Cultural Differences in Advance Care Planning and Implications for Practice.

CULTURE; TERMINAL care; PATIENT autonomy; PATIENT participation; SOCIAL workers; CONVERSATION; SOCIAL norms; INTERVIEWING; COMMUNITIES; ADVANCE directives (Medical care); QUALITATIVE research; SELF-efficacy; DECISION making; INTERPERSONAL relations; RESEARCH funding; THEMATIC analysis; CONTENT analysis; DEATH

UNITED States; SOUTH Korea

This study examined cultural differences in advance care planning (ACP) and various strategies that social workers use to initiate conversations on ACP. We conducted qualitative interviews with 12 social workers in South Korea and the US and a thematic content analysis of the transcribed data. Our findings show that different cultural norms and generational viewpoints surrounding death and health-related decision-making influence how people prepare for end-of-life care (EOLC). Whereas principles of self-determination and autonomy guide ACP practices in the US, decisions regarding EOLC are more often made in consultation with family members in Korean and Korean-American communities. Nevertheless, social workers in both countries identified relationship-building, empowerment, and individualized approaches as common strategies in initiating discussions on ACP. [ABSTRACT FROM AUTHOR]

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