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

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

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.

MeSH terms

  • Adult
  • Australia
  • Culturally Competent Care* / methods
  • Culturally Competent Care* / standards
  • Decision Making*
  • Emigrants and Immigrants / psychology
  • Female
  • Geriatrics / methods
  • Geriatrics / standards
  • Humans
  • Male
  • Middle Aged
  • Nurse's Role / psychology*
  • Qualitative Research
  • Terminal Care / methods*
  • Workforce