Being an adult child of an elderly person living in a nursing home: a phenomenological approach to the Turkish case

2018 ◽  
Vol 19 (2) ◽  
pp. 117-125 ◽  
Author(s):  
Pelin Önder Erol ◽  
Elif Gün
Keyword(s):  
Nursing Home ◽  
Adult Children ◽  
Lived Experiences ◽  
Filial Piety ◽  
Elderly Person ◽  
Adult Child ◽  
Phenomenological Approach ◽  
Content Type ◽  
Elderly Parents ◽  
Wide Range

Purpose A long-established cultural norm of filial piety may cause ambivalent feelings for adult children who are considered the primary caregivers for their elderly parents in Turkish culture, and whose parents have been placed into nursing homes. The purpose of this paper is to provide an insight to the lived experiences of adult children of elderly people living in a nursing home in Turkey. Design/methodology/approach Drawing upon dramaturgical theory and phenomenological methodology, the authors conducted interviews with ten adult children whose elderly parents had been admitted to a nursing home in Izmir, Turkey. Multi-stage purposeful random sampling was used as the sampling scheme. Thematic analysis was performed to interpret the data. Findings Three themes emerged from the data: adult children’s coping strategies, the ways in which the adult children rationalize their decisions, and the ways in which the adult children manage the placement process. The interviews revealed that the adult children often feel like social outcasts and experience a wide range of difficulties, including social pressures, their own inner dilemmas, and negotiations with their elderly parents. Originality/value An exploration for the lived experiences of adult children relating to the nursing home placement of their elderly parents contributes an insight about the well-established cultural norms that produce feelings of ambivalence.

Adult child migration and elderly parental health in rural China

2016 ◽  
Vol 8 (4) ◽  
pp. 677-697 ◽  
Author(s):  
Fang Chang ◽  
Yaojiang Shi ◽  
Hongmei Yi ◽  
Natalie Johnson
Keyword(s):  
Adult Children ◽  
Positive Impact ◽  
Rural China ◽  
Adult Child ◽  
The Elderly ◽  
Content Type ◽  
Elderly Parents ◽  
Care For The Elderly ◽  
Child Migration ◽  
The Impact

Purpose The purpose of this paper is to evaluate the effect of adult children migration on the health status of elderly parents. Increased labor migration in developing countries that lack adequate social security systems and institutionalized care for the elderly is a phenomenon that is important to understand. When their adult children go away to work, it is not clear what effect there will be on “left-behind” elderly parents. Design/methodology/approach This study employs nearly nationally representative data from five provinces, 25 counties, 101 villages and 2,000 households, collected from two waves of data in 2007 and 2011. This sample comprises a subset of households which include both elderly individuals (above 60 years old) and their grown (working-aged) children in order to estimate the impact of adult child migration on the health of elderly parents in rural China. Findings This study finds that adult child migration has a significant positive impact on the health of elderly family members. Practical implications These findings are consistent with the explanation that migration raises family resources, which in turn may contribute to better health outcomes for elderly household members. Originality/value This is the first paper to attempt to identify the relationship between household migration and the health of elderly parents within the Chinese context.

Filial piety and intergenerational ambivalence among mother–adult child dyads in rural China

2019 ◽  
Vol 40 (12) ◽  
pp. 2695-2710 ◽  
Author(s):  
Qiuju Guo ◽  
Xiang Gao ◽  
Fei Sun ◽  
Nan Feng
Keyword(s):  
Adult Children ◽  
Filial Piety ◽  
Rural China ◽  
Adult Child ◽  
Intergenerational Relationships ◽  
Elderly Parents ◽  
Intergenerational Ambivalence ◽  
Overall Evaluation ◽  
Positive Feelings ◽  
Negative Feelings

AbstractThis study examines the relationship between filial piety (adult children's filial behaviours and attitudes as well as elderly mothers’ overall evaluation of children's filial piety) and elderly mothers’ reports of intergenerational ambivalence (positive feelings, negative feelings and combined ambivalence) in rural China. We analysed the data from a survey in 2016 covering 2,203 adult children and 802 elderly mothers in Sichuan Province using a two-level mixed-effects modelling analysis. The results indicate that most components of filial piety are associated with mothers’ ambivalence, in that less ambivalence was reported by mothers when their adult children provided more emotional support to, had less conflict with and were evaluated as more filial by their mothers. Interestingly, mothers demonstrated greater positive feelings when their children were more filial in behaviour and attitude, but they also reported greater negative feelings and ambivalence when their children were more obedient, implying that absolute obedience to elderly parents might no longer be accepted by people. These findings may provide further understanding about the correlation between the culture of filial piety and intergenerational relationships in rural China.

