TERMINAL ILLNESS EXPERIENCE IN OLDER JAPANESE AMERICANS

日裔美国人的末期疾病经历

• 批准号: 6187453
• 负责人: THERESE J ADAMSKI
• 金额: $ 2.62万
• 依托单位: UNIVERSITY OF HAWAII AT MANOA
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-08-15 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/6187453
• 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的发展 在解释现象学中， 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担忧和做法， 了解这些问题和做法是很重要的， 提供文化上适当的照顾。 本研究的具体目的是 1）描述日本老年人的主要关注点和共同做法 面临绝症的美国人，以及2）描述这些担忧和 第一代和第二代的做法有所不同 （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，以及共同关注的问题和日常做法是兼容的 与本研究的目的; 2）学习日语是必要的 美国老年人在他们自己的术语，保持日常用语，时间 序列和事件的意义完好无损。 在这项研究中，10至 15名身患绝症的日裔美国老人将被有目的地从 各种场所-家庭，长期护理（LTC）设施， 美国人，和其他LTC设施，不是文化特定的。 数据 将使用四个半结构化的采访和密切 观察. 这项拟议研究的总体目标是奠定 为发展所需知识奠定基础， 和响应式护理，在文化上适合绝症患者， 年长的日裔美国人，为进一步的研究奠定了基础， 目的是直接改善这一人群的护理实践。