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Related Concept Videos

Ethical Issues01:27

Ethical Issues

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Ethical Dilemmas II01:30

Ethical Dilemmas II

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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Nursing Ethical Principles II01:27

Nursing Ethical Principles II

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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
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Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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Standards of Care II01:19

Standards of Care II

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Nurses bear specific legal responsibilities under several federal statutes, including:
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Related Experiment Video

Updated: Dec 2, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

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End-of-Life Interventions for African Americans With Serious Illness: A Scoping Review.

Alysha S Hart, Alicia K Matthews

    Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association
    |November 2, 2020
    PubMed
    Summary

    Culturally targeted end-of-life (EOL) interventions show promise for improving outcomes in older African Americans (AAs) facing serious illness. These interventions can enhance knowledge, self-efficacy, and advance care plan completion for AA patients and families.

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    Last Updated: Dec 2, 2025

    A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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    A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

    Published on: January 12, 2018

    12.4K

    Area of Science:

    • Gerontology and Palliative Care
    • Health Disparities Research
    • Cultural Adaptations in Healthcare Interventions

    Background:

    • Older African Americans (AAs) face significant disparities in end-of-life (EOL) care, including advance care planning and access to palliative and hospice services.
    • Existing EOL interventions lack standardized, culturally targeted approaches specifically designed for AA populations, despite identified culturally specific drivers of care outcomes.
    • Addressing these disparities is crucial for improving the quality of care and decision-making for AAs experiencing serious illness.

    Purpose of the Study:

    • To conduct a scoping review to describe and evaluate the benefits of culturally targeted end-of-life (EOL) interventions for African American (AA) populations.
    • To identify and analyze the adaptations and outcomes of existing EOL interventions tailored for AA patients with serious illnesses.
    • To assess the feasibility and preliminary effectiveness of culturally adapted EOL interventions for AA patients and their families.

    Main Methods:

    • A comprehensive computerized search of empirical and gray literature was performed to identify relevant studies.
    • A total of 14 end-of-life (EOL) interventions for African Americans (AAs) with serious illnesses were reviewed from 12 full-text articles, 1 brief report, and 1 abstract.
    • Interventions were analyzed based on their culturally targeted adaptations and their impact on cognitive, emotional, and behavioral outcomes.

    Main Results:

    • Most reviewed interventions utilized theory-based, psychoeducational approaches, interactive discussions, and interviews.
    • Significant improvements were observed in psychological and behavioral outcomes, including enhanced knowledge and self-efficacy (n=8), reduced anxiety, depression, and improved well-being (n=5), and increased advance care plan completion (n=3).
    • While few culturally tailored randomized controlled trials (n=9) exist, preliminary results indicate promise for interventions incorporating cultural adaptations.

    Conclusions:

    • Culturally targeted end-of-life (EOL) intervention approaches are feasible and demonstrate potential benefits for African American (AA) patients and families experiencing serious illness.
    • These interventions show promise in improving key outcomes such as knowledge, self-efficacy, emotional well-being, and advance care planning completion.
    • Further research, including more randomized controlled trials, is warranted to solidify the evidence base for culturally adapted EOL care for AA populations.