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Learning Objective 1: The learner will be able to understand the needs of older people living in the community.
Learning Objective 2: The learner will be able to study the use of grounded theory.
Background: The elderly population has increased dramatically in the 21st century, especially in Taiwan. The society will be to the elderly society. It is important to provide holistic care for the elderly. However, very limited research exists regarding integrated community-based Taiwanese older people care.
Methods: Using a grounded theory approach, data were collected from Jan. to Sep. 2009 in rural area in Taiwan by means of interviews, participant observations and documentary resources; analysis was an interrelated process. The total of 35 interviews involved 30 individuals. The participant included 22 older people and 5 of their family carers, and 3 practitioners. Data were analyzed using a multi-step analytic procedure, based on the works of Glaser, Charmaz, and Strauss and Corbin.
Results: The core category, “living exchange and integration”, explained the complex structure of interactions observed during the investigation and the importance of developing a middle-range theory entitled the “Living Exchange and Integration Theory”. The theory show that the community older people care is a continuing life and integrating process. The needs of older people consist of security, achievement, valuable, expectancy, warm feeling and solicitude. The positive consequence is achieved ego integration, and the negative consequence is waiting for death.
Conclusion: Community nurses can use the Living Exchange and Integration Theory as a guide to practise when they are taking care of older people living in the community to enable them to provide better nursing care. The Living Exchange and Integration Theory will improve quality of life for the older people living in the community and an integrated community-based Taiwanese older people care was established.
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