title: How Does Culture Shape Roles and Relationships in Taiwanese Family Caregiving for an Adolescent With Cancer?
abstract: BACKGROUND
  Chinese culture plays a significant part in how Taiwanese families view life events. Caregivers envisage themselves as guardians of their children in all facets of family life, including wellness and strive to maintain harmonious relationships within the family. However, it remains unclear what impact caring for an adolescent with cancer has on family roles and relationships in Taiwanese families, nor are the processes for managing change in family roles and relationships associated with caregiving well understood.
  
  
  OBJECTIVE
  This study explores the impact of caregiving for an adolescent with cancer on the roles and relationships within Taiwanese families.
  
  
  METHODS
  Seven families were recruited from a medical hospital in Taiwan. Data were collected through qualitative interviews and analyzed following Strauss and Corbin's grounded theory.
  
  
  RESULTS
  The core category, underpinned by Chinese culture, proved to be experiencing the broken chain of family life. This was the central issue brought about by 4 consequences for the broken chain of family life. The expression "the broken chain of family life" encapsulates how important Chinese cultural values are in defining caregiver task performance.
  
  
  CONCLUSIONS
  The findings have implications for Taiwanese families in perceiving, adjusting to, and fulfilling the altered roles and relationships associated with caring for an adolescent with cancer at home.
  
  
  CONCLUSIONS
  The delivery of exceptional care and services depends on gaining insight into how caregiving influences family roles and relationships. How families failed to manage the process of caregiving provides valuable insight for informing and providing recommendations for services and support.
authors.affiliation: Author Affiliations: School of Nursing, Kang-Ning Junior College of Medical Care and Management, Taipei, Taiwan, Republic of China (Dr Yeh); School of Nursing and Midwifery, Griffith University, Nathan Campus (Dr Kellet); and School of Nursing and Midwifery, Griffith University, Gold Coast Campus, Southport (Dr Henderson), Queensland, Australia; and School of Nursing, Chang Gung University, Taoyuan (Dr Chen), Taiwan, Republic of China.
authors.forename: Li-Chyun
authors.initials: LC
authors.lastname: Yeh
authors.forename: Ursula
authors.initials: U
authors.lastname: Kellet
authors.forename: Saras
authors.initials: S
authors.lastname: Henderson
authors.forename: Kang-Hua
authors.initials: KH
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D044466:Asian People / Q000523:psychology*; D017028:Caregivers / Q000523:psychology*; D015331:Cohort Studies; D003466:Cultural Characteristics; D005195:Family Relations / Q000523:psychology; D005260:Female; D066296:Grounded Theory; D006801:Humans; D007398:Interpersonal Relations; D007407:Interviews as Topic; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis / Q000451:nursing*; D035781:Siblings; D013315:Stress, Psychological; D013624:Taiwan