Perceived Cultural Competence in Postpartum Units: Perspectives of Culturally Diverse New Mothers Regarding Nurses and Implications for Breastfeeding

INTRODUCTION Globalization and rising immigration highlight the importance of culturally competent nursing care, yet global reports reveal persistent cultural insensitivity. This study explored how new mothers in postpartum units perceive nurses' cultural competence, examining its relationship to mothers' religious and cultural backgrounds and breastfeeding outcomes.

METHOD After obtaining ethical approval, 229 Israeli mothers (Hebrew or Arabic speakers) who gave birth to full-term infants participated. Data were collected via a validated 42-item questionnaire assessing perceived cultural competence, religiosity, cultural customs, breastfeeding, and demographics. Statistical analyses included Pearson's correlations, ANOVA, and regression.

RESULTS Older age, higher religiosity, more children, and associate degrees were linked to higher perceived nurse competence. The "skills" dimension of cultural competence was associated with positive perceptions. Higher perceived cultural competence correlated with full breastfeeding.

DISCUSSION Findings underscore the need to enhance nurses' cultural awareness and skills as part of routine postpartum care to improve maternal experience and outcomes.