1466Johns Hopkins University School of Nursing, Baltimore, MD, USA.
Am J Hosp Palliat Care. 2021 Jun;38(6):678-687. doi: 10.1177/1049909120933856. Epub 2020 Jun 19.
This review aims to explore the extant literature on the current utilization of ACP in Kisin order to obtain a comprehensive understanding of their health disparities and to determineevidence-based best practices to integrate culturally-competent ACP for EOL care of KIs.
A systematic integrative review of the literature Data Sources: Four electronic databases including PubMed, the Cumulative Index of Nursing and Allied Health Literature, the Cochrane Library, and Embase.
The detailed search strategy for databases implicated a combination of MeSHkeywords and associated terms, which can be found in Table A.Results: Three themes emerged in relation to fundamental components in the integration of culturally-competent ACP for EOL of KIs: (1) cultural characteristics of KIs; (2) disparities in ethnic-oriented ACP and EOL care resources in KIs; and (3) KIs' perspectives on ACP.
The findings of this review indicate that culturally-competent ACP resources for KIsare presently quite insufficient. It is determined that much future research is needed on howculturally-competent ACP can best augment the quality of EOL care for KIs, and on howspecific interventions can effectively implement ACP in community settings. Impact: Such ongoing research dedicated to the development of feasible culturally competent practice guidelines is anticipated to markedly reduce health disparities and promote ACP in KIs. The recommendations in this review may support Korean primary HCPs, Korean health care center administrators, Korean health maintenance organizations (HMOs), Korean advance care nurse practitioners in hospice and palliative care, and nurse researchers in their work.
本综述旨在探讨目前在 Kis 中应用ACP 的现有文献，以全面了解他们的健康差距，并确定基于证据的最佳实践，将文化上胜任的ACP 整合到 Kis 的 EOL 护理中。
对文献的系统综合评价
四个电子数据库，包括 PubMed、护理与联合健康文献累积索引、Cochrane 图书馆和 Embase。
数据库的详细搜索策略涉及 MeSH 关键词和相关术语的组合，可在表 A 中找到。
与 Kis 的 EOL 中文化胜任的 ACP 整合的基本组成部分有关的三个主题出现了：(1) Kis 的文化特征；(2)Kis 中以族裔为导向的 ACP 和 EOL 护理资源的差距；(3)Kis 对 ACP 的看法。
本综述的结果表明，目前 Kis 中文化胜任的 ACP 资源相当不足。确定未来需要进行更多研究，了解如何最好地通过文化胜任的 ACP 提高 Kis 的 EOL 护理质量，以及特定干预措施如何在社区环境中有效地实施 ACP。
预计这种致力于制定可行的文化胜任实践指南的持续研究将显著减少健康差距，并促进 Kis 中的 ACP。本综述中的建议可以为韩国的初级 HCP、韩国医疗中心管理人员、韩国健康维护组织 (HMO)、韩国临终关怀和姑息治疗的高级护理执业医师以及护士研究人员提供支持。
