Assuaging death anxiety in older overseas-born Australians of culturally and linguistically diverse backgrounds hospitalised for end-of-life care

Contemp Nurse. 2016 Apr-Jun;52(2-3):269-85. doi: 10.1080/10376178.2016.1192953. Epub 2016 Jun 16.

Abstract

Background: Death anxiety is a known phenomenon in older people of culturally and linguistically diverse backgrounds (CALD) hospitalised for end-of-life (EOL) care . Little is known about how nurses assuage death anxiety in this population.

Aims: To investigate strategies used by nurses to assuage death anxiety and facilitate a good death in older CALD Australians hospitalised for EOL care.

Methods: Advanced as a qualitative descriptive inquiry, a purposeful sample of 22 nurses was recruited from four Victorian healthcare services. Interviews were transcribed verbatim and analysed using thematic analysis processes.

Findings: Nurses used three key strategies: recognising death anxiety; delineating its dimensions; and initiating conventional nursingcaring behaviours to help contain it. Contrary to expectations, cultural similarities rather than differences were found in the strategies used.

Conclusions: Nursing strategies for recognising, delineating, and managing death anxiety in older CALD people hospitalised at the EOL is an important component of quality EOL care.

Keywords: Australia; aged; anxiety; death; hospitalisation; immigrants; nurses; terminal care.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anxiety / nursing*
  • Attitude of Health Personnel
  • Attitude to Death*
  • Cultural Diversity
  • Culture
  • Emigrants and Immigrants / psychology*
  • Female
  • Humans
  • Inpatients / psychology*
  • Male
  • Middle Aged
  • Nurse-Patient Relations*
  • Nursing Staff, Hospital / psychology*
  • Qualitative Research
  • Terminal Care / psychology*
  • Victoria