Analysis of progeny–parents family travel process from perspective filial piety: driving factors, intergenerational interaction and tourism evaluation

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Guoqun Fu ◽  
Chenghu Zhang ◽  
Jia'jing Hu
Keyword(s):  
Filial Piety ◽  
Adult Child ◽  
The Elderly ◽  
Cultural Resources ◽  
Content Type ◽  
Filial Generation ◽  
The Family ◽  
Two Generations ◽  
Intergenerational Interaction ◽  
Depth Interviews

PurposeThis paper attempts to explore why adult progeny initiate progeny–parents family travel, how two generations interact and deal with intergenerational conflicts during travel and how they evaluate their travel experiences from the perspective of filial piety.Design/methodology/approachBased on in-depth interviews with both parents and their adult progeny, it is found that “repayment” or “compensation” of filial piety is the most important driving force to family travel with parents, and in many cases an adult child exhibits “overspending” by showing filial obedience. On the other hand, parents occasionally utilize filial piety as cultural resources to fulfill their personal goals and to evaluate their interactions with adult children. Finally, the authors offer an exploratory explanation to why filial generation has a relatively low evaluation while parent generation has a higher evaluation of family trip.FindingsThe authors suggest that future study in this particular area should attach much more importance to the “filial piety tool boxes” paradigm, which is in parallel with the paradigm of “concept (values) affecting behavior”.Originality/valueThe contribution of this study is to investigate the family travel process of “taking the elderly people to travel” from the perspective of interaction and filial piety.

Palliative and end-of-life care’s barriers for older adults

2019 ◽  
Vol 24 (1) ◽  
pp. 72-80
Author(s):  
Retno Indarwati ◽  
Rista Fauziningtyas ◽  
Gilang Dwi Kuncahyo ◽  
Rr Dian Tristiana ◽  
Chong Mei Chan ◽  
...  
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
End Of Life ◽  
Health Workers ◽  
Health Centre ◽  
Phenomenological Approach ◽  
Content Type ◽  
Professional Health ◽  
Qualitative Nature ◽  
The Government

Purpose A nursing home is a place that is familiar with death, since many older adults will spend the latter part of their lives in such a setting. However, research on this topic is still limited, especially in Indonesia. The purpose of this paper is to explore the barriers to successful palliative and, more generally, end-of-life care (EOLC) for older adults in nursing homes and to explore nurses’ views on the subject. Design/methodology/approach The study is of a qualitative nature and it employs a phenomenological approach. In-depth interviews with 15 nurses who taken care of older adults in a nursing home were conducted. The data were analysed using thematic content analysis. Findings Barriers to effective EOLC include lack of knowledge, ineffectual communication and insufficient resources. Research limitations/implications Better policies are needed, especially in training related to palliative/EOLC subjects and equitable distribution of professional health workers to overcome the barriers. The government should also encourage collaboration involving hospitals, Puskesmas (Health Centre Services), community and resident care settings in sharing knowledge and skills, especially for nurses. Originality/value The barriers identified in palliative and EOLC have been found to be almost identical to those encountered in other health services.

scholarly journals Filial Piety in a Modern Age

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Kayla Entwistle ◽  
Douglas Mabie ◽  
David Bond
Keyword(s):  
Caregiver Burden ◽  
Adult Children ◽  
Filial Piety ◽  
Chinese Culture ◽  
Adult Child ◽  
Theoretical Data ◽  
Level Of Involvement ◽  
Data Collection Process ◽  
Caregiver Burdens ◽  
Familial Caregivers

