Problem Identification
There is limited understanding of Korean American cancer survivors’ quality of life (QOL) within a cultural context. The study examined factors associated with the QOL of Korean American cancer survivors.
Literature Search
A systematic literature search of PubMed, CINAHL®, Google Scholar, and EBSCO databases from January 2000 to January 2014.
Data Evaluation
The studies were assessed for the relevance to the purpose of the review. Each study was rated on a 2-point scale using an 11-item quality criteria checklist.
Data Synthesis
The 13 studies that met the criteria for inclusion included 7 descriptive, 5 qualitative, and 1 mixed method.
Conclusion
Social support, communication, and acculturation were key factors associated with Korean American’s QOL. Cultural differences were evident for Korean Americans versus other Asian American ethnic groups.
Implications for Practice
More innovative and culturally driven research is needed to understand each minority group’s cultural barriers as well as to improve cancer survivors’ QOL. Improving doctor-patient relationship is critical to promote better cancer experiences for Korean American cancer survivors.
Knowledge Translation
Majority of Korean American cancer survivors are 1st generation immigrants and have language and cultural barriers when receiving health care services.
Social support, communication, and acculturation are factors that influence level of quality of life of Korean American cancer survivors.
The quality of the doctor-patient relationship is important to Korean-Americans and can be improved by utilizing interpreting services, providing language-appropriate educational materials, and increased awareness, knowledge, and understanding of cultural contexts.
Collaborating with ethnic community centers and churches to deliver cancer-related information and nursing interventions would be a strategy to improve cancer screenings rates, access to medical services and implement culturally appropriate nursing interventions to improve patients’ QOL.