Jonas Scholar Alum, College of Nursing, 16080The University of Arizona, Tucson, AZ, USA.
Wildcat Hartford Center, College of Nursing, 16080The University of Arizona, Tucson, AZ, USA.
J Palliat Care. 2020 Oct;35(4):256-266. doi: 10.1177/0825859720907419. Epub 2020 Feb 24.
Mexican Americans (MAs), 1 of 10 subgroups of Latinos, are the largest and fastest growing Latino subgroup in the United States; yet, their access to end-of-life (EOL) care using hospice services is low. An investigation was needed into extant research-based knowledge about factors influencing EOL care decisions among MAs to guide health-care professionals in assisting MAs to make timely, acceptable, and satisfactory EOL care decisions. To determine whether gender was an influence on EOL decision-making among older MAs, CINAHL and PubMed were searched for articles published between 1994 and 2018. Relevant sources were also identified through the reference lists of review articles. Reports were included if they were written in English, involved participants aged 50 years and older who identified themselves as MA, and data derived directly from participants. Reports in which MAs were not equally represented in the sample, large databases, and instrumentation development and testing articles were excluded. Of the 345 unduplicated articles identified in our electronic search and the 47 identified through review articles, 22 met the inclusion criteria. Content analysis was conducted using a priori codes from the Ethno-Cultural Gerontological Nursing Model (ECGNM). Only 8 (36%) of the 22 articles reported on MA older adults' gendered experiences related to EOL decision-making. Results indicate an association between gender and EOL decision-making. As the older MA population grows, tackling disparities in EOL services use requires attention to how culture and gender influence EOL decision-making and care.
墨西哥裔美国人（MAs）是拉丁裔的 10 个亚群之一，是美国最大和增长最快的拉丁裔亚群；然而，他们使用临终关怀服务获得临终关怀的机会很低。需要对影响 MAs 临终关怀决策的现有基于研究的知识进行调查，以便指导医疗保健专业人员帮助 MAs 做出及时、可接受和满意的临终关怀决策。为了确定性别是否对年长的 MAs 的临终决策有影响，在 1994 年至 2018 年期间，在 CINAHL 和 PubMed 上搜索了有关文章。还通过综述文章的参考文献列表确定了相关来源。如果报告是用英文撰写的，涉及自认为是 MA 的 50 岁及以上的参与者，并且数据直接来自参与者，则将其包括在内。排除了样本中 MA 代表性不足、大型数据库以及仪器开发和测试文章的报告。在我们的电子搜索中确定的 345 篇非重复文章和通过综述文章确定的 47 篇文章中，有 22 篇符合纳入标准。使用民族文化老年护理模式（ECGNM）的预先确定代码对内容进行了分析。在 22 篇文章中，只有 8 篇（36%）报告了与 MA 老年人临终决策相关的性别经验。结果表明性别与临终决策之间存在关联。随着年长的 MA 人口的增长，解决临终服务使用方面的差异需要关注文化和性别如何影响临终决策和护理。
