Student midwives’ understanding of anti-racist behaviours and cultural competency

Background/Aims High maternal mortality for women from ethnic minorities has been partly attributed to a lack of education and training in cultural competency. This study's aim was to examine student midwives’ perception of cultural awareness, knowledge, skills and comfort in caring for patients and families from diverse populations. Methods A modified clinical cultural competency questionnaire was completed by 143 student midwives at 49 UK universities. The data were analysed using descriptive inferential statistics, multivariable linear regression and thematic analysis. Findings Overall, 93% of participants classified anti-racism training as ‘very important’, although 89.5% reported no awareness of resources to support understanding of anti-racist behaviours. Black Caribbean/African students were more likely to report higher cultural competency compared with White British students. Conclusions This study demonstrated training gaps in UK midwifery education in relation to cultural competency. Greater efforts are needed to ensure a workforce that provides equitable care and reduces health inequalities. Implications for practice Midwifery educators should be trained to facilitate cultural competency and anti-racist conversations and educate students holistically. They also need to be aware of how to use reflection tools and inclusive training. Training should be part of continued professional development for midwives throughout their career.