title: The experience of Chinese American parents of children with life-limiting illness: a comprehensive review.
abstract: Life-limiting childhood illness is a traumatic experience presenting parents with psychological, physical, and social challenges. While cultural influences affect all parents coping with the life-limiting illness and end-of-life period of their child, little is known about the experiences of Chinese American parents. The purpose of this comprehensive literature review was to describe Chinese American parents' experiences during their children's end-of-life period from a culturally informed perspective. Important themes in the literature are revealed including culture-based phenomena regarding philosophy of life and illness that can affect treatment choices, cultural mores that influence parental behaviour in Western health-care systems, specific communication patterns within families and between families and providers, certain coping risks, and gender-based roles and caregiving activities that have implications for provider communication patterns. The findings are consonant with the larger literature regarding the impact of traditional culture and values on Chinese family and health behaviours. Health professionals must be sensitive to Chinese American parents' communication styles, unspoken concerns, and unresolved cultural conflicts in American health-care settings. Educational interventions may be very helpful in this regard.
authors.affiliation: Columbia University School of Nursing, 617 West 168th Street, New York, NY 10032, USA.
authors.forename: Jinjiao
authors.initials: J
authors.lastname: Wang
authors.forename: Joan A
authors.initials: JA
authors.lastname: Kearney
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D001213:Asian / Q000523:psychology*; D001293:Attitude to Death; D002648:Child; D054521:Cultural Competency; D006801:Humans; D010166:Palliative Care; D010290:Parents / Q000523:psychology*; D011368:Professional-Family Relations; D012944:Social Support; D012945:Social Values