How Has Our Culture Evolved Regarding Death and What Is the Impact of These Changes on Healthcare?
Many of the first quantitative models of cultural evolution were modified from existing concepts in theoretical population genetics because cultural evolution has many parallels with, as well as clear differences from, genetic evolution. Furthermore, cultural and genetic evolution can interact with one another and influence both transmission and selection.
To address these gaps in the literature, this study explored the impact of death and dying on the lives of key leaders and frontline professionals in palliative and hospice care — individuals who arguably provide society and health care practitioners with the most authoritative discourse on end of life and its effect on life in general.
Thus, just as those in fee-for-service medicine may need education about palliative care and hospice programs, so may those in managed care (Brown, 1983).
Healthcare will not suffice without negotiation, adjustment, and respect of differences. Transcutlural concepts in nursing care have made cultural competency an expected standard and it is the duty of every nurse to help maintain this standard.
Brown, 1983; IOM, 1993a, 1996b, 1997; Miles et al., 1995; Jones, 1996b.
U.S. Bureau of Labor Statistics, there were 666,000 "degreed Human Services Workers" in 1995 (Gibelman, 1997)
42 CFR Section 418.70[e]