Culturally Relevant Palliative and End-of-Life Care for U.S. Indigenous Populations: An Integrative Review.
| Autor: | Isaacson MJ; 1 South Dakota State University, Sioux Falls, SD, USA., Lynch AR; 2 Independent researcher, Iowa City, IA, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of transcultural nursing : official journal of the Transcultural Nursing Society [J Transcult Nurs] 2018 Mar; Vol. 29 (2), pp. 180-191. Date of Electronic Publication: 2017 Jul 22. |
| DOI: | 10.1177/1043659617720980 |
| Abstrakt: | Purpose: American Indians/Alaska Natives (AIs/ANs) have higher rates of chronic illness and lack access to palliative/end-of-life (EOL) care. This integrative review ascertained the state of the science on culturally acceptable palliative/EOL care options for Indigenous persons in the United States. Design: Databases searched: CINAHL, PubMed/MEDLINE, SocINDEX, PsycINFO, PsycARTICLES, ERIC, Health Source: Nursing/Academic Edition, and EBSCO Discovery Service 1880s-Present. Key terms used: palliative care, EOL care, and AI/AN. Inclusion Criteria: peer-reviewed articles published in English. Findings/Results: Twenty-nine articles were identified, 17 remained that described culturally specific palliative/EOL care for AIs/ANs. Synthesis revealed four themes: Communication, Cultural Awareness/Sensitivity, Community Guidance for Palliative/EOL Care Programs, Barriers and two subthemes: Trust/Respect and Mistrust. Discussion/conclusion: Limitations are lack of research funding, geographic isolation, and stringent government requirements. Palliative/EOL care must draw on a different set of skills that honor care beyond cure provided in a culturally sensitive manner. |
| Databáze: | MEDLINE |
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