Objectives: To explore Chinese late-life immigrants' perceptions of loneliness and social isolation.Methods: A qualitative descriptive methodology underpinned this study. Indepth individual interviews were conducted in Mandarin with purposively recruited participants. The twenty-three participants in the study had all emigrated from China, were 65-80 years old on arrival and had lived in New Zealand for between 2.5 and 16 years. An inductive thematic analytic process was undertaken.The COREQ checklist was followed to ensure study rigour.Results: Three themes, 'high value placed on meeting family obligations', 'feeling a deep sense of imbalanced intergenerational reciprocity' and 'moving away from filial expectations', were identified. Confucianist values of 'women's domestic duty of caring for grandchildren', 'filial piety', and 'saving face' to be accepted and respected by others negatively attributed to participants' understandings and experiences of loneliness. To plan for increasing frailty and to avoid family conflict while ameliorating potential loneliness, some participants reluctantly discarded prior customary filial piety expectations in favour of formal aged care options.Conclusions: Participants' profound sense of loneliness was seen to be attributed to their deeply rooted cultural values and backgrounds from having lived for a significant period of time in China. Loneliness occurred as a result of the resettlement process in later life. These experiences highlight the importance of using cultural framing that takes into account beliefs and adaptations to host societies anticipated during the process of late-life immigration.

Background The COVID-19 pandemic has increased the importance of the deployment of digital detection surveillance systems to support early warning and monitoring of infectious diseases. These opportunities create a “double-edge sword,” as the ethical governance of such approaches often lags behind technological achievements. Objective The aim was to investigate ethical issues identified from utilizing artificial intelligence–augmented surveillance or early warning systems to monitor and detect common or novel infectious disease outbreaks. Methods In a number of databases, we searched relevant articles that addressed ethical issues of using artificial intelligence, digital surveillance systems, early warning systems, and/or big data analytics technology for detecting, monitoring, or tracing infectious diseases according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, and further identified and analyzed them with a theoretical framework. Results This systematic review identified 29 articles presented in 6 major themes clustered under individual, organizational, and societal levels, including awareness of implementing digital surveillance, digital integrity, trust, privacy and confidentiality, civil rights, and governance. While these measures were understandable during a pandemic, the public had concerns about receiving inadequate information; unclear governance frameworks; and lack of privacy protection, data integrity, and autonomy when utilizing infectious disease digital surveillance. The barriers to engagement could widen existing health care disparities or digital divides by underrepresenting vulnerable and at-risk populations, and patients’ highly sensitive data, such as their movements and contacts, could be exposed to outside sources, impinging significantly upon basic human and civil rights. Conclusions Our findings inform ethical considerations for service delivery models for medical practitioners and policymakers involved in the use of digital surveillance for infectious disease spread, and provide a basis for a global governance structure. Trial Registration PROSPERO CRD42021259180; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=259180

Aims and objective To synthesise current international empirical evidence on loneliness and social isolation in Chinese late‐life immigrants. Background Loneliness causes adverse health consequences in Chinese late‐life immigrants leading to increased utilisation of often increasingly limited healthcare resources. However, little is known about how Chinese late‐life immigrants perceive and experience loneliness and social isolation in their host countries. Design An integrative review methodology. Methods Using a systematic search strategy, Google scholar and databases, such as Scopus, Web of Science, PubMed, CHNAHL, Medline and open access Theses were searched. No limitation was placed on publication date. Peer‐reviewed studies published from the database inception to May 6, 2021 in the English language were included. The review process is reported according to PRISMA. Results Eight articles met the criteria and were included in this review. Two themes resulting from the data synthesis process were identified. Firstly, ‘disrupted social relations after late‐life immigration’ and secondly ‘moving away from filial expectations’. Conclusion Loneliness and social isolation are commonly experienced by Chinese late‐life immigrants when residing in host countries. Understanding and identification of the sources of loneliness and social isolation among late‐life immigrants are essential prompts for healthcare professionals, particularly nurses, to engage sensitively with Chinese late‐life immigrants. Nurses culturally relevant care delivery in a variety of settings may best serve recipients’ social and health related needs. Relevance to clinical practice This integrated review informs the planning of health and social services for addressing Chinese late‐life immigrants’ experiences of loneliness and social isolation. Focused attention on cultural responsiveness is an important component of providing quality and safe nursing care. This review of the recent evidence on socially‐rooted health concerns affected by both immigration and ageing will help advance nursing practice in providing culturally responsive care interventions.