Transforming long-term care: Understanding relationship-centered care practices in ethno-specific context
Culturally responsive care is essential to meaningful relationship-building in long-term care (LTC) settings, yet there is limited understanding of how Relationship-Centered Care (RCC) is interpreted and enacted in contexts shaped by shared cultural frameworks. This critical ethnographic study exami...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-12-01
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| Series: | SSM: Qualitative Research in Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667321525000988 |
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| author | Shreemouna Gurung Habib Chaudhury Pia Kontos Atiya Mahmood Deborah O'Connor |
| author_facet | Shreemouna Gurung Habib Chaudhury Pia Kontos Atiya Mahmood Deborah O'Connor |
| author_sort | Shreemouna Gurung |
| collection | DOAJ |
| description | Culturally responsive care is essential to meaningful relationship-building in long-term care (LTC) settings, yet there is limited understanding of how Relationship-Centered Care (RCC) is interpreted and enacted in contexts shaped by shared cultural frameworks. This critical ethnographic study examines how RCC practices unfolded within an ethno-specific LTC home serving predominantly Chinese older adults in Vancouver, drawing on document review, participant observation, and interviews with residents, families, and staff. Four key themes were identified: (1) Caring like family (i.e., building trust through kinship-based language and emotional familiarity); (2) Honoring roots (i.e., integrating residents’ cultural identities into care); (3) Recreation and celebrations (i.e., fostering belonging through culturally meaningful activities); and (4) Collaboration as the heart of care (i.e., reinforcing reciprocity through resident-family-staff partnerships). These findings illustrate how culturally grounded practices shape the interpretation and enactment of RCC in everyday care. Future research should explore how RCC operates in more culturally heterogeneous settings and use inclusive methods to amplify the voices of diverse residents. |
| format | Article |
| id | doaj-art-8e01f69efd7749c89e4456edf68cf9c3 |
| institution | Kabale University |
| issn | 2667-3215 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Qualitative Research in Health |
| spelling | doaj-art-8e01f69efd7749c89e4456edf68cf9c32025-08-20T05:08:07ZengElsevierSSM: Qualitative Research in Health2667-32152025-12-01810062010.1016/j.ssmqr.2025.100620Transforming long-term care: Understanding relationship-centered care practices in ethno-specific contextShreemouna Gurung0Habib Chaudhury1Pia Kontos2Atiya Mahmood3Deborah O'Connor4Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada; Corresponding author. Department of Gerontology, Simon Fraser University, 515 W Hastings St, Vancouver, BC, V6B 5K3, Canada.Department of Gerontology, Simon Fraser University, Vancouver, BC, CanadaKITE Research Institute – University Health Network, Toronto, ON, CanadaDepartment of Gerontology, Simon Fraser University, Vancouver, BC, CanadaSchool of Social Work, University of British Columbia, Vancouver, BC, CanadaCulturally responsive care is essential to meaningful relationship-building in long-term care (LTC) settings, yet there is limited understanding of how Relationship-Centered Care (RCC) is interpreted and enacted in contexts shaped by shared cultural frameworks. This critical ethnographic study examines how RCC practices unfolded within an ethno-specific LTC home serving predominantly Chinese older adults in Vancouver, drawing on document review, participant observation, and interviews with residents, families, and staff. Four key themes were identified: (1) Caring like family (i.e., building trust through kinship-based language and emotional familiarity); (2) Honoring roots (i.e., integrating residents’ cultural identities into care); (3) Recreation and celebrations (i.e., fostering belonging through culturally meaningful activities); and (4) Collaboration as the heart of care (i.e., reinforcing reciprocity through resident-family-staff partnerships). These findings illustrate how culturally grounded practices shape the interpretation and enactment of RCC in everyday care. Future research should explore how RCC operates in more culturally heterogeneous settings and use inclusive methods to amplify the voices of diverse residents.http://www.sciencedirect.com/science/article/pii/S2667321525000988Relationship-centered careEthno-specific long-term careOlder adultsCritical ethnographyCulturally grounded care |
| spellingShingle | Shreemouna Gurung Habib Chaudhury Pia Kontos Atiya Mahmood Deborah O'Connor Transforming long-term care: Understanding relationship-centered care practices in ethno-specific context SSM: Qualitative Research in Health Relationship-centered care Ethno-specific long-term care Older adults Critical ethnography Culturally grounded care |
| title | Transforming long-term care: Understanding relationship-centered care practices in ethno-specific context |
| title_full | Transforming long-term care: Understanding relationship-centered care practices in ethno-specific context |
| title_fullStr | Transforming long-term care: Understanding relationship-centered care practices in ethno-specific context |
| title_full_unstemmed | Transforming long-term care: Understanding relationship-centered care practices in ethno-specific context |
| title_short | Transforming long-term care: Understanding relationship-centered care practices in ethno-specific context |
| title_sort | transforming long term care understanding relationship centered care practices in ethno specific context |
| topic | Relationship-centered care Ethno-specific long-term care Older adults Critical ethnography Culturally grounded care |
| url | http://www.sciencedirect.com/science/article/pii/S2667321525000988 |
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