title: Bioethics, cultural differences and the problem of moral disagreements in end-of-life care: a terror management theory.
abstract: Cultural differences in end-of-life care and the moral disagreements these sometimes give rise to have been well documented. Even so, cultural considerations relevant to end-of-life care remain poorly understood, poorly guided, and poorly resourced in health care domains. Although there has been a strong emphasis in recent years on making policy commitments to patient-centred care and respecting patient choices, persons whose minority cultural worldviews do not fit with the worldviews supported by the conventional principles of western bioethics face a perpetual struggle in getting their care needs met in a meaningful, safe, and healing way. In this essay, attention is given to exploring why cultural differences exist, why they matter, and how health care providers should treat them in order to reduce the incidence and impact of otherwise preventable harmful moral outcomes in end-of-life care. In addressing these questions, a novel application of the renowned terror management theory will be made.
authors.affiliation: Deakin University, Australia. megan.johnstone@deakin.edu.au
authors.forename: Megan-Jane
authors.initials: MJ
authors.lastname: Johnstone
mesh_terms: D000223:Adaptation, Psychological; D001007:Anxiety / Q000208:ethnology / Q000209:etiology / Q000517:prevention & control*; D001293:Attitude to Death / Q000208:ethnology*; D003466:Cultural Characteristics; D054521:Cultural Competency; D003657:Decision Making / Q000941:ethics; D034462:Dissent and Disputes; D006801:Humans; D008913:Minority Groups / Q000523:psychology; D009014:Morals; D010686:Philosophy, Medical; D012945:Social Values / Q000208:ethnology; D013727:Terminal Care / Q000941:ethics*