PhD

dissertationThe purpose of this study was to generate a substantative theory that describes and explains the perceptions of health and illness and the beliefs and behaviors of promoting and preventing illness among the Chinese elderly in the United States. Grounded theory methodology was used in this study. Theoretical sampling and constant comparative analysis were two strategies that directed the overall research process. Data were collected by interviewing 21 Chinese elderly who had immigrated from Taiwan, Republic of China, and were presently living in Salt Lake City, Utah. In addition to interviews, participants also kept health diaries for 1 week. Data from the diaries were analyzed with the interview data. The theory, Conformity with Nature, emerged from the data. This theory, based upon the perspective of the Chinese elders, describes the process of knowing nature and trying one's best to modify oneself to fit the laws of nature. Nature refers to all things and events that surround one, for example, sunshine, animals, plants, people, and even supreme beings. These things are offered by nature and are necessary for human survival. The laws of nature imply that natural phenomena have rhythms. The theory has three interrelated subprocesses: Harmonizing with the Environment, Following Bliss, and Listening to Heaven. The core variable, Conformity with Nature, emerged from these three subprocesses. Harmonizing with the Environment is a process of finding and creating harmony with the natural laws. Opening, adjusting, and expanding are three properties of this subprocess. Following Bliss is a process of choosing a course of action and attitude to lead a person toward his or her ideal for a happy life. There are three properties of Following Bliss: optimizing, esteeming, and re-creating. Listening to Heaven is a way of knowing and accepting the divine purpose in life and living in the knowledge of that purpose. Believing, accepting, and transcending are three properties of Listening to Heaven. This theory can enhance nurses' understanding of ways to promote health and prevent illness among the Chinese elderly. The theoretical framework offers a guide to providing quality health care to the Chinese elderly in the United States