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Beyond Barriers

Reconsidering Cultural Sensitivity in Hospice and Palliative Care Services by Applying the Empathy Map

Bibliographic Data

ID15444248
AuthorsSabahat Ölcer (0000-0002-3124-8039, Ruhr West University of Applied Sciences, corresponding author), A Albert (0000-0003-1012-7331, Universitätsmedizin Göttingen), C Banse (Universitätsmedizin Göttingen), Friedemann Nauck (0000-0001-7592-1654, Universitätsmedizin Göttingen), Maximiliane Jansky (0000-0002-5292-2934, Universitätsmedizin Göttingen)
Year2025
Publication date2025-12-23
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Immigrant and Minority Health (JOURNAL)
Journal identifiersISSN: 1557-1912 • E-ISSN: 1557-1920
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10903-025-01838-z
PMID41433013
OpenAlexW7116880043
LanguageEN
References cited31

Culturally sensitive palliative care for patients with a migration background (PwM) remains a critical but underexplored field, especially in the German healthcare context. Our study employs Dave Gray's empathy map to capture healthcare providers' perspectives on the challenges, needs, and experiences of PwM in hospice and palliative care. We investigated palliative care challenges through open-ended questions in an online survey conducted across various hospice and palliative care settings. Based on 332 completed responses, our analysis revealed significant barriers to delivering culturally sensitive care. Using qualitative content analysis, we applied an empathy map to identify categories. Findings showed that language barriers and cultural insensitivity notably hindered communication, access, and trust-building. PwM often relied on family networks, which caused delayed care-seeking and logistical difficulties. Despite these challenges, PwM strived for dignity, trust, and care aligned with their cultural background. Our study highlights the importance of empathy-based approaches in hospice and palliative care and the effectiveness of the empathy map as an instrument for identifying challenges and gaps. By addressing the specific needs of PwM, the findings contribute meaningful insights for healthcare providers, policymakers, and researchers

Culturally sensitive · Empathy · German · Health care · Language barrier · Palliative care · Public health · Qualitative research · Cultural Competency in Health Care · Migration, Health and Trauma · Palliative Care and End-of-Life Issues

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