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Cited by 109Intergenerational Family Dynamics and CaregivingNursing care and researchAging, Elder Care, and Social Issues

The DOI matches its Crossref record; 87 of the 89 references it cites were found in a registry or an index.

Filial piety and older adult caregiving among Chinese and Chinese-American families in the United States: a concept analysis

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Xiao, Chunhong, Patrician, Patricia A., Montgomery, Aoyjai P., Wang, Youhua, Jablonski, Rita, Markaki, Adelais·2024·BMC Nursing
DOI 10.1186/s12912-024-01789-0PMC PMC10863110
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Abstract

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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Crossref · 10.1186/s12912-024-01789-0

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Fig. 1 Filial piety among aging Asian families in the United States: Literature search strategy. PRISMA design source [29]
Fig. 1 Filial piety among aging Asian families in the United States: Literature search strategy. PRISMA design source [29]CC BY · PubMed Central
Fig. 2 Concept map: Filial piety in caring for aging CCA individuals and families
Fig. 2 Concept map: Filial piety in caring for aging CCA individuals and familiesCC BY · PubMed Central
Fig. 3 Caregiving for aging CCA individuals and families in the U.S.: An operational framework. Adapted from Kramer [84]
Fig. 3 Caregiving for aging CCA individuals and families in the U.S.: An operational framework. Adapted from Kramer [84]CC BY · PubMed Central

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Cites

Research works printed but not linked: 5

  1. Ebrey P, Walthall A, Palais J. Confucius and the analects: to 1800: a culture social, and political history. Pre-Modern East Asia. 2nd ed. New York: Houghton Mifflin Company; 2009. p. 26.
  2. Walker LO, Avant KC. Concept analysis. Strategies for theory construction in nursing. 6th ed. Pearson; 2019. p. 157–78.
  3. Chow NWS. The practice of filial piety and its impact on long-term care policies for elderly people in Asian Chinese communities. Asian J Gerontol Geriatr. 2006;1:31–5.
  4. Li EC-Y, Yu CK-C. Filial piety as a protective factor against burden experienced by family caregivers of diabetic patients in Hong Kong. Asia Pac J Couns Psychother. 2018;9(2):186–203.
  5. Choy MM. Obeying an evolving cultural value: Influences of filial piety and acculturation on Asian - Americans [Master thesis]. Duke University; 2018.

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Metadata

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
Publisher
Springer Science and Business Media LLC
Published
2024-02-13
Volume
23
Issue
1
Pages
115-115
ISSN
1472-6955 (ISSN-L)
DOI
10.1186/s12912-024-01789-0
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
Licence
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 › Nursing › Research and Theory › Nursing care and research
  • Social Sciences › Life-span and Life-course Studies › 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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