Secondary Logo

Institutional members access full text with Ovid®

Health-Related Decisions for Serious Illness Among Ethnically Diverse Older Adults

Rahemi, Zahra, PhD, RN; Williams, Christine, Lisa, DNSc, RN, PMHCNS; Tappen, Ruth, Marchand, EdD, RN, FAAN; Engstrom, Gabriella, Anna, PhD

doi: 10.1097/ANS.0000000000000192
Feature Articles

We investigated the influence of sociodemographic factors, acculturation, ethnicity, health status, and spirituality on older adults' health-related decisions when confronted with a choice between competing options. The sample included 451 participants: African Americans (15.74%), Afro-Caribbeans (25.5%), European Americans (36.36%), and Hispanic Americans (22.4%). Compared with others, European Americans and Hispanic Americans favored quality of life over a lengthy life. Sociodemographic factors, acculturation, ethnicity, health status, and spirituality accounted for variations of decisions. The variability of decisions calls for multiple care options to explore the value of different trade-offs in order to avoid predetermined clinical practice guidelines, especially in nursing.

Clemson University School of nursing, South Carolina (Dr Rahemi); and Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton (Drs Williams, Tappen, and Engstrom).

Correspondence: Zahra Rahemi, PhD, RN, Clemson University School of Nursing, 516 Edwards Hall, Clemson, SC 29634 (

This research was supported by Division of Research, Florida Atlantic University, Boca Raton, Florida.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.