Date of Award

2022

Document Type

Open Access Thesis

Degree Name

MS in Physician Assistant Studies (PA)

Department

Physician Assistant Studies

First Advisor

Vanessa Bester, EdD, PA-C, DFAAPA

Abstract

Background: Cultural competency in healthcare means delivering high quality care to patients with diverse beliefs, attitudes, values, and behaviors. Latinos/Hispanics are one of the fastest growing ethnic group and with an aging population, there is an increased need for providers to deliver culturally sensitive end-of-life and hospice care. Latino/Hispanic patients face many disparities that affect their quality of care which cultural competency aims to address. Purpose: The purpose of this literature review is to identify factors that affect Latino/Hispanic patient’s end-of-life and hospice care and how cultural competency of providers can influence management of their pain and quality of life.

Methods: A comprehensive literature review was conducted using PubMed, MEDLINE, Lindell Library, and Google Scholar databases. Search terms included “Latino patients”, “Hispanic patients”, “end-of-life care”, “hospice care”, “palliative care”, “pain management”, “opioid use”, “quality of life”, and “cultural competency training”. Inclusion criteria included studies published from 2015-2022 that conducted original research with proof of internal validity and participants 18 years old and older. Studies conducted outside of the United States and those specific to cancer patients were excluded.

Conclusions: Providing culturally competent care improves patient-provider communication, increases trust, and enhances patient satisfaction leading to the delivery of equitable patient- centered care to Latino/Hispanic patients. Continued efforts to improve hospice and end-of-life care must integrate the perceptions and experiences Latino/Hispanic patients face as cultural background influences the quality of care they receive and respective outcomes.

Identifier

SC 11.PAS.2022.Nacionales.N

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