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Volume 4

Journal of Community & Public Health Nursing

Nursing Summit 2018

November 08-09, 2018

November 08-09, 2018 Sydney, Australia

World Congress on

Nursing & Healthcare

Development and initial cross-cultural validation of the Confucian orientation beliefs scale

Yvonne Hsiung and In-Fun Li

Mackay Medical College, Taiwan

series of cross-cultural studies were conducted to develop and validate a cultural measure, Confucian Orientation Beliefs

(COB) scale. The original 66-item acculturation scale was constructed among Chinese-American immigrants residing in

greater Chicago area (n=211) with specific aim to assess a broad range of traditional Chinese beliefs. Through examinations of

content validity, internal consistency (α=0.86) and an inter-item correlation of 0.27 (p<0.001), the initial Exploratory Factor

Analysis (EFA) suggested 3 principal components familialism (α=0.84), male and physician paternalism (α=0.82) and death

taboos (α=0.89). CO among overseas Chinese was found highly positive correlated with American acculturation, attitudes

towards life-sustaining treatment and palliative care usage. A following Confirmatory Factor Analysis (CFA) was supportive

with a goodness of fit of 0.95 in a relatively smaller Taiwan suburban sample (n=122). Further EFA and CFA among hospitalized

patients from various Taiwan areas (n=508) yielded a slightly different structure male paternalism, filial piety and death taboo

jointly captured a salient cultural factor (α=0.83), a single dimension was revealed as an individual’s propensity to conform to

Confucian traditions and this orientation is specifically related to life-sustaining treatment attitudes (AVE=55.39, AGFI=0.966,

p=0.009). A data-driven and efficient tool, the 6-itemCOB scale (short form), was created with strong psychometric properties.

While CO remains prominent in modern Chinese-ethnic societies to affect family caregivers’ life-sustaining treatment

decision-making, future research is necessary to replicate studies for temporal stability across heterogeneous Chinese-speaking

and Confucianism-oriented samples.

J Comm Pub Health Nurs 2018, Volume 4

DOI: 10.4172/2471-9846-C3-009