عنوان

Iranian-American Older Adults' Attitudes and Proactive Actions Toward Planning Ahead for End-of-Life Care

شماره

TL49706

زبان متن نوشتاري يا گفتاري و مانند آن

انگلیسی

عنوان اصلي

Iranian-American Older Adults' Attitudes and Proactive Actions Toward Planning Ahead for End-of-Life Care

نام عام مواد

[Thesis]

نام نخستين پديدآور

Zahra Rahemi

نام ساير پديدآوران

Dunphy, Lynne M.

نام ناشر، پخش کننده و غيره

Florida Atlantic University

تاریخ نشرو بخش و غیره

2017

نام خاص و کميت اثر

201

متن يادداشت

Committee members: Alexandre, Pierre K.; Liehr, Patricia R.

متن يادداشت

Place of publication: United States, Ann Arbor; ISBN=978-0-355-42911-4

جزئيات پايان نامه و نوع درجه آن

Ph.D.

نظم درجات

Nursing

کسي که مدرک را اعطا کرده

Florida Atlantic University

امتياز متن

2017

متن يادداشت

Ethnically diverse older adults are the fastest growing population in the U.S. This population may experience transitional processes associated with immigration, acculturation, aging, and end of life (EOL). Advances in technology lead to increases in care options, which can cause uncertainty to make decisions for EOL. Unmade decisions about care prior to becoming unable to communicate are associated with burdens of last-minute decisions at EOL, unwanted intensive EOL treatments for people who may die naturally of old age, financial and emotional costs, and decreased quality of life. In the U.S., a multicultural country with a variety of care options, advance directive (AD) completion and advance care planning (ACP) may improve culturally competent and person-centered care at EOL. However, the rate of AD completion and ACP is low among Americans, especially immigrant communities. These communities, including Iranian-American older adults, have been frequently understudied, and there is a gap in studies of EOL desires, attitudes, and actions/behaviors. This inquiry focused on planning ahead for EOL care across transitional processes that older immigrants may face. The aim was to enhance culturally competent care for older adults through distinguishing significant factors, which may influence planning for EOL care. Specific purposes were: To identify relationships between attitudes toward planning for EOL care and social supports, spirituality, healthcare system distrust, and acculturation; to identify a relationship between attitudes and proactive actions toward planning ahead in Iranian-American older adults. Conceptual frameworks for this descriptive, cross-sectional study included Culture Care Diversity and Universality and Transitions theories. Findings from 135 participants revealed that they were new immigrants to the U.S. (mean year of 23 in the U.S., 97% born in Iran) and highly educated and insured with high health statuses. About 55% preferred non-intensive treatments and/or homecare at EOL, and 52.6% had not communicated their EOL wishes. Attitudes toward planning ahead for EOL were positively associated with acculturation and healthcare system distrust, and negatively associated with spirituality. No significant association was found between attitudes and social support. Furthermore, favorable attitudes predicted higher proactive actions to communicate wishes. Implications for practice, policy, education, and recommendations for further studies were discussed.

موضوع مستند نشده

Nursing

اصطلاح موضوعی

Health and environmental sciences;Advance care planning

مستند نام اشخاص تاييد نشده

Mosley, Shelley

مستند نام اشخاص تاييد نشده

Dunphy, Lynne M.

تقسيم فرعي

Nursing

مستند نام تنالگان تاييد نشده

Florida Atlantic University

شماره بازیابی

1987556902; 10617449

نام الکترونيکي

فرمت انتشار

p

نوع ماده

[Thesis]

کد کاربرگه

276903

سطح دسترسي

a

تكميل شده

Y