Date of Award
Master of Social Work
School of Social Work
First Reader/Committee Chair
Patients suffering from irreversible and terminal illnesses may benefit from the services provided by Palliative and Hospice Care to control any symptom burden and assist in navigating complex medical decisions. Many patients may express hesitation in accepting and enrolling to this service due to misconceptions. Language barriers may add an additional layer of complexity. This study explored the challenges Palliative Care providers encounter when introducing concept of hospice to Spanish-speaking patients their families for the first time. This study implemented qualitative research methods by using semi-structured one-on-one interviews. Ten members of an In-patient Palliative Care Team at a University Hospital were recruited as participants. Interviews were transcribed into a written form and coded into general themes. The study found that interpretation, use of written materials, misconceptions of the word hospice, religious factors and lack of cultural sensitivity training are some of the barriers identified. Additionally, the findings emphasized the need to increase the number of competent, bilingual providers of palliative care, increase of cultural sensitivity training, access to high-quality interpreters in delicate complex end-of-life conversations and the need to increase education and community outreach to Spanish-speaking communities. Further research should be conducted to solicit feedback on the barriers affecting access and utilization of palliative and hospice services by the patients and the families receiving the services to obtain a better understanding those barriers.
Ramirez, Diana, "BARRIERS TO THE USE OF PALLIATIVE AND HOSPICE CARE AMONG THE LATINO POPULATION" (2022). Electronic Theses, Projects, and Dissertations. 1369.
Bilingual, Multilingual, and Multicultural Education Commons, Clinical and Medical Social Work Commons, Community Health Commons, Counseling Psychology Commons, Latin American Studies Commons, Latina/o Studies Commons, Multicultural Psychology Commons, Pain Management Commons, Palliative Care Commons, Public Health Education and Promotion Commons, Social Work Commons