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dc.contributor.authorde Vries, Kayen
dc.contributor.authorBanister, E.en
dc.contributor.authorHarrison Dening, K.en
dc.contributor.authorOchieng, B.en
dc.date.accessioned2019-02-28T08:31:52Z
dc.date.available2019-02-28T08:31:52Z
dc.date.issued2019-05-03
dc.identifier.citationde Vries, K., Banister, E., Harrison Dening, K., Ochieng, B. (2019) Advance Care Planning for older people: The influence of ethnicity, religiosity, spirituality and health literacy. Nursing Ethics, 26 (7-8), pp. 1946-1954en
dc.identifier.urihttp://hdl.handle.net/2086/17584
dc.descriptionThe file attached to this record is the author's final peer reviewed version.en
dc.description.abstractOlder people from cultural and ethnic minorities have low access to palliative or end-of-life care and there is poor uptake of Advance Care Planning by this group across a number of countries where Advance Care Planning is promoted. For many, religiosity, spirituality and health literacy are significant factors that influence how they make end-of-life decisions. Health literacy issues have been identified as one of the main reasons for a communication gaps between physicians and their patients in discussing end-of-life care, where poor health literacy, particularly specific difficulty with written and oral communication often limits their understanding of clinical terms such as diagnoses and prognoses. This then contributes to health inequalities given it impacts on their ability to use their moral agency to make appropriate decisions about end-of-life care and complete their Advance Care Plans. Currently, strategies to promote Advance Care Planning seem to overlook engagement with religious communities. Consequently, policy makers, nurses, medical professions, social workers and even educators continue to shape Advance Care Planning programmes within the context of a medical model. The ethical principle of justice is a useful approach to responding to inequities; and to promote older peoples’ ability to enact moral agency in making such decisions.en
dc.language.isoenen
dc.publisherSageen
dc.subjectAdvance Care Planningen
dc.subjectolder peopleen
dc.subjectreligiosityen
dc.subjectspiritualityen
dc.subjecthealth literacyen
dc.subjectmoral agencyen
dc.subjectsocial justiceen
dc.titleAdvance Care Planning for older people: The influence of ethnicity, religiosity, spirituality and health literacyen
dc.typeArticleen
dc.identifier.doihttps://doi.org/10.1177/0969733019833130
dc.peerreviewedYesen
dc.funderNAen
dc.projectidNAen
dc.cclicenceCC-BY-NCen
dc.date.acceptance2018-11-23en
dc.researchinstituteInstitute of Health, Health Policy and Social Careen


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