Literature DB >> 17387066

What matters to older African Americans facing end-of-life decisions? A focus group study.

Karen Bullock1, Sarah A McGraw, Karen Blank, Elizabeth H Bradley.   

Abstract

BACKGROUND: To better understand what matters to African American elders who are faced with issues of death, dying, and end-of-life care, a qualitative study was conducted to elicit their perspective.
METHODS: Focus groups were convened across the state of Connecticut. A total of 196 individuals participated in the 90-minute interview sessions. Using an interview guide, a trained moderator conducted the racially homogeneous discussion groups. Transcriptions of the group narratives with 22 older African Americans were coded to identify themes. Data were organized and analyzed using NUD-IST 4 and constant comparative method of qualitative data analysis.
RESULTS: Five major themes emerged from the focus group data on older African Americans: (1) spirituality, (2) burden on family, (3) trust, (4) health insurance coverage, and (5) cultural concerns.
CONCLUSION: Recommendations are made for outreach education, involvement of informal helpers, and a level of acceptability in practice for diverse care needs.

Entities:  

Mesh:

Year:  2005        PMID: 17387066     DOI: 10.1300/J457v01n03_02

Source DB:  PubMed          Journal:  J Soc Work End Life Palliat Care        ISSN: 1552-4264


  6 in total

1.  Reversing Racial Inequities at the End of Life: A Call for Health Systems to Create Culturally Competent Advance Care Planning Programs Within African American Communities.

Authors:  Randi Belisomo
Journal:  J Racial Ethn Health Disparities       Date:  2017-04-13

2.  Pain management and the African American hospice caregiver: a case report.

Authors:  Paula K Baldwin; Elaine Wittenberg-Lyles; Robin L Kruse; George Demiris; Debra Parker Oliver
Journal:  Am J Hosp Palliat Care       Date:  2012-12-10       Impact factor: 2.500

3.  Implementing an Advance Care Planning Intervention in Community Settings with Older Latinos: A Feasibility Study.

Authors:  Frances R Nedjat-Haiem; Iraida V Carrion; Krystyna Gonzalez; Alejandra Quintana; Kathleen Ell; Mary O'Connell; Beti Thompson; Shiraz I Mishra
Journal:  J Palliat Med       Date:  2017-05-03       Impact factor: 2.947

4.  Relationships between psychosocial-spiritual well-being and end-of-life preferences and values in African American dialysis patients.

Authors:  Mi-Kyung Song; Laura C Hanson
Journal:  J Pain Symptom Manage       Date:  2009-04-08       Impact factor: 3.612

5.  A Question of Trust: Does Mistrust or Perceived Discrimination Account for Race Disparities in Advance Directive Completion?

Authors:  Catheryn S Koss; Tamara A Baker
Journal:  Innov Aging       Date:  2017-09-07

6.  Perspectives of elders and their adult children of Black and minority ethnic heritage on end-of-life conversations: A meta-ethnography.

Authors:  Joanna De Souza; Karen Gillett; Katherine Froggatt; Catherine Walshe
Journal:  Palliat Med       Date:  2020-01-22       Impact factor: 4.762

  6 in total

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