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Chinese family care partners of older adults in Canada have grit: A qualitative study.
Leung, D Y L; Lee, C T; Chu, S Y J; Ng, F; Wen, P; Fan, J; Cheung, D S K; Seto Nielsen, L; Guruge, S; Wong, J.
Afiliación
  • Leung DYL; School of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong.
  • Lee CT; Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Ontario, Canada.
  • Chu SYJ; Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Ontario, Canada.
  • Ng F; Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Ontario, Canada.
  • Wen P; Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Ontario, Canada.
  • Fan J; Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Ontario, Canada.
  • Cheung DSK; School of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong.
  • Seto Nielsen L; School of Nursing, York University, Toronto, Ontario, Canada.
  • Guruge S; Daphne Cockwell School of Nursing, Toronto Metropolitan University, Toronto, Ontario, Canada.
  • Wong J; Stronach Regional Cancer Centre at Southlake, Newmarket, Ontario, Canada.
J Adv Nurs ; 80(3): 1018-1029, 2024 Mar.
Article en En | MEDLINE | ID: mdl-37828729
AIM: To explain the process taken by Chinese family care partners of older adults in the Greater Toronto Area, Canada, to access health and social services in their communities. The research question was: What mechanisms and structures impact the agency of Chinese family care partners of older adults, in the process of assisting them to access health and social services? DESIGN: This qualitative study was informed by critical realism. METHODS: Chinese family care partners of older adults in the Greater Toronto Area, Canada, were interviewed from August 2020 to June 2021. Transcripts underwent thematic analysis. FINDINGS: Twenty-eight Chinese family care partners expressed a firm commitment to maintain caregiving conditions and to judiciously access health and social services. Their commitment was made up of three parts: (a) legislative and cultural norms of family, work, and society; (b) their perseverance to fill gaps with limited social and financial resources; (c) the quality of their relationship to, and illness trajectory of the older adults. The social structures created tension in how Chinese family care partners made decisions, negotiated resources, and ultimately monitored and coordinated timely access with older adults. CONCLUSION: Participants' commitment and perseverance were conceptualized as "grit," central to their agency to conform to legislative and cultural norms. Moreover, findings support grit's power to motivate and sustain family caregiving, in order for older adults to age in place as long as possible with finite resources. IMPLICATIONS FOR THE PROFESSION: This study highlights the importance of cultural awareness education for nurses, enabling continuity of care at a systems level and for a more resilient healthcare system. IMPACT: Family care partners' grit may be crucial for nurses to harness when together, they face limited access to culturally appropriate health and social services in a system grounded in values of equity and inclusion, as in Canada. REPORTING METHOD: When writing this manuscript, we adhered to relevant EQUATOR guidelines of the Consolidated Criteria for Reporting Qualitative Research (COREQ). PATIENT OR PUBLIC INVOLVEMENT AND ENGAGEMENT: No patient or public involvement.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aceptación de la Atención de Salud / Cuidadores / Pueblo Asiatico / Accesibilidad a los Servicios de Salud Límite: Aged / Humans País/Región como asunto: America do norte / Asia Idioma: En Revista: J Adv Nurs Año: 2024 Tipo del documento: Article País de afiliación: Hong Kong Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aceptación de la Atención de Salud / Cuidadores / Pueblo Asiatico / Accesibilidad a los Servicios de Salud Límite: Aged / Humans País/Región como asunto: America do norte / Asia Idioma: En Revista: J Adv Nurs Año: 2024 Tipo del documento: Article País de afiliación: Hong Kong Pais de publicación: Reino Unido