Empowerment of the older adults in the context of Chinese culture: an evolutionary concept analysis

Abstract

BackgroundWith the increasing focus on addressing the challenges of aging, researchers have begun to recognize the potential impact of empowering older individuals in addressing retirement issues. However, within different cultural contexts, there still needs to be a more precise analysis regarding the definition of empowering older individuals.ObjectiveTo define and analyze the concept of empowering older individuals within the cultural context of China.MethodUsing Rodgers’ concept analysis approach, a search was conducted in five databases (PubMed, Web of Science, China National Knowledge Infrastructure, Wan fang Data, and VIP Chinese Journal Platform) for studies on empowering older individuals from the time the databases were established until February 2023. The main disciplines involved in the search included nursing, medicine, and public health.ResultsOut of the 7,028 studies, 50 articles met the inclusion criteria. The identified attributes are as follows: support system, belief change, and behavioral autonomy. The antecedents were grouped into four categories: physical obstacles, psychological concerns, personal needs and external challenges. The consequences were determined to be improved quality of life, reduced burden of old-age care, gain respect, and self-actualization.ConclusionEmpowering older individuals is a dynamic and evolving concept that involves aligning personal aspirations with appropriate external resources and expressing a certain degree of belief and behavioral change. This study deepens our understanding of empowering older individuals through comprehensive concept analysis, and the identified attributes, antecedents, and consequences of empowering older individuals can be utilized in practice, education, and research.

Aging in Place in Hong Kong and Its Implications for Sustainable Development: A Qualitative Study Exploring the Needs, Beliefs, Behaviors, and Well-Being of Older Adults through Self-Determination Theory and Social Cognitive Theory

“…Since Chinese elders are strongly influenced by Confucian and collectivist cultures, dignity is considered of utmost importance [50]. Additionally, the present findings are supported by recent research that highlights the importance of empowerment and control over one's environment, indicating that a perceived loss of autonomy and control is associated with negative mental and physical health outcomes [51].…”