With an increasing number of Alzheimer’s disease patients in Singapore, complications related to the degenerative disease have become highly relevant. Standing out among these complications are inflated caregiver burden resulting from the cultural expectations associated with filial piety. Filial piety, a value ingrained in Chinese culture, requires adult-children to display love, obedience, and respect towards their parents as well as provide physical care when required (Bedford, 2019). Expectations associated with filial piety, however, have been associated with severe caregiver burdens that persist even after patient institutionalisation (Whitlatch, 2001). Expectations to provide care presents numerous challenges for adult-children of patients: economic instability, psychological exhaustion, and social isolation (Lai, 2009; Langda, 2011; Win, 2017). These implications associated with caregiving are heightened when the patient being cared for is diagnosed with Alzheimer’s, as the disease has a unique cognitive-degeneration component that inhibits an individual from conducting independent actions after a certain point (Pratt, 1985). This article aims to shed light on the relationship between the level of involvement and the severity of caregiver burden among familial caregivers of Alzheimer’s patients in an effort to identify how to better support familial caregivers of Alzheimer’s patients. Through the use of a quantitative correlational analysis, a relationship between the two data points of involvement level and burden level was established. This research serves to identify a potential problem, not propose methods of reconciliation. While the data collection process for this study was inhibited by the COVID-19 pandemic, theoretical data is provided in an effort to develop new understandings and draw hypothetical conclusions. Keywords: Alzheimer’s, Filial Piety, Familial Caregiver, Institutionalisation, Caregiving Burden, Correlation, Adult-Child Caregiver

Describing the experiences of older persons with visual impairments during COVID-19 in rural Ghana

2020 ◽  
Vol 22 (6) ◽  
pp. 371-383
Author(s):  
Ariel Kwegyir Tsiboe
Keyword(s):  
Lived Experiences ◽  
Older Persons ◽  
Design Methodology ◽  
Qualitative Methodology ◽  
Family Members ◽  
Phenomenological Approach ◽  
Structured Interviews ◽  
Persons With Disabilities ◽  
Content Type ◽  
Rural Ghana

Purpose This study aims to describe the lived experiences among older persons with disability during the coronavirus pandemic in rural Ghana. Design/methodology/approach This study is based on a qualitative methodology consistent with a phenomenological approach. Semi-structured interviews were conducted with 20 participants. Thematic analysis was used for data analysis. Findings During the pandemic, care rendered to older persons with disabilities by their caregivers easily declined because of the lockdown measure. This made the participants suffer in profound loneliness and hunger, and forced some to generate suicidal thoughts. On the other hand, the participants who lived with their family members were also kept indoors for several weeks to reduce their chances of contracting the virus. This was because participants’ family members loosed confidence in the Ghanaian health-care system in protecting their older relatives. Originality/value To the best of the author’s knowledge, this is the first study to explore the experiences of older persons with disabilities during coronavirus disease 2019 in rural Ghana. The Ghanaian Government should consider formalized care to ensure continued care of older persons with disabilities especially during pandemics and future related uncertainties.

“Little Quilted Vests to Warm Parents' Hearts”: Redefining the Gendered Practice of Filial Piety in Rural North-eastern China

2009 ◽  
Vol 198 ◽  
pp. 348-363 ◽  
Author(s):  
Lihong Shi
Keyword(s):  
Rural Community ◽  
Adult Children ◽  
Filial Piety ◽  
Eastern China ◽  
The Elderly ◽  
Elderly Parents ◽  
Ethnographic Fieldwork ◽  
Practical Support ◽  
North Eastern ◽  
Major Factors

AbstractThis article explores the transformation of the gendered practice of filial piety in China, which traditionally places sons at the centre and relegates daughters to a peripheral role within their natal families. Based on my ethnographic fieldwork in a rural community in north-eastern China, this article suggests a transformed opinion on filial piety, considering daughters as more filial, as is vividly expressed by the Chinese saying “A daughter is like a little quilted vest to warm her parents' hearts.” Meanwhile, elderly parents have modified traditional standards of filial practice to encompass a desire for an expression of intimate care, respect and practical support from adult children. Further examination suggests three major factors contributing to the transformation of the gendered practice of filial piety: reinterpreted intergenerational relations, women's increased filial practice to their natal parents, and an increased desire of the elderly for an emotional bond with their children.

Adult children labour migration and parent health: evidence from Indonesian panel data

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Alfiah Hasanah ◽  
Bayu Kharisma ◽  
Sutyastie Soemitro Remi
Keyword(s):  
Health Status ◽  
Adult Children ◽  
Fixed Effects ◽  
Longitudinal Design ◽  
Adult Child ◽  
Migrant Children ◽  
Labour Migration ◽  
Content Type ◽  
Left Behind ◽  
The Impact

