A methodological proposal for midwifery education: Asking, Learning, Telling, and Embracing Diversity (ALTE)

Abstract

Objective

This study addressed the imperative for educational methodologies that effectively cultivate an understanding of diverse cultures within midwifery education curricula, particularly focusing on culture-based practices in the professional milieu. The primary objective was to develop a comprehensive methodology for the integration of cultural competence acquisition into midwifery undergraduate education. This study endeavoured to introduce and critically assesses an educational approach tailored to facilitate the acquisition of cultural competence and sensitivity among midwifery students.

Design

The Asking, Learning, Telling, and Embracing Diversity (ALTE) method, which was developed for use in the “History and Philosophy of Midwifery” course curriculum, was evaluated within the framework of instructor experiences and feedback from students.

Setting

Kocaeli University Faculty of Health Sciences, Department of Midwifery in Türkiye.

Participants

A cohort of midwifery students enrolled in the History and Philosophy of Midwifery course between 2011 and 2016 (N = 95).

Findings

The ALTE method, which is characterized by a student-cantered approach and active participation facilitation, presents an opportunity to enhance student engagement and foster active learning. Student feedback underscored that ALTE, emphasizing active participation, is perceived as an instructive and enriching educational approach, diverging from conventional didactic teaching methods. The ALTE method has emerged as an effective instrument for instilling cultural competence within midwifery education.

Key conclusions

The implementation of the ALTE method empowered midwifery students from diverse geographical backgrounds to discern varied cultural codes and traditional practices. This methodology facilitated the identification of commonalities across regions, exploration of preserved cultural values, and scrutiny of potential advantages, disadvantages, and risks associated with such practices concerning maternal and neonatal well-being. Notably, ALTE exhibited commendable efficacy in fostering cultural sensitivity, active learning, acquisition of communication and presentation skills, peer learning, development of cultural competence, and critical thinking skills.