Tag Archives: Germany

Special Issue of Culture, Medicine and Psychiatry: Cultural Competence in Action

We would like to draw your attention to a special issue of the journal Culture, Medicine and Psychiatry that focuses on the issue of cultural competence in healthcare.

The issue examines how concepts of cultural competence are operationalised in teaching interventions. Of particular interest to our international readership is the inclusion of a case study from Canada and an essay from a German clinical educator, illustrating how cultural competency approaches, which originated in the US, can be adapted to different countries and settings.

Culture and End of Life Care: A Scoping Exercise in Seven European Countries

A recently published article from the PRISMA project provides a general overview of cultural issues in end of life care in seven European countries.

The abstract can be found below or the full article can be accessed here.

Aim

Culture is becoming increasingly important in relation to end of life (EoL) care in a context of globalization, migration and European integration. We explore and compare socio-cultural issues that shape EoL care in seven European countries and critically appraise the existing research evidence on cultural issues in EoL care generated in the different countries.

Methods

We scoped the literature for Germany, Norway, Belgium, the Netherlands, Spain, Italy and Portugal, carrying out electronic searches in 16 international and country-specific databases and handsearches in 17 journals, bibliographies of relevant papers and webpages. We analysed the literature which was unearthed, in its entirety and by type (reviews, original studies, opinion pieces) and conducted quantitative analyses for each country and across countries. Qualitative techniques generated themes and sub-themes.

Results

A total of 868 papers were reviewed. The following themes facilitated cross-country comparison: setting, caregivers, communication, medical EoL decisions, minority ethnic groups, and knowledge, attitudes and values of death and care. The frequencies of themes varied considerably between countries. Sub-themes reflected issues characteristic for specific countries (e.g. culture-specific disclosure in the southern European countries). The work from the seven European countries concentrates on cultural traditions and identities, and there was almost no evidence on ethnic minorities.

Conclusion

This scoping review is the first comparative exploration of the cultural differences in the understanding of EoL care in these countries. The diverse body of evidence that was identified on socio-cultural issues in EoL care, reflects clearly distinguishable national cultures of EoL care, with differences in meaning, priorities, and expertise in each country. The diverse ways that EoL care is understood and practised forms a necessary part of what constitutes best evidence for the improvement of EoL care in the future.

12th Congress of the European Association for Palliative Care (Lisbon, May 18 – 21)

You may be interested to know that our team has been awarded a number of oral and poster presentations at the 12th Congress of  the EAPC, to be held in Lisbon.

The following oral presentations will be held on 19.05.2011 at 16:30-18:00 in the ‘Ethics II’ session:

Culture, Country and End-of-Life Care. Similarities and Differences between Italy, Spain and Portugal

A. Menaca, Barcelona, CRESIB

Cultural Context of End-of-Life Care: A Scoping Exercise of the Belgian Literature

EVW Andrew, Barcelona, CRESIB

Physician Assisted Suicide, Euthanasia and Palliative Sedation: Attitudes and Incidence in Germany

N. Evans, Barcelona, CRESIB

In addition, the following poster presentations can be viewed during the congress:

Medical End-of-Life Decisions in Belgium: A Review of the Literature

EVW Andrew, Barcelona, CRESIB

A Critical Review of Advance Directives in Germany: Attitudes, Use and Physician Compliance

N. Evans, Barcelona, CRESIB

Systematic Review of Reviews of End-of-Life Care for Minority Ethnic Groups in the UK and a Critical Comparison with Policy Recommendations from the UK End-of-Life Care Strategy

N. Evans, Barcelona, CRESIB

We hope to see you in Lisbon!

Life before death: portraits of the dying

Photographer Walter Schels and journalist Beate Lakotta made portraits of 26 hospice patients before and immediately after death.

This beautiful and sensitive photographic initiative from northern Germany aimed to tackle taboos concerning death and dying.

The photos can be viewed on the following link.

In addition, the portraits and the patients experiences have been turned into a book (German language only).