Cultural perspectives of older nursing home residents regarding signing their own DNR directives in Eastern Taiwan: a qualitative pilot study
| Autor: | Wen-Yu Hu, Yu-Tzu Dai, Mei Chang, Shu-Chen Cheng, Hsin-Tzu Sophie Lee |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Gerontology
Male medicine.medical_specialty Palliative care media_common.quotation_subject Buddhism Culture Decision Making Alternative medicine Taiwan Do not resuscitate (DNR) Pilot Projects Taoism Nonprobability sampling Interviews as Topic 03 medical and health sciences 0302 clinical medicine Nursing 030502 gerontology medicine Humans Family Mental Competency 030212 general & internal medicine Sociology Qualitative Research media_common Aged Resuscitation Orders Aged 80 and over Medicine(all) Cultural perspective Nursing home General Medicine End of life (EOL) Nursing Homes Life Support Care Attitude Content analysis Advance directives (ADs) Female 0305 other medical science Advance Directives Autonomy Qualitative research Research Article Decision-making |
| Zdroj: | BMC Palliative Care |
| ISSN: | 1472-684X |
| DOI: | 10.1186/s12904-016-0117-4 |
| Popis: | Background Chinese tradition and culture developed from Taoism, Confucianism, and Buddhism and have influenced ethnic Chinese for thousands of years, particularly thoughts on death. Many ethnic Chinese, particularly older people, refrain from discussing death-related concerns, making it difficult to obtain advance directives, including do-not-resuscitate (DNR) directives, signed independently by older people. This study explored the attitudes of older nursing home residents in Taiwan toward signing their own DNR directives. Methods This study adopted purposive sampling and collected data through in-depth interviews. The data were analysed using qualitative inductive content analysis, and the study location was a nursing home in Eastern Taiwan. Results A total of 11participants were recruited from a sample of 12 eligible participants. Most of the older residents in this study refused to make decisions independently regarding DNR directives. Content analysis of the interviews revealed four themes concerning refusing to sign DNR directives independently: not going against nature, accepting the results of cause and effect, viewing the family as a decision-making system, and practising self-effacement. Chinese cultural aspects, including Taoist, Buddhist, and Confucian philosophy, affected the autonomy of the older residents, and they relied on others to make decisions for them. Conclusions Professionals must respect this family-oriented decision-making thinking of older residents because it reflects personal choice. Otherwise, healthcare providers may play a mediating role in coordinating and communicating between older residents and their families regarding EOL-care-related concerns, replacing the traditional practice of holding a family meeting. |
| Databáze: | OpenAIRE |
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