Bollig Georg, Safi Mariam, Schmidt Marina, Ewald Hermann
Department of Anesthesiology, Intensive Care, Palliative Medicine and Pain Therapy, HELIOS Klinikum, 24837 Schleswig, Germany.
Internal Medicine Research Unit, Department of Regional Health Research University of Southern Denmark, University Hospital of Southern Denmark, 6400 Sønderborg, Denmark.
Healthcare (Basel). 2022 Mar 31;10(4):658. doi: 10.3390/healthcare10040658.
Last Aid courses (LAC) have been established in 20 countries in Europe, Australia, and America to improve the public discourse about death and dying and to empower people to contribute to end-of-life care in the community. A mixed-methods approach was used to investigate the views of LAC participants about the course and cultural differences in relation to care and nursing at the end of life in the border region of Germany and Denmark. One-day workshops were held, including Last Aid courses in German and Danish, focus group interviews, and open discussions by the participants. The results show that almost all participants appreciate the LAC as an option to talk and learn about death and end-of-life care. The informants find individual differences more important than cultural differences in end-of-life care but describe differences connected to regulations and organization of services across the border. Suggestions for adaptation and improvement of the LAC include the topics of organization and support across the border, religions, and cultures, and supporting people in grief. The findings of the study will inform a revision of the Last Aid curriculum and future projects across the border and will help to include the views of minorities.
“急救课程”（LAC）已在欧洲、澳大利亚和美洲的20个国家设立，目的是改善关于死亡和临终问题的公众讨论，并使人们有能力为社区临终关怀做出贡献。采用混合方法研究了“急救课程”参与者对该课程的看法，以及德国和丹麦边境地区在临终关怀和护理方面的文化差异。举办了为期一天的研讨会，包括德语和丹麦语的“急救课程”、焦点小组访谈以及参与者的公开讨论。结果表明，几乎所有参与者都赞赏“急救课程”是一个谈论和学习死亡及临终关怀的途径。受访者发现在临终关怀中个体差异比文化差异更重要，但描述了与边境地区服务的法规和组织相关的差异。对“急救课程”进行调整和改进的建议包括跨境组织和支持、宗教和文化以及为悲伤的人提供支持等主题。该研究结果将为修订“急救课程”的课程内容以及未来的跨境项目提供参考，并有助于纳入少数群体的观点。
