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Advance care planning for Maori, Pacific and Asian people
 — the views of New Zealand healthcare professionals
Author(s)Rosemary Frey, Deborah Raphael, Gary Bellamy, Merryn Gott
Journal titleHealth and Social Care in the Community, vol 22, no 3, May 2014
PublisherWiley Blackwell, May 2014
Pagespp 290-299
Sourcewileyonlinelibrary.com/journal/hsc
KeywordsSocial ethics ; Natives ; Dying ; Medical care ; Terminal care ; Attitude ; Medical workers ; New Zealand.
AnnotationDespite the benefits of advance care planning (ACP), international research has suggested that in pluralistic and multicultural societies such as New Zealand, significant differences exist in the uptake of ACP between European-based populations and other cultural groups (L M Crawley, 2005). This study explores the views of generalist palliative care providers in both the community and hospital settings regarding the barriers to ACP adoption as well as methods to increase knowledge about ACP among Maori, Pacific and Asian cultural groups within New Zealand society. Eleven individual interviews, two joint interviews, and three focus groups were conducted with health and social care professionals with a wide range of knowledge and experience in palliative care. Challenges were related to a number of issues based on culture, including family decision-making style, a need to 'do everything', and a reluctance to discuss issues surrounding dying and death. Suggestions to increase the knowledge of ACP included techniques to improve information access and the utilisation of shared norms and values to assist with discussions between Maori, Pacific and Asian health professionals and their patients and families or whanau. Findings indicate a need for more family- or whanau-centred models of ACP to be considered much earlier in the healthcare process and within the community setting.
Accession NumberCPA-150522244 A
ClassmarkTQ: TIN: CX: LK: LV: DP: QT: 7YN

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