Joy‐of‐life in cognitively intact nursing home residents: the impact of the nurse–patient interaction

Haugan, Gørill; Eide, Wenche Mjanger; André, Beate; Wu, Vivien Xi; Rinnan, Eva; Taasen, Siv Eriksen; Kuven, Britt Moene; Drageset, Jorunn

doi:10.1111/scs.12836

Cited by 23 publications

(29 citation statements)

References 89 publications

(146 reference statements)

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“…The OPQOL-brief data were recently published in a study testing the psychometric properties of the Norwegian version of OPQOL-brief [73]. Similarly, the Joy-of-Life scale was psychometrically tested, and used in a study assessing the associations between Nurse-Patient Interaction and joy-of-life [74] in the sample which is used for the present study.…”

Section: Methodsmentioning

confidence: 99%

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Nurse-patient interaction and self-transcendence: assets for a meaningful life in nursing home residents?

et al. 2020

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Background: Due to the shift to an older population worldwide and an increased need for 24-h care, finding new and alternative approaches to increase wellbeing among nursing home (NH) residents is highly warranted. To guide clinical practice in boosting wellbeing among NH residents, knowledge about nurse-patient interaction (NPI), inter-(ST1) and intra-personal (ST2) self-transcendence and meaning-in-life (PIL) seems vital. This study tests six hypotheses of the relationships between NPI, ST1, ST2 and PIL among cognitively intact NH residents. Methods: In a cross-sectional design, 188 (92% response rate) out of 204 long-term NH residents representing 27 NHs responded to NPI, ST, and the PIL scales. Inclusion criteria were: (1) municipality authority's decision of longterm NH care; (2) residential time 3 months or longer; (3) informed consent competency recognized by responsible doctor and nurse; and (4) capable of being interviewed. The hypothesized relations between the latent constructs were tested through structural equation modeling (SEM) using Stata 15.1. Results: The SEM-model yielded a good fit (χ2 = 146.824, p = 0.021, df = 114, χ2/df = 1.29 RMSEA = 0.040, p-close 0.811, CFI = 0.97, TLI = 0.96, and SRMR = 0.063), supporting five of the six hypothesized relationships between the constructs of NPI, ST1, ST2 and PIL. Conclusion: NPI significantly relates to both ST1, ST2 and PIL in NH residents. ST revealed a fundamental influence on perceived PIL, while NPI demonstrated a significant indirect influence on PIL, mediated by ST.

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Section: Methodsmentioning

confidence: 99%

“…A hypothesized structural equation model (SEM) with bases in existing theory [39,40,53,54] and previous empirical research [29,31,48,55] was tested. Figure 1 shows the hypotheses representing the relationships implying the influences between the latent constructs in the model.…”

Section: Aims and Hypothesesmentioning

confidence: 99%

Nurse-patient interaction and self-transcendence: assets for a meaningful life in nursing home residents?

et al. 2020

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“…All this documentation is a working task that has come in addition to everyday working tasks. I understand that we must document the experience, but objectivity is important (10) Informants said that the JoLNH demanded for more resources if they should ful l the JoLNH criteria and perform the JoLNH care activities. Some told that they had special JoLNH personnel that was responsible for the activities.…”

Section: The Characteristics Of Care Activities Before Implementationmentioning

confidence: 99%

“…The researchers were independent of both those who implemented JoLNH and the municipality. The aim of this study is to illuminate the mechanisms which can lead to successful implementation, including barriers and facilitators; this study is not part of a formal evaluation of the JoLNH implementation (8).The JoL foundation (9) conducts the JoLNH implementation including the certi cation process, which lasts for one year, during which the NHs and the municipalities undertake the necessary changes to be a certi ed JoLNH (2,10,11). The municipalities pay a fee to the JoL foundation for the certi cation process as well as the annually recerti cation.…”

Section: Introductionmentioning

confidence: 99%

“…It is therefore vital to investigate issues related to the implementation of JoLNH authorization focusing on implementation facilitation, co-determination and a strengthened work environment. Mostly, previous research has focused on the residents' bene t of the JoLNH implementation (2,10,11,15). However, knowledge about the healthcare personnel's experiences of this implementation is scarce.…”

Section: Introductionmentioning

confidence: 99%

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How implementation of a national strategy for nursing homes is experienced by the healthcare personnel: A qualitative study with content analysis of interviews.

