Advance Care Planning Engagement Among Family Members of Community-Dwelling Elderly Patients With Chronic Diseases in China

Liu, Xuebing; Chen, Hui; Zhang, Lingli; Zhang, Qiongwen; Feng, Ting; Liu, Dongling

doi:10.1097/njh.0000000000000829

Cited by 12 publications

(12 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They wanted their family members to make their EOLC decisions either because they thought it was impossible to sign on their own or because they were influenced by concern for their families, karma, reincarnation, and natural law. This finding is consistent with that of previous studies that have found that people of Chinese ethnicity—under the cultural influences of Confucianism, Buddhism, and Taoism—mostly hold similar opinions about death, such as death just being a trip home when it is time and that nature should take its course 3,7,9,11,19 …”

Section: Discussionsupporting

confidence: 92%

“…This finding is consistent with that of previous studies that have found that people of Chinese ethnicity-under the cultural influences of Confucianism, Buddhism, and Taoism-mostly hold similar opinions about death, such as death just being a trip home when it is time and that nature should take its course. 3,7,9,11,19 The attitudes toward death among participants were mainly based on beliefs of "destiny," "karma repayment," and "reincarnation." Because they held these beliefs, the participants believed that signing an AD would be useless.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, to facilitate the learning of the older adult population, it would be ideal for professionals to deliver face-to-face, repeated, and intensive personalized directions and instructions to residents. 3,9,11,18,19 Finally, health care staff should respect each resident's right to entrust their EOLC decision making to family members after ensuring that the resident is fully aware of the relevant contents of the AD and the relationship between signing the AD and having a good death.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Impediments to Signing Advance Directives in Nursing Home Residents

Lee

Yang

2023

J Hosp Palliat Nurs

View full text Add to dashboard Cite

Although public opinion in Taiwan has shifted to favoring self-determination regarding end-of-life care, many nursing home residents still entrust their end-of-life care decision making to family members. This study examined Chinese cultural impediments to nursing home residents signing advance directives. A descriptive qualitative study was conducted using content analysis. In total, 18 nursing home residents participated in face-to-face interviews. Five main themes were identified: (1) bad omens, (2) inability, (3) traditional culture, (4) uncertainty, and (5) unmet needs. The death taboo that is a prominent feature of Chinese culture and the delivery of generic information are primary impediments. Therefore, health care providers should provide tailored information about advance directives, communicate directly with residents, ensure that residents understand the relationship between signing an advance directive and having a good death, and respect the final decisions of residents.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Impediments to Signing Advance Directives in Nursing Home Residents

Lee

Yang

2023

J Hosp Palliat Nurs

View full text Add to dashboard Cite

show abstract

“…e low birth rate and aging problems have become increasingly prominent [29]. According to the statistics of the China Bureau of statistics and the former National Health and Family Planning Commission, the number of births in 2016 was 17.86 million, an increase of 1.31 million over 2015 [30]. In 2017, China's birth population was 17.23 million, with more than two children accounting for 51%.…”

Section: Fertility Policy and Fertility Rate Changesmentioning

confidence: 99%

Development Management of Infant Dairy Industry Integrating Internet of Things under the Background of Family Planning Policy Adjustment

Chen

Shi

Chen

2022

Security and Communication Networks

View full text Add to dashboard Cite

To promote the healthy and stable development of infant dairy industry, this work starts from the background of family planning policy adjustment. Based on the Internet of Things (IoT), fertility policy, and other related theories, this work analyzes the population size changes and fertility willingness of Chinese women of childbearing age between 20 and 39 years old from 1980 to 2020. Additionally, this work discusses the current development of infant dairy industry and the willingness of residents in the first, second, third, and fourth tier cities to purchase domestic or imported milk powder. Finally, the IoT technology is introduced into the farm and infant dairy processing links for analysis. The results show that the population of women of childbearing age in China is shrinking year by year, and the willingness to bear children is also declining. From 2016 to 2021, the number of women of childbearing age will decrease by an average of 2.85 million every year. Women in rural areas are more willing to give birth than those in urban areas. Compared with Vietnam and India, China has the lowest population growth rate, followed by Vietnam and India. At present, the development of domestic infant dairy products is facing many setbacks due to the reduction of the birth population, the impact of foreign brands, and the “melamine” incident. Fortunately, due to the strict supervision of the market by the government, a certain proportion of the market has been gradually achieved in recent years. However, residents of the first, second, third, and fourth tier cities are still more willing to buy foreign milk powder. Introducing the IoT technology into the development of infant dairy industry can monitor the content of relevant additives and record the production information through radio frequency identification technology, which improves the quality of dairy products to a certain extent. Therefore, the research on the management of infant dairy industry integrated with the IoT under the background of family planning policy adjustment will have a certain beneficial impact on the subsequent development of the industry.

show abstract

“…10 However, most older adults in conservative Asia are taboo about death-related topics. 8,[11][12][13][14] A study found that only 14% and 18% of older adults in Hong Kong and Taiwan, respectively, had discussed EOL care issues with their family members or health care professionals. 15 In addition, 79% to 80% of Hong Kong and Taiwanese older adults were reluctant to prolong life in the study scenarios.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Older Adults' End-of-Life Care Preferences

Dai

et al. 2022

J Hosp Palliat Nurs

View full text Add to dashboard Cite

The objective of this study was to explore factors influencing Taiwanese older adults' end-of-life (EOL) care preferences. A cross-sectional questionnaire survey was conducted in 2 geriatric wards of a veterans' hospital. Fifty-five older adults aged 65 years or older were included. Structured questionnaires were used to collect data regarding demographic characteristics, EOL care preferences, stages of change for advance care planning behaviors, and reluctance to burden others. The study revealed that nearly 60% of the participants preferred to let their spouses, adult children, or health care professionals make the decisions. Furthermore, 83.6% of the participants lived with their family members and were moderately to severely disabled with a certain degree of dependence on their family members. Sex, independence, discussion of advance care planning with family members, and completion of advance directives were significantly correlated with EOL care preferences. The regression model showed that the participants' discussion of advance care planning with their family members influenced their EOL care preferences. The results demonstrate that family is an essential consideration for older adults choosing EOL care. Accordingly, because Chinese culture focuses on family harmony, improving communication between older adults and their family members is crucial for promoting advance care planning.

show abstract

Advance Care Planning Engagement Among Family Members of Community-Dwelling Elderly Patients With Chronic Diseases in China

Cited by 12 publications

References 33 publications

Impediments to Signing Advance Directives in Nursing Home Residents

Impediments to Signing Advance Directives in Nursing Home Residents

Development Management of Infant Dairy Industry Integrating Internet of Things under the Background of Family Planning Policy Adjustment

Factors Influencing Older Adults' End-of-Life Care Preferences

Contact Info

Product

Resources

About