title: [Effects of a cultural competence promotion program for multicultural maternity nursing care: case-based small group learning].
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Nursing, Chosun University, Gwangju, Korea.
authors.forename: Myung-Sook
authors.initials: MS
authors.lastname: Park
authors.affiliation: Department of Nursing, Chosun University, Gwangju, Korea. yrk@chosun.ac.kr.
authors.forename: Young-Ran
authors.initials: YR
authors.lastname: Kweon
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001364:Awareness; D016022:Case-Control Studies; D054521:Cultural Competency; D005260:Female; D006801:Humans; D016389:Maternal-Child Nursing; D009035:Mothers / Q000523:psychology*; D011247:Pregnancy; D015397:Program Evaluation
keywords: Cultural competence; Pregnant women; Transcultural nursing