Abstract
Background: The Chinese diaspora, traditionally experience varying access to palliative care and little engagement with advance care planning (ACP). Whilst western cultures have led in the development of advance care planning, there is little evidence of sociocultural considerations. There is a dearth of understanding of Chinese diaspora communities’ engagement and understanding of ACP.
Aims: To synthesize evidence regarding Chinese diasporas’ understanding, experience and factors influencing engagement with advance care planning.
Methods: A systematic integrative review using content analysis. Seven electronic databases (Embase, CINAHL, SCOPUS, Web of Science, Medline (OVID), PsycINFo, and The Cochrane Library) and grey resources were searched for studies from January 1990 to March 2022. Study quality appraisal was undertaken.
Results: 27 articles were identified and rated as moderate to good. Two overarching and interrelated themes were identified, ‘Awareness and knowledge’ and ‘Engagement with advance care planning’. There are low levels of awareness, knowledge and engagement with ACP for Chinese diaspora. Findings highlight this is influenced by two key factors:
• The geographic context and legal, cultural and social systems within which the Chinese diasporas are living, act as a potential catalyst to enhance awareness and engagement with advance care planning.
• Aspects of Chinese diasporas’ original culture, such as filial piety and a taboo surrounding death, were reported to negatively affect the promotion and engagement of advance care planning.
Conclusion: Chinese diaspora are intermediaries between two divergent cultures that intertwine to strongly influence engagement with ACP. Hence a bespoke culturally tailored approach should be accommodated in future research and practice for Chinese communities in multicultural countries, such as UK. It would be beneficial to further advance palliative and end-of-life care awareness among this group.
Aims: To synthesize evidence regarding Chinese diasporas’ understanding, experience and factors influencing engagement with advance care planning.
Methods: A systematic integrative review using content analysis. Seven electronic databases (Embase, CINAHL, SCOPUS, Web of Science, Medline (OVID), PsycINFo, and The Cochrane Library) and grey resources were searched for studies from January 1990 to March 2022. Study quality appraisal was undertaken.
Results: 27 articles were identified and rated as moderate to good. Two overarching and interrelated themes were identified, ‘Awareness and knowledge’ and ‘Engagement with advance care planning’. There are low levels of awareness, knowledge and engagement with ACP for Chinese diaspora. Findings highlight this is influenced by two key factors:
• The geographic context and legal, cultural and social systems within which the Chinese diasporas are living, act as a potential catalyst to enhance awareness and engagement with advance care planning.
• Aspects of Chinese diasporas’ original culture, such as filial piety and a taboo surrounding death, were reported to negatively affect the promotion and engagement of advance care planning.
Conclusion: Chinese diaspora are intermediaries between two divergent cultures that intertwine to strongly influence engagement with ACP. Hence a bespoke culturally tailored approach should be accommodated in future research and practice for Chinese communities in multicultural countries, such as UK. It would be beneficial to further advance palliative and end-of-life care awareness among this group.
| Original language | English |
|---|---|
| Title of host publication | Chinese Diaspora Communities’ Knowledge of and Engagement with Advance Care Planning: A Systematic Integrative Review |
| Subtitle of host publication | Chinese Diaspora Communities’ Knowledge of and Engagement with Advance Care Planning |
| Publisher | SAGE Publications |
| Pages | 194 |
| Number of pages | 1 |
| Volume | 37 |
| DOIs | |
| Publication status | Published (in print/issue) - 7 Jun 2023 |
| Event | The 18th World Congress of the European Association for Palliative Care (EAPC) : European Association of Palliative Care (EAPC) 2023 - South Holland, NL, Rotterdam, Netherlands Duration: 15 Jun 2023 → 17 Jun 2023 |
Conference
| Conference | The 18th World Congress of the European Association for Palliative Care (EAPC) |
|---|---|
| Country/Territory | Netherlands |
| City | Rotterdam |
| Period | 15/06/23 → 17/06/23 |
