To examine the openness to communication in end-of-life care of three major ethno-cultural groups of healthcare providers (HCPs) (in Israel: Israeli Arabs (Arabs), Israeli Jews (Sabras), and Immigrants from the Soviet Union (Russians). An anonymized set of three questionnaires was distributed among 240 physicians and nurses (HCPs) from the three ethno-cultural groups, yielding a response rate of 91% (and 82% when including hospital division). Sabra ethno-cultural group was more open to communicating about and relating to end-of-life with terminally ill patients. While recent exposure to death and external locus of control decreased the effect of ethno-cultural background, the latter remained statistically significant. Gender, age, marital status, and specialty were not found to be influential factors.This research highlights the importance of increasing awareness and responses to the effects of HCPs’ culture on end-of-life care as varied cultures and medico-legal requirements come into contact in society.
AndrewE. V.CohenJ.EvansN.MeñacaA.HardingR.HigginsonI.PoolR.GyselsM.& Prisma (2013). Social-cultural factors in end-of-life care in Belgium: A scoping of the research literature. Palliative Medicine, 27(2), 131–143. https://doi.org/10.1177/0269216311429619
2.
BentwichM. E.DickmanN.ObermanA.Bokek-CohenY. (2017). “I treat him as a normal patient:” Unveiling the normalization coping strategy among formal caregivers of persons with dementia and its implications for person-centered care. Journal of Transcultural Nursing, 29(5), 420–428. https://doi.org/10.1177/1043659617745137
3.
BentwichM. E.DickmanN.ObermanA. (2018). Human dignity and autonomy in the care for patients with dementia: Differences among formal caretakers from various cultural backgrounds. Ethnicity & Health, 23(2), 121–141. https://doi.org/10.1080/13557858.2016.1246519
BogochB. (1994). Power, distance and solidarity: Models of professional-client interaction in an Israeli legal aid setting. Discourse & Society, 5(1), 65–88. https://doi.org/10.1177/0957926594005001004
6.
BraunM.GordonD.UzielyB. (2010). Associations between oncology nurses' attitudes toward death and caring for dying patients. Oncology Nursing Forum, 37(1), E43–E49.
7.
BrownE. A. (2014). Ethnic and cultural challenges at the end of life: Setting the scene. Journal of Renal Care, 40(1 Suppl), 2–5. https://doi.org/10.1111/jorc.12083
8.
BukenN. O.Balseven-OdabasiA (2013). Physicians’ attitudes at the end-of-life: A cross-cultural evaluation. Medicine and Law, 32(4), 549–565.
9.
CarmelS. (2001). Fear of death and fear of dying: Structure and sociometric features of the measures. Gerontology, 3(4), 133–153.
10.
ChattopadhyayS.SimonA. (2008). East meets west: Cross-cultural perspective in end-of-life decision making from Indian and German viewpoints. Medicine, Health Care and Philosophy, 11(2), 165–174. https://doi.org/10.1007/s11019-007-9106-y
11.
DastmalchianA. (2017). Islam. In NagasawaY.MathesonB. (Eds.), The Palgrave Handbook of the Afterlife (pp. 153–173). Springer.
Y.GraingerS.Mills (Eds.), (2016). Theoretical perspectives on directness. In Directness and indirectness across cultures (pp. 51–73). Palgrave Macmillan.
14.
HenochI.BrowallM.Melin-JohanssonC.DanielsonE.UdoC.Johansson SundlerA.BjörkM.EkK.HammarlundK.BerghI.StrangS. (2014). The Swedish version of the frommelt attitude toward care of the dying scale: Aspects of validity and factors influencing nurses’ and nursing students’ attitudes. Cancer Nursing, 37(1), E1–E11. https://doi.org/10.1097/NCC.0b013e318279106b
15.
HenochI.Melin-JohanssonC.BerghI.StrangS.EkK.HammarlundK.Lundh HagelinC.WestinL.ÖsterlindJ.BrowallM. (2017). Undergraduate nursing students’ attitudes and preparedness toward caring for dying persons—a longitudinal study. Nurse Education in Practice, 26(September), 12-20. https://doi.org/10.1016/j.nepr.2017.06.007.
16.
JoshiA.KaleS.ChandelS.PalD. (2015). Likert scale: Explored and explained. British Journal of Applied Science & Technology, 7(4), 396–403.
17.
JotkowitzA. B.GlickS. (2009). The Israeli terminally ill patient law of 2005. Journal of Palliative Care, 25(4), 284–288.
18.
KastenbaumR.MoremanC. M (2018). Death, society, and human experience. Routledge.
19.
KeinkiC.SeilacherE.EbelM.RuettersD.KesslerI.StellamannsJ.RudolphI.HuebnerJ. (2015). Information needs of cancer patients and perception of impact of the disease, of self-efficacy, and locus of control. Journal of Cancer Education, 31(3), 610–616. https://doi.org/10.1007/s13187-015-0860-x
20.
KirkP.KirkI.KristjansonL. J. (2004). What do patients receiving palliative care for cancer and their families want to be told? A Canadian and Australian qualitative study. Bmj: British Medical Journal, 328(7452), 1343. https://doi.org/10.1136/bmj.38103.423576.55
21.
KwakJ.HaleyW. E. (2005). Current research findings on end-of-life decision making among racially or ethnically diverse groups. The Gerontologist, 45(5), 634–641.
22.
