Mei Ching Lee
University of Maryland, Baltimore
Network
Latest external collaboration on country level. Dive into details by clicking on the dots.
Publication
Featured researches published by Mei Ching Lee.
Applied Nursing Research | 2014
Katherine A. Hinderer; Mei Ching Lee
BACKGROUND Advance directives (AD) and advance care planning (ACP) are critical to making patient-centered end-of-life decisions. Despite their importance, completion rates for AD in the United States remain low at about 18-36%. Lack of education related to AD and not understanding AD have been cited as key reasons for not participating in ACP or completing AD. PURPOSE The purpose of this quasi-experimental pilot study was to assess the effectiveness of a nurse led educational AD seminar that used the Five Wishes on attitudes related to AD, AD completion, and participation in ACP conversations. METHODS A post-test repeated measures design was used. RESULTS Of the 86 participants who attended the seminar, most (n=71, 82.6%) found the seminar useful, and 97.7% (n=84) reported that they were likely to complete an AD and participate in ACP conversations with family or friends. Overall attitudes about ADs were high. Older females were more likely to complete AD than their younger male counterparts, and women were more likely than men to have ACP conversations. CONCLUSION The results of this study lend support to the role of nursing-driven community-based educational interventions to improve AD completion and participation in the ACP process.
Journal of Gerontological Nursing | 2015
Mei Ching Lee; Katherine A. Hinderer; Erika Friedmann
Ethnic minority groups are less engaged than Caucasian American adults in advance care planning (ACP). Knowledge deficits, language, and culture are barriers to ACP. Limited research exists on ACP and advance directives in the Chinese American adult population. Using a pre-posttest, repeated measures design, the current study explored the effectiveness of a nurseled, culturally sensitive ACP seminar for Chinese American adults on (a) knowledge, completion, and discussion of advance directives; and (b) the relationship between demographic variables, advance directive completion, and ACP discussions. A convenience sample of 72 urban, community-dwelling Chinese American adults (mean age=61 years) was included. Knowledge, advance directive completion, and ACP discussions increased significantly after attending the nurse-led seminar (p<0.01). Increased age correlated with advance directive completion and ACP discussions; female gender correlated with ACP discussions. Nursing education in a community setting increased advance directive knowledge and ACP engagement in Chinese American adults.
Asian/Pacific Island Nursing Journal | 2017
Mei Ching Lee; Ha Do Byon; Katherine A. Hinderer; Carla Alexander
The purpose of this research is to explore behavioral, normative, and control beliefs in the discussion of advance care planning (ACP) among older and younger Chinese Americans. Ethnic minority groups have been identified as less engaged in ACP and this represents an ethnic and cultural gap. Older Chinese American adults often have different beliefs and values compared to the younger generation who are more acculturated to American mainstream culture. These differences may hinder the discussion of ACP with Chinese older adults. A qualitative design was used. The Theory of Planned Behavior guided the development of the interview guide. We recruited 60 Chinese Americans. Prior experience was identified as a theme that influenced attitudes about ACP. We found that older and younger Chinese participants had different beliefs in the norm and control related to ACP discussions, but not in the belief of attitudes about ACP discussions. Both younger and older Chinese American participants believed that ACP was important and necessary. Participants in both clusters expressed that they were ready and willing to engage in ACP discussions with their family members but hesitant to initiate these discussions. The reluctance in discussing ACP with Chinese older adults may be related to the expectations and obligations of Xiao (filial piety) in Chinese culture. This study describes the similarities and differences of beliefs in ACP between older and younger Chinese Americans. We identified barriers and facilitators in behavioral, normative, and control beliefs that can be used to promote ACP for Chinese Americans.
Gerontology and Geriatric Medicine | 2018
Mei Ching Lee; Katherine A. Hinderer; Carla Alexander
Background: To provide optimal end-of-life (EOL) care in the Chinese American population, we need to have a better understanding of what matters most at EOL from their perspective. Experiencing a “good death” at the EOL is the optimal goal of palliative care. Studies show that the meaning and description of good death varies across cultures in different populations. In the United States, Chinese Americans comprise the largest Asian demographic. Aim: To describe EOL wishes, which define a good death for Chinese Americans. Method: Qualitative study using focus groups. A convenience sample of 60 Chinese Americans was recruited from a community organization in Maryland. Ten focus group discussion sessions were conducted. Results: Wishes at the EOL that defined a good death for the participants in this study included being pain-free, not being a burden to family, being with family, having a trusted physician, maintaining dignity, and prayer. Conclusion: A good death is a complex concept. What matters most to patients at the EOL differs depending on their cultural background. When caring for Chinese Americans, a comprehensive EOL care plan should include cultural considerations in addition to physical, psychosocial, and spiritual needs.
Journal of Hospice & Palliative Nursing | 2014
Mei Ching Lee; Katherine A. Hinderer; Karen A. Kehl
Journal of Pain and Symptom Management | 2015
Carla Alexander; Gregory Pappas; Anthony Amoroso; Mei Ching Lee; Yvonne Brown-Henley; Peter Memiah; Joseph F. O'Neill; Olivia Dix; Robert R. Redfield; Guesley Delva; Anthony Edozien; Lotte Hachaambwa; Peter Maro; A. Nwandu; Chidi Nwizu; Michael Obiefune; Babatunji Oni; Devang Patel; Robert Sheneberger; Cyprien Baribwira; Athanase Kiromera; Vicki Tepper; Folaju Olusegun Oyebola; Angela Kaiza-Kangalawe; George Anthony Loy; Victor Enejoh; Ejike Nwene; Winifred Stanis-Ezeobi; Mope Shimabale; Ignace Gashongore
Journal of Palliative Care & Medicine | 2017
Carla S Alex; er; Victoria H. Raveis; Daniel Karus; Mei Ching Lee; Monique Carrero Tagle; Rebecca Brotemarkle; Gregory Pappas; Peter A. Selwyn
International Journal of Palliative Nursing | 2017
Mei Ching Lee; Roger Auth; Katherine A. Hinderer; Carla Alexander
Archive | 2015
Carla Alexander; Gregory Pappas; Anthony Amoroso; Mei Ching Lee; Yvonne Brown-Henley; Robert R. Redfield
Sigma Theta Tau International's 25th International Nursing Research Congress | 2014
Mei Ching Lee; Katherine A. Hinderer