Priorities and challenges for a palliative approach to care for rural indigenous populations

A scoping review

Bibliographic Data

ID14947932
AuthorsC S Caxaj (0000-0002-5393-6406, Faculty of Health and Social Development; School of Nursing; The University of British Columbia; Kelowna British Columbia Canada, corresponding author), Kaela Schill (0000-0003-4411-3579, Faculty of Health and Social Development; School of Nursing; The University of British Columbia; Kelowna British Columbia Canada), Robert Janke (0000-0002-4683-4970, Library; The University of British Columbia; Kelowna British Columbia Canada)
Year2018
Volume26
Issue3
Pagese329-e336
Publication date2018-05-01
Open AccessYes
TypeARTICLE
VenueHealth & Social Care in the Community (JOURNAL)
Journal identifiersISSN: 0966-0410 • E-ISSN: 1365-2524
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hsc.12469
PMID28703394
OpenAlexW2735667308
LanguageEN
Citations received10
References cited32

We carried out a scoping review to identify key priorities and challenges relevant to rural Indigenous palliative care stated in existing literature. Our scoping review activities followed Arskey and O'Malley's principles for conducting a scoping review. We included peer-reviewed literature from MEDLINE, CINAHL and EMBASE that included a discussion of Indigenous populations, palliative care, and rural settings, and did not use date limits. The literature search was conducted in April 2016, and the retrieved literature was screened for relevance and appropriateness April 2016-March of 2017. In addition to the academic literature, a scan of the grey literature was conducted in March 2017. The retrieved grey literature was screened for relevance and reviewed by a team from a provincial health authority serving Indigenous peoples to ensure relevance in a rural BC setting. Once reviewed for relevance and appropriateness, we added four reports to supplement our analysis. Ultimately, 44 peer-reviewed articles and 4 pieces of grey literature met our inclusion criteria and were included in the review. Our analysis revealed several challenges and priorities relevant to rural Indigenous palliative care. Key challenges included: (i) environmental and contextual issues; (ii) institutional barriers; and (iii) interpersonal dynamics challenging client/clinician interactions. Priorities included: (i) family connections throughout the dying process; (ii) building local capacity for palliative care to provide more relevant and culturally appropriate care; and (iii) flexibility and multi-sectoral partnerships to address the complexity of day-to-day needs for patients/families. These findings point to several areas for change and action that can improve the relevance, access and comprehensiveness of palliative care programming for rural Indigenous communities in Canada and elsewhere. Taking into account of the diversity and unique strengths of each Indigenous community will be vital in developing sustainable and meaningful change

CINAHL · Grey literature · Indigenous · MEDLINE · Palliative care · Political science · Psychological intervention · Systematic review · Geriatric Care and Nursing Homes · Grief, Bereavement, and Mental Health · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology

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