1 The University of Arizona, Tucson, AZ, USA.
J Transcult Nurs. 2019 Jul;30(4):380-393. doi: 10.1177/1043659618812949. Epub 2018 Nov 22.
Mexican Americans (MAs) are the largest, fastest growing Latino subgroup in the United States, yet their use of hospice is limited. To better understand this disparity, the authors conducted an integrative review focused on MA caregiving families' end-of-life (EOL) care decisions.
In this literature review, the authors content analyzed results and discussions of 22 research studies focused on EOL decisions, which sampled MA adults at least 50 years old and/or families. The authors used Whittemore and Knafl's integrative review process, employing constructs from the Ethno-Cultural Gerontological Nursing Model.
Topics included attitudes toward hospice, life-sustaining treatment, advance care planning, EOL decision making, perceptions of a good death, and life-limiting illnesses. EOL research for MA caregiving families is meager, largely atheoretical, and rarely validated by subsequent studies.
Nursing research is needed to extend theory and policy in order to skillfully match EOL care with MA caregiving families' needs.
墨西哥裔美国人（MA）是美国最大、增长最快的拉丁裔群体，但他们对临终关怀的使用受到限制。为了更好地理解这种差异，作者进行了一项综合审查，重点关注 MA 护理家庭的临终关怀决策。
在本次文献综述中，作者对 22 项研究的结果和讨论进行了内容分析，这些研究的样本是至少 50 岁的 MA 成年人和/或家庭。作者使用了 Whittemore 和 Knafl 的综合审查过程，并采用了民族文化老年护理模式的构建。
主题包括对临终关怀、维持生命治疗、预先护理计划、临终决策、对美好死亡的看法以及限制生命的疾病的态度。MA 护理家庭的临终关怀研究很少，主要是没有理论依据，很少有后续研究验证。
需要进行护理研究，以扩展理论和政策，以便将临终关怀与 MA 护理家庭的需求巧妙匹配。
