Department of Psychiatry, University of Pittsburgh, PA, USA.
Omega (Westport). 2021 Dec;84(2):551-566. doi: 10.1177/0030222820904205. Epub 2020 Feb 20.
Significant disparity exists among non-Western and minority individuals in hospice and palliative care services. A cross-cultural approach that addresses the needs of these patients would decrease this disparity. This study reviews the literature on the experiences of patients from non-Western and minority cultural backgrounds in hospice and palliative care services to inform clinical practice by Western providers. The PubMed database was searched for qualitative studies on patient and family member experiences of end-of-life services among minority or non-Western cultural groups. Eighteen articles met eligibility criteria. The major themes identified include the following: communication and the flow of information, perceptions of hospice and palliative care, and compatibility with cultural beliefs. This review demonstrates similar themes across many non-Western and minority cultures when interacting with hospice and palliative care services. These findings emphasize the importance of a cross-cultural approach in a palliative care and hospice setting.
在临终关怀和姑息治疗服务中,非西方和少数族裔个体之间存在显著差异。一种针对这些患者需求的跨文化方法将减少这种差异。本研究回顾了关于非西方和少数族裔文化背景的患者在临终关怀和姑息治疗服务中的体验的文献,以为西方提供者提供临床实践信息。在 PubMed 数据库中搜索了有关少数族裔或非西方文化群体临终服务中患者和家庭成员体验的定性研究。符合标准的文章有 18 篇。确定的主要主题包括以下内容:沟通和信息流、对临终关怀和姑息治疗的看法,以及与文化信仰的兼容性。本综述表明,在与临终关怀和姑息治疗服务互动时,许多非西方和少数族裔文化中存在相似的主题。这些发现强调了在姑息治疗和临终关怀环境中采用跨文化方法的重要性。