Meaningful and culturally appropriate palliative care for Chinese immigrants with a terminal condition: a qualitative systematic review protocol.

Li Wei, Jennifer Walters, Qiaohong Guo, Catherine Fetherston, Moira O'Connor
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引用次数: 3

Abstract

Objective: This review aims to identify and synthesize the best qualitative evidence on the experiences of Chinese immigrants receiving palliative care in their country of residence where the culture is predominantly Western, and the experiences of their family carers.

Introduction: The recent increase in international immigration has led to challenges in providing culturally appropriate palliative care. Chinese populations have particular beliefs, values and practices surrounding death and filial piety. These differ considerably from those in Western cultures and have significant implications for palliative care service provision. This review will explore the experiences and perceptions of Chinese immigrants and how their cultural beliefs shape their acceptance and decision making related to palliative care.

Inclusion criteria: The review will include studies on the experiences of Chinese immigrants over 18 years of age with a terminal medical condition receiving palliative care in outpatient units, hospitals, hospices, specialist palliative care units, homes and community settings in their country of residence where the culture is predominantly Western.

Methods: Eligible studies will be studies with qualitative data including designs such as phenomenology, grounded theory, ethnography, narrative research, qualitative description, action research and feminist research published in English and Chinese. CINAHL, PsycINFO, MEDLINE, Scopus and Web of Science Core Collection will be used and grey literature will be searched using ProQuest Dissertations and Theses, OpenGrey and Caresearch. Appraisal of selected studies will be done with the Joanna Briggs Institute Qualitative Assessment and Review tool. Findings will be synthesized through a meta-aggregative approach to produce a comprehensive set of synthesized findings that can be used as a basis for evidence-based practice.

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有意义的和文化上合适的临终华人移民的姑息治疗:一个定性的系统评价方案。
目的:本综述旨在识别和综合有关中国移民在其以西方文化为主的居住国接受姑息治疗的经历及其家庭照顾者的经历的最佳定性证据。导言:最近国际移民的增加导致了在提供文化上适当的姑息治疗方面的挑战。中国人对死亡和孝道有着特殊的信仰、价值观和习俗。这些与西方文化有很大的不同,对姑息治疗服务的提供有重要的影响。本综述将探讨中国移民的经历和看法,以及他们的文化信仰如何影响他们对姑息治疗的接受和决策。纳入标准:审查将包括研究18岁以上的晚期医疗状况的中国移民在门诊、医院、临终关怀、专科临终关怀单位、家庭和社区环境中接受姑息治疗的经历,这些国家的文化以西方为主。方法:合格的研究将包含定性数据的研究,包括现象学、扎根理论、民族志、叙事研究、定性描述、行动研究和女权主义研究等设计,并以中英文出版。将使用CINAHL、PsycINFO、MEDLINE、Scopus和Web of Science Core Collection检索灰色文献,使用ProQuest disserthesis and Theses、OpenGrey和Caresearch检索灰色文献。对选定研究的评估将使用乔安娜布里格斯研究所的定性评估和审查工具。研究结果将通过综合方法进行综合,以产生一套全面的综合研究结果,可作为循证实践的基础。
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