Faculty of Nursing, College of Health Sciences, University of Alberta, Edmonton, AB, Canada.
Faculty of Health and Community Studies, MacEwan University, Edmonton, Alberta, Canada.
BMC Geriatr. 2024 Jan 20;24(1):78. doi: 10.1186/s12877-023-04636-0.
Racialized and/or ethnocultural minority older adults in supportive living settings may not have access to appropriate services and activities. Most supportive living facilities are mainstream (not specific to one group); however, culturally specific facilities are purpose-built to accommodate older adults from a particular group. Our objective was to describe the perspectives of diverse participants about access to culturally appropriate care, accessible services, and social and recreation activities in culturally specific and mainstream (non-specific) supportive living facilities.
We conducted semi-structured interviews with 21 people (11 staff, 8 family members, 2 residents) from 7 supportive living homes (2 culturally specific and 5 mainstream) in Alberta, Canada. We used a rapid qualitative inquiry approach to structure the data collection and analysis.
Staff and family members described challenges in accessing culturally appropriate care in mainstream facilities. Family members expressed guilt and shame when their relative moved to supportive living, and they specifically described long waitlists for beds in culturally specific homes. Once in the facility, language barriers contributed to quality of care issues (e.g., delayed assessments) and challenges accessing recreation and social activities in both mainstream and culturally specific homes. Mainstream facilities often did not have appropriate food options and had limited supports for religious practices. Residents who had better English language proficiency had an easier transition to supportive living.
Racialized and/or ethnoculturally diverse residents in mainstream supportive living facilities did not receive culturally appropriate care. Creating standalone facilities for every cultural group is not feasible; therefore, we must improve the care in mainstream facilities, including recruiting more diverse staff and integrating a wider range of recreation and religious services and food options.
在支持性居住环境中的种族化和/或族裔少数老年群体可能无法获得适当的服务和活动。大多数支持性居住设施是主流的（不是针对特定群体）；然而，文化特定的设施是专门为容纳来自特定群体的老年人而建造的。我们的目的是描述不同参与者对在文化特定和主流（非特定）支持性居住设施中获得文化上适当的护理、无障碍服务以及社交和娱乐活动的看法。
我们对来自加拿大艾伯塔省的 7 个支持性居住家庭（2 个文化特定，5 个主流）的 21 人（11 名工作人员、8 名家庭成员、2 名居民）进行了半结构化访谈。我们使用快速定性探究方法来构建数据收集和分析。
工作人员和家庭成员描述了在主流设施中获得文化上适当护理的挑战。当他们的亲属搬到支持性居住设施时，家庭成员感到内疚和羞耻，他们特别描述了在文化特定的家庭中等待床位的时间很长。一旦进入设施，语言障碍导致了护理质量问题（例如，评估延迟），并在主流和文化特定的家庭中都对娱乐和社交活动造成了挑战。主流设施通常没有适当的饮食选择，并且对宗教活动的支持有限。英语水平较好的居民在过渡到支持性居住时更容易适应。
在主流支持性居住设施中的种族化和/或族裔多样化居民没有得到文化上适当的护理。为每个文化群体创建独立的设施是不可行的；因此，我们必须改善主流设施的护理，包括招募更多多样化的工作人员，并整合更广泛的娱乐、宗教服务和饮食选择。
