Awareness of Palliative Care and End-of-Life Options Among African Canadians in Nova Scotia. (April 2013)

• Record Type: Journal Article
• Authors: Maddalena, Victor; Bernard, Wanda Thomas; Davis-Murdoch, Sharon; Smith, Donna
• Is Part Of: Journal of transcultural nursing. Volume 24:Number 2(2013:Apr.)
• Page Start: 144
• Page End: 152
• Publication Date: 2013-04
• Subjects: end-of-life care -- transcultural health -- qualitative research -- African Canadians; Transcultural nursing -- Periodicals; Nursing -- Cross-cultural studies -- Periodicals; Health attitudes -- Cross-cultural studies -- Periodicals; 610.73
• DOI: 10.1177/1043659612472190
• Languages: English
• ISSNs: 1043-6596

Abstract

Purpose: To assess, using qualitative methods, the knowledge African Canadians living in Nova Scotia have regarding their options for palliative and end-of-life (EOL) care.Design: This project engaged caregivers in a Black community in Nova Scotia, Canada, in an exploration of palliative and EOL care. A group of six caregivers who cared for someone who had died were recruited through purposive sampling. The caregivers met three times to (1) discuss their experiences, (2) receive a presentation from the palliative care service, and (3) discuss whether those services would be beneficial. This was followed by a community meeting to discuss the findings.Findings: Knowledge of options for palliative care services is limited. Family centered care may be a reason why "system" is generally not aware of the EOL experiences of African Nova Scotians.Discussion: Information about palliative care services is not filtering down to the community in a way that is meaningful to families. Families tend to self-select services that assist them in providing care in the home setting. There is a need to engage Black communities and palliative care services in developing culturally appropriate services.