Enhancing Nursing Students’ Cultural Awareness using Cross-Cultural Video-Based Simulation: A Pilot Study

Backgrounds: With increasing cultural diversity in global healthcare settings, nurturing culturally competent nurses to serve the diverse population is crucial. This pilot study evaluated the potential of cross-cultural video-based simulation co-created by nursing academia across 3 countries (Australia, Hong Kong, the United Kingdom) in enhancing nursing students’ cultural awareness. Methods: A quasi-experimental study with one-group pre- and post-test evaluation was designed, with 35 nursing students from a university in Hong Kong participating in three educational workshops comprising theory-driven video-based simulation. Validated questionnaires were adopted to measure changes in cultural awareness scores using paired sample t-test. Results: This pilot study suggested the acceptability and feasibility of the intervention as revealed by the significant improvements in cultural awareness scores (pre-test: 9.63, post-test: 10.69, p < 0.001, Cohen’s d = 0.777). Conclusions: This pilot study highlights the potential of video-based simulation for enhancing nursing students’ cultural awareness. Trial registration: The HKU/HA HKW Institutional Review Board approved the study (UW20-411), which was conducted in accordance with the principles of the Declaration of Helsinki.