scholarly journals Developing and Testing the Feasibility of a Culturally Based Tele-Palliative Care Consult Based on the Cultural Values and Preferences of Southern, Rural African American and White Community Members: A Program by and for the Community

Health Equity ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. 52-83 ◽  
Author(s):  
Ronit Elk ◽  
Linda Emanuel ◽  
Joshua Hauser ◽  
Marie Bakitas ◽  
Sue Levkoff
Keyword(s):  
Palliative Care ◽  
African American ◽  
Cultural Values ◽  
Community Members ◽  
White Community ◽  
Culturally Based

Engaging Social Justice Methods to Create Palliative Care Programs That Reflect the Cultural Values of African American Patients with Serious Illness and Their Families: A Path Towards Health Equity

2021 ◽  
Vol 49 (2) ◽  
pp. 222-230
Author(s):  
Ronit Elk ◽  
Shena Gazaway
Keyword(s):  
Palliative Care ◽  
Social Justice ◽  
African American ◽  
Middle Class ◽  
Cultural Values ◽  
End Of Life Care ◽  
Life Care ◽  
Serious Illness ◽  
White Middle Class ◽  
Healing Power

AbstractCultural values influence how people understand illness and dying, and impact their responses to diagnosis and treatment, yet end-of-life care is rooted in white, middle class values. Faith, hope, and belief in God’s healing power are central to most African Americans, yet life-preserving care is considered “aggressive” by the healthcare system, and families are pressured to cease it.

Beliefs About Causes of Schizophrenia Among Urban African American Community Members

2010 ◽  
Vol 81 (4) ◽  
pp. 349-362 ◽  
Author(s):  
Beth Broussard ◽  
Sandra M. Goulding ◽  
Colin L. Talley ◽  
Michael T. Compton
Keyword(s):  
African American ◽  
African American Community ◽  
Community Members

scholarly journals The persistence of conflict avoidance among the King Island Inupiat

2009 ◽  
Vol 32 (2) ◽  
pp. 151-167 ◽  
Author(s):  
Deanna Paniataaq Kingston
Keyword(s):  
Cultural Values ◽  
Traditional Ecological Knowledge ◽  
Cultural Geography ◽  
Ethnic Background ◽  
Principal Investigator ◽  
Conflict Avoidance ◽  
Ecological Knowledge ◽  
Place Names ◽  
Community Members ◽  
The North

Abstract During the summers of 2005 and 2006, a group of Ugiuvangmiut (King Island Inupiat) and western scientists participated in a project entitled “Documenting the Cultural Geography, Biogeography, and Traditional Ecological Knowledge of King Island, Alaska.” The intent was to bring Ugiuvangmiut to King Island in order to document and map place names, as well as archaeological and subsistence sites. Throughout fieldwork, conflicts occurred between scientists, between community members, and between scientists and community members. As the principal investigator, I confronted one conflict in 2005, but my actions exacerbated long-standing tensions within the community and I was later advised by two community members that I should not have confronted the conflict. When conflict occurred again in 2006, instead of confronting the conflict, I chose to take a break from the project for several days. The result was that the overt conflict within the community lessened. Based upon these experiences and other examples, I conclude that conflict avoidance still persists among the Ugiuvangmiut. In addition, I “write against culture” (to borrow Abu-Lughod’s phrase) to explain how my mixed ethnic background and the backgrounds of two community members resulted in actions that run counter to conflict avoidance, showing that there are “multiple, shifting, and competing” cultural values at play. I end with suggestions for scientists conducting fieldwork in the North.

scholarly journals Effect of Race and Ethnicity on In-Hospital Mortality in Patients with COVID-2019

2021 ◽  
Vol 31 (3) ◽  
pp. 389-398
Author(s):  
Adnan I. Qureshi ◽  
William I. Baskett ◽  
Wei Huang ◽  
Daniel Shyu ◽  
Danny Myers ◽  
...  
Keyword(s):  
Palliative Care ◽  
African American ◽  
Hospital Mortality ◽  
Race And Ethnicity ◽  
Pacific Islander ◽  
Sociodemographic Factors ◽  
Secondary Outcome ◽  
Do Not Resuscitate ◽  
Short Term ◽  
White Patients

