The global trend towards an ageing population presents challenges for health-care professionals, including registered nurses (RNs). In Taiwan, health care policies relating to the aged and to gerontological nursing are still in the early stages of development. Integral to this development is the evolving definition of the clinical role of RNs who make a major contribution to aged care. Using data from in-depth interviews of 29 RNs working across eight nursing homes, this grounded theory study examines the factors that shape the care work of RNs in long-term aged care in Taiwan. The objectives of this study were to: * examine the work-experience perceptions of RNs employed in nursing homes in Taiwan * explore the factors that influence the delivery of nursing care to the aged by RNs * explain the events that constitute nursing practices in aged care provision that have an effect on the roles of RNs, and * develop a theoretical proposition that can guide future nursing practice in aged care. Grounded theory and symbolic interactionism are the complementary methodologies selected to underpin this study. The perspective of grounded theory allows for a critical investigation of the social processes that are integral in shaping the perspectives of RNs who work in Taiwanese nursing homes. The application of the theory of symbolic interactionism facilitates an exploration of the roles of RNs in this context and of the different meanings for individuals in the various situations they confront. Organizational factors and interactions that shape the role of RNs in the working environment of aged care are highlighted in the interaction between the data and the theory. The core category that emerged from the study was searching for an identity. This core process reflects ambivalence in the perceptions of RNs in describing and explaining the nursing role in Taiwanese nursing homes. Five categories that bring some greater understanding of this ambivalence are: coming to know, doing anything and everything, negotiating the work role, dealing with the system, and learning by being there. The specific intention of this study was to extend our understanding of nursing work and the delivery of care to older people in nursing homes in Taiwan. The findings of this study will contribute to the development of an educational framework that may be applied to improve nursing practices in nursing homes. These findings also have the potential to make a positive contribution to aged health care policy-making in Taiwan.
| Identifer | oai:union.ndltd.org:ADTP/265628 |
| Date | January 2008 |
| Creators | Lin, Chun-Chih |
| Publisher | Queensland University of Technology |
| Source Sets | Australiasian Digital Theses Program |
| Detected Language | English |
| Rights | Copyright Chun-Chih Lin |
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