Creating 'safe spaces': A qualitative study to explore enablers and barriers to culturally safe end-of-life care.

Autor:	Gott M; Te Ārai Palliative Care and End of Life Research Group, The School of Nursing, The University of Auckland, Grafton, Auckland, New Zealand., Wiles J; Te Ārai Palliative Care and End of Life Research Group, The School of Population Health, The University of Auckland, Grafton, Auckland, New Zealand., Mason K; Te Ārai Palliative Care and End of Life Research Group, The School of Nursing, The University of Auckland, Grafton, Auckland, New Zealand., Moeke-Maxwell T; Te Ārai Palliative Care and End of Life Research Group, The School of Nursing, The University of Auckland, Grafton, Auckland, New Zealand.
Jazyk:	angličtina
Zdroj:	Palliative medicine [Palliat Med] 2023 Apr; Vol. 37 (4), pp. 520-529. Date of Electronic Publication: 2022 Nov 22.
DOI:	10.1177/02692163221138621
Abstrakt:	Background: Internationally, efforts are being made to promote equity in palliative and end-of-life care for Indigenous peoples. There is a need to better understand the experiences of Indigenous service users and staff. Aim: To explore the views of Māori health practitioners and whānau (family group) caregivers regarding barriers and enablers to culturally safe palliative and end-of-life care. Design: A Kaupapa Māori qualitative study. Setting/participants: Interviews were conducted with 103 participants from four areas of the North Island of Aotearoa New Zealand. Participants comprised bereaved whānau (family) of Māori with a life limiting illness and Māori health practitioners. Results: Māori health practitioners undertake cultural and connecting work to promote culturally safe palliative and end-of-life care for Māori patients and their whānau. This work is time-consuming and emotionally and culturally demanding and, for most, unpaid and unrecognised. Non-Māori staff can support this work by familiarising themselves with te reo Māori (the Māori language) and respecting cultural care customs. However, achieving culturally safe end-of-life care necessitates fundamental structural change and shared decision-making. Conclusions: Our findings indicate that efforts to support equitable palliative care for Indigenous people should recognise, and support, the existing efforts of health practitioners from these communities. Colleagues from non-Indigenous populations can support this work in a range of ways. Cultural safety must be appropriately resourced and embedded within health systems if aspirations of equitable palliative and end-of-life care are to be realised.
Databáze:	MEDLINE
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