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Evolving values in community-based long-term care services for Japanese Americans
Heather M Young1, Wayne M McCormick, Peter P Vitaliano
1Department of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, Washington, USA.
ANS. Advances in Nursing Science
|December 18, 2002
Summary
Japanese Americans navigate cultural integration and heritage reconnection when choosing long-term care services. Family and generational views shape caregiving decisions influenced by historical context.
Area of Science:
- Gerontology
- Sociology
- Cultural Studies
Background:
- Long-term care (LTC) service utilization is influenced by cultural and familial factors.
- Understanding the experiences of ethnic minority groups in LTC is crucial for equitable service delivery.
Purpose of the Study:
- To explore perceptions of LTC services among Japanese Americans.
- To identify factors influencing family caregiving and LTC service utilization choices within this population.
Main Methods:
- Grounded theory methodology was employed.
- Exploration of family and generational perspectives on caregiving and service use.
Main Results:
- A dialectic between cultural integration and reconnection with ethnic heritage emerged.
- Ethno-historical and generational experiences significantly shape caregiving decisions.
- Values underlying service delivery and family expectations evolve dynamically.
Conclusions:
- Cultural expectations, historical context, and service evolution are interconnected.
- Family and generational perspectives are key to understanding LTC choices for Japanese Americans.