conceptual model, connectedness, elderly health care outcomes, generative model, middle range theory, quality of life, theory development



  1. Register, M. Elizabeth RN, MSN, MPH, CCM
  2. Herman, JoAnne PhD, RN, CSME


Decades of quality of life (QOL) research has failed to produce widely recognized QOL definitions or measurements. The inconsistency may be due to an ontological error in the perspective of researchers. Most researchers portray QOL as a given or inherent condition that declines in the face of challenges. We believe QOL is a cumulative process that results from a series of connections and disconnections that elders experience in their daily lives. The Register theory of Generative Quality of Life for the Elderly offers an alternative ontological perspective by placing elder QOL in a generative context.