The role of the registered nurse in Taiwanese nursing homes : a grounded theory study
Lin, Chun-Chih (2008) The role of the registered nurse in Taiwanese nursing homes : a grounded theory study. PhD thesis, Queensland University of Technology.
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.
Impact and interest:
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|Item Type:||QUT Thesis (PhD)|
|Supervisor:||Abbey, Jennifer& Windsor, Carol|
|Keywords:||aged care, nursing home, registered nurse, work role, Taiwan, grounded theory, symbolic interactionism|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
Current > Schools > School of Nursing
|Department:||Faculty of Health|
|Institution:||Queensland University of Technology|
|Copyright Owner:||Copyright Chun-Chih Lin|
|Deposited On:||03 Dec 2008 14:07|
|Last Modified:||29 Oct 2011 05:50|
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