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Biomedical subjects

D F Pacquiao

Publications and source records attributed to D F Pacquiao.

9 recordsLinked to original sources

Culturally congruent end-of-life care for Jewish patients and their families.

This qualitative study was conducted to determine cultural influences in end-of-life care among Jewish people. The conceptual framework for this study was drawn from Leininger's culture care theory. Informants consisted of 16 professional caregivers, family members, and rabbis who had experience with end-of-life care for Jewish patients. Interviews using open-ended and focused questions were used to gather informants' descriptions of their generic values, beliefs, and practices. Findings revealed the strong influence of religious, cultural, and historical factors in caring. Sanctity of life and life promotion are central to Judaism. Caring is a communal obligation that unites the family and community into a cohesive unit. Attitudes toward death are influenced by beliefs about afterlife and suffering. The value put on expert knowledge influences patients' and family members' expectations of professional caregivers. Similarities and differences were noted among different groups of informants.

Adult↗

Ethics and cultural diversity--a framework for decision-making.

Believing that healthcare outcomes will be more satisfying if the patients' cultural knowledge and values are understood and integrated appropriately in care planning, the author proposes a culturally competent ethical decision making model based on human rights--the fundamental right of individuals, families, groups, and populations to healthcare that is meaningful, supportive, and beneficial--and a reconceptualization of ethical principles to include the values and assumptions of clients. The ideal result is culturally congruent healthcare in which practitioners learn about their clients' lifeways and work with them to find satisfying ways to resolve clinical and ethical issues.

Cultural Diversity↗

Transcultural nursing study of emic and etic care in the home.

This study describes 18 informants' experiences with home care by multidisciplinary health care providers using participant observation as research methodology. Study findings support the salience of culture as the context for interpreting, valuing, and defining satisfaction with care. In contrast to hospital care, home care was perceived by informants as enhancing their ability to remain in their valued setting, supportive of their restorative and health maintenance needs. In particular, all informants viewed their home as the milieu that allows for continuity of their lifestyles, family relationships, and cultural values.

Adult↗