Journal List > J Korean Acad Nurs > v.43(5) > 1002947

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



The purpose of this study was to examine the effects of a cultural competence improvement program for maternity nurses.


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.


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.


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.

Figures and Tables

Figure 1
Four steps of 3-D puzzle model.
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.


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


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