A Chinese cultural perspective of nursing care behaviours in an acute setting

Holroyd, Eleanor; Cheung, Y L; Cheung, SW; Luk, F S; Wong, Winnie

doi:10.1046/j.1365-2648.1998.00849.x

Cited by 66 publications

(73 citation statements)

References 10 publications

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“…Our findings indicate a high reliance on primary health care professionals, as they seem to be the essential gateway to health care information. This finding is consistent with the study by Twinn et al (2002) that Chinese women's dependence on the advice of doctors for attending to cervical screening highlights the normative belief of Chinese women in the authority of doctors in prescribing preventative healthcare (Holroyd, Cheung, Cheung, Luk, & Wong, 1997). According to Twinn et al (2002), there was clear evidence of the influence of doctors' advice on women's screening behaviours.…”

Section: Discussionsupporting

confidence: 81%

A survey of knowledge, attitudes and behaviours regarding sexual wellbeing among Chinese women living in New Zealand – a pilot study

Yeung

English

2016

ANZSWJ

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The aims of the study were to assess sexual wellbeing knowledge and attitudes among Chinese women living in New Zealand and to investigate the factors that prevented them from seeking support from sexual wellbeing services. Seventy-nine Chinese women from Hong Kong, China and Taiwan were recruited through community and personal networks to complete a self-report survey, which included questions on socio-demographics, self-rated adjustment, knowledge of sexual wellbeing, importance of understanding sexual wellbeing, cultural influences, structural influences, and willingness to seek information and assistance. The findings in this study suggested that younger Chinese women lacked sexual wellbeing knowledge and were less likely to seek support when compared to their older age group counterparts. Three out of the eight variables assessed were found to make a significant contribution in the willingness of Chinese women seeking support from sexual wellbeing services. These were knowledge of sexual wellbeing, self-perceived importance of gaining an understanding of sexual wellbeing issues and cultural influences. Our results suggest that despite the length of residency and self-rated adjustment in New Zealand, traditional Chinese values and beliefs continue to influence the perceptions of Chinese women regarding their sexual wellbeing. Interventions to improve sexual and reproductive wellbeing in this population, particularly younger Chinese women, should be tailored to the specific enabling and reinforcing factors that include cultural views, communications between Chinese women and health and social services providers, and access to healthcare information.

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Section: Discussionsupporting

confidence: 81%

A survey of knowledge, attitudes and behaviours regarding sexual wellbeing among Chinese women living in New Zealand – a pilot study

Yeung

English

2016

ANZSWJ

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“…Traditional Chinese philosophies of Confucianism, Taoism, and Buddhism form the basis for influencing and forming rules for social interactions among Chinese (28). Most Chinese are reluctant to share their feelings with others in order to maintain harmonious relationships (29)(30)(31). Participants in this study might have believed that expressing their dissatisfaction and negative feelings about the care they received would disturb the harmony.…”

Section: Discussionmentioning

confidence: 92%

“…About 20% of the participants had history of back pain before cardiac catheterization. The median duration of the cardiac catheterization procedure were respectively 20 (inter-quartile range: [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] Data are presented as frequency (%) and median interquartile range *Pearson Chi-square test and independent samples t-test Cardiac catheterization procedure was first log-transformed before subjected to t-test Table 1. Background characteristics of the study sample (n=137)…”

Section: Background Characteristicsmentioning

confidence: 99%

Effect of early ambulation after transfemoral cardiac catheterization in Hong Kong: A single-blinded randomized controlled trial

