Abstract
This study evaluated the cultural competence and cultural confidence (self-efficacy) levels of baccalaureate nursing students in 3 types of programs: those with integrated cultural content, those with a required nonnursing culture course, and those with a culture course in nursing. A sample of 759 students participated. Only the students in the nursing culture course program reached a level of cultural competence. Cultural competence and confidence increased significantly from freshman to junior year in all 3 programs.