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Optimising social conditions to improve autonomy in communication and care for ethnic minority residents in nursing homes: A meta-synthesis of qualitative research.

  • Xiao, Lily D1
  • Chen, Li1
  • Han, Weifeng2
  • Meyer, Claudia3, 4, 5
  • Müller, Amanda1
  • Low, Lee-Fay6
  • Brijnath, Bianca7, 8
  • Mohammadi, Leila9
  • 1 College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia. , (Australia)
  • 2 Speech Pathology, School of Allied Health, Human Services & Sport, La Trobe University, Melbourne, Victoria, Australia. , (Australia)
  • 3 Bolton Clarke Research Institute, Bolton Clarke, Melbourne, Victoria, Australia. , (Australia)
  • 4 Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Melbourne, Victoria, Australia. , (Australia)
  • 5 Centre for Health Communication and Participation, La Trobe University, Melbourne, Victoria, Australia. , (Australia)
  • 6 Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia. , (Australia)
  • 7 Social Gerontology, National Ageing Research Institute (NARI), Parkville, Melbourne, Victoria, Australia. , (Australia)
  • 8 School of Allied Health, Curtin University, Perth, Western Australia, Australia. , (Australia)
  • 9 College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia. , (Australia)
Published Article
Nursing Inquiry
Wiley (Blackwell Publishing)
Publication Date
Jul 01, 2022
DOI: 10.1111/nin.12469
PMID: 34647382


A large proportion of nursing home residents in developed countries come from ethnic minority groups. Unmet care needs and poor quality of care for this resident population have been widely reported. This systematic review aimed to explore social conditions affecting ethnic minority residents' ability to exercise their autonomy in communication and care while in nursing homes. In total, 19 studies were included in the review. Findings revealed that ethno-specific nursing homes create the ideal social condition for residents to express their care needs and preferences in a language of choice. In nonethno-specific nursing homes, staff cultural competence and nursing home commitment to culturally safe care are crucial social conditions that enable this group of residents to fulfil their autonomy in communicating and in participating in their care. In contrast, social conditions that undermine residents' ability to express their care needs and preferences include low levels of staff cultural awareness and cultural desire, negative attitudes towards residents and limited organisational support for staff to improve culturally responsive and culturally safe care. In conclusion, it is important to optimise the social conditions to support ethnic minority residents to communicate their care needs and preferences. © 2021 John Wiley & Sons Ltd.

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