Abstract
Background
Older people from Culturally and Linguistically Diverse (CALD) backgrounds are increasingly
admitted to hospital for acute care reasons, such as surgical procedures. However,
there is limited evidence on the perioperative (surgical) experiences and needs of
ethnically diverse older adults.
Aim
To synthesise evidence about the perioperative experiences of older adults from ethnically
diverse backgrounds.
Methods
An integrative review methodology.
Findings
Eighteen articles were included in the review. Three main themes emerged from the
review of the literature; (i) Culturally related factors as drivers to decision-making
preoperatively; (ii) Providing culturally responsive and appropriate perioperative
information; and (iii) Culturally related considerations for effective self-management
postoperatively.
Discussion
The perioperative needs of ethnic groups are contextualised or informed by culture,
ethnicity and linguistics. These needs are not necessarily exclusive to those of ethnically
diverse backgrounds. For example, the perceived need for understandable information
to make an informed decision would be considered as an essential aspect of perioperative
care for any patient. However, the need for understandable information and the complexities
of effective communication in perioperative settings are compounded by nuances of
culture and language.
Conclusion
There needs to be culturally appropriate perioperative processes of care, which build
on the standard practice. While patient needs are addressed by universal processes,
there is a need to expand and utilise approaches that are culturally and linguistically
responsive to older adult patients and their family caregivers. The availability of
appropriate mechanisms to engage with healthcare in a culturally meaningful way has
the potential to reduce health inequities and improve patient experience.
Keywords
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Article info
Publication history
Published online: August 21, 2022
Accepted:
July 16,
2022
Received in revised form:
June 28,
2022
Received:
May 4,
2022
Identification
Copyright
© 2022 Australian College of Nursing Ltd. Published by Elsevier Ltd.
