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Older Caribbean Immigrants' Experien...

Carter, Carol A.

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Older Caribbean Immigrants' Experiences Determining Their Own End-of-Life Care.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Older Caribbean Immigrants' Experiences Determining Their Own End-of-Life Care./
Author:	Carter, Carol A.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
Description:	214 p.
Notes:	Source: Dissertations Abstracts International, Volume: 81-08, Section: A.
Contained By:	Dissertations Abstracts International81-08A.
Subject:	Social psychology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27671181
ISBN:	9781392577134

Older Caribbean Immigrants' Experiences Determining Their Own End-of-Life Care.
Carter, Carol A.

Older Caribbean Immigrants' Experiences Determining Their Own End-of-Life Care. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 214 p.

Source: Dissertations Abstracts International, Volume: 81-08, Section: A.

Thesis (Ph.D.)--Capella University, 2020.

This item must not be sold to any third party vendors.

The purpose of this generic qualitative study was to explore Caribbean immigrants and end-of-life care. While much research exists regarding the topic of end-of-life care, including among the African American and Latino populations, a deficit exists in research to date that examines this phenomenon in the English-speaking Caribbean immigrant population. The Caribbean population represents a large proportion of the Black population in the United States, and 19% of the Caribbean immigrants are 65 and older; therefore, exploring the needs of this subgroup may enable health-care providers to assist them with adequate end-of-life care. More specifically, the aim of this generic qualitative inquiry was to answer the following question: How do older Caribbean immigrants experience determining their own end-of-life care? Data collection consisted of semi-structured interviews with 10 Caribbean immigrants from a Northeastern state. The thematic analysis took place concurrently with data collection, and two frameworks shaped this study: Bronfenbrenner's ecological systems theory and Vygotsky's social constructivist theory. The findings suggested that three main themes encompassed the experience of determining end-of-life care for this subculture: wanting dignity and respect, trusting a divine God, and not wanting to be a burden on family. These themes emerged within three domains: physical, spiritual, and relational. The findings further indicated that all domains fell under the influence of cultural constructs specific to the Caribbean immigrant population. While culture was not identified as a separate theme, the data confirmed that the decision-making process of end-of-life care was culturally derived. The research showed that participants based their decisions on experiences from their homeland with family who were nearing the end of life. The practical implications from this study are for medical professionals, mental health professionals, the clergy, and social service agencies both at the state and local levels. This study's results have the potential to inform and educate practitioners mentioned above on end-of-life care within a specific culture in order to improve end-of-life care for immigrants and their families.

ISBN: 9781392577134Subjects--Topical Terms:

520219
Social psychology.
Subjects--Index Terms:

Caribbean Immigrants

Older Caribbean Immigrants' Experiences Determining Their Own End-of-Life Care.
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520 $a The purpose of this generic qualitative study was to explore Caribbean immigrants and end-of-life care. While much research exists regarding the topic of end-of-life care, including among the African American and Latino populations, a deficit exists in research to date that examines this phenomenon in the English-speaking Caribbean immigrant population. The Caribbean population represents a large proportion of the Black population in the United States, and 19% of the Caribbean immigrants are 65 and older; therefore, exploring the needs of this subgroup may enable health-care providers to assist them with adequate end-of-life care. More specifically, the aim of this generic qualitative inquiry was to answer the following question: How do older Caribbean immigrants experience determining their own end-of-life care? Data collection consisted of semi-structured interviews with 10 Caribbean immigrants from a Northeastern state. The thematic analysis took place concurrently with data collection, and two frameworks shaped this study: Bronfenbrenner's ecological systems theory and Vygotsky's social constructivist theory. The findings suggested that three main themes encompassed the experience of determining end-of-life care for this subculture: wanting dignity and respect, trusting a divine God, and not wanting to be a burden on family. These themes emerged within three domains: physical, spiritual, and relational. The findings further indicated that all domains fell under the influence of cultural constructs specific to the Caribbean immigrant population. While culture was not identified as a separate theme, the data confirmed that the decision-making process of end-of-life care was culturally derived. The research showed that participants based their decisions on experiences from their homeland with family who were nearing the end of life. The practical implications from this study are for medical professionals, mental health professionals, the clergy, and social service agencies both at the state and local levels. This study's results have the potential to inform and educate practitioners mentioned above on end-of-life care within a specific culture in order to improve end-of-life care for immigrants and their families.
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