Cruz-Oliver Dulce M, Ellis Kirsten, Sanchez-Reilly Sandra
Associate Professor of Geriatrics, Saint Louis University School of Medicine.
Director of Hospice and Palliative Medicine Fellowship, Saint Louis University School of Medicine.
MedEdPORTAL. 2016 Sep 1;12:10448. doi: 10.15766/mep_2374-8265.10448.
End-of-life (EOL) care delivery to Latinos is a well-documented challenge. The majority of caregivers for Latino patients are family relatives, but because Latino caregivers may spend more hours in the caregiving role than other ethnic groups and are less likely to use additional available health care, caregivers can experience an increased burden. This can result in Latino elders being more vulnerable to receiving aggressive care. "Caregivers Like Me" was created as a source for nonprofessional caregivers to improve their knowledge about Latino caregiving of elders at end-of-life (EOL). This resource aims to educate about caregiver stress and to improve attitudes towards the utilization of EOL services.
"Caregivers Like Me" is a bilingual education intervention that includes a video soap opera, or telenovela. The video is followed by discussion of hospice, palliative care, and caregiver stress definitions and ends with an explanation of services available for caregivers (i.e., social services, support groups, adult day care, chore workers, home care with or without palliative care, and respite care under hospice).
"Caregivers Like Me" has been demonstrated to improve Latino family caregivers' openness to receiving professional help while caring for their loved ones. Participants in a multisite cross-sectional pilot study among nonprofessional Latino caregivers ( = 145) reported active learning from the intervention and high satisfaction with the overall educational experience.
This tool provides an education format that is culturally and literacy-sensitive to Latino caregivers and effective in changing their attitude toward EOL care. It may be used by professional caregivers to educate Latino caregivers about EOL care.
为拉丁裔提供临终关怀是一个有充分记录的挑战。拉丁裔患者的大多数护理人员是家庭成员,但由于拉丁裔护理人员可能比其他族裔群体在护理角色上花费更多时间,且不太可能利用额外的现有医疗保健服务,护理人员可能会承受更大的负担。这可能导致拉丁裔老年人更容易接受激进的治疗。“像我这样的护理人员”旨在为非专业护理人员提供一个资源,以提高他们对拉丁裔临终关怀老年人护理的认识。该资源旨在教育护理人员了解压力,并改善对临终关怀服务利用的态度。
“像我这样的护理人员”是一种双语教育干预措施,包括一部视频肥皂剧,即电视连续剧。视频之后讨论临终关怀、姑息治疗和护理人员压力的定义,最后解释为护理人员提供的可用服务(即社会服务、支持小组、成人日托、杂务工、有无姑息治疗的家庭护理以及临终关怀下的喘息护理)。
“像我这样的护理人员”已被证明可以提高拉丁裔家庭护理人员在照顾亲人时接受专业帮助的开放性。在一项针对非专业拉丁裔护理人员(n = 145)的多地点横断面试点研究中,参与者报告从干预中积极学习,并对整体教育体验高度满意。
这个工具提供了一种对拉丁裔护理人员具有文化和识字敏感性的教育形式,并且有效地改变了他们对临终关怀的态度。专业护理人员可以使用它来教育拉丁裔护理人员有关临终关怀的知识。