Hong Kong’s Growing Need for Palliative Care Services and the Role of the Nursing Profession

Yip, Yuk Chiu; Tsui, Wendy Wing Sze; Yip, Ka-Huen

doi:10.24083/apjhm.v16i1.597

Cited by 3 publications

(3 citation statements)

References 1 publication

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“…Post-1978 China's reform and opening-up policy has precipitated a pervasive trend of labor migration from rural to urban areas, wherein the remittances from migrating offspring have enabled parents to access superior healthcare and nutritional resources (Ao et al 2016;Yip et al 2021). Nevertheless, Chang et al (2011) observed that the departure of family members significantly augments the labor burden on the older adults in rural communities, compelling them to dedicate extended periods to agricultural tasks and domestic responsibilities for themselves and their offsprings.…”

Section: Literature Review and Theoretical Backgroundmentioning

confidence: 99%

Satisfying the multiple needs of older adults in rural China through the adaptation of dual polycentric systems

Dong,

Qian

2024

Humanit Soc Sci Commun

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This study explores the fulfillment of multiple needs of older adults in rural China by adapting and aligning two polycentric systems from the perspective of intergenerational relationships. Utilizing the fuzzy-set Qualitative Comparative Analysis (fsQCA) methodology, it pinpoints crucial nesting points that facilitate the integration of the two systems. The study emphasizes maximizing the potential of these nesting points to achieve a cohesive systemic structure. Consequently, it suggests the development of an organizational-level polycentric framework that integrates the comparative advantages (on exploiting various nesting points) of various entities such as nuclear families, village self-governing organizations, government agencies, commercial enterprises, educational institutions, and others. This framework is capable of leveraging its spontaneous order to effectively tackle the challenges associated with ageing in rural areas. This study addresses the gap in the literature concerning an in-depth understanding of tackling rural ageing issues using a polycentric lens.

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Section: Literature Review and Theoretical Backgroundmentioning

confidence: 99%

Satisfying the multiple needs of older adults in rural China through the adaptation of dual polycentric systems

Dong,

Qian

2024

Humanit Soc Sci Commun

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“…Family members require access to comprehensive information to make informed decisions about hospice enrollment (Tate et al, 2020). Professional hospice care training and collaboration among healthcare professionals are crucial for accomplishing such requirements, as Yip et al (2021) emphasized.…”

Section: Influence Of Tour On the Willingnessmentioning

confidence: 99%

The Role of Hospice Tours in Promoting Hospice Enrollment: A Study of Taiwanese Family Members

Huang,

Chen,

et al. 2024

Sage Open

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In Taiwan, hospice nurses often take family members of terminally ill patients on hospice ward tours and provide information on transfers. We conducted a study to investigate the tour’s effectiveness in encouraging family members to transfer their loved ones to hospice. We conceptualized our study framework based on the Andersen healthcare utilization model. The hospice nurses invited family members who participated in the tour to complete the survey to investigate the tour and hospice facilities’ influence on their willingness to transfer. A total of 87 participants responded to the study, with an average age of 48.84 ± 12.08 years. Most participants were women (78.16%) and the children of patients (55.17%). The results showed that the tour significantly increased willingness scores (before 4.46 ± 0.73, after 4.74 ± 0.58, p = .0036). Practical and activity-related facilities had the highest influence scores. However, binary logistic regression revealed that patients aged ≥65 years (odds ratio [OR]: 0.281, 95% confidence interval [CI] [0.099, 0.797]) and higher influence scores for psychospiritual care features (OR: 0.182, 95% CI [0.040, 0.821]) negatively affected the change in willingness score, possibly due to family members’ anticipatory grief. Hospice tour guides should be able to identify, assess, and deal with this issue. Overall, hospice tours can effectively encourage transfer to the hospice ward, but addressing psychological barriers such as anticipatory grief is crucial for success.

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“…Implementation leadership competencies refer to the leadership knowledge, skills and abilities required to influence staff to implement EBP [ 20 , 21 ]. Leadership knowledge is the theoretical or practical understanding of leadership that’s acquired through experience or education, skills refer to the use of this knowledge in execution or performance, and ability is inherent or developed quality that enable a person to perform leadership tasks effectively [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Development of a training program prototype to enhance implementation leadership competencies and behaviours of Chinese unit nurse managers: a qualitative descriptive study

Chen,

Graham,

et al. 2024

BMC Nurs

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Background Unit nurse managers hold essential positions that can facilitate implementation of evidence-based practice. Studies showed that nurse managers in China lacked competencies and behaviours necessary to lead evidence-based practice implementation. The aim of the current study was to develop a context-fit training program prototype to enhance leadership competencies and behaviours regarding evidence-based practice implementation of Chinese unit nurse managers. Method We used a descriptive qualitative study design and followed the integrated knowledge translation approach to co-develop the prototype in a tertiary hospital in Changsha, China. Seven nurse managers from the participated hospital and a researcher co-developed the prototype based on the Ottawa Model of Implementation Leadership (O-MILe). The development process encompassed four phases from November 2021 to March 2022 that involved group discussions (n = 4) and individual interviews (n = 21). All data were analysed by two independent researchers using the thematic analysis method. Results Managers agreed that all O-MILe behaviours were important to evidence-based practice implementation, and only minor modifications were needed for clarification and adaptation. The actions managers identified that could operationalize the leadership behaviours were related to current clinical practices, evidence-based practice, nurses, patients, interprofessional staff members, incentives and resources, organization and external entities. Three types of general competencies related to evidence-based practice, professional nursing, and implementation leadership were identified. Multimodal activities such as lectures, experience sharing, group discussions, plan development and coaching were suggested to deliver the training program. Conclusions All O-MILe leadership behaviours were perceived as essential for unit nurse managers to lead EBP implementation in the hospital context in China. We identified the leadership actions and the competencies required for nursing managers to implement EBP in China. Further studies are required to evaluate the acceptability and impact of this prototype. Further studies with large sample sizes across various clinical settings are needed to facilitate the generalization of the findings and gain an in-depth understanding of the program.

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Hong Kong’s Growing Need for Palliative Care Services and the Role of the Nursing Profession

Cited by 3 publications

References 1 publication

Satisfying the multiple needs of older adults in rural China through the adaptation of dual polycentric systems

Satisfying the multiple needs of older adults in rural China through the adaptation of dual polycentric systems

The Role of Hospice Tours in Promoting Hospice Enrollment: A Study of Taiwanese Family Members

Development of a training program prototype to enhance implementation leadership competencies and behaviours of Chinese unit nurse managers: a qualitative descriptive study

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