Eastern perspectives on roles, responsibilities and filial piety: A case study

Area of Science:

• Gerontology
• Sociology
• Healthcare Management

Background:

• Filial piety presents unique ethical dilemmas in Chinese residential care settings.
• Limited research exists on the distinct roles within China's elder care system compared to Western models.

Purpose of the Study:

• To identify and describe the roles and responsibilities of nursing professionals, managers, older residents, and their children in residential care within China's filial piety context.

Main Methods:

• A case study approach was employed in a Xiamen City nursing home.
• Data were collected through semi-structured interviews with four participants.
• Inductive content analysis was used to analyze the interview data.

Main Results:

• Varied roles and responsibilities were identified, influencing care quality and accident reduction.
• Nursing professionals act as key links, while managers are crucial for development and resource allocation.
• Children's support, based on filial piety, significantly impacts care, alongside the older adult's self-adjustment.

Conclusions:

• Findings offer theoretical guidelines for nursing home management, staff training, and preserving filial piety.
• Emphasizes the need for cooperation, competence, and communication for effective elder care.
• Highlights the importance of integrating filial piety and self-care for older adults in contemporary China.