This pilot study examined immigrant Russian seniors and adult children’s views on end-of-life care, and hospice staff members’ experiences providing care to diverse immigrant clients, in areas of North Carolina with a high proportion of immigrants. Data were collected through individual in-depth interviews with informants, including Russian immigrant seniors, Russian adult children, and hospice staff, and analyzed by qualitative techniques. Findings indicate that there is little awareness of end-of-life care options among the Russian immigrant community in North Carolina. End-of-life care is rarely discussed within the family of first generation Russian immigrants but second-generation families are more open to doing so. First generation immigrant Russian seniors in our study do not seem to want any specialized end-of-life care often due to lack of awareness, and prefer family care. Second generation seniors’ attitudes are more accepting of this type of care. Hospice staff serve all those who seek care, receive training to serve diverse clients, and prioritize professional policies. There is sometimes potential for a gap between hospice policies regarding care and immigrant families’ expectations for care. Results suggest a great need for community outreach to immigrant groups to raise awareness of end-of-life care, including advance directives and hospice care and the role of interpreters in health care settings. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

Russian immigrants Hospice staff care for diverse patients End-of-life care attitudes in diverse populations

Russia Health Personnel immigrant adult child Hospice Care health care personnel human epidemiology middle aged Hospices hospice North Carolina Adult Children Aged language ethnology procedures qualitative research health personnel attitude interview Attitude of Health Personnel Surveys and Questionnaires Humans migrant psychology Interviews as Topic male Emigrants and Immigrants female staff Terminal Care pilot study questionnaire cultural factor family counseling Article awareness adult Cultural Characteristics expectation living will Pilot Projects Russian Federation