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Qualitative Health Research
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*Caregivers
*Family Issues
*Home Care Services
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Implicit Exchanges in Family Caregiving for Frail Elders in Taiwan

Hui-Chuan Hsu

Taichung Healthcare and Management University, Taichung, Taiwan

Yea-Ing Lotus Shyu

Graduate Institute of Nursing, Chang Gung University, Kwei-Shan Tao-Yuan, Taiwan

In this study, the authors use in-depth interviews with inductive analysis to develop a conceptual framework for exploring social exchanges and their implicit calculations for care-givers in Taiwan. They interviewed 12 caregivers, based on theory-based sampling and maximum variation. They found some components of implicit exchanges of the caregivers, and drew a framework to describe it. At the beginning of care, motivations were mostly from obligation accompanied by reciprocity or repaying motives. In the process of caregiving, some unique, implicit cultural implicit exchanges were found, such as karma, a demonstrative behavior to investment, equitable share of responsibility, and the pressure or rewards from public opinion. These implicit exchanges might be intermediary factors in helping caregivers cope with their burden or even in influencing their continuation of care. The findings are implicated to help family caregivers continue their care and not damage their quality of care.

Key Words: caregivers • Chinese culture • social exchange • reciprocity • Taiwan • filial piety • public opinion • karma (Yin-Guo)

Qualitative Health Research, Vol. 13, No. 8, 1078-1093 (2003)
DOI: 10.1177/1049732303256370
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