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- Title
Focus Group Findings about the Influence of Culture on Communication Preferences in End-of-Life Care.
- Authors
Shrank, William H.; Kutner, Jean S.; Richardson, Terri; Mularski, Richard A.; Fischer, Stacy; Kagawa-Singer, Marjorie
- Abstract
Little guidance is available for health care providers who try to communicate with patients and their families in a culturally sensitive way about end-of-life care. To explore the content and structure of end-of-life discussions that would optimize decision making by conducting focus groups with two diverse groups of patients that vary in ethnicity and socioeconomic status. Six focus groups were conducted; 3 included non-Hispanic white patients recruited from a University hospital (non-Hispanic white groups) and 3 included African-American patients recruited from a municipal hospital (African-American groups). A hypothetical scenario of a dying relative was used to explore preferences for the content and structure of communication. Thirty-six non-Hispanic white participants and 34 African-American participants. Content analysis of focus group transcripts. Non-Hispanic white participants were more exclusive when recommending family participants in end-of-life discussions while African-American participants preferred to include more family, friends and spiritual leaders. Requested content varied as non-Hispanic white participants desired more information about medical options and cost implications while African-American participants requested spiritually focused information. Underlying values also differed as non-Hispanic white participants expressed more concern with quality of life while African-American participants tended to value the protection of life at all costs. The groups differed broadly in their preferences for both the content and structure of end-of-life discussions and on the values that influence those preferences. Further research is necessary to help practitioners engage in culturally sensitive end-of-life discussions with patients and their families by considering varying preferences for the goals of end-of-life care communication.
- Subjects
TERMINAL care; TERMINALLY ill; SICK people; CRITICAL care medicine; COMMUNICATION &; culture; MEDICAL care; PUBLIC health
- Publication
JGIM: Journal of General Internal Medicine, 2005, Vol 20, Issue 8, p703
- ISSN
0884-8734
- Publication type
Article
- DOI
10.1111/j.1525-1497.2005.0151.x