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

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

doi:10.1186/s12877-020-01555-2

Cited by 33 publications

(23 citation statements)

References 116 publications

(152 reference statements)

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“…© Gørill Haugan sense of coherence, and alleviation of loneliness, anxiety and depression. What is more, positively perceived nurse-patient interaction strengthens residents' joy-of-life [105], meaningin-life, and self-transcendence [55,97]; the latter two have shown significant impact on physical, emotional, social, functional, and spiritual wellbeing [21,57,119,[130][131][132][133][134]. Thus, the interaction between the nurse and the older adult can be used to promote health and well-being.…”

Section: Discussionmentioning

confidence: 99%

“…Due to sample size, all paths were not tested in one complex SEM model. Thus, different SEM models of the hypothesized relations between the latent constructs of nurse-patient interaction and (1) self-transcendence (interpersonal and intrapersonal) [97], (2) meaning-in-life [55,119], (3) hope [120], (4) anxiety and depression [45], and (5) joy-of-life [105], were tested by means of LISREL 8.8 [121] and Stata 15.1 [122], while the assoications with sense of coherenec and loneliness were tested by regression analyses using IBM SPSS Statistics [123].…”

Section: Analysesmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Analysesmentioning

confidence: 99%

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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“…For example, Reed [11] identified four patterns of self-transcendence to be more predominant in nondepressed than depressed oldest-old adults. Similarly, results from several studies by Haugan and colleagues support interpersonal and intrapersonal self-transcendence as clinically important in nurse-patient interactions to promote mental health in older adult nursing home residents [37,38,50,51] and physical, emotional, social, functional, and spiritual wellbeing of older adults in nursing homes [24,25,35,39]. Intrapersonal self-transcendence was among particularly significant health-promoting factors in long-term care residents [36].…”

Section: Later Adulthoodmentioning

confidence: 81%

“…Selftranscendence is a vital but not inexhaustible psychosocial resource in older adults. For example, two different Norwegian studies among older adults in nursing homes showed that both interpersonal and intrapersonal selftranscendence were significantly influenced by the residents' perceived nurse-patient interaction [37,51]. Walton and colleagues [53] identified a significant inverse relationship between self-transcendence and loneliness in older adults; this was supported by a recent Norwegian study among nursing home residents [54].…”

Section: Later Adulthoodmentioning

confidence: 88%

“…However, the inwardly dimension covers an inwardly process of self-acceptance and adaption to one's situation and functional capability, which has shown to explain the variation in quality of life/well-being better than the outgoing dimension among nursing home residents [36]. Furthermore, these two dimensions of self-transcendence seem to influence differently on other related constructs as well as the relationships between these constructs; these are perceived meaning-in-life [37], hope and nurse-patient interaction [35], depression [38], as well as physical, emotional, social, functional, and spiritual well-being [24,25,39]. Thus, this differentiation seems important clinically, theoretically, and scientifically.…”

Section: Measuring Self-transcendencementioning

confidence: 99%

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Self-Transcendence: A Salutogenic Process for Well-Being

Reed

Haugan

2021

Health Promotion in Health Care – Vital Theories and Research

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Self-transcendence is a concept relevant to understanding how human beings attain or maintain well-being. Not surprisingly, it is similar to other concepts that are in some way linked to human well-being. The purpose of this chapter is to discuss self-transcendence particularly for its empirical support and practical relevance in promoting well-being across the health continuum. Increasing understanding and generating new ideas about self-transcendence may also facilitate continued research into self-transcendence and identification of health-promoting interventions and practices that foster well-being, particularly in difficult life situations.

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The effectiveness of reminiscence therapy on the symptom management, the life satisfaction, and the self-transcendence in palliative care patients: a randomized controlled trial

Bozkurt,

Yildirim

2024

Support Care Cancer

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Purpose To examine the effect of individualized reminiscence therapy on the management of global distress and physical and psychological symptoms, life satisfaction and self-transcendence levels of palliative care patients. Methods In a single-center palliative care service in western Turkey, 48 patients without cognitive impairment and able to communicate were included in the study. However, 44 patients completed the study. Patients who met the inclusion criteria were randomly assigned to the reminiscence therapy (intervention), unstructured social interviewing (placebo), and control groups (16 people for each group) before the start of the study. The sessions for the interview and placebo groups were conducted face-to-face in the patient's room (while the patient was sitting or lying down) for 15 days (2 weeks), every other day, for a total of eight sessions (each session was approximately 30 min). Data collection instruments—the Memorial Symptom Assessment Scale, the Contentment with Life Assessment Scale, and the Self-Transcendence Scale—were collected at baseline (first day) and after the intervention (day 15th). Statistical significance level was accepted as p < 0.05. Results There was no decrease in physical and total symptom burden (p > 0.05). There were significant reductions in general distress and psychological symptoms in the intervention and placebo groups within the group (p < 0.05), but there were no significant differences between the control group and all groups when compared (p > 0.05). Group × time interactions were statistically significant for life satisfaction and self-transcendence (p < 0.001), and there was a substantial increase in the intervention group compared to the other groups. Conclusion It may be recommended that reminiscence therapy intervention be included in routine nursing care as it may contribute positively to the psychological recovery of palliative care patients approaching the end of life. Trial registration ClinicalTrails.gov (Registration number: NCT05242016). Prospectively registered on 1 February 2022.

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

Cited by 33 publications

References 116 publications

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

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

Self-Transcendence: A Salutogenic Process for Well-Being

The effectiveness of reminiscence therapy on the symptom management, the life satisfaction, and the self-transcendence in palliative care patients: a randomized controlled trial

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