the client (New
Zealand College of Midwives, 2015). On the one hand, it is valuable if mid-
wives themselves come from diverse cultural and ethnic backgrounds (Rew,
Becker, Cookston, Khosropour, & Martinez, 2003), however, the multi-ethnic
environment alone does not imply the midwife is intrinsically culturally com-
petent and sensitive (Briscoe, 2013).

Background
Cultural competency is a complex construct and there is no standardized def-
inition. Campinha-Bacote (2007) writes it is an ongoing process in which the
health professional (hence midwife) continuously strives to achieve the abil-
ity and availability to work effectively within the cultural context of the pa-
tient (individual, family, community). According to Camplin-Welch and Lim
(2018), cultural competency refers to an ability to interact effectively with
people of different cultures. Bofulin et al. (2016) define cultural competency
as a wide range of knowledge and skills involved in human interaction that
enable an individual to improve one’s understanding, sensitivity, acceptance,
respect and reactions to cultural differences and intercultural relationships.
It enables healthcare workers to provide better quality healthcare and to
successfully cooperate with people from different cultural and social back-
grounds.

Cultural competency is subdivided into components/steps/constructs
that are interrelated and interdependent. According to to Camplin-Welch
and Lim (2018), all (four) dimensions (cultural awareness, cultural knowledge,
cultural sensitivity and cross-cultural skills) should be applied in the context
of research, clinical practice and midwifery teaching.

Campinha-Bacote (2007) presents a slightly different model of cultural

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