2358University of Virginia School of Nursing, Charlottesville, VA, USA.
Am J Hosp Palliat Care. 2021 Jun;38(6):719-730. doi: 10.1177/1049909120979164. Epub 2020 Dec 10.
African Americans (AA) experience health inequalities that affect their utilization of advance care planning (ACP) and hospice and palliative care at end of life (EOL). Faith-based health promotion models may be applicable to ACP and EOL care literacy for this population. The purpose of this integrative review was to examine the literature highlighting participant responses to ACP and EOL care literacy initiatives in AA faith communities. An integrative literature review was conducted using the following databases: PubMed, CINAHL, Web of Science, and PsychINFO. Eight primary sources met inclusion criteria. Findings from these studies indicate that integration of AA religious beliefs and practices into ACP and EOL care educational programs may enhance the efficacy of these efforts in promoting ACP, advance directive completion, and hospice use. Building trust, creating community partnerships, and involving church leadership in ACP and EOL care literacy promotion efforts serve as important elements to inform future initiatives.
非裔美国人（AA）在健康方面存在不平等现象，这影响了他们在生命末期对预先医疗指示（ACP）和临终关怀及姑息治疗的利用。以信仰为基础的健康促进模式可能适用于该人群的 ACP 和 EOL 护理知识普及。本综合评价的目的是研究文献，重点介绍 AA 信仰社区中参与者对 ACP 和 EOL 护理知识普及倡议的反应。使用以下数据库进行综合文献回顾：PubMed、CINAHL、Web of Science 和 PsychINFO。八项主要来源符合纳入标准。这些研究的结果表明，将 AA 的宗教信仰和实践融入 ACP 和 EOL 护理教育计划中，可能会提高这些努力在促进 ACP、预先医疗指示完成和使用临终关怀方面的效果。建立信任、创建社区伙伴关系以及让教会领导层参与 ACP 和 EOL 护理知识普及工作，是为未来的倡议提供信息的重要因素。
