SLP Perspectives on Cultural Factors Influencing Palliative Care

Date of Submission

Spring 2024

Document Type

Closed Research Project

Degree Name

Master of Science in Speech-Language Pathology

Department

Speech-Language Pathology

First Advisor

Maria Centeno-Vazquez, PhD, CCC-SLP, BCS-S

Abstract

This study addresses the growing recognition of speech-language pathologists' (SLPs) role in palliative care, with a focus on cultural influences. Despite this recognition, few studies have investigated the impact of culture on palliative care, particularly in relation to SLP services. This research aimed to explore cultural observations made by SLPs caring for patients and families from diverse religious and racial backgrounds, as well as the cultural beliefs of SLPs regarding palliative care. Thirty-one SLPs currently or previously working in palliative care settings participated in a survey. However, not all participants completed the entire survey. Ten participants completed the survey in its entirety, while 21 discontinued participation before completing all sections. The survey identified thirteen themes related to culture in palliative care. Participants noted variations in cultural components observed among diverse groups, with some overlap between religious and racial backgrounds, as well as unique components tied to specific cultural groups. Participants emphasized the critical importance for SLPs to possess competence, respect, and awareness regarding cultural nuances related to nutrition, religion, and spirituality in their provision of palliative care. Many participants disclosed instances where they had to navigate cultural considerations based on personal knowledge and ethical principles. This study prompts reflection on what constitutes culturally sensitive practice and whether SLPs adequately incorporate cultural and spiritual aspects specific to various racial and religious groups into their care provision. These findings underscore the significant correlation between culture and palliative care as delivered by SLPs, emphasizing the need for culturally informed approaches in this field.

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