Exploring traditional end-of-life beliefs, values, expectations, and practices among Chinese women living in England: Informing culturally safe care

Mei Lan Fang, Lorraine Halinka Malcoe, Judith Sixsmith, Louise Yuen Ming Wong, Matthew Callender

Research output: Contribution to JournalArticle

Abstract

Objective: This study explores the end-of-life (EoL) beliefs, values, practices, and expectations of a select group of harder-to-reach Chinese women living in England. Method: A cultural safety approach was undertaken to interpret 11 in-depth, semistructured interviews. Interviews were conducted in Mandarin and Cantonese. Transcripts were translated and back-translated by two researchers. Findings were analyzed using the technical analytical principles of grounded theory.
Results: The key themes generated from our analysis include: acculturation; differential beliefs and norms in providing care: family versus health services; language and communication; Eastern versus Western spiritual practices and beliefs; and dying, death, and the hereafter. Significance of Results: End-of-life discussions can be part of an arduous, painful, and uncomfortable process, particularly for migrants living on the margins of society in a new cultural setting. For some Chinese people living in the United Kingdom, end-of-life care requires attention to acculturation, particularly Western versus Eastern beliefs on religion, spirituality, burial practices, and provision of care, and the availability of culturally specific care, all of which encompass issues related to gender. Stories of a purposive sample of Chinese women were viewed through a cultural safety lens to gain a deeper understanding of how social and cultural norms and expectations, in addition to the pressures of acculturation, impact gendered roles and responsibilities. The analysis revealed variations between/within Eastern and Western culture that resulted in pronounced, and oftentimes gendered, differences in EoL care expectations.
Original languageEnglish
Pages (from-to)1261-1274
Number of pages14
JournalPalliative and Supportive Care
Volume13
Issue number5
DOIs
Publication statusPublished - 1 Oct 2015

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Value of Life
England
Acculturation
Terminal Care
Eye Protective Devices
Interviews
Burial
Spirituality
Family Health
Religion
Health Services
Language
Communication
Research Personnel
Safety
Pressure

Keywords

  • Chinese culture
  • End of life
  • Gender
  • Qualitative
  • Religion

Cite this

Fang, Mei Lan ; Malcoe, Lorraine Halinka ; Sixsmith, Judith ; Wong, Louise Yuen Ming ; Callender, Matthew. / Exploring traditional end-of-life beliefs, values, expectations, and practices among Chinese women living in England: Informing culturally safe care. In: Palliative and Supportive Care. 2015 ; Vol. 13, No. 5. pp. 1261-1274.
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Exploring traditional end-of-life beliefs, values, expectations, and practices among Chinese women living in England: Informing culturally safe care. / Fang, Mei Lan; Malcoe, Lorraine Halinka; Sixsmith, Judith; Wong, Louise Yuen Ming; Callender, Matthew.

In: Palliative and Supportive Care, Vol. 13, No. 5, 01.10.2015, p. 1261-1274.

Research output: Contribution to JournalArticle

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