Objective: To identify differences in short-term outcomes of patients with coronavirus disease 2019 (COVID-19) according to various racial/ethnic groups.Design: Analysis of Cerner de-identified COVID-19 dataset.Setting: A total of 62 health care facilities.Participants: The cohort included 49,277 adult COVID-19 patients who were hospitalized from December 1, 2019 to November 13, 2020.Methods: We compared patients’ age, gender, individual components of Charl­son and Elixhauser comorbidities, medical complications, use of do-not-resuscitate, use of palliative care, and socioeconomic status between various racial and/or ethnic groups. We further compared the rates of in-hos­pital mortality and non-routine discharges between various racial and/or ethnic groups.Main Outcome Measures: The primary outcome of interest was in-hospital mortali­ty. The secondary outcome was non-routine discharge (discharge to destinations other than home, such as short-term hospitals or other facilities including intermediate care and skilled nursing homes).Results: Compared with White patients, in-hospital mortality was significantly higher among African American (OR 1.5; 95%CI:1.3-1.6, P<.001), Hispanic (OR1.4; 95%CI:1.3-1.6, P<.001), and Asian or Pacific Islander (OR 1.5; 95%CI: 1.1-1.9, P=.002) patients after adjustment for age and gender, Elixhauser comorbidities, do-not-resuscitate status, palliative care use, and socioeconomic status.Conclusions: Our study found that, among hospitalized patients with COVID-2019, African American, Hispanic, and Asian or Pacific Islander patients had increased mortality compared with White patients after adjusting for sociodemographic factors, comorbidities, and do-not-resuscitate/pallia­tive care status. Our findings add additional perspective to other recent studies. Ethn Dis. 2021;31(3):389-398; doi:10.18865/ed.31.3.389

African-American Shakespeares: Loving Blackness as Political Resistance

2019 ◽  
pp. 67-75
Author(s):  
Jason M. Demeter
Keyword(s):  
African American ◽  
American Literature ◽  
Cultural Values ◽  
African American Literature ◽  
James Baldwin ◽  
Political Resistance ◽  
Literary Canon ◽  
Richard Iii ◽  
Black Artists ◽  
Henry Iv

Can a Shakespeare course effectively historicize and challenge Shakespeare’s deployment in U.S. educational contexts “as an instrument of white racial consolidation and non-white marginalization”? Demeter offers a concise summary of Shakespeare’s positioning as the pinnacle of “universal” white, Western cultural values before detailing a course that combines Richard III, Henry IV Part I, and Othello with responses to Shakespeare’s works by black artists such as James Baldwin, August Wilson, Toni Morrison, and Djanet Sears. Though he hoped that placing African-American literature and Shakespeare “on equal footing” would provoke critical interrogations of Shakespeare’s privileged place in the literary canon, Demeter finds Shakespeare’s whiteness and universality difficult myths to dismantle, and offers his ambivalent experience as a way to frame key questions about the relation between Shakespeare pedagogy and social justice.

Epilogue

2019 ◽  
pp. 124-136
Author(s):  
Darius J. Young
Keyword(s):  
African American ◽  
Political Activism ◽  
Labor Leader ◽  
White Community ◽  
Socialist Labor ◽  
Walter White ◽  
American Leader

This chapter discusses Church’s waning influence and subsequent shift to more radical political activism in the 1930s and 1940s. Church resigned his position at the NAACP and argued with the newly appointed Walter White. While he remained respected as an African American leader, his relationship with the white community became increasingly adversarial. His fallout with Boss Crump in the 1930s led to Crump directly attacking him. At the same time, his relationship with socialist labor leader A. Philip Randolph became closer. The chapter ends with a discussion of the erasure of Church’s legacy in Memphis immediately after his death, and his daughter’s mission to restore it.

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