Journal article
Application of social ecological model to Taiwanese end-of-life communication and healthcare planning
Collegian, Vol.27, pp.477-486
2020
Abstract
Cultural and social backgrounds shape how people regard health, illness and death, and also play a significant role in end-of-life (EOL) decision-making in the face of uncertainty and distress. EOL communication and planning can be complex in a society where families play an important role in decision-making for EOL care in Taiwan.
This study aimed to identify the significance of cultural, community, interpersonal and individual determinants of EOL communication and healthcare planning.
A social ecological model was applied to underpin the study. A random sample of 2000 adults aged 20 years or above was selected from the electoral roll in a metropolitan area in southern Taiwan. Adults were told that if they did not wish to participate in the study, they could either return a non-participation form or not complete the questionnaires. Hierarchical multiple regression analyses were used to determine the significance of different societal levels of factors on EOL communication and healthcare planning.
Four hundred and seventy-four valid questionnaires were returned. Hierarchical multiple regression analyses revealed that the models of modified Measures of Public Preferences (p < .0001) were significant, with 22.7% of variance in facilitation, 81.9% of variance in content and 22.9% of variance in support being explained by variables at cultural, community, interpersonal and intrapersonal levels. The model of Advance Directives Attitude Survey (p < .0001) was significant with 25.6% of variance being explained by variables at cultural, community, interpersonal and intrapersonal levels.
This study offers empirical evidence embedded within a social ecological perspective of the significance of cultural, social and contextual factors on individuals’ preferences for EOL communication and healthcare planning.
Such information is important to enable health professionals to prepare individuals and their families for dealing with challenges related to EOL communication and healthcare.
Details
- Title
- Application of social ecological model to Taiwanese end-of-life communication and healthcare planning
- Authors
- Ya-Ling Huang (Author) - Gold Coast HospitalPatsy Yates (Author) - Queensland University of TechnologyFred Arne Thorberg (Author) - Bond UniversityChiung-Jung (Jo) Wu (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
- Publication details
- Collegian, Vol.27, pp.477-486
- Publisher
- Elsevier BV
- DOI
- 10.1016/j.colegn.2020.04.008
- ISSN
- 1876-7575
- Organisation Unit
- School of Nursing, Midwifery and Paramedicine - Legacy; University of the Sunshine Coast, Queensland; School of Health - Nursing
- Language
- English
- Record Identifier
- 99483606602621
- Output Type
- Journal article
Metrics
29 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Nursing
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites