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Planting the Seeds The Role of Latino Lay Health Advisors in End-of-Life Care

机译:种子种子拉丁裔卫生顾问在终生护理中的作用

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摘要

Latinos are less likely to have an advance care plan, use hospice or palliative care services, and have conversations about end of life than the general population. This article describes processes and outcomes of a Latino lay health advisor advance care planning training program in eastern North Carolina. An exploratory case study was used to understand the perspectives of Latino leaders. Two Latino leaders completed an advance care planning training in 2016. Data were generated from field notes, interviews, and observations. A description of the social and contextual conditions in the study setting facilitated data analysis. The primary finding, "planting the seeds," was the strategy that began the conversation of advance care planning. "Planting the seeds" meant introducing the topic carefully to ensure the person is ready to listen, the information will be accepted, and capacity will be gained to make informed decisions. Training Latino lay health advisors in advance care planning has the potential to eliminate health disparities.
机译:拉丁美洲人不太可能拥有先进的护理计划,使用临终关怀或姑息的护理服务,并与一般人群进行生活结束的对话。本文介绍了在北卡罗来纳州东部的拉丁裔守卫卫生顾问的流程和结果。探索性案例研究被用来了解拉丁裔领导人的观点。两位拉丁美洲领导人于2016年完成了先进的护理计划培训。数据是由现场票据,访谈和观察产生的。研究环境中的社交和上下文条件的描述促进了数据分析。主要发现“种植种子”是开始对谈话的策略。 “种植种子”意味着仔细介绍主题,以确保该人准备倾听,信息将被接受,并获得能力做出明智的决定。培训拉丁裔守卫卫生顾问预先保健规划有可能消除健康差异。

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