| Título: | A cross-sectional survey of perceptions of community-dwelling older people from culturally and linguistically diverse (CALD) backgrounds on End-of-Life (EOL) care issues |
| Autores: |
Jeong, S; University of Newcastle, Newcastle, NSW. Ohr, S; Hunter New England Local Health District, Newcastle, NSW. |
| Fecha: | 2013-10-13 |
| Publicador: | Hunter New England Local Health District |
| Fuente: |
Ver documento |
| Tipo: |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| Tema: | Nursing;Midwifery; End Of Life Care; Advanced Care Planning; Advanced Care Directives; Aged; Elderly; Cultural and Linguistically Diverse |
| Descripción: | End-of-Life (EOL) care by its nature is a difficult task and attitudes towards EOL issues can vary within a cultural context. Despite a growing research in Advance Care Planning (ACP) and Advance Care Directives (ACDs), a cross-cultural perspective related to end-of-life issues is missing. This study investigated the differences in cultural beliefs and values in relation to EOL issues including substitute decision making, beliefs about dying, truth telling, and ACP, and preferences for end-of-life care amongst older persons from CALD. A cross-sectional survey of 453 community dwelling older adults (65 and over) who attended 17 Day care centres in the Hunter region, New South Wales was conducted with a response rate of 50%. The study findings support the view that culture, ethnicity, and religion influence older people’s choices in EOL care. Awareness of ACD (24.1%) and ACP (20.4%) was low and completion of ACD (1.7%) was very low. Anglo Celtic and East European people were more likely in this study to possess an Enduring Guardianship (EG) than other groups. While there was an acceptance of death being a normal part of life, 46% believed that death should be avoided at all costs with more than 65% of the Eastern Europeans believing so. The Asian-Pacific group (93%) strongly disagree/disagree in the use of life support to prolong life compared with Anglo Celtic (70%), and Mediterranean and Eastern European groups (50-60%). The study provides an insight into unique cultural beliefs and values regarding end-of-life issues among older persons of CALD background. The findings have implications for the development of resources and programs that meet the needs of a growing population of older persons of CALD backgrounds and their families in planning for future treatment options. We acknowledge Dr Richard Adams Scholarship and the Faculty of Health, University of Newcastle for the parts of funding for this study. |
| Idioma: | Inglés |