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J Transcult Nurs. 2016 Sep;27(5):471-9. doi: 10.1177/1043659615582088. Epub 2015 Apr 21.

Nursing Roles and Strategies in End-of-Life Decision Making Concerning Elderly Immigrants Admitted to Acute Care Hospitals: An Australian Study.

Author information

1
Deakin University, Melbourne, Victoria, Australia megan-jane.johnstone@deakin.edu.au.
2
Deakin University, Melbourne, Victoria, Australia.

Abstract

PURPOSE:

There is a lack of clarity regarding nursing roles and strategies in providing culturally meaningful end-of-life care to elderly immigrants admitted to Australian hospitals. This article redresses this ambiguity.

METHOD:

A qualitative exploratory descriptive approach was used. Data were obtained by conducting in-depth interviews with a purposeful sample of 22 registered nurses, recruited from four health services. Interview transcripts were analyzed using content and thematic analysis strategies.

RESULTS:

Despite feeling underprepared for their role, participants fostered culturally meaningful care by "doing the ground work," "facilitating families," "fostering trust," and "allaying fear."

DISCUSSION AND CONCLUSION:

The Australian nursing profession has a significant role to play in leading policy, education, practice, and consumer engagement initiatives aimed at ensuring a culturally responsive approach to end-of-life care for Australia's aging immigrant population.

IMPLICATIONS FOR PRACTICE:

Enabling elderly immigrants to experience a "good death" at the end of their lives requires highly nuanced and culturally informed nursing care.

KEYWORDS:

end-of-life care; gerontology; nursing practice; transcultural health

PMID:
25902948
DOI:
10.1177/1043659615582088
[Indexed for MEDLINE]

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