title: University-Community-Hospice Partnership to Address Organizational Barriers to Cultural Competence.
abstract: Research documents a lack of access to, utilization of, and satisfaction with hospice care for African Americans. Models for culturally competent hospice services have been developed but are not in general use. Major organizational barriers include (1) lack of funding/budgeting for additional staff for community outreach, (2) lack of applications from culturally diverse professionals, (3) lack of funding/budgeting for additional staff for development of culturally competent services, (4) lack of knowledge about diverse cultures, and (5) lack of awareness of which cultural groups are not being served. A participatory action research project addressed these organizational barriers through a multicultural social work student field placement in 1 rural hospice. The effectiveness of the student interventions was evaluated, including addressing organizational barriers, cultural competence training of staff, and community outreach. Results indicated that students can provide a valuable service in addressing organizational barriers through a hospice field placement.
authors.affiliation: 1 School of Social Work, Southern Illinois University, Carbondale, IL, USA.
authors.forename: Dona J
authors.initials: DJ
authors.lastname: Reese
authors.affiliation: 1 School of Social Work, Southern Illinois University, Carbondale, IL, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Buila
authors.affiliation: 1 School of Social Work, Southern Illinois University, Carbondale, IL, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Cox
authors.affiliation: 2 Renal Social Worker, Fresenius Medical Care, North America, Chicago, IL, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Davis
authors.affiliation: 3 Regional Ombudsman, Long-Term Care Ombudsman Program, Shawnee Alliance, Carterville, IL, USA.
authors.forename: Meaghan
authors.initials: M
authors.lastname: Olsen
authors.affiliation: 1 School of Social Work, Southern Illinois University, Carbondale, IL, USA.
authors.forename: Elaine
authors.initials: E
authors.lastname: Jurkowski
mesh_terms: D000328:Adult; D001741:Black or African American; D055812:Community-Based Participatory Research / Q000379:methods; D054521:Cultural Competency / Q000193:education / Q000458:organization & administration; D005260:Female; D017144:Focus Groups; D017051:Hospice Care / Q000458:organization & administration; D006738:Hospices / Q000458:organization & administration; D006801:Humans; D007373:Interinstitutional Relations; D007407:Interviews as Topic; D008297:Male; D014495:Universities / Q000458:organization & administration*
keywords: African American access; community outreach; cultural competence; field placement; hospice; organizational barriers; social work