Learning Objective #1: The learner will be able to recognize the expectation and actual acquisition of prenatal nursing instruction, and then to know the gaps between both.

Learning Objective #2: The learner will be able to make effort to fulfill female foreign spouses’ unmet needs and try to minimize health and health care disparities.

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With the rapid growing rates of international marriage, female foreign spouses in the world such as in Taiwan have become one of the major target groups of prenatal care. The purpose of this study were to understand the Vietnamese spouses actually received and perceived expectation of nursing instructions and to analyze the gaps existed between the expectation and actual acquisition. A cross-sectional research design was conducted with a sample of 101 pregnant Vietnamese women, living in northern Taiwan. A questionnaire was used to collect data and was delivered by a face-to-face interview. The main findings indicated (1) Subjects revealed a relatively high expectation for prenatal nursing instructions (Mean=11.77,SD=3.51; total scores ranging from 0 to 14). Among four dimensions of nursing instruction, the highest expectation was noted for "knowing the prenatal checkup"; and the lowest expectation was in "learning self-care during pregnancy". The foreign pregnant women with higher educated and better life adaption revealed higher expectation of prenatal nursing instructions. (2)Regarding actually received nursing instruction, subjects only received low-to-moderate degree of prenatal nursing instructions (Mean=6.74,SD=3.76; total scores ranging from 0 to 14). Among four dimensions, the highest score was also noted for "knowing the prenatal checkup"; whereas the lowest score was in "knowing symptoms and psychological response during pregnancy". The subjects who were not enrolled in the National Health Insurance(NHI)and with low socioeconomic status received less nursing instruction. (3)Obvious gaps existed between foreign pregnant women's expectation of prenatal nursing instructions and actual acquisition (difference value: Mean=5.03,SD=3.04). Based on our finding, we reemphasize the importance of implementing prenatal nursing instructions. Nurses should make efforts to fulfill women's unmet needs and to minimize the gaps between expectation and actual acquisition of services.