Biomedical subjects

Hsiu-Li Huang

Publications and source records attributed to Hsiu-Li Huang.

4 recordsLinked to original sources

PubMed2006

[Critical social theory perspective on respite care service in Taiwan].

The temporary rest provided by respite care both benefits caregiver well-being and allows care receivers to continue living in the community, effectively reducing rates of institutional placement. The necessity and effectiveness of respite care are well documented in the literature. However, only a few care providers take advantage of such services. Previous research, which has focused largely on personal factors contributing to low utilization rates, limits our understanding of the situation and of the constraints not related to personal factors. This paper attempts to move beyond the individual perspective by framing research in critical social theory in order to understand the current social, political and economical factors that limit caregiver utilization of respite services. Critical social theory, a reflection theory, emphasizes empowerment and conscious-raising in order to promote control of oppressed subjects. In applying critical theory, this paper encourages nurses to raise caregivers' consciousness of their constraining circumstances in order to empower them to access respite services on their own volition.

Caregivers↗

PubMed2006

[The analysis and recommendation of the institutional respite care policy in Taiwan].

As the functionally impaired disabled elderly and the long-term care population has grown, concern about the physical, psychological and social demands facing primary caregivers has increased. An institutional respite care policy was adopted in Taiwan in 1998, but the rate of utilization of institutional care remains low. This article investigates the formative background, related circumstances and problems of respite care policy. The three dimensions of structure, process and outcome form the main framework for policy analysis. "Structure," includes demand and resources. "Process," includes health policy planning procedure, health administration and service delivery processes. "Outcome," covers service utilization, satisfaction, caregiver's well-being and care-receiver's institutionalization rate. In accordance with the results of the analysis the researchers propose recommendations about policy, practice, education and research, in the hope that these will be considered in relation to future modification and execution of respite care policy, in order to provide respite for suffering caregivers, and to carry out the ideal of aging in place.

Health Policy↗

PubMed2006

[Introduction to ethnographic decision tree modeling].

With rapid advances in healthcare technology, patients are increasingly compelled to make medical decisions in unfamiliar and highly stressful situations. Nurses, therefore, have a responsibility to understand the medical options, and consequences of each, in order to help patients make the best decisions for themselves. Ethnographic decision tree modeling is a research "triangulation" tool conducted in two stages. The first stage uses ethnographic fieldwork techniques to determine the criteria used by insiders (i.e., decision makers) to make a real-world decision. These criteria are combined into a decision tree. The second stage applies a quantitative research method to verify the degree of predictive accuracy of the decision tree. This method addresses the meaning and predictability of decision-making. This paper introduces ethnographic decision tree modeling and provides a perspective on inquiring about the bases of patient decision-making.

Anthropology, Cultural↗

PubMed2006

[Analysis and implementation of research findings on the decision making in institutionalization of the elderly: a family-centered perspective].

As the size of the population of the elderly increases, so does the incidence of chronic illness and disability. In addition, the rising prevalence of the nuclear family and rising unemployment among women, greatly reduce the resources available to families for caring. The institution placement rate among the elderly is increasing. The decision making process in relation to institutional placement, however, causes the utmost stress and suffering for the elderly and their families. The purpose of this paper is to review research articles concerning decision making in institutionalization, from the perspectives of type of decision, facilitating factors, the nature of the experience and the stress involved therein, the choice of institution, and the roles performed in the process by both the elderly person in question and by professionals, and then to propose recommendations for nursing research, nursing practice and health care policy. The researchers hope, by providing a family-centered perspective to nursing, to enable nurses to extend their concern and support to caregivers and the elderly facing decisions about institution placement.

Decision Making↗