Publication Date

Spring 2023

Degree Type

Master's Project

Degree Name

Master of Science in Nursing, Family Nurse Practitioner (MSN)



First Advisor

Robin Whitney


culture, language, providers, healthcare professionals, ethnic, pain, palliative care, advance care planning, perspectives, attitudes, experiences


Culturally and linguistically diverse (CALD) patients are constantly challenged by the different levels on which lack of cultural competency or bias occurs in healthcare. This literature review focuses on the healthcare providers’ experiences when providing pain and palliative care to CALD populations and explores the challenges that may result in health inequalities. A review of current literature was conducted using PubMed, CINHAL, Sage Journals, Ovid, and Science Direct electronic databases. Sixteen published articles between 2015-2023 were reviewed. Findings from this review identified factors that induce poor quality palliative, pain, and end-of-life (EOL) care among culturally diverse groups. Improving quality of care stresses the importance of overcoming cultural and linguistic challenges in order to become culturally adept in practice. Communication barriers between healthcare providers and patients was the most prominent theme identified across all studies.