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Healing with Humility: Palliative Care for Refugee Communities
Katherine Doyon1, Sharon E Bigger, Kristin Snopkowski
1Katherine Doyon is an assistant professor in the Boise State University School of Nursing, Boise, ID. Sharon E. Bigger is a postgraduate fellow at the University of Utah Health College of Nursing, Salt Lake City. Kristin Snopkowski is a professor in the Department of Anthropology at Boise State University, Boise, ID, where Michal Temkin Martinez is a professor in the Department of Linguistics and April Masarik is an associate professor in the Department of Psychological Science. William E. Rosa is assistant attending behavioral scientist at Memorial Sloan Kettering Cancer Center in New York City. Adebusola Oluwatoba-Adeyemi is a student in the BSN program in the Boise State University School of Nursing. Sharon E. Bigger's work is supported by the Dick and Timmy Burton Post-Doctoral Fellowship at the University of Utah College of Nursing, as well as the National Institute on Aging of the National Institutes of Health (award no. R01AG069033). The content of this article is solely the responsibility of the authors and does not necessarily represent the official views of the University of Utah or the National Institutes of Health. Contact author: Katherine Doyon, katherinedoyon@boisestate.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Forced displacement has reached unprecedented levels, with over 120 million people uprooted globally and more than 100,000 refugees resettled in the United States in 2024. Refugees arrive with diverse cultural identities, prior professional roles, and experiences of trauma, yet often face systemic barriers, clinician bias, and unmet health needs. This article offers a practical framework grounded in holistic, person-centered values for delivering palliative nursing care to refugee communities. It outlines the complex resettlement journey and highlights how structural inequities, institutional racism, and communication barriers can undermine trust and care delivery. Cultural humility is defined and proposed as a guiding principle. Through real-world examples, communication strategies, and evidence-based insights, the authors demonstrate how care grounded in this principle can promote dignity, build trust, and improve outcomes. Special attention is given to interpreter use, social integration, and the importance of recognizing both cultural differences and individual strengths. When combined with the interdisciplinary, person-centered principles of palliative care-such as symptom management, effective communication, and cultural and spiritual respect-a strengths-based approach can enhance how care is delivered to displaced populations. By understanding the sociocultural and systemic factors that shape the refugee experience, nurses can better meet the complex needs of these patients and their families.
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