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.
Sigma Membership
Pi at-Large
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Cross-Sectional
Research Approach
N/A
Keywords:
Advance Directives, Advance Care Planning, Chinese Americans
Recommended Citation
Hinderer, Katherine A. and Lee, Mei Ching, "Developing a culturally sensitive seminar assessing attitudes toward advance care planning in Chinese Americans" (2013). Convention. 26.
https://www.sigmarepository.org/convention/2013/presentations_2013/26
Conference Name
42nd Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Indianapolis, Indiana, USA
Conference Year
2013
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Acquisition
Proxy-submission
Developing a culturally sensitive seminar assessing attitudes toward advance care planning in Chinese Americans
Indianapolis, Indiana, USA
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.
Description
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott