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Article: Dignified Palliative Long-Term Care: An Interpretive Systemic Framework of End-of-Life Integrated Care Pathway for Terminally Ill Chinese Older Adults

TitleDignified Palliative Long-Term Care: An Interpretive Systemic Framework of End-of-Life Integrated Care Pathway for Terminally Ill Chinese Older Adults
Authors
Issue Date2015
Citation
American Journal of Hospice and Palliative Medicine, 2015 How to Cite?
AbstractPurpose: To critically examine the system dynamics necessary for successfully implementing a novel end-of-life integrated care pathway (EoL-ICP) program in promoting dignity and quality of life among terminally-ill Chinese nursing home residents.Methods: Thirty stakeholders were recruited to participate in 4 interpretive-systemic focus groups.Results: Framework analysis revealed 10 themes, organized into 3 categories, namely, (1) Regulatory Empowerment (interdisciplinary teamwork, resource allocation, culture building, collaborative policy making), (2) Family-Centered Care (continuity of care, family care conference, partnership in care), and (3) Collective Compassion (devotion in care, empathic understanding, compassionate actions).Conclusions: These findings highlight the importance of organizational structure, social discourse, and shared meaning in the provision of EoL-ICP in Chinese societies, underscoring the significant triangulation between political, cultural, and spiritual contexts embodied in the experience of dignity.
Persistent Identifierhttp://hdl.handle.net/10722/216541

 

DC FieldValueLanguage
dc.contributor.authorHo, AHY-
dc.contributor.authorLuk, JKH-
dc.contributor.authorChan, FHW-
dc.contributor.authorNg, WC-
dc.contributor.authorKwok, CKK-
dc.contributor.authorYuen, JHL-
dc.contributor.authorTam, MYJ-
dc.contributor.authorKan, WS-
dc.contributor.authorChan, CLW-
dc.date.accessioned2015-09-18T05:30:59Z-
dc.date.available2015-09-18T05:30:59Z-
dc.date.issued2015-
dc.identifier.citationAmerican Journal of Hospice and Palliative Medicine, 2015-
dc.identifier.urihttp://hdl.handle.net/10722/216541-
dc.description.abstractPurpose: To critically examine the system dynamics necessary for successfully implementing a novel end-of-life integrated care pathway (EoL-ICP) program in promoting dignity and quality of life among terminally-ill Chinese nursing home residents.Methods: Thirty stakeholders were recruited to participate in 4 interpretive-systemic focus groups.Results: Framework analysis revealed 10 themes, organized into 3 categories, namely, (1) Regulatory Empowerment (interdisciplinary teamwork, resource allocation, culture building, collaborative policy making), (2) Family-Centered Care (continuity of care, family care conference, partnership in care), and (3) Collective Compassion (devotion in care, empathic understanding, compassionate actions).Conclusions: These findings highlight the importance of organizational structure, social discourse, and shared meaning in the provision of EoL-ICP in Chinese societies, underscoring the significant triangulation between political, cultural, and spiritual contexts embodied in the experience of dignity.-
dc.languageeng-
dc.relation.ispartofAmerican Journal of Hospice and Palliative Medicine-
dc.titleDignified Palliative Long-Term Care: An Interpretive Systemic Framework of End-of-Life Integrated Care Pathway for Terminally Ill Chinese Older Adults-
dc.typeArticle-
dc.identifier.emailTam, MYJ: myjtam@hku.hk-
dc.identifier.emailChan, CLW: cecichan@hku.hk-
dc.identifier.authorityChan, CLW=rp00579-
dc.identifier.doi10.1177/1049909114565789-
dc.identifier.hkuros254121-

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