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Centre for Policy on Ageing | |
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Older people and decision-making following acute stroke in China
— hiding as a barrier to active involvement | | Author(s) | Yue Wang, Mike Nolan |
| Journal title | Ageing and Society, vol 36, no 7, August 2016 |
| Publisher | Cambridge University Press, August 2016 |
| Pages | pp 1526-1554 |
| Source | journals.cambridge.org/aso |
| Keywords | Stroke ; Medical care ; Medical workers ; Communication ; Family care ; Attitude ; China. |
| Annotation | Decision-making among older patients with stroke, their families and professionals has been extensively studied in a Western context, but not very much in China. The study reported here explored how decision-making took place between older people with stroke, their family carers and professionals in an acute care context in mainland China. The study used a constructivist grounded theory approach. Data were collected through semi-structured interviews, participant observation and documentary analysis. Constant comparative analysis of the data was carried out. This paper focuses on the key social process of 'hiding' and its dynamic relationship with the core category 'keeping the peace'. In order to meet the traditional Chinese cultural value of 'maintaining harmony', both family carers and professionals hid essential information from older stroke survivors who, as a consequence, were effectively precluded from playing an active role in major decisions. In understanding 'hiding', the paper draws upon both Chinese cultural values and 'awareness context theory', and in so doing questions the relevance to the Chinese context of key Western notions such as involvement in health-care decision-making. A better understanding of the experiences of decision-making processes between older people with stroke, their family carers and professionals in China will help professionals to provide the best possible support and care whilst promoting informed decision-making amongst all concerned. (RH). |
| Accession Number | CPA-160729208 A |
| Classmark | CQA: LK: QT: U: P6:SJ: DP: 7DC |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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