To identify barriers to hospice care perceived by African Americans.
African-American members (N = 30, 4 males, 19 females) of a metropolitan community in the Midwest.
Four focus groups were conducted, three with community members and one of hospice-experienced members. Responses were content analyzed and coded into barriers.
Four barriers were identified: lack of knowledge, hospice perceived as giving up hope, dying at home, second-class care.
Make hospice presentations to the African-American community, recruit African-American staff/volunteers, support patient decision to choose hospice, identify community resources.
IMPLICATIONS FOR NURSING PRACTICE.
Nurses may be the first to recommend hospice, address barriers frankly with patient/family, and identify resources to support home care.
Frances Jackson, PhD, RN, is an Associate Professor, Oakland University School of Nursing, Rochester, MI. Stephanie Myers Schim, PhD, RN, CNAA, is a Nurse Scholar, Henry Ford Health Systems, Detroit, MI. Sondra Seely, RN, is a Hospice Administrator; Ken Grunow, MEd, BSN, RN, is an Education Coordinator, and Julie Baker, MSN, RN, is a Staff Nurse, Hospices of Henry Ford Health System, St. Clair Shores, MI.
© 2000 The Hospice and Palliative Nurses Association