Filial piety and older adult caregiving among Chinese and Chinese-American families in the United States: a concept analysis
Open accessAbstract
Background: The culturally sensitive nursing practice has not embedded filial piety as a cultural value and stance pertaining to caregiving among aging Chinese and Chinese-American (CCA) families in the United States, yet it is critical for healthy aging among CCAs. Purpose: To understand filial piety when caring for aging CCAs and conceptualize an operational definition and framework. Methods: A systematic search was conducted in CINAHL, PubMed, Scopus, and PsycINFO databases. Analysis of the concept of filial piety among CCAs used Walker and Avant’s methods. Twenty-six studies were selected in the final full-text analysis. Findings: Synthesis of evidence identified four antecedents: (a) filial obligation as a ‘cultural gene’, (b) sense of altruism, (c) familial solidarity, and (d) societal expectation of ‘birth right’. Attributes included familial material and emotional support, obedience, pious reverence, and societal norms. Consequences were related to caregiver burden, psychological and physical well-being, quality of life, and health equity. Conclusion: Filial piety is an intrinsic desire to support aging parents and an extrinsic desire to adhere to Chinese societal moral tenets. The proposed operational framework “Caregiving for aging CCAs in the United States” merits further study.
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These coping strategies often reflected deeply rooted Confucian values, particularly filial piety and familial obligation, framing caregiving as a moral responsibility rather than merely a personal burden.
“These strategies often reflected deeply rooted Confucian values, particularly filial piety and familial obligation, framing caregiving as a moral responsibility rather than merely a personal burden.”
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- Authors
- Xiao, C., Patrician, P. A., Montgomery, A. P., Wang, Y., Jablonski, R., & Markaki, A.
- Affiliations
- University of Alabama at Birmingham (US)
- Southwest University (CN)
- Corresponding author
- Xiao, Chunhong
- ORCID
- Venue
- BMC Nursing
- Published
- 2024-02-13
- Volume
- 23
- Issue
- 1
- Pages
- 115-115
- ISSN
- 1472-6955 (ISSN-L)
- PMC
- PMC10863110
- OpenAlex
- W4391784446
- Cited by
- 109
- References
- 89
- Citations by year
- 2026: 59 · 2025: 42 · 2024: 8
- FWCI
- 78.18
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Nursing (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Intergenerational Family Dynamics and Caregiving
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Keywords
- filial piety, Chinese American families, Chinese family, intergenerational caregiving, filial duty, altruism, social expectations, caregiver burden, healthy aging
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