Predictors of Advance Care Planning Engagement Among Muslim Americans.

IF 1.2 4区 医学 Q3 NURSING
Ghaith Ahmad Bani Melhem, Debra C Wallace, Judith A Adams, Ratchneewan Ross, S Sudha
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Abstract

Advance care planning (ACP) enables people to discuss their physical, psychological, social, and spiritual needs before nearing death. Most literature examining the determinants of ACP engagement is limited and does not include minority faith communities in the United States, including Muslim communities. The purpose of this cross-sectional correlational study was to examine ACP engagement determinants among Muslims in the United States. Using the Social Ecological Model, we conceptualized the determinants of ACP engagement into intrapersonal, interpersonal, and community factors. The study self-administered questionnaires were distributed using convenience and snowball techniques. Multiple linear regression was used to predict ACP engagement. The total sample was 148 Muslim adults. The age range was 18 to 79 years. Among all tested factors, being Asian American, knowing a deceased person who had received aggressive or minimal medical treatments near death, being born in the United States, having knowledge and awareness about ACP, and being accepting of the American culture were the determinants of ACP engagement. Engagement in ACP is a multifactorial behavior. Several intrapersonal and interpersonal factors, but none of the community factors, were associated with ACP engagement among Muslim adults. Future ACP interventions targeted toward Muslim Americans should be planned with an understanding of the multifactorial nature of ACP engagement.

穆斯林美国人提前护理计划参与的预测因素。
预先护理计划(ACP)使人们能够在接近死亡之前讨论他们的身体、心理、社会和精神需求。大多数研究ACP参与决定因素的文献都是有限的,并且没有包括美国的少数信仰社区,包括穆斯林社区。本横断面相关研究的目的是检查美国穆斯林的ACP参与决定因素。利用社会生态模型,我们将ACP参与的决定因素概念化为个人因素、人际因素和社区因素。本研究采用便利滚雪球法发放自填问卷。采用多元线性回归预测ACP接合度。总共有148名成年穆斯林。年龄从18岁到79岁不等。在所有被测试的因素中,作为亚裔美国人、知道死者在临终前接受过积极或最低限度的医疗治疗、出生在美国、了解和意识到ACP、接受美国文化是参与ACP的决定因素。参与ACP是一种多因素行为。几个个人和人际因素,但没有一个社区因素,与穆斯林成年人的ACP参与有关。未来针对穆斯林美国人的ACP干预措施应该在了解ACP参与的多因素性质的基础上进行规划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.60
自引率
11.10%
发文量
203
审稿时长
6-12 weeks
期刊介绍: Journal of Hospice & Palliative Nursing (JHPN) is the official journal of the Hospice & Palliative Nurses Association and is the professional, peer-reviewed journal for nurses in hospice and palliative care settings. Focusing on the clinical, educational and research aspects of care, JHPN offers current and reliable information on end of life nursing. Feature articles in areas such as symptom management, ethics, and futility of care address holistic care across the continuum. Book and article reviews, clinical updates and case studies create a journal that meets the didactic and practical needs of the nurse caring for patients with serious illnesses in advanced stages.
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