TERMINAL ILLNESS EXPERIENCE IN OLDER JAPANESE AMERICANS

日裔美国人的末期疾病经历

• 批准号: 2891344
• 负责人: THERESE J ADAMSKI
• 金额: $ 2.35万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-08-15 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/2891344
• 关键词: Japanese American; clinical research; culture; experience; extended care; extended care facility; home health care; human old age (65+); human subject; nursing care; nursing skill /technique; terminal patient care

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.

描述：候选人的研究计划包括技能发展 终端生活体验的解释现象学研究 年长的日裔美国人患病。 因为文化影响着 患有绝症的人的担忧和做法， 重要的是要了解这些问题和做法，以便 提供文化上适当的护理。 本研究的具体目的是 1）描述老日本人的核心关注点和常见做法 面临绝症的美国人，以及 2) 描述这些担忧和 Issei（第一代）和 Nisei 之间的做法有所不同 （第二代）。 解释现象学被选为 适当的方法有两个原因：1）它对人类的假设 经验、共同关注点和日常实践是兼容的 与本研究的目的； 2）学习日语是必要的 美国长辈用自己的术语，保留日常用语，时态性 事件的顺序和重要性完好无损。 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被有目的地抽取样本 各种场所——之家、为日本人提供服务的长期护理 (LTC) 设施 美国和其他不具有特定文化背景的 LTC 设施。 数据 将通过四次半结构化访谈收集并结束 观察。 这项研究的总体目标是奠定 为提供敏感信息所需的知识发展奠定基础 以及在文化上适合绝症的响应式护理 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。