A literature review on end-of-life care among Korean Americans

Int J Palliat Nurs. 2018 Sep 2;24(9):452-461. doi: 10.12968/ijpn.2018.24.9.452.

Abstract

Background:: The increasing population of Korean Americans in the US makes it mandatory to develop and provide culturally competent end-of-life (EOL) care for this population.

Aims:: To synthesize previous studies on Korean Americans and their end-of-life (EOL) care.

Method:: Four databases (Cinahl, PsycInfo, PubMed, and SocIndex) were searched and 11 articles were selected for review.

Results:: Korean Americans tend to avoid EOL communication, and instead hope that their families would know about their wishes, without discussing them directly. Korean Americans consider advance directives unnecessary, and only a few Korean Americans use advance directives to lessen the burden of their family's decision-making. Many Korean Americans are unaware of what EOL care provides, which may explain why they seldom use it.

Conclusion:: Providers should discuss EOL care with Korean Americans and tell them what it entails. However, the discussion should be culturally tailored and involve family members whenever possible.

Keywords: Culturally competent care; End-of-life care; Ethnic minority; Ethnography; Korean Americans.

Publication types

  • Review

MeSH terms

  • Cultural Characteristics*
  • Hospice and Palliative Care Nursing
  • Humans
  • Republic of Korea / ethnology
  • Terminal Care*
  • United States