title: Nursing Roles and Strategies in End-of-Life Decision Making Concerning Elderly Immigrants Admitted to Acute Care Hospitals: An Australian Study.
abstract: There is a lack of clarity regarding nursing roles and strategies in providing culturally meaningful end-of-life care to elderly immigrants admitted to Australian hospitals. This article redresses this ambiguity.
  
  
  
  A qualitative exploratory descriptive approach was used. Data were obtained by conducting in-depth interviews with a purposeful sample of 22 registered nurses, recruited from four health services. Interview transcripts were analyzed using content and thematic analysis strategies.
  
  
  
  Despite feeling underprepared for their role, participants fostered culturally meaningful care by "doing the ground work," "facilitating families," "fostering trust," and "allaying fear."
  
  
  
  The Australian nursing profession has a significant role to play in leading policy, education, practice, and consumer engagement initiatives aimed at ensuring a culturally responsive approach to end-of-life care for Australia's aging immigrant population.
  
  
  
  Enabling elderly immigrants to experience a "good death" at the end of their lives requires highly nuanced and culturally informed nursing care.
authors.affiliation: Deakin University, Melbourne, Victoria, Australia megan-jane.johnstone@deakin.edu.au.
authors.forename: Megan-Jane
authors.initials: MJ
authors.lastname: Johnstone
authors.affiliation: Deakin University, Melbourne, Victoria, Australia.
authors.forename: Alison M
authors.initials: AM
authors.lastname: Hutchinson
authors.affiliation: Deakin University, Melbourne, Victoria, Australia.
authors.forename: Bernice
authors.initials: B
authors.lastname: Redley
authors.affiliation: Deakin University, Melbourne, Victoria, Australia.
authors.forename: Helen
authors.initials: H
authors.lastname: Rawson
mesh_terms: D000328:Adult; D001315:Australia; D065246:Culturally Competent Care / Q000379:methods / Q000592:standards; D003657:Decision Making; D054242:Emigrants and Immigrants / Q000523:psychology; D005260:Female; D005853:Geriatrics / Q000379:methods / Q000592:standards; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology*; D036301:Qualitative Research; D013727:Terminal Care / Q000379:methods*; D000078329:Workforce
keywords: end-of-life care; gerontology; nursing practice; transcultural health