Abstract
(1) Background: There is a lack of understanding of how spirituality is understood among ethnic Chinese living outside of China. The aim of this investigation was to gain insight into the meaning of spirituality and spiritual care among ethnic Chinese residing in England. (2) Methods: This study employed a grounded theory method. (3) Results: A core category called “seeking a meaningful life” emerged, comprising six categories: “motivation”, “support”, “maintaining standard values”, “achieving a meaningful life”, “relationships” and “perceptions of spirituality”. The core category included a three-stage process influenced by two factors: relationships with others and perceptions of spirituality. In motivated or supported situations of suffering and illness, ethnic Chinese usually follow principles of their Chinese tradition in seeking meaning for a satisfied spiritual life. This process is impacted by their relationships with others and view of spirituality. (4) Conclusions: Participants’ understanding of spirituality and spiritual care was related to seeking meaning and purpose in life. Nurses could incorporate the newly developed life meaning processes into their practice. This could be achieved by culturally explaining suffering and focusing on the significance of physical illness for Chinese people. This would ensure their spiritual care practice delivers culturally competent care for ethnic Chinese. Educators could also incorporate this process within their teaching materials so that this aspect of spiritual care is addressed for this specific group.
Highlights
Spirituality and spiritual care are fundamental to people’s health (International Council of Nurses (ICN 2012))
This study explored how ethnic Chinese residing in England perceive spirituality and spiritual care to help nurses respond to their cultural and religious needs
The process shows that when inspired in a suffering situation and supported by healthcare professionals and family, ethnic Chinese residing in England generally adhere to Chinese cultural and religious values to find their life meanings
Summary
Spirituality and spiritual care are fundamental to people’s health (International Council of Nurses (ICN 2012)). Ethnic Chinese is one of the largest Asian sub-groups in the UK and the population has doubled in the last 10 years (GOV.UK 2020). They have specific spiritual and cultural beliefs which may impact their overall health (Speed et al 2021; Niu et al 2020). This study explored how ethnic Chinese residing in England perceive spirituality and spiritual care to help nurses respond to their cultural and religious needs. Ethnic Chinese refers to people residing in the UK who deem themselves to have Chinese roots, for example, those from mainland China, Taiwan, Hong Kong or Singapore
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