• Margaret Mary Cowan.
• Advanced Nurse Practitioner, Home Care Team and Day Therapy Unit, Ellenor Lions Hospices, Cold Harbour Road, Gravesend DA11 7HQ, England.
• Int J Palliat Nurs. 2014 Apr 1;20(4):179-86.

BackgroundFew ethnic minorities access specialist palliative care (SPC) services when caring for a dying relative at home.ObjectiveThis project aimed to explore and understand the experiences of the Sikh population of south east England when caring for a dying relative at home without support from SPC.MethodsSix semi-structured interviews were conducted with carers in Punjabi or English and the transcripts were analysed using interpretative phenomenology.ResultsFive super-ordinate themes were identified: factors leading to the caring role, emotional effects of caring on the carer, impact of caring on the wider family, influence of health-care services, and religious and cultural influence. The most common emergent theme was lack of support from health professionals, which emerged from a lack of awareness of services. A sense of duty and hard work was apparent throughout, and appeared to sustain the family. There seemed to be a sense of duty to care for the relative at home. Financial concerns were expressed frequently. The decision to adopt the caring role appeared to be made by the entire family. The Sikh faith seemed to give strength to carers. There appeared to be heightened awareness of what other community members think of carers' actions.ConclusionsThere is a need for health professionals to reach out to this population to increase awareness of and trust in the services that are available to support care at the end of life. However, an unwillingness to accept assistance may persist in some cases.

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