Optimising social conditions to improve autonomy in communication and care for ethnic minority residents in nursing homes: A meta-synthesis of qualitative research

Lily D. Xiao, Li Chen, Weifeng Han, Claudia Meyer, Amanda Müller, Lee Fay Low, Bianca Brijnath, Leila Mohammadi

Research output: Contribution to journalReview articlepeer-review

Abstract

A large proportion of nursing home residents in developed countries come from ethnic minority groups. Unmet care needs and poor quality of care for this resident population have been widely reported. This systematic review aimed to explore social conditions affecting ethnic minority residents' ability to exercise their autonomy in communication and care while in nursing homes. In total, 19 studies were included in the review. Findings revealed that ethno-specific nursing homes create the ideal social condition for residents to express their care needs and preferences in a language of choice. In nonethno-specific nursing homes, staff cultural competence and nursing home commitment to culturally safe care are crucial social conditions that enable this group of residents to fulfil their autonomy in communicating and in participating in their care. In contrast, social conditions that undermine residents' ability to express their care needs and preferences include low levels of staff cultural awareness and cultural desire, negative attitudes towards residents and limited organisational support for staff to improve culturally responsive and culturally safe care. In conclusion, it is important to optimise the social conditions to support ethnic minority residents to communicate their care needs and preferences.

Original languageEnglish
Article numbere12469
Number of pages14
JournalNursing Inquiry
Early online date13 Oct 2021
DOIs
Publication statusE-pub ahead of print - 13 Oct 2021

Keywords

  • aged care
  • communication
  • cultural diversity
  • ethnic inequalities
  • linguistic diversity
  • nursing home
  • self-determination
  • social conditions

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