LangeM.ThomB.KlineN. E. (2008). Assessing nurses’ attitudes toward death and caring for dying patients in a comprehensive cancer center. Oncology Nursing Forum, 35(6), 955–959. https://doi.org/10.1188/08.onf.955-959
23.
LangeC. (2016). Paradise and hell in Islamic traditions. Cambridge University Press.
24.
LevensonH. (1974). Activism and powerful others: Distinctions within the concept of internal-external control. Journal of Personality Assessment, 38(4), 377–383.
25.
LevetownM.HayslipB.PeelJ. (2000). The development of the physicians’ end-of-life care attitude scale. OMEGA—Journal of Death and Dying, 40(2), 323–333. https://doi.org/10.2190/QMQ0-F30A-R5Q1-M5T0
26.
MacadenL.ClarkeC. L. (2010). The influence of locus of control on risk perception in older South Asian people with type 2 diabetes in the UK. Journal of Nursing and Healthcare of Chronic Illness, 2(2), 144–152. https://doi.org/10.1111/j.1752-9824.2010.01054.x
27.
McCourtR.PowerJ. J.GlackinM. (2013). General nurses’ experiences of end-of-life care in the acute hospital setting: A literature review. International Journal of Palliative Nursing, 19(10), 510–516.
28.
MilbergA.StrangP. (2004). Exploring comprehensibility and manageability in palliative home care: An interview study of dying cancer patients’ informal carers. Psycho-Oncology, 13(9), 605–618. https://doi.org/10.1002/pon.774
29.
NewhouseL. (2013). Working with Russian-Jewish immigrants in end-of-life care settings. Journal of Social Work in End-of-Life & Palliative Care, 9(4), 331–342. https://doi.org/10.1080/15524256.2013.846884
30.
NuccitelliC.ValentiniA.CalettiM. T.CaselliC.MazzellaN.ForlaniG.MarchesiniG. (2018). Sense of coherence, self-esteem, and health locus of control in subjects with type 1 diabetes mellitus with/without satisfactory metabolic control. Journal of Endocrinological Investigation, 41(3), 307–314. https://doi.org/10.1007/s40618-017-0741-8
31.
OhrS.JeongS.SaulP. (2017). Cultural and religious beliefs and values, and their impact on preferences for end-of-life care among four ethnic groups of community-dwelling older persons. Journal of Clinical Nursing, 26(11–12), 1681–1689. https://doi.org/10.1111/jocn.13572
32.
Pahlevan SharifS.SharifS. P (2017). Locus of control, quality of life, anxiety, and depression among Malaysian breast cancer patients: The mediating role of uncertainty. European Journal of Oncology Nursing, 27, 28–35. https://doi.org/10.1016/j.ejon.2017.01.005
33.
ParkerG. D.SmithT.CorzineM.MitchellG.SchraderS.HayslipB.FanningL. (2012). Assessing attitudinal barriers toward end-of-life care. American Journal of Hospice and Palliative Medicine, 29(6), 438–442.
34.
PetersL.CantR.PayneS.O’ConnorM.McDermottF.HoodK.MorphetJ.ShimoinabaK. (2013). How death anxiety impacts nurses’ caring for patients at the end of life: A review of literature. The Open Nursing Journal, 7(1), 14–21. https://doi.org/10.2174/1874434601307010014
35.
PughE. J.SongR.WhittakerV.BlenkinsoppJ. (2009). A profile of the belief system and attitudes to end-of-life decisions of senior clinicians working in a National health Service hospital in the United Kingdom. Palliative Medicine, 23(2), 158–164. https://doi.org/10.1177/0269216308100248
36.
RamalingamV. S.SaeedF.SinnakirouchenanR.HolleyJ. L.SrinivasanS. (2015). End-of-life care beliefs among Hindu physicians in the United States. American Journal of Hospice and Palliative Medicine, 32(1), 8–14. https://doi.org/10.1177/1049909113505138
37.
RománE. M.SorribesE.EzquerroO. (2001). Nurses’ attitudes to terminally ill patients. Journal of Advanced Nursing, 34(3), 338–345.
38.
SharmaS. (2018). Multiculturalism in India and Europe: Policy and practice. In SachdevaG. (Ed.), Challenges in Europe (pp. 271–290). Springer Singapore.
39.
ShavitY.BlankC. (2012). School discipline and achievement in Israel. In ShavitY.BlankC. (Eds.), Improving Learning Environments (104–136). Stanford University Press.
40.
SoskolneV.MarieS.ManorO. (2007). Beliefs, recommendations and intentions are important explanatory factors of mammography screening behavior among Muslim Arab women in Israel. Health Education Research, 22(5), 665–676. https://doi.org/10.1093/her/cyl132
41.
SunA.BuiQ.TsohJ. Y.GildengorinG.ChanJ.ChengJ.NguyenT. (2017). Efficacy of a church-based, culturally tailored program to promote completion of advance directives among Asian Americans. Journal of Immigranr Minority Health, 19(2), 381–391. https://doi.org/10.1007/s10903-016-0365-7
42.
ViswanathanR. (1996). Death anxiety, locus of control, and purpose in life of physicians. Their relationship to patient death notification. Psychosomatics, 37(4), 339–345. https://doi.org/10.1016/S0033-3182(96)71546-3
ZambranoS. C.Chur-HansenA.CrawfordB (2012). On the emotional connection of medical specialists dealing with death and dying: A qualitative study of oncologists, surgeons, intensive care specialists and palliative medicine specialists. BMJ Supportive & Palliative Care, 2(3), 270–275. https://doi.org/10.1136/bmjspcare-2012-000208
