TERMINAL ILLNESS EXPERIENCE IN OLDER JAPANESE AMERICANS

描述：候选人的研究计划包括技能的发展 在解释现象学中研究终端的生存体验 老年日裔美国人的疾病。因为文化影响着 正在经历绝症的人的关切和做法， 重要的是要了解这些问题和实践，以便 提供文化上适当的照顾。这项研究的具体目的是 1)描述老年人关心的主要问题和常见做法 面临绝症的美国人，以及2)描述这些担忧和 Issei(第一代)和Nisei的做法是不同的 (第二代)。解释现象学被选为 合适的方法有两个原因：1)它对人类的假设 经验，关于共同关心的问题和日常做法是兼容的 与本研究的目的；以及，2)学习日语是必要的 美国长辈用他们自己的话，保持日常语言，世俗 事件的顺序和意义完好无损。在这项拟议的研究中，10至 15名身患绝症的日裔美国老人将有目的地从 不同的网站--Home，一家为日本人提供服务的长期护理(LTC)机构 美国人，以及其他非特定文化的LTC设施。数据 将通过四次半结构化面谈进行收集并结束 观察。这项拟议研究的总体目标是为 为发展所需的知识奠定基础，以提供 以及在文化上适合于绝症患者的响应性护理 年长的日裔美国人，为进一步研究奠定了基础 直接改善这一人群的护理实践的目的。

DESCRIPTION: The candidate's research plan includes development of skills in interpretive phenomenology study of the lived experience of terminal illness in older Japanese Americans. Because culture influences the concerns and practices of the person who is experiencing terminal illness, it is important to understand these concerns and practices in order to provide culturally appropriate care. The specific aims of this study are to: 1) describe the central concerns and common practices of older Japanese Americans facing terminal illness, and 2) describe how these concerns and practices are different between the Issei (first generation) and the Nisei (second generation). Interpretive phenomenology was selected as an appropriate method for two reasons: 1) its assumptions about human experiences, and about shared concerns and everyday practices are compatible with the aims of this study; and, 2) it is essential to study Japanese American elders in their own terms, keeping everyday language, temporal sequence, and significance of events intact. In this proposed study, 10 to 15 terminally ill Japanese American elders will be purposefully sampled from various sites--homes, a long-term care (LTC) facility that serves Japanese Americans, and other LTC facilities that are not culturally-specific. Data will be gathered using four semi-structured interviews and close observation. The overall goal of this proposed study is to lay the groundwork for the development of the knowledge needed to provide sensitive and responsive nursing care that is culturally appropriate to terminally ill older Japanese Americans, creating the foundation for further research with the aim of directly improving nursing practice to this population.