Table 2 MSCS scores from HCPs and staff from Maskwacîs (MHS) and Wetaskiwin (PCN) pre- and post-intervention. Values are means (SD).

I feel that I am aware about the culture of Maskwacîs.

5.50

(1.31)

6.11

(0.33)‡

3.75

(1.42)

5.25

(0.71)*‡

I feel safe and welcome when experiencing the community of Maskwacîs.

6.25

(1.17)

6.44

(0.73)

4.50

(1.68)

5.50

(1.60)

I feel that Maskwacîs culture is dynamic and may vary from community to community and family to family.

6.88

(0.35)

6.67

(0.50)

6.08

(1.08)

6.63

(0.52)

I feel that I can communicate well with individuals from Maskwacîs.

6.38

(1.06)

6.67

(0.50)

5.67

(0.65)

6.13

(0.64)

I feel that I have a good understanding of the reasons some women from Maskwacîs may miss appointments and/or not come in for care.

6.38

(0.74)

6.22

(1.99)‡

5.92

(0.79)

6.50

(0.53)‡

I feel that I am able to adapt easily when interacting with women from Maskwacîs when needed.

6.38

(0.74)

6.56

(0.53)

5.83

(0.83)

6.50

(0.53)

I feel that I have an appropriate amount knowledge about the resources available to support women and their partners in different communities in Maskwacîs.

5.88

(1.25)

6.44

(0.53)‡

4.25

(1.29)

5.38

(1.69)‡

I feel that I am aware of the historical processes that influence health and culture within Maskwacîs today.

5.38

(1.19)

6.33

(0.50)‡§

4.25

(1.22)

5.75

(0.89)*‡

I feel that I am aware of my own biases when interacting with pregnant women from Maskwacîs.

5.63

(1.06)

6.44

(0.53)

4.83

(1.12)

5.38

(0.92)

I am aware of my body language when interacting with individuals from Maskwacîs.

6.25

(1.04)

6.33

(0.71)‡

5.25

(0.87)

5.75

(0.46)‡

I feel that relationship building and maintenance plays a key role in enhancing cultural security.

6.88

(0.35)

6.78

(0.44)

6.67

(0.65)

6.75

(0.46)

I feel that self-reflection is important in interacting with individuals from Maskwacîs.

6.88

(0.35)

6.89

(0.33)

6.08

(1.00)

6.38

(0.74)

MSCS sum

74.63

(7.89)

77.89

(5.49)‡

63.08

(6.22)

71.88

(5.91)*‡