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Chinese cultural dimensions of death, dying, and bereavement: focus group findings
Journal of Cultural Diversity, Summer, 2002 by Alice G. Yick, Rashimi Gupta
Service providers can serve as brokers of information for the hospital staff and physicians about cultural differences in their own attitudes, beliefs, and practices about death and dying and the family's (Tanner, 1995). In addition, service providers such as social workers and nurses can act as a facilitator and mediator, assisting the family in negotiating the many collateral points of contacts (Tanner, 1995). If the patient's death is imminent, service providers can help families navigate with nurses and hospital procedures. Family members will want the opportunity to say their final good-byes, and therefore, it is not uncommon to see more than two family members at one time in the patient's room even if it goes against hospital regulations.
This research study represents a descriptive study that is far from representative to all Chinese immigrants or Chinese Americans in the United States. Ideally, focus groups would have been conducted with Chinese groups categorized by acculturation level, religious beliefs, age, socioeconomic status, and educational attainment in order to obtain a glimpse how these factors affect death attitudes and practices. However, this study offers preliminary insights, which may, assist in implementation of larger scale studies. However, one of the barriers in conducting large-scale studies on death and dying is that the subject matter is a taboo. It would be vital for researchers to collaborate with community informants and cultural experts about how to approach sampling, recruitment strategies, and interviewing. For example, to schedule an interview about death and dying during the Chinese New Year holiday would be an affront to the family. More culturally-sensitive research approaches to this topic is needed in order to obtain data, which can be used to further assist in the development of more culturally-relevant bereavement assessment guidelines and interventions.
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