J Korean Acad Nurs.  2013 Oct;43(5):626-635. 10.4040/jkan.2013.43.5.626.

Effects of a Cultural Competence Promotion Program for Multicultural Maternity Nursing Care: Case-based Small Group Learning

• Park MS
• Kweon YR

• KMID: 1707164
• DOI: http://doi.org/10.4040/jkan.2013.43.5.626

Abstract

PURPOSE
The purpose of this study was to examine the effects of a cultural competence improvement program for maternity nurses.
METHODS
A quasi-experimental study using a non-equivalent control group pre and posttest design was used. Participants were 67 maternity nurses caring for multicultural pregnant women in G city. The cultural competence improvement program was developed based on the 3-D Puzzle Model and was provided using case-based small group learning methods for the experimental group (n=31). The control group (n=36) did not receive any intervention. Data were collected using self-report structured questionnaires at two time points: prior to the intervention and after the intervention and were analyzed with descriptive statistics, chi2-test, and t-test.
RESULTS
Compared to the control group, the experimental group reported significant positive changes for cultural knowledge (t=6.39, p<.001), cultural awareness (t=3.50, p<.001), and cultural acceptance (t=4.08, p<.001). However, change in cultural nursing behaviors (t=0.92, p=.067) was not significantly different between the two groups.
CONCLUSION
Findings from this study indicate that a cultural competence improvement program with case-based small group learning is a useful intervention strategy to promote multicultural maternity care. Further, strategies to improve cultural nursing behavior should be developed to promote culturally congruent nursing care.

Keyword

Cultural competence; Pregnant women; Transcultural nursing

MeSH Terms

Adult
Attitude of Health Personnel
Awareness
Case-Control Studies
Cultural Competency
Female
Humans
Maternal-Child Nursing
Mothers/*psychology
Pregnancy
*Program Evaluation

Figure

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  Figure 1 Four steps of 3-D puzzle model.

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