Published in:
23-11-2023 | Breast Cancer
Establishing a Spanish-Focused Advance Care Planning Educational Session for Latina Breast Cancer Survivors
Authors:
Moroni Fernandez Cajavilca, Kara Dassel, Gabriela Portugal-Bouza, Rebecca Utz, Katherine Supiano
Published in:
Journal of Cancer Education
|
Issue 2/2024
Login to get access
Abstract
Minoritized groups including Latinos are less engaged in awareness and discussion of advance care planning (ACP) due to the United States English-dominated healthcare system that contributes to systemic inequities related to language and cultural barriers. Explicit interventions, such as a sole Spanish-speaking educational session, may begin discussions of ACP among Latina breast cancer survivors. However, what constitutes a culturally sensitive Spanish-language ACP educational session is currently unknown. To address this need, this current project (1) presented a nurse-led ACP educational session and (2) held a focus group to assess the acceptability of the Spanish-focused ACP educational session to a Spanish-speaking group of Latina breast cancer survivors. Thematic analysis revealed four themes: (1) familial involvement, (2) need for advance care planning education, (3) addressing language and cultural barriers, and (4) culturally sensitive and informative resources. Features of a culturally sensitive Spanish-focused ACP educational session were identified and found to reduce current barriers that hinder ACP conversations in Latina breast cancer survivors.