Decision-Making Process of Nursing Home Placement Among Chinese Family Caregivers
Open accessAbstract
PURPOSE: To understand the process and difficulties that Chinese family caregivers experience when making a nursing home placement decision for their loved ones with dementia. DESIGN AND METHODS: Using a grounded theory approach, data were collected through individual interviews with 30 Chinese family caregivers in Taiwan. FINDINGS: A stage-based framework was generated that described how caregivers went through the decision-making process, what specific challenges they encountered within the process, and how they overcame difficulties to reach their decisions. PRACTICE IMPLICATIONS: By identifying the stages of the decision-making process and various challenges that caregivers experience, clinicians can enhance discussions with caregivers to decrease the decision-making burden. Clinicians might develop family-centered interventions for the decision-making process through the post-placement stage while taking into account cultural influences.
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Ethnicity has been found to affect the decision to look after an individual with dementia at home, resulting in presenting later to services, with carers reporting issues with filial piety and obligation.
“Ethnicity has been found to affect the decision to look after an individual with dementia at home resulting in presenting later to services, with carers reporting issues with filial piety and obligation (Chang et al., [16, 17])”
From How people with dementia and their families decide about moving to a care home and support their needs: development of a decision aid, a qualitative study (2016) · cites this paper as [16]
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“This value is therefore determined by factors such as good services [49], the breadth and variety of supply [5,19,21,40,41,50], quality of service [35,49], prices [12,35,49], and accessibility [4,13,51].”
BackgroundPerceptions of Eldercare Service Needs: A Chinese-Canadian Community Survey
Chow, H. (2017) · Journal of Population and Social Studies · doi:10.25133/jpssv26n1.001 · Cited by 1 · see citing works
“Characteristics n % Elementary 30 9.1 Secondary 102 31.1 College 73 22.3 Undergraduate 98 29.9 Graduate school 14 4.3 Religion Protestant 102 46.4 Buddhist 45 20.5 Catholic 42 19.1 Other 31 14.1 (note: 245 respondents reported no religious affiliation) Legal status Canadian citizen 271 82.1 Landed immigrant 55 16.7 Ot…”
BackgroundInfluentialChildren Parenting: First and Last Adventure
Chen, L. (2016) · Palgrave Macmillan US eBooks · doi:10.1057/978-1-137-54440-7_6 · Cited by 1 · see citing works
Wong, K. L. Y., Yan, M.-C., Leung, J. Y. H., & Sin, V. T. K. (2026) · Journal of Aging Studies · doi:10.1016/j.jaging.2026.101426
Chan, F.-Y., Lee, J., Lai, D., Tong, C., Lum, C., & Woo, J. (2025) · Archives of Gerontology and Geriatrics Plus · doi:10.1016/j.aggp.2025.100134
Shibuya, K., & Fong, E. (2022) · Journal of Family Issues · doi:10.1177/0192513x221126772
“” (Chang and Schneider, 2010).”
Review of the Decision-making of Living in Nursing Home
Wang, K.-S. (2018) · doi:10.12783/dtssehs/icssd2017/19194
“After interviewed 30 caregivers of the elderly with dementia in Taiwan, Chang and Schneider (2010) found that there were four stages in the resettlement decision: 1) initiation of decision; 2) assessment of decision; 3) confirm of decision; and 4) evaluation of final decision [15].”
BackgroundSchulhoff, A. (2019) · Encyclopedia of Gerontology and Population Aging · doi:10.1007/978-3-319-69892-2_312-1
The Setting: The Nursing Home and Its Sociocultural Context in Urban China
Chen, L. (2016) · Palgrave Macmillan US eBooks · doi:10.1057/978-1-137-54440-7_2
- Authors
- Chang, Y.-P., & Schneider, J. K.
- Affiliations
- State University of New York (US)
- Venue
- Perspectives in Psychiatric Care
- Publisher
- Hindawi Limited
- Published
- 2010-04
- Volume
- 46
- Issue
- 2
- Pages
- 108-118
- ISSN
- 0031-5990 (ISSN-L)
- 1744-6163
- OpenAlex
- W2140311372
- Cited by
- 86
- References
- 22
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 5 · 2022: 8 · 2021: 10 · 2020: 12 · 2019: 4 · 2018: 1 · 2017: 2 · 2016: 7 · 2015: 9 · 2014: 7 · 2013: 7 · 2012: 8
- FWCI
- 9.13
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Perspectives In Psychiatric Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Sigma Theta Tau International
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- nursing home admission, family caregivers, dementia, decision-making, Chinese caregivers, family-centered care, cultural influence, caregiver burden, Taiwan
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Attitude to Health, Decision Making, Dementia, Family, Female, Humans, Male, Middle Aged, Nursing Homes, Patient Admission, Psychological Theory, Surveys and Questionnaires, Taiwan, Nursing Methodology Research, Intergenerational Relations, Caregivers, Cost of Illness
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