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Exploring the knowledge, attitudes and needs of advance care planning in older Chinese Australians

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  • Sok Shin Yap
  • Karren Chen
  • Karen M Detering
  • Scott A Fraser

Abstract

Aims and objectives To identify factors that influence the engagement of Chinese Australians with advance care planning. Background Despite the benefits of advance care planning, there is a low prevalence of advance care planning in the Chinese Australian community. Reasons for this are often cited as cultural considerations and taboos surrounding future medical planning and death; however, other logistical factors may also be important. Design This qualitative study used a thematic analysis grounded theory approach to explore facilitators and barriers to engagement in advance care planning. Methods Semistructured interviews were conducted in‐language (Mandarin or Cantonese) exploring the views of a purposive sample of 30 community‐dwelling older Chinese Australians within Victoria, Australia. Results Three key themes were identified: knowledge of, attitudes towards and needs for undertaking advance care planning amongst the Chinese Australians. There was a low awareness of advance care planning amongst the participants and some confusion regarding the concept. Most participants reported positive attitudes towards advance care planning but acknowledged that others may be uncomfortable discussing death‐related topics. Participants would want to know the true status of their health and plan ahead in consultation with family members to reduce the burden on the family and suffering for themselves. Language was identified as the largest barrier to overcome to increase advance care planning awareness. In‐language materials and key support networks including GPs, family and Chinese community groups were identified as ideal forums for the promotion of advance care planning. Conclusions The participants of this study were open to conversations regarding future medical planning and end‐of‐life care, suggesting the low uptake of advance care planning amongst Chinese Australians is not culturally motivated but may be due a lack of knowledge relating to advance care planning. Relevance to clinical practice The results highlight the need to provide access to appropriate in‐language advance care planning resources and promotion of advance care planning across the Chinese community.

Suggested Citation

  • Sok Shin Yap & Karren Chen & Karen M Detering & Scott A Fraser, 2018. "Exploring the knowledge, attitudes and needs of advance care planning in older Chinese Australians," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(17-18), pages 3298-3306, September.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:17-18:p:3298-3306
    DOI: 10.1111/jocn.13886
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    References listed on IDEAS

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    1. Sarah Jeong & Seok Ohr & Jacqueline Pich & Peter Saul & Alan Ho, 2015. "‘Planning ahead’ among community‐dwelling older people from culturally and linguistically diverse background: a cross‐sectional survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(1-2), pages 244-255, January.
    2. Sinclair, Craig & Smith, Jessica & Toussaint, Yann & Auret, Kirsten, 2014. "Discussing dying in the diaspora: Attitudes towards advance care planning among first generation Dutch and Italian migrants in rural Australia," Social Science & Medicine, Elsevier, vol. 101(C), pages 86-93.
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    Cited by:

    1. Hsin-Lung Chan & In-Fun Li & Ling-Chun Tseng & Yvonne Hsiung, 2020. "Exploring Behavioral Readiness and Program Strategies to Engage Older Community Residents in Advance Care Planning: A Pilot Mixed-Method Study in Taiwan," IJERPH, MDPI, vol. 17(12), pages 1-20, June.
    2. In-Fun Li & Sheng-Miauh Huang & Ching-Fang Lee & Yi-Heng Chen & Yvonne Hsiung, 2021. "Perceptions of Behavioral Awareness, Intention, and Readiness for Advance Care Planning: A Mixed-Method Study among Older Indigenous Patients with Late-Stage Cancers in Remote Areas of Eastern Taiwan," IJERPH, MDPI, vol. 18(16), pages 1-16, August.
    3. Nilufer Korkmaz Yaylagul & Fatma Banu Demirdas & Pedro Melo & Rosa Silva, 2023. "Opinions of Older Individuals on Advance Care Planning and Factors Affecting Their Views: A Systematic Review," IJERPH, MDPI, vol. 20(10), pages 1-18, May.

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