Ethics and Advance Care Planning in a Culturally Diverse Society

Ethics and Advance Care Planning in a Culturally Diverse Society
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DOI:
10.1177/1043659609340803
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发表时间:
2009-10-01
影响因子:
2.1
通讯作者:
Kanitsaki, Olga
Kanitsaki, Olga
中科院分区:
医学4区
文献类型:
--
作者:
Johnstone, Megan-Jane;Kanitsaki, Olga

文献摘要

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新兴的国际研究表明,在澳大利亚和美国等多元文化国家,少数民族背景的人与主流英语背景人口的成员相比,在临终关怀规划和决策方面存在显着差异。尽管越来越感兴趣的文化和种族对病人的选择在临终关怀的深远影响,以及有限的摄取先进的护理计划和先进的指令由少数民族群体在主流医疗保健环境中,有奇怪的是,很少有人注意到跨文化的考虑,在提前护理规划和临终关怀。还忽视了跨文化因素对护士,政策制定者和其他处于规划和为不同文化和语言背景的人提供临终关怀最前沿的人的可能影响。本文的一个重要目的就是纠正这一疏忽。
Emerging international research suggests that in multicultural countries, such as Australia and the United States, there are significant disparities in end-of-life care planning and decision making by people of minority ethnic backgrounds compared with members of mainstream English-speaking background populations. Despite a growing interest in the profound influence of culture and ethnicity on patient choices in end-of-life care, and the limited uptake of advance care plans and advance directives by ethnic minority groups in mainstream health care contexts, there has been curiously little attention given to cross-cultural considerations in advance care planning and end-of-life care. Also overlooked are the possible implications of cross-cultural considerations for nurses, policy makers, and others at the forefront of planning and providing end-of-life care to people of diverse cultural and language backgrounds. An important aim of this article is to redress this oversight.