End-of-Life Planning and the Influence of Socioeconomic Status among Black Americans: A Systematic Review.

Chesney Ward, Katherine Montgomery
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Abstract

Purpose: The purpose of this systematic review is to explore end-of-life (EOL) care planning and the impact of socioeconomic status (SES) among people who identify as Black or African American.

Methods: The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) were used to guide and inform this systematic review process. The following academic electronic databases with publications that reflected the interdisciplinary fields related to the research objective were searched APA PsycINFO, CINHAL, PubMed, Scopus, and Social Work Abstracts.

Results: After the authors conducted the search, 14 articles (from 13 studies) ultimately met the criteria for inclusion. The results substantiated significant concerns highlighted in previous literature regarding SES and its relation to EOL planning, but also revealed an absence of original work and interventions to increase engagement in EOL planning among Black and African American populations.

Conclusion: Black individuals deserve an equitable EOL experience. Researchers, practitioners, and policymakers need to move towards advocacy and action to meet this important need.

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美国黑人的临终规划和社会经济地位的影响:系统回顾
目的:本系统综述旨在探讨生命末期(EOL)护理规划以及社会经济地位(SES)对黑人或非裔美国人的影响:方法:本系统性综述采用了系统性综述和荟萃分析首选报告项目(PRISMA)作为指导和信息来源。检索了以下学术电子数据库中与研究目标相关的跨学科领域的出版物 APA PsycINFO、CINHAL、PubMed、Scopus 和 Social Work Abstracts:作者进行搜索后,最终有 14 篇文章(来自 13 项研究)符合纳入标准。研究结果证实了以往文献中强调的有关社会经济地位及其与临终规划关系的重要问题,但也显示出缺乏原创性工作和干预措施来提高黑人和非裔美国人对临终规划的参与度:黑人理应获得公平的临终关怀。研究人员、从业人员和政策制定者需要进行宣传并采取行动来满足这一重要需求。
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