Purpose: This study aimed to understand a change in the awareness of nursing college students on the unification of the Korean peninsula and health care systems after providing unification and nursing education. Methods: After taking all sessions of the classes;seven participations responded in a semi-conducted focus group interview. The data were analyzed by qualitative content analysis. Results: Three themes and eight categories were deduced. Curiosity and expansion on an unfamiliar subject;and expansion of personal experience related to North Korea/Koreans were identified in the theme of challenges to the ‘unification and nursing’ subject. Confusion due to inconsistency with existing information;the realization of undiscerning attitude/judgement toward North Korea;and empathy and changing views of North Koreans were identified in the theme of expansion of the awareness for North Korea/Koreans. The beginning of a specific concern;the repetition of history;and North Korea still far away were identified in the theme of divided views of the imperativeness of unification. Conclusion: Through the findings of this study;we could examine how students in this study had deepen their understandings in terms of North Koreans beyond their personal experiences by taking the course of 『unification and nursing』.