Sources and expressions of inner strength among old people who have experienced a crisis in life associated with a disease

Viglund, Kerstin; Jonsén, Ellisabeth; Lundman, Berit; Nygren, Björn; Strandberg, Gunilla

doi:10.1177/2057158516659839

Cited by 9 publications

(11 citation statements)

References 27 publications

(45 reference statements)

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“…Older adults with high levels of inner strength were targeted for qualitative interviews. Results confirmed the constructs of connectedness, flexibility, and creativity and highlighted themes of focusing on the positive and belief in a higher power (Viglund et al., 2017).…”

Section: Introductionsupporting

confidence: 63%

“…The Nordic model's roots in salutogenesis favor a focus on healthy ageing by excluding those with illness (Lundman et al., 2010). Although more recent work explores inner strength in people with chronic illness, the research group only selects individuals who demonstrate high levels of inner strength (Viglund et al., 2017). Preferentially exploring the experience of successful ageing inherently focuses on outcomes rather than processes.…”

Section: Significance and Planmentioning

confidence: 99%

“…Further testing showed that inner strength may mediate the relationship between illness and self‐rated health as higher inner strength was associated with better self‐rated health, while having an illness was associated with poorer self‐rated health and lower inner strength (Viglund, Jonsén, Strandberg, Lundman, & Nygren, 2014). Finally, the Nordic paradigm explored their theoretical model in people who age with illness (Viglund, Jonsén, Lundman, Nygren, & Strandberg, 2017). Older adults with high levels of inner strength were targeted for qualitative interviews.…”

Section: Introductionmentioning

confidence: 99%

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A dimensional analysis of inner strength in people ageing with serious illness

Morgan

2020

Nursing Inquiry

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Older adults are living longer, in part due to advances in medical science, public health initiatives, and global economic growth. However, the reality of an extended life expectancy for the majority of Americans includes living with multiple chronic conditions as they age (National Institute of Aging, 2016). Further, chronic illnesses make up seven out of the ten leading causes of death, so most will die from one of those conditions (Kochanek, Murphy, Xu, & Arias, 2019). Though nomenclature has changed over time, the terminal phase of chronic illness has more recently been called serious illness (Kelley, 2014). Serious illness impacts life expectancy, function, and overall well-being (Kelley, 2014). Understanding the resources that people use to respond to, process, and move forward with serious illness is key in targeting nursing-directed care for this population. Inner strength encompasses 'an internal developmental capacity that supports positive movement through challenging life events' and has implications for quality of life (Smith, Dingley, & Roux, 2019, p. 38). Older adults living with serious illness may use inner strength as a resource. However, previous conceptual and theoretical models of inner strength are limited in their applicability to people in the terminal phase of a chronic illness. A refined understanding of the nature of inner strength is imperative for informing nursing care that addresses the needs of people who face ageing with serious illness.

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Section: Introductionsupporting

confidence: 63%

Section: Significance and Planmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A dimensional analysis of inner strength in people ageing with serious illness

Morgan

2020

Nursing Inquiry

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“…The faith and inner conviction that a higher being such as God is caring for one’s life and personal well-being represents an inner state of confidence, hope, certainty and shelter from which a state of inner peace and meaning is derived [ 51 ]. Such positive emotions as mentioned above are related to inner strength [ 52 , 53 ] and a positive outlook in life, both of which promote health and coping. The salutogenic theory of what creates health [ 54 ] states that meaning is a vital aspect of the salutogenic concept of sense of coherence.…”

Section: Discussionmentioning

confidence: 99%

Crucial aspects promoting meaning and purpose in life: perceptions of nursing home residents

2017

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BackgroundMeaning and purpose in life are fundamental to human beings. In changing times, with an aging population and increased life expectancy, the need for health care services and long-term care is likely to grow. More deeply understanding how older long-term care residents perceive meaning and purpose in life is critical for improving the quality of care and the residents’ quality of life. The purpose of this study was to explore crucial aspects promoting nursing home residents’ experience of meaning and purpose in everyday life.MethodAn exploratory hermeneutical design with qualitative interviews for collecting data.ResultsFour key experiences were found to promote meaning and purpose in life: 1) physical and mental well-being, 2) belonging and recognition, 3) personally treasured activities and 4) spiritual closeness and connectedness.ConclusionIn supporting meaning and purpose in life of nursing home residents, the residents’ everyday well-being should be a central focus of care and facilitate personally treasured activities. Focused attention should also be given to the meaning-making power of experiencing belonging, recognition and spiritual connectedness.

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“…8,9 Recently researchers developed a Model of Inner Strength, and evaluated the effect of inner strength on self-reported health status with a sample of older individuals. 10 Findings indicate that increased inner strength mediates the relationship between disease and self-rated health of older people.…”

mentioning

confidence: 96%