Abstract
This exploratory study describes decision making at end of life among Japanese American families. Using qualitative methods including a one-time, semistructured interview, 16 Japanese American family participants described their experiences with the death of 22 family members. A grounded theory analysis led to the development of a model of a process that reflected the influence of age-cohort generational differences and health care providers' involvement. The model also included four dimensions of family understanding. The four dimensions were awareness of the seriousness of the family members' condition, decision making about life-sustaining treatment, readiness for impending death, and experience of the dying process. Each dimension reflected a continuum from low to high understanding. The results suggest that nurses and other health care providers can impact the level of understanding within each of the dimensions in culturally sensitive ways and contribute to improving the experience with end-of-life decision making for Japanese Americans.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 201-225 |
| Number of pages | 25 |
| Journal | Journal of Family Nursing |
| Volume | 13 |
| Issue number | 2 |
| DOIs | |
| State | Published - May 2007 |
| Externally published | Yes |
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Keywords
- Cultural difference
- Decision making
- End of life
- Family autonomy
- Japanese Americans
ASJC Scopus subject areas
- Community and Home Care
- Family Practice
Cite this
Decision making at end of life among Japanese American families. / Colclough, Yoshiko Yamashita; Young, Heather M.
In: Journal of Family Nursing, Vol. 13, No. 2, 05.2007, p. 201-225.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Decision making at end of life among Japanese American families
AU - Colclough, Yoshiko Yamashita
AU - Young, Heather M
PY - 2007/5
Y1 - 2007/5
N2 - This exploratory study describes decision making at end of life among Japanese American families. Using qualitative methods including a one-time, semistructured interview, 16 Japanese American family participants described their experiences with the death of 22 family members. A grounded theory analysis led to the development of a model of a process that reflected the influence of age-cohort generational differences and health care providers' involvement. The model also included four dimensions of family understanding. The four dimensions were awareness of the seriousness of the family members' condition, decision making about life-sustaining treatment, readiness for impending death, and experience of the dying process. Each dimension reflected a continuum from low to high understanding. The results suggest that nurses and other health care providers can impact the level of understanding within each of the dimensions in culturally sensitive ways and contribute to improving the experience with end-of-life decision making for Japanese Americans.
AB - This exploratory study describes decision making at end of life among Japanese American families. Using qualitative methods including a one-time, semistructured interview, 16 Japanese American family participants described their experiences with the death of 22 family members. A grounded theory analysis led to the development of a model of a process that reflected the influence of age-cohort generational differences and health care providers' involvement. The model also included four dimensions of family understanding. The four dimensions were awareness of the seriousness of the family members' condition, decision making about life-sustaining treatment, readiness for impending death, and experience of the dying process. Each dimension reflected a continuum from low to high understanding. The results suggest that nurses and other health care providers can impact the level of understanding within each of the dimensions in culturally sensitive ways and contribute to improving the experience with end-of-life decision making for Japanese Americans.
KW - Cultural difference
KW - Decision making
KW - End of life
KW - Family autonomy
KW - Japanese Americans
UR - http://www.scopus.com/inward/record.url?scp=34250177964&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34250177964&partnerID=8YFLogxK
U2 - 10.1177/1074840707300761
DO - 10.1177/1074840707300761
M3 - Article
VL - 13
SP - 201
EP - 225
JO - Journal of Family Nursing
JF - Journal of Family Nursing
SN - 1074-8407
IS - 2
ER -