Cultural Differences in Advance Care Planning and Implications for Practice

This study examined cultural differences in advance care planning (ACP) and various strategies that social workers use to initiate conversations on ACP. We conducted qualitative interviews with 12 social workers in South Korea and the US and a thematic content analysis of the transcribed data. Our f...

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Bibliographic Details
Published in:Omega: Journal of Death and Dying 2023-08, Vol.87 (3), p.838-855
Main Authors: Ha, Jung-Hwa, Lee, Changsook, Yoo, Jennifer
Format: Article
Language:English
Subjects:
Advance directives
Autonomy
Care plans
Content analysis
Cultural differences
Decision making
Empowerment
End of life decisions
Health services
Hospice care
Relatives
Self determination
Social norms
Social workers
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Summary:This study examined cultural differences in advance care planning (ACP) and various strategies that social workers use to initiate conversations on ACP. We conducted qualitative interviews with 12 social workers in South Korea and the US and a thematic content analysis of the transcribed data. Our findings show that different cultural norms and generational viewpoints surrounding death and health-related decision-making influence how people prepare for end-of-life care (EOLC). Whereas principles of self-determination and autonomy guide ACP practices in the US, decisions regarding EOLC are more often made in consultation with family members in Korean and Korean-American communities. Nevertheless, social workers in both countries identified relationship-building, empowerment, and individualized approaches as common strategies in initiating discussions on ACP.
ISSN:0030-2228
1541-3764
DOI:10.1177/00302228211029502