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Tytuł:
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Ethical Challenges of Nonreading Older Adult Women's Autonomy in Receiving Percutaneous Coronary Intervention Under Familial Paternalism in Taiwan.
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Autorzy:
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Chao HY; Department of Nursing, College of Medicine, National Cheng Kung University, Tainan.
Chen HM; Department of Nursing, College of Medicine, National Cheng Kung University, Tainan.
Lin EC; Department of Nursing, College of Medicine, National Cheng Kung University, Tainan.
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Źródło:
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Journal of transcultural nursing : official journal of the Transcultural Nursing Society [J Transcult Nurs] 2022 Jan; Vol. 33 (1), pp. 110-117. Date of Electronic Publication: 2021 Aug 20.
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Typ publikacji:
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Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Review
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Język:
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English
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Imprint Name(s):
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Publication: 1999- : Thousand Oaks, CA : Sage Publications
Original Publication: Memphis, Tenn. : University of Tennessee, Memphis College of Nursing for the Society, c1989-
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MeSH Terms:
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Percutaneous Coronary Intervention*
Personal Autonomy*
Aged, 80 and over ; Decision Making ; Female ; Humans ; Paternalism ; Patient Advocacy ; Taiwan
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Contributed Indexing:
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Keywords: autonomy; familial paternalism; nonreading; nursing advocacy; older adult; relational ethics; shared decision making
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Entry Date(s):
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Date Created: 20210820 Date Completed: 20220328 Latest Revision: 20220531
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Update Code:
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20240104
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DOI:
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10.1177/10436596211035432
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PMID:
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34414855
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In the context of familial paternalism in Taiwan, nonreading older adult women (NOAWs) may passively disengage from treatment and submit to the decisions of their families. The purposes of this case study were to examine the ethical conflicts regarding the autonomy of hospitalized NOAWs receiving percutaneous coronary intervention in a cultural environment of familial paternalism and to propose a theoretical framework based on a literature review to resolve the ethical challenges specific to this cultural context. The proposed framework "Nursing advocacy model for engaging NOAWs with their medical treatment" was established on the basis of relational ethics, nursing advocacy, and shared decision making. Our argument does not question traditional Chinese cultural values. Instead, we advocate for NOAWs to engage with their treatment, express their preferences, and communicate with their families in a decision-making process that incorporates mutual respect and understanding within the context of Chinese culture.