André¹,

Grønning²,

Jacobsen³

et al. 2020

Preprint

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Background: Nursing homes are under strong pressure to provide good care to the residents. In Norway, municipalities have applied the ‘Joy-of-Life-Nursing-Home’ strategy to increase a health-promoting perception that focuses on the older persons` resources. Implementations represent introducing changes to the healthcare personnel; however, changing one’s working approaches, routines and working culture may be demanding. On this background, we explored how the ‘Joy-of-Life-Nursing-Home’ strategy is perceived by the employees in retrospective, over a period after the implementation and which challenges the employees experience with this implementation.Method: We used a qualitative approach and interviewed 14 healthcare personnel working in nursing homes in one Norwegian municipality, which had implemented the ‘Joy-of-Life-Nursing-Home’ strategy. The analysis was conducted following Kvale’s approach to qualitative content analysis.Results: The main categories were: (a) the characteristics of care activities before implementations of ‘Joy-of-Life-Nursing-Home’, (b) how ‘Joy-of-Life-Nursing-Home’ influenced the care activities, and (c) challenges with the implementation of ‘Joy-of-Life-Nursing-Home’. Some of the informants spoke well about the implementation concerning the care quality stating “to see the joy in the eyes of the resident then I feel we have succeeded”. For informants who experienced resistance toward the implementation, they felt it was too much to document, it was too complicated, and the requirements were too many. Conclusions: Quality of care seems to have increased after the implementation, as perceived by the informants. Nevertheless, the fact that the informants seemed to be divided into two different groups related to their main perspective of the implementation is concerning. One group has positive experiences with the implementations process and the benefits of it, while the other group focuses on lack of benefits and problems with the implementation process. In order to understand what facilitates and hinders the implementation, research on contextual factors like work environment and leadership is recommended.

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Nurse-Patient Interaction: A Vital Salutogenic Resource in Nursing Home Care

Haugan

2021

Health Promotion in Health Care – Vital Theories and Research

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We are now witnessing a major change in the world’s population. Many people globally grow very old: 80, 90, and 100 years. Increased age is followed by an increased incidence of functional and chronic comorbidities and diverse disabilities, which for many leads to the need for long-term care in a nursing home. Quality of life and health promotive initiatives for older persons living in nursing homes will become ever more important in the years to come. Therefore, this chapter focuses on health promotion among older adults living in nursing homes. First, this chapter clarifies the concepts of health, salutogenesis, and pathogenesis, followed by knowledge about health promotion. Then insight and knowledge about the nursing home population is provided; what promotes health and well-being in nursing home residents?Health promotion in the health services should be based on integrated knowledge of salutogenesis and pathogenesis. The salutogenic understanding of health is holistic and considers man as a wholeness including physical, mental, social, and spiritual/existential dimensions. Research indicates that various health-promoting interventions, specifically the nurse–patient interaction, influence on older adults in nursing homes as a wholeness of body–soul–spirit, affecting the whole being. Hence, dimensions such as pain, fatigue, dyspnea, nausea, loneliness, anxiety, and depressive symptoms will be influenced through health-promoting approaches. Therefore, two separate studies on the health-promoting influences of nurse–patient interaction in nursing home residents were conducted. In total, nine hypotheses of directional influence of the nurse–patient interaction were tested, all of which finding support.Along with competence in pain and symptom management, health-promoting nurse–patient interaction based on awareness and attentional skills is essential in nursing home care. Thus, health care workers should be given the opportunity to further develop their knowledge and relational skills, in order to “refine” their way of being present together with residents in nursing homes. Health professionals’ competence involves the “being in the doing”; that is, both the doing and the way of being are essential in health and nursing care.

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Joy‐of‐life in cognitively intact nursing home residents: the impact of the nurse–patient interaction

Cited by 23 publications

References 89 publications

Nurse-patient interaction and self-transcendence: assets for a meaningful life in nursing home residents?

Nurse-patient interaction and self-transcendence: assets for a meaningful life in nursing home residents?

How implementation of a national strategy for nursing homes is experienced by the healthcare personnel: A qualitative study with content analysis of interviews.

Nurse-Patient Interaction: A Vital Salutogenic Resource in Nursing Home Care

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