Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2013 Oct;43(5):626-635. Korean.
    Published online Oct 31, 2013.
    https://doi.org/10.4040/jkan.2013.43.5.626
    © 2013 Korean Society of Nursing Science
    Original Article

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

    Myung-Sook Park and Young-Ran Kweon
      • 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, Email: yrk@chosun.ac.kr
    Received March 23, 2013; Accepted August 19, 2013.

    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, 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.

    Keywords
    Cultural competence; Pregnant women; Transcultural nursing

    Figures

    Figure 1
    Four steps of 3-D puzzle model.

    Tables

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

    Table 2
    Homogeneity of General Characteristics (N=67)

    Table 3
    Homogeneity of Dependent Variables (N=67)

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

    Notes

    This manuscript is a revision of the first author's doctoral dissertation from Chosun University.

    References

      1. American Association of Colleges of Nursing. Cultural competency in baccalaureate nursing education. 2008 [Retrieved September 20, 2012].
        from http://www.aacn.nche.edu/leading-initiatives/education-resources/competency.pdf.
      1. Amerson R. The impact of service-learning on cultural competence. Nurs Educ Perspect 2010;31(1):18–22.
      1. Andrews MM, Boyle JS. In: Transcultural concepts in nursing care. 6th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2012.
      1. Benkert R, Templin T, Schim SM, Doorenbos AZ, Bell SE. Testing a multi-group model of culturally competent behaviors among underrepresented nurse practitioners. Res Nurs Health 2011;34(4):327–341.
        http://dx.doi.org/10.1002/nur.20441.
      1. Berlin A, Nilsson G, Törnkvist L. Cultural competence among Swedish child health nurses after specific training: A randomized trial. Nurs Health Sci 2010;12(3):381–391.
        http://dx.doi.org/10.1111/j.1442-2018.2010.00542.x.
      1. Caffrey RA, Neander W, Markle D, Stewart B. Improving the cultural competence of nursing students: Results of integrating cultural content in the curriculum and an international immersion experience. J Nurs Educ 2005;44(5):234–240.
      1. Campinha-Bacote J. Cultural competence in nursing curricula: How are we doing 20 years later? J Nurs Educ 2006;45(7):243–244.
      1. Castro A, Ruiz E. The effects of nurse practitioner cultural competence on Latina patient satisfaction. J Am Acad Nurse Pract 2009;21(5):278–286.
        http://dx.doi.org/10.1111/j.1745-7599.2009.00406.x.
      1. Chae DH, Park YH, Kang KH, Lee TH. A study on factors affecting cultural competency of general hospital nurses. J Korean Acad Nurs Adm 2012;18(1):76–86.
        http://dx.doi.org/10.11111/jkana.2012.18.1.76.
      1. Choi SY. A study on the development of cultural competence measure for helping professions. J Community Welf 2010;35:23–53.
      1. Choi WH, Choi HJ, Choi YS. An explorative study on the cultural competence of social work practice setting. J Community Welf 2008;26:89–113.
      1. Doorenbos AZ, Lindhorst T, Schim SM, Van Schaik E, Demiris G, Wechkin HA, et al. Development of a web-based educational intervention to improve cross-cultural communication among hospice providers. J Soc Work End Life Palliat Care 2010;6(3-4):236–255.
        http://dx.doi.org/10.1080/15524256.2010.529022.
      1. Ganann R, Sword W, Black M, Carpio B. Influence of maternal birthplace on postpartum health and health services use. J Immigr Minor Health 2012;14(2):223–229.
        http://dx.doi.org/10.1007/s10903-011-9477-2.
      1. Giger JN, Davidhizar RE. In: Transcultural nursing: Assessment and intervention. St. Louis, MO: Mosby; 2008.
      1. Grant LF, Lentzring TD. Status of cultural competence in nursing education: A literature review. J Multicult Nurs Health 2003;9(2):6–13.
      1. Hawala-Druy S, Hill MH. Interdisciplinary: Cultural competency and culturally congruent education for millennials in health professions. Nurse Educ Today 2012;32(7):772–778.
        http://dx.doi.org/10.1016/j.nedt.2012.05.002.
      1. Jeong SJ. In: A study on the development and the effect of group counseling program for improving early childhood teachers' multicultural education competency. Jeonju: Chonbuk National University; 2012.
        Unpublished doctoral dissertation.
      1. Jin KN, Kim J, Sung D, Hwang S, Jung WW. Cultural competence of global healthcare providers in healthcare setting: Case study of Seoul area. Health Soc Welf Rev 2010;30(2):581–598.
      1. Kim EY. In: Cultural competence enhancement programs for social workers working with culturally diverse families. Seoul: Ewha Womans University; 2012.
        Unpublished doctoral dissertation.
      1. Kim YJ, Lee JY, Cho SH. An explorative study of perceived cultural competency of medical social workers in Korea. Health Soc Welf Rev 2011;31(3):251–283.
      1. Michaelsen LK, Parmelee DX, McMahon KK, Levine RE, editors. Team-based learning for health professions education: A guide to using small groups for improving learning. Sterling, VA: Stylus Publishing; 2007.
      1. Munoz CC, DoBroka CC, Mohammad S. Development of a multidisciplinary course in cultural competence for nursing and human service professions. J Nurs Educ 2009;48(9):495–503.
        http://dx.doi.org/10.3928/01484834-20090610-03.
      1. Park JS. In: Study on cultural competence of nurses working in general hospital. Daegu: Keimyung University; 2011.
        Unpublished master's thesis.
      1. Schim SM, Doorenbos AZ. A three-dimensional model of cultural congruence: Framework for intervention. J Soc Work End Life Palliat Care 2010;6(3-4):256–270.
        http://dx.doi.org/10.1080/15524256.2010.529023.
      1. Schim SM, Doorenbos AZ, Borse NN. Cultural competence among Ontario and Michigan healthcare providers. J Nurs Scholarsh 2005;37(4):354–360.
      1. Schim SM, Doorenbos AZ, Miller J, Benkert R. Development of a cultural competence assessment instrument. J Nurs Meas 2003;11(1):29–40.
      1. Starr S, Wallace DC. Self-reported cultural competence of public health nurses in a Southeastern U.S. Public health department. Public Health Nurs 2009;26(1):48–57.
        http://dx.doi.org/10.1111/j.1525-1446.2008.00753.x.
      1. The Korea Institute for Health and Social Affairs. International marriage migrant women's reproductive health status and policy challenges. 2008 [Retrieved August 10, 2012].
        from https://www.kihasa.re.kr/html/jsp/publication/policy/view.jsp?bid=12&ano=398&key=&query=&ryear_value=0&content_type=1&queryString.
      1. The Ministry of Security and Public Administration. Research situation analysis of foreign population. 2011 [Retrieved September 20, 2012].
        from http://www.mopas.go.kr.
      1. Yeo TP, Phillips J, Delengowski A, Griffiths M, Purnell L. Oncology nursing: Educating advanced practice nurses to provide culturally competent care. J Prof Nurs 2011;27(4):245–254.
        http://dx.doi.org/10.1016/j.profnurs.2011.03.004.
    Cited by
    Crossref 15
    Google Scholar 
    PubMed Central 2
    Scopus 9
    Web of Science 7
    MeSH Terms
    Program Evaluation*
    Adult
    Attitude of Health Personnel
    Awareness
    Case-Control Studies
    Cultural Competency
    Female
    Humans
    Maternal-Child Nursing
    Mothers/psychology*
    Pregnancy
    Metrics
    Share
    Links to
    Figures
    slide

    1 / 1

    Tables
    slide
    slide
    slide
    slide

    1 / 4

    PERMALINK