Developing a Culturally Sensitive Seminar Assessing Attitudes toward Advance Care Planning in Chinese Americans

2.50
Hdl Handle:
http://hdl.handle.net/10755/308663
Category:
Full-text
Type:
Presentation
Title:
Developing a Culturally Sensitive Seminar Assessing Attitudes toward Advance Care Planning in Chinese Americans
Author(s):
Hinderer, Katherine A.; Lee, Mei Ching
Lead Author STTI Affiliation:
Pi
Author Details:
Katherine A. Hinderer, PhD, RN, CCRN, KAHINDERER@salisbury.edu; Mei Ching Lee, PhD, RN., lee@son.umaryland.edu
Abstract:

Session presented on: Tuesday, November 19, 2013

Purpose: Develop a culturally sensitive advance care planning (ACP) seminar for a community of Chinese Americans (CA).  The aim of the study was to examine the relationship of a culturally sensitive ACP seminar and attitudes toward advance directives (AD) in CA.

Background: Advance directives are documents that guide end-of-life (EOL) decisions when decision-making capacity is lost. Research about ADs is limited in minority populations. Chinese Americans represent the third largest immigrant group in the United States. Interventions to increase awareness and knowledge of ACP in CA are important in promoting quality EOL care.

Methods: A cross-sectional pre-test post-test design was used.  Institutional review board approval was obtained.  A convenience sample of community-dwelling CA was recruited.  Using Five Wishes, an AD available in Chinese, a bilingual seminar with hands-on activities was conducted.  The Advance Directive Attitude Survey (ADAS) was completed pre-and post-seminar.  Descriptive analyses and t-tests were conducted using SPSS.

Results: Of the 72 participants, 44 (61.1%) were female, 45 (62.5%) were college educated, and 23 (31.9%) had a chronic disease.  Participant age ranged from 32 to 87 (M= 60.91+12.31).  Only one had been on life support and had made EOL decisions.  Post-seminar ADAS scores were significantly higher (M= 52.05, SE=5.99) than pre-seminar (M=50.17, SE=4.28), t(62)= -3.159, p <.05, r= .37.

Conclusion: Positive attitudes toward ACP increase the likelihood of AD completion.  We found community dwelling CA had a less positive attitude towards AD compared to the US inpatient population. The findings of this study have global implications that a culturally sensitive seminar improved the attitudes of ADs in minority ethnic groups. Chinese Americans in this study were open and eager to learn about ACP.  Nurses can create culturally-sensitive educational programs to meet the needs of individuals within their communities and to promote the completion of AD and ACP.

Keywords:
Advance Directives; Advance Care Planning; Chinese Americans
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryFull-texten_GB
dc.typePresentationen_GB
dc.titleDeveloping a Culturally Sensitive Seminar Assessing Attitudes toward Advance Care Planning in Chinese Americansen_GB
dc.contributor.authorHinderer, Katherine A.en_GB
dc.contributor.authorLee, Mei Chingen_US
dc.contributor.departmentPien_GB
dc.author.detailsKatherine A. Hinderer, PhD, RN, CCRN, KAHINDERER@salisbury.edu; Mei Ching Lee, PhD, RN., lee@son.umaryland.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308663-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p>Purpose: Develop a culturally sensitive advance care planning (ACP) seminar for a community of Chinese Americans (CA).  The aim of the study was to examine the relationship of a culturally sensitive ACP seminar and attitudes toward advance directives (AD) in CA. <p>Background: Advance directives are documents that guide end-of-life (EOL) decisions when decision-making capacity is lost. Research about ADs is limited in minority populations. Chinese Americans represent the third largest immigrant group in the United States. Interventions to increase awareness and knowledge of ACP in CA are important in promoting quality EOL care. <p>Methods: A cross-sectional pre-test post-test design was used.  Institutional review board approval was obtained.  A convenience sample of community-dwelling CA was recruited.  Using <i>Five Wishes</i>, an AD available in Chinese, a bilingual seminar with hands-on activities was conducted.  The Advance Directive Attitude Survey (ADAS) was completed pre-and post-seminar.  Descriptive analyses and t-tests were conducted using SPSS. <p>Results: Of the 72 participants, 44 (61.1%) were female, 45 (62.5%) were college educated, and 23 (31.9%) had a chronic disease.  Participant age ranged from 32 to 87 (M= 60.91+12.31).  Only one had been on life support and had made EOL decisions.  Post-seminar ADAS scores were significantly higher (<i>M=</i> 52.05, <i>SE</i>=5.99) than pre-seminar (<i>M</i>=50.17, <i>SE</i>=4.28), <i>t</i>(62)<i>=</i> -3.159, <i>p</i> <.05, <i>r</i>= .37. <p>Conclusion: Positive attitudes toward ACP increase the likelihood of AD completion.  We found community dwelling CA had a less positive attitude towards AD compared to the US inpatient population. The findings of this study have global implications that a culturally sensitive seminar improved the attitudes of ADs in minority ethnic groups. Chinese Americans in this study were open and eager to learn about ACP.  Nurses can create culturally-sensitive educational programs to meet the needs of individuals within their communities and to promote the completion of AD and ACP.en_GB
dc.subjectAdvance Directivesen_GB
dc.subjectAdvance Care Planningen_GB
dc.subjectChinese Americansen_GB
dc.date.available2013-12-19T17:34:17Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:34:17Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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