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Culture Differences in Advance Care Planning and Implications for Social Work Practice

Advance care planning (ACP) is the process of making plans and decisions regarding end-of-life care (EOLC) in advance while one has the physical and cognitive capacity to do so. However, even if health practitioners recognize the importance of ACP, they may be constrained by social and cultural fact...

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Autores principales: Ha, Jung-Hwa, Lee, Changsook, Yoo, Jennifer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968716/
http://dx.doi.org/10.1093/geroni/igab046.071
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author Ha, Jung-Hwa
Lee, Changsook
Yoo, Jennifer
author_facet Ha, Jung-Hwa
Lee, Changsook
Yoo, Jennifer
author_sort Ha, Jung-Hwa
collection PubMed
description Advance care planning (ACP) is the process of making plans and decisions regarding end-of-life care (EOLC) in advance while one has the physical and cognitive capacity to do so. However, even if health practitioners recognize the importance of ACP, they may be constrained by social and cultural factors in engaging their clients in ACP. This study examined cultural differences in ACP and various strategies that social workers use to initiate conversations on ACP in a range of settings. Using the case study method, we conducted in-depth interviews with 7 social workers who work in South Korea, 2 Korean-American social workers working in the Korean-American communities in the US, and 3 American social workers serving diverse populations in the US. Their practice sites include: university hospitals, day care centers, a community senior center, a nursing home, and a hospice agency. Social workers in both countries emphasized the need to build rapport with their clients early on and to empower them to take the lead in their ACP while they were still healthy. In Korean and Korean-American communities, social workers recognized their clients’ reluctance to speak about EOLC and highlighted the importance of communicating with their family due to their clients’ preference for family-centered decision-making. When doing this, a step-by-step approach in giving relevant information was recommended. We identified relationship-building, empowerment, and culturally sensitive approaches as common strategies in initiating discussions on ACP in both countries.
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spelling pubmed-89687162022-03-31 Culture Differences in Advance Care Planning and Implications for Social Work Practice Ha, Jung-Hwa Lee, Changsook Yoo, Jennifer Innov Aging Abstracts Advance care planning (ACP) is the process of making plans and decisions regarding end-of-life care (EOLC) in advance while one has the physical and cognitive capacity to do so. However, even if health practitioners recognize the importance of ACP, they may be constrained by social and cultural factors in engaging their clients in ACP. This study examined cultural differences in ACP and various strategies that social workers use to initiate conversations on ACP in a range of settings. Using the case study method, we conducted in-depth interviews with 7 social workers who work in South Korea, 2 Korean-American social workers working in the Korean-American communities in the US, and 3 American social workers serving diverse populations in the US. Their practice sites include: university hospitals, day care centers, a community senior center, a nursing home, and a hospice agency. Social workers in both countries emphasized the need to build rapport with their clients early on and to empower them to take the lead in their ACP while they were still healthy. In Korean and Korean-American communities, social workers recognized their clients’ reluctance to speak about EOLC and highlighted the importance of communicating with their family due to their clients’ preference for family-centered decision-making. When doing this, a step-by-step approach in giving relevant information was recommended. We identified relationship-building, empowerment, and culturally sensitive approaches as common strategies in initiating discussions on ACP in both countries. Oxford University Press 2021-12-17 /pmc/articles/PMC8968716/ http://dx.doi.org/10.1093/geroni/igab046.071 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Ha, Jung-Hwa
Lee, Changsook
Yoo, Jennifer
Culture Differences in Advance Care Planning and Implications for Social Work Practice
title Culture Differences in Advance Care Planning and Implications for Social Work Practice
title_full Culture Differences in Advance Care Planning and Implications for Social Work Practice
title_fullStr Culture Differences in Advance Care Planning and Implications for Social Work Practice
title_full_unstemmed Culture Differences in Advance Care Planning and Implications for Social Work Practice
title_short Culture Differences in Advance Care Planning and Implications for Social Work Practice
title_sort culture differences in advance care planning and implications for social work practice
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968716/
http://dx.doi.org/10.1093/geroni/igab046.071
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