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What are the priorities for developing culturally appropriate palliative and end-of-life care for older people?
 — the views of healthcare staff working in New Zealand
Author(s)Gary Bellamy, Merryn Gott
Journal titleHealth and Social Care in the Community, vol 21, no 1, January 2013
PublisherWiley, January 2013
Pagespp 26-34
Sourcewww.wileyonlinelibrary.com/journals/hsc
KeywordsEthnic groups ; Palliative care ; Dying ; Attitude ; Medical workers ; Social surveys ; New Zealand.
AnnotationIn New Zealand, the ageing population is culturally and ethnically diverse; and, along with other developing countries experiencing high levels of migration, the challenge is how to balance the rise in numbers of older people from difference ethnic and cultural groups with end-of-life care that reflects personal values and beliefs. This study investigated the views of healthcare staff regarding the provision of culturally appropriate palliative care for Maori, Pacific Island and Chinese elders living in Auckland, New Zealand. Two joint interviews and ten focus groups were conducted with eighty staff across a range care settings in 2010. Findings indicate that participants viewed the involvement of family as fundamental to the provision of palliative care for Maori, Pacific Island and Chinese elders. For Maori and Pacific Islanders, healthcare staff indicated the importance of enabling family members to provide 'hands-on' care. The role of family in decision-making was fundamental to the delivery of, and satisfaction with care for older Chinese family members. Care staff highlighted the need to be cognisant of individual preferences both within and across cultures as a fundamental aspect of palliative care provision. While assumptions are sometimes made about preferences for end-of-life care based on cultural values alone, the results suggest that care preferences need to be ascertained by working with family members on an individual basis and in a manner that respects their involvement in palliative care provision. (RH).
Accession NumberCPA-130201210 A
ClassmarkTK: LVB: CX: DP: QT: 3F: 7YN

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