title: Transnationals' experience of dying in their adopted country: a systematic review.
abstract: BACKGROUND
  Social and emotional challenges of migration and integration include managing memories and perceptions of country of birth, leaving loved relatives behind, and the challenges of maintaining traditions, such as cultural food and practices. For many migrants, the strong connection with their birth country is never completely severed, which may become pertinent at particular events and stages in life with inherent emotional impact. This may be particularly the case for end-of-life experience.
  
  
  OBJECTIVE
  We undertook a systematic review of published evidence of research to identify the lived experience of migrants dying in a country different from their country of birth.
  
  
  METHODS
  The search terms [transnationals OR migran* OR immigran*] AND [emotions OR belonging OR acculturation OR national identity] AND [dying OR end-of-life OR contemplation of dying] AND [palliative care OR terminal care] were used on the following electronic databases: MEDLINE, Embase, CINAHL, EBSCO, Geobase, PsychINFO, and Scopus to the end date of January 2014. No date limit was imposed. All research methodologies were included. The search was restricted to human subjects and English language.
  
  
  RESULTS
  Seven qualitative studies met the criteria. Thematic analysis of these studies identified three main themes: sense of dual identity, importance of traditions from their country of origin, and dying preferences.
  
  
  CONCLUSIONS
  Findings have implications for the provision of palliative end-of-life care for dying transnationals, particularly in relation to providing support for migrants who are dying to resolve social and emotional issues.
authors.affiliation: 1 Department of General Practice and Primary Health Care, University of Auckland , Auckland, New Zealand .
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Bray
authors.forename: Felicity
authors.initials: F
authors.lastname: Goodyear-Smith
authors.forename: Merryn
authors.initials: M
authors.lastname: Gott
mesh_terms: D000069:Acculturation; D001293:Attitude to Death; D054242:Emigrants and Immigrants / Q000523:psychology*; D005190:Family / Q000523:psychology*; D006801:Humans; D010166:Palliative Care / Q000523:psychology*; D036301:Qualitative Research; D012111:Residence Characteristics; D013727:Terminal Care / Q000523:psychology*