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Intrapersonal self‐transcendence, meaning‐in‐life and nurse–patient interaction: powerful assets for quality of life in cognitively intact nursing‐home patients
Author(s) -
Haugan Gørill,
Moksnes Unni Karin,
Løhre Audhild
Publication year - 2016
Publication title -
scandinavian journal of caring sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.678
H-Index - 66
eISSN - 1471-6712
pISSN - 0283-9318
DOI - 10.1111/scs.12307
Subject(s) - intrapersonal communication , quality of life (healthcare) , psychology , meaning (existential) , scale (ratio) , self transcendence , nursing , clinical psychology , social psychology , medicine , interpersonal communication , psychotherapist , personality , physics , quantum mechanics , big five personality traits and culture , big five personality traits
Background Spirituality has demonstrated a significant impact on quality of life in nursing‐home patients. Likewise, as essential aspects of spirituality, hope, self‐transcendence, and meaning are found to be vital resources to nursing‐home patients' global well‐being. Further, nurse–patient interaction has demonstrated a powerful influence on patient's hope, self‐transcendence, and meaning‐in‐life, as well as on anxiety and depression. Aim The present study investigated the associations of hope, self‐transcendence, meaning, and perceived nurse–patient interaction with quality of life. Design and method In a cross‐sectional design, a sample of 202 cognitively intact nursing‐home patients in Mid‐Norway responded to the Herth Hope Index, the Self‐Transcendence scale, the Purpose‐in‐Life test, the Nurse‐Patient Interaction scale, and a one‐item overall measure on quality of life. Using SPSS ordinal regression, bivariate and multivariate analyses were conducted with quality of life as dependent variable. Results Controlling for gender, age, and residential time, all the scales were significantly related to quality of life in the bivariate analyses. Intrapersonal self‐transcendence showed an exceptional position presenting a very high odds ratio in the bivariate analysis, and also the strongest association with quality of life in multivariate analyses. Meaning and nurse–patient interaction also showed independent and significant associations with quality of life. Conclusion The associations found encourage the idea that intrapersonal self‐transcendence, meaning‐in‐life, and nurse–patient interaction are powerful health‐promoting factors that significantly influence on nursing‐home patients' quality of life. Therefore, pedagogical approaches for advancing caregivers' presence and confidence in health‐promoting interaction should be upgraded and matured. Proper educational programs for developing interacting skills including assessing and supporting patients' intrapersonal self‐transcendence and meaning‐in‐life should be utilised and their effectiveness evaluated.