The purpose of this study was to develop a conceptual framework to explain the interaction between the caregiver and the care receiver during the discharge transition. Data from face-to-face interviews with 12 care receivers and 16 caregivers were subjected to constant comparative analysis. Findings revealed that role tuning was the process used by caregivers and care receivers to achieve a harmonious pattern of caregiving and care receiving during the transition from hospital to home. This empirical finding can illustrate the concept of role function mode in the Roy adaptation theory and sensitize healthcare providers to the needs of the families during the discharge transition.
Archbold, P. G. , Stewart, B. J., Greenlick, M. R., & Harvath, T. (1990). Mutuality and preparedness as predictors of caregiver role strain. Research in Nursing and Health, 13, 375-384.
2.
Bull, M. J. (1992). Managing the transition from hospital to home. Qualitative Health Research, 2(1), 27-41.
3.
Bull, M. J. , & Jervis, L. L. (1997). Strategies used by chronically ill older women and their caregiving daughters in managing posthospital care. Journal of Advanced Nursing, 25, 541-547.
4.
Bull, M. J. , Maruyama, G., & Luo, D. (1995). Testing a model for posthospital transition of family caregivers for elderly persons. Nursing Research, 44, 132-138.
5.
Bull, M. J. , Maruyama, G., & Luo, D. (1997). Testing a model of family caregivers’ perceptions of elderly behavior two weeks posthospitalization on caregiver. Scholarly Inquiry for Nursing Practice, 11, 231-248.
6.
Carruth, A. K. (1996). Development and testing of the caregiver reciprocity scale. Nursing Research, 45, 92-97.
7.
Cartwright, J. C. , Archbold, P. G., Stewart, B. J., & Limandri, B. (1994). Enrichment processes in family caregiving to frail elders. Advances in Nursing Science, 17(1), 31-43.
8.
Chou, K. R. (1998). Caregiver burden: Structural equation modeling. Nursing Research, 6, 358-371.
9.
Directorate-General of Budget, Accounting and Statistics, Executive Yuan and Ministry of Interior . (1997). Report on the old status survey: Taiwan area, Republic of China. Taipei: Author (in Chinese).
10.
Glaser, B. G. (1978). Theoretical sensitivity. Mill Valley, CA: Sociology Press.
11.
Glaser, B. G. (1992). Basics of grounded theory analysis. Mill Valley, CA: Sociology Press.
12.
Glaser, B. G. , & Strauss, A. L. (1967). The discovery of grounded theory. New York: Aldine de Gruyter.
13.
Hileman, J. W. , Lackey, N. R., & Hassanein, R. S. (1992). Identifying the needs of home caregivers of patients with cancer. Oncology Nursing Forum, 19, 771-777.
14.
Lin, M. N. , & Chiou, C. J. (1995). The quality of family care for the elderly home-bound stroke victim. Nursing Research in Republic of China, 2, 138-148 (in Chinese).
15.
Lincoln, Y. S. , & Guba, E. G. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage.
16.
Longman, A. J. , Atwood, J. R., Sherman, J. B., Benedict, J., & Shang, T. C. (1992). Care needs of home-based cancer patients and their caregivers. Cancer Nursing, 15, 182-189.
17.
Manpower Planning Department, Council for Economic Planning and Development, Executive Yuan . (1996). Projections of the population of Taiwan area, Republic of China 1995 to 2036. Taipei: Author (in Chinese).
18.
McAleese, P. , & Odling-Smee, W. (1994). The effect of complications on length of stay. Annals of Surgery, 220, 740-744.
19.
Naylor, M. D. (1990). Comprehensive discharge planning for hospitalized elderly: A pilot study. Nursing Research, 39, 156-161.
20.
Nolan, M. , & Grant, G. (1989). Addressing the needs of informal carers: A neglected area of nursing practice. Journal of Advanced Nursing, 14, 950-960.
21.
Phillips, L. R. , & Rempusheski, V. F. (1986). Caring for the frail elderly at home: Toward a theoretical explanation of the dynamics of poor quality family caregiving. Advances in Nursing Science, 8(4), 62-84.
22.
Pohl, J. M. , Boyd, C. J., Liang, J., & Given, C. W. (1995). Analysis of the impact of mother-daughter relationship on the commitment to caregiving. Nursing Research, 44, 68-75.
23.
Roy, C. , & Andrews, H. A. (1991). The Roy adaptation model. San Mateo, CA: Appleton & Lange.
24.
Roy, C. , & Andrews, H. A. (1999). The Roy adaptation model. San Mateo, CA: Appleton & Lange.
25.
Shyu, Y. I. , Chang Yeh, M., Yang, W. W., & Huang, J. M. (1992). Family caregiver’s burden and related factors of dependent elderly persons in urban and rural communities. Journal of Nursing in the Republic of China, 39(3), 99-106 (in Chinese).
26.
Stern, P. N. (1980). Grounded theory methodology: Its use and process. Image, 12(1), 20-23.
27.
Stewart, B. J. , Archbold, P. G., Harvath, T. A., & Nkongho, N. O. (1993). Role acquisition in family caregivers for older people who have been discharged from the hospital. In S. G. Funck, E. M. Tornquist, M. T. Champagne, & R. A. Wiese (Eds.), Key aspects of the caring for the chronically ill (pp. 219-231). New York: Springer.
28.
Strauss, A. , & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: Sage.
29.
Ward, R. (1985). Informal networks and well-being in later life: A research agenda. The Gerontologist, 25, 55-81.
30.
Wu, S. L. , Hu, H. C., & Yao, K. M. (1991). A study on the burdens and needs of primary caregiver of frail elderly in home care programs. Public Health, 18, 237-248 (in Chinese).
31.
Yeh, K. H. (1997). Changes in Taiwan people’s concept of filial piety. In L. Y. Change, Y. H. Lu, & F. C. Wang (Eds.), Taiwan society in 1990s: Taiwan Social Change Survey Symposium Series II(Part 2, pp. 170-214). Taipei: Institute of Sociology, AcademiaSinica(inChinese).
