Journal of Family Nursing
Volume 24, Issue 2, 2018, Pages 156-183

‘It’s Like Chicken Talking to Ducks’ and Other Challenges to Families of Chinese Immigrant Older Adults in Long-Term Residential Care (Article)

Koehn S.* , Baumbusch J. , Reid R.C. , Li N.M.
  • a Clinical Research Professor, Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada
  • b Associate Professor, School of Nursing & Michael Smith Foundation for Health Research Scholar, University of British Columbia, Vancouver, BC, Canada
  • c Assistant Professor, Health and Exercise Sciences, University of British Columbia, Kelowna, BC, Canada
  • d Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada

Abstract

Immigrant older adults are increasingly moving into long term residential care (LTRC) homes; however, most were designed and continue to be run in accordance with Anglocentric norms and values. Participation and interest in Family Councils—through which they might collectively voice concerns—was low within our purposive sample of nine Chinese-origin residents living in LTRC homes and 11 family carers. Our study, conducted in two LTRC homes in British Columbia, Canada between January and March 2016, further explored participants’ perceptions of quality of care by staff and quality of life of residents. Our findings negate participants’ rationale that they do not attend because they have no issues to raise. Solutions must recognize that carers’ time is precious and care-work is gendered; language incongruity and failure to address it marginalizes residents and their family members. A culturally informed reticence to speak out is reinforced when attempts to do so are silenced. © 2018, © The Author(s) 2018.

Author Keywords

family caregivers long-term residential care Family Councils elderly immigrants

Index Keywords

perception communication barrier Communication Barriers immigrant duck Caregivers Long-Term Care long term care chicken human middle aged home for the aged Asian continental ancestry group Homes for the Aged Aged nonhuman language ethnology procedures resident quality of life Humans migrant family human tissue psychology Nursing Homes male Emigrants and Immigrants staff female Aged, 80 and over family nursing very elderly nursing home Article adult human experiment residential care British Columbia caregiver

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047981579&doi=10.1177%2f1074840718774068&partnerID=40&md5=45087abef1d51b72856870a8198c7a9e

DOI: 10.1177/1074840718774068
ISSN: 10748407
Original Language: English