Buy this Article for $7.95

Have a coupon or promotional code? Enter it here:

When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.


concept synthesis, connectedness, middle range theory, older adults, quality of life, theory development



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


Viewing quality of life from a generative context gave rise to a new perspective and the old term quality of life failed to capture the essence of the new idea. Creation of a new term required a series of deliberate studies to develop the concept of connectedness. This article traces the conceptual progression and presents the concept synthesis of connectedness using literary synthesis, qualitative synthesis, and quantitative synthesis. Based on the concept synthesis, connectedness in community-dwelling older adults can be defined as engaging life by self-regulating, facing aging, being part of a family, having friends, and being spiritual.