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Cross-Cultural Considerations in Promoting Advance Care Planning ...

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<strong>Advance</strong>d <strong>Care</strong> Plann<strong>in</strong>g <strong>in</strong> Canada<br />

Methodology<br />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

referrals;<br />

search<strong>in</strong>g the Canadian Hospice and Palliative <strong>Care</strong> Association’s Directory of Hospice Palliative <strong>Care</strong> Services<br />

(http://www.chpca.net/canadian_directory_of_services.htm) and the Researcher Registry (http://www.chpca.net/<br />

<strong>in</strong>itiatives/researcher_registry.htm);<br />

contact<strong>in</strong>g the presidents of the prov<strong>in</strong>cial palliative care associations;<br />

contact<strong>in</strong>g the regional palliative care offices and prov<strong>in</strong>cial/federal/territorial government health departments; and,<br />

search<strong>in</strong>g the Internet for researchers/policy makers or health care professionals and academics <strong>in</strong> Canada with<br />

expertise <strong>in</strong> palliative care or with knowledge of a large and prevalent cultural group.<br />

Table 2 shows the geographic distribution of the key <strong>in</strong>formants. A total of 334 <strong>in</strong>dividuals were identified as<br />

be<strong>in</strong>g potential key <strong>in</strong>formants. Of these, 269 were contacted by telephone, fax or email and <strong>in</strong>vited to participate <strong>in</strong><br />

an <strong>in</strong>terview for the study. One hundred and twenty-five of the people contacted were <strong>in</strong>terviewed for the study (see<br />

Appendix B - Key Informant List). As necessary, <strong>in</strong>terviews were conducted <strong>in</strong> French or with Punjabi, Mandar<strong>in</strong>, and<br />

sign language <strong>in</strong>terpreters.<br />

Regard<strong>in</strong>g their backgrounds, the majority of key <strong>in</strong>formants (63%) described themselves as Caucasian (Canadian,<br />

European descent). Eleven percent of our key <strong>in</strong>formants were Aborig<strong>in</strong>al (First Nations, Métis, Inuit, Cree), 7%<br />

Ch<strong>in</strong>ese, 6% South Asian, and the rema<strong>in</strong>der 13% <strong>in</strong>cluded Black, Deaf, Filip<strong>in</strong>o, Francophone, Iranian, and Lat<strong>in</strong><br />

American.<br />

The Organizational <strong>in</strong>terview schedule was used <strong>in</strong> 60 <strong>in</strong>terviews, the HCP <strong>in</strong>terview schedule was used <strong>in</strong> 48<br />

<strong>in</strong>terviews, and the Ethnic <strong>in</strong>terview schedule was used <strong>in</strong> 29 <strong>in</strong>terviews. Those <strong>in</strong>formants who fit more than one<br />

category may have been asked questions from a comb<strong>in</strong>ation of schedules. Appendices J, K and L conta<strong>in</strong> the three<br />

types of schedules used.<br />

Table 2– Geographic Distribution of Key Informants<br />

Prov<strong>in</strong>ce/ Territory<br />

Number of Key<br />

Informants Interviewed<br />

British Columbia 30<br />

Alberta 6<br />

Saskatchewan 10<br />

Manitoba 6<br />

Ontario 30<br />

Quebec 10<br />

New Brunswick 4<br />

Nova Scotia 4<br />

Pr<strong>in</strong>ce Edward Island 4<br />

Newfoundland and Labrador 3<br />

Yukon Territory 8<br />

Northwest Territories 3<br />

Nunavut 7<br />

Total Interviewed 125<br />

Page 12

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