Choi

Wong

et al. 2012

Anadolu Kardiyol Derg

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Objective: The purpose of the study was to investigate the effect of early ambulation after cardiac catheterization (CC) on patients' back pain, puncture site pain, vascular complications, urinary discomfort, general well-being perception and satisfaction level. Methods: This study was a randomized single-blinded controlled trial. Overall, 137 participants were randomly assigned to experimental (63 participants) or control (74 participants) group according to a computer generated random list. Early ambulation (ambulate at 4 hours post-CC) and routine post-procedure care of 12 to 24 hours were used in the experimental and control groups respectively. Independent t-test, Chi-square test, multiple logistic regression and generalized estimation equation model were applied to compare various outcomes between experimental and control groups. Results: Only one patient in the control group experienced puncture site bleeding after CC. Ambulation at 4 hours after CC significantly reduced patients' back pain 8 hours after they returned to the unit (OR=0.19, 95% CI: 0.08-0.45, p<0.001) and in the next morning (OR=0.36, 95% CI: 0.15-0.87, p=0.023), decrease urinary discomfort (OR=0.35, 95% CI: 0.14-0.90, p=0.03 for "very or unbearable urination discomfort" and OR=0.22, 95% CI: 0.06-0.74, p=0.015 for "much difficulty or unable to urinate at all"), and increase general well-being (p=0.005 for vitality subscale and p=0.014 for the total general well-being). However, it made no significant differences on puncture site pain as well as the satisfaction level of patients. Conclusion: The study enhanced health providers' understanding about the effects of early ambulation on patient outcomes. Nurses may provide more individualized and appropriate care to post-CC patients in a more competent and cost-effective way. (Anadolu Kardiyol Derg 2012; 12: 222-30) Key words: Early ambulation, cardiac catheterization, coronary artery disease, randomized controlled trial, logistic regression analysis 222 ÖZET Amaç: Bu çalışmanın amacı, kardiyak kateterizasyon (KK) sonrası hastanın sırt ağrısına, giriş yeri ağrısına, vasküler komplikasyonlara, idrar rahatsızlığına, genel iyilik algısına ve memnuniyet seviyesine erken ambülasyonun etkisini araştırmaktı. Yöntemler: Bu randomize tek-kör kontrollü bir çalışma idi. Bilgisayarın oluşturduğu random listeye göre, 137 katılımcı, rastgele deneysel (63 katılımcı) ve kontrol (74 katılımcı) gruplarına ayrıldı. Erken ambülasyon (KK sonrası 4. saatte ambülasyon) ve 12 ile 24 saat rutin işlem-sonu bakımı, sırası ile deneysel ve kontrol gruplarında kullanıldı. Bağımsız t-testi, Ki-kare testi, çoklu lojistik regresyon ve genelleştirilmiş tahmin denklem modeli, deneysel ve kontrol grupları arasında çeşitli sonuçları karşılaştırmak için uygulanmıştı. Bulgular: Kontrol grubunda sadece bir hastada, KK sonrası giriş yerinde kanama oldu. Kardiyak kateterizasyon sonrası 4 saatte ambülasyonla üniteye geri dönenlerde: 8. saatte (OR=0.19, p<0.001) ve ertesi sabah (OR=0.36, p=0.023), hastanın sırt ağrısı önemli dere...

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“…The participants interviewed considered that discussions related to dialysis modality have not only to take the individual patient's situation into account but also to respect family wishes. Caring for the sick is considered a family affair, especially in Chinese culture, in which duty and obligation to the family are paramount (39)(40)(41). Taking the family, rather than the individual patient, as the unit of care and education related to dialysis is therefore of paramount importance in the local setting.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of Patients, Families, and Health Care Professionals on Decision-Making about Dialysis Modality—the Good, the Bad, and the Misunderstandings!

Griva

Lai

et al. 2012

Perit Dial Int

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♦ Objectives: This study explored the factors influencing decision-making about dialysis modality, integrating the perspectives of patients, their families, and health care professionals within an Asian population. The study further sought to understand the low penetration rate of peritoneal dialysis (PD) in Singapore. ♦ Methods: A sample of 59 participants comprising pre-dialysis patients, dialysis patients, caregivers, and health care professionals (HCPs) participated in semistructured interviews to explore the decision-making process and their views about various dialysis modalities. Data were thematically analyzed using NVivo9 (QSR International, Doncaster, Australia) to explore barriers to and facilitators of various dialysis modalities and decisional support needs. ♦ Results: Fear of infection, daily commitment to PD, and misperceptions of PD emerged as barriers to PD. Side effects, distance to dialysis centers, and fear of needling and pain were barriers to hemodialysis (HD). The experiences of other patients, communicated informally or opportunistically, influenced the preferences and choices of patients and family members for a dialysis modality. Patients and families value input from HCPs and yet express strong needs to discuss subjective experiences of life on dialysis (PD or HD) with other patients before making a decision about dialysis modality. ♦ Conclusions: Pre-dialysis education should expand its focus on the family as the unit of care and should provide opportunities for interaction with dialysis patients and for peer-led learning. Barriers to PD, especially misperceptions and misunderstandings, can be targeted to improve PD uptake.

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A Chinese cultural perspective of nursing care behaviours in an acute setting

Cited by 66 publications

References 10 publications

A survey of knowledge, attitudes and behaviours regarding sexual wellbeing among Chinese women living in New Zealand – a pilot study

A survey of knowledge, attitudes and behaviours regarding sexual wellbeing among Chinese women living in New Zealand – a pilot study

Effect of early ambulation after transfemoral cardiac catheterization in Hong Kong: A single-blinded randomized controlled trial

Perspectives of Patients, Families, and Health Care Professionals on Decision-Making about Dialysis Modality—the Good, the Bad, and the Misunderstandings!

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