Promoting Cultural Humility During Labor and Birth: Putting Theory Into Action During PRONTO Obstetric and Neonatal Emergency Training

By Jenifer O. Fahey, CNM, MSN, MPH; Susanna R. Cohen, MSN, CNM; Francesca Holme, MPH; Elizabeth S. Buttrick, BA; Julia C. Dettinger, MPH; Edgar Kestler, MSc, MD; Dilys M. Walker, MD

Journal of Perinatal and Neonatal Nursing, January 2013

PRONTO will now be implemented in Guatemala as part of an initiative to decrease maternal and perinatal mortality. Guatemalan health authorities have requested that the training include training on cultural humility and humanized birth. This article describes the process of curricular adaptation to satisfy this request. The PRONTO team adapted the existing program through 4 steps: (a) analysis of the problem and context through a review of qualitative data and stakeholder interviews, (b) literature review and adoption of a theoretical framework regarding cultural humility and adult learning, (c) adaptation of the curriculum and design of new activities and simulations, and (d) implementation of adapted and expanded curriculum and further refinement in response to participant response.

Fahey, et al. “Promoting Cultural Humility During Labor and Birth: Putting Theory Into Action During PRONTO Obstetric and Neonatal Emergency Training.” Journal of Perinatal and Neonatal Nursing, 27 (1), 36-42. doi: 10.1097/JPN.0b013e31827e478d.

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