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How do intensive care clinicians ensure culturally sensitive care for family members at the end of life? A retrospective descriptive study
journal contribution
posted on 2023-02-10, 04:22 authored by Laura BrooksLaura Brooks, Elizabeth ManiasElizabeth Manias, Melissa BloomerMelissa BloomerIntroduction: Patients and their family members have diverse needs at the end of life, influenced by culture. Objective: To examine whether clinicians (doctors and nurses), provided culturally sensitive care for family members of patients from culturally diverse backgrounds who died in an intensive care unit. Methods: A retrospective medical record audit was undertaken in four metropolitan intensive care units in Melbourne, Australia. Quantitative data are reported using descriptive statistics. Qualitative progress note entries are presented using themes. Results: In all, 430 patients died in 2018 and were included in the audit. Almost half of patients (47.9%, n = 206) were born in Australia, with the remaining 52.1% (n = 224) representing 41 other countries of birth. Languages other than English were spoken by 14.9% (n = 64) of patients. Christian religions were most common (50.2%, n = 216), followed by Buddhism 3.0% (n = 13), and Hindu and Islam respectively (1.9%, n = 8). A cultural assessment was undertaken in 10.5% (n = 45) of cases, mostly by social workers, to ascertain family members’ wishes and preferences for the dying patient's end-of-life care. Religious leaders (eg. priests) (25.1%, n = 108) and interpreters (4.9%, n = 21) contributed to ensuring family members could participate as desired, in accordance with cultural wishes and preferences. Conclusions: Despite the culturally-diverse patient population, findings show that details about culturally sensitive end-of-life care are rarely documented. Comprehensive documentation is required of how clinicians assess patient and family member cultural wishes and preferences, in conjunction with how clinicians attempt to address these cultural needs.
History
Journal
Intensive and Critical Care NursingVolume
73Article number
ARTN 103303Location
NetherlandsPublisher DOI
ISSN
0964-3397eISSN
1532-4036Language
EnglishPublication classification
C1 Refereed article in a scholarly journalPublisher
ELSEVIER SCI LTDUsage metrics
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Keywords
Science & TechnologyLife Sciences & BiomedicineNursingCultural diversityCultural sensitivityDeathDyingEnd -of -life careFamilyIntensive carePatientSOCIAL-WORKERSCOMMUNICATIONPERSPECTIVESPROVISIONSUPPORTEnd-of-life careCritical CareCulturally Competent CareHumansIntensive Care UnitsRetrospective StudiesTerminal CareBehavioral and Social ScienceNursing not elsewhere classified
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