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

다문화 산모 간호를 위한 문화적 역량증진 프로그램의 효과: 사례기반 소그룹 학습방법 적용

  • Received : 2013.03.23
  • Accepted : 2013.08.19
  • Published : 2013.10.31

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, ${\chi}^2$-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

References

  1. American Association of Colleges of Nursing. (2008). Cultural competency in baccalaureate nursing education. Retrieved September 20, 2012, from http://www.aacn.nche.edu/leading-initiatives/education-resources/competency.pdf
  2. Amerson, R. (2010). The impact of service-learning on cultural competence. Nursing Education Perspectives, 31(1), 18-22.
  3. Andrews, M., M, & Boyle, J. S. (2012). Transcultural concepts in nursing care (6th ed.). Philadelphia, PA: Lippincott Williams and Wilkins.
  4. Benkert, R., Templin, T., Schim, S. M., Doorenbos, A. Z., & Bell, S. E. (2011). Testing a multi-group model of culturally competent behaviors among underrepresented nurse practitioners. Research in Nursing and Health, 34(4), 327-341. http://dx.doi.org/10.1002/nur.20441
  5. Berlin, A., Nilsson, G., & Tornkvist, L. (2010). Cultural competence among Swedish child health nurses after specific training: A randomized trial. Nursing & Health Sciences, 12(3), 381-391. http://dx.doi.org/10.1111/j.1442-2018.2010.00542.x
  6. Caffrey, R. A., Neander, W., Markle, D., & Stewart, B. (2005). Improving the cultural competence of nursing students: Results of integrating cultural content in the curriculum and an international immersion experience. The Journal of Nursing Education, 44(5), 234-240.
  7. Campinha-Bacote, J. (2006). Cultural competence in nursing curricula: How are we doing 20 years later? The Journal of Nursing Education, 45(7), 243-244.
  8. Castro, A., & Ruiz, E. (2009). The effects of nurse practitioner cultural competence on Latina patient satisfaction. Journal of the American Academy of Nurse Practitioners, 21(5), 278-286. http://dx.doi.org/10.1111/j.1745-7599.2009.00406.x
  9. Chae, D. H., Park, Y. H., Kang, K. H., & Lee, T. H. (2012). A study on factors affecting cultural competency of general hospital nurses. Journal of Korean Academy of Nursing Administration, 18(1), 76-86. http://dx.doi.org/10.11111/jkana.2012.18.1.76
  10. Choi, S. Y. (2010). A study on the development of cultural competence measure for helping professions. Journal of Community Welfare, 35, 23-53.
  11. Choi, W. H., Choi, H. J., & Choi, Y. S. (2008). An explorative study on the cultural competence of social work practice setting. Journal of Community Welfare, 26, 89-113.
  12. Doorenbos, A. Z., Lindhorst, T., Schim, S. M., Van Schaik, E., Demiris, G., Wechkin, H. A., et al. (2010). Development of a web-based educational intervention to improve cross-cultural communication among hospice providers. Journal of Social Work in End-of-life & Palliative Care, 6(3-4), 236-255. http://dx.doi.org/10.1080/15524256.2010.529022
  13. Ganann, R., Sword, W., Black, M., & Carpio, B. (2012). Influence of maternal birthplace on postpartum health and health services use. Journal of Immigrant and Minority Health, 14(2), 223-229. http://dx.doi.org/10.1007/s10903-011-9477-2
  14. Giger, J. N., & Davidhizar, R. E. (2008). Transcultural nursing: Assessment and intervention. St. Louis, MO: Mosby.
  15. Grant, L. F., & Lentzring, T. D. (2003). Status of cultural competence in nursing education: A literature review. Journal of Multicultural Nursing and Health, 9(2), 6-13.
  16. Hawala-Druy, S., & Hill, M. H. (2012). Interdisciplinary: Cultural competency and culturally congruent education for millennials in health professions. Nurse Education Today, 32(7), 772-778. http://dx.doi. org/10.1016/j.nedt.2012.05.002
  17. Jeong, S. J. (2012). A study on the development and the effect of group counseling program for improving early childhood teachers' multicultural education competency. Unpublished doctoral dissertation, Chonbuk National University, Jeonju.
  18. Jin, K. N., Kim, J., Sung, D., Hwang, S., & Jung, W. W. J. (2010). Cultural competence of global healthcare providers in healthcare setting: Case study of Seoul area. Health and Social Welfare Review, 30(2), 581-598. https://doi.org/10.15709/hswr.2010.30.2.581
  19. Kim, E. Y. (2012). Cultural competence enhancement programs for social workers working with culturally diverse families. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  20. Kim, Y. J., Lee, J. Y., & Cho, S. H. (2011). An explorative study of perceived cultural competency of medical social workers in Korea. Health and Social Welfare Review, 31(3), 251-283. https://doi.org/10.15709/hswr.2011.31.3.251
  21. Michaelsen, L. K., Parmelee, D. X., McMahon, K. K., & Levine, R. E. (Eds.). (2007). Team-based learning for health professions education: A guide to using small groups for improving learning. Sterling, VA: Stylus Publishing.
  22. Munoz, C. C., DoBroka, C. C., & Mohammad, S. (2009). Development of a multidisciplinary course in cultural competence for nursing and human service professions. The Journal of Nursing Education, 48(9), 495-503. http://dx.doi.org/10.3928/01484834-20090610-03
  23. Park, J. S. (2011). Study on cultural competence of nurses working in general hospital. Unpublished master's thesis, Keimyung University, Daegu.
  24. Schim, S. M., & Doorenbos, A. Z. (2010). A three-dimensional model of cultural congruence: Framework for intervention. Journal of Social Work in End-of-life & Palliative Care, 6(3-4), 256-270. http://dx.doi.org/10.1080/15524256.2010.529023
  25. Schim, S. M., Doorenbos, A. Z., & Borse, N. N. (2005). Cultural competence among Ontario and Michigan healthcare providers. Journal of Nursing Scholarship, 37(4), 354-360. https://doi.org/10.1111/j.1547-5069.2005.00061.x
  26. Schim, S. M., Doorenbos, A. Z., Miller, J., & Benkert, R. (2003). Development of a cultural competence assessment instrument. Journal of Nursing Measurement, 11(1), 29-40. https://doi.org/10.1891/jnum.11.1.29.52062
  27. Starr, S., & Wallace, D. C. (2009). Self-reported cultural competence of public health nurses in a Southeastern U.S. Public health department. Public Health Nursing (Boston, Mass.), 26(1), 48-57. http://dx.doi.org/10.1111/j.1525-1446.2008.00753.x
  28. The Korea Institute for Health and Social Affairs. (2008). International marriage migrant women's reproductive health status and policy challenges. 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
  29. The Ministry of Security and Public Administration. (2011). Research situation analysis of foreign population. Retrieved September 20, 2012, from http://www.mopas.go.kr
  30. Yeo, T. P., Phillips, J., Delengowski, A., Griffiths, M., & Purnell, L. (2011). Oncology nursing: Educating advanced practice nurses to provide culturally competent care. Journal of Professional Nursing, 27(4), 245-254. http://dx.doi.org/10.1016/j.profnurs.2011.03.004

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