Taylor Cooke



Assessing Culturally Sensitive Obstetrical Care and African American Infant Mortality

Primary Investigator:  Taylor Cooke, BSN, RN, DNP Candidate

Purpose: The purpose of the study was to assess obstetrical health providers (OHP) knowledge on providing care that is culturally sensitive and congruent. Identifying gaps in current obstetrical practice exist and create a toolkit for OHP utilization based upon study findings. 

Methods: A cross sectional survey design was used, and participants were recruited through Florida licensing databases. Participants were OHPs that met inclusion and exclusion criteria. A Likert-type Qualtrics survey was e-mailed to qualifying OHPs to gauge attitudes, opinions, and knowledge concerning culturally sensitive care. A Pearson’s correlation coefficient was conducted to determine if correlations existed between participant characteristics and their knowledge, use, and opinions on cultural sensitivity. Moreover, a one-way analysis of variance was conducted to explore between group differences. 

Results: Study findings indicated differences between current research and study results. Participants indicated that they were knowledgeable on the importance in providing culturally congruent care and the impact on birth outcomes; but, indicated that they did not always provide care that was culturally centered. Significant differences existed between gender, age, type of practitioner, and race with the implementation of culturally congruent prenatal care. Women, midwives, and African American (AA) providers were more likely to implement culturally congruent care.   

Discussion: Findings of this study will help close the gap between OHPs and AA women. The results of this study are the foundation for the OHPs provider toolkit created based on the findings. Moreover, findings will aid future research to focus on educating OHPs on the importance of providing congruent culturally sensitive care.  

Conclusion: In summary, study findings and resulting provider toolkit will aid providers and future researchers to focus on the value of OHPs who are not only knowledgeable in culturally congruent obstetrical care, but who also provide that care to AA women. 


Major Professor: Mandy Bamber, PhD, RN



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