The needs of older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care: An integrative review

Abstract

Aims and ObjectivesTo synthesise information about the needs of older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care from the perspectives of the residents, families and care staff.BackgroundOlder people with dementia from culturally and linguistically diverse backgrounds living in residential aged care have care needs that are complex. Identifying these needs is critical to ensure quality care is delivered.DesignAn integrative review of literature.MethodsFive databases were searched for relevant articles: APA PsychINFO, CINAHL, MEDLINE, Scopus and Google Scholar. The search and screening were guided by PRISMA guidelines and Whittemore and Knafl's five‐step framework.ResultsFifteen papers were included in this review consisting of 4 quantitative, 9 qualitative and 2 mixed method studies. Two themes described the needs of older people with dementia from culturally and linguistically diverse backgrounds living in residential aged care. The first was related to culture‐specific needs, and the second was related to dementia‐specific care needs. Culture‐specific needs comprised of three subthemes: (a) common language, (b) traditional food, and (c) social and spiritual requirements. Dementia‐specific needs comprised of (a) focusing on comfort in addition to clinical requirements and (b) individualised care that addresses behavioural symptoms of dementia.ConclusionsIdentifying and meeting the needs of older people with dementia from culturally and linguistically diverse backgrounds will improve quality care delivery in addition to increased caregiving satisfaction among residents, families and care staff, and the management of behaviours that characterise dementia.Relevance to Clinical PracticeCare needs of older people with dementia from culturally and linguistically diverse backgrounds living in the residential setting can be complex. Education and training of care staff including nurses must be considered so that provision of care is inclusive of the cultural and dementia needs for older people in residential aged care.

Health care use experiences of ethnoculturally diverse immigrant older adults: a meta-ethnography

“…Review articles represent the “syntheses” mid-range category in the 6S pyramid of evidence-based practice, with each offering a “comprehensive summary of all the evidence surrounding a specific research question” (McMaster University, 2023). While the publication years of those review articles range from 2013 to 2023, the range of publication years of included studies across the 10 of 11 reviews reporting them reach from 1995 and earlier (Khan et al , 2017) to 2020 (Cabote et al , 2023). The 11 review article types comprise four systematic reviews (Al Abed et al , 2014; Bhattacharyya and Benbow, 2013; Lood et al , 2015; Verhagen et al , 2014), 4 scoping reviews (Guruge et al , 2015; Khan et al , 2017; Koehn et al , 2013; Wang et al , 2019), 2 reviews of unspecified methodology (Ahaddour et al , 2016; Giebel et al , 2015) and 1 integrative review (Cabote et al , 2023).…”

“…Inequities in health and health care of ECDI older adults are attributed to barriers encountered when seeking to access/receive health care services. Barriers are described in the contexts of health (Al Abed et al , 2014), mental health (Guruge et al , 2015; Wang et al , 2019), dementia (Cabote et al , 2023; Giebel et al , 2015), primary health care (Wang et al , 2019) and institutional care (Ahaddour et al , 2016; Cabote et al , 2023).…”

“…Barriers common across those reviews are insensitivity to cultural beliefs and values (Guruge et al , 2015; Koehn et al , 2013; Wang et al , 2019), communication/language challenges (Al Abed et al , 2014; Cabote et al , 2023; Guruge et al , 2015; Wang et al , 2019) and lack of culturally and linguistically appropriate services (Ahaddour et al , 2016; Al Abed et al , 2014; Guruge et al , 2015; Koehn et al , 2013; Wang et al , 2019). Additional common barriers are costs associated with accessing health care (Ahaddour et al , 2016; Guruge et al , 2015; Wang et al , 2019), racial stereotyping (Al Abed et al , 2014) and ageism (Guruge et al , 2015).…”

“…The aforementioned barriers address what is not working well for ECDI older adults when seeking to access/receive health care services. Other reviews investigate ways to improve services for ECDI older adults through a focus on culturally competent/sensitive health care (Al Abed et al , 2014; Cabote et al , 2023) and health service innovations (Bhattacharyya and Benbow, 2013; Cabote et al , 2023; Lood et al , 2015; Verhagen et al , 2014).…”

“…Individualized and person-centred approaches to care are identified as essential for achieving culturally competent/sensitive ECDI older adult health care (Al Abed et al , 2014; Cabote et al , 2023). Such care approaches may inform effective delivery of programme activities (Cabote et al , 2023).…”