Purpose This study aims to explore the impact of adult child labour migration on the health of parents and the possible mechanism that contributes to the health of families left behind. Design/methodology/approach Several indicators of parents’ health are analysed and several subgroups – parents of migrant sons, parents of migrant daughters, parents aged 50+ and parents who live in rural areas are investigated. The data from Indonesia Family Life Survey are used and the fixed effects method is used to address potential endogeneity and instrumental variables are applied in the sensitivity analysis. Findings The labour out-migration of adult children has a positive and significant association with the health status of the parent left behind. The parents of migrant children are more likely to have a better self-rated health status, fewer episodes of morbidity symptoms, fewer unhealthy days, fewer visits to outpatient care and are less likely to be on medication than the parents of non-migrant children. Research limitations/implications The study design in a longitudinal setting, however, there is a relatively many years gap between waves could provide insufficient statistical power for measuring health variations. Future studies should consider to explore possible health outcomes for parents who co-resided with an adult child and the types and severity of various disease conditions. Practical implications Highlights challenges in health-care provision for older people in Indonesia and the possible contribution of health disparities in developing countries. Originality/value Explores the impact of out-migration of adult children on the health of parents left behind, using very recent data of over a long period of a longitudinal design.

Perceptions by Adult Children of Elderly Parents' Needs

1996 ◽  
Vol 78 (2) ◽  
pp. 571-577 ◽  
Author(s):  
James Halpern ◽  
Mary Ann Shroder ◽  
Maryalice Citera
Keyword(s):  
Adult Children ◽  
Emotional Support ◽  
Living Arrangements ◽  
Adult Child ◽  
The Elderly ◽  
Retirement Communities ◽  
Elderly Parents ◽  
Factors Associated ◽  
Parents And Children ◽  
Opposite Sex

The purpose of this study was to examine the accuracy of adult children's perceptions of their elderly parents' concerns. Factors associated with moderate involvement between the elderly parent and adult child were predicted to lead to the greatest accuracy. 48 pairs of elderly parents and adult children filled out questionnaires regarding the parents' concerns about seven areas of functioning. Analysis showed that concerns about health and emotional support were rated as most important by elderly parents. Adult children accurately perceived these concerns to be most important to their parents. For health concerns, opposite-sex pairs of parents and children showed greatest agreement. For emotional support concerns, however, both sons and daughters were more accurate predicting their fathers' concerns than their mothers'. Middle-born children tended to be more accurate in their predictions of parents' concerns than oldest or youngest children. Living arrangements also influenced accuracy. In predicting the concerns of elderly parents, adult children were most accurate for parents living in retirement communities, moderately accurate for parents living independently, and least accurate for parents living in the adult child's home. Further, children sharing a household with an adult parent tended to overestimate their parents' concerns on some issues. The results were consistent with the moderate involvement hypothesis. The implications of these results and suggestions for research are discussed.

Death at a Distance: A Study of Family Survivors

1983 ◽  
Vol 13 (3) ◽  
pp. 191-225 ◽  
Author(s):  
Greg Owen ◽  
Robert Fulton ◽  
Eric Markusen
Keyword(s):  
Adult Children ◽  
Nuclear Family ◽  
Important Determinant ◽  
Adult Child ◽  
Emotional Reactions ◽  
Social Psychological ◽  
Elderly Parents ◽  
Life And Death ◽  
And Function ◽  
The Impact

This paper reports the findings of a social-psychological investigation of bereavement conducted in the metropolitan area of Minneapolis and St. Paul over a period of twelve months. Information was solicited using both questionnaires and home interviews from 558 bereaved persons, including spouses (434), parents (85), and adult children (39) responding to the death of an elderly parent. Strong emotional ties were evidenced in each of the three subsamples and a wide variety of physical and emotional reactions were demonstrated by all three groups following the death. One of the most important findings of the study is that the type of relationship severed by the death is an important determinant of the nature of the grief experienced by survivors. For example, within the adult child sample, the data suggest that the death of elderly parents is less disruptive, less emotionally debilitating and generally less significant for surviving adult children in terms of the continuity and stability of established behavioral patterns than for the other two groups. The adult child group also displayed less illness during bereavement than either the surviving parents or surviving spouses and were less likely to utilize traditional funerary rituals. It is hypothesized that these observed differences reflect significant changes in the larger society, including 1) the nature and function of the nuclear family and its members, 2) institutionalization of the dying and professionalization of their care, and 3) cultural conceptions of the meaning of life and death. Discussion focuses on the theoretical implications of the findings as they relate to the impact of death, grief and bereavement on the contemporary family, as well as to specific issues relevant to practicing clinicians in their attempts to aid families coping with separation and loss.

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