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Related Experiment Videos

Multi-cultural and multi-ethnic considerations and advanced directives: developing cultural competency.

Joyce Newman Giger1, Ruth E Davidhizar, Pamela Fordham

  • 1University of California Los Angeles School of Nursing in Los Angeles, California, USA.

Journal of Cultural Diversity
|May 16, 2006
PubMed
Summary

Culturally specific end-of-life rituals are crucial for nurses providing culturally competent care. The Patient Self-Determination Act

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Area of Science:

  • Nursing
  • Medical Ethics
  • Cultural Studies

Background:

  • The Patient Self-Determination Act (PSDA) of 1991 established end-of-life care values in the US.
  • These values include patient autonomy, informed consent, truth-telling, and control over the dying process.
  • These PSDA values may conflict with the beliefs of minority cultures in the US.

Purpose of the Study:

  • To examine the potential conflicts between the PSDA's values and diverse cultural beliefs regarding end-of-life care.
  • To highlight the importance of culturally competent care in nursing practice.
  • To provide a framework for assessing cultural needs at the end of life.

Main Methods:

  • Literature review examining the PSDA and cultural end-of-life beliefs.
  • Application of the Giger and Davdihizar Transcultural Assessment Model.

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  • Analysis of potential value conflicts in culturally competent care delivery.

    • Main Results:

    • The PSDA's assumptions regarding autonomy and control may not align with all cultural perspectives.
    • Nurses face challenges in delivering care that respects both legal mandates and cultural practices.
    • Cultural assessment is vital for identifying and navigating these conflicts.

    Conclusions:

    • Culturally competent nursing care requires acknowledging and integrating diverse end-of-life beliefs and rituals.
    • The Giger and Davdihizar Transcultural Assessment Model aids in planning patient-centered, culturally sensitive end-of-life care.
    • Respecting cultural nuances is essential for ethical and effective end-of-life care.