title: [Palliative care for patients with Turkish or Arabic migration background in Lower Saxony : A survey from palliative care professionals' perspective].
abstract: OBJECTIVE
  People with a migration background (MB) are an important part of German society. If and how they use specialised palliative care (SPC) has not been studied. We aimed to assess the current SPC for patients with Turkish or Arabic MB (the largest group of immigrants in Germany with a shared ascribed culture) from the point of view of healthcare professionals (HCP) in Lower Saxony.
  
  
  METHODS
  All HCPs in institutions providing SPC (n = 90) were invited to participate in an anonymous online survey which contained closed and open questions about care for this patient group, characteristics of the last patient with Turkish or Arabic MB they cared for, and resources and strategies to care for these patients. The survey was analysed using descriptive statistics and qualitative content analysis.
  
  
  RESULTS
  Fifty-five HCPs in SPC participated, mostly nurses aged between 40 and 60 years. One fifth had not cared for a patient with Turkish or Arabic MB during the last 12 months. Given their local population, 84.6% estimated that they cared for a lower number of patients than would be representative. In care, problems with communication as well as difficulties to interact with and manage families, and in organising and planning care were most prevalent. Only 21% of participants had access to interpreters.
  
  
  CONCLUSIONS
  Patients with Turkish or Arabic MB seem to be underrepresented in SPC. The high rate of communication problems highlights the necessity of reliable and accessible interpreter services. Most difficulties were of psychosocial nature, showing how important the holistic approach of SPC is in caring for terminally ill patients with Turkish or Arabic MB.
authors.affiliation: Klinik für Palliativmedizin, Universitätsmedizin Göttingen, Von Siebold Str. 3, 37073, Göttingen, Deutschland. maximiliane.jansky@med.uni-goettingen.de.
authors.forename: Maximiliane
authors.initials: M
authors.lastname: Jansky
authors.affiliation: Klinik für Palliativmedizin, Universitätsmedizin Göttingen, Von Siebold Str. 3, 37073, Göttingen, Deutschland.
authors.forename: Sonja
authors.initials: S
authors.lastname: Owusu-Boakye
authors.affiliation: Klinik für Palliativmedizin, Universitätsmedizin Göttingen, Von Siebold Str. 3, 37073, Göttingen, Deutschland.
authors.forename: Friedemann
authors.initials: F
authors.lastname: Nauck
mesh_terms: D000328:Adult; D000368:Aged; D018912:Arabs / Q000706:statistics & numerical data*; D001291:Attitude of Health Personnel; D003144:Communication Barriers; D005260:Female; D005858:Germany / Q000208:ethnology; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D054625:Healthcare Disparities / Q000208:ethnology* / Q000706:statistics & numerical data*; D064946:Hospice and Palliative Care Nursing / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000706:statistics & numerical data*; D011584:Psychology; D014171:Transients and Migrants / Q000706:statistics & numerical data*; D014421:Turkey / Q000208:ethnology; D014600:Utilization Review
keywords: Health care perspective; Migration background; Quantitative survey; Specialised palliative care; Strategies in care