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Original Article
Effects of a Cultural Competence Promotion Program for Multicultural Maternity Nursing Care: Case-based Small Group Learning
Myung-Sook Park, Young-Ran Kweon
Journal of Korean Academy of Nursing 2013;43(5):626-635.
DOI: https://doi.org/10.4040/jkan.2013.43.5.626
Published online: October 31, 2013

Department of Nursing, Chosun University, Gwangju, Korea.

Address reprint requests to: Kweon, Young-Ran. Department of Nursing, Chosun University, 375 Seosuk-dong, Dong-gu, Gwangju 501-759, Korea. Tel: 82-62-230-6325, Fax: 82-62-230-6329, yrk@chosun.ac.kr
• Received: March 23, 2013   • Accepted: August 19, 2013

© 2013 Korean Society of Nursing Science

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  • 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, χ2-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.
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Figure 1
Four steps of 3-D puzzle model.
jkan-43-626-g001.jpg
Table 1
Contents of the Cultural Competence Improving Program with Case-based Small Group Learning
jkan-43-626-i001.jpg
Table 2
Homogeneity of General Characteristics (N=67)
jkan-43-626-i002.jpg

Exp.=Experimental group; Cont.=Control group; OBGY=Obstetrics and gynecology.

Table 3
Homogeneity of Dependent Variables (N=67)
jkan-43-626-i003.jpg

Exp.=Experimental group; Cont.=Control group.

Table 4
Comparison of Dependent Variables between Two Groups after Treatment (N=67)
jkan-43-626-i004.jpg

Exp.=Experimental group; Cont.=Control group.

Figure & Data

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        Effects of a Cultural Competence Promotion Program for Multicultural Maternity Nursing Care: Case-based Small Group Learning
        J Korean Acad Nurs. 2013;43(5):626-635.   Published online October 31, 2013
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      Effects of a Cultural Competence Promotion Program for Multicultural Maternity Nursing Care: Case-based Small Group Learning
      Image
      Figure 1 Four steps of 3-D puzzle model.
      Effects of a Cultural Competence Promotion Program for Multicultural Maternity Nursing Care: Case-based Small Group Learning

      Contents of the Cultural Competence Improving Program with Case-based Small Group Learning

      Homogeneity of General Characteristics (N=67)

      Exp.=Experimental group; Cont.=Control group; OBGY=Obstetrics and gynecology.

      Homogeneity of Dependent Variables (N=67)

      Exp.=Experimental group; Cont.=Control group.

      Comparison of Dependent Variables between Two Groups after Treatment (N=67)

      Exp.=Experimental group; Cont.=Control group.

      Table 1 Contents of the Cultural Competence Improving Program with Case-based Small Group Learning

      Table 2 Homogeneity of General Characteristics (N=67)

      Exp.=Experimental group; Cont.=Control group; OBGY=Obstetrics and gynecology.

      Table 3 Homogeneity of Dependent Variables (N=67)

      Exp.=Experimental group; Cont.=Control group.

      Table 4 Comparison of Dependent Variables between Two Groups after Treatment (N=67)

      Exp.=Experimental group; Cont.=Control group.


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