{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T11:18:45Z","timestamp":1788175125174,"version":"build-2803163510"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T00:00:00Z","timestamp":1778976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T00:00:00Z","timestamp":1778976000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Inquiry"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Guided by Leininger's Theory of Culture Care, this hermeneutic phenomenological study explored how social and cultural contexts shape engagement in advance care planning (ACP) among people living with cancer in Taiwan. Semi\u2010structured interviews were conducted with 26 stakeholders, including 8 patients, 7 family caregivers, and 11 healthcare providers, recruited from oncology and ACP outpatient clinics, inpatient wards, and home care services at a tertiary medical center. Data were audio\u2010recorded, transcribed verbatim, and analyzed using Naeem's six\u2010step approach. Six interrelated influences on ACP engagement were identified: socioeconomic circumstances, prior experiences and personal background, religious beliefs and life values, relational dynamics with family and significant others, wider social norms, and political and legal requirements. These factors shaped whether ACP was seen as acceptable, when it was introduced, who was involved in decision\u2010making, and how discussions were negotiated within families and with healthcare professionals. The findings show that ACP engagement in Taiwan is a relational, culturally embedded process. Culturally congruent, nurse\u2010led ACP approaches that address relational, socioeconomic, and legal structural influences are needed to support family\u2010centered cancer care.<\/jats:p>","DOI":"10.1111\/nin.70109","type":"journal-article","created":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T19:23:39Z","timestamp":1779045819000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring the Social and Cultural Influences on Advance Care Planning Engagement for Patients Living With Cancer: A Hermeneutic Phenomenology Study"],"prefix":"10.1111","volume":"33","author":[{"given":"Cheng\u2010Pei","family":"Lin","sequence":"first","affiliation":[{"name":"Institute of Community Health Care, College of Nursing National Yang Ming Chiao Tung University Taipei Taiwan"},{"name":"Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery, and Palliative Care King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih\u2010Yun","family":"Huang","sequence":"additional","affiliation":[{"name":"Institute of Community Health Care, College of Nursing National Yang Ming Chiao Tung University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jen\u2010Kuei","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, College of Medicine National Taiwan University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsiao\u2010Ting","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Family Medicine, Department of Family Medicine Taipei Veterans General Hospital Taipei Taiwan"},{"name":"Faculty of Medicine, School of Medicine National Yang Ming Chiao Tung University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,17]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.35116"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732316654870"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1188\/14.Onf.545-547"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-025-09707-z"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/apjon.apjon-2137"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781452232768"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/jme-2023-109818"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/13557858.2024.2401830"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.15408"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/08445621241278922"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2013.000996"},{"key":"e_1_2_13_13_1","volume-title":"Culture Care Diversity and Universality: A Theory of Nursing","author":"Leininger M. 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