Preferences Regarding and Communication About End-of-Life Care Among Older Iranian-American Adults

Western Journal of Nursing Research
Zahra RahemiDavid Newman

Abstract

Using a cross-sectional study, this article addresses end-of-life (EOL) care for older Iranian-American adults. The purposes are twofold: (a) to explore participants' preferences for home or hospital care in the event they face EOL conditions and (b) to learn how participants prefer to communicate these preferences. Results showed that about half of the 130 participants had communicated their EOL care preferences through written documents and/or verbal discussions. A set of factors predicted the preferences (χ2(9) = 17.42, p < .042) and communications (χ2(9) = 19.54, p = .021). Regression models indicated that higher scores of social support ( p = .013) and greater numbers of cohabitants ( p = .021) were associated with a preference for home care, and experience of a loved one's death was associated with participants being willing to communicate their preferences for type of care ( p = .015). This study can bridge the gap between culturally diverse older adults' preferences and types of EOL care they ultimately receive.

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Citations

Aug 15, 2019·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Marilyn R McFarland, Hiba B Wehbe-Alamah
Jul 5, 2019·Western Journal of Nursing Research·Virginia Sun, Marie Bakitas
Oct 13, 2020·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Ghaith A Bani MelhemS Sudha
Nov 13, 2020·ANS. Advances in Nursing Science·Zahra Rahemi, Tracy Fasolino

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Software Mentioned

Statistical Package for the Social Sciences ( SPSS )
Power
Qualtrics

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